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Sydney Sweeney under fire for ‘sexualising women’s sport’ in sports prediction ad
Olympic athletes have come out in force to condemn a sports betting advert featuring actor Sydney Sweeney in various states of undress
Statewide assessments demonstrate ELA and math recovery accelerate as science reaches record high
The Utah State Board of Education release 2025-2026 statewide assessment results in Utah show English Language Arts (ELA) and mathematics recovery accelerating, and science results reaching record highs. The Big Picture The 2025–2026 Utah statewide assessment results demonstrate continuous multi-year academic growth following pandemic-related disruptions. Across all core subjects, student performance increased year-over-year, reflecting sustained multi-year gains.Most notably, Science performance has exceeded pre-pandemic baseline levels, while English Language Arts (ELA) and Mathematics are closing in on full recovery. Assessment results are available interactively […]
Jacoby Brissett Makes Strong Statement After Cardinals Upset Chargers
Jacoby Brissett and the Arizona Cardinals are riding high after an exceptional performance on Sunday afternoon. Arizona is coming off of a 26-14 victory over the Los Angeles Chargers. The game flow ensured a relatively close battle, but the Cardinals pulled away late to earn a signature win. Brissett spoke to media following the game, […] The post Jacoby Brissett Makes Strong Statement After Cardinals Upset Chargers appeared first on HEAVY.
Carney pitches Canada to global investors as Trump tries to pull investment south
Canadian Prime Minister Mark Carney is courting some of the world’s biggest investors as he tries to reduce Canada’s economic dependence on the United States during an escalating trade war with President Donald Trump.
Carney pitches Canada to global investors as Trump tries to pull investment south
Canadian Prime Minister Mark Carney is courting some of the world’s biggest investors as he tries to reduce Canada’s economic dependence on the United States during an escalating trade war with...
Carney Pitches Canada to Global Investors as Trump Tries to Pull Investment South
TORONTO (AP) — U.S. President Donald Trump wants factories and investment moving south to the United States. Canadian Prime Minister Mark Carney is betting he can make billions flow north. About 300 CEOs and senior executives from some of the world’s biggest investment firms will descend on the Four ...
HTF MVP WEEK 4 NOMINEES
HENDERSON, Ky. (WEHT) – Vote: https://www.tristatehomepage.com/htf-mvp-voting/#/questions
Takeaways from Memphis’ 18-point loss to Boise State
Memphis lost for the first time in the Charles Huff era Saturday night against Boise State. The Tigers led by 14 points in the first half, but the Broncos dominated the second half to record an 18-point victory.
Air Force needing quicker starts in games ahead
(U.S. AIR FORCE ACADEMY)- The Falcons ran a total of six plays by the time 16 minutes had passed in their 38-32 loss to North Dakota State. That put them in a deficit they could not come back from and is something each player and coach knows can’t happen if Air Force wants to have […]
GoPowercat’s Ryan Gilbert joins K-Nation
MANHATTAN (KSNT) — GoPowercat’s Ryan Gilbert joins this week’s episode of K-Nation. Gilbert sits down with KSNT 27 Sports Director Kole Emplit to talk about the 2-0 start to the season for the K-State football team, the strong defensive play and special teams making an impact. You can watch the interview above or on this […]
What Charles Huff said after the loss to Boise State
Following Memphis’ 38-20 loss against Boise State, Charles Huff met with the media to discuss what happened in the loss. He spoke about the issues on both sides of the ball, but he did add that the team would be able to learn things from the loss.
Eli Coenen Leads the Big Ten in Sacks
After a dismal year in the trenches, transfer addition Eli Coenen has ignited the Spartans' defense, racking up more sacks in two games than any 2025 predecessor.
RNC convention leaves town. Home stretch of election begins.
Labor Day weekend is usually the kick-off to the last two months of the election where candidates really hone their message and hit the campaign trail. Lone Star Politics breaks down the highlights of the first ever midterm Republican National Convention in Dallas and speak to Democratic candidate for U.S. Senate and State Rep. James Talarico.
Pennsylvania woman dies from measles complications
The Jefferson County, Pa., Coroner’s Office on Sunday said a 40-year-old woman died from complications with measles, the state’s third measles-related death this year. Coroner Greg Furl…
Ivy Business Week returns with career prep, service and events
Iowa State students will have opportunities to connect with business professionals, explore careers and build professional skills during this year’s Business Week from Monday to Friday. The annual celebration, hosted by the Ivy College of Business, lets students join an employer panel, receive resume and professional introduction feedback, learn about graduate programs and take part...
Is Rodney Fields Creating Separation In Kansas State Wildcats Backfield?
Oklahoma State transfer Rodney Fields has run for at least 100 yards in two straight games for the Kansas State Wildcats
Jayden Savoury Second in the Big Ten in Receiving Yards
Sophomore sensation Jayden Savoury has emerged as a dynamic weapon for Michigan State, leveraging explosive cross-field plays to climb the conference leaderboards and ignite the Spartans' passing attack.
Ohio State researchers win $3 million grant to study menopause in women veterans
A new $3.06 million Department of Defense-funded study between The Ohio State University Wexner Medical Center and the Soter Women's Health Research Program wil
Another measles-related death reported in Pennsylvania as outbreak grows
The Pennsylvania Department of Health has reported 676 measles cases in the state.
Pennsylvania officials report state\'s 3rd death involving measles
A Pennsylvania woman's death is the state's third this year involving the measles virus. Jefferson County Coroner Greg Furlong says on Facebook the 40-year-old woman died Saturday from complications associated
India’s regional politics continue to evade central capture
India's 2026 state elections contradict the story of the BJP building a national political order, with electoral results shaped by distinct regional identities and traditions
Bison Have Rebounded From Brink Of Extinction To Become Big Business In Wyoming
American bison have rebounded from the brink of extinction to become one of the West’s great conservation stories. It happened in part because Wyoming…
USA women win fifth basketball World Cup in a row
The United States win their fifth consecutive Women's Basketball World Cup with a 97-79 victory over France in Berlin.
Ravens Dominate Colts in Statement 41-23 Season-Opening Win
The Baltimore Ravens couldn’t have asked for a better start to the 2026 season. Baltimore traveled to Indianapolis and dominated the Colts 41-23 , giving new head coach Jesse Minter a statement victory in his first regular-season game. The Ravens overwhelmed Indianapolis on both sides of the ball, piling up 506 total yards while controlling…
Learn More About Soil Health with SDSU Extension Webinar Series
BROOKINGS, S.D. – South Dakota State University Extension will host a series of webinars for farmers and ranchers interested in learning more about soil health....
ETSU to name College of Arts and Sciences after $15 million gift
JOHNSON CITY, Tenn. (WJHL) – East Tennessee State University announced a new name for its College of Arts and Sciences on Friday. The Phil and Martha Bachman College of Arts and Sciences, the…
Adult woman dies of measles complications in growing Pennsylvania outbreak
A 40-year-old woman who lived in Jefferson County, Pennsylvania, has died from measles complications, the county coroner confirmed Sunday. It’s the third measles-associated death in a fast-growing outbreak that’s sparked a political clash between state and federal officials.
Illinois High School Football Rankings: Top 25 Teams
Things remain fairly static at the top of the state of Illinois rankings per The Massey Ratings. There was some movement towards the bottom of the top ten though and the No. 2 spot in the state changed:
Pennsylvania reports third measles-related death of 2026
A Pennsylvania woman died from complications associated with measles, marking the state's third measles-related death in 2026 as the United States faces the largest resurgence of the contagious
Leeds United fan Lottie Woad helps Europe reclaim Solheim Cup
Leeds United fan Lottie Woad played a key role as Team Europe reclaimed the Solheim Cup with a 15-13 victory over the United States.Woad defeated Auston Kim in the singles on Sunday, moving Europe to ...
Scott Boras Makes Cincinnati Reds Star's Future Clear
The long-time agent's recent statement indicated that Elly De La Cruz will likely test the market when he hits free agency in 2029.
Grading Iowa Football's Win Over Iowa State
What grade does quarterback Hank Brown receive after completing 70% of his passes against the Cyclones?
The secret ballot has been an article of faith in U.S. elections. That's being tested in Georgia
The system's vulnerability has been drawing increased attention, with election security advocates criticizing state election officials for failing to fix it before the November elections.
Political analyst talks influence of data centers on upcoming election
Gov. Tina Kotek announced a moratorium on data centers on Oregon state land. Political analyst Rick Metsger discusses its election impact.
Pennsylvania woman dies from measles complications, marking the state’s third this year
The 40-year-old woman’s death comes as the U.S. experiences its worst outbreak in 35 years.
Memphis drops CFP statement game to Boise State, 38-20
Boise State scores 32 of the final 35 points and shuts out Memphis in the second half.
Political debate over AI intensifies amid warnings about ‘catastrophic risk’
(CNN) — The debate around artificial intelligence is ramping up in Washington, with Democratic lawmakers sounding alarms on the dangers they say the technology poses and Republican leaders suggesting those concerns are inflated and secondary to winning the AI race with China.Some Democratic lawmakers last week pressured House Speaker Mike Johnson to reconvene the chamber immediately to work on AI regulation, citing what they describe as the “catastrophic risk posed by advanced artificial intelligence.” But the Louisiana Republican on Sunday resisted those calls, instead saying industry leaders should meet with lawmakers to find “balance” in any potential guardrails.“If Congress just races in and does some sort of emergency session to try to regulate AI, we will lose the race to China, and that is a threat to every single American,” Johnson said on CNN’s “State of the Union.”Meanwhile, former President Barack Obama told Democrats to make artificial intelligence regulation a central part of their agenda during a private fundraiser Thursday, warning that the technology could be dangerous “if we don’t get on top of it.”In a fireside chat with House Democratic Leader Hakeem Jeffries, Obama said whoever runs in the 2028 presidential election should have a “very clear plan” on AI, adding that he saw the need for a “blueprint” on AI guardrails even at the end of his presidency a decade ago.“Certainly, if I were running for president next year, this would be one of my central agendas, and I would have a very clear plan, and I would talk about this, and I would say, ‘Here’s our plan for safety, here’s our plan for making sure our kids are not corrupted by this,’” he said, per excerpts of the remarks provided to CNN by his office. Obama’s remarks were first reported by the New York Times.Concerns over the rapid acceleration of AI reached a fever pitch after Anthropic CEO Dario Amodei wrote in a 3,800-word essay Saturday that the race to develop artificial intelligence is in dire need of a slowdown. The call to action came after an OpenAI test model breached the Hugging Face online platform, deepening concerns about cybersecurity.In an exclusive interview with CNN’s Anderson Cooper on Saturday, Amodei called on industry leaders to work together to avoid “the wrong paths” and the possibility of AI harming humanity.One Anthropic researcher, Jacob Coxon, resigned from the firm over worries that the industry wasn’t doing enough to prevent AI from destroying humanity by the end of the decade.Obama said Democrats need a plan to get their agenda on AI underway should they win the House majority in this year’s midterms.Speaking to Jeffries, who is presumed to be speaker of the House should Democrats prevail in November, Obama said, “Once you are speaker, I would strongly urge that the Democrats put together a framework for a very public conversation, and you can break it out into three or four or five issues.”Obama stressed that the framework should be centered on the reality that the technology can’t be stuffed “back into a box.”“This is something that is moving very fast in private hands, and if we don’t get on top of it, I think can be dangerous. If we do get on top of it, I do think it’s beneficial,” Obama said, laying out examples of AI’s potential use in drug development and finding pathways to a clean energy future.“We don’t want to shut off those opportunities, but we have to understand that this is a tool,” he said.Jeffries agreed with the former president in a statement provided to CNN on Sunday.“President Obama is correct that decisive action must be taken on Artificial Intelligence,” he said, adding, “In the majority, we will move urgently on this issue with a legislative response that recognizes the importance of American companies continuing to lead in the Artificial Intelligence area, while putting in place meaningful guardrails that protect the American people from bad actors and the very real damage that can be done to humanity.”Jeffries also accused Republicans of having “abdicated their responsibility to govern” and said Democrats “will not repeat their error.”A source familiar with Obama’s thinking said the former president sees Amodei’s letter and similar reaction from other tech moguls as an encouraging development.But President Donald Trump waved off their concerns, saying he is not worried about any existential threat posed by AI, focusing instead on the US winning in its development of the technology over China.“We’re leading China in AI. We’re the most sophisticated country in the world, and frankly, I want to keep it that way,” Trump said to reporters at the Amgen Irish Open on Sunday.About the concerns expressed by Democrats and others over the technology, the president said, “I think you have a lot of negative forces that are bringing it up that shouldn’t be bringing it up, and they’re bringing up things that won’t happen.”One of Trump’s top economic advisers, Kevin Hassett, also rejected the calls for slowing the technology down, saying on Sunday the bigger concern is a scenario in which a “malevolent actor has access to an AI that’s better than the one we have that can protect us.”Hassett, the National Economic Council director, said on “State of the Union” the White House may hold meetings this week about addressing Amodei’s concerns, but he did not specify whether Trump had floated greater safeguards.“I have concerns that if we don’t win AI, we’re going to be put in a very bad position,” Hassett said. “We are leading China right now.”CNN’s Alison Main and Molly English contributed to this report.The-CNN-Wire™ & © 2026 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.THE-CNN-WIRE (TM) & © 2026 CABLE NEWS NETWORK, INC., A TIME WARNER COMPANY. ALL RIGHTS RESERVED.
CDC issues advisory on uptick in rabies exposures. See where N.Y. stands
According to data from the New York State Department of Health, around 150 animals across the state have tested positive for rabies this year.
Oregon freefalls in latest US LBM Coaches poll after loss
After the crushing loss at Oklahoma State, the Ducks take a massive drop in the US LBM Coaches poll.
Former FSU playmakers power Tulane comeback
Former Florida State players Jaylin Lucas and Destyn Hill played starring roles in Tulane’s comeback win.
Partial kratom ban signed by Dutchess County executive
Sue Serino released a statement, saying this was an important first step toward getting kratom off the shelves.
How Wyoming Border Patrol Turned Coloradan Jokes Into A Viral Business Sensation
Wyoming Border Patrol is a hit on social media. Viral videos with millions of views lampooning Colorado have turned the Laramie apparel company into a…
City Hall Construction Is Squeezing Old Town Businesses. Alexandria Is Looking for Ways to Help.
Businesses beside Alexandria City Hall say the years-long renovation is cutting foot traffic and parking. The City is now considering parking help, promotion and other relief.
Donor search: Watertown business leader searching for kidney donor
WATERTOWN – Dave Yelk is a familiar presence around the city. He’s a real estate agent for Realty Executives Platinum, with an office wall filled with dozens of glowing letters
Prop 39 would make California the 37th state to require voter ID
California voters will decide this November whether to approve Proposition 39, a measure that would require government-issued identification for in-person voting and different verification for mail-in ballots.
Assemblyman Rick Zbur explains possible data center regulations he helped write
California lawmakers are working to regulate data centers, which consume significant water and electricity, to ensure they benefit the state’s economy without harming public resources.
Penn State Battles Past Temple: Post-Game Link Dump
Penn State had to deal with adversity after several missed opportunities lead to a slow start. The Nittany Lions defense continues to dominate with another tenacious performance. Matt Campbell discussed the time management situation at the end of the first half. The are concerns about Penn State’s rushing attack after the run game failed again […]
Letter: Larger discussion needed on WNC health services
“Until and unless Dogwood Health Trust revisits its oversight of Mission Hospital at the direction of the state, the status quo will prevail.”
Nurses to sympathy strike, picket on September 15 at five Prime Healthcare hospitals in four states
Registered nurses at three Prime Healthcare hospitals in Nevada and California, as well as nurses and health care workers at an additional hospital in California, will hold a sympathy strike for one day on September 15 in solidarity with nurses at Olympia Fields Hospital in Illinois who are striking on the same day to protest the suspension of six nurses at Olympia Fields Hospital.
Health department officials confirm ricin found in Hastings apartments
Officials said testing confirmed the substance found in a now-shuttered Hastings apartment complex was ricin, a potentially deadly toxin.
Former county judge, clerk and state rep Marilyn Edwards dies
Former Washington County Judge, County Clerk and State Representative Marilyn Edwards has died at the age of 88. Edwards, of Fayetteville, passed away on September 10,2026 in Springdale. She was...
Mike Francesa blasts NFL pregame shows as ‘clown acts’
Mike Francesa is not a fan of the current state of NFL pregame shows. While going through his “Francesa Five” picks on his eponymous podcast on Friday, Francesa took a swipe at pregame shows. He did not point out one pregame show in particular, but seemed against the general practice of them in their current…
Turbotville man reportedly cheats auction business
Kelly Township, Pa. — State police say the plan to charge a 25-year-old Turbotville man after he allegedly swindled a Union County auction business out of more than $1,000.
Game Discussion: Milwaukee Brewers vs. Cincinnati Reds
The State of Wisconsin sports will be going for a rare weekend sweep, and it’ll begin with the Brewers taking on the Reds. With the Brewers soundly taking care of games one and two, and the Badger football team winning their first of the season, the Brewers and Packers will be up next to finish […]
'All INdiana Politics': Indiana Supreme Court reverses recount, restores Deery to ballot
The Indiana Supreme Court reinstated Senator Spencer Deery as the winner of the May 5 Republican primary, while Senator Todd Young discussed economic proposals and national security concerns during a midweek update.
Family of late Iowa State sports editor fundraises for scholarship, studio renovation
Christian was killed in a wrong-way car accident on Highway 30. He was just 26 years old.
NH's Business: Managing wildfire risks across New Hampshire
Fred Kocker sits down with Jack Savage with The Society for the Protection of NH Forests to talk about what the state is doing to monitor and manage wildfires.
How the rise of AI music has reached students at Florida State
The increased use of AI has resulted in an increase of AI-generated music. This content has reached the classrooms and airpods of FSU students.
Miami real estate broker nears $1 billion in deals
Jordan Karp started his own real estate brokerage at 26. Now, he's nearing $1 billion in deals and works nonstop in Miami, Florida.
Takeaways from Colorado football's dominant win over Weber State
Colorado took down Weber State with an explosive passing attack paired with a 100-yard rusher. Here are five takeaways from the Buffaloes' Week 2 win.
Most men don’t know dairy is linked to prostate cancer risk
Most men may be missing an important dietary clue about prostate cancer. A new survey found that only 20% knew research has linked dairy consumption with increased prostate cancer risk, while 66% said they would consider avoiding dairy after learning about the connection. Studies have also associated plant-based diets with substantially lower risks of prostate cancer, progression, and recurrence.
Health officials urge measles vaccine as school starts
As Central Oregon students return to school, the state is seeing a new low in kindergarten vaccination rates. That comes amid a measles outbreak and public health professionals urging people […]
How the BJP is reorganising Indian politics
The BJP directly won only one of India’s four 2026 state elections, yet a wider political reorganisation may have brought its alliance closer to a two-thirds majority in the Lok Sabha
Hawkeye Football: The Morning After Iowa State vs Iowa
Iowa’s passing game helps the Hawks cement the victory as they escape with a 16-13 win over ISU
FULL SHOW: Inside INdiana Business 9/13/26
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Lakeland’s (LAKE) Fire Business Is Carrying A Bumpy Turnaround
On September 9, Lakeland Industries (NASDAQ:LAKE) reported fiscal second-quarter results that told two very different stories depending on which line of the income statement you read. Net sales fell 4.5% year over year to $50.1 million, yet climbed 5.7% sequentially, powered by a Fire segment that now makes up more than half the business. The […]
Scott Wiener has authored more than 100 laws
Loss of land use control to the state is a wedge issue.
Johnson County mobile integrated healthcare program expands
Thanks to a state opioid use disorder grant, Johnson County Ambulance Service’s mobile integrated healthcare added another community paramedic, and plans to expand further with Healthy Hometowns funds
I'm 74 and sell luxury homes. I'm seeing a shift in how families live.
Real estate agent Scheryl W. Glanton says multigenerational living is reshaping what some luxury buyers want from a home.
Ron DeSantis endorsed a state Senate candidate on 9/11. It could have waited.
Campaigns have mostly learned to leave the logos off 9/11. The Governor hasn't learned to leave the day alone.
College football rankings: Updated NCAA Top 25 polls after Ohio State, Oregon losses in Week 2
A look at where things stand after a thrilling Week 2.
The White House’s Midterm-Travel Sweepstakes
Cabinet members were rewarded points and praise for appearing in congressional districts and states with competitive midterm elections.
Gladbach part ways with coach Eugen Polanski
Borussia Mönchengladbach have parted ways with coach Eugen Polanski, the Bundesliga club said in a statement on Sunday. "Despite a good pre-season and some encouraging signs, the team haven't been able to get the results we were looking for in the Bundesliga," head of sports Rouven Schröder said.
Pols & Politics: The Massachusetts primary winners and losers are …
The Herald takes a look at the winners and losers from the Sept. 1 primary, where some races, particularly one pitting Boston’s mayor against the state Senate, were still up in the air a week later.
Titans scouted Missouri vs. Kansas, Washington State vs. Kansas State
The Tennessee Titans scouting team is attending college football games to evaluate prospects for the 2027 NFL draft.
Why Democrats will turn out even if they dislike their party’s leaders
At a rest stop off Interstate 95, Democratic voters said they are starting to set aside their frustrations to coalesce around the party's midterm candidates.
Kehoe holds signing for new health care licensing law
Gov. Mike Kehoe stopped in Kansas City on Thursday for a ceremonial signing of a new bill that opens doors for out-of-state health care professionals.
Major investments, changes coming to central Illinois business
As the state works to phase out coal-fired power plants, a gas-fired facility will be built in central Illinois.
Major investments, changes coming to central Illinois business
As the state works to phase out coal-fired power plants, a gas-fired facility will be built in central Illinois.
Brewers Manager Makes Kyle Harrison Statement Amid Recent Struggles
The Milwaukee Brewers will have to figure out a way to get Kyle Harrison going. The left-hander has brutally struggled in his last three appearances, allowing 17 runs in his last 7.1 innings. Brewers manager Pat Murphy spoke about Harrison’s struggles after the game. He told the left-hander, “Look Harry, we’ll get this straight. This […] The post Brewers Manager Makes Kyle Harrison Statement Amid Recent Struggles appeared first on HEAVY.
Walters: California’s political hopefuls remain silent on state’s job losses, unemployment
California has lost jobs and its workforce. By many measures, it has some of the highest unemployment and underemployment rates in the country.
This Is Why Ohio State Should’ve Let Texas Score
The Ohio State Buckeyes had no business losing to the Texas Longhorns on Saturday night, not after the way OSU had dominated much of the game. But down the stretch, Arch Manning and the Longhorns started scoring, and the Texas defense began getting stops. All of a sudden, Texas was on the doorstep with less […] The post This Is Why Ohio State Should’ve Let Texas Score appeared first on HEAVY.
Opinion | Murder cases highlight racial disparity in postpartum care
"Unfortunately the federal government is unlikely to address these issues," writes Dr. JudyAnn Bigby, former state secretary of health and human services.
Unfinished Business: Star-Studded Moorhead Spuds Eye State Championship Run
Inside the weight room and across the practice turf at Jim Gotta Stadium, the energy surrounding the Moorhead Spuds football team carries a different edge this fall.
Unfinished Business: Star-Studded Moorhead Spuds Eye State Championship Run
recurring recording of Valley News Live at 10:00PM Sunday KX4 - VOD
OPS educators bring statewide science leadership training back to classrooms
Four Owensboro Public Schools teachers and Lindsey Alvey, the district math and science coordinator, were selected as part of the second cohort of the Kentucky Department of Education’s RISE Leadership Academy, a program focused on developing teacher leaders and improving science instruction across the state.
College football scores, results: Texas rallies past Ohio State in thriller; Oklahoma State stuns Oregon
MSU’s Trent Fraley puts his family legacy on his back
EAST LANSING, Mich. (WLNS) – Michigan State redshirt senior Trent Fraley has had a football in his hands ever since he could walk and soon after, he was working to follow in his dad’s footsteps. Fraley is the son of former NFL center Hank Fraley who played for the Philadelphia Eagles, Cleveland Browns and St. Louis […]
HTF WEEK 4 PLAY OF THE NIGHT
HENDERSON, Ky. (WEHT) – Vote Now: https://www.tristatehomepage.com/home-team-friday/play-of-the-night/#/questions
Non-gaming entertainment brings huge tax revenue to Nevada
The state of Nevada is reporting a nearly 400% increase in tax revenue that can be traced to a surge of live events and shows across the Las Vegas Valley.
Best photos of Texas' stunning comeback win over Ohio State
Three touchdowns in the final quarter led Texas to an amazing victory over Ohio State in Austin.
Benchmarking and bonuses: why Singapore pays its politicians like bankers
The city-state has some of the best-paid ministers in the world
Texas high school football: Saturday's scores from Week 3
Saturday's Houston-area and statewide scores from Week 3 of the Texas high school football season.
Bone Health Without the Hype
I am at the Australasian Menopause Society meeting and we had a fantastic lecture on Bone Health on Day 2, called, “Everything you need to know about bones - except the boring bits!” Spoiler alert, there were no boring bits. The lecture was given by Dr. Amanda Beech, who is a senior staff specialist in Obstetric Medicine and Endocrinology at the Royal Hospital for Women, where she is director of the Bone Density Unit. I want to summarize my top 10 take-aways for you. Share Osteoporosis is a disease of low bone mass, disruption of bone microarchitecture, and fragility of the skeleton. It is a silent disease…until someone develops a fracture. The diagnosis of osteoporosis is based on either fragility/minimal trauma fractures or a T-score of less than -2.5 on a DXA (Dual-Energy X-ray Absorptiometry) or bone scan. It is important to recognize that about 50% of minimal trauma fractures occur when women have low bone mass (often referred to as osteopenia), but not osteoporosis. This tells us that bone strength is more complicated than a number on a DXA report. I am going to add a little here that wasn’t in the talk (one can only include so much in 25 minutes), as many women might read the above paragraph and think, “Shouldn’t we be treating everyone with low bone mass if this is when 50% of the fractures occur?” Many fractures happen for women with low bone mass because there are so many women with low bone mass –it is a statement about the population on a whole, not about the fracture risk of low bone mass. For you as an individual, bone density is only one component of fracture risk and many women with lower bone mass will not have a significantly elevated fracture risk. This is why individualized risk assessment matters. Subscribe We build bone in our teens and twenties, and by the time we are about thirty we have reached peak bone mass. This is why, when we discuss risk factors for osteoporosis, it is important to consider factors that might have affected us in our teens and twenties when we were actively building bone, such as nutritional restriction/energy imbalance. It is important to ask women about a history of eating disorders, and for those with such a history, getting a bone scan in perimenopause or at age 50 is likely warranted. (This image below isn’t from the talk, but is similar to one that was). Bone mass is relatively stable until about two years before the final menstrual period, and perimenopause marks a time of rapid bone loss for women. Using urinary markers of bone loss we know that the time of significantly accelerated bone loss starts about 1 year before the final period and ends about 2 years after the final period. The Study of Women’s Health Across the Nation (SWAN) shows that over the menopause transition women lose an average of 10.6% of the bone at their lumbar spine and 9.1% at the femoral neck While this wasn’t covered in the lecture, I want to add that the rapid bone loss during perimenopause is clearly related to more than estradiol, because during this time estradiol levels can be erratic and not uniformly low. Bone loss during perimenopause is likely a multi-hormone event. For example, rising FSH (follicle stimulating hormone) tracks with bone loss better than estradiol, and there is evidence that FSH may act directly on bone. While decreased estrogen matters, there is clearly more going on. FSH and bone is an active area of research. Subscribe Screening for osteoporosis was recommended fairly broadly before age 65, and was taken from the “Practitioner’s Toolkit for Managing Menopause,” from Monash University. Here is a screenshot from the toolkit that was used as a slide: I am going to add a little bit more about body weight here for clarification. Low body mass (typically 152.1 lb): 0 points (risk neutral) 60–69 kg (132.3–152.1 lb): 3 points (adds some risk)
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