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In their own words: Israeli politicians' extreme speech surges ahead of elections

Hate speech in Israel has surged under Prime Minister Benjamin Netanyahu’s far-right government

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Oct 20 • 1:13 AM EDT • Politics • washingtonpost.com
In their own words: Israeli politicians' extreme speech surges ahead of elections

LUBBAN AL-SHARQIYA, West Bank (AP) — Extreme speech has surged under Israeli Prime Minister Benjamin Netanyahu 's far-right government and can be heard at the highest levels ahead of Israel's Oct. 27 elections.

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Oct 20 • 1:08 AM EDT • Politics • wral.com
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Apple finally explains its Safari block, and identity companies are in its sights

A month after Apple started cutting off ad tech companies in its Safari browser, the company has finally explained itself.

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Oct 20 • 12:01 AM EDT • Business • digiday.com
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Entertainment Look-A-Head: ‘Cyberpunk: Edgerunners 2,’ ‘Call of Duty: Modern Warfare 4,’ ‘Clayface’

From Oct. 20-25, new games launch, movies hit the theaters and several series get new episodes.

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Oct 19 • 8:00 PM EDT • Entertainment • thepostathens.com
Washington Nationals Player Report Cards: Role player edition

Taking a look at how some of the role players for the Washington Nationals' fared during the 2026 regular season

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Oct 19 • 6:58 PM EDT • Sports • sports.yahoo.com
Dodgers’ Free Agent Sends Heartfelt Message to Fans

Los Angeles Dodgers free agent reliever Alex Vesia sent a message to Dodger fans before heading into free agency this offseason. Vesia played all but five games of his MLB career thus far with the Dodgers, spending his last six MLB seasons in Los Angeles. He has a 2.66 ERA through 367 games with the […] The post Dodgers’ Free Agent Sends Heartfelt Message to Fans appeared first on LA Sports Report.

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Oct 19 • 6:37 PM EDT • Sports • sports.yahoo.com
Cover crop soil health effort underway in Brown County
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Oct 19 • 6:37 PM EDT • Health • fox11online.com
How will the riots in France affect the country’s politics?

For weeks, people in France have been protesting over the cost of living and school conditions. But this weekend, many protests turned violent -- and now French officials have implemented a curfew to quell the violence. The country’s far-right is seizing the moment to make a case for their policies.This episode was produced by Sophia Paliza-Carre and Karen Zamora, with audio engineering by Damian Herring. Our director is Kathryn Fink.It was edited by Mallory Yu and Tinbete Ermyas.Our interim executive producer is Courtney Dorning.Support public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include bonus episodes and sponsor-free listening. Learn more at plus.npr.org.

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Oct 19 • 5:42 PM EDT • Politics • npr.org
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Gene Editing Is Giving Crops a Way to Tell Farmers When They’re Feeling Stressed

From glowing plants to purple leaves, the signals empower farmers to quickly detect diseases and pests, reducing the need for widespread chemical use.

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Oct 19 • 4:50 PM EDT • Technology • wsj.com
Scientists are growing human brain tissue in living mice—could this make their welfare harder to assess?

What happens when scientists start changing the brain—the very system through which an animal's mental states are expressed in behavior?

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Oct 19 • 4:40 PM EDT • Science • phys.org
Top business leaders sound the alarm over skilled worker shortage

From the people who keep us safe on the roads to those who wire our homes and are building the infrastructure powering the AI boom, America needs skilled workers. But a new report finds that the nation isn’t doing enough to keep up with demand. NBC’s Christine Romans sits down exclusively with BlackRock’s Larry Fink, Ford’s Jim Farley, Google’s Ruth Porat and Carhartt’s Linda Hubbard, who have come together with an urgent message.

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Oct 19 • 3:46 PM EDT • Business • nbcnews.com
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Five mayoral contenders file ballot signatures as incumbent Johnson waits

Mayor Brandon Johnson is struggling in fundraising, but plans to file "far above" the 12,500 signature threshold to make the ballot

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Oct 19 • 3:35 PM EDT • Politics • chicagobusiness.com
How Behavioral Science Can Get Shoppers To Buy (and Eat) More Fresh Produce

Industry leaders at IFPA’s Global Produce and Floral Show revealed that overcoming flat fruit and vegetable consumption requires shifting away from clinical health messaging toward flavor-forward marketing, cultural rituals and frictionless convenience.

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Oct 19 • 3:29 PM EDT • Science • thepacker.com
The Chase still has NASCAR chasing its former viewership

While NASCAR reintroduced its final stretch run, The Chase, to rekindle postseason interest, viewership for the races has remained lackluster. Over six races, the 2026 NASCAR Cup Series Chase averages 1.62 million viewers, up just 1% year over year (1.61 million), per NASCAR Communications. So far, The Chase hasn’t delivered the viewership renaissance NASCAR hoped…

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Oct 19 • 12:00 PM EDT • Sports • sports.yahoo.com
Facing health challenges, Clay County farmer gets $5,200 gift, harvest help

Multiple organizations rallied behind a Clay County family facing health challenges in October

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Oct 19 • 11:43 AM EDT • Health • ktiv.com
2026 Election Preview: 6th Senate District

The midterm elections are less than two weeks away and PoliticsPA has identified seven State Senate races throughout the Commonwealth to focus on during the run-up to the 2026 election, as part of our 31 Races in 31 Days series. SD-6: Frank Farry (R) vs. Eileen Albillar (D) The Key…

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Oct 19 • 10:42 AM EDT • Politics • politicspa.com
How UGA Reaches Beyond Campus to Support Farmers’ Mental Health

UGA Cooperative Extension is helping Georgia farmers navigate mental health challenges through education, prevention and trusted relationships as financial pressures, unpredictable weather and the demands of farming take a toll.

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Oct 19 • 9:00 AM EDT • Health • gradynewsource.uga.edu
Dems take the lead in fundraising this quarter in Oregon’s congressional swing districts

The Democratic incumbents representing Oregon in the U.S. House are far outraising their Republican challengers.

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Oct 19 • 9:00 AM EDT • Politics • oregoncapitalchronicle.com
Are babies conscious in the womb before birth? Here’s what science can and can’t prove

The fetal brain is doing far more before birth than scientists once understood. The difficult question is where complex brain activity ends and conscious experience begins.

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Oct 19 • 8:42 AM EDT • Science • yahoo.com
Is smart farming really smart business?

From eerie driverless tractors to precision spraying and sowing, AI is transforming America’s agricultural life

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Oct 19 • 8:02 AM EDT • Business • ft.com
The GOP counts on farmers' votes. As a costly harvest season raises concerns, Trump heads to Kansas

Rising fuel prices coinciding with harvest season are frustrating farmers across the Midwest and raising concerns for Republicans ahead of the midterm elections.

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Oct 19 • 7:52 AM EDT • Politics • clickondetroit.com
The GOP counts on farmers' votes. As a costly harvest season raises concerns, Trump heads to Kansas

Rising fuel prices coinciding with harvest season are frustrating farmers across the Midwest and raising concerns for Republicans ahead of the midterm elections.

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Oct 19 • 7:52 AM EDT • Politics • wsls.com
The next Call of Duty will introduce a new sub-series to the franchise

It's been five years since Vanguard - the most recent Call of Duty sub-franchise - but Activision is finally ready to develop a new one.

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Oct 19 • 7:00 AM EDT • Technology • eurogamer.net
Election stakes are high for Colorado’s farming future

U.S. Rep. Gabe Evans is running to defend his seat against Manny Rutinel. I don’t know either of the two, but I was able to visit with Evans for half an hour earlier this week and while we aren’t aligned on everything, we have similar feelings about dear Manny. Evans said he’s hearing the same […]

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Oct 19 • 7:00 AM EDT • Politics • coloradopolitics.com
A tale of two farmers: Ager, Balkcom compete for NC-11 seat

The contest could play a pivotal role in the control of the U.S. House.

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Oct 19 • 6:00 AM EDT • Politics • ncnewsline.com
Behind the scenes at Nicolas Cage’s zombie shoot in Minnesota

MINNEAPOLIS — Watching a farmer draw water from a Stillwater well would be a chore if the “farmer” wasn’t Nicolas Cage, one of the biggest stars to commit to a

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Oct 19 • 6:00 AM EDT • Entertainment • recorderonline.com
Air Ticket Prices Continued Rise in September

Demand is resilient despite higher fares

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Oct 19 • 5:16 AM EDT • Business • businesstravelexecutive.com
Players on Steam so far seem delighted with Modern Warfare 4's campaign, making it one of the most well-received Call of Dutys in recent history

Modern Warfare 4 may signal Call of Duty's return to form, at least judging by player sentiment on Steam so far.

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Oct 19 • 4:36 AM EDT • Technology • eurogamer.net
Burnham says there will be ‘big changes’ to the way the welfare system works to tackle Neets crisis

Dame Rachel de Souza’s has called the disparities of experiences between young children in England ‘staggering’

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Oct 19 • 4:34 AM EDT • Politics • theguardian.com
State health officials urge Virginians to get flu shots as some states show early surge of infections

About 10% of residents have received a flu shot so far this year.

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Oct 19 • 4:15 AM EDT • Health • cardinalnews.org
Farmworkers’ health matters: South Africa looks to alternatives for chemical pesticides

Insects like fall armyworm or mealybugs can decimate food and commercial crops; like their counterparts elsewhere in the world, South Africa’s small and large farmers alike use synthetic chemical pesticides to control these and other pests. But about 385 million cases of unintentional acute pesticide poisoning are reported worldwide each year, according to the Pesticide […]

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Oct 19 • 2:22 AM EDT • Health • news.mongabay.com
A Giant Asteroid Spins Once Every 4 Minutes. Scientists Aren't Sure How It Holds Together

It's whirling far faster than something its size has any right to.

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Oct 19 • 1:48 AM EDT • Science • zmescience.com
Chiquita Gives Iconic Mascot a Voice in Annual Breast Health Campaign

In partnership with the American Cancer Society, the global banana brand replaces its iconic blue sticker with pink throughout October while bringing its ambassador to life for the first time.

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Oct 18 • 10:08 PM EDT • Health • thepacker.com
Political Shift Brewing on Michigan Farms Ahead of 2026 Midterms
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Oct 18 • 9:35 PM EDT • Politics • yahoo.com
Calgary Flames Make Intriguing Lineup Decisions Ahead Of Hurricanes Clash

The Calgary Flames will face off with the mighty Carolina Hurricanes, and they have made their decision on a starting goaltender.Per Daily Faceoff and Pat Steinberg, Devin Cooley will get the nod when the puck drops between the Flames and Hurricanes. So far, Cooley has struggled alongside most of the Flames. He lost both of […] The post Calgary Flames Make Intriguing Lineup Decisions Ahead Of Hurricanes Clash appeared first on HEAVY.

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Oct 18 • 8:18 PM EDT • Sports • sports.yahoo.com
GTA 6: Can you cheat on someone with a video game character?

Grand Theft Auto VI lets you build and nurture a romantic relationship but some say dates with a fictional character are a step too far.

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Oct 18 • 8:09 PM EDT • Technology • bbc.com
HTA workshop in Wailuku offers Maui businesses guidance on reaching visitors

A two-day workshop for Maui farmers, makers, small-business owners, cultural practitioners and nonprofits interested in working with the visitor industry will take place Oct. 30–31 at the J. Walter Cameron Center in Wailuku.

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Oct 18 • 6:00 PM EDT • Business • mauinow.com
The Elizabeth Holmes documentary is crushing it at the box office. See how much it's made so far.

Nathan Fielders nearly three-hour documentary about disgraced entrepreneur Elizabeth Holmes is running up numbers at the box office

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Oct 18 • 1:56 PM EDT • Entertainment • africa.businessinsider.com
“Something out of Science Fiction” – Astronomers Discover a Star That Glows a Bizarre Shade of Green

A star’s color usually reflects its temperature, but white dwarfs can break that pattern, with models revealing unexpected shades of green, pink, and purple. A star that has drawn in rocky debris from its planetary system would appear chartreuse green to the human eye, according to new calculations by University of Warwick astronomers. As far

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Oct 18 • 11:08 AM EDT • Science • scitechdaily.com
The 20 best ‘Bluey’ episodes of all time

From baby races and grumpy grannies to obstacle courses and sleepytime, these are our picks for the best episodes of ‘Bluey’ so far.

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Oct 18 • 11:00 AM EDT • Entertainment • ew.com
Hopkinton Posts Survey on Health Care Close to Home

Hopkinton, RI, has posted a survey seeking resident input on local health care access. The town is one of 18 the state designates as rural.

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Oct 18 • 10:00 AM EDT • Health • upriseri.com
Black Death had dramatic effect on species diversity as humans abandoned farmland, study finds

Researchers have found that during the Black Death, when a third of the population of Europe was wiped out, biodiversity fell. Understanding their farming practices could help us increase diversity in modern agriculture.

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Oct 18 • 9:15 AM EDT • Science • livescience.com
Tripp Skipper: What Alabama Republicans should remember about Doug Jones and Roy Moore

I regularly talk with elected officials, business leaders, farmers, and everyday voters. Many are longtime Republicans who have helped elect conservative candidates for decades. They’re frustrated.

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Oct 18 • 9:00 AM EDT • Politics • al.com
Scientists discover a surprising twist in Japan's 7,300-year-old volcanic apocalypse

A catastrophic volcanic eruption 7,300 years ago devastated Japan, but new research reveals that its impact on prehistoric populations was far more complex than previously believed. While some communities disappeared or declined, others unexpectedly flourished as survivors migrated, adapted, and found new ways to thrive.

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Oct 18 • 8:00 AM EDT • Science • sciencedaily.com
Cart Smarts: Think pink, eat colorful: A dietitian’s guide to women’s health

This October, keep it simple with more color, more nourishment, more movement and a little less pressure to be perfect. Here are five dietitian-approved ways to support your health; one bite, and one habit, at a time.

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Oct 18 • 8:00 AM EDT • Health • postbulletin.com
Across Farm Country, Economic Discontent Strains Republican Coalition

Farmers and ranchers have supported President Trump for a decade. But the war in Iran, tariffs and other administration policies have soured some on the G.O.P.

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Oct 18 • 5:00 AM EDT • Politics • nytimes.com
United’s C.E.O. Says It Should Cost More Not to Sit in the Middle Seat

Scott Kirby of United Airlines said that “it’s expensive to fly airplanes” and that airfares may have further to rise.

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Oct 18 • 5:00 AM EDT • Business • nytimes.com
Xbox gets 30 new games next week, including Call of Duty: Modern Warfare 4

Next week, Call of Duty: Modern Warfare 4, Peak, Final Fantasy Resonance, and 27 more new games launch across Xbox consoles and Xbox PC.

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Oct 18 • 5:00 AM EDT • Technology • trueachievements.com
Grants for pioneering Surrey farms which use lasers and GPS

A Surrey vineyard, cattle farm and beekeeping business are among firms awarded a share of £500,000.

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Oct 18 • 2:04 AM EDT • Business • bbc.com
Minnesota agrivoltaics project shows promise of mixing farming, solar power

Winifred Sylvah is thriving with her cucumber harvest at a solar farm in Big Lake, Minnesota. She's part of an agrivoltaics project, blending farming with solar power. This initiative is

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Oct 18 • 1:30 AM EDT • Business • telegraphherald.com
Westfall Ag Students Visit Farm Science Review

Twenty-one Westfall High School FFA students recently traveled to the Molly Caren Agricultural Center for the annual Farm Science Review (FSR).

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Oct 18 • 12:00 AM EDT • Science • circlevilleherald.com
After deaths at Stryker Sports Complex, Comcare emphasizes mental health support

“Events like this affect far more people than those that were directly involved.”

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Oct 17 • 10:52 PM EDT • Health • kansas.com
The Surprising Reason Some Children Struggle With Math, According to Science

Language and reasoning skills help predict math performance, offering clues to the learning difficulties that a test score alone may miss. Why do some students grasp mathematical concepts with ease while others struggle, even after repeated instruction? The answer may lie in abilities that extend far beyond working with numbers. Mathematics requires students to recognize

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Oct 17 • 9:48 PM EDT • Science • scitechdaily.com
Call of Duty: Modern Warfare 4 Gets a Warm Steam Welcome With 90% Positive Reviews

Call of Duty: Modern Warfare 4 is off to an unusually good start on Steam. The campaign early access went live for pre-order customers on October 16, and at the time of writing, 1,630 of the game's 1,812 Steam user reviews are positive, giving it a "Very Positive" score of 90%. Insider Gaming...

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Oct 17 • 8:05 PM EDT • Technology • techpowerup.com
Nvidia vs. AMD: Which Business Is More Exposed to a Data-Center Slowdown?

NVIDIA Corporation (NASDAQ:NVDA) depends far more heavily on data centers than Advanced Micro Devices, Inc. (NASDAQ:AMD). That makes AMD more diversified by reported sales, although diversification alone cannot establish which stock is safer. The two AI stocks made it to our list of Best AI Infrastructure Stocks to Buy for the Long Term, but their revenue […]

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Oct 17 • 6:10 PM EDT • Business • finance.yahoo.com
Recap: Glocester Council Expands Planner's Hours for Health Grant, Continues Senior Tax Hearing

The Glocester Town Council made the town planner full-time to run a rural health grant and continued its senior tax exemption hearing to Nov. 5.

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Oct 17 • 5:42 PM EDT • Health • upriseri.com
The Republican governor candidates walking back some of their abortion stances

The candidates’ retreat suggests that, even as reproductive rights fade from the national spotlight and polls show voters are far more likely to prioritize cost-of-living concerns, the political ramifications of pushing for new abortion restrictions remain substantial.

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Oct 17 • 5:23 PM EDT • Politics • pbs.org
Surprising Bills Player Has Helped Buffalo's Offense Thrive This Year

The Buffalo Bills offense has been explosive this season so far.

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Oct 17 • 12:55 PM EDT • Sports • sports.yahoo.com
Captain Price Actor Sends Message to Fans as Call of Duty: Modern Warfare 4 Campaign Praise Rolls in

Barry Sloane, the actor behind Call of Duty's Captain Price, has shared a message with fans as praise for Modern Warfare 4's campaign rolls in.

ign.com logo
Oct 17 • 11:52 AM EDT • Technology • ign.com
NVIDIA says RTX 5090 is not discontinued, but good luck finding one for $1,999

The RTX 5090 is still in production, according to NVIDIA. However, the company has not explained how it intends to improve availability as retail prices remain far above MSRP.

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Oct 17 • 11:01 AM EDT • Technology • videocardz.com
How Light Rewrites Skin Biology: New Research Moves Beyond Sunburn Science

A new editorial in Frontiers in Photobiology argues that skin's response to light extends far beyond sunburn and DNA damage, encompassing inflammasome-driven inflammation, visible-light pigmentation, and photochemical therapies.

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Oct 17 • 10:18 AM EDT • Science • bioengineer.org
AI midwife seeks to fill gaps in Zimbabwe's maternal health care

With public health services stretched thin, women in Zimbabwe sometimes struggle to access reliable information about pregnancy and childbirth. A locally developed app aims to answer their questions…

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Oct 17 • 9:44 AM EDT • Health • rfi.fr
Modern Warfare 4 Emerges to Best Call of Duty Steam Rating in a Decade

Modern Warfare 4 is the highest-rated Call of Duty game to hit Steam in over a decade, but will that persist when multiplayer gets here?

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Oct 17 • 8:49 AM EDT • Technology • insider-gaming.com
How a cruise ship navigates Greenland's icebergs and extreme Arctic conditions

Inside a Greenland cruise ship, where crews navigate shifting icebergs, unpredictable weather, and emergencies far from help.

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Oct 17 • 8:27 AM EDT • Business • businessinsider.com
Journalist Ronan Farrow on Elon Musk's trillion-dollar political influence

Elon Musk, the world's first trillionaire, has influence across the economy and politics. NPR's Scott Simon talks to reporter Ronan Farrow of The New Yorker about Musk's campaign spending and more.

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Oct 17 • 7:43 AM EDT • Politics • npr.org
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Inside Hegseth’s political ambitions — and the risks threatening them

Defense Secretary Pete Hegseth has rarely shied away from controversy, but his latest spectacle — announcing that the convicted Fort Hood mass shooter’s execution would be livestreamed — proved a bridge too far even for President Donald Trump.

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Oct 17 • 5:00 AM EDT • Politics • cnn.com
Can left or right extremes solve Europe’s housing crisis?

Housing costs have brought about a political crisis in Spain and are fueling political change across Europe. Voters are turning to the far left and far right for radical change in the way living space is regulated.

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Oct 17 • 4:25 AM EDT • Politics • dw.com
Colin Farrell at a Red Carpet Event
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Oct 16 • 8:45 PM EDT • Entertainment • yahoo.com
Arts & Entertainment Calendar

Ghost Walk: Farmville Community Arts Council’s annual Ghost Walk will be held today and Thursday-Saturday. Tours will leave from the Paramount Theater, 3723 N. Main St., Farmville, every 10 minutes

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Oct 16 • 8:00 PM EDT • Entertainment • reflector.com
Intel chief says White House will not meddle in its semiconductor business

Lip-Bu Tan defends Trump stake, assesses chips from China as not far behind US tech

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Oct 16 • 7:35 PM EDT • Business • asia.nikkei.com
Nvidia's RTX Spark Event in San Francisco Attracts Long Lines, But Few Buyers

Dozens lined up to check out the first RTX Spark laptops on launch day, but actual purchases were few and far between, with curious Nvidia fans citing the machines' high cost.

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Oct 16 • 5:22 PM EDT • Technology • pcmag.com
Emerald Bay Camping & Marine Science Adventure

NAC Avalon Ocean Club embarked on its first-ever overnight camping adventure down the coast to Emerald Bay. This marked the farthest and longest our young ocean warriors have ventured from Avalon as a team, and what an incredible 24 hours it was. What started as an idea became a reality through an amazing collaboration with […]

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Oct 16 • 4:45 PM EDT • Science • thecatalinaislander.com
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Cardinals-Rams history: Sean McVay owns Arizona

Sean McVay is 16-3 against the Cardinals.

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Oct 16 • 4:29 PM EDT • Sports • sports.yahoo.com
Who Is Alive and Who Is Dead at the End of Call of Duty Modern Warfare 4's Campaign? Infinity Ward Explains Captain Price's Fate

Who is alive and who is dead at the end of Call of Duty Modern Warfare 4's campaign? Infinity Ward explains Captain Price's fate.

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Oct 16 • 4:00 PM EDT • Technology • ign.com
Family First Health, Leg Up Farm announce partnership

YORK, Pa. (WHTM) — York County’s very own Family First Health and Leg Up Farm announced they have entered into a new partnership. Together, the federally qualified health center, alongs…

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Oct 16 • 3:05 PM EDT • Health • abc27.com
Here's What The Reviews Are Saying About Call Of Duty: Modern Warfare 4's Campaign

Out now for those who pre-ordered digitally

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Oct 16 • 1:25 PM EDT • Technology • purexbox.com
Show-Me-State Politics: Good news for farmers; midterms near

KY3's Tyler Wayne and KY3 Missouri Capitol Bureau Chief Hannah Falcon discuss this week in Missouri politics.

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Oct 16 • 1:24 PM EDT • Politics • ky3.com
Call of Duty: Modern Warfare 4 on Nintendo Switch 2 Is Not The Disaster You’d Imagine

Modern Warfare 4 is the first Call of Duty since 2013 to launch on a Nintendo console. We played the campaign on Switch 2 and were pleasantly surprised by its performance.

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Oct 16 • 1:00 PM EDT • Technology • ign.com
Sylvester Stallone explains that shocking “Tulsa King” premiere twist: ‘I wanted people’s jaws to drop’

He believes that he went “as far as I could go” with the characters who met their end at the start of season 4.

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Oct 16 • 12:00 PM EDT • Entertainment • yahoo.com
Indiana's biggest home game ever will reveal just how far Curt Cignetti has taken the Hoosiers
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Oct 16 • 11:13 AM EDT • Sports • sports.yahoo.com
Texas Adds 154,300 Jobs, Outpacing National Growth

Governor Greg Abbott touted the strength of the Texas economy as Texas employers added 154,300 nonfarm jobs over the last 12 months for an annual growth rate of 1.1 percent, outpacing the national rate by 0.8 percentage points.

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Oct 16 • 10:58 AM EDT • Business • texasborderbusiness.com
PDHD Farmers Market promotes mental health and connections

Click here to view this video from wpsdlocal6.com.

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Oct 16 • 10:55 AM EDT • Health • wpsdlocal6.com
Turn Calf Health Records Into Herd Improvements

There is a cycle of incomplete calf health records and limited veterinary feedback. Breaking it requires practical recordkeeping systems and a commitment to turning data into management decisions.

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Oct 16 • 10:35 AM EDT • Health • bovinevetonline.com
Can AI solve our mental health access problem?

Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.

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Oct 16 • 10:32 AM EDT • Health • yourlocalepidemiologistca.substack.com
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