Four Stores in CT Warned by FDA for Selling e-Cigarettes to Minors as Popularity, Concern Grows

The U.S. Food and Drug Administration has sent out warning letters to 40 retailers in 17 states  – including four in Connecticut - as part of a “concerted effort to ensure youth are not able to access” e-cigarettes – specifically responding to what officials describe as the “surging youth uptake” of JUUL products. According to the federal agency, those receiving the warnings in recent weeks included four Connecticut retailers: Discount Tobacco and Vape in Vernon, Mobil Mart in Waterbury, Shell/Henny Penny in Lisbon, and Smoker’s Outlet in West Hartford. The retailers were warned about selling the increasingly popular – but hazardous – products to minors.

The FDA explained that warning letters are sent to retailers the first time a tobacco compliance check inspection reveals a violation of the federal tobacco laws and regulations that FDA enforces.  During undercover buy inspections by agency representatives, “the retailer is unaware an inspection is taking place” and the minor and inspector “will not identify themselves.”

Published reports nationwide indicate that vaping is increasing rapidly in popularity with young people, especially with the most popular brand, JUUL. Its devices are tiny, and look like a pen or flash drive. When someone vapes, there is no fire, ash or smoky odor — instead, the devices heat up and vaporize a liquid or solid.  School bathrooms, where cigarette smoking was done in “secret” a generation ago, are now often referred to as “juul rooms” according to numerous reports – the nicotine fix of choice of the current generation.  A recent New York Times article prominently featured a description of the magnitude of the problem in a suburban Connecticut high school.

“The FDA has been conducting a large-scale, undercover nationwide blitz to crack down on the sale of e-cigarettes – specifically JUUL products – to minors at both brick-and-mortar and online retailers,” said FDA Commissioner Scott Gottlieb, M.D.

Gottlieb highlighted the danger – and the attraction – of the products to youth.

“We understand, by all accounts, many of them may be using products that closely resemble a USB flash drive, have high levels of nicotine and emissions that are hard to see. These characteristics may facilitate youth use, by making the products more attractive to children and teens.  These products are also more difficult for parents and teachers to recognize or detect. Several of these products fall under the JUUL brand, but other brands, such as myblu and KandyPens, that have similar characteristics are emerging.”

Businesses receiving the warning letters are directed to provide, within 15 days, “an explanation of the steps you will take to correct the violation(s) and prevent future violations (for example, retrain your employees, remove the problematic items, etc.),” the agency website points out.  In addition to federal restrictions, purchase/possession of an electronic nicotine delivery system or vapor product by persons under age 18 is prohibited in Connecticut.

The FDA also sent an official request for information directly to JUUL Labs, requiring the company to submit important documents to better understand the reportedly high rates of youth use and the particular youth appeal of these products.

Said Gottlieb: “We don’t yet fully understand why these products are so popular among youth. But it’s imperative that we figure it out, and fast. These documents may help us get there.”  The agency plans what it calls a “full-scale e-cigarette prevention effort” in the fall.

In addition, the FDA also recently contacted eBay to raise concerns over several listings for JUUL products on its website. eBay took what the agency described as “swift action to remove the listings and voluntarily implement new measures to prevent new listings” from being posted to the website.

Children's Champions to Be Recognized for Commitment, Leadership

Two leading advocates for Connecticut children who have followed very different paths to impact the well-being of young people will be honored by The Center for Children’s Advocacy as Connecticut’s 2018 Champion of Children Award recipients later this month. Fran Rabinowitz, Executive Director of the Connecticut Association of Public School Superintendents (CAPSS) and Abdul-Rahmaan I. Muhammad, Executive Director of My People Clinical Services in Hartford will be honored at the Center’s annual Spring for Kids event to be held at Infinity Hall in Hartford on May 8, 2018.

Fran Rabinowitz has been a dedicated and respected Connecticut educational leader for over 30 years. Prior to her appointment at CAPSS, she served as Associate Commissioner of Education for the State of Connecticut, Superintendent of Hamden Public Schools, and Interim Superintendent of Bridgeport Public Schools.

In announcing her selection, organizers indicated that “in every challenging position, Ms. Rabinowitz has demonstrated vision, courage and passion in her forceful advocacy for the educational needs of every student.”

Abdul-Rahmann I. Muhammad leads My People Clinical Services, a community-based social service organization that helps Hartford-area youth and families rebuild their lives. Services include therapeutic support and crisis intervention, helping youth overcome the impact of family disruption, domestic violence, substance abuse and other barriers to health and safety.

Through collaborations with state, educational and other community based organizations, My People aspires to be a leading organization for positive change, supported transition and permanency for children, young adults and families. In announcing Muhammad’s selection as an award recipient, organizers stressed that “his focus on Hartford’s underserved youth provides critically needed support.”

My People Clinical Services sponsors many community events such as the Daddy Daughter Dance and the Female Empowerment Conference. He also launched The Dream Support Network in 2007, to encourage, inspire and support individuals to live the life of their dreams. The signature programs of the Dream Support Network are Ice Cream for a Dream (where free ice cream is exchanged for dreams) and the Dream Chaser Program.

The Center for Children’s Advocacy is the largest children’s legal rights organization in New England, fighting for the legal rights of Connecticut’s most vulnerable children. Areas of focus include protecting and defending abused and neglected children, improving child health, supporting teens and homeless youth, improving educational success, helping immigrant children, reducing racial disparities, promotion youth voice and reducing involvement with the juvenile justice system.  Martha Stone is founder, two decades ago, and Executive Director of the Center for Children’s Advocacy.

Tickets and information are available on the Center for Children’s Advocacy website at cca-ct.org or from Susan Stein at sstein@cca-ct.org.

Goodbye Columbus? Indigenous Peoples Day Gains Another CT School District

West Hartford’s Board of Education voted this month to mark Indigenous People’s Day, rather than Columbus Day, in the town’s schools beginning next year.  Bridgeport schools made the change in 2015, and the New London school district replaced Columbus Day with Indigenous Peoples Day in 2016. There are no Connecticut municipalities that have voted to change the name of Columbus Day. In 2017, Rep. Josh Elliott of Hamden introduced legislation at the state level to make the change, but the proposal died in a legislative committee and was not voted on by either the House or Senate.

Instead of honoring Christopher Columbus, the Indigenous Peoples’ Day recognizes Native Americans, who were the first inhabitants of the land that later became the United States of America. Advocates for the switch to Indigenous Peoples Day argue that Columbus did not “discover” America in 1492 but instead began the colonization of it.

The states of Minnesota, Alaska and South Dakota celebrate Indigenous People’s Day or Native Americans Day, instead of Columbus Day.

TIME magazine has reported that with the exception of Santa Cruz, Calif., and the state of South Dakota, which adopted the similar Native American Day in place of Columbus Day in 1990, the jurisdictions that have chosen to celebrate Indigenous Peoples Day have done so relatively recently, with cities like Minneapolis and Seattle voting to celebrate Indigenous Peoples Day instead in 2014, and Los Angeles doing so last year, with the observance to begin in 2019.  In 2016, the state of Vermont (by gubernatorial proclamation) and city of Phoenix, AZ celebrated Indigenous Peoples Day. When the city of Austin adopted Indigenous Peoples’ Day in October 2017, the resolution stated that the city wanted to encourage schools to teach this history.

For decades, Native American activists have advocated abolishing Columbus Day, which became a federal holiday in 1937.  On the 300th anniversary of Columbus’ landing, the Society of St. Tammany, or the Columbian Order, organized the first celebration of Columbus Day on Oct. 12, 1792, according to the Library of Congress. In 1934, President Franklin D. Roosevelt designated Oct. 12 as the national holiday called Columbus Day. It became a federal holiday honored annually on the second Monday in October in 1971.

Tracey Wilson, a former social studies teacher at Conard who is also town historian, told we-ha.com that it’s important to “help our students distinguish between nostalgia and history.” Today’s world is different than it was when Columbus Day was first celebrated in 1892 and when the day became a national holiday in 1934, she said.

Students Excel in Winning Connecticut Science & Engineering Fair Recognition

Students from across Connecticut won awards at the 70^thConnecticut Science & Engineering Fair (CSEF) held this past weekend at Quinnipiac University.  Students were recognized for their achievement and innovation in a half dozen categories, including physical science, life science, biotechnology, and engineering.  Individual and team awards were presented, for grades 9-12 and grades 7-8.  There was also an Urban School Challenge category. The individual high school physical and life science first and second place winners, as well as the Alexion Biotechnology, CASE Urban School Challenge, and UTC Aerospace Engineering winners are packing their project boards to compete at the prestigious Intel International Science & Engineering Fair (Intel ISEF), to be held this week in Pittsburgh, PA.

Other CSEF winners will represent Connecticut and compete for cash and scholarships at other competitions, including the 2018 GENIUS Olympiad and the 2018 Broadcom MASTERS competition.

The Connecticut Science & Engineering Fair is a yearly, statewide science and engineering fair open to all students in grades 7-12 residing, or enrolled, in Connecticut and Fishers Island schools.

The primary objective of the fair is to attract young people to careers in mathematics, science, and engineering while developing critical thinking and public speaking skills. Through their participation in the fair, students are encouraged to pursue independent work using proper research methods.

The fair is supported by academic and industrial organizations through the state. The non-profit Connecticut Science & Engineering Fair is a volunteer organization fund that directs funds toward student awards, educational presentations, fair operations, and workshops.

Students from Bethany, Danbury, East Lyme, Greenwich, New Haven, West Hartford, Wilton, and Windsor earned top prizes at the 2018 event.

Individual winners in Grades 9-12 include:

Physical Science – Maya Geradi, Wilbur Cross High School, New Haven

Life Science – Emily Philippides, Greenwich High School

Biotechnology – Shobhita Sundaram, Greenwich High School

Engineering – Keshav Vedula, CREC Academy of Aerospace & Engineering High School, Windsor

Individual winners at the middle school level include:

Physical Science - Khushi Parikh, Westside Middle School Academy, Danbury (Grade 8)

Varun Vadhera, Middlebrook School, Wilton (Grade 7)

Life Sciences - Grace Flynn, St. Timothy Middle School, West Hartford (Grade 8)

Athena Brown, Worthington Hooker Middle School, New Haven (Grade 7)

Biotechnology - Paloma Lenz, Westside Middle School Academy, Danbury

Engineering - Timothy Chen, Westside Middle School Academy, Danbury

See the full list of winners here.

CT School Administrators Oppose Arming Educators

As students at schools across Connecticut held local observances in memory of the 17 students killed one month ago at Marjory Stoneman Douglas High School in Parkland, Florida, the Connecticut Association of School Administrators released the results of a survey of its members on proposals to arm teachers and administrators as a means of combating the growing problem of gun violence in school settings. When asked “Do you support providing teachers and administrators with firearms?” 84 percent of respondents said no, and 16 percent were supportive.  Asked if schools “will be safer if teachers and administrators are armed,” 85 percent said they would not; 15 percent thought they would.

“The recent proposal to combat school shootings by allowing armed teachers and administrators has little support. Millions of students attend schools throughout the nation for one purpose, to get an education,” said Anthony Ditrio, Chair of the Connecticut Association of School Administrators and a retired administrator who was a Norwalk School Principal for three decades.

“While we agree students should feel safe in every learning environment, arming school teachers and administrators is not the right course of action,” Ditrio added. “The results of our survey don’t surprise me or our organization at all.”

The Connecticut Association of School Administrators is a non‐profit membership organization aimed at advocating to protect the status and welfare of Connecticut school administrators, below the rank of assistant superintendent, in elementary, middle, and secondary schools or working in their board's central office. The Association includes approximately a thousand members from urban, suburban and rural school districts.

More than 160 members participated in the brief survey.

Nominations Open for Annual Connecticut Book Awards

Read a good book lately?  Written by a Connecticut author or featuring a local illustrator?  You may want to urge that their work be submitted for a 2018 Connecticut Book Award.  The annual awards returned last year after a multi-year hiatus, to solid reviews.  The Connecticut Center for the Book (CCB) at Connecticut Humanities, which sponsors the awards, is now looking to build on that momentum. The awards are designed to recognize and honor those authors and illustrators who have created the best books in or about the State of Connecticut, and celebrate the state’s rich history of authors and illustrators. “There was such a wonderful selection of books submitted last year in each category that it was very hard to choose” said Lisa Comstock, director of the Connecticut Center for the Book. “We are confident that submissions this year will be exceptional as well.” Eligibility requirements for the 2018 Awards include: Authors and illustrators must currently reside in Connecticut and must have lived in the state at least three consecutive years or have been born in the state. Alternatively, the work may be substantially set in Connecticut. Titles must have been published for the first time between January 1, 2017, and December 31, 2017, or have a copyright within 2017. All submitted books must have a valid ISBN. Anthologies are acceptable. Author(s) must currently reside in Connecticut and must have lived in the state at least three consecutive years or have been born in the state. Alternatively, the works must be substantially set in Connecticut. Books by deceased authors will be accepted only if the author was still living at the beginning of the eligibility year (January 1, 2017). The deadline for submission for the 2018 Connecticut Book Awards is April 20, 2018. Finalists will be announced in September and winners announced in October. For more information, visit: http://ctcenterforthebook.org/submission-guidelines/. Last year’s winners in each category include: Poetry: Fugitives by Danielle Pieratti; Lifetime Achievement for Literary Excellence to Gray Jacobik represented by The Banquet: New and Selected Poems; Young Readers: The Weight of Zero by Karen Fortunati; Nonfiction: Never Look an American in the Eye by Okey Ndibe; and in Fiction: Cajun Waltz by Robert H. Patton.  They followed in the footsteps of literary legends like Mark Twain, Harriet Beecher Stowe, Wallace Stevens – and more recently, Connecticut-connected authors such as Annie Proulx, Suzanne Collins, Elizabeth Gilbert, Maurice Sendak and Luanne Rice. Connecticut Humanities (CTH) is the state affiliate of the National Endowment for the Humanities and administers the Connecticut Center for the Book.  Established by Congress in 1977 to “stimulate public interest in books and reading,” the Center for the Book in the Library of Congress is a national force for reading and literacy promotion. Not eligible for the 2018 Connecticut Awards are reprints of books published in another year, eBooks, and books written by staff or families of Connecticut Center for the Book, Connecticut Humanities, or members or families of the CT Book Award review committee and/or its judges.

Private Schools in Connecticut Among Most Expensive in USA

If you’re considering sending a child to private elementary or high school, know that there’s virtually nowhere in the United States more expensive in Connecticut. The average cost of private high school tuition in Connecticut, $31,413, is the second most expensive in the nation, just behind Vermont ($31,532) and just ahead of Massachusetts ($30,186).  New Hampshire and Main round out the top five most expensive states for private high school tuition.

The most expensive average elementary school tuition cost is also on the East Coast, and Connecticut leads the way.  The average private elementary school tuition is $13,412, with Massachusetts ($10,822), New Hampshire ($10,773), Virginia ($10,755), and New York ($10,513) rounding out the top five.

The average cost of private school tuition has grown at a rate that is higher than inflation over the past 20 years, according to data analyzed by the website hommuch.net   The site indicates that administrative employee compensation has been the main catalyst for the increases in private school expenses, noting that the rise in the volume of employees who have a larger compensation package than a typical teacher has created the upward trajectory in private school tuition costs.

The website Private School Review indicates that the private elementary school average is $9,263 per year and the private high school average is $14,017 per year.

In a ranking of the best private schools in Connecticut this year, the website Niche listed Choate Rosemary Hall (Wallingford), The Hotchkiss School (Lakeville), Hopkins School (New Haven), Kent School (Kent), Greenwich Academy (Greenwich), The Taft School (Watertown), Loomis Chaffee School (Windsor), Brunswick School (Greenwich), Miss Porter’s School (Farmington) and Westminster School (Simsbury) as the top 10.

Report Reflects Good News, Continuing Challenges for Women, Girls in Eastern CT

Women and girls in Eastern Connecticut are progressing in many ways, but gender equity is elusive in many others, according to a new report.  The Community Foundation of Eastern Connecticut commissioned DataHaven to develop a report on the Status of Women and Girls in Eastern Connecticut, and the findings provide an insightful snapshot of disparities that persist, and challenges that remain and may increase, as well as diminish, in the years ahead. The purpose of the 26-page report, explains the Community Foundation’s President and Chief Executive Officer Maryam Elahi, is “to help inform and guide thoughtful conversations and inspire local ideas for social and policy advancements and investments.”   It is designed to be a “platform for action” to increase opportunity, access and equity for women and girls in Eastern Connecticut, officials indicated.  It is the first time that such a report was developed.

Among the key findings:

• Young women are achieving in school, but greater educational attainment has yet to translate to economic equality.
• Positive educational outcomes and economic equality are further out of reach for women of color.
• Many occupations remain segregated by gender, and women make up a majority of part-time workers.
• Women are at greater risk of financial insecurity, with single mothers at the greatest risk. 25% of all children in Eastern Connecticut live with a single mother, and 90% of single-parent households are headed by a mother.
• Women in Eastern Connecticut are healthy, with a life expectancy of about 82 years—slightly above the national average, but below the state average.

The report also found that:

• The opioid epidemic continues to ravage our communities, with deaths of women in 2016 more than double those of 2012.
• Young women are at heightened risk for many mental health conditions. 35% of female students reported feeling hopeless or depressed vs. 19% of male students, and women are three times more likely to attempt suicide than men.
• Violence against women continues to be a major public health problem. Almost 5,000 women in Windham and New London counties received services from domestic violence shelters.

The report defines Eastern Connecticut as the Community Foundation of Eastern Connecticut service area:  42 towns that include 453,000 people, 227,000 women.  The population of the region is 80% white, 9% Latina, 4% Black and 4% Asian.  Approximately 33,700 residents, or 7 percent, are foreign born.  Looking ahead, the report noted that the population of women ages 65 and up is projected to grow significantly over the next decade; estimated to increase 44 percent by 2025.

Continuing racial disparities are highlighted by the finding that among 90 percent of girls in the region’s class of 2016 graduated high school within four years, yet nearly 20 percent of women in New London and Windham/Willimantic lack a high school diploma.

The report noted that “a persistent gap” exists for women with degrees in STEM fields. Overall, 51 percent of men vs. 30 percent of women majored in science and engineering fields. Encouragingly, of 25-39 year-old women with degrees, 37 percent majored in the sciences. This is higher than previous generations.

Although women comprise 76 percent of educators, only 11 out of 41 superintendents in the region are women.  The report also found that 25 percent of businesses are women-owned.

“Women’s equality,” Elahi said, “is not just a women’s issue. It affects the wellbeing and prosperity of every family and community.”

The Community Foundation has organized public forums to discuss the report findings.  The first was held last week in Hampton, the next is February 15 in New London.

New Haven-based DataHaven’s mission is to improve quality of life by collecting, sharing, and interpreting public data for effective decision-making. The Community Foundation of Eastern Connecticut serves 42 towns and is comprised of over 490 charitable funds, putting “philanthropy into action to address the needs, rights and interests of the region.”

Number of World Language Students in Connecticut More Than Triples Over Past 25 Years

In 1991, 65,252 students were enrolled in world languages in Connecticut’s K-12 schools.  A dozen years later, in 2003, that number had climbed steadily, reaching 95,154.  By 2015, another 12 years later, the number of students taking language instruction had more than doubled, to 208,627 during the 2015-16 academic year. Data provided to CT by the Numbers by the state Department of Education also showed that nearly one-quarter of those students were taking Spanish.  Also, during those two and a half decades, the number of students taking Chinese language instruction has grown from less than 100 to more than 5,500.

Twenty-five years ago, in 1991, the most popular languages taught were Spanish, with 37,963 students; French, with 17,281; Latin, with 4,764; and Italian, with 2,989.  There was also a smattering of German (1,290 students), Russian (318), and Portuguese (193).  The number of students other languages was relatively tiny – 72 were learning Chinese, 67 were taking Japanese and 36 were in Polish language classes.   

By 2003, the most frequent world language choices for Connecticut students had not changed, but the numbers had jumped.  Spanish grew from just under 38,000 students to just over 62,000.  The number of French students was virtually unchanged, and would drop slightly in the years following, as the number of Latin students grew from just under 5,000 to just over 7,500 and the number of students taken Latin closed in on doubling from just under 3,000.

By 2015-16, there were 54,308 taking Spanish, plus another 2,142 taking Spanish for Native Speakers.  Just under 27,000 students were taking French, and 5,500 taking Chinese. The ratio of French students to Chinese students had dropped from more than 200 to 1 in 1991 to about 5 to 1 by the 2015-16 school year.

Slightly more than 7,000 students were learning Italian in 2015-16, more than double the number in 1991. Arabic, which barely registered in 1991, was being taken by 343 students and Russian was the language of choice for 86 students by 2015-16.

According to “The State of Languages in the U.S.: A Statistical Portrait,” Connecticut was one of seven states, along with New Jersey, Pennsylvania, Maryland, Vermont, New Hampshire and Wisconsin, where more than 30 percent of K-12 students were enrolled in language. As of 2014, only twelve states had more than one in four elementary- and secondary-school students studying languages other than English.

The report was published by the American Academy of Arts & Sciences in 2014, noting in the introduction that “While English continues to be the lingua franca for world trade and diplomacy, there is an emerging consensus among leaders in business and politics, teachers, scientists, and community members that proficiency in English is not sufficient to meet the nation’s needs in a shrinking world.”

“What a lot of Americans remember is language as an academic pursuit,” Marty Abbott, director of education for the American Council on the Teaching of Foreign Languages told the nonprofit organization Great Schools in 2016.  “They learned a lot about a language, how to conjugate every irregular verb. Today, the emphasis is on developing students’ communications skills — what they can do with a language. That’s a radical departure.”

There were approximately 191,000 students taking a world language in Connecticut in the 2013-14 and 2014-15 school years; that number jumped to more than 208,000 the following year, in the most recent data available from the state Department of Education.  Data for specific languages may vary, as course descriptions differ from district to district in Connecticut.

Michelle Obama Influences Children's Trick-or-Treat Choices, Yale Study Says

The conclusion is striking:  Michelle Obama’s initiative to reduce childhood obesity has influenced children’s dietary preferences. Researchers estimated that viewing a photograph of Michelle Obama’s face caused children to be 19 percent more likely to choose fruit over candy, on Halloween.  The experiment – Yale University researchers - was conducted on a New Haven porch over three consecutive Halloweens, and the results are published this month in a journal of the Public Library of Science (PLOS). The participants were 1,223 trick-or-treaters in New Haven over three years; on average, 8.5 years old and 53 percent male (among children whose gender was identifiable). To be eligible for inclusion in the study, trick-or-treaters had to be over the age of three.

The porch of a home had photographs clearly visible in front of the trick-or-treating children.  One was of Michelle Obama.  The other side, the “comparison” side in the study, “had a photo of Ann Romney (2012), a photo of Hillary Clinton (2014, 2015), or no photo (2014, 2015).”

At both sides of the porch, children were asked their age and whether they would prefer to receive fruit (a box of raisins) or candy (a more typical small packaged piece of name-brand chocolate such as Snickers or Milky Ways). Each child was given the option (fruit or candy) that they requested.

“The experimental set-up allows us to measure what proportion of children chose fruit instead of candy when in the presence of an image of Michelle Obama’s face, as well as the proportion of children who chose fruit instead of candy when not in the presence of an

image of Michelle Obama’s face,” the researchers pointed out.

Publishing the research are Peter M. Aronow, Dean Karlan, Lauren E. Pinson.  Peter Aronow is Assistant Professor of Political Science and in the Institute for Social and Policy Studies and of Public Health at Yale University; Dean Karlan is a Professor of Economics at Yale; Lauren Pinson is a Ph.D. candidate in Political Science at Yale University.

The experiment was conducted in the East Rock neighborhood of New Haven, which is about one mile from the Yale University campus, and contains many single family homes owned by Yale faculty, as well as some multi-family homes in which many graduate students live, the study explained. “There are also low income neighborhoods within a mile of this neighborhood,” and “due to the high level of activity during Halloween, many families drive from further away in order to trick-or-treat in this neighborhood.”

The study provides background, explaining that “During her tenure as First Lady of the United States, Michelle Obama has spearheaded one of the largest public health initiatives focused on childhood obesity. In 2010, Obama unveiled her Let’s Move Initiative, aimed at fostering a healthy lifestyle and reducing childhood obesity. As the public face of the campaign, Obama urged healthy eating and exercise in a variety of classic and social media venues accessible to minors and their parents, including appearances on Sesame Street and Oprah and posts of online videos.”

In regards to the results, the researchers caution that “we ran the experiment on a day where candy is readily available, the influence on children’s dietary preference for fruit instead of candy may differ from other days of the year; for instance, perhaps children are more willing to choose fruit since it is unique for the holiday, or children are less willing to choose fruit because they are under the influence of sugar consumption.”

PLOS was founded in 2001 as a nonprofit Open Access publisher, innovator and advocacy organization with a mission to accelerate progress in science and medicine by leading a transformation in research communication.