Nurses create ways for co-workers to relax, de-stress

For nurses who just don’t have time to take a break, the box has laminated cards with mindfulness exercises nurses can do throughout the day.

Webb-Jones said she pictures her problems while she’s cleaning equipment.

“Whatever the stressor was, as you’re wiping away, cleaning your table, your instruments, whatever; you can just throw it away in the trash can,” she said. “I do that almost every day.”

Explore5 signs of excessive stress, according to ANA’s Well-Being Initiative

Farish said her hands helps her to reflect and relax.

“You can feel the water on your hands — hot, cold, the wetness of it. You can listen to the sound of it going down the drain. You can stop and think for a minute — where am I, how am I, checking in with yourself,” she said. “And if it’s not a helpful moment, take that moment and allow it to go down the drain.”

They call their program Room to Reflect and are hoping it catches on nationwide. They’re already expanding at their hospital.

“We share these conversations with our colleagues on these other units, hoping that they will spread this information to their colleagues — that everyone will start to open up more and just open up and share their stories and connect with each other,” Webb-Jones said.

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(Just so you know, techno/electronic music was the worst, with heart rates increasing by an average of 7%, and 78% of listeners seeing an increase in their blood pressure.)"},{"_id":"HUWLVBBMUNDGPJ34SWTM5NG3VY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052282},"type":"text","content":"In a study at the University of Queensland School of Psychology, researchers studying the effects of “extreme music” on listeners gathered a group of regular heavy-metal listeners ages 13-34. The researchers started with a 16-minute session designed to deliberately anger the subjects by bringing up unpleasant memories or issues having to do with money, relationships or work. The ticked-off subjects were then randomly assigned to either spend the next 10 minutes in silence or listening to heavy metal music from their own playlist. Half of those in the music group picked tracks that included aggression or anger, while the other half went for tracks with themes of isolation and sadness."},{"_id":"JCLFXT5RGNHKHENF2EMUPHKTMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052283},"type":"text","content":"The results were a surprise. Rather than making angry listeners even angrier, or triggering depressive episodes, suicide, drug abuse or violence, heavy metal “enhanced positive emotions,” according to Leah Sharman, co-author of the study."},{"_id":"2H5GYBNA4RHRVOMGV25MIG5TEE","additional_properties":{"comments":[],"_id":"T7SWFDD3IZEQXJM7NAWS76VMX4"},"type":"interstitial_link","content":"Upbeat: How music helps nurses heal from trauma and stress","url":"https://www.ajc.com/lifestyles/health/upbeat-how-music-helps-nurses-heal-from-trauma-and-stress/ynL8aEfINE75Aruws5F4aO/"},{"_id":"O4MG55ABTBA5JLY4DECY2S26GA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052284},"type":"text","content":"“When experiencing anger, extreme music fans liked to listen to music that could match their anger,” she said. “The music helped them explore the full gamut of emotion they felt, but also left them feeling more active and inspired. Results showed levels of hostility, irritability and stress decreased after music was introduced, and the most significant change reported was the level of inspiration they felt.”"},{"_id":"73QM4IG7ZNENLPIRQYQBGYXGYE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052285},"type":"text","content":"That said, we all know that music can — and does — affect the way we feel, bringing up emotions such as joy, sadness, love and anger. The big question, however, has always been whether those emotions trigger certain kinds of behavior."},{"_id":"JFD6RHUK3ZHANBWGBB53HIILRQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052286},"type":"text","content":"In one study, Meng-Jinn Chen and other researchers at the Pacific Institute for Research and Evaluation found that young people who listen to techno and reggae music were more likely than classical or pop music fans to abuse drugs. Dutch researcher Juul Mulder found that adolescent girls who preferred rap music were more likely to smoke, that boys who listened to heavy metal were less likely to smoke, and girls were less likely to drink. However, the researchers in both studies were very careful to note that there’s no evidence that the music actually caused the behavior."},{"_id":"IYLWRMUZRBDOHLF2RCTXUOS5OE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052287},"type":"text","content":"A number of other studies have confirmed Sharman’s findings that when people in a particular emotional state listen to music that matches that state — whether it’s Bach, Brahms, Taylor Swift, Thundercat or Jay Z — they feel better."},{"_id":"HMJRGJVALBAEVPWI6BHW63GOYM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052288},"type":"text","content":"So the next time you’re feeling angry or frustrated, download two songs by Megadeth, Iron Maiden or Lil Wayne and call us in the morning."},{"_id":"MPCOFTFRIBBQFD3LNPHL7TAPSY","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"AGZ3RAIZ2BG5BPTMGK26GBUEGA","additional_properties":{"comments":[],"_id":"ITLE3FFUVRANLGZJK3BKJ742SQ"},"type":"divider"},{"_id":"QMDUPOAJ3ZBQTGLCKJXT7ZCYZE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626721052289},"type":"text","content":"Armin Brott is the author of “Blueprint for Men’s Health,” “Your Head: An Owner’s Manual,” and many other works on men’s health. 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That’s where she met Rosemary, the nurse who taught her all about her chemotherapy port."},{"_id":"5USQQAIDP5CPXAOYBDR77UBQHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450158},"type":"text","content":"“And then I would go home and access my doll’s port,” Sandy said. “They tell me now that they pretty much knew I was going to be a nurse or in a medical field of some sort.”"},{"level":3,"_id":"JLA4GHIJPJHMZFDPCQHIRKGS6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450159},"type":"header","content":"‘That happened for a reason’"},{"_id":"O6EZTHTK65BGVCQAPBWW4ZNPAY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450160},"type":"text","content":"Growing up, Sandy hadn’t decided yet if she would be a high school science teacher or a nurse."},{"_id":"GIYSQRPZIRGGBAZCWJUTZMWUIA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450161},"type":"text","content":"“I always knew that (leukemia) happened for a reason,” she said. “And so in high school, it was kind of more clear to me that I definitely wanted to do nursing, because this happened for a reason. I have this passion, this draw to nursing. And then, when I got accepted into the nursing program, that was like, definitely, this is what I’m supposed to do.”"},{"_id":"F6FQNFYR3NFMLKILPI6RHWHK7A","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450162},"type":"text","content":"While attending the University of North Georgia, Sandy made a friend with whom she had a lot in common. They were both on the golf team, both wanted to be nurses, and both were Make-A-Wish recipients as children."},{"_id":"ZTUD4CIO6ZDT3JJBQ2RL5676HE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450163},"type":"text","content":"LeeAnn Noble had received a heart transplant when she was 11. 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Three days after Noble died, Sandy was accepted into the nursing program."},{"_id":"T5MXZE55MRGK5C7NGCYG6AUZR4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450166},"type":"text","content":"“I knew all along that I wanted to be a nurse, but this,” she paused, “it was very clear, like I have to do this for her.”"},{"_id":"EFGBDRUYRJCFZAXRXZ6NURBFTU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450167},"type":"text","content":"Noble wanted to work at Children’s, on the transplant floor where she’d received her heart a decade before. “So that was just huge,” Sandy said. “And to this day, whenever I have hard days, I absolutely think of her. It made it clear this is what I’m supposed to do.”"},{"owner":{"sponsored":false,"id":"ajc"},"address":{},"syndication":{},"caption":"Bridget Sandy (left) has been working at the Aflac Cancer and Blood Disorders Center at Children's Healthcare of Atlanta for five years. 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In 2016, she became a nurse in the Inpatient Aflac Cancer and Blood Disorders Center at Scottish Rite — the same unit where she was treated as a child. Her experience as a patient gives her a different perspective at work, she said."},{"_id":"EKVGXKJQSNH2LP6TK255SOHOGY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450171},"type":"text","content":"“When kids are first diagnosed, a lot of their world is shaken,” Sandy said. “It’s day to day for me and my co-workers, but it’s not for them.”"},{"_id":"TCXXHCCQBNG2LDA63KZPPDNF6M","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450172},"type":"text","content":"With the right families — where the child has the same diagnosis Sandy did and same outcome expectation — Sandy shares her story as a way to give them hope."},{"_id":"6X3BKGEBNJAUZGZ4CVD45QX2P4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450173},"type":"text","content":"“I think that whenever I do tell the families — especially ones who are diagnosed with the same ALL (acute lymphocytic leukemia) I had — that it is super cool to see how receptive they are, and they have so much hope.”"},{"_id":"5PODLO4B2ZDTZEMA6JVZJIFRRI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450174},"type":"text","content":"Sandy has been with the Aflac Cancer and Blood Disorders Center for five years now."},{"_id":"OWCGF2U6UZACBDXVC6B76GWTU4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450175},"type":"text","content":"“Taking care of kids is my passion, and I love sharing a deeper connection with our patients and families and being able to really relate to what they’re going through,” she added. “It’s not easy, but it definitely lets you feel that you’re contributing to the world in some way.”"},{"_id":"UDVNNTG3SBEGFL5M42RE62SXOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626696450176},"type":"text","content":"
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(AP) — The owners and operators of nursing schools in Virginia and Florida have been charged with plotting to sell bogus transcripts and diplomas, helping unqualified candidates pass nursing board exams and get health care jobs, federal authorities said Friday."},{"_id":"X6KMLIWSNJDJ3LULWFRFJZTTAA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770543},"type":"text","content":"In March 2019, a witness told the FBI that Patrick Nwaokwu, 50, of Laurel, Maryland, and Musa Bangura, 62, of Manassas, Virginia, were creating illegitimate transcripts and certificates through a nursing school in in Woodbridge, Virginia. 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The Florida Board of Nursing shut down Napoleon’s school in May 2017 for having a low passing rate on licensure exams, according to an FBI agent’s affidavit."},{"_id":"HPMEPEWTKZDOFJVLYARS2PKYPQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770545},"type":"text","content":"In September 2020, an FBI source wearing a recording device attended a test prep class in that Nwaokwu led in an office building in Laurel, Maryland."},{"_id":"HLQ2FBH36NGX3HVTZFUKCTE2H4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770546},"type":"text","content":"Nwaokwu asked a student, “What are you most concerned about?” according to an FBI agent’s affidavit."},{"_id":"CWEH75ORNBBDPBQ4SWAK4VZP7Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770547},"type":"text","content":"“I’m afraid of killing the patient,” the student responded, causing the class to erupt in laughter, the agent wrote."},{"_id":"J5BJLEEAOFFDHPVZYYSMYO5Y54","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770548},"type":"text","content":"“Nwaokwu did little to address the student’s concern before he moved to the next topic,” the affidavit said."},{"_id":"RAGJFYX5CNAHTC4PERVQKIVUXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770549},"type":"text","content":"A criminal compliant filed in Maryland and unsealed on Monday charges Nwaokwu, Bangura and Napoleon with conspiracy to commit health care fraud, conspiracy to make false statements relating to health care matters and making false statements relating to health care matters."},{"_id":"7IAL6YQYYRDVXMD6SSTEZBCLTA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770550},"type":"text","content":"A federal magistrate judge agreed to free Nwaokwu and Bangura on bond after their initial court appearances in Maryland on Monday, court records show."},{"_id":"TANQY7MYFVFOPAEABCDMOKMNGQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770551},"type":"text","content":"Attorney Joel DeFabio defended Napoleon in an email to the Associated Press."},{"_id":"D3ZIPQ5WAJFX3AKWWP5D2UPDFA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770552},"type":"text","content":"“Ms. Napoleón has worked very hard over the past 20 years to make a name for herself in the South Florida business community. She surrendered voluntarily to face these charges and looks forward to clearing her name in court,” DeFabio said."},{"_id":"WVPTGBUYDRF5BA35QKKKSGMA2M","additional_properties":{"comments":[],"_id":"RKV54YI6IVGAVLTD2ZCHL2CMFU"},"type":"interstitial_link","content":"5 Georgia online nursing programs on Princeton Review’s list of best in U.S.","url":"https://www.ajc.com/life/5-georgia-online-nursing-programs-on-princeton-reviews-list-of-best-in-us/QI4NGZAYPRGJ3FYJ6KSCGZX5XQ/"},{"_id":"ZEBH5XAPX5C63DSUMSI5DKZSAQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770553},"type":"text","content":"Paul Kemp, an attorney for Musa Bangura, declined to comment on the charges. An attorney for Nwaokwu didn’t immediately respond Friday to an email seeking comment."},{"_id":"XMMS6MKPHRHABHCOZDFZGLPGKA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770554},"type":"text","content":"Roughly 175 graduates of the Virginia nursing school have applied to the Maryland Board of Nursing for licenses between August 2012 and July 2019, with approximately 62 licensed practical nurses actively working in Maryland, according to the agent."},{"_id":"6MUG2WW64JHAXJ366CAPA2YK6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770555},"type":"text","content":"However, since June 2018, no graduates of the Virginia nursing school have been approved to practice in Maryland because Nwaokwu or Bangura have failed to provide paperwork required of out-of-state applicants by Maryland regulators, the affidavit says."},{"_id":"3PPTX7C5MRD3TJA6HCLMLN5M7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770556},"type":"text","content":"Some of those who graduated from the Florida nursing school with backdated transcripts are listed as people who passed the New York State Board Examination, the FBI says."},{"_id":"CKOH3Z4UXVG3RAXPH7KQWPKV3A","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770557},"type":"text","content":"The FBI agent said a New York State Office of Professions employee told him that their internal license procedure is “fraught with disorganization,” but the agent said it’s unclear why Nwaokwu has advised “all of his co-conspirators” to apply for a license in New York."},{"_id":"4HGNPSG3MZEEDOGR22W6VCQLBA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770558},"type":"text","content":"Receipts showed that students paid between $6,000 and $18,000 for the fake transcripts and certificates from the Virginia school, the affidavit says. An FBI undercover agent purchased a diploma from the Florida school for approximately $16,000."},{"_id":"YYP2TIJEAVBPFEGU7FYBNLRZ5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770559},"type":"text","content":"The FBI agent who wrote the July 8 affidavit said he hadn’t communicated with any employers of any graduates of the Florida nursing school “due to the covert nature of the investigation” but has verified that at least four graduates have worked for health care entities that bill Medicare and Medicaid and private insurance."},{"_id":"Y2DWWBCERFFORJRMTYSG7NJ6PE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626711770560},"type":"text","content":"
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By familiarizing young people with geriatric care careers, the system aims to address its growing need for workers as the tide of baby boomers enter their later years."},{"_id":"LMCUSQ6VHNHRHGAUTMVO5PSKUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876786},"type":"text","content":"Six of the top 10 fastest-growing jobs in the decade leading up to 2029 are projected to be in health care, according to the federal Bureau of Labor Statistics, including home health and personal care aides."},{"_id":"ZVZMQ543LRHEFJIFD5JUI2JHDE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876787},"type":"text","content":"“One of our biggest challenges is that there aren’t enough people who want to work in this industry,” said Dr. Jeffrey Farber, president and CEO of the New Jewish Home system. “People don’t want to work with older adults.”"},{"_id":"6XYDNZJM5JGQVPXWNPPWPFRMJU","additional_properties":{"comments":[],"_id":"QL74KCCFOFB6DNBPVKDDDJ4G3A"},"type":"interstitial_link","content":"Employment opportunities for nurses this summer","url":"https://www.ajc.com/pulse/employment-opportunities-for-nurses-this-summer/FQPESTZACVGLRIS2NTJDGJPZR4/"},{"_id":"IWJ5RTS5V5FM3LRPO2V7GIFTKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876789},"type":"text","content":"The New Jewish Home began its career development program for teens 15 years ago with the idea of training and hiring them as nursing assistants, Farber said."},{"_id":"NXIVTL7CE5DY5NRDNKBVJRPTXQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876790},"type":"text","content":"But it has become more than that. Working a few afternoons a week for three years with older adults, students gain insights into aging and develop relationships with residents, some of whom are assigned as mentors. It also gives students assistance with figuring out career goals and putting the pieces in place to get there."},{"_id":"K2Y2VGM4S5G2JLUJPCWGAV4BC4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876791},"type":"text","content":"“I think the students would be successful without us, but we provide the structure and resources to help them succeed,” said John Cruz, senior director of workforce initiatives at the New Jewish Home, who oversees the program."},{"_id":"ESBJWW2MP5DMRIA7XB56UQZEZ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876792},"type":"text","content":"Students generally must devote two afternoons after school every week and several weeks during the summer, said Cruz. The program curriculum, developed with Columbia University Teachers College, initially teaches students basics about patient privacy, Medicare/Medicaid and overcoming stereotypes about older people. By the time they’re seniors in high school, students can train as certified nursing assistants and work as paid interns supporting the residents on the days they spend at the facility."},{"_id":"JKVEELVT4ZDMJP5RV2KAQNSNJQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876793},"type":"text","content":"As part of the program, students may also become certified in other jobs, including patient care technician, phlebotomist, EKG technician, and medical coding and billing staff."},{"_id":"WRBSLR7CEJAAFKTMNDMYGUOXCI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876794},"type":"text","content":"The pandemic, however, changed things. The New Jewish Home in Manhattan was hit hard, with dozens of COVID-19 deaths at the 514-bed facility."},{"_id":"BLGUJWKHW5DEFIV4L2PQ7TDQRQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876795},"type":"text","content":"Since volunteers weren’t permitted inside the facility, the home instead hired many of them as part-time employees so they could continue to help seniors. This also gave students a chance to complete the clinical training portion of their certified nursing assistant coursework."},{"_id":"7XOVE4NRMNCBTFPPOE4YIXKOIE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876796},"type":"text","content":"In addition to the program for high school students, the health system created a program in 2014 for people ages 18 to 24 who are unemployed and out of school, training them to become certified home health aides and nursing assistants. Nearly 200 have completed the program and the New Jewish Home has hired three-quarters of them, at a starting wage of $15 to $19 an hour."},{"_id":"3XEQGPBVC5G5FCAQ353RVJKLKM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876797},"type":"text","content":"Both programs are supported primarily by grants from foundations."},{"_id":"7IW25P7X7NDVBCOTDIZ6FS7FIM","additional_properties":{"comments":[],"_id":"A3JHDSHHW5EQLADLJSDYGA6KV4"},"type":"interstitial_link","content":"6 nonclinical jobs for nurses looking to change career paths","url":"https://www.ajc.com/life/6-nonclinical-jobs-for-nurses-looking-to-change-career-paths/RF5KTXM7TZC3BAH2XCNFRCP2A4/"},{"_id":"NW52SCFR6BCU7HBXWUXG6RYLF4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876799},"type":"text","content":"In February, the state announced that nursing homes could accept visitors again, following federal guidelines. But many nursing home residents still rely on virtual visits, and during the spring Jasmine spent her time helping them connect with their families and other loved ones by iPad or phone."},{"_id":"T4F5IETBU5EWXKOZSAZOJ5BTKM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876800},"type":"text","content":"The isolation was hard on the residents, and students provided sorely missed company. Asked how the students helped her, resident Dominga Marquez, 78, said, “Just talk.”"},{"_id":"ZZVNVKJGNRELVFBBINWERLBRFY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876801},"type":"text","content":"“We are lonely,” said Marquez. “I have a lot of friends that used to come every week to visit but, with the pandemic, nobody came.”"},{"_id":"MGYRVZSBZJFC7JSCLZWFFHW76M","additional_properties":{"comments":[],"_id":"CE3I34MBDREN5NM4WMI7XQOT3A"},"type":"interstitial_link","content":"COVID cases, deaths plunge at Georgia senior care homes in February","url":"https://www.ajc.com/news/georgia-news/covid-cases-deaths-plunge-at-georgia-senior-care-homes-in-february/TNC4QFT5J5AXHOULP7KA6KGZYQ/"},{"_id":"MS6X5UQJJJDY5BAHNEHPW7IJEA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876803},"type":"text","content":"Kennedy Johnson, 17, said helping seniors experience virtual visits with their families during the pandemic made him realize how much he takes for granted."},{"_id":"7O6HLUK2X5HV7J3KTBMPTCNOSQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876804},"type":"text","content":"“With the pandemic and doing the virtual calls, seeing how these families don’t get to interact with their loved ones every day, that really opened my eyes,” he said."},{"_id":"QSDNBNSCXZBGFML6YEX6EQN3RY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876805},"type":"text","content":"Working at the New Jewish Home was the first time Kennedy had ever been in a nursing home or seen the kinds of work that staff members do."},{"_id":"PMYAF6P33FFWBCVWXUNBARHEW4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876806},"type":"text","content":"In the fall, he will start at Morehouse College in Atlanta and plans to major in political science. His goal: “I want to be a health care attorney so I can represent people … like this.”"},{"_id":"4PVOO4QUVBAZDF3EF3ULFKXO3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876807},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"3G3SGLCLK5CTVBG5YB6MI75V2U","additional_properties":{"comments":[],"_id":"AL72DJI665CINJS3M76CPWA7NA"},"type":"divider"},{"_id":"J7WRN4PLYFCVDCPU53QHZVAKKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626446876809},"type":"text","content":"Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at Kaiser Family Foundation. 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Pulse Magazine

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More than 40 states have seen an increase in daily new cases over the previous two weeks, and more than 25 states have seen an increase in hospitalizations. Due to domestic and global travel, the United States cannot be viewed in isolation. 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In the United States, the average child gets nearly three prescriptions for antibiotics before they turn two."},{"_id":"EOZZU5HPTZGTVC5CAPSOOAVPDE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478797},"type":"text","content":"But that exposure early in life could alter human brain development in areas responsible for cognitive and emotional functions, according to a Rutgers study."},{"_id":"BB4V4IEVSZC7LNA2D5SDY32LM4","additional_properties":{"comments":[],"_id":"HWMOMJWXCNBN7A3LKAKXY2KVCI"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"Y2FEJVU5NZHZTPOYVFLSFFEARU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478799},"type":"text","content":"The study suggests that penicillin affects not only the microbiome — the trillions of beneficial microorganisms that live in and on our bodies — but also gene expression, which allows cells to respond to their changing environment, in key areas of the brain."},{"_id":"4XXLEK7QRBF3LJASERYJVNISZM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478800},"type":"text","content":"“Our previous work has shown that exposing young animals to antibiotics changes their metabolism and immunity. 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This study is preliminary but shows a correlation between altering the microbiome and changes in the brain that should be further explored,” said lead author Martin Blaser, director of the Center for Advanced Biotechnology and Medicine at Rutgers."},{"_id":"57PIQRZVPJGWFGA7LDV6GDHEAQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478801},"type":"text","content":"The study compared mice that were exposed to low dose penicillin in utero or immediately after birth to those that were not exposed."},{"_id":"VJ3G6424CJFXHPA5I7V5VS3PUQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478802},"type":"text","content":"The mice given penicillin experienced substantial changes in their intestinal microbiota and had altered gene expression in the frontal cortex — the area in the brain responsible for memory development — and the amygdala, which is involved with the processing of emotions."},{"_id":"6A6PYGVZNVFEZPKHKCSYGNJBHI","additional_properties":{"comments":[],"_id":"SLDCPUP6FRCZHL6OCMWSJ575CM"},"type":"interstitial_link","content":"Most women receive improper treatment for UTIs, study shows","url":"https://www.ajc.com/life/most-women-receive-improper-treatment-for-utis-study-shows/2PE47GPVIBH3POR3E2NKUAWLXQ/"},{"_id":"PZZHKEIJRRAILDWE5DKY3QPJWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478804},"type":"text","content":"“Early life is a critical period for neurodevelopment,” Blaser said. “In recent decades, there has been a rise in the incidence of childhood neurodevelopmental disorders, including autism spectrum disorder, attention deficit/hyperactivity disorder and learning disabilities. Although increased awareness and diagnosis are likely contributing factors, disruptions in cerebral gene expression early in development also could be responsible.”"},{"_id":"E6RT3F4ZUVDNJKH24WD5E3JL2E","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478805},"type":"text","content":"The researchers acknowledge more studies are needed to determine whether antibiotics directly affect brain development or if molecules from the microbiome travel to the brain and disturb gene activity and cause cognitive deficits. The study was published in the journal iScience."},{"_id":"YE7SEXTTHFECVOKWCU4D3WZ7CI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478806},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"2GVIRFIVAREMLMBIXCAKK5FW6M","additional_properties":{"comments":[],"_id":"6OSNXWUKDFFQPB5YJ2ZU7Y3MEA"},"type":"interstitial_link","content":"Study: Antibiotic use in babies linked to ongoing illnesses","url":"https://www.ajc.com/life/study-antibiotic-use-in-babies-linked-to-ongoing-illnesses/EA7WMDRK65C6BP2TMH7ID3ATKU/"},{"_id":"F32BIQRRWZFMDIQOPUUDZB7RJI","additional_properties":{"comments":[],"_id":"VG5CUVF4RJBUZOCAYDHOYXA3FA"},"type":"raw_html","content":"

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The same is true of airplane crash survivors, military personnel, police officers and firefighters, and people who have experienced violent crime."},{"_id":"KIOM37WJABBSFOKHZVKVH23MNI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427285},"type":"text","content":"You may have some friends who seem relaxed about almost everything and others who react strongly to the slightest stress. 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But you can take steps to manage the impact these events have on you."},{"_id":"WSXG3EKUXZB37GWIHRIGNKNZQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427288},"type":"text","content":"You can learn to identify what causes you stress and how to take care of yourself physically and emotionally in the face of stressful situations."},{"_id":"DGPDIBXRVZEJLDQIDRR5SPCVLI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427289},"type":"text","content":"Stress management strategies include:"},{"list_type":"unordered","_id":"2AF5FJ5ROJCOJNFMHOH5WHAV7E","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"QR5IJXVR6JGYVLUB5M24LV3N24","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Eating a healthy diet, getting regular exercise and getting plenty of sleep"},{"_id":"UCSBLHZZFJH2HOCJ6PZU7VT2SY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Practicing relaxation techniques such as yoga, deep breathing, massage or meditation"},{"_id":"GKDG732H25CSZGCWJLPSHUSV6Q","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Keeping a journal and writing about your thoughts or what you’re grateful for in your life"},{"_id":"ZLYSLHOSP5BILHZT3D2MPNEL2I","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Taking time for hobbies, such as reading, listening to music, or watching your favorite show or movie"},{"_id":"74ZCOW4HRFHJ7A6JIR5MZT3LZY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Fostering healthy friendships and talking with friends and family"},{"_id":"J4M5OXDLZZAJ3KF7WOQV7VLIHQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Having a sense of humor and finding ways to include humor and laughter in your life, such as watching funny movies or looking at joke websites"},{"_id":"6KCYUGL2V5HGTFOC6GVOIVQ4MA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Volunteering in your community"},{"_id":"PNQ66PAURJEOPO35ISDJHLC2LQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Organizing and prioritizing what you need to accomplish at home and work and removing tasks that aren’t necessary"},{"_id":"YPAW5J4J5VEKPHVHQSX6ZLRFLM","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Seeking professional counseling, which can help you develop specific coping strategies to manage stress"}]},{"_id":"YLESWDHNSZEBXCVQIO43VAMIX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427291},"type":"text","content":"Avoid unhealthy ways of managing your stress, such as using alcohol, tobacco, drugs or excess food. If you’re concerned that your use of these products has increased or changed due to stress, talk to your health care provider."},{"_id":"255MTQRNMRFKRPKY2SS3TPH6KQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427292},"type":"text","content":"The rewards for learning to manage stress can include peace of mind, less stress and anxiety, a better quality of life, improvement in conditions such as high blood pressure, better self-control and focus, and better relationships. And it might even lead to a longer, healthier life."},{"_id":"Y6EQXSMCCNDPJIT6QTN6EGWRNQ","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"BFHPA2YBRFCXJISLFX3EALYFLI","additional_properties":{"comments":[],"_id":"AYCOMXTC7FBY5DPHMKJZPATELM"},"type":"raw_html","content":"

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During the COVID-19 pandemic, I didn’t get as much exercise and I gained some weight. I now feel like I have less energy. I was previously infected with COVID-19. Is it safe to start exercising again in a crowded gym so that I can work out, lose some weight and gain some energy? Should I wear a mask?"},{"_id":"OQHSTCMSUBBXTIJYCTTROR5TEI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090091},"type":"text","content":"ANSWER: Regular physical activity and structured exercise can benefit people of all ages and physical abilities. These benefits include improvements in overall health, fitness and quality of life, as well as a reduction in the risk of chronic conditions such as heart disease, Type 2 diabetes, dementia and certain types of cancer. Regular exercise also can help maintain healthy body weight, improve mood and feelings of energy, reduce anxiety, and promote good sleep."},{"_id":"T2V63ZAXVREIBM2TMF53QZUQBY","additional_properties":{"comments":[],"_id":"O473T4KORBFO7BOGYPCMKCCQEQ"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"MEETPY55FZBUFLCX22DLS2CRJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090093},"type":"text","content":"The Centers for Disease Control and Prevention and the World Health Organization acknowledge that regular physical activity and exercise is not only safe, but also necessary to promote the health benefits described above. The risk of experiencing more severe COVID-19 symptoms is greater among people with conditions such as obesity and high blood pressure — both of which can be beneficially modified by regular physical activity. Furthermore, regular moderate intensity exercise helps boost immune function, which can protect against or reduce disease severity if you were to become reinfected with COVID-19. This may be why major research findings published in Mayo Clinic Proceedings and the British Journal of Sports Medicine suggest that meeting physical activity guidelines and having greater fitness decrease the likelihood of a severe COVID-19 infection."},{"_id":"MVMR37ZWQFC2ZJOT7QGTGPTGJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090094},"type":"text","content":"You may have heard it said that exercise is “aerosol-generating.” During exercise, the amount of air moved in and out of the lungs increases. This means that, like coughs and sneezes, exercise can increase the number of particles released into the surrounding environment. The virus that causes COVID-19 likely spreads in these respiratory particles."},{"_id":"44HTH4LCDVGUZF4K2Q27DOBFAQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090095},"type":"text","content":"As COVID-19 vaccination rates increase, CDC guidance on the use of masks and social distancing is regularly updated. When considering how to safely take part in physical activity or structured exercise, you are advised to follow current public health guidance."},{"_id":"CCLEHAOCHJEANDZC3IQVJ6K2OY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090096},"type":"text","content":"Exercising outdoors and avoiding large groups of people is preferable, especially if you are not yet fully vaccinated for COVID-19. If you wish to exercise in a community gym, then maintaining appropriate distance between you and others, and wearing a mask, is advisable. If you prefer to exercise indoors, consider doing so in the comfort and safety of your home."},{"_id":"LZHIL7FJERFXHCLKRYGILNCWYU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090097},"type":"text","content":"There have been concerns that wearing a mask during exercise may increase breathlessness, require a greater amount of respiratory effort, and may even cause issues related to rebreathing of your own exhaled carbon dioxide. While wearing a mask during exercise may feel uncomfortable, accumulating evidence indicates that doing so has at worst only a negligible effect on how your body responds to exercise. It also has been suggested that exercising while wearing a mask is safe with no negative health implications, even during hard exercise."},{"_id":"OOVR66GSY5BJHFJHISJQLJMZHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090098},"type":"text","content":"If you have not been fully vaccinated, it is still advisable to wear a mask during exercise, especially indoors. But consider using a lighter cloth or surgical mask, and exercising at a lower intensity."},{"_id":"4Q64C4O63VDXPCCFIWFP6UYLBI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090099},"type":"text","content":"It is important to stress that anyone who wants to increase their physical activity or start exercise training after being infected with COVID-19 should first discuss this with their primary care provider."},{"_id":"EGAHYV4UEBA73ETQABRZD3QYX4","additional_properties":{"comments":[],"_id":"5GT2AG5JIVHTLN3NL2OOUHQRLI"},"type":"interstitial_link","content":"Physical activity at any intensity will help you live longer, study finds","url":"https://www.ajc.com/lifestyles/health/physical-activity-any-intensity-will-help-you-live-longer-study-finds/avOdqbC8RxokGuiA0hnTqO/"},{"_id":"WNXTN2CWUZC2TIYFEN2B5GQW2E","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090101},"type":"text","content":"A recent report in The BMJ suggested that while there may be certain risks associated with restarting physical activity after hospitalization due to COVID-19, people who experienced mild to moderate COVID-19 symptoms and did not require hospitalization can resume physical activity about one week after symptoms have subsided. It is advised that these people return to activity in a gradual manner, perhaps starting with a week of low-level stretching and muscular strengthening exercise. You can build up to walking with gradual increases in exercise time, while avoiding high-intensity training or prolonged exercise during the initial return to normal activity. Those who were hospitalized should seek medical advice from a health care professional to assess their risk before returning to activity."},{"_id":"JZHGUIJHP5FDRCA6EIQT7AIKLI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090102},"type":"text","content":"You should be realistic about how quickly you can return to your level of activity before COVID-19, considering the possible effects of detraining following an extended period of inactivity. Furthermore, those with lingering COVID-19 symptoms sometimes referred to as post-acute COVID-19 syndrome or “long COVID,” might encounter greater difficulties returning to exercise. Again, such people should seek the advice of their health care provider before returning to their level of activity prior to COVID-19."},{"_id":"P3OZ7WNBSJHSPFOIAD55SGFZSY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090103},"type":"text","content":"Always speak to your primary care provider if you have questions about exercise or symptoms."},{"_id":"4QT5KOBQQJFMFLESQZOIMZJNTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090104},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"VOP2KK2V6RCKPN72GYT3IB6QIY","additional_properties":{"comments":[],"_id":"2GTRPJCURJFEFND73JYWMDPGNA"},"type":"interstitial_link","content":"Women need to ‘sit less, walk more’ for heart health, studies find","url":"https://www.ajc.com/life/women-need-to-sit-less-walk-more-for-heart-health-studies-find/7DOZZSQBQNDXPAGLN5R2QDRRAI/"},{"_id":"Z6BA2THSBREZHE7CBJDQPK5TPQ","additional_properties":{"comments":[],"_id":"RLBVR744VJBTRKJMB4UXZLTEMU"},"type":"raw_html","content":"

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Making a few adjustments can make a big difference."},{"_id":"H4ESBW2OXJFJVD4B5DQGJZMOZY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876361},"type":"text","content":"How do we create intimacy and find balance in our relationships? These tips can help:"},{"_id":"IESJXILTSNGU3ETEIKEBXQP7OM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876362},"type":"text","content":"Plan how you’ll spend time with friends and family. Try to make that time count. Figure out productive activities that benefit everyone involved."},{"_id":"2PEUOM6OZFABNL3KLCYUBXLN2Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876363},"type":"text","content":"Don’t share too many details about personal problems. For example, if you think your mate is cheating on you, you might share this with friends. However, don’t offer details that could make the gossip circle in your professional community."},{"_id":"EANKBQN4GZHMZCNLIOEKPPZDPU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876364},"type":"text","content":"Don’t unload too much negativity on others. Even if you’ve lost your job or you’ve been diagnosed with an illness, don’t tell others every detail. Why? Your problems, added to theirs, will make them want to avoid you."},{"_id":"4CYUH5X2PFEDNO75S6ISTRMEA4","additional_properties":{"comments":[],"_id":"JI55GIB3YBGFZFXQ6GRDSPNWNQ"},"type":"interstitial_link","content":"What are friends for? To lower your stress levels","url":"https://www.ajc.com/pulse/what-are-friends-for-to-lower-your-stress-levels/LAI6HY2PGVDHVCTKINLO4RHP4A/"},{"_id":"KK4V7JVXH5FVVAOLS3XH7C6QKA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876366},"type":"text","content":"Join a support group in some instances. For example, if your spouse is an alcoholic, visit an Al-Anon Group. For crisis situations, you need real answers, or you may try to solicit opinions from your friends. This is not fair to them."},{"_id":"IODAESDTQ5EOXO6LSW4NRO3TNU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876367},"type":"text","content":"Keep a journal. Write down your frustrations, fears and dreams on paper. By documenting your feelings, you won’t be as tempted to unload all of your emotions on friends and family members. Never try to deny or hide your deepest feelings. But, do keep certain feelings private."},{"_id":"TM3YHYVQ4BDEHCLHURVXZ6RPBI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876368},"type":"text","content":"“When I caught my boyfriend cheating on me, I told my two best friends all the details,” says a friend of ours we’ll call Emily. “I asked them not to share my pain with others, and they didn’t. But, if I’d told my sister this awful news, she would’ve told everyone.”"},{"_id":"5IKB46ZJ4RGBFGMXT6Q6PZB2IY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876369},"type":"text","content":"“We all can confuse love and friendship with turning someone into a god,” says a family therapist we’ll call Alana. “Most of us tend to believe our friends would never betray us. Not true. People are only human. They talk. They gossip. Not meaning to, they can give us bad advice.”"},{"_id":"ACDEF33HUBDXRBTRB4AXVEBUCQ","additional_properties":{"comments":[],"_id":"KTIHLHKJ4VGM5GKBDAOPINR6ME"},"type":"interstitial_link","content":"How to gain more respect from others","url":"https://www.ajc.com/pulse/how-to-gain-more-respect-from-others/6DSMB4NVC5CKXLJLURWJ2YE6FE/"},{"_id":"UVUOBXLVUBCQ5HPMB6CLAW6CIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876371},"type":"text","content":"Alana believes we find balance by having a circle of friends, not just one or two. All of our friends, she insists, fill a different role in our lives."},{"_id":"JAY6ESSSRZGTJFPQUG5B5VYFMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876372},"type":"text","content":"“Some friends can give us good financial advice,” Alana points out. “Others might be great traveling companions for a vacation."},{"_id":"ACUTLND4LNB4FAD6X55J7XMQ3M","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876373},"type":"text","content":"“I find it helpful to define what truly works in every relationship,” Alana continues. “I told my husband that I need his opinion on dealing with my cranky uncle. Should I visit Uncle Bill more, or should I back off and visit him less?”"},{"_id":"ALKZTIVEWJBNRFDEIZWVB3MMPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876374},"type":"text","content":"Alana says her husband, Joe, is very grounded. He told Alana, “Why don’t you ask Uncle Bill and let him voice his expectations?”"},{"_id":"VL5SQ5A7AFGM3BM6SXA4H2QDMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876375},"type":"text","content":"Alana did just that. She asked her uncle what would make him feel comfortable. Uncle Joe told her he liked her visits, but he missed playing cards and watching sports on TV with another male."},{"_id":"RTRXCZIVCFCLNEQQOEMJRESJTM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876376},"type":"text","content":"“The perfect solution,” says Alana, “is that I now take my husband with me to visit Uncle Joe. A couple of times a month, they watch TV together while I clean Joe’s apartment. Once a month, the three of us play cards. My cranky uncle has turned into a different person.”"},{"_id":"YZLWKGRSUNA25MDX65S36WSAOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876377},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"5A4Z2XSKLVDI7GVP2I3P2DEIDE","additional_properties":{"comments":[],"_id":"QJBVC7KYHRDQNFHDASAOUA3EIM"},"type":"divider"},{"_id":"3VXOBQ3UZFCV3GBYKQ6QYHWWVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876379},"type":"text","content":"Judi Light Hopson is executive director of the stress management website USA Wellness Café at usawellnesscafe.com. Emma Hopson is an author and a nurse educator. Ted Hagen is a family psychologist."},{"_id":"I4YPDXAWEFAUPLHLIMOYKOK6DM","additional_properties":{"comments":[],"_id":"SNZ7VZQO3NCX5E4LYA5OEUOFD4"},"type":"raw_html","content":"

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But before she moved to Johns Creek, she earned a nursing degree from the University of Connecticut and worked as a licensed practical nurse."},{"level":4,"_id":"5GQ6DGYVE5EKTFVELG74WGZAOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625844284473},"type":"header","content":"Martha Jane Cannary"},{"owner":{"id":"ajc"},"workflow":{"status_code":4},"caption":"A portrait photograph of Martha Canary, better known as Calamity Jane.","source":{"system":"Methode","source_type":"other","source_id":"92299534-2c9f-11e9-bab0-a7d3b5289767","additional_properties":{"editor":"photo center"}},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","licensable":false,"display_date":"2019-02-09T19:19:07Z","credits":{"by":[{"name":"Library of Congress","type":"author","byline":"Library of Congress","slug":"library-of-congress"}]},"subtitle":"8 celebrities you never knew were once nurses","width":1023,"first_publish_date":"2019-02-09T19:19:07Z","_id":"4VH3ALFPYGTILXQY5LRBPWYJEE","additional_properties":{"fullSizeResizeUrl":"/resizer/JVHuvv3fwddKqo5u9rJk5smnRtI=/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","comments":[],"keywords":["rct-content","rct-content-fp","natworld.ajc","ajcpulse","spcontent","sp-pulse"],"proxyUrl":"/resizer/JVHuvv3fwddKqo5u9rJk5smnRtI=/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","takenOn":"2019-02-09T19:19:07Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","published":true,"resizeUrl":"/resizer/JVHuvv3fwddKqo5u9rJk5smnRtI=/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","thumbnailResizeUrl":"/resizer/CAztuy3EurlWPrKFfpomktH__xw=/300x0/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","version":0,"originalName":"https://www.ajc.com//rw/Pub/p10/AJC/2019/02/09/Images/Calamity_jane.jpeg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":1625844284474},"created_date":"2020-06-27T08:40:43Z","last_updated_date":"2020-06-27T08:40:43Z","publish_date":"2019-02-09T19:19:07Z","height":1452},{"_id":"4ESA2VDMJJEMVMRWWTFSPRYPDI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625844284475},"type":"text","content":"OK, one last historical celebrity: Martha Jane Cannary, better known as folk hero Calamity Jane, is remembered for frontier fearlessness, sharp shooting and her generally unconventional life. But she also proved to be a devoted, round-the-clock nurse to smallpox patients during an outbreak in South Dakota. She may have developed an immunity to the lethal virus after surviving it in childhood."},{"_id":"QGC64ON435BX3FC6KEKGKBFM5Q","additional_properties":{"comments":[],"_id":1625844284476,"id":"U11184672642lHd"},"type":"raw_html","content":"nnn"},{"_id":"P6EINGAEDNFOJLHQH22MKIR5A4","additional_properties":{"comments":[],"_id":1625844284477,"id":"U53467326836bka"},"type":"raw_html","content":"

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The texture of near-meat is thickened by adding indigestible fibers like methyl cellulose. And to bring the plant-based meat alternatives up to the protein levels of meat, they use isolated plant proteins from soy, peas, and other plant sources. Some meat-substitutes also add vitamin B12 and zinc to further replicate meat’s nutrition,” Karl Leif Bates wrote for Duke Today."},{"_id":"4PNGSKQGEVEFHNLOVYECZAQVEI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225498},"type":"text","content":"For the study, the Duke researchers looked beyond the label to measure the foods’ metabolites. 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Ascorbate (vitamin C), phytosterols and several phenolic anti‑oxidants such as loganin, sulfurol, syringic acid, tyrosol, and vanillic acid were among those found only in the plant‑based meat alternative."},{"_id":"5EMOUFUJHBHBBNNDRBMSB4L3NM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225503},"type":"text","content":"“Large differences in metabolites within various nutrient classes (e.g., amino acids, dipeptides, vitamins, phenols, tocopherols, and fatty acids) with physiological, anti‑inflammatory, and/or immunomodulatory roles indicate that these products should not be viewed as truly nutritionally interchangeable, but could be viewed as complementary in terms of provided nutrients. The new information we provide is important for making informed decisions by consumers and health professionals. It cannot be determined from our data if either source is healthier to consume,” the scientists wrote."},{"_id":"PSQW5SDE5NHITKWYMIUGO4X22E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225504},"type":"text","content":"“But that’s not to say that one is better than the other,” van Vliet, a self-described omnivore who enjoys a plant-heavy diet but also eats meat, told Duke Today. “Plant and animal foods can be complementary, because they provide different nutrients.”"},{"_id":"STE6IGPN3NBSDMAR63ZKNADLWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225505},"type":"text","content":"He said more research is needed to determine whether there are short-term or long-term effects of the presence or absence of particular metabolites in meat and plant-based meat alternatives."},{"_id":"QR2G6IEYZVC5HOHSZWISUBP7G4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225506},"type":"text","content":"You can read the full study, which was published Tuesday on Nature.com, here."},{"_id":"AB7F4N5HFVEZBDCOXE2PJPDTOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225507},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"GBOH7QFA75BU3IUTIE42I5ME24","additional_properties":{"comments":[],"_id":"S2P4W7R6BNGNDE5GWZOK7I4OUQ"},"type":"raw_html","content":"

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Shackett, 80, no longer drives, which makes it hard to get to the grocery store or doctor."},{"_id":"BW5VHFEZI5EY5EX52D7HOOOITQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139165},"type":"text","content":"Her low income, though, qualifies her for a state program that pays for a personal aide 10 hours a week to help with chores and errands."},{"_id":"YO77UY7OSJGS7NVC4QE3JLJO5I","additional_properties":{"comments":[],"_id":"GMBMSSZTSRES3AD4ULEVB4Z4LE"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"SLWCBSNFMFA4TGR7FE37MOGPGE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139167},"type":"text","content":"“It helps to keep me independent,” she said."},{"_id":"G5LXI2WVORBH7CXN6N324HHDMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139168},"type":"text","content":"But the visits have been inconsistent because of the high turnover and shortage of aides, sometimes leaving her without assistance for months at a time, although a cousin does help look after her. “I should be getting the help that I need and am eligible for,” said Shackett, who has not had an aide since late March."},{"_id":"S7G2RJLL3BDFNHAQDVR3OJQED4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139169},"type":"text","content":"The Maine home-based care program, which helps Shackett and more than 800 others in the state, has a waitlist 925 people long; those applicants sometimes lack help for months or years, according to officials in Maine, which has the country’s oldest population. This leaves many people at an increased risk of falls or not getting medical care and other dangers."},{"_id":"QVSLHSNPQBANFFSUZHUR3HVVY4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139170},"type":"text","content":"The problem is simple: Here and in much of the rest of the country there are too few workers. Yet, the solution is anything but easy."},{"_id":"7AJ4Z4RRCFE3TIVZUSURBD2VAY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139171},"type":"text","content":"Katie Smith Sloan, CEO of Leading Age, which represents nonprofit aging services providers, says the workforce shortage is a nationwide dilemma. “Millions of older adults are unable to access the affordable care and services that they so desperately need,” she said at a recent press event. State and federal reimbursement rates to elder care agencies are inadequate to cover the cost of quality care and services or to pay a living wage to caregivers, she added."},{"_id":"3SGC2GPBLBFTROMQ3W6WP5IAFM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139172},"type":"text","content":"President Joe Biden allotted $400 billion in his infrastructure plan to expand home and community-based long-term care services to help people remain in their homes and out of nursing homes. Republicans pushed back, noting that elder care didn’t fit the traditional definition of infrastructure, which generally refers to physical projects such as bridges, roads and such, and the bipartisan deal reached last week among centrist senators dealt only with those traditional projects. But Democrats say they will insist on funding some of Biden’s “human infrastructure” programs in another bill."},{"_id":"YJ4H4MLPBFCLBP6FCXFIAYFLXY","additional_properties":{"comments":[],"_id":"HZYLM5ME7ZGENBJWQ5BUOOCGAY"},"type":"interstitial_link","content":"5 things to know about being a home care nurse","url":"https://www.ajc.com/lifestyles/health-med-fit/things-know-about-being-home-care-nurse/M7o5xTZJ8fDsuqmNAPULXO/"},{"_id":"GT2COZG4WRBIVLZRLEHHAGJ4DM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139174},"type":"text","content":"As lawmakers tussle over the proposal, many elder care advocates worry that this $400 billion will be greatly reduced or eliminated."},{"_id":"LUHCYP4455EKBK6UTYH2BIEEZ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139175},"type":"text","content":"But the need is undeniable, underlined by the math, especially in places like Maine, where 21% of residents are 65 and older."},{"_id":"MXYTGLEQGVC6VMETGRER35Z4JE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139176},"type":"text","content":"Betsy Sawyer-Manter, CEO of SeniorsPlus in Maine, one of two companies that operate that assistance program, said, “We are looking all the time for workers because we have over 10,000 hours a week of personal care we can’t find workers to cover.”"},{"_id":"6PVPT4CECNAM3FTJ3KDXODE25I","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139177},"type":"text","content":"For at least 20 years, national experts have warned about the dire consequences of a shortage of nursing assistants and home aides as tens of millions of baby boomers hit their senior years. “Low wages and benefits, hard working conditions, heavy workloads, and a job that has been stigmatized by society make worker recruitment and retention difficult,” concluded a 2001 report from the Urban Institute and Robert Wood Johnson Foundation."},{"_id":"YBNOP7XO6RDSPH67NWIXNM6THA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139178},"type":"text","content":"Robyn Stone , a co-author of that report and senior vice president of Leading Age, says many of the worker shortage problems identified in 2001 have only worsened. The risks and obstacles that seniors faced during the pandemic highlighted some of these problems. “Covid uncovered the challenges of older adults and how vulnerable they were in this pandemic and the importance of front-line care professionals who are being paid low wages,” she says."},{"_id":"BIGB272YYBEXZFZT7QRCFFLOFQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139179},"type":"text","content":"Michael Stair, CEO of Care & Comfort, a Waterville, Maine-based agency, said the worker shortage is the worst he’s seen in 20 years in the business."},{"_id":"V3YCWHE6FBEW5PT7MD6DH352PY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139180},"type":"text","content":"“The bottom line is it all comes down to dollars — dollars for the home care benefit, dollars to pay people competitively,” he said. Agencies like his are in a tough position competing for workers who can take other jobs that don’t require a background check, special training or driving to people’s homes in bad weather."},{"_id":"TI7PNSKDTZFAJB3UCFRQDI3N5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139181},"type":"text","content":"“Workers in Maine can get paid more to do other jobs that are less challenging and more appealing,” he added."},{"_id":"YWF44MTNANGBPNCPEMEBBNCG2E","additional_properties":{"comments":[],"_id":"UJRWQDD3LRAXVLLO5UFOFZAS2Y"},"type":"interstitial_link","content":"Nursing jobs in greatest demand by specialty","url":"https://www.ajc.com/pulse/nursing-jobs-in-greatest-demand-by-specialty/OEBRPZQXGRHX3CPSSQKY3FVI3Q/"},{"_id":"P3TBCTHOHNGGNBSQSWYE5WBDSA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139183},"type":"text","content":"His company, which provides services to 1,500 clients — most of whom are enrolled in Medicaid, the federal-state health program for people with low incomes — has about 300 staffers but could use 100 more. He said it’s most difficult to find workers in urban areas such as Portland and Bangor, where there are more employment opportunities. Most of his jobs pay between $13 and $15 an hour, about what McDonald’s restaurants in Maine advertise for entry-level workers."},{"_id":"337PWDMEWVEMNAUJZUAXXQOCBM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139184},"type":"text","content":"The state’s minimum wage is $12.15 an hour."},{"_id":"LMEVDO644VHKNB7HSFKXRYI374","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139185},"type":"text","content":"Stair said half his workers quit within the first year, a little better than the industry’s average 60% turnover rate. To help retain employees, he allows them to set their own schedules, offers paid training and provides vacation pay."},{"_id":"4TA426C3PZES3DKPYGOC25RR2A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139186},"type":"text","content":"“I worry there are folks going without care and folks whose conditions are declining because they are not getting the care they need,” Stair said."},{"_id":"F6DOU2F6VZH2TPZ6ILD4WBHHOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139187},"type":"text","content":"Medicare does not cover long-term home care."},{"_id":"VXGDQ47CC5GA7DDUE62IGSLW24","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139188},"type":"text","content":"Medicaid requires states to cover nursing home care for those who qualify, but it has limited entitlement for home-based services, and eligibility and benefits vary by state. Still, in the past decade, states including Maine have increased funding to groups providing Medicaid home and community services — anything from medical assistance to housekeeping help — because people prefer those services and they cost much less than a nursing home."},{"_id":"RDL24CKKWFFUZEXJKOMZRSBELI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139189},"type":"text","content":"The states also are funding home care programs like Maine’s for those same services for people who don’t qualify for Medicaid in hopes of preventing seniors from needing Medicaid coverage later."},{"_id":"Z32OFVJZ5REFNPZW2OYL6RNADE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139190},"type":"text","content":"But elder care advocates say the demand for home care far outweighs supply."},{"_id":"YG7WXYRZBFFRBGSR2KLR6OA5FM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139191},"type":"text","content":"Bills in the Maine legislature would increase reimbursement rates for thousands of home care workers to ensure they are being paid more than the state’s minimum wage."},{"_id":"ZQF6CMRABZAILNVLY4REFVJHU4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139192},"type":"text","content":"The state does not set worker pay, only reimbursement rates."},{"_id":"3NX6GNEPFZBELK5UQZFQ5ADY6E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139193},"type":"text","content":"It’s not just low pay and lack of benefits that hobbles the hiring of workers, according to experts who study the issue. In addition, home care providers struggle to recruit and retain workers who don’t want the stress of caring for people with physical disabilities and, often, mental health issues, such as dementia and depression, said Sawyer-Manter of SeniorsPlus."},{"_id":"S4MIFG2XBJHRBOE3TWB44DXJOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139194},"type":"text","content":"“It’s backbreaking work,” said Kathleen McAuliffe, a home care worker in Biddeford, Maine, who formerly worked as a Navy medic and served in the Peace Corps. She provides homemaker services for a state-funded program run by Catholic Charities. She usually visits two clients a day to help them with chores like cleaning and scrubbing floors, wiping down bathrooms, vacuuming, preparing meals, food shopping, organizing medicines and getting them to the doctor."},{"_id":"XYAF2VFHRNHTJGA64IEN52VO5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139195},"type":"text","content":"Her clients range in age from 45 to 85. “When I walk in, the laundry is piled up, the dishes are piled up, and everything needs to be put in order. It’s hard work and very taxing,” said McAuliffe, 68."},{"_id":"NX2YOR2PXZFB5HREH34DUH7T6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139196},"type":"text","content":"She makes about $14 an hour. Though the job of taking care of the frail elderly requires broad skills — and training in things like safe bathing — it is generally classified as “unskilled” labor. Working part time, she gets no vacation benefits. “Calling us homemakers sounds like we are coming in to bake brownies,” she said."},{"_id":"HDV5PTHYPZF3PFC53JFXSN3U34","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139197},"type":"text","content":"The homemaker program serves 2,100 Maine residents and has more than 1,100 on a waitlist, according to Catholic Charities Maine. “We can’t find the labor,” said Donald Harden, a spokesperson for the organization."},{"_id":"VSKHTL6G5FG37LHJ6WBYZUZPNA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139198},"type":"text","content":"The federal government is giving states more dollars for home care — at least temporarily."},{"_id":"JO6Z4TK3VNDYNPTYBV4EBBSHKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139199},"type":"text","content":"The American Rescue Plan, approved by Congress in March, provides a 10 percentage point increase in federal Medicaid funding to states, or nearly $13 billion, for home and community-based services."},{"_id":"MTVYU7RCEBH4THTTHAS6H7DXRE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139200},"type":"text","content":"The money, which must be spent by March 2024, can be used to provide personal protective equipment to home care workers, train workers or help states reduce waiting lists for people to receive services."},{"_id":"FDFIBYIR7VACRKDJLZF33VWW3Q","additional_properties":{"comments":[],"_id":"DZ4IHFVYENEUTDD3MSKNWFQ3YA"},"type":"interstitial_link","content":"Atlanta Journal-Constitution investigation: Low nursing home staffing puts residents at risk","url":"https://www.ajc.com/news/investigations/low-nursing-home-staffing-puts-residents-at-risk/DM6ZMICKVVAG7D3PKBO6ZXRMEM/"},{"_id":"ULN2VKUBLNESNH2NUSD6P2ZPTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139202},"type":"text","content":"For Maine, the bump in funding from the American Rescue Plan will provide a $75 million increase in funding. But Paul Saucier, aging and disability director at the Maine Department of Health and Human Services, said the money will not make the waitlists disappear, because it will not solve the problem of too few workers."},{"_id":"WHUU6GCAARHYXEE6GJRZ6C5CKM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139203},"type":"text","content":"Joanne Spetz, director of the Health Workforce Research Center on Long-Term Care at the University of California-San Francisco, said throwing more money into home care will work only if the money is targeted for recruiting, training and retaining workers, as well as providing benefits and opportunities for career growth. She doubts significant improvements will occur “if we just put money out there to hire more workers.”"},{"_id":"FNMXS2HONJGABJZKLMRMUZFLMU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139204},"type":"text","content":"“The problem is the people who are in these jobs always get the same amount of pay and the same low level of respect no matter how many years they are in the job,” Spetz said."},{"_id":"VSSR4TPCAZBZRAVM4MWCHUBNJU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139205},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"SKAEDGMPRBAKXDVSQ5XFSG7APA","additional_properties":{"comments":[],"_id":"MUE6ONTS2FFPJIVZTL7GVRRHMM"},"type":"divider"},{"_id":"USUKFETNW5H23NOX4AG6Y3MTUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139207},"type":"text","content":"Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at the Kaiser Family Foundation. KFF is an endowed nonprofit organization providing information on health issues to the nation."},{"_id":"UDLTWOZKG5CGVJQ6SYUIG5YZUA","additional_properties":{"comments":[],"_id":"KJYDEIRBLRHYPHECUNC3TVS2BI"},"type":"raw_html","content":"

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The side effects of this behavior often can be an increase in body weight or a standstill when it comes to losing pounds."},{"_id":"JOTHS7LNANFADMJC4NLI44D5DI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478967},"type":"text","content":"Adding insult to injury, yo-yo weight losses and gains can cause such issues as prediabetes with borderline cholesterol levels or prehypertensive blood pressure. Justifiably, this can cause higher levels of stress, guilt and depression, and lead to negative behavior like comfort eating and additional weight gain."},{"_id":"GHXWWBFIFRH5XN73FTJ2472RJQ","additional_properties":{"comments":[],"_id":"2YVDW3SCTJBIPBFEEGU2G2V7ZI"},"type":"interstitial_link","content":"'Gamechanger' drug cuts body weight by 20% in global study","url":"https://www.ajc.com/life/gamechanger-drug-cuts-body-weight-by-20-in-global-study/BIBW5HQGBVEMBAHVCPNQBOULXQ/"},{"_id":"YZYZPAQMONDT5FXXW2KB6BEV2Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478968},"type":"text","content":"When I talk to patients, I find that people often come up with a plan to lose the weight that includes things such as:"},{"list_type":"unordered","_id":"VDTDOUYXXRDNTDZUKZJZZVBQRA","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"NVBQQHQNGJBQTLFUTDPMEJBY6E","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Ridding homes of any desserts, candy, soda and processed food"},{"_id":"GXDOFC4DAVB6DIVQOLHU4FCFDE","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Promising to buy and eat only whole foods made from scratch"},{"_id":"OEY3BJDNKRBEBCDQI7SVJ4DQFA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Going to the gym five or more days a week and working out for an hour each time"},{"_id":"ZN3F4JERLJAEDORMJ23KEHACEI","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Hiring a life coach to help get their life together"},{"_id":"JXDWT25NTJARLAXFKXEVZRJYFU","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Reducing work stress"}]},{"_id":"VGPRL2YJKBBSFICVV3FX7D4J4A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478970},"type":"text","content":"Does this sound familiar?"},{"_id":"IGENFVIBTVA3FKWADJCVKM3FWM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478971},"type":"text","content":"Most people start out strong and do OK for three to four weeks, but then they slowly revert to old habits that leave them with excess pounds and feeling discouraged. Once they get motivated to try again, they do, but the cycle tends to repeat itself."},{"_id":"3YHDZM4IIZE6JAALE6M6NHIMII","additional_properties":{"comments":[],"_id":"C35K7WIMUVDNTFYUQVQRB7VPZU"},"type":"interstitial_link","content":"Age is not a barrier to losing weight, study finds","url":"https://www.ajc.com/life/age-is-not-a-barrier-to-losing-weight-study-finds/C4CTXQ4VOVGUTCMXDJDNUBOA5M/"},{"_id":"EEB23KS23RD25FSO3G65SALGNM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478972},"type":"text","content":"I recommend simplifying your goals. Adjust your outlook of better health to break the vicious cycle of exercise and diet plans that aren’t sustainable. Start with a few small things that are realistic given your lifestyle, work and family needs."},{"_id":"UJIXNIFPFVA4VKFEUHLLQUKJAI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478973},"type":"text","content":"Rather than identify six or seven goals, select and focus on one simple thing you can change today. For instance, identify a single thing related to your diet, such as cutting out sugary drinks and increasing your water intake. If you are someone who drinks multiple sodas daily, you can lose upward of 10 pounds a year by reducing your intake by one soda per day, even if you change nothing else. This is a perfect example of creating success for yourself by just changing one thing."},{"_id":"PW43QNHYYVFV7MTR6XXDVKPNQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478974},"type":"text","content":"Another idea would be to eat a salad every other day with a meal. This can be something you can easily manage and feel successful with. Just remember not to overload it with dressing. Or instead of grabbing a handful of chips for a snack, grab an apple or a cheese stick. Consider the same substitutions for your children so you won’t be tempted."},{"_id":"WEESL3DJCJFYPCLVH7SV7OE7TE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478975},"type":"text","content":"Over time, one change will lead to another. As you implement healthy things into your routine, you will build more success. And that success will make these lifestyle changes sustainable."},{"_id":"ECAK3YEI5JGSBEHCGHHAQ7VNVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478976},"type":"text","content":"With respect to physical activity, take a moment to focus on the amount of physical activity per week you want to aim for rather than a number of days at the gym. 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Can you and your family — kids included — go for a walk after dinner? Over time, increase your behaviors. Commit to a 30-minute walk or visit the gym once or twice a week for 30 minutes. Recent studies show that even one visit to the gym, although not optimal, is still better than not going at all. In addition, you can feel good knowing you have had success."},{"_id":"NKCUGI2KKBE6XC6RMKIHNBDSOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478979},"type":"text","content":"Over time, you can gradually move your goal to three times a week. Then eventually you can increase the time to 45 minutes or one hour."},{"_id":"HMUAOEZLD5FDLMJK6ZCJGC2J4M","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478980},"type":"text","content":"Remember, building healthy habits takes time. Think about your children. When children are learning a skill, whether it’s reading, writing their name or riding a bike, they experience setbacks and successes. Those successes are usually celebrated. These experiences build momentum and provide confidence that leads to long-term sustainability."},{"_id":"UHNP2J3FVVB6FA2B6WSNX4HZCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478981},"type":"text","content":"Motivation by success works much better than motivation by guilt. Unfortunately, a lot of motivation to change is guilt-based. This doesn’t work with motivating children, or with managers and leaders with employees in the workplace, so why should you expect this to work for yourself?"},{"_id":"33VNWQJ3YZB5NCWYBUHLYY4XXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478982},"type":"text","content":"Take time to identify some easy, simple, healthy adjustments you can make that will give you the confidence to keep adding new things. 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But even though the water is usually clear with chlorine, it doesn’t mean you should be looking underwater."},{"_id":"4RDR62YKMZF63LU5J6YKOLTS24","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954289},"type":"text","content":"As reporter Jason Howland explains in this Mayo Clinic Minute, it could cause temporary damage to your eyes."},{"_id":"XFH4GUF5BRHZ5GZO6SR22FXDAE","additional_properties":{"comments":[],"_id":"L6RC5HQMHBBCRAT4LL2XQ6C4FE"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"P4ZN576TRRGHBI3XIPHRWF67PQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954290},"type":"text","content":"The next time you dive in, you might want to reconsider opening your eyes underwater."},{"_id":"OPKKGU26ANFO3D4HQP7OARCX5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954291},"type":"text","content":"“Chlorine is a pretty powerful disinfectant and can, in fact, cause some damage to the outer layer cells that protect the cornea,” said Dr. Muriel Schornack, a Mayo Clinic optometrist."},{"_id":"AYDHFT3KGVAJRATYKQ5Q4IBTA4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954292},"type":"text","content":"The occasional glance should be OK, but extended eye opening underwater can cause damage."},{"_id":"VLDRF6HKMBHBPN7EX5EYYKYD7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954293},"type":"text","content":"“The eye becomes red, irritated. You might become photophobic, or sensitive to light. Your vision might blur a little bit, and your eyes are going to feel irritated or even, frankly, painful,” Schornack said."},{"_id":"Z3IBK77B5ZG7TL6KXD5Z2AZTSU","additional_properties":{"comments":[],"_id":"F5SLLFRQQZHW3C3KIX2TUQL2FE"},"type":"interstitial_link","content":"Are you taking care of your eyes?","url":"https://www.ajc.com/lifestyles/health/hey-nurse-are-you-taking-care-your-eyes/V1G1fmxbWeS4EQR8QfxrgN/"},{"_id":"324GMCSJFVBCPACEZ7I5DKXIQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954294},"type":"text","content":"Most of the time, those symptoms are uncomfortable but temporary. If you really want to look underwater, the doctor-recommended tip is:"},{"_id":"LUDVO2JUK5CFBMY2GIGVPMUW5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954295},"type":"text","content":"“I’m a huge fan of swimming goggles for a couple of reasons. 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We all gravitate to those who we believe care about our feelings."},{"_id":"VQMOMQHUYFAJBEBMBO52GS3YWQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496380},"type":"text","content":"She learned to ask others for their opinions. For example, if a young couple comes in for a loan, Jeanna starts by asking them what outcome they desire. She takes notes about the expectations of her clients. People respect us when we take time to view the world from their perspective."},{"_id":"IW62ZBFD6BG53FKWGQ45PLSPE4","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496381},"type":"text","content":"“I used to think people didn’t give me respect, because I’m a little overweight and over 50,” said a teacher’s aide we’ll call Patricia. “One of my co-workers told me, ‘You have beautiful eyes, but you never make eye contact with anyone.’”"},{"_id":"4AEFCJCKEJGHZL4YBY7U4ADORA","additional_properties":{"comments":[],"_id":"RQTAEQHIGJBPRAM2VLEUFS46KE"},"type":"interstitial_link","content":"How to believe in yourself while trusting others","url":"https://www.ajc.com/pulse/how-to-believe-in-yourself-while-trusting-others/7CUQ5KZY4JD2BLRSJKQCOS632Q/"},{"_id":"5UBCAWJV5FHC5PGXXANBOFN4QE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496382},"type":"text","content":"Patricia finally figured out that diverting her gaze in social or business situations messed with her confidence. Looking people in the eye speaks volumes. It says, essentially, “I want to connect with you.”"},{"_id":"A6Q57M3CVZFENN5RNI7XRDPAQI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496383},"type":"text","content":"Practicing confident speech, dressing in a way that denotes confidence and acting friendly can enhance the respect you get. When people start to approach you for your ideas, you’ll know they trust you. You’ll feel they really desire to know what’s on your mind."},{"_id":"VWDJJQLRUFCH5FUVALJVJJ6WDI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496384},"type":"text","content":"“When I first started selling real estate, I was so shaky,” said a friend of ours we’ll call Bethany. “I would literally walk up to people sideways, looking like I wanted to run.”"},{"_id":"2JIURVSXFJFI3ME6ZQ67VBF2XU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496385},"type":"text","content":"Bethany finally found her calmer, centered self when she began to ask more questions."},{"_id":"BKQDMWXBSNAVXPFYOTLQP5BJEA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496386},"type":"text","content":"“I realized the clients were counting on me to help them find a home,” Bethany said. “I needed to take them seriously by guiding them to good decisions.”"},{"_id":"UZMAA2WXYRBXBJ3TQFWLYK53A4","additional_properties":{"comments":[],"_id":"SO62VGW2TRCLBBBDVQKQN7DRLA"},"type":"interstitial_link","content":"Why 2021 is the year for nurse leaders","url":"https://www.ajc.com/pulse/why-2021-is-the-year-for-nurse-leaders/UBG4QDEHZBDKZDMYEZVQWO7CVM/"},{"_id":"DW76S6XXWZFRTESVRFKDFJYW5I","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496387},"type":"text","content":"Getting your mind off yourself and becoming interested in others can reduce a lot of tension. For example, if you’re at your spouse’s family reunion, pay a few compliments and take your mind off yourself."},{"_id":"4XGBT6YCOBESNODJC3KO74LYOI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496388},"type":"text","content":"“When I was a young news reporter, I had to cover all kinds of stories,” a journalist we’ll call Kaylee said. “I decided to do a lot of background research before I arrived at a political rally or sporting event. When I was able to ask intelligent questions, my interview subjects opened up and showed me respect.”"},{"_id":"GWTVLD52Y5EB7M6NBI34LWEDIY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625570136774},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"PHOP2SJV7RHJNEWFLEQFRG7XTE","additional_properties":{"comments":[],"_id":"JETO7S66TRA7NCWPA5DBGDYE6U"},"type":"divider"},{"_id":"NZSMPAXDBNDW7D6Z3ILKDFX7LQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496389},"type":"text","content":"Judi Light Hopson is the executive director of the stress management website USA Wellness Café at usawellnesscafe.com. Emma Hopson is an author and a nurse educator. Ted Hagen is a family psychologist."},{"_id":"ZMNGWR2BFRGSZHN6GZDUIYRMJM","additional_properties":{"comments":[],"_id":"TOEZPILWJFGOHN4GJZIOOCJNXI"},"type":"raw_html","content":"

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The Mediterranean diet, on the other hand, is high in fruits, vegetables, fish, whole grains and legumes and low in meat and dairy."},{"_id":"OH32BCHJRFDGXLAP6ME7HIBHFA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625237001038},"type":"text","content":"“While this study was observational in nature, the results suggest that diet may be a modifiable risk factor for sudden cardiac death, and, therefore, diet is a risk factor that we have some control over,” said James M. Shikany, Dr.P.H., F.A.H.A., the study’s lead author and professor of medicine and associate director for research in the Division of Preventive Medicine at the University of Alabama at Birmingham."},{"_id":"W4SJ6HGGRBC35MA5CL3CPHC7UY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625237001039},"type":"text","content":"“Improving one’s diet — by eating a diet abundant in fruits, vegetables, whole grains and fish such as the Mediterranean diet and low in fried foods, organ meats and processed meats, characteristics of the Southern-style dietary pattern, may decrease one’s risk for sudden cardiac death,” he added."},{"_id":"JUITOPFHUFE5TLZSMKAQQ3FS6U","additional_properties":{"comments":[],"_id":"6375SH2YSVCA5PNGX3BUTB7XUA"},"type":"interstitial_link","content":"Fried chicken increases risk of death for women by 13%, study finds","url":"https://www.ajc.com/lifestyles/health/fried-chicken-increases-risk-death-for-women-percent-study-finds/ZeDdVjDsx1KrIepBmPNbdP/"},{"_id":"ZN3DNAT6WJCX5N6HUSDLZUF6TQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625237001040},"type":"text","content":"Researchers analyzed data from more than 21,000 people ages 45 and older who were enrolled in an ongoing national research project called Reasons for Geographic and Racial Differences in Stroke (REGARDS), that is examining geographic and racial differences in stroke victims. Participants in this analysis were 56% women; 33% Black adults; and 56% living in the Southeast, which is recognized as the Stroke Belt because of its higher stroke death rate. The Stroke Belt states in this study were Georgia, North Carolina, South Carolina, Tennessee, Alabama, Mississippi, Arkansas and Louisiana."},{"_id":"EUWCFTFL3RFOVA2QEZF7SVV5UI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865433},"type":"text","content":"After nearly 10 years of following up every six months to check for cardiovascular disease events, more than 400 sudden cardiac deaths had occurred among the 21,000 study participants."},{"_id":"IXGIILBGNBFX3EKG6XI56YRAII","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865434},"type":"text","content":"The study found:"},{"list_type":"unordered","_id":"LFIXF3NYSRB2XPBOQC2MELQXJU","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"I26ZVE4LQ5EIJP5FXKNN55SNP4","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Overall, participants who ate a Southern-style diet most regularly had a 46% higher risk of sudden cardiac death than people who had the least adherence to this dietary pattern."},{"_id":"YOOOZ4ITURBYFFU2WJLZMVFJ44","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Participants who most closely followed the traditional Mediterranean diet had a 26% lower risk of sudden cardiac death than those with the least adherence to this eating style."}]},{"_id":"I47XNXG7GBEI3J7SKTX2BWOXQA","additional_properties":{"comments":[],"_id":"3QJVOQXZQFHARJGOMBPA4NQ3JY"},"type":"interstitial_link","content":"The Mediterranean diet won’t work if you eat this, study says","url":"https://www.ajc.com/life/the-mediterranean-diet-wont-work-if-you-eat-this-study-says/2XEXX7G4NREMZMJL7OTVNNYH7A/"},{"_id":"YYVBHCTXRVHPJBCLEHRCRMRXME","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865437},"type":"text","content":"“These findings support the notion that a healthier diet would prevent fatal cardiovascular disease and should encourage all of us to adopt a healthier diet as part of our lifestyles,” said Stephen Juraschek, M.D., Ph.D., a member of the American Heart Association’s Nutrition Committee of the Lifestyle and Cardiometabolic Health Council. “To the extent that they can, people should evaluate the number of servings of fruit and vegetables they consume each day and try to increase the number to at least 5-6 servings per day, as recommended by the American Heart Association. Optimal would be 8-9 servings per day."},{"_id":"YGYLRLQ6FJBABBJMNDT2QQ26BU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865438},"type":"text","content":"“This study also raises important points about health equity, food security and social determinants of health,” he continued. “The authors describe the ‘Southern Diet’ based on the U.S. geography associated with this dietary pattern, yet it would be a mistake for us to assume that this is a diet of choice. I think American society needs to look more broadly at why this type of diet is more common in the South and clusters among some racial, ethnic or socioeconomic groups to devise interventions that can improve diet quality. The gap in healthy eating between people with means and those without continues to grow in the U.S., and there is an incredible need to understand the complex societal factors that have led and continue to perpetuate these disparities.”"},{"_id":"STZ5ECHHJ5FOTDZL4CSKAQXZ54","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865439},"type":"text","content":"In a 2018 analysis, Shikany and colleagues reported that adults ages 45 and older with heart disease who had an affinity for the Southern diet had a higher risk of death from any cause, while greater adherence to the Mediterranean diet was associated with a lower risk of death from any cause. And in a 2015 study, the Southern diet was linked to a greater risk of coronary heart disease in the same population."},{"_id":"CW3VE7HWNNFU5ORQH3ZFI6L5UI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865440},"type":"text","content":"The study was published Wednesday in the Journal of the American Heart Association."},{"_id":"ERDL762DLBGEZK6Z6SQUE46OYI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865441},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"DSPPRMD3GNBWTJVTK6MTEKIBBI","additional_properties":{"comments":[],"_id":"KLGUUCWQOZFBNBQZOTGYHGKBUE"},"type":"raw_html","content":"

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We’ve all been there."},{"_id":"B6OIUWOY4FGFNAAW6E5GIUVEWI","additional_properties":{"comments":[],"_id":"JRNC2AHNTZGQZBCDGRN6WYSJF4"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"MQ5WTE2EQFBAXF2WCXRZEG2MDU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201375},"type":"text","content":"If you’re spending too much energy to crank the wheel of life, you may be in full-blown burnout."},{"_id":"LS2PAGKEMVHV5PLIPO2LI7AXS4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201376},"type":"text","content":"Even if you feel just slightly burned out, you can switch the way you’re managing your routine. Your goal is to feel more rewarded in how you live and less bogged down."},{"_id":"AB75URF4WFDXHDSE7UY33F5AJA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201377},"type":"text","content":"These tips might help:"},{"_id":"KZAJ3MRRGJAHXBFJTCUWCCVR64","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201378},"type":"text","content":"Vary your routine. While discipline is good, it can feel monotonous after a while. If possible, switch certain tasks to different time slots. Or, take spontaneous walks outside to view new scenery a few times each week."},{"_id":"C75PREEPN5DA5MSQRTGXFYVSRU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201379},"type":"text","content":"Delegate several small to-do items every week. For example, ask a co-worker, your teenager or your spouse to do at least one 10-minute task each day. Feeling you have no assistance will cause you to burn out more quickly."},{"_id":"5YRRKZASSRHGLPFTYLPKQYHHJE","additional_properties":{"comments":[],"_id":"3W5QYWU2LVGWJP2L2LVBV5E6XQ"},"type":"interstitial_link","content":"5 ways to stay positive in a sometimes negative world","url":"https://www.ajc.com/life/5-ways-to-stay-positive-in-a-sometimes-negative-world/EVQ4HNKUCFEIRLS5EWRDZ5R7NU/"},{"_id":"UJRUVHMHGZAIJPGMBQVVNBSIYA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201380},"type":"text","content":"Rest and relax before a tough week ahead. If you have some pressure-cooker days coming up next week, find time to go to the movies with friends this week. Or, visit a park with friends or family."},{"_id":"JZT66SKHTBE4FC7C4X4SFX6SFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201381},"type":"text","content":"Learn to bypass certain responsibilities. If you’re overly stressed, let some housework slide this week or buy dinner to bring home. Skip cooking or other chores to give yourself occasional breaks. Others around you will survive."},{"_id":"PUZXZTW3X5FU3BTNSPIOZRSCEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201382},"type":"text","content":"Hire some help. This includes getting your car washed, hiring windows washed, getting someone to mow your lawn or finding a seamstress to hem your new slacks. Get in the habit of looking for ways to pay someone to help you save personal energy."},{"_id":"KOMINWSGRVGHZLBKNE5ZYTQIUU","additional_properties":{"comments":[],"_id":"SLQ3LWOMIREOBNCW67VUOF3GFY"},"type":"interstitial_link","content":"What are friends for? To lower your stress levels, that's what","url":"https://www.ajc.com/pulse/what-are-friends-for-to-lower-your-stress-levels/LAI6HY2PGVDHVCTKINLO4RHP4A/"},{"_id":"2AVZ5ESBANHYPJJDPRE2HLJ254","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201383},"type":"text","content":"“To re-energize your life, keep focusing on creative ways to renew your routine,” says a mall manager we’ll call Henry. “I sometimes feel trapped working here inside the mall. But I’ll call my wife and ask her to go driving with me in the country after work. Just seeing a few barns, cows and rolling hillsides renews my spirit from dwelling on business all the time.”"},{"_id":"MWMDRCGNP5DALFTXSKE2PJLA7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201384},"type":"text","content":"He adds, “Playing old, favorite tunes in the car helps switch things to a happier mood as well. When we take a drive, we try not to discuss family problems or talk about anything stressful.”"},{"_id":"HAE7ARNW7VA53IO2KLOKD2OMSI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201385},"type":"text","content":"Creating new routines is an inexpensive way to make your life feel new. Exercising at the same time every day or eating the same foods repeatedly can feel boring."},{"_id":"D4GVHQVGQBDQJL7WB3ECWHPQ4A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201386},"type":"text","content":"Taking walks with neighbors or friends after dinner can put you in a better mood. Or, inviting neighbors for a simple picnic in your backyard can create good memories for everyone."},{"_id":"ECWNWWJRAJDV5PPYRYQCMM627A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201387},"type":"text","content":"“Couples should have a date night every week or so, too,” says a family counselor we’ll call Jordan. “Taking the kids and in-laws everywhere gets old. When couples spend time having a meal together or going to the movies, it feels like a real date. Taking along too many people can add to the stress.”"},{"_id":"T7AHVKSZMVAANHVZ4R7K4H5YC4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201388},"type":"text","content":"“I like taking a three-day mini vacation every six weeks,” says a clothing designer we’ll call Sherri. “I think short vacations are just as restful as weeklong vacations because you can pack lightly and visit more places over a year’s time. I like to visit small towns within a two-hour drive of my home. It’s amazing how many interesting places there are in a given region.”"},{"_id":"I4RLLVAUGRGJTBZHPJPEN3BGSU","additional_properties":{"comments":[],"_id":"SK6W7RS5CRBYTF5OP3KJL44N4U"},"type":"interstitial_link","content":"5 signs of excessive stress, according to ANA's Well-Being Initiative","url":"https://www.ajc.com/life/5-signs-of-excessive-stress-according-to-anas-well-being-initiative/ATDAQYYCPJBLRCXNAO24ZT2EMI/"},{"_id":"VNCA47HOD5GFHCUFRS6EOYOZUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201389},"type":"text","content":"To curtail burnout, simply interrupt the typical routine you’d normally follow."},{"_id":"7CIP4USBSBDATHHVEZEMJZJFIA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201390},"type":"text","content":"“The good thing about burnout,” says Sherri, “is that it’s telling you loud and clear that you’re ready for a change.”"},{"_id":"CX5VVRYVVNFJXHJBZRW5XB7DJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201391},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"KL7LJ2MOKBCD5D2XVPOPZFTZP4","additional_properties":{"comments":[],"_id":"DBXERQKGMNDQ7EWDUSPK7TTPKI"},"type":"divider"},{"_id":"CXJAQ3I2KJA2FDZVAMYJFD4QIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201393},"type":"text","content":"Judi Light Hopson is author of the stress management book, “Cooling Stress Tips.” She is also executive director of USA Wellness Cafe at www.usawellnesscafe.org."},{"_id":"DVO4ZI3GSRGC3PP6JEDEAY5IMU","additional_properties":{"comments":[],"_id":"HPDVSF2QVZCF5KJUJOCVFUJASI"},"type":"raw_html","content":"

Pulse Magazine

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I’ve decided to tell everyone at the same time. I have been diagnosed with Parkinson’s.”"},{"_id":"H6CXIV5BRZFFLM5UD7MQTAK6BY","additional_properties":{"comments":[],"_id":"TCCU2AKENFH6ZKATSUFBJ2DVPQ"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"subtype":"twitter","referent":{"referent_properties":{"additional_properties":{"comments":[],"_id":1625231337328}},"provider":"https://publish.twitter.com/oembed?url=","service":"oembed","id":"https://twitter.com/MarkRicht/status/1410747815400132616?s=19","type":"twitter"},"_id":"757RWHJDZRH2RD5GAYZP4VGWEE","raw_oembed":{"author_name":"Mark Richt","cache_age":"3153600000","provider_url":"https://twitter.com","type":"twitter","version":"1.0","url":"https://twitter.com/MarkRicht/status/1410747815400132616","author_url":"https://twitter.com/MarkRicht","width":550,"html":"

pic.twitter.com/omdtG3HrcY

— Mark Richt (@MarkRicht) July 1, 2021

nn","_id":"https://twitter.com/MarkRicht/status/1410747815400132616?s=19","additional_properties":{"comments":[],"_id":1625231337328},"provider_name":"Twitter","height":null},"type":"oembed_response"},{"_id":"ZHF5HMYQM5FJJBPO5PZV22YZVU","additional_properties":{"comments":[],"_id":"YI7YLYCDFZG7TLAS3NEYLWGVEY"},"type":"interstitial_link","content":"Johnny Isakson: 'I've been diagnosed with Parkinson's disease'","url":"http://politics.blog.ajc.com/2015/06/10/johnny-isakson-ive-been-diagnosed-with-parkinsons-disease/"},{"_id":"DQCATNPG2FAV5ON7G3QO3XCY3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231337330},"type":"text","content":"Here are seven things to know about Parkinson’s disease, according to the Mayo Clinic:"},{"_id":"DWV37IQL45GEZNQW7MUBNPD6LA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684991},"type":"text","content":"What is it?"},{"_id":"QEWD4XAHFNEMBLTOJ4C3SH7KYE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684992},"type":"text","content":"According to the Mayo Clinic, Parkinson’s disease is a progressive disorder of the nervous system that affects movement. It involves certain nerve cells (or neurons) in the brain that gradually break down or die. The disease often causes tremors, stiffness or slowness. Symptoms worsen over time."},{"_id":"4M6OW2CISFBGXAAVHWDUFFAMDQ","additional_properties":{"comments":[],"_id":"CNBHZ2EOKRARPIKZ6Y5W45EBYE"},"type":"interstitial_link","content":"The Rev. Jesse Jackson diagnosed with Parkinson's disease","url":"http://www.ajc.com/news/national/rev-jesse-jackson-diagnosed-with-parkinson-disease/KhrONL6rPueKNBIug7ZfWK/"},{"_id":"5TQPK537KNCQVMUKZFQFMJ5ISM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684994},"type":"text","content":"What are the symptoms?"},{"list_type":"unordered","_id":"PO24HX2TTZE7TJKLVS6XFMJEBI","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"IX2VINZWZ5CCDCORA3GZN7GDXA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"tremor"},{"_id":"ER6ZWKNHDVCELBQQELMVTALLEQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"slowed movement"},{"_id":"N52ZCINJWFGRRPIWNPXIPMECGE","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"rigid muscles"},{"_id":"GRPWZIGZNZFETOWMPSXOV4ERUA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"impaired posture and balance"},{"_id":"RXSY655XSZFMLDN7SSUDI5KKMY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"loss of automatic movements (decreased ability to perform movements like blinking, smiling, swinging arms while walking)"},{"_id":"X3R6BHFCTBF6NA6IWCOSXVJYXI","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"speech changes (softer, more quickly, slurred speech etc.)"},{"_id":"W6DRD33LFFEW7JOHFC6KYCTHYU","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"writing changes (harder to write, smaller writing)"}]},{"_id":"C6TF67XK4FDUPJNJHATWMCMYGU","additional_properties":{"comments":[],"_id":1625225684997,"href":"http://www.ajc.com/news/world/new-drawing-test-could-help-detect-parkinson-disease/YByOFMrUSSUOFDLuOwJeCI/","target":"_blank"},"type":"interstitial_link","content":"Drawing test could help detect Parkinson’s disease","url":"http://www.ajc.com/news/world/new-drawing-test-could-help-detect-parkinson-disease/YByOFMrUSSUOFDLuOwJeCI/"},{"_id":"JYFQTMCCSZBVPEGHP3P5AX6TLA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684998},"type":"text","content":"What causes Parkinson’s?"},{"_id":"F224UT3WYRHVLL6PGISTMM3IJE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684999},"type":"text","content":"Many symptoms associated with the disease are due to a loss of neurons produced by dopamine in your brain. When dopamine decreases, it can cause abnormal brain activity, leading to signs of Parkinson’s disease."},{"_id":"26XBAOZQOZGMZKFOJ3XGC6JVMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685000},"type":"text","content":"But the root cause of the disease is unknown. There are, however, several factors that play a role, including genetics and environmental triggers, such as toxins."},{"_id":"EMUUH6GJD5BPNF3NNNE2NJVSCA","additional_properties":{"comments":[],"_id":1625225685001,"href":"http://www.ajc.com/news/local-govt--politics/photos-famous-people-with-parkinson-disease/AP5ZZLzyFbM2uis7b0U1NO/","target":"_blank"},"type":"interstitial_link","content":"Photos: 10 famous people with Parkinson's disease","url":"http://www.ajc.com/news/local-govt--politics/photos-famous-people-with-parkinson-disease/AP5ZZLzyFbM2uis7b0U1NO/"},{"_id":"MTEYXPNUVRATTDMWLPIJNGZKRU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685002},"type":"text","content":"Are some people at higher risk?"},{"_id":"OYVCCAFTFZHNRH7YHD7GYLMLPY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685003},"type":"text","content":"Men are one and a half times more likely to have Parkinson’s than women, according to the Parkinson’s Association."},{"_id":"MTSNQ3XKBJH6NNQ5BYKAW57B5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685004},"type":"text","content":"Incidence also increases with age. People usually develop Parkinson’s around age 60 or older."},{"_id":"7CY4FQGXPZHU3LYPBTEWGMEIJ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685005},"type":"text","content":"Genetics also plays a big role. Having a close relative with the disease increases chances, but the risks are small unless there are multiple relatives with the disease."},{"_id":"UTSUPKVXVFA2ZPJ7KLFYWUZP54","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685007},"type":"text","content":"Is there a cure?"},{"_id":"TEOGFDQJ35BYZMLJM2FAAFBKKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685008},"type":"text","content":"No, there is no cure for Parkinson’s disease, but medications can certainly help control symptoms."},{"_id":"XQB553WSNNHHXAJTB4BWGOEMJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685009},"type":"text","content":"What is the treatment like?"},{"_id":"CBUJZA6ZFZESFAMWXZWQ7B44VA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685010},"type":"text","content":"Treatment for symptom management includes medicines that increase dopamine levels in the brain."},{"_id":"65ZLTJCIH5CAZIKYPY5QG2JCGM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685011},"type":"text","content":"Some medicines include Levodopa, Duopa or Mirapex."},{"_id":"5GOFBNAANREJRNE63AYCOTYVOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685012},"type":"text","content":"In some cases, a patient may undergo surgery, or deep brain stimulation. In DBS, surgeons implant electrodes into a specific region in your brain. These electrodes send electrical pulses to the brain and can reduce symptoms."},{"_id":"NSBM2E733ZGKHN4ZBSN4NGCOKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685013},"type":"text","content":"How many people have Parkinson’s disease?"},{"_id":"WYISZHKTY5EHTHK5EAYSJHGCD4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685014},"type":"text","content":"According to the Parkinson’s Association, an estimated seven to 10 million people in the world are living with the disease."},{"_id":"OLE6NATO2RGH5KDMRWXZYHJJVQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231337353},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."}],"display_date":"2021-07-02T13:09:13.938Z","headlines":{"basic":"What is Parkinson’s disease? 7 things to know"},"first_publish_date":"2018-01-23T14:13:51Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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They also provide more sedate raft options on other parts of the river, suitable for children and those who like to be out on the water without all the heart-racing excitement."},{"_id":"RZ3JSWAE2VFCFJFAY4LMKQNKUA","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864390},"type":"text","content":"Chestatee River Adventures tubing"},{"_id":"3U2PARZIAFCX5A6KPOAEKI6H6Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864392},"type":"text","content":"Whether you’ve never gone or it’s been far too long, the summer of 2021 is a great time to take up tubing. One option is a budget and family friendly float down the Chestatee River in Dahlonega. Available from Memorial Day weekend to Labor Day weekend, it’s a simple outing if you’re still getting the hang of getting out and about post-pandemic. And the price is right — $5 each for unlimited floating, walking back up and floating through again. If you’re considering bringing the whole family, keep in mind the minimum age is 4."},{"_id":"34O37POZ7BBWBLNCHEKXFAOCLQ","additional_properties":{"comments":[],"_id":"3RCFMSOCQNBQDGZEHION4VWN7Y"},"type":"interstitial_link","content":"Take a walk near water to boost your mood","url":"https://www.ajc.com/lifestyles/health/study-walking-near-water-can-boost-your-mood/uRhKO00veUOxqllHTgWjOP/"},{"_id":"4MOWH2IQRNAWVI4F3VRESKL26Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864393},"type":"text","content":"Callaway Resort and Gardens lake course zip line"},{"_id":"BNHKKGNORREK3HVFFAXSDNQ3SY","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864394},"type":"text","content":"This adventure takes place above the water, on the lake course that’s part of Callaway Resort’s self-guided, in-air obstacle course. After tips and safety measures from an experienced guide, participants take off on their own to soar over the gardens and Robin Lake, sometimes reaching heights of 70 feet."},{"_id":"KXVC6CATMJCADJMIP7GM4IIJHI","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864396},"type":"text","content":"The challenges include netting, ladders and some other ingeniously placed suspended surfaces."},{"_id":"BFGUUK6C7BBPVE7LN6YQA2HI5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864397},"type":"text","content":"This might be just the thing for a group from work, or for getting to know your extended family again post-quarantine. Afterward, consider taking a dip at the resort’s Robin Lake Beach."},{"_id":"RBPDMM3T3NG7XM557BWQ5FI3NU","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864398},"type":"text","content":"Wolf Tail water slide at Great Wolf Lodge"},{"_id":"W462EYXTD5CMLCATG5PTNR2IOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864399},"type":"text","content":"Included in a day pass to the indoor water park at Great Wolf Lodge, this slide includes a 20-foot free fall and 360 degree loop. The park in LaGrange, about an hour outside Atlanta, offers more tame activities, too, like splash pads and tubing. The indoor option is handy if you don’t want too much sun exposure or missed the window when outdoor water parks are open in the summer."},{"_id":"T5BN4XRPPJHERAECMRA7V5YZ2A","additional_properties":{"comments":[],"_id":"GLLOSVFFGBGH7IWIEZUI2RK3AU"},"type":"interstitial_link","content":"9 Georgia swimming holes that have just as much splash as the pool","url":"https://www.ajc.com/events/outdoors--recreation/swimming-holes-that-make-you-forget-the-pools-are-closed/4xtvjwqeeHDPvEpxZjI80N/"},{"_id":"J5EZI75SM5HKPPTEVCBANYZSCE","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864401},"type":"text","content":"Indian Springs State Park"},{"_id":"HW6IJ7RK7BDT7DL5JRT64ELNLY","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864403},"type":"text","content":"Within Butts County, about an hour from Atlanta, this leisurely state park offers soothing aquatic opportunities. Its spring waters were a revered part of indigenous heritage and once drew people to a resort there. Today, you can sip them from a spring house built by the Civilian Conservation Corps during the Great Depression. More active pursuits include wading in Sandy Creek or renting an aquacycle, kayak or jon boat. For a pleasant pause in the cool indoors, visit the onsite museum that documents the springs from the times of the Muskogee-Creeks. If you want to tarry longer than a day, the state park also offers cottage and campsite reservations."},{"_id":"3VJ5KXX4KFEATDVOESDRVVLEVI","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864404},"type":"text","content":"Get more stories like this in your inbox with the Pulse newsletter. Sign up here."},{"_id":"SQSVENHPRBH23BEVBTBXBWVU64","additional_properties":{"comments":[],"_id":"MRNNX5CQ65GS3JBQ6CLSBLVGLU"},"type":"raw_html","content":"

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The team merged their theories into a single question: Across women’s lifespans, how are the tendencies to “tend and befriend” as well as socially select reflected in their communication?"},{"_id":"IDHV3DG6KJHHLLVXLDXJKFO25Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557521},"type":"text","content":"They tested a pool of 32 women: 16 “older adults” ages 62-79, and 16 “younger adults” ages 18-25. Each participant was paired either with a friend (a “familiar” conversation partner) or a stranger (“unfamiliar”) and put through a series of conversation challenges."},{"_id":"UQ7WI2V7VJEBJJY37XCFWNMFFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557522},"type":"text","content":"Each participant had to instruct her partner to arrange a set of tangrams in an order that only the former could see. The catch? Because tangram shapes are abstract, their appearances can be difficult to describe."},{"_id":"DS34VWYKLZHPZI57VHN2E6W2JI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557523},"type":"text","content":"“You could look at one and say, ‘This looks like a dog.’ Or, you could say, ‘This looks like a triangle, with a stop sign, and a bicycle wheel,’” Rodrigues explained. Partners who achieved the desired tangram arrangement in fewer words were considered more efficient."},{"_id":"2G2FWUVSDZCMDPFUMCXO7HKFWU","additional_properties":{"comments":[],"_id":"KFGZEWS5KZHMPNTNM7YIB5LOF4"},"type":"interstitial_link","content":"Three Georgia cities in top 25% of most stressed in U.S.","url":"https://www.ajc.com/lifestyles/health/three-georgia-cities-top-most-stressed/lJMkBOufWcAXu2S84nSVMM/"},{"_id":"U3OW22JMYZANLE7KFSMQ4OJNKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557525},"type":"text","content":"The researchers found the younger adults communicated more efficiently with familiar partners but less efficiently with unfamiliar partners. The older adults, however, demonstrated conversational dexterity, quickly describing the abstract tangrams to friends and strangers alike."},{"_id":"PKGRXP7K2JDYBBUAHKGN7FZMTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557526},"type":"text","content":"“Even though older adults choose to spend more time with people who matter to them, it’s clear that they have the social skills to interact with unfamiliar people if and when they choose to,” Rodrigues said."},{"_id":"DM4XUDLSS5BE5IPVA6DQVCQY7E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557527},"type":"text","content":"Rodrigues’ team also measured the stress hormone cortisol to quantify and compare participants’ stress levels during the tests."},{"_id":"JXZF25XSX5FALPRZ7UXHS7L4QQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557528},"type":"text","content":"“When you experience something stressful, if you have a stress response system that’s working as it should, the result is an elevated amount of cortisol, our primary stress hormone, which then tells our bodies to release glucose into our bloodstreams,” she said. “That’s reflected in our saliva about 15 to 20 minutes after we experience it. 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That simple day of festivities could be contributing to a public health hazard, a new study suggests."},{"_id":"52R3FB5I5ZEDJOOLRQUJQMDHEA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835249},"type":"text","content":"According to a study by environmental health researchers at the University of California, Irvine, fireworks cause short term, extremely high particulate matter air pollution."},{"_id":"ZNBQ5OAWCJGZHCLLAX4KOCLOSI","additional_properties":{"comments":[],"_id":"BB6RUE7TTZBTFNJ3RQGN2QDJYE"},"type":"interstitial_link","content":"Why Atlanta is a top city to celebrate July Fourth","url":"https://www.ajc.com/life/why-atlanta-is-a-top-city-to-celebrate-july-fourth/UGE6JUOSLZH4JLMU5LFB4YYG6M/"},{"_id":"O35W4YSM4NAAJGMMAFOAFP4BUE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835251},"type":"text","content":"The researchers from UCI’s Program in Public Health relied on real-time air quality measurements from a network of more than 750 automated sensors throughout California. They found short-term, extremely high particulate matter air pollution from the widespread use of fireworks spiked from late June through early July in 2019 and 2020."},{"_id":"MKL6O4WMFRGCHLG3L3YDKTNWIM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835252},"type":"text","content":"The increase was most pronounced in Southern California counties where fireworks regulations are less strict than in northern parts of the state."},{"_id":"B2LPBMETVNDE3CU6CKTLDLSTFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835253},"type":"text","content":"Although the study took place in California, the use of fireworks is legal in Georgia until 11:59 p.m. on July 3 and July Fourth, regardless of local legislation. This is true for the last Saturday and Sunday in May, corresponding with Memorial Day, and on Labor Day."},{"_id":"SVZX2LMMDFDA7PV7HTFR6S7MUU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835254},"type":"text","content":"The rest of the year, you can light up the sky until 11:59 p.m. any day of the week if local law allows."},{"_id":"7IBD26O7KRBVRBVBRJUWYRGLAU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835255},"type":"text","content":"“You may have seen discussions on social media lately about people worrying for their pets on nights when the skies are filled with exploding fireworks, but we’ve found that there is a real threat to human well-being too,” said co-author Jun Wu, UCI professor of public health. “And like many other environmental justice issues, we find the worst impacts among residents of low-income communities.”"},{"_id":"4W7Z3LVJZZCFLC5ZJTTNJ3RZ3U","additional_properties":{"comments":[],"_id":"K3XKVYAPHJAEJCZD5IBJUVLIWM"},"type":"interstitial_link","content":"Don't let your pet become another 4th of July runaway","url":"https://www.ajc.com/news/don-let-your-pet-become-another-4th-july-runaway/rkfyxVP5rpXfpSF3wkL2CL/"},{"_id":"XY6B3GRDKZEGRIFRZETGZPIYJM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625086717016},"type":"text","content":"When fireworks explode in the air, they release fine particles — smaller than 2.5 micrometers in diameter. Airborne particulate matter of this size is hazardous if inhaled because it can be absorbed by the lungs and passed to other tissues inside the body."},{"_id":"ETHJCBG3TJGOVCCIPDWM2ZZXNU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835258},"type":"text","content":"Fireworks get their distinct colors from compounds containing barium, copper, magnesium, potassium and strontium, which are released at explosion along with trace redox-active metals and water-soluble ions. All of these inevitably fall on those below."},{"_id":"EID6B7U46BC4DKUVSFX6JGRKDA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835259},"type":"text","content":"“These fine particles are known to cause a wide range of adverse health effects, including premature mortality, respiratory and cardiovascular diseases, adverse pregnancy outcomes, and neurological diseases,” Wu said."},{"_id":"VBVBZVSOIVC2ZCYY5JRZEQUD5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625086717019},"type":"text","content":"He added: “This work highlights the important role that policy and enforcement can play in reducing fireworks-related air pollution and protecting public health. As there is a patchwork of different restrictions and regulations regarding fireworks in our state, it’s clear that a more coordinated approach would help people breathe easier during times of celebration.”"},{"_id":"MHHVHTX6X5F3RHG6ECOHDMWFIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625086717020},"type":"text","content":"The study was published Tuesday in the International Journal of Environmental Research and Public Health. You can read the full study here."},{"_id":"V5ZBK7Q3KFAYVEDC5O43FVNN3M","additional_properties":{"comments":[],"_id":"AO2DL6DYJVCWZIDXLUENAIUTCA"},"type":"interstitial_link","content":"Where to see fireworks in and around Atlanta","url":"https://www.ajc.com/things-to-do/where-to-see-fireworks-in-and-around-atlanta/T6I6CWV4RNGCNNJSKLMZ4VOJWU/"}],"display_date":"2021-06-30T21:16:20.839Z","headlines":{"basic":"Study: Using fireworks at home creates public health hazard"},"first_publish_date":"2021-06-30T21:16:20.839Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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We were talking about the changes she’s been experiencing, and I was wondering if there is such a thing as male menopause. I am 58."},{"_id":"D7ROJJ7SVZCBNIFOORYZKN5W5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358282},"type":"text","content":"ANSWER: Hormone changes are a natural part of aging. Unlike the more dramatic reproductive hormone plunge that occurs in women during menopause, however, sex hormone changes in men occur gradually."},{"_id":"BIVWYUGRSNEBNPKU2X7BMZ7AME","additional_properties":{"comments":[],"_id":"U366MOZO65F7REQHEFUBNCWU7U"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"KTJ6GNSGINBP5NKR367S5SRM5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358284},"type":"text","content":"The term “male menopause” has been used to describe decreasing testosterone levels related to aging. But aging-related hormone changes in women and men are different."},{"_id":"N2I4526E5RHWZPJCUS77WO2JOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358285},"type":"text","content":"In women, ovulation ends and hormone production plummets during a relatively short period of time. This is known as menopause. In men, production of testosterone and other hormones declines over a period of many years, and the consequences aren’t necessarily clear. This gradual decline of testosterone levels is called late-onset hypogonadism, or age-related low testosterone."},{"_id":"EEXUD4AS3BCIFBUYLXLRNXJ4U4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358286},"type":"text","content":"A man’s testosterone levels decline on average about 1% a year after age 40. But most older men still have testosterone levels within the normal range, with only an estimated 10% to 25% having levels considered to be low."},{"_id":"ONHMD5HR6FAQ7F5LBMXJ42ANEQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358287},"type":"text","content":"Low testosterone levels in older men often go unnoticed because many men who have low testosterone levels experience no symptoms. In addition, the signs and symptoms associated with low testosterone aren’t specific to low testosterone. They also can be caused by a person’s age; medication use; or other conditions, such as having a body mass index of 30 or higher."},{"_id":"2ECSMUCKP5BHDL7DLWKPNWPBYU","additional_properties":{"comments":[],"_id":"3GKBIXQT4NGH7GSDH7YNCN2D74"},"type":"interstitial_link","content":"Menopause affects both gray and white brain matter, study finds","url":"https://www.ajc.com/pulse/menopause-affects-both-gray-and-white-brain-matter-study-finds/WA3HMM5Y35BLDP3URT47YEGBVI/"},{"_id":"JHMYLMHRIFBMNCEOCDVEITFS3Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358288},"type":"text","content":"Testosterone levels can be checked by a blood test, but tests aren’t routinely done. That said, if you are experiencing certain signs and symptoms suggestive of low testosterone, it might be worthwhile to ask your health care provider to check your levels."},{"_id":"CTEJVUJE6VHHDPFHSJI4N7NXRY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358289},"type":"text","content":"Some signs and symptoms suggestive of low testosterone include:"},{"_id":"4XF2MYH6JJEJ5MT6U2PYF6J5HQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358290},"type":"text","content":"» Reduced sexual desire and activity"},{"_id":"4MF37WRJVBEVRDGZBDZZUOAHAQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358291},"type":"text","content":"» Decreased spontaneous erections or erectile dysfunction"},{"_id":"THTWTNNSCRBTDNKUPEXPSGLIRA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358292},"type":"text","content":"» Breast discomfort or swelling"},{"_id":"VULXN7RCRZG2NLNGAUF44ENU6M","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358293},"type":"text","content":"» Infertility"},{"_id":"QNA6MPY7TRHVPGDLW4J5KTOY6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358294},"type":"text","content":"» Height loss, low trauma fracture or low bone mineral density"},{"_id":"YWDQPNOXLRHX3IWIDFA6SNUH7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358295},"type":"text","content":"» Hot flushes or sweats"},{"_id":"ZFMWNB4RTJHULFKIGPHXFZXAMY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358296},"type":"text","content":"Other possible symptoms include decreased energy, motivation and confidence; depressed mood; and poor concentration. It’s also possible to experience increased sleepiness, sleep disturbances, mild unexplained anemia, reduced muscle bulk and strength, and increased body fat."},{"_id":"U3IFDF27JZHLJMV3NOLU26WNHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358297},"type":"text","content":"Experts recommend testing older men for low testosterone only if they have signs or symptoms. If an initial test shows low testosterone, the test should be repeated to confirm the results. If low testosterone is confirmed, further testing of the pituitary gland is recommended to determine the cause and rule out other hormone deficiencies. The pituitary is a gland the size of a kidney bean situated at the base of your brain. It is part of your body’s endocrine system, which consists of all the glands that produce and regulate hormones."},{"_id":"6KHI4R2FJVARXGDZ24XPOWU224","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358298},"type":"text","content":"Treatment recommendations for men with age-related low testosterone vary. In 2020, the American College of Physicians recommended that health care providers consider starting testosterone treatment after explaining the risks and benefits in men with sexual dysfunction who want to improve their sexual function. In 2018, the Endocrine Society recommended testosterone therapy for men with age-related low testosterone who have signs and symptoms associated with low testosterone. Some experts also recommend offering testosterone treatment to men with age-related low testosterone without the presence of signs or symptoms."},{"_id":"YU54Z666KVBG3KYCJ3YQPJN564","additional_properties":{"comments":[],"_id":"7MMN6NHIJBEZFIXS3O7ZOEQQDE"},"type":"interstitial_link","content":"Men’s testosterone levels influenced by where they grow up, study suggests","url":"https://www.ajc.com/news/health-med-fit-science/men-testosterone-levels-influenced-where-they-grow-study-suggests/9vpn091uuF2nyjvqqZKavL/"},{"_id":"S5I5MHVNEJH4BBRRL7AZ4KDE4Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358299},"type":"text","content":"If you choose to start testosterone therapy, your health care provider will explain the ways to administer testosterone, as well as target levels and follow-up testing."},{"_id":"KAMPXCKHRZECBGHQH3SSRX47A4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358300},"type":"text","content":"For some men, testosterone therapy relieves bothersome signs and symptoms of testosterone deficiency. For others, the benefits aren’t clear, and risks are possible."},{"_id":"WLSZCG5PXBEWZHRKWE6OFGFRQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358301},"type":"text","content":"Though further research is needed, testosterone therapy might stimulate growth of metastatic prostate and breast cancer. Testosterone therapy also can increase the risk of heart attack and stroke, and contribute to the formation of blood clots in the veins."},{"_id":"4FQ2KIGH2ZDTTBAE2WCCBGD7TQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358302},"type":"text","content":"Your health care provider likely will recommend against starting testosterone therapy if your fertility is important in the near future or if you have conditions such as breast or prostate cancer, untreated severe obstructive sleep apnea, uncontrolled heart failure or thrombophilia, or if you’ve recently had a heart attack or stroke."},{"_id":"YY6ZX3QIWZCG5CDDMW76H4GWKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358303},"type":"text","content":"If you think you might have low testosterone, talk to your health care provider about your signs and symptoms, testing and possible treatment options. Your health care provider can help you weigh the pros and cons of treatment."},{"_id":"ZCFPULMXFRGFDOXCF5JJVUQ5IY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625056357889},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"MDEK7WOA2RELXHOITKA2R4A6IU","additional_properties":{"comments":[],"_id":"LCOJOZIJBVCSNNZJJCQCYDBHG4"},"type":"raw_html","content":"

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"}],"display_date":"2021-06-30T12:31:40.044Z","headlines":{"basic":"Is male menopause a real thing?"},"first_publish_date":"2021-06-30T12:31:40.044Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. Find the latest in industry tech and research, empowering feature profiles, plus lifestyle guides with nurses in mind.","_id":"/pulse","additional_properties":{"original":{"parent":{"AmpNav":"https://www.ajc.com/","default":"https://www.ajc.com/","BottomNav":null,"TopNavRedesign":null,"SectionMap":"https://www.ajc.com/","MainMenuRedesign2021":"/life","TopNav":null,"ComposerNav":"https://www.ajc.com/"},"site":{"section_comments_enabled":"Yes","site_description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. Find the latest in industry tech and research, empowering feature profiles, plus lifestyle guides with nurses in mind.","site_title":"AJC Pulse Magazine: Latest news for nurses in the Southeast"},"navigation":{"nav_title":"Pulse"},"inactive":false,"node_type":"section","_website":"ajc","name":"Pulse","Sponsor":{"sponsor_url_open_new_tab":"true","sponsor_desktop_banner":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/V445HGILVBBWJH5Y7YFGLORLSI.jpg","sponsor_mobile_banner":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/ARMP7EGUJ5B4BF7LCX3HWYAPUQ.jpg","sponsor_url":"https://www.ajc.com/politics/voting-begins-as-polls-open-on-crucial-georgia-election-day/5GCC2BW54JFTZDFB4C23AIZHE4/"},"_id":"/pulse","ancestors":{"AmpNav":["https://www.ajc.com/"],"default":["https://www.ajc.com/"],"BottomNav":[],"TopNavRedesign":[],"SectionMap":["https://www.ajc.com/"],"MainMenuRedesign2021":["https://www.ajc.com/","/life"],"TopNav":[]},"order":{"AmpNav":1023,"default":1023,"SectionMap":1103,"MainMenuRedesign2021":2012,"ComposerNav":1112}}},"_website_section_id":"ajc./pulse","type":"section","version":"0.6.0"},{"path":"/life/health","parent":{"default":"/life"},"_website":"ajc","parent_id":"/life","name":"Health","description":null,"_id":"/life/health","additional_properties":{"original":{"parent":{"AmpNav":"/life","default":"/life","TopNavRedesign":null,"SectionMap":"https://www.ajc.com/","MainMenuRedesign2021":"/life","TopNav":null,"ComposerNav":"https://www.ajc.com/"},"site":{"site_url":"https://www.ajc.com/life/health/","site_keywords":null,"site_about":null,"site_description":null,"site_title":null,"site_tagline":null},"navigation":{"nav_title":"Health"},"_admin":{"alias_ids":["/life/health/"]},"inactive":false,"node_type":"section","_website":"ajc","name":"Health","_id":"/life/health","ancestors":{"AmpNav":["https://www.ajc.com/","/life"],"default":["https://www.ajc.com/","/life"],"TopNavRedesign":[],"SectionMap":["https://www.ajc.com/"],"MainMenuRedesign2021":["https://www.ajc.com/","/life"],"TopNav":[],"ComposerNav":["https://www.ajc.com/"]},"order":{"AmpNav":2003,"default":2003,"SectionMap":1117,"MainMenuRedesign2021":2006,"ComposerNav":1064}}},"_website_section_id":"ajc./life/health","type":"section","version":"0.6.0"}],"primary_section":{"path":"/pulse","name":"Pulse"},"tags":[{"text":"rct-content"},{"text":"rct-content-nc"},{"text":"spcontent"},{"text":"sp-pulse"},{"text":"pulsewell"},{"text":"ajcpulse"},{"text":"health"},{"text":"health-wellness.ajc"},{"text":"natworld.ajc"}]},"type":"story","last_updated_date":"2021-06-30T12:33:21.689Z","canonical_url":"/pulse/is-male-menopause-a-real-thing/MNRRUDA3QVHUBMLWMPGNSRND64/","promo_items":{"basic":{"promo_image":{"url":"https://d1fegwn2wjh0cs.cloudfront.net/06-30-2021/t_a0892c44473a40a59aa8e35514454845_name_male_menopause.jpg"},"credits":{},"headlines":{"basic":"What is menopause?"},"type":"video","promo_items":{"basic":{"width":1920,"caption":"What is menopause?","type":"image","url":"https://d1fegwn2wjh0cs.cloudfront.net/06-30-2021/t_a0892c44473a40a59aa8e35514454845_name_male_menopause.jpg","height":1080}}}},"_id":"MNRRUDA3QVHUBMLWMPGNSRND64"}],"additional_properties":{"took":34,"timed_out":false},"count":516,"next":30,"_id":"01ed73a4a9f8ab66b5acc4552949465ba7977762adbb00e24905ec5272100bd8"},"expires":1626737250717,"lastModified":1626736950717}}};Fusion.layout="article-basic";Fusion.metas={};Fusion.outputType="default";Fusion.template="template/article";Fusion.tree={"collection":"layouts","type":"article-basic","props":{"collection":"layouts","type":"article-basic","id":"article-basic","childProps":[{"collection":"sections","id":0}]},"children":[{"collection":"sections","props":{"collection":"sections","id":0},"children":[]}]};Fusion.spa=false;Fusion.spaEnabled=false;

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