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Youth Programs Ignite Student’s Passion for Plant Biology and Global Food Security
Summer outreach programs and a youth institute inspired a high schooler to explore plant biology and take part in an international agricultural research internship, before enrolling at NC State, where he’s helping address agricultural challenges and world hunger.
Buccaneers’ Todd Bowles addresses health concern after Cowboys game
Todd Bowles' concerning sideline moment emerges during Tampa Bay’s win.
Opinion: Trust fall: ads for Kansas candidates address voters’ slumping faith in almost everything
Opinion from Eric Thomas: I watched 52 Kansas campaign commercials today so that you don’t have to. Actually, for the next few weeks you will still be watching them. Whether you want them or not, they will still be on during the nightly news, college football games and re-runs of “Everybody Loves Raymond.”
Detroit Tigers Named Top Landing Spot for Yankees Polarizing Star
The Detroit Tigers will be a fascinating team to keep an eye on during this offseason.After struggling immensely this season and missing the playoffs, the Tigers should be on the hunt for new talent. They have multiple needs to address on their roster, so it will be intriguing to see what moves they make.Now, with […] The post Detroit Tigers Named Top Landing Spot for Yankees Polarizing Star appeared first on HEAVY.
Trump bucks and the politics of mailing checks
The checks started going out last week, nearly one million of them, and mostly to battleground states. With a return address for the U.S. Treasury and a letter enclosed signed by President Donald Trump, these one-time checks for $500 were ostensibly government rebates for Obamacare enrollees who overpaid. In the accompanying letter, however, Trump attacks his predecessor and talks about his record in office on an important issue he’s not polling well on, which makes it seem more like the most expensive political mailer in U.S. history. The average piece of direct mail costs between 30 cents and $3, according to Mail Processing Associates, a print, mail, and fulfillment company. At $500 a pop plus roughly 50 cents each to issue the paper check, the cost of Trump’s healthcare mailer sent to more than 950,000 enrollees comes in at more than $475 million. Trump’s midterm healthcare message “For years, the Biden Administration overcharged you to fund the operation of HealthCare dot gov,” Trump wrote in the letter. “That money belongs to hard-working Americans, not the Government, and now, I am returning it to you!” In the letter, Trump makes false and misleading claims about his administration’s record on healthcare costs, an issue Democrats have a 20 point advantage on over Republicans, according to a recent poll from KFF, a nonpartisan health policy think tank. Trump touts his administration’s TrumpRX program, which he claims is “delivering massive discounts.” However, new research from KFF found that of a selection of drugs available on the TrumpRX platform, just five were the lowest price, while 13 were the highest price. Trump also falsely claims in the letter that he’s fighting to lower healthcare costs. In reality, average monthly premium payment costs for enrollees rose 58% under Trump while marketplace sign-ups declined 5%, per KFF. Under Trump’s One Big Beautiful Bill Act, it’s estimated 10 million more Americans will be uninsured by 2034. You get a check and you get a check and you get a check Trump’s long promised cash outs to his fans, from his days as a casino operator and gameshow host to his presidency. During the early days of the COVID-19 pandemic in 2020, the first Trump administration made the unprecedented move to put Trump’s name on checks that went out under the CARES Act (notably the $500 refund checks this time around don’t feature Trump’s name). Ever since, Trump’s been chasing that high. In his second term, Trump’s promised more stimulus that never arrived, like refund checks from DOGE cuts and tariffs, while he said at his party’s convention last month that he’d give out $5,000 checks to everyone if Republicans win in November. In reality, DOGE overstated its cost cutting and Trump’s government actually now spends more than former President Joe Biden’s, while Trump’s tariffs actually grew the trade deficit. His proposal for $5,000 checks would add about $1.2 trillion to the national debt. The problem is there’s no money to give. These $500 checks — plus $90 Medicare rebate checks also going out as well as $250 deposited this week in some Trump Accounts for kids courtesy Dell Technologies CEO Michael Dell and his wife Susan — represent the closest Trump’s going to get to making good on his promise to deliver cash fast. And the checks seem especially targeted. Though the $500 checks went out to enrollees in one of 30 states that use the federal HealthCare dot gov marketplace, a Reuters review found 71% of the payments, or $339 million, went to enrollees in 13 states that have the most competitive elections for governor and U.S. Senate. Most Americans don’t buy it Could Trump bucks sway the election? An Economist-YouGov poll found 57% of U.S. adults doubt Trump will deliver on his promise for $5,000 checks, compared to 21% who do. “I’m waiting on my DOGE check and I’m still waiting on my tariff check,” one 2024 Trump voter who’s since turned on him told a recent focus group. “It felt like kind of trying to buy people’s votes, which honestly felt like in elementary when the class president was like, hey we’re going to take you to the water park if you vote for me. It’s like, I don’t think it works like that.” But for voters in swing states who got a check, it could still matter. One survey published in 2022 found receiving a physically personalized check in the mail during the pandemic was associated with a much greater self-reported likelihood of voting for Trump in 2020, and those gains mainly came from out partisans. The issue for Trump comes if these checks are mostly going to Obamacare enrollees whose premiums have gone up by more than just $500 since he took office and who view the money as something like a bribe before the election rather than an actual long-term solution to lowering household costs. Spending $500.50 per mailer would be absurd as a normal campaign expenditure, but since Trump’s checks and letter are a government rebate, his campaign and super PAC didn’t have to spend a dime and he got out his message regardless. If enough voters in key states are swayed by the one-time payment, it could prove to be the best $0 the Trump campaign spent. Subscribe [ ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) [ Why independent candidates are making independence central to their brand ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) Hunter Schwarz · Oct 6 [ Read full story ](https://www.yellopolitics.com/p/why-independent-candidates-are-making) [ ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) [ These designers and grocery nerds will brand Mamdani’s NYC grocery stores ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) Hunter Schwarz · Oct 2 [ Read full story ](https://www.yellopolitics.com/p/these-designers-and-grocery-nerds) Trump wants to turn his first-ever golf course into a government course for presidents
Treatment for mental health illness combined with addiction
Treatment is more effective addressing the two issues together, rather than separately.
Google brings agentic AI to Gemini, starting with businesses
Google is turning Gemini into an AI agent that can plan, execute tasks, and work across business apps and systems. The agent can delegate work to subagents, use multiple AI models, and even gets its own workplace identity, complete with an email address.
Henrico Business Watch: Business license filings Oct. 1-7, 2026
Henrico County reported the following business license filings with start dates during the week. The filings are listed alphabetically by business or trade name, followed by a registered address and business industry classification. A C Flooring LLC, 6423 Morningside Drive, Henrico – Henrico general contractor. A1 Brows Inc., 10327 West Broad
Purdue's College of Veterinary Medicine and One Health Innovation District expansion aims to strengthen workforce pipeline
The dean of Purdue University’s College of Veterinary Medicine says the development of the One Health Research Institute could help address the industry’s labor shortage. Dr. Bret Marsh says the effort is part of a larger statewide push to increase workforce retention. “It’ll be attractive to students, faculty, and staff,” he says. “We’re looking at the potential for […]
Izzo, Fears and Carr to Represent Spartans at Media Day
Veteran coach Tom Izzo joins high-stakes stars Jeremy Fears Jr. and Coen Carr to address national expectations and the program's evolution ahead of a pivotal Big Ten campaign.
UnitedHealthcare launches webpage to address questions surrounding Lee Health coverage dispute
UnitedHealthcare says Lee Health gave no warning before leaving its commercial network, and has launched a webpage to answer patient questions.
Article in Top Science Journal Endorses ‘Nature Rights’
The authors try to sell their radical proposal by comparing it to past efforts to redress injustices against humans.
Witcher 3 Remastered patch rolls out on PC and console, with separate Switch 2 patch earmarked to address blurry visuals
CD Projekt Red continues fixing The Witcher 3 Remastered, this time addressing bugs while improving console performance and adding lighting options like Bloom.
Health comissioner in Utica, talks measles: 'This is not normal'
New York State Health Commissioner Dr. James McDonald came to Utica to talk about rural health initiatives, but addressed the measles outbreak, too.
Defense Secretary Hegseth addresses crew of USS Lincoln before deployment ends
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Spirit, Google ensure passenger privacy will be protected in bankruptcy sale of airline’s business data
A court-appointed ombudsman has concluded that the proposed $10 million sale of Spirit Airlines business data to Google can proceed since privacy concerns have been addressed.
Stephen A. Smith's take on Lane Johnson's retirement reason stuns ESPN panel
ESPN personality Stephen A. Smith drew criticism for the way he addressed Eagles lineman Lane Johnson's decision to retire to address his mental health.
Watch Joe Burrow's press conference ahead of Bengals vs. Dolphins
Cincinnati Bengals quarterback Joe Burrow addresses the media ahead of his team's Week 5 game against the Miami Dolphins at Hard Rock Stadium.
Oscar winner Eva Marie Saint dies at 102
Eva Marie Saint pictured seated on a sun lounger in a garden, USA, circa 1950. Saint is wearing a light green dress and a pearl necklace. (Archive Photos/Getty Images)
Nicolás Maduro's wife wants out of jail to address heart condition
Ousted Venezuelan first lady Cilia Flores wants to move from jail to house arrest for medical care. Prosecutors say she wants special treatment.
UT Launches Institute for the Future of Business to Address AI, Tech Changes in Business and Education
The Institute will convene leaders, researchers, educators and students to explore the immediate and long-term implications of groundbreaking technologies.
Cam Heyward defends Steelers sideline yelling in Browns loss
Cameron Heyward addresses heated arguments during Pittsburgh's loss to Cleveland, explaining why emotional exchanges are vital for accountability.
Guillermo Rodriguez and Witney Carson react to ‘DWTS’ judge Carrie Ann Inaba’s claim his ‘joy’ is gone
Guillermo Rodriguez and Witney Carson addressed ‘DWTS’ judge Carrie Ann Inaba’s surprising comment about his lack of ‘joy’ after his ‘Mariah Carey Night’ performance.
Rubio Stresses Need for U.S. Security Work With Greece on Migration and Terrorism
Secretary of State Marco Rubio praised Greece for spending more on defense, while saying it needs to address “mass migration.”
Rubio to deliver urgent plea to save Western civilization during speech in its birthplace
Marco Rubio will deliver a major address near the Acropolis calling on Americans and Europeans to reject decline and renew Western civilization.
This Week in Politics: Military Moves
On Wednesday, Sept. 30, United States Secretary of War Pete Hegseth, formerly Secretary of Defense, delivered his second annual “State of the Force Address,” which outlined the administration’s strategic goals and initiatives for the United States military. Addressing hundreds of military officers and service members at Marine Corps Base Quantico in Virginia, Hegseth began by...
AP Chiefs Mailbag: How could the Chiefs address wide receiver?
Arrowhead Pride staff writer Jared Sapp answers your questions with Kansas City on the bye.
The Politics of Sustainability Have Changed. The Business Case Hasn’t.
Corporate sustainability may have fallen out of favor in some executive and political circles, but the business case remains strong: Companies continue to invest because sustainability initiatives can deliver measurable gains in profitability, resilience, and growth. Drawing on research from NYU Stern’s Center for Sustainable Business and other recent studies, the article shows how four areas in particular—circularity, decarbonization, sustainable sourcing, and employee well-being—can lower costs, reduce risk, strengthen supply chains, improve productivity, and create new revenue opportunities. Examples from industries including automotive, healthcare, apparel, energy, consumer goods, and manufacturing illustrate how companies are capturing value through resource reuse, energy efficiency, resilient sourcing strategies, and investments in frontline workers. While the language of ESG may be losing momentum, the underlying business fundamentals have not changed: organizations that systematically address material environmental and social challenges, quantify the financial impact of their efforts, and embed sustainability into core decision-making are better positioned to improve operational performance and create long-term enterprise value.
The Politics of Sustainability Have Changed. The Business Case Hasn’t.
Corporate sustainability may have fallen out of favor in some executive and political circles, but the business case remains strong: Companies continue to invest because sustainability initiatives can deliver measurable gains in profitability, resilience, and growth. Drawing on research from NYU Stern’s Center for Sustainable Business and other recent studies, the article shows how four areas in particular—circularity, decarbonization, sustainable sourcing, and employee well-being—can lower costs, reduce risk, strengthen supply chains, improve productivity, and create new revenue opportunities. Examples from industries including automotive, healthcare, apparel, energy, consumer goods, and manufacturing illustrate how companies are capturing value through resource reuse, energy efficiency, resilient sourcing strategies, and investments in frontline workers. While the language of ESG may be losing momentum, the underlying business fundamentals have not changed: organizations that systematically address material environmental and social challenges, quantify the financial impact of their efforts, and embed sustainability into core decision-making are better positioned to improve operational performance and create long-term enterprise value.
GLP-1 Drugs? Surgery? WHO Issues Guidelines For Obesity In Children
The World Health Organization (WHO) released its first-ever guidelines to address how clinicians should manage obesity in children and adolescents, which
Crowley, Tiffany offer opposing health-care plans
Addressing rising health care costs, David Crowley and Tom Tiffany offer different plans.
WHO endorses lifestyle changes over GLP-1 drugs in child obesity fight
The World Health Organization on Wednesday recommended diet, exercise and counseling over popular weight-loss drugs in its first global guidelines addressing rising obesity among younger children.
North Bend Mayoral Candidates address the business community at recent forum
Candidate forums continued at the Bay Area Chamber of Commerce’s (BACC) Business Connection Luncheons on Wednesday September 30, 2026. This week, the chamber hosted current North Bend Mayor Jessica Engelke,
Carlie Irsay-Gordon: "A good leader is about listening"
Colts owner addresses her presence on the sideline during games.
Steelers poach former Bears CB from Commanders
The Pittsburgh Steelers continue to address their secondary woes, poaching a former Chicago Bears cornerback from the Washington Commanders.
President Trump tries to address diesel costs with new executive order
On Monday, the president signed an executive order that he says will help farmers by easing the prices they pay for diesel fuel.
President Trump tries to address diesel costs with new executive order
On Monday, the president signed an executive order that he says will help farmers by easing the prices they pay for diesel fuel.
MNUFC, Allina Health and the Sanneh Foundation Team Up to Address Food Insecurity with Meal Kit Initiative
Meal kit program launched to build connection between nutrition education and lifelong well-being
Inter-American Mental Health Week calls for intersectoral action to improve mental health in the Americas
More than 185 million people live with mental health conditions in the Americas. Addressing the challenge requires action beyond the health sector.Washington, D.C., 6 October 2026 (PAHO) – The Pan American Health Organization (PAHO) and the Organization of American States (OAS) are marking Inter-American Mental Health Week 2026 (October 5–9) with a call to strengthen intersectoral action to improve mental health and well-being across the Americas, where more than 185 million people live with a mental health condition.
Everything Fixed in October Pixel Update
Google is pushing out the October Pixel update, and inside, there’s a short list of fixes that Pixel owners should know about. We heard rumblings that folks were having issues with a few bugs on devices after the latest update, so hopefully the below list addresses at least a couple of them. Google lists a...
Together for a lifetime: Vietnamese couples renew lifelong commitments
On Friday, September 25, at 11 a.m., 86 elderly Vietnamese couples celebrated celebrated years of love and commitment with hearty meals, gifts, formal dress, and a formal vow renewal ceremony
Forza Horizon 6's Community Is Fed Up With Playground Games, and the Studio Has Finally Responded
Forza Horizon 6 developer Playground Games has finally addressed its player community after months of constructive feedback about the game has been met with nothing but radio silence from the renowned British studio.
Wisconsin governor candidates offer opposing plans to address rising health care costs
Republican U.S. Rep. Tom Tiffany and Democratic Milwaukee County Executive David Crowley say they want to lower health care costs and make care more accessible. But they’re offering different views on how to do that.
Saoirse Ronan addresses husband Jack Lowden’s 007 rumors after admitting she wants to play a Bond villain
Saoirse Ronan discussed her husband Jack Lowden’s rumored new 007 role after admitting she’d love to play a Bond villain one day.
Block Club Chicago’s Free South Side Health & Wellness Fest Is Coming to Chatham
Join Block Club and community partners on Nov. 7 for activities and resources to help address health equity gaps. Join a fun run with Joabe Barbosa, get a free meal and more.
Wisconsin governor candidates offer opposing plans to address rising health care costs
Republican U.S. Rep. Tom Tiffany and Democratic Milwaukee County Executive David Crowley say they want to lower health care costs and make care more accessible. But they’re offering different views…
Crowley says Black infant health is a priority; Tiffany silent
We asked David Crowley and Tom Tiffany how they would address Wisconsin’s Black infant mortality crisis if elected governor. Tiffany didn’t respond.
Business Buzz: Platinum Fitness Performance & Wellness Center
Business: Platinum Fitness Performance & Wellness Center Address: 8 Pecks Lane Owner: Randy Lockwood What is your business background? “I’ve had [a place] in Milford … and then D...
Countries race to provide oral health care for all in 100-Day Sprint across Asia
Twenty Asian countries and areas across the WHO Western Pacific and South-East Asia regions vowed to strengthen essential oral health benefits as part of a “100-Day Sprint” initiative, during the 16th Asian Chief Dental Officers Meeting held from 27 to 29 September in Kota Kinabalu, Malaysia. The meeting marked the midpoint of the 100-day sprint bolstering support for countries to develop essential oral health benefit packages that can be integrated into national universal health coverage plans. Convened by the two WHO regional offices and the Malaysian Ministry of Health as the Secretariat, the meeting brought together national oral health leaders from 20 Asian countries, staff from all levels of WHO, WHO collaborating centres and other development partners. Participating countries and areas included: Bangladesh, Bhutan, Brunei Darussalam, Cambodia, China, Hong Kong (SAR) China, India, Indonesia, Japan, Lao People’s Democratic Republic, Malaysia, Maldives, Mongolia, Nepal, the Philippines, Singapore, Sri Lanka, Thailand, Timor-Leste and Viet Nam. Participants reviewed progress and refined proposals using the WHO Service Package Delivery and Implementation (SPDI) Platform. Countries conducted bottleneck analyses across four key areas: service delivery, workforce, access to essential medicines and health products, and health financing. They identified practical actions to address implementation challenges and refined proposed revisions to their national oral health benefit packages. “There is no health without oral health. Through the 100-Day Sprint, countries are advancing the implementation of the Western Pacific regional implementation plan on oral health and strengthening progress towards universal health coverage,” noted WHO Regional Director for the Western Pacific Dr Saia Ma'u Piukala. Participants identified bottlenecks and proposed workable solutions to strengthen access to essential oral health care through primary health care, sharing experiences and discussing how best to translate policy commitments into feasible and sustainable action at the country level. Malaysian Minister of Health Datuk Seri Dr Dzulkefly Ahmad highlighted the importance of prevention and primary health-care approaches to improve oral health: “Oral diseases can have lifelong consequences, yet many are preventable. By integrating essential oral health care into primary health care and promoting prevention in schools and communities, we can improve oral health across the life course.”The WHO team led by Dr Huong Tran, Director of the Division of Health Promotion, Disease Prevention and Control of the WHO Western Pacific Region and national oral health leads from over 20 Asian countries visited the SK Pekan Putatan School, Sabah for school oral health programme including flouride mouth rinsing. © WHO / V. ChaudharyDr Huong Tran, Director of the Division of Health Promotion, Disease Prevention and Control for the WHO Western Pacific Region, emphasized key collaborative roles WHO can play. “Oral diseases are the most common noncommunicable diseases, yet many can be prevented and treated through essential oral health services delivered at the primary health-care level,” she said. “By sharing experiences and using WHO tools such as the SPDI Platform, countries are accelerating progress towards universal health coverage for oral health.” “Integrating oral health into broader health services is essential for reducing inequities, expanding access and recognizing oral health as an integral component of overall health and well-being. The 100-Day Sprint provides an important opportunity to translate this commitment into practical action and ensure that quality oral health services reach all people, especially those most in need,” said Dr Suman Rijal, Director of the WHO South-East Asia regional Department of Healthier Populations and Noncommunicable Diseases. As host of the meeting, Malaysia showcased ongoing efforts to strengthen oral health care through primary health care and prevention-focused approaches, while providing a platform for countries across the two WHO regions to exchange experiences and accelerate progress towards universal health coverage for oral health. “WHO is encouraged by Malaysia's leadership in addressing the burden of oral diseases and advancing universal health coverage for oral health through practical, country-led action,” said Dr Rabi Abeyasinghe, WHO Representative to Malaysia, Brunei Darussalam and Singapore. Countries will continue to refine and figure costs for national oral health benefits during the remaining sessions of the 100 days. These efforts support implementation of the WHO Global strategy and action plan on oral health 2023–2030, while also helping to expand access to essential oral health services through stronger and more equitable health systems across the WHO Western Pacific and South-East Asia regions.______________For more information, or to arrange media interviews, contact: WHO Regional Office for the Western Pacific: wprocom@who.int WHO Regional Office for South-East Asia: SEMediaRelations@who.int
New Editorial Calls for Investing in Hospital Nursing Workforce to Address Health Impacts of Extreme Heat
Hospitals should make nurse staffing and supportive nurse work environments a core part of extreme heat emergency preparedness, according to a new editorial from Penn Nursing’s Center for Health Outcomes and Policy Research (CHOPR), as record-breaking temperatures and heat-related emergency department visits continue to rise across the United States. The editorial appears in Public Health Nursing.
Pennsylvania passes 1,000 measles cases as PA health secretary says CDC is minimizing five measles associated deaths
Pennsylvania Health Secretary Dr. Debra Bogen visited a Pittsburgh pharmacy to raise awareness about respiratory illnesses, including COVID-19 and the flu, while addressing the state's rising measles cases.
DEEP DIVE: How Politics Is, and Is Not, Addressing Domestic Violence and Sexual Assault
In a conversation with U.S Senate candidate Peggy Flanagan last week with members of our young Future Forward editorial board, we talked about how powerful it is for four Minnesota women to be running for the two highest offices in the state — including Governor. We also talked about
CAPS group counseling can help bolster student well-being and mental health
Emory’s counseling services offer a range of options to address the needs of students, including group counseling sessions that can help participants better understand themselves and others, cope with grief over the loss of a loved one, and more.
Eagles address uncertainty surrounding missing star
Will Eagles star return? Team is keeping quiet.
James Gunn dispels Wonder Woman casting rumors while roasting Frank Grillo
James Gunn addressed the Adria Arjona-Wonder Woman casting rumors by roasting DC star Frank Grillo. ‘You don’t believe he doesn’t know anything? Exhibit A.’
Ana Navarro addresses Rosie O’Donnell’s potential return to “The View” (exclusive)
O’Donnell previously said that she’d return for season 30, while EW later confirmed a formal ask hadn’t gone out at the time.
Gypsy Rose Blanchard addresses 'significant tension' with Ken Urker's sister
Gypsy Rose Blanchard is responding to criticism from Ken Urker's sister following the death of Urker, the father of her daughter.
Jagex responds to use of generative AI in RuneScape trailer made by "trusted external partner"
Developer removes promotional material as it investigates situation, says it highlights "an issue with our own processes which we must address"
Yale School of Medicine On the Science of Childhood Anxiety, Say, Anxiety Disorders Are the Most Common Mental Health Challenges In Youth
Credit: Matt Bradbury October 5, 2026 - By Isabella Backman - Anxiety disorders are the most common mental health challenges in youth. Left untreated, they can disrupt the lives of both children and their families. The good news is that with intervention, most children will overcome these conditions. Across Yale School of Medicine, scientists are working to understand anxiety at every level, from common anxious behaviors to molecular biomarkers in the brain. They are using their findings to develop and disseminate new evidence-based treatments for childhood anxiety. Today, the go-to treatment for childhood anxiety disorders is cognitive behavioral therapy (CBT). This is a form of psychotherapy that teaches children skills for confronting anxious thoughts and helps them practice managing situations that cause anxiety. While it is the gold-standard treatment backed by considerable scientific evidence, up to 50% of children will not see sufficient benefit from CBT alone. Wendy Silverman, PhD, Alfred A. Messer Professor in the Child Study Center, co-directs the Anxiety and Mood Disorders Program alongside Eli Lebowitz, PhD, associate professor in the Child Study Center. One of their main interests is learning how to improve outcomes beyond CBT. “We’re developing cutting-edge, research-based knowledge that can reduce the suffering that anxiety causes children and their families,” says Silverman. Changing parent behavior YSM experts are investigating how to improve CBT outcomes for children by involving the parents. Silverman’s research has uncovered two main components of parent intervention that improve childhood anxiety: not enabling children to completely avoid the things that make them anxious and taking steps to enhance their autonomy. Parents may unintentionally reinforce their child’s anxiety by allowing them to avoid what makes them anxious. They also may unintentionally limit the children’s sense of autonomy by being overly intrusive. “One of the things that we take pride in is that we’ve focused on trying to understand what parents need to do, and to test our ideas and see if changing the parents’ behaviors is enhancing the effects of CBT,” Silverman says. “Our findings thus far suggest that they do." As much as CBT can be helpful, it can also be challenging to get one’s child to do the necessary steps for CBT to work. This is one important reason why Lebowitz created a novel intervention program for parents named Supportive Parenting for Anxious Childhood Emotions (SPACE). Existing intervention programs often teach parents to act as therapists for their child, such as training them on how to practice breathing exercises. “It makes sense, but this doesn’t work very well in practice,” says Lebowitz. “And part of the reason, I think, is that it’s not easy to get your kid to do things, especially if they’re not excited about doing it.” SPACE is unique because it focuses entirely on parent involvement and changing parental behavior—children are not involved in the sessions. For example, parents learn how to use supportive messages that convey confidence that their child can tolerate and manage distress. “It might sound like a parent saying to a child, ‘I get that this is really hard for you, but I know that you can handle it,’” Lebowitz says. The program also works with parents to identify the ways in which they are accommodating anxious behaviors. “We’ll pick one thing that parents are doing that is an accommodation and help them make a detailed plan for how they’re going to change that,” Lebowitz explains. Treating Anxiety in Children and Adolescents Much of the existing research on SPACE has focused on parents of children under age 14. Ongoing studies are now exploring its use with parents of older teens. “Both anxiety and accommodation can interfere with normative developmental shifts during the teen years, including increased autonomy and individuation from parents,” says Rebecca Etkin, PhD, associate research scientist in the Child Study Center. “In this sense, SPACE may be particularly well-suited for anxious teens and their parents. We want to see whether it is effective during this distinct developmental window.” Unfortunately, many families in need of CBT face barriers, including limited availability of services and geographic constraints. One way to improve access is digital interventions. Silverman and her team are developing an evidence-based digitized intervention program for parents that they can access directly from their computer or smart phone. “The work we’re doing will be one of the very few parent interventions that is digitized and importantly tested for effectiveness,” she says. Creating interventions for anxiety-related challenges Silverman and Lebowitz recently received a generous gift to develop and test other interventions that help parents reduce other child anxiety-related behavioral and emotional difficulties, such as restrictive eating and unexplained somatic symptoms. One of these projects in particular focuses on understanding the risks of social media and its potential benefits, including offering a sense of connection. “A lot of research has focused on the idea that social media is harmful and the less of it the better,” says Lebowitz. “But we actually see is that this is not quite right—there are negatives, but there are also positives. So, we’re trying to get a little bit more nuanced of a picture.” The team is working with teens with social anxiety and their parents over an extended period to better understand their social media habits and how their anxiety levels affect engagement with different platforms. The teens will answer questions sent to an app on their phones about mood and social media usage in an effort to capture emotional responses as they unfold. “We hope to develop interventions that can help make the best of social media while protecting against the more problematic effects,” Lebowitz says. The brain’s role in anxiety Researchers are also testing therapies to address anxiety at the neurological and molecular levels. In collaboration with Dylan Gee, PhD, professor of psychology in Yale's Faculty of Arts and Sciences, and Hilary Blumberg, MD, John and Hope Furth Professor of Psychiatric Neuroscience at Yale School of Medicine, Lebowitz and Silverman are using brain imaging to identify changes in a child’s brain before and after parents enroll in SPACE. In one study, children viewed anxiety-inducing images while undergoing magnetic resonance imaging (MRI); the researchers conducted scans with and without the children’s parents nearby. Before SPACE, children’s brains were better able to activate the regulatory circuitry needed to turn off an anxious response when their parents were nearby. But after SPACE, children could activate this circuitry even without the parent around. “As parents work on gradually reducing some of their accommodations, you can see a child get better at regulating their own fear system in the brain,” Lebowitz says. “It’s remarkable.” Research into the molecular underpinnings of anxiety can also inform new childhood anxiety treatments. In a recent study, Lebowitz, Silverman, and Flora Vaccarino, MD, Harris Professor in the Child Study Center, discovered that a protein known as fibroblast growth factor 2 (FGF2) could be protective from the toxic effects of stress. FGF2 levels in children and their parents were linked to the children’s risk of developing anxiety and depression, the study showed. The findings could help explain why some children who are exposed to early life trauma such as poverty or abuse are more prone to developing mental health disorders. And FGF2 could be a target for treatment. “This is very novel because it starts to give a clue to what is the molecular chain that connects those lived experiences to the actual psychological outcomes,” Lebowitz says. New ways to study and treat childhood anxiety Michael Crowley, PhD, associate professor in the Child Study Center, collaborates with Silverman and Lebowitz to study the role that attention plays in development and maintenance of childhood anxiety. There is a large body of research that shows that anxious children, like anxious adults, are prone to focus on threatening stimuli such as angry faces compared with neutral faces. This has led to innovative interventions that involve attention retraining. The idea is that if experts train children to look away from threatening stimuli, it may reduce their anxiety—especially children with social anxiety who are most prone to attend to threats. The researchers have just completed a clinical trial for attention retraining with 10- to 14-year-olds with social anxiety disorders and are currently analyzing the findings. Besides this innovative attention retraining research, as Crowly notes, “I like to design tasks that are engaging to kids,” Crowley says. “My goal is to assess something without the kids knowing what we are assessing.” With this goal in mind, Crowley has created a virtual game, named Boom, to study threat processing in children with anxiety disorders. The game is similar to that of hot potato—the child and three digital players take turns virtually passing a ball to each other’s gloves. At some point, the ball turns into a bomb, and as the bomb lands in each player’s glove, the outline of the glove turns yellow. The goal is to avoid having the bomb go off in your glove. What isn’t obvious is that the game is designed to measure different types of threatening stimuli, both ambiguous and direct. In the game, the direct threat occurs as the bomb is traveling towards your glove. The ambiguous threat is the yellow outlined glove as it is unknown where the bomb will travel next. While children play the game, Crowley’s team measures their brain activity using electroencephalography (EEG). The researchers have discovered that in kids with anxiety, the brain reacts more strongly to ambiguous threats than it does in their peers, but less strongly to direct threats. They believe that the initial abnormally large brain response to not knowing where the bomb is going impairs the brain's ability to properly respond when the threat is actually traveling the child’s way. “The brains of children with anxiety are unable to differentiate between threats you need to do something about and those that are not your problem.” Michael Crowley, PhD, develops innovative games for studying anxiety in children and adolescents.Credit: Matt Bradbury Based on these insights, Crowley hopes to study whether interventions like attention training could restore appropriate threat processing. Crowley’s team is also working on a test called the Balloon Risk Avoidance Task, which evaluates risk-taking and avoidance behaviors. It features a digital balloon that is full of air and about to burst. Kids have six seconds to let air out of the balloon. The more air they let out, the less risk they face that the balloon will pop. But at the same time, the balloon becomes less valuable as it deflates. “The more air you keep in the balloon, the more points you get,” Crowley explains. So far, the researchers have found that when the balloons pop unexpectedly, teens with social anxiety show distinct brain responses. Studying these responses can help psychologists understand the underlying pathways driving the various manifestations of anxiety. The genetics of anxiety When Thomas Fernandez, MD, associate professor in the Child Study Center and of psychiatry, was still in training, there was a lot of excitement about understanding the genetics associated with autism spectrum disorder. Since then, scientists have identified around 250 genes associated with autism. The genetic contribution to anxiety disorders, on the other hand, has historically received less attention. Anxiety is less heritable than autism, but the genetic contribution for anxiety disorders that emerge in childhood may be higher than for anxiety disorders overall. While scientists estimate the heritability of anxiety disorders in general to be around 30% to 50%, some studies suggest higher heritability for certain childhood-onset anxiety presentations. “I saw firsthand how researchers in the field went about finding vulnerability genes for autism,” Fernandez says. “So, we’re using a very similar playbook for childhood anxiety.” “I saw firsthand how researchers in the field went about finding vulnerability genes for autism. So, we’re using a very similar playbook for childhood anxiety.” Thomas Fernandez, MD Associate Professor In the Child Study Center and in Psychiatry Now, Fernandez and Emily Olfson, MD, PhD, assistant professor in the Child Study Center, are studying children and their parents to identify genetic changes that are present in the child but not the parents, known as “de novo mutations.” “All of us have some de novo mutations—maybe about 50 to 100 sprinkled throughout the genome,” Olfson says. “But when they occur within the coding regions of genes, they can be really disruptive.” Previous research shows that people with autism have higher rates of damaging de novo mutations than the general population. In 2022, Olfson, Lebowitz, Silverman, and Fernandez published a study on 68 children and their families that found that children with anxiety had similarly high levels of these mutations. Studying de novo mutations can help point the researchers to where they should be looking for genes associated with anxiety. “The end game is using the genes to steer us toward the right part of biology that we can then target to come up with better treatments,” Fernandez says. Building on those findings, the team is now studying more families to better understand how these de novo mutations, along with other genetic and environmental factors, shape pediatric anxiety disorders. They recently received a National Institutes of Health grant to enroll 750 new families over the next five years. Olfson is the principal investigator, with co-investigators Lebowitz, Fernandez, Silverman, and Shuangge Steven Ma, PhD, department chair and professor of biostatistics at Yale School of Public Health. Neurodevelopment, Risk Genes, and Mental Health Conditions - The Olfson Lab Joel Gelernter, MD, Foundations Fund Professor of Psychiatry, is interested in how different anxiety disorders differ genomically. “We are studying social phobia, panic disorder, and generalized anxiety disorder, working to understand why people differ in their risk to these specific anxiety disorders and evaluating various risk factors,” he says. Gelernter was recently involved in one of the largest studies to date of the genomics underlying anxiety disorder. The study included around 122,000 people with anxiety disorders and around 730,000 without. It found that some genetic differences associated with anxiety were linked to signaling that helps reduce overactivity in the nervous system. Many anxiety medications available today work by targeting this process. “It’s nice when the biology that you get out of a large genome-wide study ratifies things that we already know because that can help increase confidence in further findings from the study,” Gelernter says. Uncovering the neurobiology of psychiatric disorders John Krystal, MD, Robert L. McNeil, Jr. Professor of Translational Research and chair of the Department of Psychiatry, is interested in the neurobiology of psychiatric disorders, including post-traumatic stress disorder (PTSD), of which anxiety is a major symptom. In the late 1980s, Krystal’s team discovered that the drug yohimbine activated symptoms in patients with PTSD. “This was the first time we could link a specific biological mechanism to the symptoms of PTSD,” Krystal says. At the time, he adds, this finding was highly controversial. “A lot of people felt that PTSD was a purely psychological syndrome that didn’t have an underlying biology.” Since then, Krystal has dived deep into understanding the neurobiology of PTSD to learn how to better treat it. His team is evaluating the use of ketamine and psychedelics. These would be among the first treatments to be developed specifically for PTSD. They may also be applicable for other disorders including anxiety disorders, Krystal adds. An important gap in PTSD treatment is the absence of biological tests that inform how to best help patients manage their PTSD symptoms. A doctor doesn’t diagnose cancer based on how they feel. Rather, they use tests of the biology of the cancer to determine the best course of treatment. “And we can’t do that in any psychiatric disorder other than Alzheimer’s disease,” Krystal says. “But now we are building a foundation for this approach to the treatment of anxiety disorders for the first time.” Source: Yale School of Medicine
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Countries race to provide oral health care for all in 100-Day Sprint across Asia
Twenty Asian countries and areas across the WHO Western Pacific and South-East Asia regions vowed to strengthen essential oral health benefits as part of a “100-Day Sprint” initiative, during the 16th Asian Chief Dental Officers Meeting held from 27 to 29 September in Kota Kinabalu, Malaysia. The meeting marked the midpoint of the 100-day sprint bolstering support for countries to develop essential oral health benefit packages that can be integrated into national universal health coverage plans. Convened by the two WHO regional offices and the Malaysian Ministry of Health as the Secretariat, the meeting brought together national oral health leaders from 20 Asian countries, staff from all levels of WHO, WHO collaborating centres and other development partners. Participating countries and areas included: Bangladesh, Bhutan, Brunei Darussalam, Cambodia, China, Hong Kong (SAR) China, India, Indonesia, Japan, Lao People’s Democratic Republic, Malaysia, Maldives, Mongolia, Nepal, the Philippines, Singapore, Sri Lanka, Thailand, Timor-Leste and Viet Nam. Participants reviewed progress and refined proposals using the WHO Service Package Delivery and Implementation (SPDI) Platform. Countries conducted bottleneck analyses across four key areas: service delivery, workforce, access to essential medicines and health products, and health financing. They identified practical actions to address implementation challenges and refined proposed revisions to their national oral health benefit packages. “There is no health without oral health. Through the 100-Day Sprint, countries are advancing the implementation of the Western Pacific regional implementation plan on oral health and strengthening progress towards universal health coverage,” noted WHO Regional Director for the Western Pacific Dr Saia Ma'u Piukala. Participants identified bottlenecks and proposed workable solutions to strengthen access to essential oral health care through primary health care, sharing experiences and discussing how best to translate policy commitments into feasible and sustainable action at the country level. Malaysian Minister of Health Datuk Seri Dr Dzulkefly Ahmad highlighted the importance of prevention and primary health-care approaches to improve oral health: “Oral diseases can have lifelong consequences, yet many are preventable. By integrating essential oral health care into primary health care and promoting prevention in schools and communities, we can improve oral health across the life course.”The WHO team led by Dr Huong Tran, Director of the Division of Health Promotion, Disease Prevention and Control of the WHO Western Pacific Region and national oral health leads from over 20 Asian countries visited the SK Pekan Putatan School, Sabah for school oral health programme including flouride mouth rinsing. © WHO / V. ChaudharyDr Huong Tran, Director of the Division of Health Promotion, Disease Prevention and Control for the WHO Western Pacific Region, emphasized key collaborative roles WHO can play. “Oral diseases are the most common noncommunicable diseases, yet many can be prevented and treated through essential oral health services delivered at the primary health-care level,” she said. “By sharing experiences and using WHO tools such as the SPDI Platform, countries are accelerating progress towards universal health coverage for oral health.” “Integrating oral health into broader health services is essential for reducing inequities, expanding access and recognizing oral health as an integral component of overall health and well-being. The 100-Day Sprint provides an important opportunity to translate this commitment into practical action and ensure that quality oral health services reach all people, especially those most in need,” said Dr Suman Rijal, Director of the WHO South-East Asia regional Department of Healthier Populations and Noncommunicable Diseases. As host of the meeting, Malaysia showcased ongoing efforts to strengthen oral health care through primary health care and prevention-focused approaches, while providing a platform for countries across the two WHO regions to exchange experiences and accelerate progress towards universal health coverage for oral health. “WHO is encouraged by Malaysia's leadership in addressing the burden of oral diseases and advancing universal health coverage for oral health through practical, country-led action,” said Dr Rabi Abeyasinghe, WHO Representative to Malaysia, Brunei Darussalam and Singapore. Countries will continue to refine and figure costs for national oral health benefits during the remaining sessions of the 100 days. These efforts support implementation of the WHO Global strategy and action plan on oral health 2023–2030, while also helping to expand access to essential oral health services through stronger and more equitable health systems across the WHO Western Pacific and South-East Asia regions.______________For more information, or to arrange media interviews, contact: WHO Regional Office for the Western Pacific: wprocom@who.int WHO Regional Office for South-East Asia: SEMediaRelations@who.int
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