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Chronic stress can wreak havoc on your mind and body

ExploreGeorgia once again in top 20 of WalletHub’s most stressed states

When the natural stress response goes wild

The body’s stress response system is usually self-limiting. Once a perceived threat has passed, hormone levels return to normal. As adrenaline and cortisol levels drop, your heart rate and blood pressure return to baseline levels, and other systems resume their regular activities.

But when stressors are always present and you constantly feel under attack, that fight-or-flight reaction stays turned on.

The long-term activation of the stress response system and the overexposure to cortisol and other stress hormones that follow can disrupt almost all your body’s processes. This puts you at increased risk of many health problems, including:

  • anxiety
  • depression
  • digestive problems
  • headaches
  • muscle tension and pain
  • heart disease, heart attack, high blood pressure and stroke
  • sleep problems
  • weight gain
  • memory and concentration impairment

That’s why it’s so important to learn healthy ways to cope with your life stressors.

Explore5 signs of excessive stress, according to ANA’s Well-Being Initiative

Why you react to life stressors the way you do

Your reaction to a potentially stressful event is different from anyone else’s. How you react to your life stressors is affected by such factors as:

Genetics. The genes that control the stress response keep most people on a fairly steady emotional level, only occasionally priming the body for fight or flight. Overactive or underactive stress responses may stem from slight differences in these genes.

Life experiences. Strong stress reactions sometimes can be traced to traumatic events. People who were neglected or abused as children tend to be particularly vulnerable to stress. The same is true of airplane crash survivors, military personnel, police officers and firefighters, and people who have experienced violent crime.

You may have some friends who seem relaxed about almost everything and others who react strongly to the slightest stress. Most people react to life stressors somewhere between those extremes.

Explore5 ways to stay positive in a sometimes negative world

Learning to react to stress in a healthy way

Stressful events are facts of life. And you may not be able to change your current situation. But you can take steps to manage the impact these events have on you.

You can learn to identify what causes you stress and how to take care of yourself physically and emotionally in the face of stressful situations.

Stress management strategies include:

  • Eating a healthy diet, getting regular exercise and getting plenty of sleep
  • Practicing relaxation techniques such as yoga, deep breathing, massage or meditation
  • Keeping a journal and writing about your thoughts or what you’re grateful for in your life
  • Taking time for hobbies, such as reading, listening to music, or watching your favorite show or movie
  • Fostering healthy friendships and talking with friends and family
  • Having a sense of humor and finding ways to include humor and laughter in your life, such as watching funny movies or looking at joke websites
  • Volunteering in your community
  • Organizing and prioritizing what you need to accomplish at home and work and removing tasks that aren’t necessary
  • Seeking professional counseling, which can help you develop specific coping strategies to manage stress

Avoid unhealthy ways of managing your stress, such as using alcohol, tobacco, drugs or excess food. If you’re concerned that your use of these products has increased or changed due to stress, talk to your health care provider.

The rewards for learning to manage stress can include peace of mind, less stress and anxiety, a better quality of life, improvement in conditions such as high blood pressure, better self-control and focus, and better relationships. And it might even lead to a longer, healthier life.

For more content like this, sign up for the Pulse newsletter here.

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Although increased awareness and diagnosis are likely contributing factors, disruptions in cerebral gene expression early in development also could be responsible.”"},{"_id":"E6RT3F4ZUVDNJKH24WD5E3JL2E","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478805},"type":"text","content":"The researchers acknowledge more studies are needed to determine whether antibiotics directly affect brain development or if molecules from the microbiome travel to the brain and disturb gene activity and cause cognitive deficits. The study was published in the journal iScience."},{"_id":"YE7SEXTTHFECVOKWCU4D3WZ7CI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626292478806},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"2GVIRFIVAREMLMBIXCAKK5FW6M","additional_properties":{"comments":[],"_id":"6OSNXWUKDFFQPB5YJ2ZU7Y3MEA"},"type":"interstitial_link","content":"Study: Antibiotic use in babies linked to ongoing illnesses","url":"https://www.ajc.com/life/study-antibiotic-use-in-babies-linked-to-ongoing-illnesses/EA7WMDRK65C6BP2TMH7ID3ATKU/"},{"_id":"F32BIQRRWZFMDIQOPUUDZB7RJI","additional_properties":{"comments":[],"_id":"VG5CUVF4RJBUZOCAYDHOYXA3FA"},"type":"raw_html","content":"

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The same is true of airplane crash survivors, military personnel, police officers and firefighters, and people who have experienced violent crime."},{"_id":"KIOM37WJABBSFOKHZVKVH23MNI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427285},"type":"text","content":"You may have some friends who seem relaxed about almost everything and others who react strongly to the slightest stress. 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But you can take steps to manage the impact these events have on you."},{"_id":"WSXG3EKUXZB37GWIHRIGNKNZQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427288},"type":"text","content":"You can learn to identify what causes you stress and how to take care of yourself physically and emotionally in the face of stressful situations."},{"_id":"DGPDIBXRVZEJLDQIDRR5SPCVLI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427289},"type":"text","content":"Stress management strategies include:"},{"list_type":"unordered","_id":"2AF5FJ5ROJCOJNFMHOH5WHAV7E","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"QR5IJXVR6JGYVLUB5M24LV3N24","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Eating a healthy diet, getting regular exercise and getting plenty of sleep"},{"_id":"UCSBLHZZFJH2HOCJ6PZU7VT2SY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Practicing relaxation techniques such as yoga, deep breathing, massage or meditation"},{"_id":"GKDG732H25CSZGCWJLPSHUSV6Q","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Keeping a journal and writing about your thoughts or what you’re grateful for in your life"},{"_id":"ZLYSLHOSP5BILHZT3D2MPNEL2I","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Taking time for hobbies, such as reading, listening to music, or watching your favorite show or movie"},{"_id":"74ZCOW4HRFHJ7A6JIR5MZT3LZY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Fostering healthy friendships and talking with friends and family"},{"_id":"J4M5OXDLZZAJ3KF7WOQV7VLIHQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Having a sense of humor and finding ways to include humor and laughter in your life, such as watching funny movies or looking at joke websites"},{"_id":"6KCYUGL2V5HGTFOC6GVOIVQ4MA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Volunteering in your community"},{"_id":"PNQ66PAURJEOPO35ISDJHLC2LQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Organizing and prioritizing what you need to accomplish at home and work and removing tasks that aren’t necessary"},{"_id":"YPAW5J4J5VEKPHVHQSX6ZLRFLM","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Seeking professional counseling, which can help you develop specific coping strategies to manage stress"}]},{"_id":"YLESWDHNSZEBXCVQIO43VAMIX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1626290427291},"type":"text","content":"Avoid unhealthy ways of managing your stress, such as using alcohol, tobacco, drugs or excess food. 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During the COVID-19 pandemic, I didn’t get as much exercise and I gained some weight. I now feel like I have less energy. I was previously infected with COVID-19. Is it safe to start exercising again in a crowded gym so that I can work out, lose some weight and gain some energy? Should I wear a mask?"},{"_id":"OQHSTCMSUBBXTIJYCTTROR5TEI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090091},"type":"text","content":"ANSWER: Regular physical activity and structured exercise can benefit people of all ages and physical abilities. These benefits include improvements in overall health, fitness and quality of life, as well as a reduction in the risk of chronic conditions such as heart disease, Type 2 diabetes, dementia and certain types of cancer. Regular exercise also can help maintain healthy body weight, improve mood and feelings of energy, reduce anxiety, and promote good sleep."},{"_id":"T2V63ZAXVREIBM2TMF53QZUQBY","additional_properties":{"comments":[],"_id":"O473T4KORBFO7BOGYPCMKCCQEQ"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"MEETPY55FZBUFLCX22DLS2CRJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090093},"type":"text","content":"The Centers for Disease Control and Prevention and the World Health Organization acknowledge that regular physical activity and exercise is not only safe, but also necessary to promote the health benefits described above. The risk of experiencing more severe COVID-19 symptoms is greater among people with conditions such as obesity and high blood pressure — both of which can be beneficially modified by regular physical activity. Furthermore, regular moderate intensity exercise helps boost immune function, which can protect against or reduce disease severity if you were to become reinfected with COVID-19. This may be why major research findings published in Mayo Clinic Proceedings and the British Journal of Sports Medicine suggest that meeting physical activity guidelines and having greater fitness decrease the likelihood of a severe COVID-19 infection."},{"_id":"MVMR37ZWQFC2ZJOT7QGTGPTGJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090094},"type":"text","content":"You may have heard it said that exercise is “aerosol-generating.” During exercise, the amount of air moved in and out of the lungs increases. This means that, like coughs and sneezes, exercise can increase the number of particles released into the surrounding environment. The virus that causes COVID-19 likely spreads in these respiratory particles."},{"_id":"44HTH4LCDVGUZF4K2Q27DOBFAQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090095},"type":"text","content":"As COVID-19 vaccination rates increase, CDC guidance on the use of masks and social distancing is regularly updated. When considering how to safely take part in physical activity or structured exercise, you are advised to follow current public health guidance."},{"_id":"CCLEHAOCHJEANDZC3IQVJ6K2OY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090096},"type":"text","content":"Exercising outdoors and avoiding large groups of people is preferable, especially if you are not yet fully vaccinated for COVID-19. If you wish to exercise in a community gym, then maintaining appropriate distance between you and others, and wearing a mask, is advisable. If you prefer to exercise indoors, consider doing so in the comfort and safety of your home."},{"_id":"LZHIL7FJERFXHCLKRYGILNCWYU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090097},"type":"text","content":"There have been concerns that wearing a mask during exercise may increase breathlessness, require a greater amount of respiratory effort, and may even cause issues related to rebreathing of your own exhaled carbon dioxide. While wearing a mask during exercise may feel uncomfortable, accumulating evidence indicates that doing so has at worst only a negligible effect on how your body responds to exercise. It also has been suggested that exercising while wearing a mask is safe with no negative health implications, even during hard exercise."},{"_id":"OOVR66GSY5BJHFJHISJQLJMZHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090098},"type":"text","content":"If you have not been fully vaccinated, it is still advisable to wear a mask during exercise, especially indoors. But consider using a lighter cloth or surgical mask, and exercising at a lower intensity."},{"_id":"4Q64C4O63VDXPCCFIWFP6UYLBI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090099},"type":"text","content":"It is important to stress that anyone who wants to increase their physical activity or start exercise training after being infected with COVID-19 should first discuss this with their primary care provider."},{"_id":"EGAHYV4UEBA73ETQABRZD3QYX4","additional_properties":{"comments":[],"_id":"5GT2AG5JIVHTLN3NL2OOUHQRLI"},"type":"interstitial_link","content":"Physical activity at any intensity will help you live longer, study finds","url":"https://www.ajc.com/lifestyles/health/physical-activity-any-intensity-will-help-you-live-longer-study-finds/avOdqbC8RxokGuiA0hnTqO/"},{"_id":"WNXTN2CWUZC2TIYFEN2B5GQW2E","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090101},"type":"text","content":"A recent report in The BMJ suggested that while there may be certain risks associated with restarting physical activity after hospitalization due to COVID-19, people who experienced mild to moderate COVID-19 symptoms and did not require hospitalization can resume physical activity about one week after symptoms have subsided. It is advised that these people return to activity in a gradual manner, perhaps starting with a week of low-level stretching and muscular strengthening exercise. You can build up to walking with gradual increases in exercise time, while avoiding high-intensity training or prolonged exercise during the initial return to normal activity. Those who were hospitalized should seek medical advice from a health care professional to assess their risk before returning to activity."},{"_id":"JZHGUIJHP5FDRCA6EIQT7AIKLI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090102},"type":"text","content":"You should be realistic about how quickly you can return to your level of activity before COVID-19, considering the possible effects of detraining following an extended period of inactivity. Furthermore, those with lingering COVID-19 symptoms sometimes referred to as post-acute COVID-19 syndrome or “long COVID,” might encounter greater difficulties returning to exercise. Again, such people should seek the advice of their health care provider before returning to their level of activity prior to COVID-19."},{"_id":"P3OZ7WNBSJHSPFOIAD55SGFZSY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090103},"type":"text","content":"Always speak to your primary care provider if you have questions about exercise or symptoms."},{"_id":"4QT5KOBQQJFMFLESQZOIMZJNTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626202090104},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"VOP2KK2V6RCKPN72GYT3IB6QIY","additional_properties":{"comments":[],"_id":"2GTRPJCURJFEFND73JYWMDPGNA"},"type":"interstitial_link","content":"Women need to ‘sit less, walk more’ for heart health, studies find","url":"https://www.ajc.com/life/women-need-to-sit-less-walk-more-for-heart-health-studies-find/7DOZZSQBQNDXPAGLN5R2QDRRAI/"},{"_id":"Z6BA2THSBREZHE7CBJDQPK5TPQ","additional_properties":{"comments":[],"_id":"RLBVR744VJBTRKJMB4UXZLTEMU"},"type":"raw_html","content":"

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There is tension either way. Finding middle ground can be tough."},{"_id":"4QMYBEON7ZGHXLI6YLMKB5DQGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876358},"type":"text","content":"Relationships are important, but they can put a strain on our mental wellness. We struggle to find balance, while trying not to offend those we care about."},{"_id":"77NPPV37ZFBRVMADXKNIXFMFAU","additional_properties":{"comments":[],"_id":"QOECAMUI3ZGHXPAYQXXE6NFCJU"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"QBUKAKZB4NDKHPKMGYV7V3T3JY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876360},"type":"text","content":"Maybe you’re neglecting some of your best friends or spending too much time with people who get on your nerves. Making a few adjustments can make a big difference."},{"_id":"H4ESBW2OXJFJVD4B5DQGJZMOZY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876361},"type":"text","content":"How do we create intimacy and find balance in our relationships? These tips can help:"},{"_id":"IESJXILTSNGU3ETEIKEBXQP7OM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876362},"type":"text","content":"Plan how you’ll spend time with friends and family. Try to make that time count. Figure out productive activities that benefit everyone involved."},{"_id":"2PEUOM6OZFABNL3KLCYUBXLN2Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876363},"type":"text","content":"Don’t share too many details about personal problems. For example, if you think your mate is cheating on you, you might share this with friends. However, don’t offer details that could make the gossip circle in your professional community."},{"_id":"EANKBQN4GZHMZCNLIOEKPPZDPU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876364},"type":"text","content":"Don’t unload too much negativity on others. Even if you’ve lost your job or you’ve been diagnosed with an illness, don’t tell others every detail. Why? Your problems, added to theirs, will make them want to avoid you."},{"_id":"4CYUH5X2PFEDNO75S6ISTRMEA4","additional_properties":{"comments":[],"_id":"JI55GIB3YBGFZFXQ6GRDSPNWNQ"},"type":"interstitial_link","content":"What are friends for? To lower your stress levels","url":"https://www.ajc.com/pulse/what-are-friends-for-to-lower-your-stress-levels/LAI6HY2PGVDHVCTKINLO4RHP4A/"},{"_id":"KK4V7JVXH5FVVAOLS3XH7C6QKA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876366},"type":"text","content":"Join a support group in some instances. For example, if your spouse is an alcoholic, visit an Al-Anon Group. For crisis situations, you need real answers, or you may try to solicit opinions from your friends. This is not fair to them."},{"_id":"IODAESDTQ5EOXO6LSW4NRO3TNU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876367},"type":"text","content":"Keep a journal. Write down your frustrations, fears and dreams on paper. By documenting your feelings, you won’t be as tempted to unload all of your emotions on friends and family members. Never try to deny or hide your deepest feelings. But, do keep certain feelings private."},{"_id":"TM3YHYVQ4BDEHCLHURVXZ6RPBI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876368},"type":"text","content":"“When I caught my boyfriend cheating on me, I told my two best friends all the details,” says a friend of ours we’ll call Emily. “I asked them not to share my pain with others, and they didn’t. But, if I’d told my sister this awful news, she would’ve told everyone.”"},{"_id":"5IKB46ZJ4RGBFGMXT6Q6PZB2IY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876369},"type":"text","content":"“We all can confuse love and friendship with turning someone into a god,” says a family therapist we’ll call Alana. “Most of us tend to believe our friends would never betray us. Not true. People are only human. They talk. They gossip. Not meaning to, they can give us bad advice.”"},{"_id":"ACDEF33HUBDXRBTRB4AXVEBUCQ","additional_properties":{"comments":[],"_id":"KTIHLHKJ4VGM5GKBDAOPINR6ME"},"type":"interstitial_link","content":"How to gain more respect from others","url":"https://www.ajc.com/pulse/how-to-gain-more-respect-from-others/6DSMB4NVC5CKXLJLURWJ2YE6FE/"},{"_id":"UVUOBXLVUBCQ5HPMB6CLAW6CIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876371},"type":"text","content":"Alana believes we find balance by having a circle of friends, not just one or two. All of our friends, she insists, fill a different role in our lives."},{"_id":"JAY6ESSSRZGTJFPQUG5B5VYFMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876372},"type":"text","content":"“Some friends can give us good financial advice,” Alana points out. “Others might be great traveling companions for a vacation."},{"_id":"ACUTLND4LNB4FAD6X55J7XMQ3M","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876373},"type":"text","content":"“I find it helpful to define what truly works in every relationship,” Alana continues. “I told my husband that I need his opinion on dealing with my cranky uncle. Should I visit Uncle Bill more, or should I back off and visit him less?”"},{"_id":"ALKZTIVEWJBNRFDEIZWVB3MMPE","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876374},"type":"text","content":"Alana says her husband, Joe, is very grounded. He told Alana, “Why don’t you ask Uncle Bill and let him voice his expectations?”"},{"_id":"VL5SQ5A7AFGM3BM6SXA4H2QDMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876375},"type":"text","content":"Alana did just that. She asked her uncle what would make him feel comfortable. Uncle Joe told her he liked her visits, but he missed playing cards and watching sports on TV with another male."},{"_id":"RTRXCZIVCFCLNEQQOEMJRESJTM","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876376},"type":"text","content":"“The perfect solution,” says Alana, “is that I now take my husband with me to visit Uncle Joe. A couple of times a month, they watch TV together while I clean Joe’s apartment. Once a month, the three of us play cards. My cranky uncle has turned into a different person.”"},{"_id":"YZLWKGRSUNA25MDX65S36WSAOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876377},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"5A4Z2XSKLVDI7GVP2I3P2DEIDE","additional_properties":{"comments":[],"_id":"QJBVC7KYHRDQNFHDASAOUA3EIM"},"type":"divider"},{"_id":"3VXOBQ3UZFCV3GBYKQ6QYHWWVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1626177876379},"type":"text","content":"Judi Light Hopson is executive director of the stress management website USA Wellness Café at usawellnesscafe.com. Emma Hopson is an author and a nurse educator. Ted Hagen is a family psychologist."},{"_id":"I4YPDXAWEFAUPLHLIMOYKOK6DM","additional_properties":{"comments":[],"_id":"SNZ7VZQO3NCX5E4LYA5OEUOFD4"},"type":"raw_html","content":"

Pulse Magazine

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When he died of a heart attack during her schooling, she found comfort in a patient talking about a great friend who had just died, not realizing the man was talking about her own father. She worked for five years as an oncology nurse while moonlighting with the Second City improve troupe. 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But before building her broadcast brand, Quivers enlisted in the Air Force armed with a nursing degree from the University of Maryland. A trauma nurse, she rose to the rank of captain before being discharged in 1978, three years before becoming the news anchor for Stern's morning show. She remained a member of the U.S. Air Force Reserve until 1990."},{"level":4,"_id":"XEQFX3R5DVA4PNGHSYOJ64ABHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625844284464},"type":"header","content":"Tina Turner"},{"owner":{"id":"ajc"},"workflow":{"status_code":4},"caption":"ZURICH, SWITZERLAND - MAY 14: (EDITORS NOTE: This image was converted into black and white.) Tina Turner smiles during the presentation of the music project 'Beyond - Three Voices For Peace' on May 14, 2009 in Zurich, Switzerland. The CD contains a spiritual message by Tina Turner. 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One of the world's best-selling recording artists, with 12 Grammy Awards to her name, she's as well known for her energetic performances as for her powerful vocals. And, for a brief period after high school, Turner worked as a nurse's aide at Barnes-Jewish Hospital in St. Louis. 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But before she rose to international prominence — she may be best known as Ron Weasley’s mom in the “Harry Potter” film series — she spent 18 months working in the casualty, coronary and ophthalmology departments of Queen Elizabeth Hospital in Birmingham, England. 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But before she moved to Johns Creek, she earned a nursing degree from the University of Connecticut and worked as a licensed practical nurse."},{"level":4,"_id":"5GQ6DGYVE5EKTFVELG74WGZAOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625844284473},"type":"header","content":"Martha Jane Cannary"},{"owner":{"id":"ajc"},"workflow":{"status_code":4},"caption":"A portrait photograph of Martha Canary, better known as Calamity Jane.","source":{"system":"Methode","source_type":"other","source_id":"92299534-2c9f-11e9-bab0-a7d3b5289767","additional_properties":{"editor":"photo center"}},"type":"image","distributor":{"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019"},"version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","licensable":false,"display_date":"2019-02-09T19:19:07Z","credits":{"by":[{"name":"Library of Congress","type":"author","byline":"Library of Congress","slug":"library-of-congress"}]},"subtitle":"8 celebrities you never knew were once nurses","width":1023,"first_publish_date":"2019-02-09T19:19:07Z","_id":"4VH3ALFPYGTILXQY5LRBPWYJEE","additional_properties":{"fullSizeResizeUrl":"/resizer/JVHuvv3fwddKqo5u9rJk5smnRtI=/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","comments":[],"keywords":["rct-content","rct-content-fp","natworld.ajc","ajcpulse","spcontent","sp-pulse"],"proxyUrl":"/resizer/JVHuvv3fwddKqo5u9rJk5smnRtI=/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","takenOn":"2019-02-09T19:19:07Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","published":true,"resizeUrl":"/resizer/JVHuvv3fwddKqo5u9rJk5smnRtI=/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","thumbnailResizeUrl":"/resizer/CAztuy3EurlWPrKFfpomktH__xw=/300x0/arc-anglerfish-arc2-prod-ajc/public/4VH3ALFPYGTILXQY5LRBPWYJEE.jpg","version":0,"originalName":"https://www.ajc.com//rw/Pub/p10/AJC/2019/02/09/Images/Calamity_jane.jpeg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":1625844284474},"created_date":"2020-06-27T08:40:43Z","last_updated_date":"2020-06-27T08:40:43Z","publish_date":"2019-02-09T19:19:07Z","height":1452},{"_id":"4ESA2VDMJJEMVMRWWTFSPRYPDI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625844284475},"type":"text","content":"OK, one last historical celebrity: Martha Jane Cannary, better known as folk hero Calamity Jane, is remembered for frontier fearlessness, sharp shooting and her generally unconventional life. But she also proved to be a devoted, round-the-clock nurse to smallpox patients during an outbreak in South Dakota. She may have developed an immunity to the lethal virus after surviving it in childhood."},{"_id":"QGC64ON435BX3FC6KEKGKBFM5Q","additional_properties":{"comments":[],"_id":1625844284476,"id":"U11184672642lHd"},"type":"raw_html","content":"nnn"},{"_id":"P6EINGAEDNFOJLHQH22MKIR5A4","additional_properties":{"comments":[],"_id":1625844284477,"id":"U53467326836bka"},"type":"raw_html","content":"

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All they’re saying in their new study is that the two are different in regards to nutrition."},{"_id":"BZX4OEG6YRHTXBZGPA7D32DHKA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225494},"type":"text","content":"“To consumers reading nutritional labels, they may appear nutritionally interchangeable,” said Stephan van Vliet, a postdoctoral researcher at the Duke Molecular Physiology Institute who led the study. “But if you peek behind the curtain using metabolomics and look at expanded nutritional profiles, we found that there are large differences between meat and a plant-based meat alternative.”"},{"_id":"DLFGCCC7TFHB3E3WOCT5WT5HG4","additional_properties":{"comments":[],"_id":"545J5ATMFVFO7KSMWR7SHOCVFM"},"type":"interstitial_link","content":"Study finds biological links between red meat and colorectal cancer","url":"https://www.ajc.com/pulse/study-finds-biological-links-between-red-meat-and-colorectal-cancer/ZO3IGV4PUBHPNDW5VIYA543EAM/"},{"_id":"45EZLBG7CBFZNGAHJUQC7QDUH4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225496},"type":"text","content":"The nutritional labels on plant-based meats list vitamins, fats and proteins that make the product appear similar to beef."},{"_id":"3N2CHPW3CFHMNNIQBP46EF75FY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225497},"type":"text","content":"“Meat-substitute manufacturers have gone to great lengths to make the plant-based product as meaty as possible, including adding leghemoglobin, an iron-carrying molecule from soy, and red beet, berries and carrot extracts to simulate bloodiness. The texture of near-meat is thickened by adding indigestible fibers like methyl cellulose. And to bring the plant-based meat alternatives up to the protein levels of meat, they use isolated plant proteins from soy, peas, and other plant sources. Some meat-substitutes also add vitamin B12 and zinc to further replicate meat’s nutrition,” Karl Leif Bates wrote for Duke Today."},{"_id":"4PNGSKQGEVEFHNLOVYECZAQVEI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225498},"type":"text","content":"For the study, the Duke researchers looked beyond the label to measure the foods’ metabolites. Metabolites have various functions, including fuel, structure, signaling, stimulatory and inhibitory effects on enzymes, defense, and interactions with other organisms, such as pigments, odorants and pheromones."},{"_id":"AXVYRSRMFFDYHOG3BKKPHD25JQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225499},"type":"text","content":"“The goal of our study was to use untargeted metabolomics to provide an in‑depth comparison of the metabolite profiles a popular plant‑based meat alternative and grass‑fed ground beef matched for serving size (113g) and fat content (14g),” the researchers wrote. “Despite apparent similarities based on Nutrition Facts panels, our metabolomics analysis found that metabolite abundances between the plant‑based meat alternative and grass‑fed ground beef differed by 90% (171 out of 190 profiled metabolites).”"},{"_id":"EEFSYLNU5VAVJCPRDCZTCG527Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225500},"type":"text","content":"The team discovered 22 metabolites were found only in beef, while 51 metabolites were found in greater quantities. “Nutrients such as docosahexaenoic acid (ω‑3), niacinamide (vitamin B3), glucosamine, hydroxyproline and the anti‑oxidants allantoin, anserine, cysteamine, spermine, and squalene were amongst those only found in beef,” they wrote."},{"_id":"W4B2673FRJG53H6VCMYZJY2BSA","additional_properties":{"comments":[],"_id":"FOCGPDUUQNCVZAKDBNN5RVMMME"},"type":"interstitial_link","content":"How a plant-based diet can ease rheumatoid arthritis","url":"https://www.ajc.com/lifestyles/health/how-plant-based-diet-can-ease-rheumatoid-arthritis/WjppTReFJEtyZyJPh13JhP/"},{"_id":"AE2WEKU57ZHYVP37DZ44EEZWIY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225502},"type":"text","content":"On the other hand, 31 metabolites were found only in the plant-based products, while 67 were found in greater quantities. Ascorbate (vitamin C), phytosterols and several phenolic anti‑oxidants such as loganin, sulfurol, syringic acid, tyrosol, and vanillic acid were among those found only in the plant‑based meat alternative."},{"_id":"5EMOUFUJHBHBBNNDRBMSB4L3NM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225503},"type":"text","content":"“Large differences in metabolites within various nutrient classes (e.g., amino acids, dipeptides, vitamins, phenols, tocopherols, and fatty acids) with physiological, anti‑inflammatory, and/or immunomodulatory roles indicate that these products should not be viewed as truly nutritionally interchangeable, but could be viewed as complementary in terms of provided nutrients. The new information we provide is important for making informed decisions by consumers and health professionals. It cannot be determined from our data if either source is healthier to consume,” the scientists wrote."},{"_id":"PSQW5SDE5NHITKWYMIUGO4X22E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225504},"type":"text","content":"“But that’s not to say that one is better than the other,” van Vliet, a self-described omnivore who enjoys a plant-heavy diet but also eats meat, told Duke Today. “Plant and animal foods can be complementary, because they provide different nutrients.”"},{"_id":"STE6IGPN3NBSDMAR63ZKNADLWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225505},"type":"text","content":"He said more research is needed to determine whether there are short-term or long-term effects of the presence or absence of particular metabolites in meat and plant-based meat alternatives."},{"_id":"QR2G6IEYZVC5HOHSZWISUBP7G4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225506},"type":"text","content":"You can read the full study, which was published Tuesday on Nature.com, here."},{"_id":"AB7F4N5HFVEZBDCOXE2PJPDTOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625756225507},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"GBOH7QFA75BU3IUTIE42I5ME24","additional_properties":{"comments":[],"_id":"S2P4W7R6BNGNDE5GWZOK7I4OUQ"},"type":"raw_html","content":"

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Shackett, 80, no longer drives, which makes it hard to get to the grocery store or doctor."},{"_id":"BW5VHFEZI5EY5EX52D7HOOOITQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139165},"type":"text","content":"Her low income, though, qualifies her for a state program that pays for a personal aide 10 hours a week to help with chores and errands."},{"_id":"YO77UY7OSJGS7NVC4QE3JLJO5I","additional_properties":{"comments":[],"_id":"GMBMSSZTSRES3AD4ULEVB4Z4LE"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"SLWCBSNFMFA4TGR7FE37MOGPGE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139167},"type":"text","content":"“It helps to keep me independent,” she said."},{"_id":"G5LXI2WVORBH7CXN6N324HHDMI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139168},"type":"text","content":"But the visits have been inconsistent because of the high turnover and shortage of aides, sometimes leaving her without assistance for months at a time, although a cousin does help look after her. “I should be getting the help that I need and am eligible for,” said Shackett, who has not had an aide since late March."},{"_id":"S7G2RJLL3BDFNHAQDVR3OJQED4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139169},"type":"text","content":"The Maine home-based care program, which helps Shackett and more than 800 others in the state, has a waitlist 925 people long; those applicants sometimes lack help for months or years, according to officials in Maine, which has the country’s oldest population. This leaves many people at an increased risk of falls or not getting medical care and other dangers."},{"_id":"QVSLHSNPQBANFFSUZHUR3HVVY4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139170},"type":"text","content":"The problem is simple: Here and in much of the rest of the country there are too few workers. Yet, the solution is anything but easy."},{"_id":"7AJ4Z4RRCFE3TIVZUSURBD2VAY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139171},"type":"text","content":"Katie Smith Sloan, CEO of Leading Age, which represents nonprofit aging services providers, says the workforce shortage is a nationwide dilemma. “Millions of older adults are unable to access the affordable care and services that they so desperately need,” she said at a recent press event. State and federal reimbursement rates to elder care agencies are inadequate to cover the cost of quality care and services or to pay a living wage to caregivers, she added."},{"_id":"3SGC2GPBLBFTROMQ3W6WP5IAFM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139172},"type":"text","content":"President Joe Biden allotted $400 billion in his infrastructure plan to expand home and community-based long-term care services to help people remain in their homes and out of nursing homes. Republicans pushed back, noting that elder care didn’t fit the traditional definition of infrastructure, which generally refers to physical projects such as bridges, roads and such, and the bipartisan deal reached last week among centrist senators dealt only with those traditional projects. But Democrats say they will insist on funding some of Biden’s “human infrastructure” programs in another bill."},{"_id":"YJ4H4MLPBFCLBP6FCXFIAYFLXY","additional_properties":{"comments":[],"_id":"HZYLM5ME7ZGENBJWQ5BUOOCGAY"},"type":"interstitial_link","content":"5 things to know about being a home care nurse","url":"https://www.ajc.com/lifestyles/health-med-fit/things-know-about-being-home-care-nurse/M7o5xTZJ8fDsuqmNAPULXO/"},{"_id":"GT2COZG4WRBIVLZRLEHHAGJ4DM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139174},"type":"text","content":"As lawmakers tussle over the proposal, many elder care advocates worry that this $400 billion will be greatly reduced or eliminated."},{"_id":"LUHCYP4455EKBK6UTYH2BIEEZ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139175},"type":"text","content":"But the need is undeniable, underlined by the math, especially in places like Maine, where 21% of residents are 65 and older."},{"_id":"MXYTGLEQGVC6VMETGRER35Z4JE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139176},"type":"text","content":"Betsy Sawyer-Manter, CEO of SeniorsPlus in Maine, one of two companies that operate that assistance program, said, “We are looking all the time for workers because we have over 10,000 hours a week of personal care we can’t find workers to cover.”"},{"_id":"6PVPT4CECNAM3FTJ3KDXODE25I","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139177},"type":"text","content":"For at least 20 years, national experts have warned about the dire consequences of a shortage of nursing assistants and home aides as tens of millions of baby boomers hit their senior years. “Low wages and benefits, hard working conditions, heavy workloads, and a job that has been stigmatized by society make worker recruitment and retention difficult,” concluded a 2001 report from the Urban Institute and Robert Wood Johnson Foundation."},{"_id":"YBNOP7XO6RDSPH67NWIXNM6THA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139178},"type":"text","content":"Robyn Stone , a co-author of that report and senior vice president of Leading Age, says many of the worker shortage problems identified in 2001 have only worsened. The risks and obstacles that seniors faced during the pandemic highlighted some of these problems. “Covid uncovered the challenges of older adults and how vulnerable they were in this pandemic and the importance of front-line care professionals who are being paid low wages,” she says."},{"_id":"BIGB272YYBEXZFZT7QRCFFLOFQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139179},"type":"text","content":"Michael Stair, CEO of Care & Comfort, a Waterville, Maine-based agency, said the worker shortage is the worst he’s seen in 20 years in the business."},{"_id":"V3YCWHE6FBEW5PT7MD6DH352PY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139180},"type":"text","content":"“The bottom line is it all comes down to dollars — dollars for the home care benefit, dollars to pay people competitively,” he said. Agencies like his are in a tough position competing for workers who can take other jobs that don’t require a background check, special training or driving to people’s homes in bad weather."},{"_id":"TI7PNSKDTZFAJB3UCFRQDI3N5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139181},"type":"text","content":"“Workers in Maine can get paid more to do other jobs that are less challenging and more appealing,” he added."},{"_id":"YWF44MTNANGBPNCPEMEBBNCG2E","additional_properties":{"comments":[],"_id":"UJRWQDD3LRAXVLLO5UFOFZAS2Y"},"type":"interstitial_link","content":"Nursing jobs in greatest demand by specialty","url":"https://www.ajc.com/pulse/nursing-jobs-in-greatest-demand-by-specialty/OEBRPZQXGRHX3CPSSQKY3FVI3Q/"},{"_id":"P3TBCTHOHNGGNBSQSWYE5WBDSA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139183},"type":"text","content":"His company, which provides services to 1,500 clients — most of whom are enrolled in Medicaid, the federal-state health program for people with low incomes — has about 300 staffers but could use 100 more. He said it’s most difficult to find workers in urban areas such as Portland and Bangor, where there are more employment opportunities. Most of his jobs pay between $13 and $15 an hour, about what McDonald’s restaurants in Maine advertise for entry-level workers."},{"_id":"337PWDMEWVEMNAUJZUAXXQOCBM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139184},"type":"text","content":"The state’s minimum wage is $12.15 an hour."},{"_id":"LMEVDO644VHKNB7HSFKXRYI374","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139185},"type":"text","content":"Stair said half his workers quit within the first year, a little better than the industry’s average 60% turnover rate. To help retain employees, he allows them to set their own schedules, offers paid training and provides vacation pay."},{"_id":"4TA426C3PZES3DKPYGOC25RR2A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139186},"type":"text","content":"“I worry there are folks going without care and folks whose conditions are declining because they are not getting the care they need,” Stair said."},{"_id":"F6DOU2F6VZH2TPZ6ILD4WBHHOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139187},"type":"text","content":"Medicare does not cover long-term home care."},{"_id":"VXGDQ47CC5GA7DDUE62IGSLW24","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139188},"type":"text","content":"Medicaid requires states to cover nursing home care for those who qualify, but it has limited entitlement for home-based services, and eligibility and benefits vary by state. Still, in the past decade, states including Maine have increased funding to groups providing Medicaid home and community services — anything from medical assistance to housekeeping help — because people prefer those services and they cost much less than a nursing home."},{"_id":"RDL24CKKWFFUZEXJKOMZRSBELI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139189},"type":"text","content":"The states also are funding home care programs like Maine’s for those same services for people who don’t qualify for Medicaid in hopes of preventing seniors from needing Medicaid coverage later."},{"_id":"Z32OFVJZ5REFNPZW2OYL6RNADE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139190},"type":"text","content":"But elder care advocates say the demand for home care far outweighs supply."},{"_id":"YG7WXYRZBFFRBGSR2KLR6OA5FM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139191},"type":"text","content":"Bills in the Maine legislature would increase reimbursement rates for thousands of home care workers to ensure they are being paid more than the state’s minimum wage."},{"_id":"ZQF6CMRABZAILNVLY4REFVJHU4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139192},"type":"text","content":"The state does not set worker pay, only reimbursement rates."},{"_id":"3NX6GNEPFZBELK5UQZFQ5ADY6E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139193},"type":"text","content":"It’s not just low pay and lack of benefits that hobbles the hiring of workers, according to experts who study the issue. In addition, home care providers struggle to recruit and retain workers who don’t want the stress of caring for people with physical disabilities and, often, mental health issues, such as dementia and depression, said Sawyer-Manter of SeniorsPlus."},{"_id":"S4MIFG2XBJHRBOE3TWB44DXJOA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139194},"type":"text","content":"“It’s backbreaking work,” said Kathleen McAuliffe, a home care worker in Biddeford, Maine, who formerly worked as a Navy medic and served in the Peace Corps. She provides homemaker services for a state-funded program run by Catholic Charities. She usually visits two clients a day to help them with chores like cleaning and scrubbing floors, wiping down bathrooms, vacuuming, preparing meals, food shopping, organizing medicines and getting them to the doctor."},{"_id":"XYAF2VFHRNHTJGA64IEN52VO5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139195},"type":"text","content":"Her clients range in age from 45 to 85. “When I walk in, the laundry is piled up, the dishes are piled up, and everything needs to be put in order. It’s hard work and very taxing,” said McAuliffe, 68."},{"_id":"NX2YOR2PXZFB5HREH34DUH7T6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139196},"type":"text","content":"She makes about $14 an hour. Though the job of taking care of the frail elderly requires broad skills — and training in things like safe bathing — it is generally classified as “unskilled” labor. Working part time, she gets no vacation benefits. “Calling us homemakers sounds like we are coming in to bake brownies,” she said."},{"_id":"HDV5PTHYPZF3PFC53JFXSN3U34","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139197},"type":"text","content":"The homemaker program serves 2,100 Maine residents and has more than 1,100 on a waitlist, according to Catholic Charities Maine. “We can’t find the labor,” said Donald Harden, a spokesperson for the organization."},{"_id":"VSKHTL6G5FG37LHJ6WBYZUZPNA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139198},"type":"text","content":"The federal government is giving states more dollars for home care — at least temporarily."},{"_id":"JO6Z4TK3VNDYNPTYBV4EBBSHKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139199},"type":"text","content":"The American Rescue Plan, approved by Congress in March, provides a 10 percentage point increase in federal Medicaid funding to states, or nearly $13 billion, for home and community-based services."},{"_id":"MTVYU7RCEBH4THTTHAS6H7DXRE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139200},"type":"text","content":"The money, which must be spent by March 2024, can be used to provide personal protective equipment to home care workers, train workers or help states reduce waiting lists for people to receive services."},{"_id":"FDFIBYIR7VACRKDJLZF33VWW3Q","additional_properties":{"comments":[],"_id":"DZ4IHFVYENEUTDD3MSKNWFQ3YA"},"type":"interstitial_link","content":"Atlanta Journal-Constitution investigation: Low nursing home staffing puts residents at risk","url":"https://www.ajc.com/news/investigations/low-nursing-home-staffing-puts-residents-at-risk/DM6ZMICKVVAG7D3PKBO6ZXRMEM/"},{"_id":"ULN2VKUBLNESNH2NUSD6P2ZPTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139202},"type":"text","content":"For Maine, the bump in funding from the American Rescue Plan will provide a $75 million increase in funding. But Paul Saucier, aging and disability director at the Maine Department of Health and Human Services, said the money will not make the waitlists disappear, because it will not solve the problem of too few workers."},{"_id":"WHUU6GCAARHYXEE6GJRZ6C5CKM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139203},"type":"text","content":"Joanne Spetz, director of the Health Workforce Research Center on Long-Term Care at the University of California-San Francisco, said throwing more money into home care will work only if the money is targeted for recruiting, training and retaining workers, as well as providing benefits and opportunities for career growth. She doubts significant improvements will occur “if we just put money out there to hire more workers.”"},{"_id":"FNMXS2HONJGABJZKLMRMUZFLMU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139204},"type":"text","content":"“The problem is the people who are in these jobs always get the same amount of pay and the same low level of respect no matter how many years they are in the job,” Spetz said."},{"_id":"VSSR4TPCAZBZRAVM4MWCHUBNJU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139205},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"SKAEDGMPRBAKXDVSQ5XFSG7APA","additional_properties":{"comments":[],"_id":"MUE6ONTS2FFPJIVZTL7GVRRHMM"},"type":"divider"},{"_id":"USUKFETNW5H23NOX4AG6Y3MTUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625686139207},"type":"text","content":"Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at the Kaiser Family Foundation. KFF is an endowed nonprofit organization providing information on health issues to the nation."},{"_id":"UDLTWOZKG5CGVJQ6SYUIG5YZUA","additional_properties":{"comments":[],"_id":"KJYDEIRBLRHYPHECUNC3TVS2BI"},"type":"raw_html","content":"

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Once they get motivated to try again, they do, but the cycle tends to repeat itself."},{"_id":"3YHDZM4IIZE6JAALE6M6NHIMII","additional_properties":{"comments":[],"_id":"C35K7WIMUVDNTFYUQVQRB7VPZU"},"type":"interstitial_link","content":"Age is not a barrier to losing weight, study finds","url":"https://www.ajc.com/life/age-is-not-a-barrier-to-losing-weight-study-finds/C4CTXQ4VOVGUTCMXDJDNUBOA5M/"},{"_id":"EEB23KS23RD25FSO3G65SALGNM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478972},"type":"text","content":"I recommend simplifying your goals. Adjust your outlook of better health to break the vicious cycle of exercise and diet plans that aren’t sustainable. 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This can be something you can easily manage and feel successful with. Just remember not to overload it with dressing. Or instead of grabbing a handful of chips for a snack, grab an apple or a cheese stick. Consider the same substitutions for your children so you won’t be tempted."},{"_id":"WEESL3DJCJFYPCLVH7SV7OE7TE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478975},"type":"text","content":"Over time, one change will lead to another. As you implement healthy things into your routine, you will build more success. And that success will make these lifestyle changes sustainable."},{"_id":"ECAK3YEI5JGSBEHCGHHAQ7VNVA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478976},"type":"text","content":"With respect to physical activity, take a moment to focus on the amount of physical activity per week you want to aim for rather than a number of days at the gym. Ideally, we know that for optimal cardiac health and weight loss, the recommended amount of moderate physical activity is about 175 minutes a week. Although that translates to about five sessions of 30 minutes of aerobic exercise, start smaller."},{"_id":"FWOLX3COYFD4VPUINXA67JDWJ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478977},"type":"text","content":"If you give yourself some grace to find something that works, you can then build on it until it’s more sustainable."},{"_id":"D2F6BEJWXZC2LCBC5KEJPFTMB4","additional_properties":{"comments":[],"_id":"45I4PVDUPNE6RC7FSGGR7IZBOU"},"type":"interstitial_link","content":"Researchers develop world's first weight loss device","url":"https://www.ajc.com/pulse/researchers-develop-worlds-first-weight-loss-device/SGKRXOLJ3ZFRRMY7H7OWQPXLEA/"},{"_id":"NPUWJA2KRFBFPJRAXMR5BWMIBQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478978},"type":"text","content":"As a working mom of young kids, getting to the gym daily may be challenging. Can you find two 15-minute slots in your day to go for a walk outside? Can you and your family — kids included — go for a walk after dinner? Over time, increase your behaviors. Commit to a 30-minute walk or visit the gym once or twice a week for 30 minutes. Recent studies show that even one visit to the gym, although not optimal, is still better than not going at all. In addition, you can feel good knowing you have had success."},{"_id":"NKCUGI2KKBE6XC6RMKIHNBDSOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478979},"type":"text","content":"Over time, you can gradually move your goal to three times a week. Then eventually you can increase the time to 45 minutes or one hour."},{"_id":"HMUAOEZLD5FDLMJK6ZCJGC2J4M","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478980},"type":"text","content":"Remember, building healthy habits takes time. Think about your children. When children are learning a skill, whether it’s reading, writing their name or riding a bike, they experience setbacks and successes. Those successes are usually celebrated. These experiences build momentum and provide confidence that leads to long-term sustainability."},{"_id":"UHNP2J3FVVB6FA2B6WSNX4HZCQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478981},"type":"text","content":"Motivation by success works much better than motivation by guilt. Unfortunately, a lot of motivation to change is guilt-based. This doesn’t work with motivating children, or with managers and leaders with employees in the workplace, so why should you expect this to work for yourself?"},{"_id":"33VNWQJ3YZB5NCWYBUHLYY4XXY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478982},"type":"text","content":"Take time to identify some easy, simple, healthy adjustments you can make that will give you the confidence to keep adding new things. Also, talk with your health care provider if you have special dietary needs, any underlying medical conditions or have more specific questions."},{"_id":"HXHMKBW6CBE6BFW2YJ6DA7GI64","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"UYY7QLTJPREFNGZJLU7YWP3ESY","additional_properties":{"comments":[],"_id":"34KMMSI6BVHQXH4Q5V5QQDSHYI"},"type":"divider"},{"_id":"MX42DJUBWFEANEOGFHZMMLAOHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625601478984},"type":"text","content":"Graham King is a doctor of family medicine at the Mayo Clinic Health System in Mankato, Minnesota."},{"_id":"UALDNS6D3VB6NDLJKU62SLUUAA","additional_properties":{"comments":[],"_id":"WAUSOETD5ZBPTL45LSIVI5SVMU"},"type":"raw_html","content":"

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But even though the water is usually clear with chlorine, it doesn’t mean you should be looking underwater."},{"_id":"4RDR62YKMZF63LU5J6YKOLTS24","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954289},"type":"text","content":"As reporter Jason Howland explains in this Mayo Clinic Minute, it could cause temporary damage to your eyes."},{"_id":"XFH4GUF5BRHZ5GZO6SR22FXDAE","additional_properties":{"comments":[],"_id":"L6RC5HQMHBBCRAT4LL2XQ6C4FE"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"P4ZN576TRRGHBI3XIPHRWF67PQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954290},"type":"text","content":"The next time you dive in, you might want to reconsider opening your eyes underwater."},{"_id":"OPKKGU26ANFO3D4HQP7OARCX5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954291},"type":"text","content":"“Chlorine is a pretty powerful disinfectant and can, in fact, cause some damage to the outer layer cells that protect the cornea,” said Dr. Muriel Schornack, a Mayo Clinic optometrist."},{"_id":"AYDHFT3KGVAJRATYKQ5Q4IBTA4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954292},"type":"text","content":"The occasional glance should be OK, but extended eye opening underwater can cause damage."},{"_id":"VLDRF6HKMBHBPN7EX5EYYKYD7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625573954293},"type":"text","content":"“The eye becomes red, irritated. 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People respect us when we take time to view the world from their perspective."},{"_id":"IW62ZBFD6BG53FKWGQ45PLSPE4","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496381},"type":"text","content":"“I used to think people didn’t give me respect, because I’m a little overweight and over 50,” said a teacher’s aide we’ll call Patricia. “One of my co-workers told me, ‘You have beautiful eyes, but you never make eye contact with anyone.’”"},{"_id":"4AEFCJCKEJGHZL4YBY7U4ADORA","additional_properties":{"comments":[],"_id":"RQTAEQHIGJBPRAM2VLEUFS46KE"},"type":"interstitial_link","content":"How to believe in yourself while trusting others","url":"https://www.ajc.com/pulse/how-to-believe-in-yourself-while-trusting-others/7CUQ5KZY4JD2BLRSJKQCOS632Q/"},{"_id":"5UBCAWJV5FHC5PGXXANBOFN4QE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496382},"type":"text","content":"Patricia finally figured out that diverting her gaze in social or business situations messed with her confidence. 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You’ll feel they really desire to know what’s on your mind."},{"_id":"VWDJJQLRUFCH5FUVALJVJJ6WDI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496384},"type":"text","content":"“When I first started selling real estate, I was so shaky,” said a friend of ours we’ll call Bethany. “I would literally walk up to people sideways, looking like I wanted to run.”"},{"_id":"2JIURVSXFJFI3ME6ZQ67VBF2XU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496385},"type":"text","content":"Bethany finally found her calmer, centered self when she began to ask more questions."},{"_id":"BKQDMWXBSNAVXPFYOTLQP5BJEA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496386},"type":"text","content":"“I realized the clients were counting on me to help them find a home,” Bethany said. “I needed to take them seriously by guiding them to good decisions.”"},{"_id":"UZMAA2WXYRBXBJ3TQFWLYK53A4","additional_properties":{"comments":[],"_id":"SO62VGW2TRCLBBBDVQKQN7DRLA"},"type":"interstitial_link","content":"Why 2021 is the year for nurse leaders","url":"https://www.ajc.com/pulse/why-2021-is-the-year-for-nurse-leaders/UBG4QDEHZBDKZDMYEZVQWO7CVM/"},{"_id":"DW76S6XXWZFRTESVRFKDFJYW5I","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496387},"type":"text","content":"Getting your mind off yourself and becoming interested in others can reduce a lot of tension. For example, if you’re at your spouse’s family reunion, pay a few compliments and take your mind off yourself."},{"_id":"4XGBT6YCOBESNODJC3KO74LYOI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496388},"type":"text","content":"“When I was a young news reporter, I had to cover all kinds of stories,” a journalist we’ll call Kaylee said. “I decided to do a lot of background research before I arrived at a political rally or sporting event. When I was able to ask intelligent questions, my interview subjects opened up and showed me respect.”"},{"_id":"GWTVLD52Y5EB7M6NBI34LWEDIY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625570136774},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"PHOP2SJV7RHJNEWFLEQFRG7XTE","additional_properties":{"comments":[],"_id":"JETO7S66TRA7NCWPA5DBGDYE6U"},"type":"divider"},{"_id":"NZSMPAXDBNDW7D6Z3ILKDFX7LQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624968496389},"type":"text","content":"Judi Light Hopson is the executive director of the stress management website USA Wellness Café at usawellnesscafe.com. Emma Hopson is an author and a nurse educator. Ted Hagen is a family psychologist."},{"_id":"ZMNGWR2BFRGSZHN6GZDUIYRMJM","additional_properties":{"comments":[],"_id":"TOEZPILWJFGOHN4GJZIOOCJNXI"},"type":"raw_html","content":"

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The Mediterranean diet, on the other hand, is high in fruits, vegetables, fish, whole grains and legumes and low in meat and dairy."},{"_id":"OH32BCHJRFDGXLAP6ME7HIBHFA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625237001038},"type":"text","content":"“While this study was observational in nature, the results suggest that diet may be a modifiable risk factor for sudden cardiac death, and, therefore, diet is a risk factor that we have some control over,” said James M. Shikany, Dr.P.H., F.A.H.A., the study’s lead author and professor of medicine and associate director for research in the Division of Preventive Medicine at the University of Alabama at Birmingham."},{"_id":"W4SJ6HGGRBC35MA5CL3CPHC7UY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625237001039},"type":"text","content":"“Improving one’s diet — by eating a diet abundant in fruits, vegetables, whole grains and fish such as the Mediterranean diet and low in fried foods, organ meats and processed meats, characteristics of the Southern-style dietary pattern, may decrease one’s risk for sudden cardiac death,” he added."},{"_id":"JUITOPFHUFE5TLZSMKAQQ3FS6U","additional_properties":{"comments":[],"_id":"6375SH2YSVCA5PNGX3BUTB7XUA"},"type":"interstitial_link","content":"Fried chicken increases risk of death for women by 13%, study finds","url":"https://www.ajc.com/lifestyles/health/fried-chicken-increases-risk-death-for-women-percent-study-finds/ZeDdVjDsx1KrIepBmPNbdP/"},{"_id":"ZN3DNAT6WJCX5N6HUSDLZUF6TQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625237001040},"type":"text","content":"Researchers analyzed data from more than 21,000 people ages 45 and older who were enrolled in an ongoing national research project called Reasons for Geographic and Racial Differences in Stroke (REGARDS), that is examining geographic and racial differences in stroke victims. Participants in this analysis were 56% women; 33% Black adults; and 56% living in the Southeast, which is recognized as the Stroke Belt because of its higher stroke death rate. The Stroke Belt states in this study were Georgia, North Carolina, South Carolina, Tennessee, Alabama, Mississippi, Arkansas and Louisiana."},{"_id":"EUWCFTFL3RFOVA2QEZF7SVV5UI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865433},"type":"text","content":"After nearly 10 years of following up every six months to check for cardiovascular disease events, more than 400 sudden cardiac deaths had occurred among the 21,000 study participants."},{"_id":"IXGIILBGNBFX3EKG6XI56YRAII","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865434},"type":"text","content":"The study found:"},{"list_type":"unordered","_id":"LFIXF3NYSRB2XPBOQC2MELQXJU","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"I26ZVE4LQ5EIJP5FXKNN55SNP4","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Overall, participants who ate a Southern-style diet most regularly had a 46% higher risk of sudden cardiac death than people who had the least adherence to this dietary pattern."},{"_id":"YOOOZ4ITURBYFFU2WJLZMVFJ44","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Participants who most closely followed the traditional Mediterranean diet had a 26% lower risk of sudden cardiac death than those with the least adherence to this eating style."}]},{"_id":"I47XNXG7GBEI3J7SKTX2BWOXQA","additional_properties":{"comments":[],"_id":"3QJVOQXZQFHARJGOMBPA4NQ3JY"},"type":"interstitial_link","content":"The Mediterranean diet won’t work if you eat this, study says","url":"https://www.ajc.com/life/the-mediterranean-diet-wont-work-if-you-eat-this-study-says/2XEXX7G4NREMZMJL7OTVNNYH7A/"},{"_id":"YYVBHCTXRVHPJBCLEHRCRMRXME","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865437},"type":"text","content":"“These findings support the notion that a healthier diet would prevent fatal cardiovascular disease and should encourage all of us to adopt a healthier diet as part of our lifestyles,” said Stephen Juraschek, M.D., Ph.D., a member of the American Heart Association’s Nutrition Committee of the Lifestyle and Cardiometabolic Health Council. “To the extent that they can, people should evaluate the number of servings of fruit and vegetables they consume each day and try to increase the number to at least 5-6 servings per day, as recommended by the American Heart Association. Optimal would be 8-9 servings per day."},{"_id":"YGYLRLQ6FJBABBJMNDT2QQ26BU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865438},"type":"text","content":"“This study also raises important points about health equity, food security and social determinants of health,” he continued. “The authors describe the ‘Southern Diet’ based on the U.S. geography associated with this dietary pattern, yet it would be a mistake for us to assume that this is a diet of choice. I think American society needs to look more broadly at why this type of diet is more common in the South and clusters among some racial, ethnic or socioeconomic groups to devise interventions that can improve diet quality. The gap in healthy eating between people with means and those without continues to grow in the U.S., and there is an incredible need to understand the complex societal factors that have led and continue to perpetuate these disparities.”"},{"_id":"STZ5ECHHJ5FOTDZL4CSKAQXZ54","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865439},"type":"text","content":"In a 2018 analysis, Shikany and colleagues reported that adults ages 45 and older with heart disease who had an affinity for the Southern diet had a higher risk of death from any cause, while greater adherence to the Mediterranean diet was associated with a lower risk of death from any cause. And in a 2015 study, the Southern diet was linked to a greater risk of coronary heart disease in the same population."},{"_id":"CW3VE7HWNNFU5ORQH3ZFI6L5UI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865440},"type":"text","content":"The study was published Wednesday in the Journal of the American Heart Association."},{"_id":"ERDL762DLBGEZK6Z6SQUE46OYI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625243865441},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"DSPPRMD3GNBWTJVTK6MTEKIBBI","additional_properties":{"comments":[],"_id":"KLGUUCWQOZFBNBQZOTGYHGKBUE"},"type":"raw_html","content":"

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Your goal is to feel more rewarded in how you live and less bogged down."},{"_id":"AB75URF4WFDXHDSE7UY33F5AJA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201377},"type":"text","content":"These tips might help:"},{"_id":"KZAJ3MRRGJAHXBFJTCUWCCVR64","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201378},"type":"text","content":"Vary your routine. While discipline is good, it can feel monotonous after a while. If possible, switch certain tasks to different time slots. Or, take spontaneous walks outside to view new scenery a few times each week."},{"_id":"C75PREEPN5DA5MSQRTGXFYVSRU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201379},"type":"text","content":"Delegate several small to-do items every week. For example, ask a co-worker, your teenager or your spouse to do at least one 10-minute task each day. Feeling you have no assistance will cause you to burn out more quickly."},{"_id":"5YRRKZASSRHGLPFTYLPKQYHHJE","additional_properties":{"comments":[],"_id":"3W5QYWU2LVGWJP2L2LVBV5E6XQ"},"type":"interstitial_link","content":"5 ways to stay positive in a sometimes negative world","url":"https://www.ajc.com/life/5-ways-to-stay-positive-in-a-sometimes-negative-world/EVQ4HNKUCFEIRLS5EWRDZ5R7NU/"},{"_id":"UJRUVHMHGZAIJPGMBQVVNBSIYA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201380},"type":"text","content":"Rest and relax before a tough week ahead. If you have some pressure-cooker days coming up next week, find time to go to the movies with friends this week. Or, visit a park with friends or family."},{"_id":"JZT66SKHTBE4FC7C4X4SFX6SFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201381},"type":"text","content":"Learn to bypass certain responsibilities. If you’re overly stressed, let some housework slide this week or buy dinner to bring home. Skip cooking or other chores to give yourself occasional breaks. Others around you will survive."},{"_id":"PUZXZTW3X5FU3BTNSPIOZRSCEM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201382},"type":"text","content":"Hire some help. This includes getting your car washed, hiring windows washed, getting someone to mow your lawn or finding a seamstress to hem your new slacks. Get in the habit of looking for ways to pay someone to help you save personal energy."},{"_id":"KOMINWSGRVGHZLBKNE5ZYTQIUU","additional_properties":{"comments":[],"_id":"SLQ3LWOMIREOBNCW67VUOF3GFY"},"type":"interstitial_link","content":"What are friends for? To lower your stress levels, that's what","url":"https://www.ajc.com/pulse/what-are-friends-for-to-lower-your-stress-levels/LAI6HY2PGVDHVCTKINLO4RHP4A/"},{"_id":"2AVZ5ESBANHYPJJDPRE2HLJ254","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201383},"type":"text","content":"“To re-energize your life, keep focusing on creative ways to renew your routine,” says a mall manager we’ll call Henry. “I sometimes feel trapped working here inside the mall. But I’ll call my wife and ask her to go driving with me in the country after work. Just seeing a few barns, cows and rolling hillsides renews my spirit from dwelling on business all the time.”"},{"_id":"MWMDRCGNP5DALFTXSKE2PJLA7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201384},"type":"text","content":"He adds, “Playing old, favorite tunes in the car helps switch things to a happier mood as well. When we take a drive, we try not to discuss family problems or talk about anything stressful.”"},{"_id":"HAE7ARNW7VA53IO2KLOKD2OMSI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201385},"type":"text","content":"Creating new routines is an inexpensive way to make your life feel new. Exercising at the same time every day or eating the same foods repeatedly can feel boring."},{"_id":"D4GVHQVGQBDQJL7WB3ECWHPQ4A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201386},"type":"text","content":"Taking walks with neighbors or friends after dinner can put you in a better mood. Or, inviting neighbors for a simple picnic in your backyard can create good memories for everyone."},{"_id":"ECWNWWJRAJDV5PPYRYQCMM627A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201387},"type":"text","content":"“Couples should have a date night every week or so, too,” says a family counselor we’ll call Jordan. “Taking the kids and in-laws everywhere gets old. When couples spend time having a meal together or going to the movies, it feels like a real date. Taking along too many people can add to the stress.”"},{"_id":"T7AHVKSZMVAANHVZ4R7K4H5YC4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201388},"type":"text","content":"“I like taking a three-day mini vacation every six weeks,” says a clothing designer we’ll call Sherri. “I think short vacations are just as restful as weeklong vacations because you can pack lightly and visit more places over a year’s time. I like to visit small towns within a two-hour drive of my home. It’s amazing how many interesting places there are in a given region.”"},{"_id":"I4RLLVAUGRGJTBZHPJPEN3BGSU","additional_properties":{"comments":[],"_id":"SK6W7RS5CRBYTF5OP3KJL44N4U"},"type":"interstitial_link","content":"5 signs of excessive stress, according to ANA's Well-Being Initiative","url":"https://www.ajc.com/life/5-signs-of-excessive-stress-according-to-anas-well-being-initiative/ATDAQYYCPJBLRCXNAO24ZT2EMI/"},{"_id":"VNCA47HOD5GFHCUFRS6EOYOZUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201389},"type":"text","content":"To curtail burnout, simply interrupt the typical routine you’d normally follow."},{"_id":"7CIP4USBSBDATHHVEZEMJZJFIA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201390},"type":"text","content":"“The good thing about burnout,” says Sherri, “is that it’s telling you loud and clear that you’re ready for a change.”"},{"_id":"CX5VVRYVVNFJXHJBZRW5XB7DJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201391},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"KL7LJ2MOKBCD5D2XVPOPZFTZP4","additional_properties":{"comments":[],"_id":"DBXERQKGMNDQ7EWDUSPK7TTPKI"},"type":"divider"},{"_id":"CXJAQ3I2KJA2FDZVAMYJFD4QIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231201393},"type":"text","content":"Judi Light Hopson is author of the stress management book, “Cooling Stress Tips.” She is also executive director of USA Wellness Cafe at www.usawellnesscafe.org."},{"_id":"DVO4ZI3GSRGC3PP6JEDEAY5IMU","additional_properties":{"comments":[],"_id":"HPDVSF2QVZCF5KJUJOCVFUJASI"},"type":"raw_html","content":"

Pulse Magazine

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I’ve decided to tell everyone at the same time. I have been diagnosed with Parkinson’s.”"},{"_id":"H6CXIV5BRZFFLM5UD7MQTAK6BY","additional_properties":{"comments":[],"_id":"TCCU2AKENFH6ZKATSUFBJ2DVPQ"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"subtype":"twitter","referent":{"referent_properties":{"additional_properties":{"comments":[],"_id":1625231337328}},"provider":"https://publish.twitter.com/oembed?url=","service":"oembed","id":"https://twitter.com/MarkRicht/status/1410747815400132616?s=19","type":"twitter"},"_id":"757RWHJDZRH2RD5GAYZP4VGWEE","raw_oembed":{"author_name":"Mark Richt","cache_age":"3153600000","provider_url":"https://twitter.com","type":"twitter","version":"1.0","url":"https://twitter.com/MarkRicht/status/1410747815400132616","author_url":"https://twitter.com/MarkRicht","width":550,"html":"

pic.twitter.com/omdtG3HrcY

— Mark Richt (@MarkRicht) July 1, 2021

nn","_id":"https://twitter.com/MarkRicht/status/1410747815400132616?s=19","additional_properties":{"comments":[],"_id":1625231337328},"provider_name":"Twitter","height":null},"type":"oembed_response"},{"_id":"ZHF5HMYQM5FJJBPO5PZV22YZVU","additional_properties":{"comments":[],"_id":"YI7YLYCDFZG7TLAS3NEYLWGVEY"},"type":"interstitial_link","content":"Johnny Isakson: 'I've been diagnosed with Parkinson's disease'","url":"http://politics.blog.ajc.com/2015/06/10/johnny-isakson-ive-been-diagnosed-with-parkinsons-disease/"},{"_id":"DQCATNPG2FAV5ON7G3QO3XCY3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231337330},"type":"text","content":"Here are seven things to know about Parkinson’s disease, according to the Mayo Clinic:"},{"_id":"DWV37IQL45GEZNQW7MUBNPD6LA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684991},"type":"text","content":"What is it?"},{"_id":"QEWD4XAHFNEMBLTOJ4C3SH7KYE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684992},"type":"text","content":"According to the Mayo Clinic, Parkinson’s disease is a progressive disorder of the nervous system that affects movement. It involves certain nerve cells (or neurons) in the brain that gradually break down or die. The disease often causes tremors, stiffness or slowness. Symptoms worsen over time."},{"_id":"4M6OW2CISFBGXAAVHWDUFFAMDQ","additional_properties":{"comments":[],"_id":"CNBHZ2EOKRARPIKZ6Y5W45EBYE"},"type":"interstitial_link","content":"The Rev. Jesse Jackson diagnosed with Parkinson's disease","url":"http://www.ajc.com/news/national/rev-jesse-jackson-diagnosed-with-parkinson-disease/KhrONL6rPueKNBIug7ZfWK/"},{"_id":"5TQPK537KNCQVMUKZFQFMJ5ISM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684994},"type":"text","content":"What are the symptoms?"},{"list_type":"unordered","_id":"PO24HX2TTZE7TJKLVS6XFMJEBI","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"IX2VINZWZ5CCDCORA3GZN7GDXA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"tremor"},{"_id":"ER6ZWKNHDVCELBQQELMVTALLEQ","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"slowed movement"},{"_id":"N52ZCINJWFGRRPIWNPXIPMECGE","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"rigid muscles"},{"_id":"GRPWZIGZNZFETOWMPSXOV4ERUA","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"impaired posture and balance"},{"_id":"RXSY655XSZFMLDN7SSUDI5KKMY","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"loss of automatic movements (decreased ability to perform movements like blinking, smiling, swinging arms while walking)"},{"_id":"X3R6BHFCTBF6NA6IWCOSXVJYXI","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"speech changes (softer, more quickly, slurred speech etc.)"},{"_id":"W6DRD33LFFEW7JOHFC6KYCTHYU","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"writing changes (harder to write, smaller writing)"}]},{"_id":"C6TF67XK4FDUPJNJHATWMCMYGU","additional_properties":{"comments":[],"_id":1625225684997,"href":"http://www.ajc.com/news/world/new-drawing-test-could-help-detect-parkinson-disease/YByOFMrUSSUOFDLuOwJeCI/","target":"_blank"},"type":"interstitial_link","content":"Drawing test could help detect Parkinson’s disease","url":"http://www.ajc.com/news/world/new-drawing-test-could-help-detect-parkinson-disease/YByOFMrUSSUOFDLuOwJeCI/"},{"_id":"JYFQTMCCSZBVPEGHP3P5AX6TLA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684998},"type":"text","content":"What causes Parkinson’s?"},{"_id":"F224UT3WYRHVLL6PGISTMM3IJE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225684999},"type":"text","content":"Many symptoms associated with the disease are due to a loss of neurons produced by dopamine in your brain. When dopamine decreases, it can cause abnormal brain activity, leading to signs of Parkinson’s disease."},{"_id":"26XBAOZQOZGMZKFOJ3XGC6JVMM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685000},"type":"text","content":"But the root cause of the disease is unknown. There are, however, several factors that play a role, including genetics and environmental triggers, such as toxins."},{"_id":"EMUUH6GJD5BPNF3NNNE2NJVSCA","additional_properties":{"comments":[],"_id":1625225685001,"href":"http://www.ajc.com/news/local-govt--politics/photos-famous-people-with-parkinson-disease/AP5ZZLzyFbM2uis7b0U1NO/","target":"_blank"},"type":"interstitial_link","content":"Photos: 10 famous people with Parkinson's disease","url":"http://www.ajc.com/news/local-govt--politics/photos-famous-people-with-parkinson-disease/AP5ZZLzyFbM2uis7b0U1NO/"},{"_id":"MTEYXPNUVRATTDMWLPIJNGZKRU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685002},"type":"text","content":"Are some people at higher risk?"},{"_id":"OYVCCAFTFZHNRH7YHD7GYLMLPY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685003},"type":"text","content":"Men are one and a half times more likely to have Parkinson’s than women, according to the Parkinson’s Association."},{"_id":"MTSNQ3XKBJH6NNQ5BYKAW57B5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685004},"type":"text","content":"Incidence also increases with age. People usually develop Parkinson’s around age 60 or older."},{"_id":"7CY4FQGXPZHU3LYPBTEWGMEIJ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685005},"type":"text","content":"Genetics also plays a big role. Having a close relative with the disease increases chances, but the risks are small unless there are multiple relatives with the disease."},{"_id":"UTSUPKVXVFA2ZPJ7KLFYWUZP54","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685007},"type":"text","content":"Is there a cure?"},{"_id":"TEOGFDQJ35BYZMLJM2FAAFBKKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685008},"type":"text","content":"No, there is no cure for Parkinson’s disease, but medications can certainly help control symptoms."},{"_id":"XQB553WSNNHHXAJTB4BWGOEMJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685009},"type":"text","content":"What is the treatment like?"},{"_id":"CBUJZA6ZFZESFAMWXZWQ7B44VA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685010},"type":"text","content":"Treatment for symptom management includes medicines that increase dopamine levels in the brain."},{"_id":"65ZLTJCIH5CAZIKYPY5QG2JCGM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685011},"type":"text","content":"Some medicines include Levodopa, Duopa or Mirapex."},{"_id":"5GOFBNAANREJRNE63AYCOTYVOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685012},"type":"text","content":"In some cases, a patient may undergo surgery, or deep brain stimulation. In DBS, surgeons implant electrodes into a specific region in your brain. These electrodes send electrical pulses to the brain and can reduce symptoms."},{"_id":"NSBM2E733ZGKHN4ZBSN4NGCOKY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685013},"type":"text","content":"How many people have Parkinson’s disease?"},{"_id":"WYISZHKTY5EHTHK5EAYSJHGCD4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625225685014},"type":"text","content":"According to the Parkinson’s Association, an estimated seven to 10 million people in the world are living with the disease."},{"_id":"OLE6NATO2RGH5KDMRWXZYHJJVQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625231337353},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."}],"display_date":"2021-07-02T13:09:13.938Z","headlines":{"basic":"What is Parkinson’s disease? 7 things to know"},"first_publish_date":"2018-01-23T14:13:51Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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They also provide more sedate raft options on other parts of the river, suitable for children and those who like to be out on the water without all the heart-racing excitement."},{"_id":"RZ3JSWAE2VFCFJFAY4LMKQNKUA","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864390},"type":"text","content":"Chestatee River Adventures tubing"},{"_id":"3U2PARZIAFCX5A6KPOAEKI6H6Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864392},"type":"text","content":"Whether you’ve never gone or it’s been far too long, the summer of 2021 is a great time to take up tubing. One option is a budget and family friendly float down the Chestatee River in Dahlonega. Available from Memorial Day weekend to Labor Day weekend, it’s a simple outing if you’re still getting the hang of getting out and about post-pandemic. And the price is right — $5 each for unlimited floating, walking back up and floating through again. If you’re considering bringing the whole family, keep in mind the minimum age is 4."},{"_id":"34O37POZ7BBWBLNCHEKXFAOCLQ","additional_properties":{"comments":[],"_id":"3RCFMSOCQNBQDGZEHION4VWN7Y"},"type":"interstitial_link","content":"Take a walk near water to boost your mood","url":"https://www.ajc.com/lifestyles/health/study-walking-near-water-can-boost-your-mood/uRhKO00veUOxqllHTgWjOP/"},{"_id":"4MOWH2IQRNAWVI4F3VRESKL26Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864393},"type":"text","content":"Callaway Resort and Gardens lake course zip line"},{"_id":"BNHKKGNORREK3HVFFAXSDNQ3SY","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864394},"type":"text","content":"This adventure takes place above the water, on the lake course that’s part of Callaway Resort’s self-guided, in-air obstacle course. After tips and safety measures from an experienced guide, participants take off on their own to soar over the gardens and Robin Lake, sometimes reaching heights of 70 feet."},{"_id":"KXVC6CATMJCADJMIP7GM4IIJHI","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864396},"type":"text","content":"The challenges include netting, ladders and some other ingeniously placed suspended surfaces."},{"_id":"BFGUUK6C7BBPVE7LN6YQA2HI5E","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864397},"type":"text","content":"This might be just the thing for a group from work, or for getting to know your extended family again post-quarantine. Afterward, consider taking a dip at the resort’s Robin Lake Beach."},{"_id":"RBPDMM3T3NG7XM557BWQ5FI3NU","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864398},"type":"text","content":"Wolf Tail water slide at Great Wolf Lodge"},{"_id":"W462EYXTD5CMLCATG5PTNR2IOM","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864399},"type":"text","content":"Included in a day pass to the indoor water park at Great Wolf Lodge, this slide includes a 20-foot free fall and 360 degree loop. The park in LaGrange, about an hour outside Atlanta, offers more tame activities, too, like splash pads and tubing. The indoor option is handy if you don’t want too much sun exposure or missed the window when outdoor water parks are open in the summer."},{"_id":"T5BN4XRPPJHERAECMRA7V5YZ2A","additional_properties":{"comments":[],"_id":"GLLOSVFFGBGH7IWIEZUI2RK3AU"},"type":"interstitial_link","content":"9 Georgia swimming holes that have just as much splash as the pool","url":"https://www.ajc.com/events/outdoors--recreation/swimming-holes-that-make-you-forget-the-pools-are-closed/4xtvjwqeeHDPvEpxZjI80N/"},{"_id":"J5EZI75SM5HKPPTEVCBANYZSCE","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864401},"type":"text","content":"Indian Springs State Park"},{"_id":"HW6IJ7RK7BDT7DL5JRT64ELNLY","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864403},"type":"text","content":"Within Butts County, about an hour from Atlanta, this leisurely state park offers soothing aquatic opportunities. Its spring waters were a revered part of indigenous heritage and once drew people to a resort there. Today, you can sip them from a spring house built by the Civilian Conservation Corps during the Great Depression. More active pursuits include wading in Sandy Creek or renting an aquacycle, kayak or jon boat. For a pleasant pause in the cool indoors, visit the onsite museum that documents the springs from the times of the Muskogee-Creeks. If you want to tarry longer than a day, the state park also offers cottage and campsite reservations."},{"_id":"3VJ5KXX4KFEATDVOESDRVVLEVI","additional_properties":{"inline_comments":[],"comments":[],"_id":1622206864404},"type":"text","content":"Get more stories like this in your inbox with the Pulse newsletter. Sign up here."},{"_id":"SQSVENHPRBH23BEVBTBXBWVU64","additional_properties":{"comments":[],"_id":"MRNNX5CQ65GS3JBQ6CLSBLVGLU"},"type":"raw_html","content":"

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The team merged their theories into a single question: Across women’s lifespans, how are the tendencies to “tend and befriend” as well as socially select reflected in their communication?"},{"_id":"IDHV3DG6KJHHLLVXLDXJKFO25Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557521},"type":"text","content":"They tested a pool of 32 women: 16 “older adults” ages 62-79, and 16 “younger adults” ages 18-25. Each participant was paired either with a friend (a “familiar” conversation partner) or a stranger (“unfamiliar”) and put through a series of conversation challenges."},{"_id":"UQ7WI2V7VJEBJJY37XCFWNMFFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557522},"type":"text","content":"Each participant had to instruct her partner to arrange a set of tangrams in an order that only the former could see. The catch? Because tangram shapes are abstract, their appearances can be difficult to describe."},{"_id":"DS34VWYKLZHPZI57VHN2E6W2JI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557523},"type":"text","content":"“You could look at one and say, ‘This looks like a dog.’ Or, you could say, ‘This looks like a triangle, with a stop sign, and a bicycle wheel,’” Rodrigues explained. Partners who achieved the desired tangram arrangement in fewer words were considered more efficient."},{"_id":"2G2FWUVSDZCMDPFUMCXO7HKFWU","additional_properties":{"comments":[],"_id":"KFGZEWS5KZHMPNTNM7YIB5LOF4"},"type":"interstitial_link","content":"Three Georgia cities in top 25% of most stressed in U.S.","url":"https://www.ajc.com/lifestyles/health/three-georgia-cities-top-most-stressed/lJMkBOufWcAXu2S84nSVMM/"},{"_id":"U3OW22JMYZANLE7KFSMQ4OJNKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557525},"type":"text","content":"The researchers found the younger adults communicated more efficiently with familiar partners but less efficiently with unfamiliar partners. The older adults, however, demonstrated conversational dexterity, quickly describing the abstract tangrams to friends and strangers alike."},{"_id":"PKGRXP7K2JDYBBUAHKGN7FZMTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557526},"type":"text","content":"“Even though older adults choose to spend more time with people who matter to them, it’s clear that they have the social skills to interact with unfamiliar people if and when they choose to,” Rodrigues said."},{"_id":"DM4XUDLSS5BE5IPVA6DQVCQY7E","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557527},"type":"text","content":"Rodrigues’ team also measured the stress hormone cortisol to quantify and compare participants’ stress levels during the tests."},{"_id":"JXZF25XSX5FALPRZ7UXHS7L4QQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625153557528},"type":"text","content":"“When you experience something stressful, if you have a stress response system that’s working as it should, the result is an elevated amount of cortisol, our primary stress hormone, which then tells our bodies to release glucose into our bloodstreams,” she said. “That’s reflected in our saliva about 15 to 20 minutes after we experience it. 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That simple day of festivities could be contributing to a public health hazard, a new study suggests."},{"_id":"52R3FB5I5ZEDJOOLRQUJQMDHEA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835249},"type":"text","content":"According to a study by environmental health researchers at the University of California, Irvine, fireworks cause short term, extremely high particulate matter air pollution."},{"_id":"ZNBQ5OAWCJGZHCLLAX4KOCLOSI","additional_properties":{"comments":[],"_id":"BB6RUE7TTZBTFNJ3RQGN2QDJYE"},"type":"interstitial_link","content":"Why Atlanta is a top city to celebrate July Fourth","url":"https://www.ajc.com/life/why-atlanta-is-a-top-city-to-celebrate-july-fourth/UGE6JUOSLZH4JLMU5LFB4YYG6M/"},{"_id":"O35W4YSM4NAAJGMMAFOAFP4BUE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835251},"type":"text","content":"The researchers from UCI’s Program in Public Health relied on real-time air quality measurements from a network of more than 750 automated sensors throughout California. They found short-term, extremely high particulate matter air pollution from the widespread use of fireworks spiked from late June through early July in 2019 and 2020."},{"_id":"MKL6O4WMFRGCHLG3L3YDKTNWIM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835252},"type":"text","content":"The increase was most pronounced in Southern California counties where fireworks regulations are less strict than in northern parts of the state."},{"_id":"B2LPBMETVNDE3CU6CKTLDLSTFU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835253},"type":"text","content":"Although the study took place in California, the use of fireworks is legal in Georgia until 11:59 p.m. on July 3 and July Fourth, regardless of local legislation. This is true for the last Saturday and Sunday in May, corresponding with Memorial Day, and on Labor Day."},{"_id":"SVZX2LMMDFDA7PV7HTFR6S7MUU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835254},"type":"text","content":"The rest of the year, you can light up the sky until 11:59 p.m. any day of the week if local law allows."},{"_id":"7IBD26O7KRBVRBVBRJUWYRGLAU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835255},"type":"text","content":"“You may have seen discussions on social media lately about people worrying for their pets on nights when the skies are filled with exploding fireworks, but we’ve found that there is a real threat to human well-being too,” said co-author Jun Wu, UCI professor of public health. “And like many other environmental justice issues, we find the worst impacts among residents of low-income communities.”"},{"_id":"4W7Z3LVJZZCFLC5ZJTTNJ3RZ3U","additional_properties":{"comments":[],"_id":"K3XKVYAPHJAEJCZD5IBJUVLIWM"},"type":"interstitial_link","content":"Don't let your pet become another 4th of July runaway","url":"https://www.ajc.com/news/don-let-your-pet-become-another-4th-july-runaway/rkfyxVP5rpXfpSF3wkL2CL/"},{"_id":"XY6B3GRDKZEGRIFRZETGZPIYJM","additional_properties":{"inline_comments":[],"comments":[],"_id":1625086717016},"type":"text","content":"When fireworks explode in the air, they release fine particles — smaller than 2.5 micrometers in diameter. Airborne particulate matter of this size is hazardous if inhaled because it can be absorbed by the lungs and passed to other tissues inside the body."},{"_id":"ETHJCBG3TJGOVCCIPDWM2ZZXNU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835258},"type":"text","content":"Fireworks get their distinct colors from compounds containing barium, copper, magnesium, potassium and strontium, which are released at explosion along with trace redox-active metals and water-soluble ions. All of these inevitably fall on those below."},{"_id":"EID6B7U46BC4DKUVSFX6JGRKDA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625083835259},"type":"text","content":"“These fine particles are known to cause a wide range of adverse health effects, including premature mortality, respiratory and cardiovascular diseases, adverse pregnancy outcomes, and neurological diseases,” Wu said."},{"_id":"VBVBZVSOIVC2ZCYY5JRZEQUD5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625086717019},"type":"text","content":"He added: “This work highlights the important role that policy and enforcement can play in reducing fireworks-related air pollution and protecting public health. As there is a patchwork of different restrictions and regulations regarding fireworks in our state, it’s clear that a more coordinated approach would help people breathe easier during times of celebration.”"},{"_id":"MHHVHTX6X5F3RHG6ECOHDMWFIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625086717020},"type":"text","content":"The study was published Tuesday in the International Journal of Environmental Research and Public Health. You can read the full study here."},{"_id":"V5ZBK7Q3KFAYVEDC5O43FVNN3M","additional_properties":{"comments":[],"_id":"AO2DL6DYJVCWZIDXLUENAIUTCA"},"type":"interstitial_link","content":"Where to see fireworks in and around Atlanta","url":"https://www.ajc.com/things-to-do/where-to-see-fireworks-in-and-around-atlanta/T6I6CWV4RNGCNNJSKLMZ4VOJWU/"}],"display_date":"2021-06-30T21:16:20.839Z","headlines":{"basic":"Study: Using fireworks at home creates public health hazard"},"first_publish_date":"2021-06-30T21:16:20.839Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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We were talking about the changes she’s been experiencing, and I was wondering if there is such a thing as male menopause. I am 58."},{"_id":"D7ROJJ7SVZCBNIFOORYZKN5W5A","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358282},"type":"text","content":"ANSWER: Hormone changes are a natural part of aging. Unlike the more dramatic reproductive hormone plunge that occurs in women during menopause, however, sex hormone changes in men occur gradually."},{"_id":"BIVWYUGRSNEBNPKU2X7BMZ7AME","additional_properties":{"comments":[],"_id":"U366MOZO65F7REQHEFUBNCWU7U"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"KTJ6GNSGINBP5NKR367S5SRM5Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358284},"type":"text","content":"The term “male menopause” has been used to describe decreasing testosterone levels related to aging. But aging-related hormone changes in women and men are different."},{"_id":"N2I4526E5RHWZPJCUS77WO2JOE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358285},"type":"text","content":"In women, ovulation ends and hormone production plummets during a relatively short period of time. This is known as menopause. In men, production of testosterone and other hormones declines over a period of many years, and the consequences aren’t necessarily clear. This gradual decline of testosterone levels is called late-onset hypogonadism, or age-related low testosterone."},{"_id":"EEXUD4AS3BCIFBUYLXLRNXJ4U4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358286},"type":"text","content":"A man’s testosterone levels decline on average about 1% a year after age 40. But most older men still have testosterone levels within the normal range, with only an estimated 10% to 25% having levels considered to be low."},{"_id":"ONHMD5HR6FAQ7F5LBMXJ42ANEQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358287},"type":"text","content":"Low testosterone levels in older men often go unnoticed because many men who have low testosterone levels experience no symptoms. In addition, the signs and symptoms associated with low testosterone aren’t specific to low testosterone. They also can be caused by a person’s age; medication use; or other conditions, such as having a body mass index of 30 or higher."},{"_id":"2ECSMUCKP5BHDL7DLWKPNWPBYU","additional_properties":{"comments":[],"_id":"3GKBIXQT4NGH7GSDH7YNCN2D74"},"type":"interstitial_link","content":"Menopause affects both gray and white brain matter, study finds","url":"https://www.ajc.com/pulse/menopause-affects-both-gray-and-white-brain-matter-study-finds/WA3HMM5Y35BLDP3URT47YEGBVI/"},{"_id":"JHMYLMHRIFBMNCEOCDVEITFS3Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358288},"type":"text","content":"Testosterone levels can be checked by a blood test, but tests aren’t routinely done. That said, if you are experiencing certain signs and symptoms suggestive of low testosterone, it might be worthwhile to ask your health care provider to check your levels."},{"_id":"CTEJVUJE6VHHDPFHSJI4N7NXRY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358289},"type":"text","content":"Some signs and symptoms suggestive of low testosterone include:"},{"_id":"4XF2MYH6JJEJ5MT6U2PYF6J5HQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358290},"type":"text","content":"» Reduced sexual desire and activity"},{"_id":"4MF37WRJVBEVRDGZBDZZUOAHAQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358291},"type":"text","content":"» Decreased spontaneous erections or erectile dysfunction"},{"_id":"THTWTNNSCRBTDNKUPEXPSGLIRA","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358292},"type":"text","content":"» Breast discomfort or swelling"},{"_id":"VULXN7RCRZG2NLNGAUF44ENU6M","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358293},"type":"text","content":"» Infertility"},{"_id":"QNA6MPY7TRHVPGDLW4J5KTOY6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358294},"type":"text","content":"» Height loss, low trauma fracture or low bone mineral density"},{"_id":"YWDQPNOXLRHX3IWIDFA6SNUH7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358295},"type":"text","content":"» Hot flushes or sweats"},{"_id":"ZFMWNB4RTJHULFKIGPHXFZXAMY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358296},"type":"text","content":"Other possible symptoms include decreased energy, motivation and confidence; depressed mood; and poor concentration. It’s also possible to experience increased sleepiness, sleep disturbances, mild unexplained anemia, reduced muscle bulk and strength, and increased body fat."},{"_id":"U3IFDF27JZHLJMV3NOLU26WNHE","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358297},"type":"text","content":"Experts recommend testing older men for low testosterone only if they have signs or symptoms. If an initial test shows low testosterone, the test should be repeated to confirm the results. If low testosterone is confirmed, further testing of the pituitary gland is recommended to determine the cause and rule out other hormone deficiencies. The pituitary is a gland the size of a kidney bean situated at the base of your brain. It is part of your body’s endocrine system, which consists of all the glands that produce and regulate hormones."},{"_id":"6KHI4R2FJVARXGDZ24XPOWU224","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358298},"type":"text","content":"Treatment recommendations for men with age-related low testosterone vary. In 2020, the American College of Physicians recommended that health care providers consider starting testosterone treatment after explaining the risks and benefits in men with sexual dysfunction who want to improve their sexual function. In 2018, the Endocrine Society recommended testosterone therapy for men with age-related low testosterone who have signs and symptoms associated with low testosterone. Some experts also recommend offering testosterone treatment to men with age-related low testosterone without the presence of signs or symptoms."},{"_id":"YU54Z666KVBG3KYCJ3YQPJN564","additional_properties":{"comments":[],"_id":"7MMN6NHIJBEZFIXS3O7ZOEQQDE"},"type":"interstitial_link","content":"Men’s testosterone levels influenced by where they grow up, study suggests","url":"https://www.ajc.com/news/health-med-fit-science/men-testosterone-levels-influenced-where-they-grow-study-suggests/9vpn091uuF2nyjvqqZKavL/"},{"_id":"S5I5MHVNEJH4BBRRL7AZ4KDE4Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358299},"type":"text","content":"If you choose to start testosterone therapy, your health care provider will explain the ways to administer testosterone, as well as target levels and follow-up testing."},{"_id":"KAMPXCKHRZECBGHQH3SSRX47A4","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358300},"type":"text","content":"For some men, testosterone therapy relieves bothersome signs and symptoms of testosterone deficiency. For others, the benefits aren’t clear, and risks are possible."},{"_id":"WLSZCG5PXBEWZHRKWE6OFGFRQQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358301},"type":"text","content":"Though further research is needed, testosterone therapy might stimulate growth of metastatic prostate and breast cancer. Testosterone therapy also can increase the risk of heart attack and stroke, and contribute to the formation of blood clots in the veins."},{"_id":"4FQ2KIGH2ZDTTBAE2WCCBGD7TQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358302},"type":"text","content":"Your health care provider likely will recommend against starting testosterone therapy if your fertility is important in the near future or if you have conditions such as breast or prostate cancer, untreated severe obstructive sleep apnea, uncontrolled heart failure or thrombophilia, or if you’ve recently had a heart attack or stroke."},{"_id":"YY6ZX3QIWZCG5CDDMW76H4GWKU","additional_properties":{"inline_comments":[],"comments":[],"_id":1625054358303},"type":"text","content":"If you think you might have low testosterone, talk to your health care provider about your signs and symptoms, testing and possible treatment options. Your health care provider can help you weigh the pros and cons of treatment."},{"_id":"ZCFPULMXFRGFDOXCF5JJVUQ5IY","additional_properties":{"inline_comments":[],"comments":[],"_id":1625056357889},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"MDEK7WOA2RELXHOITKA2R4A6IU","additional_properties":{"comments":[],"_id":"LCOJOZIJBVCSNNZJJCQCYDBHG4"},"type":"raw_html","content":"

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"}],"display_date":"2021-06-30T12:31:40.044Z","headlines":{"basic":"Is male menopause a real thing?"},"first_publish_date":"2021-06-30T12:31:40.044Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. Find the latest in industry tech and research, empowering feature profiles, plus lifestyle guides with nurses in mind.","_id":"/pulse","additional_properties":{"original":{"parent":{"AmpNav":"https://www.ajc.com/","default":"https://www.ajc.com/","BottomNav":null,"TopNavRedesign":null,"SectionMap":"https://www.ajc.com/","MainMenuRedesign2021":"/life","TopNav":null,"ComposerNav":"https://www.ajc.com/"},"site":{"section_comments_enabled":"Yes","site_description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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Therefore, after all you’ve already accomplished in nursing school, you may be experiencing some anxiety about the test. There is a lot of built-up pressure, and you may want to know more about how, when and where to begin studying and preparing for the test."},{"_id":"4BW5PV5PJZHEPLY75DT5KNV4PQ","additional_properties":{"comments":[],"_id":"KFLHDX4YGBFAVPVYVBZA2KMEKA"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"IWVTYSIBK5FCFEN2YMK63RIO2I","additional_properties":{"inline_comments":[],"comments":[],"_id":1624975785313},"type":"text","content":"Many experts say the test is changing continually and is different for everyone — therefore, it is unlikely any two prospective nurses will have the same test experience or questions."},{"_id":"QQEZV6QLIZHOJB2Y4ZGYPQJWCM","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850115},"type":"text","content":"Additionally, most nurses advise structuring your studying in a way that is comfortable for you, but is consistent and ongoing up until a day or two before the test, when it’s recommended that you give your brain a break from studying. In other words, last-minute cramming for the NCLEX is not advisable or effective."},{"_id":"EPJHMKUVDRECDAPUPOTYAEGCIE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850116},"type":"text","content":"What can you expect on test day?"},{"_id":"UKHL67EGYVBCXNJOUXU4S4NF6I","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850117},"type":"text","content":"“The testing center is quiet — quieter than a library — and the testing process can feel a bit awkward,” explained Marcia Sotelo, DNP, RN, CNE, CTN-B, Nursing Department chair for American Public University System."},{"_id":"4SQK64JN5FHU3P75LBHG73ZOVM","additional_properties":{"inline_comments":[],"comments":[],"_id":1624975785317},"type":"text","content":"“When testers first arrive for the test, they will be asked to show a photo identification and then lock up all of their belongings in one of the provided lockers. Entering and exiting the testing room will require the use of a fingerprint (or palm print). For test takers who are likely quite anxious, this procedure can make them feel ever more anxious,” Sotelo continued. “I highly suggest viewing the exam day information on the NCSBN.com website. The National Council of State Boards of Nursing is responsible for the ongoing development of the NCLEX exam.”"},{"_id":"7O6GSNDKJVF57JYD3BD47PGVZU","additional_properties":{"comments":[],"_id":"QEZUYV2NU5GBTHCNJBOGIBVJLE"},"type":"interstitial_link","content":"After the pandemic: What’s next for nurses?","url":"https://www.ajc.com/pulse/after-the-pandemic-whats-next-for-nurses/OIEUGARCMZAORHDHLDBDRSWYBE/"},{"_id":"QYWYLWU35BC4ZPQ7LJS7KE7TSQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850118},"type":"text","content":"How is the test structured?"},{"_id":"GONYO34U65G2BCFPABBZTSCQ5Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850119},"type":"text","content":"By design, the NCLEX is probably unlike any other test you have ever taken."},{"_id":"J6JE3AJADZG5JGGOFEFWFYFEK4","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850120},"type":"text","content":"“The NCLEX, more than ever before, is reflective of the clinical judgment nurses need to possess to safely practice nursing,” stated Ann Dabrow Woods, DNP, RN CRNP, ANP-BC, chief nurse of health learning, research and practice for Wolters Kluwer. “The National Council of State Boards of Nursing continually evolves the exam to mirror evidence-based practice changes in nursing,” she added."},{"_id":"W5S5G36JQFFPLPGGXF2JSTU2FI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850121},"type":"text","content":"“When it comes to the actual structure of the exam, it is mostly made up of multiple-choice questions, although other formats may be included,” said Dabrow Woods, who also serves as adjunct faculty of the graduate nursing program at Drexel University. “The exam is personalized to the test taker’s performance, meaning it follows a variable question format in which the computer adapts to provide increasingly difficult questions as time goes on. The exam will continue until the person being examined reaches 95% certainty of a passing score.”"},{"_id":"K4QUINRMKBHGJDPGEC6Y76KIWU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850122},"type":"text","content":"“The NCLEX uses a CAT format (computerized adaptive testing) that is very different from a typical exam,” Sotelo concurred. “The computer ‘adapts’ the questions based upon the tester’s answers, selecting questions at a difficulty level where the tester has a 50% chance of answering correctly.”"},{"_id":"KT5EBSBYFNGY5GCIIWRDI4ZMTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850123},"type":"text","content":"“After every question, the computer reevaluates the tester’s ability, and again chooses a question it believes the tester has a 50% chance of answering correctly,” Sotelo explained. “When testers answer questions correctly, they receive more challenging questions. When testers answer questions incorrectly, they receive less challenging questions. Either way, testers must understand and be prepared for this new type of testing and have a mindset that they are likely to be answering questions that are difficult for them. A clear understanding of this testing format can help prevent the anxiety that occurs when a tester is struggling to consistently provide correct answers to questions,” added Sotelo."},{"_id":"B7UTIFQUWVB5VBIEMLBFQGD55M","additional_properties":{"comments":[],"_id":"M4MGN36C3ZAEDO7GN33YR7UL7M"},"type":"interstitial_link","content":"Employment opportunities for nurses this summer","url":"https://www.ajc.com/pulse/employment-opportunities-for-nurses-this-summer/FQPESTZACVGLRIS2NTJDGJPZR4/"},{"_id":"C6XUPIMT4FF2HJZ7HWTXYJYKEQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850124},"type":"text","content":"Scheduling tips: timing of test and when to register"},{"_id":"RK6BLLZXWJCQNBQYJETTOHG4XY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850125},"type":"text","content":"Experts agree the timing of the test is important, and you should register to take the exam as soon as possible, while nursing school information is still fresh."},{"_id":"RHNWLMPTFZCTJL2JQY72SI4QBA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850126},"type":"text","content":"Tracy Jones-Darnell, EdD, MSN, RN, CNE, NE-BC, faculty member for Walden University’s RN-BSN program, explained that “a student cannot register for the NCLEX until they get an ATT, which is an authorization to test, from their state.”"},{"_id":"K7JAFZCQ5VG27BGVBBRONCGTJY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624975785329},"type":"text","content":"Her research and observations regarding the ideal time frame has found that “students are most successful if they test within eight weeks of graduation. Many students feel they are already prepared and do not need to study that long and test much sooner,” she continued. “There is not a magic window of time, but the longer you wait past the eight-week window, the greater your chance of not passing the NCLEX on the first attempt.”"},{"_id":"GXIBBGY2DVA2BIHPAQ2JPQZK34","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850127},"type":"text","content":"Tammy Bjork, ADN, RN, NCLEX tutor for Amarillo College, suggested that prospective nurses “take your exam at the time of day that you test best. If you are a morning person and you do well early in the morning, then schedule your NCLEX for that time. If afternoon testing is your best time, then go for it.”"},{"_id":"ODFFMK2U6BEG3N3HTG25OGV4WE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850128},"type":"text","content":"“‘Cramming’ for the NCLEX is impossible,” Sotelo added. “There is simply too much information that is covered on the exam (e.g., all body systems, all medications, all nursing interventions, etc.). Successful students are those that set a schedule for some studying every day — and stick to that schedule.”"},{"_id":"XKV7RAA2WRCUZHDB2GRYY55WHI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850129},"type":"text","content":"Study tips from nurses"},{"_id":"2IMFDVX5QNA3FBXTYYLNUPBXQM","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850130},"type":"text","content":"“My recommendation is to devote around two hours a day to studying and develop a study plan that works for you. Use a mix of learning styles … whether it is hands-on, visual, auditory or a combination of those. Using different styles will help retain more knowledge,” Dabrow Woods suggested. “Some tried-and-true methods for retaining information are mnemonics, drawing out concepts or relationships, using the teach-back method where you teach someone else about concepts and applications, or use flash cards.”"},{"_id":"VSMHYYQ53JCA7CZ5D5AVTR2QXQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850131},"type":"text","content":"Bjork warns against studying right up until the test time. “The brain gets exhausted! You want to go into an exam with your mind alert and ready to use. So, the best thing you can do is to take a break, go for a walk, and breathe in fresh air. Prepare your mind for the challenge ahead by taking a moment to relax. Cramming is the brain’s enemy.”"},{"_id":"NXMHZL2LTRHX5I64SAEYZSU52Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850132},"type":"text","content":"Sotelo emphasized that studying is ongoing throughout nursing school and never ends. “The most important thing is to not stop studying. Celebrate graduation from nursing school the day of the graduation ceremony. The next day, students need to continue to study. … Students don’t really begin studying for the NCLEX at a certain point. Rather, all their studying during their nursing program is part of the preparation for the NCLEX.”"},{"_id":"56RIDERSSBFJ3DRNKBROOGBA7U","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850133},"type":"text","content":"Sean Marchese, MS, RN, passed the NCLEX in 2017 and now works as a nurse at the Mesothelioma Center. He recommends a structured but engaging approach to test prep. “Organize your study materials in a way that makes it more interesting for you to study. You don’t necessarily have to follow the structure of a study book or guide. If you don’t want to learn all of pediatrics in one afternoon, spread it across other relevant topics like nursing diagnoses or physical exam findings.”"},{"_id":"WD5N76I66VF5NGLJOHQIAQTGMM","additional_properties":{"comments":[],"_id":"IDCJJZYIWBHDNECTG7A7BDSXXQ"},"type":"interstitial_link","content":"Seminars and continuing ed in July and midsummer 2021","url":"//ajc.com/pulse/seminars-and-continuing-ed-in-july-and-midsummer-2021/RID4HAG2KJBC7P5QETMWGVF3UA/"},{"_id":"75JFBI4GNFE73K2E3YN36CST74","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850134},"type":"text","content":"Mindset tactics for easing anxiety, calming fears"},{"_id":"OLFMQ2GVRJF7JE4FN22PPEAIWI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850135},"type":"text","content":"Dabrow Woods suggests taking control of what you can while trying not to stress about the rest. “Experts recognize that taking the exam is stressful; controlling things you can control is a good starting point to reduce the stress and anxiety levels. Small things, like filling your gas tank the night before, getting a full night’s sleep, and eating a healthy meal will put your mind at ease. I also suggest taking the day off before the exam, stop studying and practice breathing exercises to help calm your nerves.”"},{"_id":"PZFZDE6H25B5BDXZPTY4I6WHKI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850136},"type":"text","content":"Marchese added, “Standardized tests can be difficult for a lot of people, but one of the most successful things a test-taker can do is change how they study, not necessarily what they study.”"},{"_id":"PHUZHNCYFVENNPIRKCYE2RVQ6U","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850137},"type":"text","content":"“One of the strategies that helped me the most was taking time to study like it was a hobby and not a full-time job,” Marchese recalled. “Don’t pressure yourself to study all day until you reach your breaking point. Instead, put on some music or grab some snacks and study for about three to four hours every day or every other day. The trick is to start studying early enough in the season so you don’t feel like you’re running out of time.”"},{"_id":"2NZ4NOW7LNC43I654X7UIFE7XI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850138},"type":"text","content":"Tips and strategies on how to approach the questions and content"},{"_id":"C6HQTVCAABDPBLB6TI7TAUKK4Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850139},"type":"text","content":"Many of the study tactics, thought processes and critical thinking skills you learned and used throughout nursing school will benefit you for the NCLEX as well."},{"_id":"LBQDGPVNCZA7TEFH3WCGOLZCLI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850140},"type":"text","content":"During the exam, there are many strategies to follow, starting with examining the questions. Read the entire question and don’t jump to conclusions, determine what you are truly being asked and pull out keywords or repeated words to match the specific ask to the answers. Look for opposite answers to eliminate the wrong ones in multiple-choice questions and determine which option seems more likely,” Dabrow Woods stated. “Don’t overthink the question, and try to leave your personal experiences out of the decision making. Always reason through the questions and never second guess yourself.”"},{"_id":"YSGA5LIZNNEYDPPRGQFIGXLMFA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850141},"type":"text","content":"Sotelo agreed and expanded on that balanced approach of exercising caution while resisting the urge to overthink."},{"_id":"GPVYAGLBANDKNHSUBLEUNKCV6Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1624975785346},"type":"text","content":"“Take your time, focus on one question at a time, and make sure that you are answering what is being asked. Test takers sometimes run into issues because they answer based upon their previous clinical experience (e.g., in school or working as a nursing assistant). Therefore, they may not choose the correct answer because they assume that there isn’t enough staffing, supplies, or time,” she explained. “I always encouraged students to answer the questions based on them working in what I called the ‘NCLEX Hospital.’ In this hospital, there is plenty of staff, sufficient supplies, and all the time needed. Don’t talk yourself out of the right answer.”"},{"_id":"XYTD54TYERH5BCJR3D6YAAGM4U","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850142},"type":"text","content":"Jones-Darnell, who agreed with Sotelo’s advice to assume optimal hospital conditions for each question, added: “Always identify the client and issue first. Assume the client is between 18-65 years old unless otherwise stated in the question. Confirm whether the question wants you to identify something true or false, and what priority it is if they delineate a ‘first, next, before or after’ in the question. The NCBSN creates questions based on a perfect hospital setting. This means that for each question, you can assume there is always enough staffing, supplies, helpful doctors, an available pharmacist and most importantly, enough time for the nurse to perform the appropriate actions.”"},{"_id":"YS4NI54SYZDSHHBSPQ73VVONV4","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850143},"type":"text","content":"Use priority frameworks"},{"_id":"GGJ4E3WZKJG3BHTDXJ75E3F23I","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850144},"type":"text","content":"Sotelo recommends using priority frameworks for help approaching the test. A priority framework is a way of prioritizing/choosing the best answer. Sotelo provided the following examples that might be helpful as you approach the NCLEX questions."},{"_id":"7LP2V6YKVJEQ7F7FGHBX6TXMUM","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850145},"type":"text","content":"ABCs: airway, breathing, circulation. Choose the answer that is related to airway/oxygenation. Nothing else matters if the patient isn’t able to breathe."},{"_id":"L3T56C7LYBB2FNC7UFKX4ZSOGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850146},"type":"text","content":"Maslow’s hierarchy of needs: The client must have physiological and safety needs met first."},{"_id":"JNNW4O6G5JBAFKZGUI5VP2TDLA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850147},"type":"text","content":"Nursing process: The first step in the nursing process is assessment. Do you have enough information — based on the stem in the question — to act? If not, choose an answer that enables you to further assess."},{"_id":"TS2USER7MBFEBDIU46LZNEPAXI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850148},"type":"text","content":"Least restrictive, least invasive: When clients exhibit symptoms that could lead to harming themselves or others, you need to choose the least restrictive method of keeping them safe. When clients need an intervention, the safety choice is one that is least invasive and doesn’t compromise barriers between outside and inside of the body."},{"_id":"R4ZWCTBSQZBSVFGU6W3GAO3EQ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850149},"type":"text","content":"What if you’re not a strong test-taker?"},{"_id":"37KNK5ZXGRHA7LEUWNGA2YPLBI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850150},"type":"text","content":"The nursing experts consulted on this topic agree that even anxious or historically “bad” test takers can successfully pass the NCLEX, especially with appropriate preparation and mindset."},{"_id":"KAPLN35K2VADRCAG3WNB5QL5DY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850151},"type":"text","content":"Dabrow Woods: “Nursing is a journey and you’ve already passed the first gate, graduating from school. The next step is to successfully pass the NCLEX exam and then begin onboarding and orientation. If you are not a strong test taker, don’t let that deter you or affect your performance. Instead, congratulate yourself for successfully graduating nursing school and allocate additional time to preparing for the exam. Practice tests will be key to familiarize yourself with the format of the test, and consistent studying will help prepare you for the material without burning out from long cram sessions.”"},{"_id":"ONV6UX4ZX5G2XO7CDORZQK2AHM","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850152},"type":"text","content":"Sotelo: “The CAT format is challenging for everyone, but has been shown to be very effective in correctly determining which test takers are prepared to practice as registered nurses. Every tester receives between 75 and 145 questions and has five hours to take the exam. That means the student has over two minutes to answer each question. The best thing to do is simply focus on one question at a time.”"},{"_id":"KDCMSD2Y3ZEC3II3AUPU75FM3A","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850153},"type":"text","content":"Lynn Weber, RN, BSN, program director of Marion Technical College: “If the student is not a strong test-taker, I would advise you to do 100 UWorld questions a day, as if you are getting in shape for the biggest competition of your life!"},{"_id":"TL3E3TFUYNG4XOK7EED26FH3JA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850154},"type":"text","content":"Jones-Darnell: “The key is to develop test taking strategies to use when you approach a question that has unfamiliar content. For those who do not test well, I suggest using these test taking strategies as they approach each question even if they think they know the answer immediately. The proprietary test reviews teach test taking strategies to assist students when answering questions on the NCLEX.”"},{"_id":"GHYNIPFURZBPPOI2JIARY5NWZM","additional_properties":{"comments":[],"_id":"XCMNBBZCINDSLJZXX2Z7MGZBJ4"},"type":"interstitial_link","content":"Could a Ph.D. open up your dream career path?","url":"https://www.ajc.com/lifestyles/health/could-phd-open-your-dream-career-path/biZ9L94C86ipGwKNesnIUJ/"},{"_id":"EXEGNPI7HNDTPH7GMZAIDUPKJM","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850155},"type":"text","content":"What not to do"},{"_id":"JDVY6MHPEVCFNKPGBICDQLZBWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850156},"type":"text","content":"Kymberlee Hardy RN, BSN, explains what to avoid before and during the NCLEX:"},{"_id":"IGNS43F7MVGFHILB75TFIZ4YLQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850157},"type":"text","content":"Do not fall into the rabbit hole of reading posts online about bad experiences of other people. Sometimes hearing what not to do is helpful, but most times it makes the test scarier than it has to be."},{"_id":"ORGBXERUPFARRJFCOWEHDQRPDY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850158},"type":"text","content":"Do not analyze your test taking ability during the exam based on the type of questions you receive. It is common to think that “easy” questions means you are doing poorly, and “hard” questions are meant to bring your score back down, meaning you are doing well. Do not let this trip you up. Take each new question one at a time and focus on the content presented."},{"_id":"UFUN4MSBDRFDPCBXRIWGHDJZ2Q","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850159},"type":"text","content":"Do not panic when you receive another question after the “minimum question” cut off. Maintain your composure and continue testing with confidence."},{"_id":"I2JAS5OH2NBUTNYI4LOPTYKF44","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850160},"type":"text","content":"More advice and anecdotes from nurses"},{"_id":"NSCK2EPHSFGFZDG467RT7YZ6RI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850161},"type":"text","content":"Emily Giddings, RN, MN, CCCE: “Everyone who takes the NCLEX feels like they are failing. That’s just how the adaptive algorithm works. Every question you’re given is one the algorithm has calculated [that you’ll] have only a 50% chance of answering correctly. That means that even if I sat down to take the NCLEX again today after many years of nursing experience, I would still feel only halfway sure of every answer I give. Keep that in mind while you’re testing, and don’t let the level of difficulty cause you to lose concentration.”"},{"_id":"DSADHYALPJH2VF2ZO5GDZL2TW4","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850162},"type":"text","content":"Tammy Bjork: “I had a habit of putting a cinnamon Jolly Rancher in my mouth before a test because I felt that it helped stimulate my brain and it became such a habit that I could not take a test without it. In fact, my whole class started to ask for one before every test. I did the same thing before my NCLEX, and I guess it worked because I passed. Give it a try.”"},{"_id":"KFD7KAWR6BGKPCUMZ7AYZ2FNKE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850163},"type":"text","content":"Tears, emotions are normal and expected"},{"_id":"ZF4WEPLTNNHI7KSAKS3LVOXTYQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850164},"type":"text","content":"Kymberlee Hardy, RN, BSN: “You may cry (or you may see other people outside/near the test center crying) after the exam. This is completely normal. Everyone taking the NCLEX has worked extremely hard to get to this point. Inevitably, you will think that you failed the exam once the computer shuts down. Sometimes, that is extremely overwhelming, and crying is the only way to express those emotions.”"},{"_id":"E5D3SCDTUJF7XE66B26NWNEPKI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850165},"type":"text","content":"Jones-Darnell: “Keep a positive state of mind at all times. When you allow your mind to feed on self-doubt you will create a self-fulfilling prophecy of defeat and failure. Try to remember how you arrived at this point in your life. You are smart and competent, or you would not have been accepted into nursing school and then graduated from nursing school. I advise my students to write a positive affirmation when they begin the test, such as: “I am smart! I will pass the NCLEX today!”"},{"_id":"Y4URBWEM6REFHMILGFY3EQYUBE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624884850166},"type":"text","content":"In closing, Jones-Darnell provided these words of wisdom about the NCLEX exam: “The world will not stop if you do not pass the NCLEX on the first attempt. In my 25 years in the nursing profession, and the last 12 in nursing education, no one has ever asked me if I passed the NCLEX on my first attempt.”"},{"_id":"5RHN2RBFXJG4ZASVCEZ7EPNZRU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624975785373},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"MCWEZM7KMJDEXPW5MVGHUYOS2E","additional_properties":{"comments":[],"_id":"3BBHYZKGBFF35BK6E4VL7SV3D4"},"type":"raw_html","content":"

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Likely, they are outside with sunscreen to protect their skin. But a question that sparks a lot of interest from parent centers around eye protection and sunglasses."},{"_id":"7V5SCRTDWNATDNPEBIJNR6MOBU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649265},"type":"text","content":"Mayo Clinic Health System providers say children receive more annual sun exposure than adults. This increased exposure to sunlight increases risk of eye damage from ultraviolet light — an invisible electromagnetic radiation emitted by the sun. Unlike adult eyes, children’s eyes are still maturing and cannot filter out the harmful UV rays as effectively."},{"_id":"JI2L6CLWLFFXVOSWPECT7OUN7U","additional_properties":{"comments":[],"_id":"MCBLVM5HKZHE7I65EGD4376CPA"},"type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/"},{"_id":"6WJBHNCEIFHIVKFKEYR7DBOZ4U","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649266},"type":"text","content":"“Children’s eyelids and skin around the eye are delicate and more vulnerable than adult skin,” says Nitika Arora, M.B.B.S., Mayo Clinic Health System glaucoma specialist in ophthalmology in La Crosse. “Damage from UV rays builds up over time. Long-term eye problems not specific to children could include cataracts and age-related macular degeneration that can blur vision, dull colors and lead to the development of a pterygium, which is a noncancerous growth of tissue on the surface of the eye.”"},{"_id":"WMXF47JEWBC65ES2LOVGVDWQMA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649267},"type":"text","content":"There also are some short-term physical side effects from too much UV light, including photokeratitis, also known as “snow blindness.” This occurs when UV rays reflect off sand, water, ice, and snow, or if you stare at the sun. Photokeratitis is like having a sunburned eye."},{"_id":"KVL2O6YPSFGUXPZSQ66ZGCHBJU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649268},"type":"text","content":"Fortunately, sunglasses will protect the skin around the eye and the eye itself. Consider having your children wear sunglasses every day. UV rays can still damage eyes on cloudy days."},{"_id":"CC3MC642XVESPBWKRZ6CVXX5MA","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649269},"type":"text","content":"Keep these tips in mind with selecting sunglasses for your children:"},{"_id":"NJN7EVAJTRBWLGCCX7SYIDZ3NI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649270},"type":"text","content":"1. Look for UV protection"},{"_id":"2BOYFQSZPJHEZHRPL6GAKXXIAY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649271},"type":"text","content":"Sunglasses should conform to the American National Standards Institute’s guideline ANSI Z80.3, which specifies UV protection and impact protection. “Choose sunglasses that block 99%-100% of both UVA (long-length) and UVB (short- length) rays,” says Angela Schneider, optician at Mayo Clinic Health System in La Crosse. “Look for large wraparound-style sunglasses that cover a lot of skin. If your children need to wear corrective lenses, you may want to consider photochromic lenses, also called transition lenses, to eliminate the need for sunglasses. Photochromic lenses automatically change from clear lenses to darkened lenses in the presence of sunlight. These lenses block 100% of the sun’s UV rays. ""},{"_id":"XADUU7CUE5F4RLRJ62JVVM37LQ","additional_properties":{"comments":[],"_id":"B65A5HBFB5H6ZAMNUBAIWY4QMM"},"type":"interstitial_link","content":"Why hand sanitizer is damaging the eyes of small children","url":"https://www.ajc.com/life/why-hand-sanitizer-is-damaging-the-eyes-of-small-children/NKNUNN5T7BGEDMKV5H5I3HXB7E/"},{"_id":"VGXBH47YYJC6HKX4ZZOUEXEL6Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649272},"type":"text","content":"2. Make sure the sunglasses are durable."},{"_id":"QSEL4N5CE5C6PHABFEZEI3HFIU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649273},"type":"text","content":"Schneider says active children need sunglasses made of impact-resistant polycarbonate with scratch-proof lenses. She says frames should be bendable but unbreakable so make sure the fit is snug."},{"_id":"IEDJLVR55FDZVGE4WRNP2GOVWQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649274},"type":"text","content":"3. Consider activities."},{"_id":"3FFTS6RHDRHCZKRNKW326JJISU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649275},"type":"text","content":"Some sunglasses come with amber or green lenses and can increase contrast, which may be useful for sports."},{"_id":"B7CVOVPWKFFU7OJGNR7BX6DIXE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649276},"type":"text","content":"4. Let kids choose."},{"_id":"IFNOVZ57CBBXRKOISHDMSGYXZ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649277},"type":"text","content":"Arora reminds parents that kids are more likely to wear sunglasses if they’ve been allowed to pick them out. She says to let them choose among a few pairs of sunglasses."},{"_id":"TFCU3BFHUZCZJGZAIYOP2NF46U","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649278},"type":"text","content":"5. Be the keeper of the sunglasses."},{"_id":"MZWRHYWGIJFQJGKXO6DTWZRG74","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649279},"type":"text","content":"To prevent the sunglasses from being lost, broken, or forgotten, parents may want to consider keeping their children’s sunglasses in a safe place when they are not being worn."},{"_id":"5MVDK3JQBBAARA3PJOKGYEGAGU","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649280},"type":"text","content":"6. Listen to your children or observe them."},{"_id":"C5I6P5FR4ZEONGXWXQVNHKBEGM","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649281},"type":"text","content":"If your children resist wearing glasses or sunglasses, observing their behavior, or talking to them further might give you a clue to the barriers, such as poor fit or discomfort while wearing them."},{"_id":"IPWAXA34HZEWFOM573ZSLB6SFY","additional_properties":{"comments":[],"_id":"5ZY3RVSA25BW5GEA56CSK2I67Q"},"type":"interstitial_link","content":"5 questions to ask before you buy a pair of sunglasses","url":"https://www.ajc.com/lifestyles/shopping/questions-ask-before-you-buy-pair-sunglasses/QhelPPaMsk8bW3Dn6RDW4I/"},{"_id":"HZBS247GIZDLDOKC7BFJANQT5M","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649282},"type":"text","content":"7. Set a good example."},{"_id":"5JZR4TJHEFBUZPHF6G4GXZLNOY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649283},"type":"text","content":"“Your eye health is important,” Schneider reminds parents. “Set a good example for your children by wearing your sunglasses consistently, and make wearing them part of your children’s routine.”"},{"_id":"UDJVV6IWSZBGNGROELDRUHUNJI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624882649284},"type":"text","content":"“As an added protection, have your children wear wide-brimmed hats and sunscreen to further reduce their UV exposure,” adds Arora. “Sunglasses block UV rays that come through the lenses. UV rays also can reflect off surrounding surfaces and damage skin around the eyes, ears, forehead, and cheeks. An appropriate hat and sunscreen can block the sun from above and from the sides.”"},{"_id":"6M4UH7M2HJCHPLDAFPZSV36W6I","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"ASBB4D47S5CU3H2M72X2KJCTGA","additional_properties":{"comments":[],"_id":"TBNRS7DCXNDKFHFCO2FQSFSLT4"},"type":"raw_html","content":"

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