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'Something called esophagitis': Kim Kardashian shares health diagnosis in TV show trailer

Kim Kardashian is opening up about a recent health diagnosis in the upcoming season of the show, "The Kardashians."

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Sep 20 • 12:14 PM EDT • Health • wapt.com
'Something called esophagitis': Kim Kardashian shares health diagnosis in TV show trailer

Kim Kardashian is opening up about a recent health diagnosis in the upcoming season of the show, "The Kardashians."

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Sep 20 • 12:14 PM EDT • Health • wlwt.com
'Something called esophagitis': Kim Kardashian shares health diagnosis in TV show trailer

Kim Kardashian is opening up about a recent health diagnosis in the upcoming season of the show, "The Kardashians."

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Sep 20 • 12:14 PM EDT • Health • wbaltv.com
'Something called esophagitis': Kim Kardashian shares health diagnosis in TV show trailer

Kim Kardashian is opening up about a recent health diagnosis in the upcoming season of the show, "The Kardashians."

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Sep 20 • 12:14 PM EDT • Health • wpbf.com
Glen Powell Reveals Michelle Randolph Attended Recent UT Game With His Family

All's fair in love and football for Glen Powell and Michelle Randolph after they cheered on his bellowed Texas Longhorns amid their serious relationship.

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Sep 20 • 11:27 AM EDT • Entertainment • kansascity.com
Glen Powell Reveals Michelle Randolph Attended Recent UT Game With His Family

All's fair in love and football for Glen Powell and Michelle Randolph after they cheered on his bellowed Texas Longhorns amid their serious relationship.

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Sep 20 • 11:27 AM EDT • Entertainment • thestate.com
The Nerazzurri players called up for international duty

For the first time this season, league action pauses to make way for international fixtures. There is a change to the format compared with recent years: for the first time, each national team will pla...

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Sep 20 • 10:11 AM EDT • Sports • sports.yahoo.com
Asm. Lowenthal explains his bill reducing addictiveness of social media to teens

(Inside California Politics) — This week on Inside California Politics, fill-in host Eytan Wallace speaks with two political strategists to discuss the California gubernatorial race and recent comments by Gov. Gavin Newsom about his potential run for the presidency of the United States. Then Asm. Josh Lowenthal joins the show to discuss his bipartisan youth […]

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Sep 20 • 10:00 AM EDT • Politics • fox40.com
Justin Timberlake and Jessica Biel’s Marriage in a ‘Precarious Position’ Amid His Recent Outburst
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Sep 20 • 9:24 AM EDT • Entertainment • yahoo.com
Michael Carrick Feeling Familiar Pressure Of Recent Man United Managers

Michael Carrick knows better than most what Manchester United demand of their manager.Having spent more than a decade at Old Trafford as a player and later worked on the coaching staff, he understands...

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Sep 20 • 9:10 AM EDT • Sports • sports.yahoo.com
Orlando Science Center opens renovated theater

A lot is happening at the Orlando Science Center. The organization recently reopened the Dome and hosted a series of sold-out laser shows this summer. A new exhibit called “Extreme Sports: Beyond Human Limits” opens in late September, showing visitors what it’s like to rock climb and use a flight suit. To top it off,

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Sep 20 • 8:59 AM EDT • Science • yourcommunitypaper.com
Tatiana Bailey: Businesses are buckling under higher costs

We recently got two important inflation reports, and together they raise a concern that isn't getting enough attention.

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Sep 20 • 8:00 AM EDT • Business • gazette.com
Parkinson on 'class' Sheaf and Rathbone and Imray injuries

Phil Parkinson lauded the impact of Ben Sheaf following the midfielder's performance in Wrexham's win against Southampton. Speaking after the 2-1 victory, Parkinson revealed the coaching staff have been carefully planning Sheaf's route back to full match fitness over recent days. "Ben Sheaf, I'm so pleased with him today," said Parkinson.

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Sep 20 • 5:20 AM EDT • Sports • sports.yahoo.com
New executive director at French Quarter theater; former state rep takes energy association job

Take a look at some of the recent promotions and new hires announced at south Louisiana businesses.

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Sep 20 • 5:00 AM EDT • Business • nola.com
President Expounds on BRICS Summit Achievements

TEHRAN (Tasnim) – Iranian President Masoud Pezeshkian outlined the achievements of his recent visit to India and participation in the 18th BRICS Summit, emphasizing the need to strengthen multilateralism, expand economic and trade cooperation, and counter unilateralism.

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Sep 20 • 2:47 AM EDT • Politics • tasnimnews.ir
Cam Schlittler Gets Great Sign For Entering AL MVP Race

Second year pitcher Cam Schlittler is the strong American League Cy Young candidate, but he may have a chance at another award. The New York Yankees ace continues to add to the great body of work and saw his ERA dropping below 2.00 in recent weeks. Schlittler has an outside chance at the AL MVP […] The post Cam Schlittler Gets Great Sign For Entering AL MVP Race appeared first on HEAVY.

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Sep 19 • 11:39 PM EDT • Sports • sports.yahoo.com
Tencent Music Entertainment Group (NYSE:TME) As Its Fans Economy Story Keeps The Undervalued Case Alive

Tencent Music Entertainment Group (TME) has drawn investor attention after recent share performance, with the stock down over the past month and past 3 months. This has prompted fresh questions around what is currently priced into the business. Set against that short term weakness, Tencent Music Entertainment Group’s share price is down sharply year to date and over the past year, while the 3 year and 5 year total shareholder returns remain positive. This suggests recent momentum has faded as...

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Sep 19 • 11:34 PM EDT • Entertainment • simplywall.st
AMC Entertainment Holdings (AMC) Could Be 6% Undervalued As Premium Formats Lift Attendance

Recent commentary on AMC Entertainment Holdings (AMC) points to a stronger film slate and higher demand for premium formats. This is lifting attendance and sentiment even as investors continue to watch the company’s leverage closely. At a share price of US$2.70, AMC Entertainment Holdings has seen a 7 day share price return of 9.76% and a year to date share price return of 67.70%, yet the 1 year total shareholder return has declined 10.30%, signalling that recent momentum contrasts with a...

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Sep 19 • 9:26 PM EDT • Entertainment • simplywall.st
Health officials warn of potential measles exposure at Philadelphia Airport

Health officials are warning travelers of a possible measles exposure at Philadelphia International Airport last week, unrelated to recent exposures reported at Children's Hospital of Philadelphia.

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Sep 19 • 8:57 PM EDT • Health • fox29.com
Teladoc Health (TDOC) Missed On Earnings And Guided Lower, Is The Discount Too Wide?

Why Teladoc Health’s latest earnings matter for investors Teladoc Health (TDOC) set the tone for the stock this week after reporting quarterly results that showed a 4% revenue decline, missed forecasts on profitability, and softer guidance for the coming quarter. The update pointed to a 9.2% average drop in customer spending in recent years even as user counts grew. Management signaled expectations for another period of lower revenue and negative earnings per share. Recent trading suggests...

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Sep 19 • 8:24 PM EDT • Health • simplywall.st
There was a possible measles exposure at Philadelphia International Airport

The city department of public health is notifying travelers and others of the possible exposure, which is unrelated to the recent measles exposures at the Children’s Hospital of Philadelphia.

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Sep 19 • 8:22 PM EDT • Health • inquirer.com
Kansha grateful to serve community

Spouses recently located their business to Sandusky area

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Sep 19 • 7:00 PM EDT • Business • sanduskyregister.com
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Health officials warn of recent measles exposure at PHL Airport

A person with measles traveled through PHL Airport this week, the Philadelphia Department of Public Health announced on Saturday.

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Sep 19 • 6:40 PM EDT • Health • nbcphiladelphia.com
CVS Health (CVS) Stock Still Looks Reasonable On Its 40% 3 Year Return

CVS Health has delivered a solid multi‑year return while the share price has recently pulled back, which puts fresh attention on whether the current valuation is still supported by its earnings power. With new initiatives in areas like oncology care and behavioral health in the mix, the key issue for you is how much of that story is already reflected in today's price. Over the past 3 years CVS Health has returned about 40.0%, which raises the question of how much of its earnings strength is...

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Sep 19 • 6:27 PM EDT • Health • simplywall.st
RBS women draw at LASK

Goalless away draw LASK 0-0 FC Red Bull Salzburg WomenAfter a recent slump in results in the ADMIRAL Women's Bundesliga, our team got back to picking up points, playing out a goalless draw against LA...

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Sep 19 • 5:00 PM EDT • Sports • sports.yahoo.com
Elevance Health (ELV) Stock May Be Undervalued On Reaffirmed 2026 Guidance

Elevance Health has had a solid run over the past year, and the stock is now trading with recent news about its earnings outlook fresh in investors' minds. The core question is whether the current share price is warranted by the healthcare insurer's ability to keep converting its profit story into sustainable earnings per share. The stock has gained 33.6% over the past 12 months, which puts more weight on whether that move is supported by the underlying earnings power of the...

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Sep 19 • 4:28 PM EDT • Health • simplywall.st
Seahawks great Shaun Alexander sees himself in Jadarian Price

Seahawks great Shaun Alexander recently lauded Jadarian Price for his explosion in the hole, timing and patience as a young running back in the NFL.

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Sep 19 • 2:01 PM EDT • Sports • sports.yahoo.com
Health Department releases food inspection reports for week of Sept. 6

Scores for the recent Health Department food inspection ranged from 59-100.

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Sep 19 • 12:30 PM EDT • Health • myleaderpaper.com
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Here's how Apple circumvented the battery shipping restrictions for iPhone 18 Pro Max

Learn about this simple software trick that regulators hate. If you've been following the smartphone trends in recent years, you've probably noticed that...

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Sep 19 • 12:09 PM EDT • Technology • gsmarena.com
Telehealth companies keep exposing their customers' medical data. What should they do?

The Federal Trade Commission recently filed a lawsuit alleging that telehealth company Hims & Hers secretly exposed customers’ health data.

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Sep 19 • 11:51 AM EDT • Health • abc7chicago.com
Bar Harbor Parents Again Raise Concerns About How Some Science Education In Sixth Grade.

The Bar Harbor Story is generously sponsored by Restaurant Barn. BAR HARBOR—Parents again raised concerns this week about how Bar Harbor students receive science instruction after fifth grade, months after the same issue came before the Bar Harbor School Board. The concern centers on a past scheduling change at Conners Emerson School that gives fifth graders a full year of science rather than switching between science and social studies at midyear. Principal Dr. Heather Weir Webster told the board that the school has been monitoring test scores, teacher feedback, and the experience of students as it considers whether the current approach is working. If it is not, the approach may be changed, but that would not likely occur this school year. In fifth and sixth grade, the school used to have one semester of social studies and one of science in each year. That schedule shifted because switching at midyear often broke up the learning units. So, approximately two-three years ago, they decided to shift that a bit. Science became a dedicated focus in fifth grade. Social studies was the dedicated focus in sixth grade. The school staff members are hoping to dive deeply into the data and see if the students are having a more quality experience throughout their time in those grades when it comes to science and social studies. If not, things could shift again. This year, Dr. Webster said at the September meeting, potential changes to curricula have been a bit complicated by moving into the school’s new building in late October and early November. “There have been no changes this year because it’s hard enough to handle the move. That allows them to have consistency,” Dr. Webster said. Dr. Webster said that after the Covid pandemic which prevented students from attending school in person, many fifth graders were struggling. “We tried several different configurations,” she said, including a co-teaching model to help with that struggle, but to also see how to best schedule and support those students. “We found that a January switch” where classes switched from social studies to science was really difficult. Part of the decision making stemmed from science being more hands-on and accessible to fifth graders. Social studies was a bit more abstract content, which was why the school tried the current configuration. In a letter submitted as public comment, parent Beth Dumont wrote, “In May 2026, I wrote to express my concern that our middle school students are not receiving consistent instruction in science and social studies. I appreciate that the Board took this concern seriously and requested a presentation from Principal Webster. I am also grateful for the opportunity to meet with Principal Webster and Julie Keblinsky in July to learn more about the current curriculum and scheduling. “During that meeting, I learned that the current model is intended to integrate science and social studies into other subjects during the years or semesters when they are not offered as standalone courses. “While I appreciate the intent behind this model, I remain concerned about its premise. Science and social studies are core academic disciplines that provide students with essential knowledge, skills, and ways of thinking. Yet under the current schedule, students are not guaranteed consistent instructional time in these subjects. Instead, exposure to content in these disciplines may depend on whether opportunities for integration arise within other classes. “To be clear, I strongly support interdisciplinary learning. Integrating science and social studies across the curriculum can enrich students’ educational experiences and help them make meaningful connections across subject areas. My concern is not with integration itself, but with relying on integration as a substitute for dedicated instruction in core disciplines.” Dr. Webster said that they’ve been monitoring test scores, talking to teachers, seeing how the pilot program works. It’s in its third year now of this schedule. One science teacher, she said, told her he’d seen positive outcomes with full year science and that there was a stronger classroom community. Another science teacher had concerns over the readiness last year, but she isn’t feeling that way about this year’s current class. A third teacher for social studies said he loves the full year. A fourth teacher of social studies hasn’t said that anything has changed. For the three fathers who spoke at the school committee meeting, the fractured science curriculum caused concerns. One father said that when he spoke to others, “all were surprised and confused as to why there was no dedicated, continuous science education,” at the school. Though students are testing well in science and math, he worried that without continuity in education, learning is lost. “We shouldn’t have to choose between key learning disciplines,” he said. Matthew Bergin, another father, agreed, adding, “I’m just a little concerned.” In her letter, Dumont wrote, “As the parent of a recent sixth grader who completed an entire year without a dedicated science course, I saw very little evidence that this integration was occurring in a consistent, systematic, or readily identifiable way. This is not a criticism of our middle school teachers, who have been uniformly excellent. Rather, it is a structural criticism of the current schedule.” Dr. Webster gave an update about all aspects of the schedule and how it’s created and she also spoke to social and emotional learning (SEL) in middle school. It’s explicitly taught but also embedded. Science is embedded as well and explicitly taught at all but that one grade. The school schedule is built from lunch out, then electives like art and physical education are placed, before going into the instruction time, teacher planning time, multi-tier support systems (MTSS), and then social and emotional learning. Teachers have to have 250 minutes a week of planning time per their contracts. That’s the minimum and occurs when their students are at specials. “The schedule is really not the purview of the board,” School Board Chair Marie Yarborough reminded the other board members and the public and thanked Dr. Webster for the presentation. The parents were also thanked for coming. LINK TO LEARN MORE [ ](https://barharborstory.substack.com/p/despite-strong-rankings-some-bar) [ Despite Strong Rankings, Some Bar Harbor Parents Raise Concerns About School's Science Education ](https://barharborstory.substack.com/p/despite-strong-rankings-some-bar) Carrie Jones · Jun 4 [ Read full story ](https://barharborstory.substack.com/p/despite-strong-rankings-some-bar) HELP SUPPORT THE BAR HARBOR STORY When we started The Bar Harbor Story, we didn’t know if anyone would read it. But you showed up. You shared. You sent tips. Now—over 400,000 views every month later—it’s clear: people here care about their community and each other. We’ve kept everything free because news should never be out of reach, but every one of our stories takes time to write, and your support keeps The Bar Harbor Story going. If you value our work, please consider a paid subscription, a founding membership, or a sponsorship. It truly helps us cover one more meeting, tell one more story, shine one more light. Even $5 a month makes a difference. Click here to become a one-time supporter now. Thank you so much for being here. Founding member information can be found here. Have questions about sponsorships? Just send Shaun an email at sfarrar86@gmail.com, he’d love to hear from you. Subscribe Share Bar Harbor Story Share Leave a comment

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Sep 19 • 10:31 AM EDT • Science • barharborstory.substack.com
Scientists Discover First Known Adult T. Rex Trackway in North Dakota

A high school teacher recently came across a T. rex footprint while walking through North Dakota. Scientists say the discovery turned out to be the first known trackway likely made by an adult T. rex....

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Sep 19 • 10:30 AM EDT • Science • yahoo.com
Laying Science: Exploring density with liquids

In Mr. Bullock’s eighth-grade science class, students recently put their analytical skills to work through a hands- on density laboratory experiment. Using a variety of common liquids, including oil, rubbing

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Sep 19 • 10:22 AM EDT • Science • circlevilleherald.com
The Big Holes in Wearable Heart Rate Variability And Readiness Scores

On September 9th, Apple announced it was revamping its Apple Watch Health Sensing System, rolling out a Readiness score (0 to 10), and increasing the frequency of heart rate variability (HRV) outputs 24-fold. This can be viewed as upping its competition with various other consumer wearable sensors. These “readiness scores” as a composite of multiple metrics, with heart rate variability (HRV) being front and center for most. The majority of Americans are now using wearable sensors, which equates to well over 100 million adults. HRV and Readiness scores are increasingly being marketed as a measurement of autonomic nervous system health, a digital marker for future disease, a clock for biological age, and a holistic metric to promote healthspan and even longevity. (Apple also introduced a new longevity tab and “Health Age”.) None of this has been proven. In this edition of Ground Truths I am going to review what we know about heart rate variability and readiness scores. Heart Rate Variability HRV is the variation in normal heart cycle timing. The variability of the heart rate, the barely perceptible millisecond changes in time between consecutive heart beats (see R-R intervals in the Figure below, left panel), is due to interplay between the sympathetic and parasympathetic (vagal nerve) inputs. Distinct from heart rate, individuals with the same heart rate can have very different HRVs. It is a rough reflection of the autonomic nervous system (ANS) activity, inadequate to say whether a person’s ANS function is abnormal. For more than three decades, heart rate variability (HRV) has been measured and several studies have found an association of low HRV and clinical outcomes, particularly a link with higher all-cause and cardiovascular mortality. There have also been less well established links of low HRV to risk of early cognitive impairment, dementia, mental illness, Type 2 diabetes and substance abuse. An important reminder is that HRV is a surrogate marker without any established cause-and-effect relationship. If you increase your HRV, that doesn’t mean it will improve health outcomes. In fact, there is no hard evidence for that. All that work linking to health outcomes was done with electrocardiogram (ECG) derived HRV. Now, in the era of consumer wearables, this is getting assessed differently, by optical pulse (yes, the lights you see) plethysmography (PPG) or what is called pulse rate variability (PRV). They are not the same, as shown below (right panel) and only concordant when the delay between the ECG and pulse is kept constant, which basically means at rest. I should mention there’s also what I will call MPV, a mattress mechanical movement sensor, a derived heart rate variability, that companies like Eight Sleep use, even further away from directly measuring HRV. HRV has not one uniform measurement but many different types of quantification, such as RMSSD, the magnitude of difference between successive R-R intervals of normal sinus beats (N-N) or SDNN, the standard deviation of NN intervals, both in milliseconds. SDNN is one of the so-called frequency domain HRVs (others are LF, HF, LF/HF). Different wearable sensors use different metics; Apple has relied on SDNN and nearly all of the others use RMSSD, which is generally considered the more accurate metric. There’s also the different length of time measured, such as for a matter of minutes, all day, or an overnight’s sleep. Short measurements are especially problematic since they don’t capture enough of respiratory modulation and other factors that influence HRV. Share Ground Truths How well does HRV correlate with PRV? There are very limited studies, especially independently done. One that is commonly cited was conducted by Air Force researchers in only 13 healthy adults assessing Oura ring 3 and 4, Whoop 4.0, and Garmin Fenix 6 and showed a correlation coefficient of 0.88 to 0.97 and a mean absolute percentage error from 6 to 10%. The correlation is not a perfect 1.0, but there’s at least a fairly high level of correlation. HRV is supposed to increase during the night due to takeover of the parasympathetic nervous system, and higher during deep sleep. A recent example of my 1 week, all day “HRV,” and one during sleep is shown below. As you can see, the N of 1 data are inconsistent for the same days from different sensors (Oura, AppleWatch, Fitbit Air, and Eight Sleep) by patterns, absolute numbers, and comparison with prior days and weeks. The largest study in over 8 million Fitbit users (the old version, not Google Fitbit Air, introduced in May 2026) gives you a sense of the effect of age, sex, and the 2 different main HRV (here PRV) metrics, with RMSSD on the left and SDRR (=SDNN) on the right below. That study, from data collected in 2018, is a major outlier, since all the more recent ones are tiny with respect to sample size. Many of the companies have not had independent evaluation of their HRV, such as Eight Sleep, but have published a low standard error on their website. There are some other published studies on the correlation between HRV and PRV, but they are all small and only in healthy adults. A scoping review emphasized the lack of study in underrepresented individuals, including the aged, people of color (which affects the PPG signal), and individuals who are underweight or obese. Add the typical adult age 60 plus with one or more chronic diseases. For example, one study in over 900 adults found poor correlation of HRV and PRV, non-uniformly underestimated across many chronic diseases (cardiovascular, endocrine, neurological, respiratory, and others), concluding PRV is “an invalid surrogate for HRV.” A recent systematic review of 43 studies comparing HRV and PRV found reasonable pooled absolute standardized error (HRV as gold standard) but only 10 of the studies provided quantitative synthesis in ideal conditions. Their main conclusion was similarly cautious: “PPG-derived HRV [PRV] should not be regarded as universally interchangeable with ECG-derived HRV across all devices, populations, and recording contexts.” Factors Affecting HRV and PRV That gets me to the long list of factors that affect HRV (and PRV) besides the device, the type of measurement (RMSSD, SDNN or others), the person’s signal, the sensor site, the duration of data capture, if weighting by sleep stage is used, how artifact is processed and corrected. And this list is not complete!: Oura puts out data from their community of users (who input data) on what affects their overnight HRV. The factors currently provided are: no alcohol (increase 8%), melatonin (increase 2%, float tank (increase 2%), wine (decrease 4%), and party (decrease 14%) in overnight HRV. Must be some big parties! Subscribe What is a PRV measurement good for? It has been falsely characterized as an index of “autonomic balance” and a specific indicator of stress. A 2018 review of the studies available for HRV and its relationship to stress, not using any of the current wearables, found that stress can lower HRV. But so can many other factors. The non-specificity of the signal, indexed to the table above, is striking. Evidence from a UK Biobank study of over 46,000 participants with actual HRV looked at genetically predicted HRV, a genetic risk score, that failed to show the expected HRV-mortality link, indicating that _HRV is likely not causa_l, but rather a reflection of person’s physiologic state. A review of consumer wearable HRV data from 5 longitudinal studies showed that nighttime PRV was not associated with perceived stress, and surprisingly higher HRV, in the largest cohort (N=717 participants), was correlated with higher stress. An Oura ring cohort of 525 first-year college students found a link between overnight PRV and perceived stress, but that was also seen with resting heart rate, sleep, and respiratory rate. Several very small studies have examined the relationship of HRV and athletic injuries or guiding training with mixed, and predominantly negative results. HRV biofeedback training with paced breathing had no significant effect on reducing stress or raising HRV, as demonstrated with sham controlled trials. When HRV for multiple days showed a decline in conjunction with body temperature, the Oura ring published data for prediction of Covid. The WHOOP company sponsored an observational study, published in 2026, of 30,000 users for 72 weeks, without a control group, that reported reduced alcohol intake (5.8 % points) by self-report. That doesn’t tell us much, and particularly about the merits of HRV for behavioral change. If you use the same device and conditions as longitudinal trends for multiple (at least 2-3) weeks that may be the one way to get something useful from the measurements. Data for overnight sleep with minimal motion and using RMSSD is the best proxy for real HRV. The reason to look at trends rather than any given night is that it more likely represents something, even though you won’t know with certainty what the “it” is. Keep in mind there are no data, no peer-reviewed evidence, to show that HRV fluctuation in-person has any correlation with health outcomes. Share Readiness Scores These are proprietary scores that integrate different metrics for each of the wearables: no algorithms have been disclosed. They are unvalidated against health outcomes. In a review of 14 composite health scores of readiness and recovery, HRV contributed 86% to the scores, followed by reading heart rate (79%), physical activity and sleep duration (both at 71%). That review noted the substantial variability in measurement protools and lack of standardization. Sleep staging is notoriously inconsistent and inaccurate by these sensors, which adds further to the HRV uncertainties for what the scores, which use sleep stage data, mean. Only resting heart rate has been shown consistently across devices to be extremely accurate. I’ve made a Table to summarize what we know about which metrics are included, the scores, any peer-reviewed studies that compared the readiness score with health outcomes, and the corresponding (if any, NA-not available) citation. You will note that some companies do not use the term “readiness," such as WHOOP for recovery, and Garmin, which has 2 different scores, one of which is Body Battery. Eight Sleep uses the term “Fitness Score.” They all include HRV; Apple includes a new metric they call “Recovery HRV” which among other components uses 7-days of sleep, but it is unclear what this means or how it is differentiated from other scores (there are clearly no data for outcomes). We have no knowledge of how the different components are weighted or whether any of these scores are better than resting heart rate, HRV alone, physical activity, or any other single metric. Since none of these are standardized, they are not interchangeable, so if you get a 90 for Oura that has no relationship to a 90 on a Google Fitbit Air. Notably, the company can update its algorithm for readiness score at any point without notification to device users. Without any useful evidence of actionability for these scores or established relationship with health outcomes, it is hard to make a case for their value. At the Apple recent announcement they showed their Readiness score (0-10) on the watch (Figure below) but there are no published data on this score, not even on their website. It’s available only on their new Watch Series 12 or Ultra 4 [of course, ;-)]. That exemplifies the problems with these scores, lack of data and evidence for being meaningful to promote health. Perhaps the best study (which isn’t saying much) is the WHOOP Recovery for golfer performance, because it did correlate with an objective outcome, even though there was no control group and the authors were all from the company. Among the 389 pro golfers, an absolute 10-per cent point increase in Recovery score was associated with about 0.5 fewer strokes per round. But that’s hardly a health outcome! WHOOP is also conducting a study in over 2,700 runners to see if their recovery score will be linked to less injuries and improved performance, but that is not yet published and has no control group or randomization. Putting This in Context For two decades I’ve been enthusiastic about the potential for digital health and particularly wearable biosensors. Over the years, we’ve seen some great progress for their ability to promote physical activity and accurately detect atrial fibrillation (the first FDA cleared deep learning AI for consumers). That work was the subject of rigorous research. But there are holes in the data and evidence for other metrics. One notable one is the “VO2 max” story that I wrote about earlier this year. At that time many subscribers asked me to cover heart rate variability, which I finally got to here. When I dived into the research and publication for HRV and readiness scores, I expected to find at least some that were of high quality and demonstrated their utility by linkage to health outcomes. To my surprise, I found none. The wearable sensor measurements for HRV (PRV) are, for the most part, accurate, but that validation work has only been done in small studies of healthy adults and does not take into account the long list of factors, from the device, software side, and the user side, that affect HRV measurements. Moreover, this metric chiefly relies on optical sensing and, as we have learned for heart rate PPG sensing, may be less accurate in people of color. Keep in mind that all of the health outcome association evidence comes from ECG-derived HRV; none are from wearable sensor data. I will repeat the key point: there's no peer-reviewed evidence to show that in-person HRV fluctuation—or efforts to raise your HRV— has any correlation with health outcomes. For those of you who look at your HRV on awakening, or even 2+ week trends of it being low, I hope this context helps to relieve any anxiety. Yes, low HRV (not PRV) has been shown to increase risk of some diseases as summarized above. But efforts to raise your HRV—a surrogate metric— has not been established for improving any health outcomes. HRV does not have any evidence of causality (the genetic evidence actually goes against this possibility). In this summary, I have not included data for other wearable sensors such as Polar, Samsung, Withings, Suunto, Amazfit, Coros, Ultrahuman, or additional mattress sensors. These are beyond my first-hand experience, and as far as I know from my in-depth review none have any peer-reviewed published data that differ from the 6 sensors I’ve reviewed here. From the points I’ve gone over above, we’re not ready for readiness scores. Besides being proprietary, they are predominantly based on metrics that have their own issues. It’s compounding the problem, like building a house without a solid foundation that has never undergone a rigorous inspection, and then selling it. Like I mentioned for PRV, you can look at trends over weeks rather than any single day, to get a handle, but even that may not be helpful. There’s simply no evidence that these scores meaningfully relate to health outcomes. I’d emphasize they might, but that requires doing prospective or randomized studies to prove it. None exist. There’s great promise for HRV/PRV utility_. For example**,**_ Prof Maiken Nedergaard, who discovered the brain glymphatics that are essential in eliminating metabolic waste products from the brain during sleep, has posited that HRV could be a non-invasive marker for neuromodulator oscillations, brain-body regulatory circuits, and brain clearance. That would be extremely useful, but like everything else on HRV and readiness scores it requires solid research and validation. The lay media isn’t helping much to get the story straight. Earlier this year The Economist published a piece entitled “The most useful indicator of your overall health” which ordained HRV as an “accumulated stress score.” That’s akin to the false assertion about VO2max: “V02 max is the singular most powerful marker for longevity.” As I’ve summarized here, that is not established. The fact is that so many things can lower HRV, including physical exercise (especially an intense workout), reduced sleep quality, stress, the list above, no less the device, signal, and software. Whatever fluctuations observed have not been correlated with any health outcome. Sadly, “datamaxxers” are widely using HRV and readiness scores that have never been validated to mean anything. We already know that for some people using the sensors for sleep metrics, it can induce “orthosomnia,” an obsession to get high sleep quality, with associated high levels of anxiety. In an experiment done by a company to promote sleep quality for its employees, “For those employees who did use the trackers, many reported feeling perfectly rested until their tracker told them they had had a terrible night. Others were told that they had slept like a baby when they had actually been lying awake worrying about the quality of their sleep. “ The same problem can result from preoccupation with HRV or readiness scores, with anxiety that would lead to further reduction in both. It you are using a wearable like >100 million American adults, it’s OK to look at these data, but contextualized with the major caveats reviewed here. If you are one to require evidence that HRV or readiness scores are linked to health outcomes, you may not even want to look. The companies make it hard to turn them off! Let me end with the companies that make and sell wearables. Apple’s doubling down on HRV (24-fold more reporting and heart rate very 5 seconds) and introduction of a Readiness score tells us that consumers have bought into these metrics and they are joining the club. However, all of this is occurring with a backdrop of tens millions of users, claims about the data that are not backed up by adequate evidence, marketing way out in front of whatever limited data exists, and not being transparent about their readiness score algorithms. The companies can well afford to do the research that is needed to connect these metrics with health outcomes show, once and for all, that increasing HRV or using readiness scores promotes our health. If they believed and invested in the products they are selling, we’d not be in this position of not knowing. That’s essentially where we are with HRV and readiness scores. Perhaps someday this will change and we’ll have good reason to embrace them. NB: I wrote this post. No AI. I have no conflicts of interest with any of its content. Loading... Ground Truths has 215,000 subscribers from every US state and 214 countries. There are over 300,000 followers of Ground Truths so more than 90,000 folks who can easily convert to be free subscribers. Your subscription to these free essays and podcasts makes my work in putting them together worthwhile. If you’re not a subscriber, please join! If you found this interesting PLEASE share it! Share Ground Truths The proceeds from all voluntary paid subscriptions go to support our summer internship program. It enabled us to accept and support a record number of 62 summer interns that joined us in 2026! These are high school, college and medical students selected from thousands of applicants. We couldn’t do this expanded program without the funds coming in through Ground Truths. Thank you!

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Sep 19 • 10:05 AM EDT • Technology • erictopol.substack.com
Dave Toub discusses a recently elevated practice squad player

During his press conference, Kansas City Chiefs coordinator Dave Toub discussed recently elevated practice squad player Ben VanSumeren | @EdEastonJr

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Sep 19 • 9:01 AM EDT • Sports • sports.yahoo.com
‘Very humble’ – English soccer star issues ‘incredible’ Lionel Messi verdict

Harry Kane has heaped praise on Lionel Messi when opening up on England’s loss to Argentina at the most recent World Cup. The Three Lions made it to the semi-finals of the competition but were beaten 2-1 thanks to late goals from Enzo Fernandez and Lautaro Martinez.

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Sep 19 • 5:30 AM EDT • Sports • sports.yahoo.com
Health Journalists Visit Conservative Georgia District and Weigh AI Bioweapon Threat

KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.

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Sep 19 • 5:00 AM EDT • Health • kffhealthnews.org
2. Bundesliga preview: Energie Cottbus vs. St. Pauli

In a meeting between two sides who have made encouraging recoveries after difficult spells, Sunday’s clash presents Energie Cottbus with an opportunity to continue their impressive recent form, whil...

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Sep 19 • 4:30 AM EDT • Sports • sports.yahoo.com
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2. Bundesliga preview: Arminia Bielefeld vs. 1. FC Heidenheim

In a meeting between two sides at opposite ends of the table after five games, Sunday’s clash presents Bielefeld with an opportunity to end their recent run without a win, while Heidenheim will be l...

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Sep 19 • 4:23 AM EDT • Sports • sports.yahoo.com
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Why Hansi Flick keeps substituting Pedri despite his importance

Hansi Flick’s handling of Pedri has become one of the less obvious features of Barcelona’s success since the German took charge.The midfielder, who recently made his 250th Barcelona appearance, re...

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Sep 19 • 3:25 AM EDT • Sports • sports.yahoo.com
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Is Hinge Health (HNGE) Still Undervalued As Its Digital Care Growth Draws Attention?

Jim Cramer put Hinge Health (HNGE) in the spotlight on a recent Mad Money lightning round, contrasting its rapid expansion with Aveanna Healthcare as investors reassess digital musculoskeletal care businesses. Hinge Health has been riding strong momentum, with the share price at $94.9 after a 36.7% 90 day share price return and a 108.3% year to date share price return. The 1 year total shareholder return of 66.8% shows how quickly sentiment has shifted in favor of the stock. Scan beyond Hinge...

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Sep 19 • 2:10 AM EDT • Health • finance.yahoo.com
Frustration grows as Houthis widen Middle East conflict with US unwilling to intervene

Dramatic recent advances by the Iran-backed Houthis, including the seizure of a strategically important island in the Red Sea, have dealt another blow to a region reeling from the US war with Iran and exacerbated an already severe global energy crisis. But neither the US nor its key ally Saudi Arabia has a clear plan to beat back the group, multiple sources told CNN, leading many in the region to ask where the counteroffensive will come from.

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Sep 19 • 12:00 AM EDT • Politics • cnn.com
Mind Your Manners: Kindness counts — and might provide surprising health benefits

Because I work closely with the medical community, I receive a weekly digest featuring the latest medical updates, developments, studies and hot topics from around the world. One recent article,

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Sep 19 • 12:00 AM EDT • Health • wvgazettemail.com
College Football Roundup: Pre-T25 Week Two

Two weeks are in the books for what’s already been one of the weirder, wackier starts to a college football season in recent memory. With that, we are just two weeks away from my first Top 25 (I detail the formula and why I wait until week four here), and let me just say, there’s […]

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Sep 18 • 11:36 PM EDT • Sports • sports.yahoo.com
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Chattanooga weighs Tennessee’s high business, low quality-of-life rankings

A recent ranking from CNBC named Tennessee the ninth best state for business, while also naming it "the worst state to live in," raising questions about what that disconnect means for Chattanooga's efforts to attract both businesses and the workers they need.

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Sep 18 • 9:15 PM EDT • Business • timesfreepress.com
Vandalia Health to host nursing expo in Fairmont

Vandalia Health will host a free nursing expo Sept. 23 in Fairmont for nursing students and recent graduates. Attendees can explore jobs, externships, residency programs, education benefits and professional development opportunities.

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Sep 18 • 8:51 PM EDT • Health • mybuckhannon.com
Sphere Entertainment (SPHR) Stock May Be Above Fair Value On Cash Flow

Sphere Entertainment has had a powerful share price run in recent years, which naturally raises a question for anyone looking at the stock today. Are investors now paying a price that its future cash flows can reasonably support, or has enthusiasm run ahead of the underlying economics? The share price has returned about 298.0% over the past 3 years, which puts a lot of weight on the cash flow profile that underpins any intrinsic value estimate. The business model relies heavily on converting...

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Sep 18 • 8:20 PM EDT • Entertainment • finance.yahoo.com
PENN Entertainment, Inspired, Lovesac, Rush Street Interactive, and Marriott Vacations Stocks Trade Down, What You Need To Know

A number of stocks fell in the afternoon session after rising Treasury yields and higher interest rates intensified worries over household finances and discretionary consumption, creating headwind conditions for consumer-facing companies. According to Reuters, as borrowing costs on mortgages, auto loans, and credit cards climb, household budgets are increasingly squeezed, encouraging consumers to prioritize saving and basic necessities over non-essential purchases. In addition, recent economic d

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Sep 18 • 8:16 PM EDT • Entertainment • finance.yahoo.com
Guardians Pitcher Has Set Back in Rehab Outing

Cleveland Guardians' Colin Holderman was taken out of his most recent rehab appearance.

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Sep 18 • 8:10 PM EDT • Sports • sports.yahoo.com
Adem Bona Injury Could Open Up an Opportunity for Others

With a costly injury to the bench, the Philadelphia 76ers must look to their recent signings for help.

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Sep 18 • 8:00 PM EDT • Sports • sports.yahoo.com
Business briefs

NEW TO BOARD: The Autism Society of Mahoning Valley recently named four new members to its board of directors. The new board members bring diverse professional experience in human resources, healthcare, workforce and economic development, and real estate, strengthening the Autism Society’s leadership as it expands programs, partnerships, community engagement, and resources for individuals and […]

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Sep 18 • 8:00 PM EDT • Business • vindy.com
Business briefs

NEW TO BOARD: The Autism Society of Mahoning Valley recently named four new members to its board of directors. The new board members bring diverse professional experience in human resources, healthcare, workforce and economic development, and real estate, strengthening the Autism Society’s leadership as it expands programs, partnerships, community engagement, and resources for individuals and […]

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Sep 18 • 8:00 PM EDT • Business • tribtoday.com
Environmental and Public Health Groups Sue Over the Trump EPA’s Latest Attempt to Bolster Fossil Fuels

Environmental and public health groups are suing the Trump administration over its most recent move to eliminate protections against climate-warming pollution. The Environmental Protection Agency announced a plan on Monday, finalized in the Federal Register on Thursday, to revoke most of a Biden-era rule to limit greenhouse gas emissions from fossil fuel power plants. The […]

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Sep 18 • 6:06 PM EDT • Health • insideclimatenews.org
Florida confirms a death from dengue as the state struggles with one of its worst recent outbreaks

Florida is experiencing one of its worst surges of dengue fever in decades, and the toll now includes a death. The Florida Department of Health confirmed the death Friday, though it didn't provide fu...

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Sep 18 • 5:45 PM EDT • Health • yahoo.com
Black congressional leaders endorse James Talarico in Texas Senate race

Talarico has strong support among Black voters in public polls, but he has recently stepped up his efforts to reach them.

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Sep 18 • 5:30 PM EDT • Politics • washingtonpost.com
United Bank hires Phil Poliquin to lead government contracting business

Phil PoliquinUnited Bank, a subsidiary of United Bankshares, Inc. (NASDAQ: UBSI), has announced that Phil Poliquin has joined the Bank as senior vice president and managing director of Government Contracting (GovCon), leading the next phase of growth for United’s GovCon business across the Bank’s footprint.United has a longstanding history of serving government contractors and meeting the dynamic banking needs of companies supporting federal, state and commercial markets. Building on that foundation, the Bank is establishing a dedicated GovCon team led by Poliquin. The new team will bring together bankers from across United's footprint under a focused strategy designed to deepen industry expertise, strengthen client relationships and expand the Bank's presence in this important market.“Government contractors operate in a complex and highly specialized environment, and Phil understands that environment from multiple perspectives,” said United Bank Chief Commercial Lending Officer Mike Proctor in a press release. “His extensive commercial banking experience, combined with more than two decades of military and government service, brings tremendous depth and expertise to our team. We’re excited to have his leadership and insight as we continue strengthening how United serves our GovCon clients across the nation’s capital and beyond.”In his new role, Poliquin will lead United’s GovCon lending strategy and a team of specialists, with a focus on deepening client relationships and expanding the Bank’s presence in the government contracting and defense sectors. He will also serve as a subject matter expert across the organization, partnering with bankers across United’s footprint to support GovCon clients and opportunities.“Government contracting has long been an important part of the economy across the Washington region, and we believe it remains an attractive sector for growth,” said United Chief Executive Officer Richard M. Adams, Jr. in a press release “As the needs of these companies continue to evolve, investing in specialized leadership strengthens our ability to build on our established presence, expand how we serve this market, and pursue new opportunities.”Poliquin has a decade of experience in commercial banking, most recently serving as executive director of Aerospace, Defense, and Government Services (ADG) commercial banking at JPMorgan Chase. In this role, he led a team responsible for providing specialized financing and treasury advice to federal government contractor companies across the nation. Previously, he also held senior leadership positions at Bank of America.Prior to his banking career, Poliquin served 24 years in the U.S. Navy, retiring at the rank of Captain in 2013. A Naval aviator, he flew more than 100 combat missions in operations around the world and served in senior leadership positions, including as commanding officer of an F/A-18 Super Hornet squadron, leading more than 250 personnel during two combat deployments. He later joined the Intelligence Community as a program manager at the National Reconnaissance Office and contributed to the development of the Navy’s unmanned aircraft system strategy.“United has a strong foundation in government contracting, and I’m excited about the opportunity to build on that foundation by expanding our industry presence, deepening relationships, and developing a team with specialized expertise focused on serving government contractors,” said Poliquin in the release. “The goal is to be a trusted resource for growth-oriented companies that need a banking partner who understands what they do, where they’re headed and can help them navigate the opportunities and complexities of this market.”Poliquin holds a bachelor’s degree in mathematics from the University of Oklahoma, a master’s degree in national security strategy from the U.S. Naval War College, and an MBA from the University of North Carolina at Chapel Hill’s Kenan-Flagler Business School.

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Sep 18 • 4:12 PM EDT • Business • bizfayetteville.com
A's Add Mason Barnett to Rotation for Stretch Run

After Barnett's struggles in the A's rotation last month he was optioned to Triple-A. In his most recent outing he tossed a gem — then a spot opened up in the rotation.

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Sep 18 • 3:44 PM EDT • Sports • sports.yahoo.com
Credit unions bulk up a business that banks long dominated

Citadel Credit Union recently closed a $50 million loan on a Philadelphia office tower. It's part of a trend, as credit unions build their commercial real estate lending businesses.

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Sep 18 • 3:31 PM EDT • Business • americanbanker.com
Former First-Round Pick Named Breakout Candidate for Boston Celtics

Following Jaylen Brown’s offseason departure, the Boston Celtics will need some players to step up to fill his void next season. One particular young Celtics player has been named as a breakout candidate for the team heading into the 2026-27 campaign. Hugo González Named Breakout Candidate for Boston Celtics Greg Swartz of Bleacher Report recently […] The post Former First-Round Pick Named Breakout Candidate for Boston Celtics appeared first on HEAVY.

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Sep 18 • 2:30 PM EDT • Sports • sports.yahoo.com
GTA 6 Boss Seems A Bit Grumpy And Defensive While Answering An Investor's Question About Frequent Delays

During a recent stockholder meeting, Take-Two CEO Strauss Zelnick quibbled about a question

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Sep 18 • 2:30 PM EDT • Technology • kotaku.com
Americans cite high insurance premiums, out-of-pocket costs as top health care concerns

A recent Commonwealth Fund survey of more than 25,000 U.S. adults found that Americans are struggling to afford health insurance and care.

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Sep 18 • 2:16 PM EDT • Health • healthjournalism.org
Cincinnati Reds' Brady Singer Gets Honest About Recent Struggles

The right-hander was charged with the loss on Thursday after giving up nine hits and seven earned runs in only 3.1 innings pitched.

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Sep 18 • 2:08 PM EDT • Sports • sports.yahoo.com
Harrison Running Out of Time to Earn Brewers Postseason Role

Deteriorating movement on his fastball and recent struggles have pushed Kyle Harrison to the roster fringe, leaving the Milwaukee Brewers searching for mechanical fixes before the postseason begins.

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Sep 18 • 1:08 PM EDT • Sports • sports.yahoo.com
Attorney General Blanche blurs Justice Department boundaries by appearing at political events

Attorney General Todd Blanche is blurring traditional boundaries between politics and federal law enforcement with recent speeches at political events that mark a sharp departure from norms meant to protect the Justice Department from the appearance of partisan bias.

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Sep 18 • 12:44 PM EDT • Politics • pbs.org
Alice Walton Foundation, Mercy break ground on massive Bentonville health care campus

The project has its roots in recent efforts to address the number of NWA residents who leave the region for specialized treatment.

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Sep 18 • 12:33 PM EDT • Health • fayettevilleflyer.com
Trump’s reason for holding the Kennedy Center hostage doesn’t even make sense

There is plenty that’s bizarre about President Donald Trump’s attempt to take the Kennedy Center hostage over a judge’s refusal to let him put his name on it. He’s now indicated twice in recent days that he will abandon the center — and even let it be “ripped down” — if the courts don’t change the ruling.

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Sep 18 • 12:09 PM EDT • Politics • cnn.com
Gabriel Rajkovic: Man United battling Barcelona for Norwegian gem

1Manchester United have shown renewed desire to sign some of the best young talents in the world in recent years. The Red Devils have invested equally in the first team and the academy of late, and no...

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Sep 18 • 12:05 PM EDT • Sports • sports.yahoo.com
Nintendo has updated the Super Mario logo, plus new Mario renders

There’s a lot of talk going around about an updated logo for the Super Mario Bros. series. Recently, fans noted the new design on Nintendo’s official website. Ultimately, this doesn’t mean much – it’s still a logo at the end of the day. However, it’s interesting to look at how the design has been modified over the years. Nintendo doesn’t...

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Sep 18 • 11:32 AM EDT • Technology • nintendoeverything.com
Engrams Embedding Entendre: Codesign for Efficient DRAM/SSD Offloading

Engram extends standard token embeddings with learned multi-token lookups. Recurring local patterns retrieve vectors directly, reducing the need to reconstruct them through attention and feed-forward layers. With Engram model architecture optimization, it allows for lower HBM capacity to be needed for models at the same quality. This does not mean there won’t be an insane demand for HBM but it just means that model architecture will continue to innovate around constraints. This model architecture design is naturally codesigned for parameter offloading: each token accesses a few embedding rows whose addresses depend on token IDs, not hidden states. The runtime can prefetch those rows from host DRAM while earlier layers compute, keeping the table outside HBM without transferring entire weight matrices. Our Memory model contains our latest estimates of quarter by quarter HBM, DRAM, & NAND supply and demand. Offloading frees HBM for model weights and KV cache, potentially supporting larger batches or more concurrent sessions. When DRAM becomes the next constraint, NVMe offers another tier. Recommendation systems already cache frequently or recently accessed embedding rows in faster memory while backing colder rows with SSDs. After NVIDIA roadmap had to change due to massively despec’ing Rubin Ultra from 1024GB to now ~200GB of HBM per chip, model architecture optimizations like emgram maybe helpful. Our DeepSeek-V4.1-Flash configuration uses roughly 189 GiB of memory for Engram. We replace it with a memory-mapped (mmap) file and measure serving performance with offload to SSD. Later on in our report, we will show our Engram offloading experiments along with the official InferenceX agentic inference serving results on Engram models like DeepSeekv4.1 Flash across all 6 NVIDIA GPU SKUs along with MI355X. Unsurprisingly, the CUDA Moat is still mogging MI355X on the ultra popular DeepSeekV4.1 Flash model. We also show how even on high capacity HBM SKUs, offloading emgrams to DRAM could result in even better performance for most of the pareto than keeping the emgram in HBM. Our benchmark has been widely reproduced, validated and/or supported by almost every major buyer of compute from Google Cloud to Microsoft Azure to Oracle, to Meta and many more. Furthermore, it has the support of the ML community including from vLLM, LMCache, SGLang, PyTorch, Huggingface and the support of major labs like OpenAI, MiniMax, ZAI, Qwen, Moonshot Kimi, etc. Star the InferenceX GitHub repository if you find the open-source benchmark and data useful!. InferenceX is the only inference benchmark in the world to have TPUv7, Jalapeño, Nvidia Rubin NVL72, AMD, and soon, SambaNova and Trainium. Due to how realistic AgentX scenario is to real world agentic inference workloads, AMD has committed to collaborating on MI455X UALoE72 too. DeepSeek did not release the original paper’s two trained Engram models. We replicated its setup on fineweb-edu using the released code and training hyperparameters, at an estimated 6E18 FLOPs per run. We observed the same U-shape scaling: Engram improved performance over pure MoE baselines. We also reproduced DeepSeek’s results, where earlier-layer representations with Engram resembled those of later layers. Like the original Engram paper, it is possible to probe Engram’s gate scores to see what n-grams DeepSeek-V4.1-Flash makes the most use of. Our gate scan finds names, code fragments, relational phrasing, and boilerplate. These examples prioritize interesting-ness over gate strength. One unexpected result was Wright : Ace Attorney. These examples suggest learned memory optimizes the training objective, not a judgment of which facts deserve storage. Licenses, bibliography fragments, API scaffolding, and website furniture can provide prediction shortcuts, so the value of additional Engram capacity may depend on what survives data preparation. This does not show that table capacity is “wasted”: the evaluation-corpus scan establishes neither training exposure nor the capacity occupied by each category. For offloading, strong gates do not identify cache-hot rows. Low gates do not automatically save reads either: computing the gate requires the retrieved key and undoes the performance gain of a fused kernel. Skipping reads would require a separate usefulness predictor before retrieval. In the original paper’s inference-time ablation, factual-knowledge benchmarks retained just 29–44% of their original performance, while reading comprehension retained 81–93%. This is due to the training–inference mismatch. The resulting degradation therefore measures this trained model’s dependence on Engram, not the performance difference between models trained with and without it. In our ablations, suppressing Engram worsens token likelihood across all evaluated domains, especially encyclopedia text and several code corpora. Surprisingly, GSM8K accuracy stays within measured run-to-run variation and removing Engram has no effect. Engram is not a detachable dictionary beside an unchanged MoE. Removing it changes downstream features and expert selection. We tested whether rerouting hurts or compensates by holding tokens fixed in a teacher-forced experiment on CRUXEval, a code-reasoning benchmark of small Python functions where the model predicts a function’s output from its code and an input, and scoring the reference answer. Removing Engram raised answer loss from 0.2848 to 0.3093 bits/token. Forcing the ablated model to use the original Engram-on expert choices made it worse still, at 0.3375 bits/token. Rerouting partially compensates for the missing memory. Memory features and expert selection work together, rather than following a clean “memory stores facts; experts reason” division. On the same CRUXeval, removing Engram during either phase reduced accuracy and increased generated tokens; removing it throughout produced the largest changes. Keeping Engram for prefill leads to more correct answers than keeping for decode likely due to semantically richer KV cache transferred to decode workers, allowing it to mitigate some of the performance loss. Engram’s table is large, but each lookup is small. DeepSeek-V4.1-Flash requests 24 rows at each of two Engram layers, about 12.4 KiB per processed token position across the model, or 3.1 KiB per GPU when split across four GPUs. Currently as of Day 7 since Model Release, MI355X is still 2-4x worse performance per dollar compared to B200 even when normalized by Mi355X’s lower TCO. Our full total cost of ownership breakdown comes from our AI Cloud TCO Model along with monthly market surveys of over 100+ gpu clouds & gpu cloud customers. On the Day 0 release of DeepSeekv4.1 Flash, NVIDIA vLLM works out of the box with zero issues across all 6 SKUs: H100, H200, B200, B300, GB200, GB300! This was thanks to the amazing work by the NVIDIA & Interact teams! In comparison, AMD vLLM did not work on day 0 for DeepSeekv4.1 Flash.Source: SemiAnalysis InferenceX AMD’s vLLM documentation points to using vllm/vllm-openai-rocm:deepseekv41-flash-0909, but from hour 0 of the model release to hour 23, AMD has not publicly released the image. AMD claims, “SPEED IS THE MOAT,” yet it has still not released it by the 23rd hour. We wish that, going forward, the AMD team has a better process for hour 0 model releases. Eventually when they did publicly release for “day 0” image support, performance-wise, it is currently up to 14.8x worse perf per dollar than H200 and up to 42x worse perf per dollar than B200/B300. The power of the CUDA MOAT is NVIDIA’s collaboration with its massive 6 million-developer community ecosystem including most of the vLLM & SGLang & Tokenspeed maintainers which means that CUDA is optimized on day 0. Overall, AMD did make significant improvements but the performance per dollar is still currently 2-4x worse than B200. AgentX Engram DRAM Offloading Improving Performance The HBM and DRAM offload use the same GPU kernel to select and dequantize rows. With HBM, it reads GPU memory; with Unified Virtual Addressing (UVA), it reads pinned host memory directly. Both support full decode graphs. Moving the table into HBM accelerates only the sparse lookup, leaving decoder computation and communication unchanged, resulting in little overall benefit while consuming memory otherwise available to KV cache. Another benefit of Engram offloaded to DRAM which means you can reduce the communication overhead by using less HBM GPUs per replica. For example, when enabling Engram offloading on B300, we are able to switch from TP4 to now TP2 which improves the pareto curve by up to 1.6x. When iso-model quality, less HBM is required as the engrams could be offloaded to host DRAM. Thus HBM bandwidth matters way more than HBM capacity. For inference workloads where memory bandwidth matters the most, 4-hi HBM provides the best $/bandwidth and therefore lowest cost per token. If China continues to make more and more revolutionary model architecture innovations, soon it could potentially 0Hi HBM stacks. [ ](https://newsletter.semianalysis.com/p/long-live-the-short-king-why-4-hi) [ Long Live the Short King: Why 4-hi HBM Wins ](https://newsletter.semianalysis.com/p/long-live-the-short-king-why-4-hi) Myron Xie, Bryan Shan, and 3 others · Sep 13 [ Read full story ](https://newsletter.semianalysis.com/p/long-live-the-short-king-why-4-hi) Moreover, on B300 and week-0 stack, moving the Engram table back to HBM did not improve results and stay within run-to-run variance. This is a result of the work optimizing DRAM offload, such as async, and overlap. SSD Offloading On B200, we created a unoptimized vLLM fork and stored the Engram tables in memory-mapped files on local SSDs. File backing lets the OS reclaim table pages when other applications need RAM. Pages already cached in memory can be served without reading the SSD again. Furthermore, note that we were unable to turn on GDS The unoptimized SSD implementation changes how rows reach the GPU. It copies row IDs to the CPU, deduplicates them, gathers the requested rows into pinned buffers, copies those rows back to the GPU and dequantizes them. This work runs between segments of the GPU execution graph. Native UVA performs row selection and dequantization directly on the GPU, avoiding the CPU round trip. A warm filesystem cache removes physical SSD reads, but leaves the coordination, row gathering and transfers. This is why a file already cached in RAM can still perform worse than a pinned DRAM table. The comparison measures the whole serving path; it does not separate the time spent on each of these operations. B200 DRAM dominates both measured SSD serving curves in total tokens per dollar and P90 interactivity. Near 125 tokens/s/user, DRAM delivers 121 million total tokens per dollar versus 52 million for SSD. For production serving, SSD offloading is likely not worth the tradeoff. On the B200 configurations we measured, SSD offloading loses on both measures: every observed SSD point has a DRAM alternative that delivers higher P90 interactivity and more total tokens per dollar. The only points where Cheaper storage does not automatically produce a cheaper inference service. Moving Engram to SSD leaves the same four expensive GPUs and the rest of the server in place. Reclaiming RAM only creates an economic benefit if it enables a cheaper server configuration or additional useful capacity. The current unoptimized path provides neither benefit, and the filesystem cache still consumes RAM when table pages are resident. Next we will look at the mechanisms and specific implementation of ngrams from DeepSeekv4.1 Flash, LongCat, Qwen3.8 Flash Next.

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Sep 18 • 10:35 AM EDT • Technology • newsletter.semianalysis.com
Paris Regional Health Residents Gain Hands-On Training at PJC Simulation Lab

[vc_row][vc_column][vc_column_text css=".vc_custom_1789741770286{padding-top: 25px !important;padding-bottom: 25px !important;}"] Internal Medicine Residents from Paris Regional Health recently…

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Sep 18 • 10:29 AM EDT • Health • myparistexas.com
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How existential fears are shaping the debate over AI

The current round of panic over artificial intelligence is based on the conviction that the technology has slipped out of human control to do its own bidding in several recent

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Sep 18 • 10:16 AM EDT • Entertainment • thederrick.com
Attorney General Todd Blanche's appearances at political events blur Justice Department boundaries

WASHINGTON — Attorney General Todd Blanche is blurring traditional boundaries between politics and federal law enforcement with recent speeches at...

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Sep 18 • 9:08 AM EDT • Politics • post-gazette.com
Attorney General Blanche’s appearances at political events blur Justice Department boundaries

WASHINGTON (AP) — Attorney General Todd Blanche is blurring traditional boundaries between politics and federal law enforcement with recent speeches at politica

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Sep 18 • 7:29 AM EDT • Politics • wtop.com
Attorney General Blanche's appearances at political events blur Justice Department boundaries

WASHINGTON (AP) — Attorney General Todd Blanche is blurring traditional boundaries between politics and federal law enforcement with recent speeches at political events that mark a sharp departure from norms meant to protect the Justice Department from the appearance of partisan bias.

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Sep 18 • 7:28 AM EDT • Politics • wral.com
🚨 Senegal: Vieira’s first squad, surprise omission Sadio Mané

A new era?Patrick Vieira was officially appointed Senegal head coach in recent hours, and the 1998 French world champion unveiled his very first squad this Friday.The surprise absentee from this first...

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Sep 18 • 7:28 AM EDT • Sports • sports.yahoo.com
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Attorney General Blanche's appearances at political events blur Justice Department boundaries

WASHINGTON (AP) — Attorney General Todd Blanche is blurring traditional boundaries between politics and federal law enforcement with recent speeches at

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Sep 18 • 7:26 AM EDT • Politics • bangordailynews.com
Attorney General Blanche's appearances at political events blur Justice Department boundaries

Attorney General Todd Blanche is blurring traditional boundaries between politics and federal law enforcement with recent speeches at political events that mark a sharp departure from norms meant to p...

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Sep 18 • 7:26 AM EDT • Politics • yahoo.com
Attorney General Blanche's Appearances at Political Events Blur Justice Department Boundaries

WASHINGTON (AP) — Attorney General Todd Blanche is blurring traditional boundaries between politics and federal law enforcement with recent speeches at political events that mark a sharp departure from norms meant to protect the Justice Department from the appearance of partisan bias. Blanche took ...

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Sep 18 • 7:26 AM EDT • Politics • usnews.com
Colorado science teacher hopes his T. rex trackway discovery fuels ferocious passion for learning - WSVN 7News | Miami News, Weather, Sports

NORTHGLENN, Colorado (KCNC) — A remarkable discovery was recently made by a rather unlikely person.“I’m still like in this dream that I’m going to wakeRead More

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Sep 18 • 6:54 AM EDT • Science • wsvn.com
Nebraska soccer prepares for undefeated No. 11 Washington

Nebraska women's soccer prepares to take on No. 11 Washington this coming Sunday, Sept. 20, at Hibner Stadium. The Huskers have held possession for the majority of several of their most recent games; however, Washington will still be a tough matchup.

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Sep 18 • 1:00 AM EDT • Sports • dailynebraskan.com
Women keep politics honest

A recent sign that women place more value on being a force for good comes out of conservative Utah. Both parties gerrymander, that is, draw voting district boundaries to give unfair advantage to their candidates. But a faith-based group called Mormon Women for Ethical Government wanted to stop that practice. In 2018, they backed Proposition 4, a ballot measure to create an independent districting commission that would prevent gerrymandering. It passed a statewide vote.

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Sep 18 • 1:00 AM EDT • Politics • johnsoncitypress.com
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'Don't be silly' over Falklands and Irish unity, shadow foreign secretary tells Trump

Shadow foreign secretary Tom Tugendhat says the US president's recent comments were aimed at US voters, in a BBC interview.

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Sep 18 • 12:58 AM EDT • Politics • bbc.com
‘Seismic shift’: Todd Blanche’s political appearances shatter another DOJ norm

Justice Department veterans say the attorney general’s recent political activities fuel the appearance of a lack of independence from the White House.

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Sep 17 • 9:35 PM EDT • Politics • nbcnews.com
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WECT NEWS NOW: Bald Head Island Conservancy lands $424K federal grant to train next generation of scientists

Representatives from the Bald Head Island Conservancy joined Randy Aldridge on WECT News Now to discuss the $424,582 grant recently awarded to the organization.

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Sep 17 • 8:49 PM EDT • Science • wect.com
Kim Kardashian's esophagitis diagnosis raises concerns over dad's death

A recent diagnosis for Kim Kardashian is worrying her inner circle. In a Sept. 17 trailer for Season 8 of "The Kardashians," the Skims founder, 45, is diagnosed with esophagitis.

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Sep 17 • 7:40 PM EDT • Entertainment • centraloregondaily.com
Acore takes control of Beacon Capital’s Hell’s Kitchen life science development

Acore Capital has put an end to Beacon Capital Partners’ plans to build a life science development in Hell’s Kitchen. The lender took control of two office buildings at 707 11th Avenue and 615 West 50th Street that were once used as Kenneth Cole’s headquarters and more recently pegged for a 185,000-square-foot life science development. The sale was a deed-in-lieu of foreclosure, according to property records. The transfer value of the sale was $60 million, per records. PincusCo first reported the news. Beacon Capital Partners and CalSTRS partnered with Georgetown to buy the properties from SL Green for $95 million […]

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Sep 17 • 6:00 PM EDT • Science • therealdeal.com
Paul Walter Hauser has bizarre explanation for pin he wore to recent premiere

The “Resident Evil” star has been candid about his political beliefs on Instagram.

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Sep 17 • 5:13 PM EDT • Entertainment • yahoo.com
Paul Walter Hauser has bizarre explanation for pin he wore to recent premiere

Paul Walter Hauser explains the meaning behind the pin he wore to the ‘Resident Evil’ premiere in Los Angeles earlier this week.

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Sep 17 • 5:13 PM EDT • Entertainment • ew.com
Duke Energy offering grants to small businesses impacted by recent flooding, storms

Small businesses recovering from recent flooding and storm damage could get thousands of dollars in relief through a Duke Energy Foundation grant. Applications are due Sept. 21.

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Sep 17 • 5:09 PM EDT • Business • wcpo.com
From Science to Signals, Part II: What the SEC-FDA Cooperation Agreement Means for Life Sciences Companies

The SEC and FDA have formalized an emerging enforcement trend. We recently described the SEC’s evolving approach to insider trading,...

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Sep 17 • 4:39 PM EDT • Science • freshfields.com
Kyle Harrison remains confident he can correct his issues

After another bad start, Kyle Harrison admitted his recent struggles have been difficult to deal with but also that he's confident he can bounce back.

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Sep 17 • 4:22 PM EDT • Sports • sports.yahoo.com
Ray Jones Highlights Proposed Federal Grant Rule Changes in University Business

Spencer Fane attorney Raymond Jones authored the article What These Proposed Grant Rules Mean for Your Next Proposal, recently published by University

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Sep 17 • 3:59 PM EDT • Business • spencerfane.com
Patriots Waive Former Florida State OL Following Veteran Visit: Report

The New England Patriots are opening another spot on the practice squad, and the timing makes their recent offensive line activity worth watching.Per Andrew Callahan of the Boston Herald, New England is waiving rookie offensive lineman Jacob Rizy from the practice squad. The move comes one day after the Patriots hosted veteran interior lineman Xavier […] The post Patriots Waive Former Florida State OL Following Veteran Visit: Report appeared first on HEAVY.

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Sep 17 • 3:31 PM EDT • Sports • sports.yahoo.com
Is Trump demolishing the Kennedy Center? What to know about crisis

A photo of President Trump reviewing what looks to be a rendering of a demolished Kennedy Center was featured in a court filing Thursday asking for an emergency hearing over the center's recent closure.

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Sep 17 • 3:10 PM EDT • Entertainment • latimes.com
‘I want Hasan Piker to go away!’: Michigan congresswoman voices frustration after left-wing streamer’s recent interview
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Sep 17 • 3:09 PM EDT • Politics • cnn.com
Examining the Eagles’ recent history in Week 2 matchups

A look at Philadelphia’s results and notable performances in recent Week 2 games

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Sep 17 • 2:36 PM EDT • Sports • sports.yahoo.com
Why Flutter Entertainment (FLUT) Stock Is Down Today

Flutter Entertainment (FLUT) is down 4.4% today. Here is some analysis on what might have caused this price movement.Analysis: The sell-off appears tied more to sector pressure than to any fresh company-specific setback. This could be because investors are still digesting legal and regulatory uncertainty around sports-event prediction markets, while recent balance-sheet concerns and a sharp drop in peer shares added to the pressure.Details:FLUT f

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Sep 17 • 2:33 PM EDT • Entertainment • quiverquant.com
Arsenal turned down Jack Wilshere’s request to sign youngster

Max Dowman has remained one of the best players to come out of the Arsenal academy in recent times, but he is not getting as much game time as he would have liked with the senior team.This has led to ...

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Sep 17 • 2:15 PM EDT • Sports • sports.yahoo.com
Chiefs news: Patrick Mahomes reveals meaning behind clock emoji tweets

The Kansas City Chiefs recently started out their season with a bang by defeating the Denver Broncos in blowout fashion on Monday Night Football. This game marked the return of quarterback Patrick Mahomes after an ACL injury cut his season short last year, and he had some strong moments in his first game back. Mahomes has become known for posting […] The post Chiefs news: Patrick Mahomes reveals meaning behind clock emoji tweets appeared first on ClutchPoints.

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Sep 17 • 2:08 PM EDT • Sports • sports.yahoo.com
Des Moines Water Works to tackle main replacements, expansion projects

The Des Moines Water Works board of directors recently adopted a 10-year capital improvement plan to invest in the city’s water system. The roughly $640 million plan includes main replacements, water quality projects, facility improvements and investments into the broader water system. The capital improvement plan outlines projects to be done in 2027 through 2036.…

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Sep 17 • 12:46 PM EDT • Business • businessrecord.com