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The legendary Hi-Ho Lounge will return to St. Claude Avenue following closure of No Dice
A soft opening is already planned this month. Here’s everything you need to know.
After DUIs and health problems, I finally found a way to quit drinking
Katie Rosier began drinking at 12. She got sober 32 years later, after DUIs, serious health issues, and time in a homeless shelter.
Week 3 Cincinnati Bengals Power Rankings Roundup
All major outlets now have the Bengals in their top 10 teams.
Kentucky to receive millions in federal funding for mental health services
Kentucky will receive $17 million in federal funding to support 988, youth mental health, addiction recovery, doula services and schools.
Princess Kate's best red carpet looks follow a familiar formula
The Princess of Wales doesn't walk a red carpet often so when she does, she makes it count.
The Beats 360 are what I’d bring to the gym if I hated earbuds
They protect against sweat and talkative gym bros.
35 Random Thoughts On Buffalo
1. Matt Millen on the call for BTN. Terrific. 2. Disappointed we only got “There’s no fear in McPherson” twice. I for sure thought Millen had that tee’d up for one more during the game. 3. (The joke here is that “McPherson” is usually pronounced “Mc-fear-son” but Alex McPherson pronounces his last name “Mc-furr-son” thus […]
Jaguar Health Receives Fee Waivers from FDA
Company remains sharply focused on its ongoing rare disease intestinal failure global development program for microvillus inclusion disease (MVID) and SBS for crofelemer powder for oral solution, targeting an NDA filing for MVID mid-2027SAN FRANCISCO, CA / ACCESS Newswire / September 22, 2026 / (NASDAQ:JAGX) (Jaguar) family company Napo Pharmaceuticals (Napo) today announced that the U. Food and Drug Administration (FDA) has granted Napo's request for a waiver of the fee associated with the Pres
Padres Open Pivotal Series vs. Dodgers With Plenty At Stake
The San Diego Padres have a magic number of two to get into the playoffs, but a familiar opponent is in the way.
Iowa's new front on classroom behavior: Brain health rooms
Ankeny is among schools with rooms where students can step away and manage stress.
Look up 100 top-paid employees at nonprofit health systems in the Philadelphia region in 2024
Employee pay and benefits typically account for more than half of health system expenses and have contributed to rising healthcare costs for employers and governments.
Avondale health center is getting a major upgrade
The renovation will bring medical, pharmacy and dental services under one roof.
COVID vaccines for uninsured Tennessee kids in limbo amid federal delays
The federal government hasn't said if it will continue to provide COVID-19 vaccines to low-income kids through a free immunization program,
Midterms' new populism: Taking on health industries
Anxiety over health care costs is driving a new brand of populism and talk about taking on health industries.
Nimesh Patel on stand-up, Palestine and politics: ‘The way that religion’s been weaponized is ugly’
The comedian went from being discovered by Chris Rock to making Saturday Night Live history. Now his new Netflix special, Buy the Dip, tackles timely topics with optimism
Tuesday ‘Dawg Bites Won’t Fumble In The Endzone
Welcome to Tuesday, Bulldog fans! We’ve entered that limbo period where certain fanbases are still basking in the glow of Saturdays victory, and others are still steaming from a frustrating loss that exposed expectations like telephone poles in winter when the kudzu dies off. Clemson has had as many lightning delays as rushing touchdowns this […]
A Supreme Court order could upend the price of political ads on TV. Here’s how.
During one week in early September, Sen. Susan Collins (R‑Maine), one of her joint fundraising committees and a super PAC backing her campaign each bought airtime on a Portland TV station during “Wheel of Fortune.” For each 30-second spot, both Collins’ campaign and her JFC paid $2,200. The super PAC paid $10,000 – more than […]
Science in Oxford - The end of the Universe at the Schwarzman
Cleo Turner considers Professor Brian Schmidt's fascinating lecture on the past, present and future of our universe.
New book by Princess Diana’s brother prompts war of words with King Charles III
A new book by the late Princess Diana's brother, Charles Spencer, has made headlines with damning allegations about King Charles III.
Tough sledding for Cam Skattebo on Monday night
Cam Skattebo was held in check by the Rams in Week 2 with his 16 combined touches resulting in just 55 yards.
Ayo Dosunmu Challenges Andrej Stojakovic to Become an All-American
Illinois legend Ayo Dosunmu has high expectations for Andrej Stojakovic, challenging the Illini star to become an All-American during his senior season.
Steelers vs. Bengals: Opening odds for Week 3 matchup
Opening odds, over under total, and moneyline for the Steelers vs. Bengals Week 3 matchup.
Can you forget how you feel about Meta?
‘Pervert glasses.’ Thousands of lawsuits. Mark Zuckerberg wants to sweep it all away with a new bid on AI.
Maternity at Claxton on diversion Monday night
Unexpected gap in pediatric coverage to blame
Paul Skenes points to World Baseball Classic as the 'root' of his pitching woes this season
City of Brooklyn Park, MN
Thank you to everyone who joined us for the third session of our Civic Engagement Education Series: Health & Well-being! We’re grateful to all of our dedicated staff, guest speakers, youth from...
Atletico hit back at Mourinho over referee complaints
Atletico Madrid hit back at Jose Mourinho after he complained about the refereeing in the Madrid derby.
WV to allocate nearly $300,000 in Rural Health Transformation funds to expand nursing workforce
The state will contribute $291,403 of its federal Rural Health Transformation funds to the WVU Medicine Center for Nursing Education.
Kentucky receives millions in federal funding for mental health services
Kentucky will receive $17 million in federal funding from the Substance Abuse and Mental Health Services Administration, Gov. Andy Beshear announced Monday.
Trump decries Democrats as ‘communists,’ even as he looks to impress China’s communist leader
WASHINGTON (AP) — Communism, President Donald Trump says, is the greatest threat the U.S. has ever faced. This summer, citing similarly grave concerns, he took the rare step of delivering a primetime address to the nation, accusing China of “sinister election meddling” in 2020 and reviving his yearslong push to dispute his loss in that […]
NBC’s ‘Line of Fire’ is what happens when you combine a procedural TV show with a soap opera
TV creator Joshua Safran is introducing "Line of Fire," a new NBC show blending elements of a crime procedural with a soap opera.
Grab an Xbox controller and a $50 Xbox gift card together for just $80
It’s like paying $30 for a $50 gift card.
Small Business, Big Lessons® — That Old Time Rock & Roll or Blue Dot Fever?
This post builds on my Water Balloon Economics idea and adds a twist: knowing when it’s time to wrap up a “wonderful” career or business, recognizing your own limitations, and being honest about the experience you’re delivering.
Contest: Pick the winners in the Rhode Island's general election
Believe it or not, early voting in Rhode Island’s general election begins 23 days, and Election Day itself is just six weeks away.
Fuseini brings Rams hope of a revival
Derby County fan writer Amelia Warren analyses what makes Mohammed Fuseini an important summer signing for Derby County this season.
The M5 Ultra Mac Studio tears through our benchmark tests
So much power, we’re gonna keep cooking on this one.
I got to see Google’s wild ideas about the future of laptops
Googlebooks are here, starting at $899.
Apple’s clever software solution lets iPhone batteries skirt shipping limits
The limit just removes itself after shipment.
Kolo Muani says Juventus showed the right mentality against Atalanta
Randal Kolo Muani is proud of the mindset Juventus showed as they beat Atalanta 2-0 in Serie A this weekend, and he hopes that mentality continues.Juventus performed well in their midweek match agains...
Which series are Giants fans most interested in this week?
The final week of Giants baseball for the year starts today. Which series are Giants fans most interested in this week?
Prep Spotlight: Getting to know Norman football player London Herbin
The Oklahoman asked each athlete who attended a media day to answer their favorite music and more as part of its Prep Spotlight series.
KC looks to sports to grow its economy
A bigger CPKC Stadium, a Women's World Cup bid and $185 million in public money.
The curious case of a Ponzi schemer’s glowing profile in a Missouri newspaper
A glowing profile of convicted Ponzi schemer Siddharth Jawahar in a Missouri newspaper raises questions about political PR, ownership and newsroom boundaries.
Trump administration takes on mental health parity
It's steering the issue in a different direction than the Biden administration.
Proposed rate hikes for long-term care plans would double premiums for thousands of seniors
Thousands of Maryland seniors paying for long-term health care could see their annual premiums double, or triple, over the next five years if state officials approve the steep increases requested by four Maryland insurance companies last week.
The Pointe named September Master Gardener Business Yard of the Month
The Pointe, a residential property located at 389 Lake Hamilton Drive, was named the Master Gardener Business Yard of the Month for September 2026, according to a news release.
Crawford County Quorum Court expected to consider doing business with company owned by justice of the peace
VAN BUREN -- The Crawford County Quorum Court is set to discuss allowing the county to do business with companies owned by county officials and employees at its Monday meeting.
Tobias Forge’s ‘V/H/S Mixtape’ Segment, Swedish Horror ‘Trespassers,’ ‘The End’ by ‘Midsommar’ Production Designer on Mylla Films Slate (EXCLUSIVE)
Swedish boutique genre specialist Mylla Films, brainchild of “Midsommar” producer Patrik Andersson and Nordic indie distribution heavyweight Jakob Abrahamsson (CEO of NonStop Entertainment), has turne...
Culturally Relevant Cardiovascular Disease Prevention and Care Strategies
(Feature Impact) Driven by rising rates of obesity, diabetes, high blood pressure and other risk factors, cardiovascular disease has surpassed cancer as the leading cause of death among Hispanic adults in the United States.Hispanic people represent nearly 1 in 5 of the U.S. population and are the nation’s largest ethnic minority group, yet many continue to face barriers to achieving heart health and accessing high-quality healthcare. A new scientific statement published in the American Heart Association’s flagship journal, “Circulation,” revealed how social, economic, cultural and environmental factors contribute to persistent disparities in cardiovascular health, calling for culturally tailored prevention strategies, equitable access to care and greater representation of Hispanic populations in cardiovascular research.“Hispanic populations in the U.S. are incredibly diverse even within their own communities with differences in genetic ancestry, language, cultural traditions and social experiences that can significantly influence cardiovascular health,” said Johanna Contreras, M.D., M.Sc., FAHA, director of the Division of Heart Failure and medical director of the Hispanic Heart Center within the Mount Sinai Health System. “Yet Hispanic people remain underrepresented overall in the research that guides prevention and treatment strategies… Without better representation and more detailed data, we risk overlooking important differences that can help us improve care and save lives.”Hispanic Cardiovascular Health by the NumbersCardiovascular risk factors – obesity (nearly 46%), type 2 diabetes (15.5%) and high blood pressure (approximately 44%) – are prevalent among Hispanic adults and often emerge at younger ages and occur more frequently among Hispanic adults compared with white adults.According to the report, only about 1 in 5 Hispanic adults achieves ideal cardiovascular health as defined by the American Heart Association’s original Life’s Simple 7 metrics. Updated analyses using the Life’s Essential 8 framework demonstrated persistent disparities for heart and brain health, as well as suboptimal dietary quality, sleep patterns and levels of physical activity.Social and Economic Barriers MatterBiology alone does not explain cardiovascular health disparities. The environments where people live, work and age, along with social and economic challenges, impact heart health. In fact, approximately 17% of Hispanics live below the federal poverty threshold, compared with 8.2% of white adults.#placement_976606_0_i{width:100%;max-width:550px;margin:0 auto;}var rnd = window.rnd || Math.floor(Math.random()*10e6);var pid976606 = window.pid976606 || rnd;var plc976606 = window.plc976606 || 0;var abkw = window.abkw || '';var absrc = 'https://ads.empowerlocal.co/adserve/;ID=181918;size=0x0;setID=976606;type=js;sw='+screen.width+';sh='+screen.height+';spr='+window.devicePixelRatio+';kw='+abkw+';pid='+pid976606+';place='+(plc976606++)+';rnd='+rnd+';click=CLICK_MACRO_PLACEHOLDER';var _absrc = absrc.split("type=js"); absrc = _absrc[0] + 'type=js;referrer=' + encodeURIComponent(document.location.href) + _absrc[1];document.write('');“Many Hispanic adults face obstacles that extend far beyond the doctor’s office,” Contreras said. “Limited health insurance coverage, language differences, food insecurity, environmental exposures and concerns related to immigration status can make it more difficult to prevent disease, manage chronic conditions and receive timely treatment.”Contreras emphasized the cultural values and practices of Hispanic people also influence how they perceive their health and healthcare options.“Family plays a central role in many Hispanic communities and can be an extraordinary source of strength, support and resilience,” Contreras said. “At the same time, family members are often called upon to translate medical information, navigate health systems and help make healthcare decisions for loved ones. Those responsibilities can shape how health information is understood and acted upon.”An Action Plan for Improving Hispanic HealthThere are practical opportunities to achieve equitable cardiovascular health and reduce disparities through community engagement, culturally responsive care, inclusive research and policies that address the underlying drivers of health.“Reducing cardiovascular disease among Hispanic populations demands action at every level,” Contreras said, “from improving access to culturally responsive care and expanding research participation to addressing the social and environmental conditions that shape health.”By addressing both medical risk factors and the social conditions that shape health, experts believe there is an important opportunity to reduce disparities and help more people live longer, healthier lives. Learn more at Heart.org.Photo courtesy of Shutterstock
Paved in frustration: Kings Highway businesses cite challenges of bridge reconstruction
A large-scale transportation project has some businesses in Nash and Texarkana feeling like they are on a rocky road.
FUJIFILM Business Innovation Singapore recognised for circular economy and waste management practices
/PRNewswire/ -- FUJIFILM Business Innovation Singapore has received the Circular Economy Award – Singapore and Waste Management Award – Singapore at the...
Steelers offense not good enough: ‘That starts with me’
Pittsburgh Steelers head coach Mike McCarthy put the blame on himself for Sunday’s 20-3 loss to the New England Patriots.
Adam Smith appointed chairman of Disney Entertainment’s Direct-to-Consumer division
Disney names Adam Smith as chairman of Direct-to-Consumer and Joe Earley as president of TV franchise and content strategy.
Mike Onwenu injury update: Latest news on Patriots offensive guard
This is the latest injury update on New England Patriots guard Mike Onwenu.
Dodgers Top Prospect Reaches Triple-A
Mike Sirota reached Triple-A for the first time on Saturday for the Los Angeles Dodgers.
Rockport fire displaces 2 families, impacts businesses
Firefighters responded to reports of a gas odor Sunday morning and found thick black smoke coming from a Broadway Avenue building.
Health officials: Measles exposure reported at three sites across Flathead Co.
The Flathead City-County Health Department (FCCHD) says a person with measles visited several public places in Flathead County while they were infectious.
Why politicians should pay more attention to the polls (reprise)
Welcome to the 231st edition of The Week in Polls (TWIP), a polling newsletter that always welcomes new readers. So please don’t keep TWIP a secret; share it with your friends and colleagues: Share The Week in Polls With all the stories swirling around Reform, JL Partners and political polling, I am finally tearing myself away from talking about the regulation of polling this week - and instead re-running a previous piece reminding us why the solution to problems with polls isn’t simply to ban or ignore them. Rather, we need them to play a vital role in making our politics - and politicians - better. This is followed by summaries of the latest national voting intention polls, seat projections from MRPs and the most recent party leader ratings. Subscribers who pay for the full edition can also read ten insights from the latest polls and analyses, including: A trio of organisations and a pair of professors have been casting their eyes over the Liberal Democrats ahead of the party’s autumn conference; What impact did the summer heatwave have on views on climate change? and Which wins out between chocolate and cheese? If you are not yet a paid subscriber, you can read all ten by starting a free trial now: Get FREE 7-day trial For more polling news as it comes in ahead of next week’s edition, you can also follow The Week in Polls on Bluesky. Picking up on my doubt last week about whether or not 35% of British train travellers have tried to order a takeaway for delivery to a railway station or carriage, thank you to reader Iain, who has been in touch to say he has done just that… in India. Another quick pair of updates, this time on the controversies around Reform and polling. Politico has a further scoop - “Farage aide caught in donor sting attended Egypt retreat with JL Partners” - and Ian Dunt has written about the problems with polling too: “Seeing the response of many polling experts in the last few weeks suggests that they are nervous about what is happening and keen to mitigate against it. Seeing the response of journalists, which has been basically non-existent, suggests the precise opposite.” My usual reminder as well: please do hit reply if you’ve spotted a poll, focus group or new piece of poll-based research that you think should be in contention for coverage in a future edition. Thank you! And with that, on with the show. How politicians get public opinion wrong I have written before about the benefits that come from widespread availability of high-quality political polling. We need more polls and more good coverage of polls. However, what I’ve not dug into before is the research into how accurately politicians estimate public opinion on issues. Thankfully we have academic research to tell us. First, the bad news: We present results from a study of 866 politicians in four countries.1 Politicians were asked to estimate the percentage of public support for various policy proposals. Comparing more than 10,000 estimations with actual levels of public support, we conclude that politicians are quite inaccurate estimators of people’s preferences. They make large errors and even regularly misperceive what a majority of the voters wants. Politicians are hardly better at estimating public preferences than ordinary citizens. Walgrave, S., Jansen, A., Sevenans, J., Soontjens, K., Pilet, J.B., Brack, N., Varone, F., Helfer, L., Vliegenthart, R., van der Meer, T., Breunig, C., Bailer, S., Sheffer, L. & Loewen, P.J. (2023a), “Inaccurate Politicians: Elected Representatives’ Estimations of Public Opinion in Four Countries”, The Journal of Politics, 85(1): 209-222. The bad news is not quite as bad as that makes it sound because, when asked whether the majority of public opinion was for or against various policies, politicians picked the wrong option ‘only’ 29% of the time. However, this included getting it wrong even when public opinion is far from evenly split on an issue: They do not only get it wrong when the public is divided and hard to read (e.g., when there is a 51%:49% distribution). Seventy percent of the misplacements occur for policies with a relatively clear distribution of at least 60% (dis)agreeing citizens. Moreover, the public scored only slightly worse than politicians, picking the wrong option 2.7 out of 8 times on average, compared with 2.3 times for politicians. Turning to the other measure of accuracy (not which side is in the lead but what the percentage support is for each side), politicians on average were 18 percentage points out in their guesses. Again, this was only slightly better than the public, whose error came in at 21 percentage points.2 Further research, using the same mix of countries, gives a little more comfort about how (in)accurate perceptions are: We show that politicians have a better understanding of public opinion when they think the issue matters to voters. Further, when an issue is personally important to politicians they more accurately estimate their party supporters’ opinions. The results confirm that politicians hold more accurate perceptions of voters’ preferences when they think it is important to do so but not necessarily when the issues actually are important to voters. Butler, C., Walgrave, S., Soontjens, K. & Loewen, P.J. (2024), “Politicians are better at estimating public opinion when they think it is more salient”, Party Politics: 1–13. Even so, it’s not a good picture. The remedy for this? Politicians should spend more time reading the polls. So forward this newsletter to someone you know… Share For a more general argument against banning polls, see my 2024 piece. Is “Let Bartlet Be Bartlet” good advice or not? The latest episode of my Political Fictions podcast heads across the Atlantic for a dip into one of the political TV classics: Mark and Cory talk about a giant of American political drama for the first time this week, as they tackle The West Wing. They talk about Let Bartlet Be Bartlet, the nineteenth episode of series one. In it, Mark wonders if The West Wing is actually the epitome of the “Boris Johnson school of politics”, Cory outmanoeuvres Mark into confirming we will record a Christmas Special about Love, Actually and they debate whether the central message of this episode has been misunderstood. Cory’s email newsletter is Paperback Rioter and Mark has a family of email newsletters. Subscribe to our newsletter for some additional bonus content and to get alerted whenever a new episode comes out. Our theme tune is “Monkeys Spinning Monkeys” by Kevin MacLeod/incompetech.com and licensed under the Creative Commons: By Attribution 4.0 License. You can also listen to our episode on Apple Podcasts, Spotify, the web or YouTube. Elsewhere from me… [ A Lord's Eye View How to fix the problem of money in our politics Welcome to my latest update on work in the House of Lords. This time I am taking a look at how our political system is regulated, and the protections we need to keep democracy safe from becoming simply a contest to see who has the biggest bank account… Read more 5 days ago · 3 likes · 2 comments · Mark Pack ](https://lordseyeview.substack.com/p/how-to-fix-the-problem-of-money-in?utm_source=substack&utm_campaign=post_embed&utm_medium=web&embedding_publication_id=1269283) If you spot a factual error… Borrowing an idea from Stuart Ritchie and others, if you spot a factual error in an edition of this newsletter, I will give you a free 12-month subscription to the paid-for version (or an extra 12 months on your existing one). Factual errors qualify, but grammatical errors or disagreements over interpretation do not, and my decision is final. Messages about both of those are always welcome, though. Voting intention and leadership ratings Here are the latest voting intention polls from different pollsters. It is all pretty static at the moment, with a small and consistent Labour lead in nearly all the polls. The table is also online here, along with explanations about what is included. It is updated regularly throughout the week as new polls are released. Next are the seat projections from MRPs, also sorted by fieldwork dates, listing those which are based on dedicated fieldwork (rather than models based on averages of other polls). Because such MRPs are published infrequently, some of the entries below are quite old. Finally, here is a summary of leadership ratings, with a graph from PollCheck: Detailed numbers from the latest polls are online here, and both that and the graph are updated regularly throughout the week as new data comes out. For historical figures on both voting intention and leader approval stretching back to the 1930s, including Parliamentary by-election polls, see PollBase. Catch up on the previous two editions [ ](https://theweekinpolls.substack.com/p/a-crisis-point-for-political-polling) [ A crisis point for political polling Sep 13 ](https://theweekinpolls.substack.com/p/a-crisis-point-for-political-polling) [ Read full story ](https://theweekinpolls.substack.com/p/a-crisis-point-for-political-polling) [ ](https://theweekinpolls.substack.com/p/extra-questions-about-the-polls-in) [ Extra questions about the polls in Reform’s funding scandal Sep 6 ](https://theweekinpolls.substack.com/p/extra-questions-about-the-polls-in) [ Read full story ](https://theweekinpolls.substack.com/p/extra-questions-about-the-polls-in) My privacy policy and other legal information are available here. Links to purchase books or other items are usually affiliate links which pay a commission for each sale. Quotes from social media messages are occasionally lightly edited for punctuation and clarity. If you are subscribed to other email lists of mine, please note that unsubscribing from this one will not automatically remove you from the others. If you wish to be removed from all my lists, simply reply to this email to let me know. A quintet of Lib Dem polling analyses, and 9 other polling insights you shouldn’t miss The following ten findings from the most recent polls and analyses are only for subscribers who pay for the full edition, but you can sign up for a free trial to read them straight away. Ahead of the start of Liberal Democrat conference, we have a trio of organisations and a pair of professors with pieces out about Ed Davey’s party:
Brewers' Ortiz Rides Career-High Hitting Streak
From roster uncertainty to a cornerstone of the lineup, Joey Ortiz has provided the spark the Milwaukee Brewers need for a deep October run.
Texans vs Bengals: Why is Nico Collins not playing today?
Nico Collins will not be playing for the Houston Texans vs. Cincinnati Bengals after an incident on Wednesday's practice.
Week 2 inactives for Falcons
Atlanta Falcons' inactives for Week 2
Cunningham has also prioritized training in high …
Cunningham has also prioritized training in high …
Political Beat Preview: House District 98
Incumbent Democrat Beth Helfrich is seeking re-election and facing a challenge from former Republican representative John Rhodes in North Carolina’s 98th House district that covers the northern part of Mecklenburg County.
Nicolas Cage, 62, Reveals Striking White Hair and Beard Transformation With Wife Riko Shibata, 31
Yankees' Heliot Ramos is Doing Something He's Never Done Before
Heliot Ramos hasn't been good since joining the New York Yankees, but he is excelling in one area.
Auxerre only Ligue 1 side to make Anthony Martial approach
Anthony Martial’s (30) future is expected to be decided next week, L’Équipe understands. The Frenchman will not be making the move to Ligue 1, however. The publication understands that the former...
San Antonio VA hospital report shows privacy and safety violations
Department of Veterans Affairs Office of the Inspector General issued 13 recommendations for Audie Murphy based on its findings.
PSG XI vs Marseille – Predicted lineup and team news
PSG will be aiming to record a third consecutive victory in all competitions before the first international break of the season when they travel to face Marseille on Sunday.PSG head into Le Classique ...
Business People Northwest Arkansas
Harps Food Stores Inc. has announced the promotion of William Haulmark as director of insurance and Will McDoniel to director of AI strategy and innovation.
Art project transforms Denton youth mental health center - Cross Timbers Gazette | Southern Denton County | Flower Mound
A local mental health facility in Denton is getting a vibrant makeover thanks to an inspiring collaboration with Denton County. The Art Room, a local nonprofit dedicated to supporting individuals with mental health challenges through the healing power of art, has partnered with the Denton County MHMR Center’s Child & Adolescent Center for its latest […]
Trump asked budget chief to draft order bringing health research funding under his control
The move came after the NIH director refused Trump’s request to cut Harvard grants in an Oval Office meeting.
Fall Fest supports local businesses and the Chester Bowl scholarship program
Vendors, food trucks and live music mark start of the season at Chester Park
Reaction: "It shows we've got a terrific squad!"
(on Sky): “Life writes the best stories. Maxi Beier isn’t part of the national team, but today he scores the goal. I’m happy! And in the end, it shows that we have a great squad, that we have a ...
Cleveland Guardians' Cade Smith in Elite Company
Cleveland Guardians closer Cade Smith is an elite pitcher but still isn't getting the recognition he deserves.
California health officials warn of possible measles exposure on Amtrak trains
TCU Gets Positive, Negative Injury Updates Before Arkansas State
TCU is set to face off with Arkansas State on Saturday night and the Horned Frogs are ready to welcome back one of their biggest threats. Meanwhile, an offensive powerhouse will wait at least another week to suit up for the team.
Michigan Dominates UTEP In Second Half In 52-17 Beatdown
The Wolverines struggled to find their rhythm early, but Michigan exploded for 28 points in the third quarter behind an efficient performance from quarterback Bryce Underwood.
Kings G LaVine Setting 'Extremely High' Standards
The Sacramento Kings' injury bug was major last season, with multiple key contributors suffering severe injuries. After returning to full health, Zach LaVine is one player looking to bounce back.
Primary Health Network highlights gun lock program, suicide prevention efforts
(WJET/WFXP) — A regional healthcare provider is reminding the community of its suicide-prevention resources. In recognition of Suicide Prevention Awareness Month in September, Primary Health Networ…
Davion Mitchell reveals Giannis Antetokounmpo's secret behind his success
Giannis Antetokounmpo is bringing a winning mentality to the Heat, and his teammates are seeing it firsthand.
Delivery Outlook Shows Tesla (TSLA)’s Core Business Under Pressure. Its Next Growth Engine Must Deliver
Goldman Sachs has cut its delivery forecast for Tesla, Inc. (NASDAQ:TSLA) while citing weaker sales trends across the company’s most important markets. The investment bank slashed its Q3 delivery forecast to 435,000 vehicles from 490,000. It also lowered its Q4 delivery forecast to 475,000 vehicles from 515,000. The question now is whether Tesla’s demand weakness […]
The Tax Rich Business Owners Skip That W-2 Workers Can’t: How S Corp Profits Escape the Medicare Surtax
A salaried nurse looks at her pay stub and sees Medicare tax coming out of every dollar she earns. It does not stop at a cap. Once her wages plus her spouse’s cross an income line, an extra ACA Medicare surcharge kicks in on top, and it also has no ceiling. There is no form […]
Raphinha gives Barcelona clear signal on his long-term future
Raphinha has told RAC1 he would be happy to extend his Barcelona contract beyond its current 2028 expiry and finish his career at the club, according to Barca Blaugranes. The Brazilian is currently ti...
Scott Gardner: We were solid in every department
Leeds United Under-21s put in an impressive performance at home to Newcastle United Under-21s, controlling the game throughout to secure three valuable points.Goals from Josh McDonald and Freddie Lane...
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. 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