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Treating Patients to Talk Time

An ingenious scheme to encourage people to take their TB meds. Tuberculosis treatment is a drag. Patients...

 Nikhil Swaminathan
07.20.09

An ingenious scheme to encourage people to take their TB meds. Tuberculosis treatment is a drag. Patients require a six-month course of antibiotics to clear the lung infection, which plagues a third of the world's population and kills 2 million each year. Sure, after roughly two to three months, symptoms such as a lingering cough and fever will subside. But halting the regimen then allows the bacteria to acquire antibiotic resistance, creating TB strains that are tougher to control as they spread. Getting patients to stay on their meds is tough enough in the developed world, but in areas short on health care facilities, it can be nearly impossible.X out TB is a system designed by Massachusetts Institute of Technology students that uses a carrot-and-stick principle to keep TB sufferers popping their pills. Patients receive a dispenser that every 24 hours releases a strip of paper with a string of numbers on it. This test stamp contains chemicals that react to metabolites from TB drugs in urine to highlight a subset of those numbers. A compliant patient can text message the code from a successful test to a central database and-as in a pilot study of 30 patients in Nicaragua-be rewarded with free cell phone minutes. The program is now being tested in Kirachi, Pakistan, and will soon be employed in Indonesia, as well.According to X out TB team member Elizabeth Leshen, the microfluidics technology that makes the test reliable could be engineered to detect remnants of drugs associated with other diseases, such as HIV. And while mobile phone minutes (which are provided by local carriers) are valuable to people in the developing world, they are not the key to the system. "If, in certain areas, there is another, more powerful incentive that can be easily distributed through an existing infrastructure," she says, "we can incorporate that alternative incentive in the place of cell phone minutes."Photo by Jose Gomez-MarquezBack to interactive site

Infographics

'High Castle' producers destroyed every swastika used on the show and the video is oh-so satisfying

via Chela Horsdal / Twitter

Amazon's "The Man in the High Castle" debuted the first episode of its final season last week.

The show is loosely based on an alternative history novel by Philip K. Dick that postulates what would happen if Nazi Germany and the Empire of Japan controlled the United States after being victorious in World War II.

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Politics

Chick-fil-A will finally stop giving to anti-LGBT charities, but only because it's bad for business

via Mike Mozart / Flickr

Chick-fil-A is the third-largest fast food chain in America, behind McDonald's and Starbucks, raking in over $10 billion a year.

But for years, the company has faced boycotts for supporting anti-LGBT charities, including the Salvation Army, the Fellowship of Christian Athletes, and the Paul Anderson Youth Home.

The Salvation Army faced criticism after a leader in the organization implied that gay people "deserve to die" and the company also came under fire after refusing to offer same-sex couples health insurance. But the organization swears it's evolving on such issues.

via Thomas Hawk / Flickr

The Fellowship of Christian Athletes explicitly announced it was anti gay marriage in a recent "Statement of Faith."

God instituted marriage between one man and one woman as the foundation of the family and the basic structure of human society. For this reason, we believe that marriage is exclusively the union of one man and one woman.

The Paul Anderson Youth Home teaches boys that homosexuality is wrong and that same-sex marriage is "rage against Jesus Christ and His values."

RELATED: The 1975's singer bravely kissed a man at a Dubai concert to protest anti-LGBT oppression

In 2012, Chick-fil-A's CEO, Dan Cathy, made anti same-sex marriage comments on a radio broadcast:

I think we are inviting God's judgment on our nation when we shake our fist at Him and say, "We know better than you as to what constitutes a marriage". I pray God's mercy on our generation that has such a prideful, arrogant attitude to think that we have the audacity to define what marriage is about.

But the chicken giant has now decided to change it's says its charitable donation strategy because it's bad for business...Not because being homophobic is wrong.

The company recently lost several bids to provide concessions in U.S. airports. A pop-up shop in England was told it would not be renewed after eight days following LGBTQ protests.

Chick-fil-A also has plans to expand to Boston, Massachusetts where its mayor, Thomas Menino, pledged to ban the restaurant from the city.

via Wikimedia Commons

"There's no question we know that, as we go into new markets, we need to be clear about who we are," Chick-fil-A President and Chief Operating Officer Tim Tassopoulos told Bisnow. "There are lots of articles and newscasts about Chick-fil-A, and we thought we needed to be clear about our message."

RELATED: Alan Turing will appear on the 50-pound note nearly 70 years after being persecuted for his sexuality

Instead, the Chick-fil-A Foundation plans to give $9 million to organizations that support education and fight homelessness. Which is commendable regardless of the company's troubled past.

"If Chick-Fil-A is serious about their pledge to stop holding hands with divisive anti-LGBTQ activists, then further transparency is needed regarding their deep ties to organizations like Focus on the Family, which exist purely to harm LGBTQ people and families," Drew Anderson, GLAAD's director of campaigns and rapid response, said in a statement.

Chick-fil-A's decision to back down from contributing to anti-LGBT charities shows the power that people have to fight back against companies by hitting them where it really hurts — the pocket book.

The question remains: If you previously avoided Chick-fil-A because it supported anti-LGBT organizations, is it now OK to eat there? Especially when Popeye's chicken sandwich is so good people will kill for it?

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Lifestyle

Italian council chamber floods—just after council rejected climate change measures

Andrea Zanoni/Facebook

Oh, irony. You are having quite a day.

The Italian region of Veneto, which includes the city of Venice, is currently experiencing historic flooding. Venice Mayor Luigi Brugnaro has stated that the flooding is a direct result of climate change, with the tide measuring the highest level in 50 years. The city (which is actually a collection of 100 islands in a lagoon—hence its famous canal streets), is no stranger to regular flooding, but is currently on the brink of declaring a state of emergency as waters refuse to recede.

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AOC says Stephen Miller 'must' resign after racist emails exposed

via Gage Skidmore / Flickr and nrkbeta / flickr

The Southern Poverty Law Center (SPLC) dropped a bombshell on Tuesday, announcing it had over 900 emails that White House aide Stephen Miller sent to former Breitbart writer and editor Katie McHugh.

According to the SPLC, in the emails, Miller aggressively "promoted white nationalist literature, pushed racist immigration stories and obsessed over the loss of Confederate symbols after Dylann Roof's murderous rampage."

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Politics

Supreme Court says Sandy Hook parents can sue company that made killer's gun

via Twitter / Bye,Bye Harley Davidson

The NRA likes to diminish the role that guns play in fatal shootings by saying, "Guns don't kill people, people kill people."

Which is the same logic as, "Hammers don't build roofs, people build roofs." No duh. But it'd be nearly impossible to build a roof without a hammer.

So, shouldn't the people who manufacture guns share some responsibility when they are used for the purpose they're made: killing people? Especially when the manufacturers market the weapon for that exact purpose?

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