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$10M Ill. fire station puts firefighter health, safety at center of design
Buffalo Grove's new Fire Station 25 features cancer-reduction measures, sleep-focused bunk rooms, expanded apparatus bays and a larger fitness area
Eye on Small Business
Andi Schreiber, founder and owner of Eye Candy Boudoir in Scarsdale. Courtesy Alison Sheehy Photography. Once largely associated with bridal
Why measurable sustainability matters to investors
Investors increasingly expect companies to show measurable progress on sustainability. Here are three ways to embed it into strategy and governance.
Attacks on Health Care in the occupied Palestinian territory (01-15 September 2026)
Situation Report in English on occupied Palestinian territory about Health, Protection and Human Rights and more; published on 22 Sep 2026 by Insecurity Insight
PS Plus Discount for One of PS5's Best New Indie Games
Well Dweller opens to 90+ critic reviews
One of 2026's Best-Rated PS5 Games Is Out Today, and You Probably Don't Even Know It
Well Dweller opens to 90+ critic reviews
The Last Revolutionary Filmmaker
Japanese filmmaker Masao Adachi spent nearly three decades in Lebanon alongside the Palestinian resistance. Today, stripped of his passport and largely ignored at home, he’s making the most politically alive cinema in Japan at 87 years old.
Micron 2 GB GDDR7 Memory Chips Reach End Of Life, Leaving RTX 50 Series Fully Dependent On Samsung And SK Hynix
Micron halts production of 2 GB GDDR7 memory chips, impacting RTX 50 GPU availability; 3 GB modules deemed largely ineffective.
"I Had To Fight" - Sonic Boss Takashi Iizuka Reveals Sega Wanted To Cancel Entire Sonic Franchise
"The biggest milestone for me was the first movie"
BNP Paribas’ Securities Services business provides UniSuper with advanced investment data capabilities through its Data PRISM360 solution, in partnership with NeoXam
BNP Paribas’ Securities Services business, a leading global custodian with USD 17.5 trillion in assets under custody[1], today announces the launch of the additional data capabilities of its Data PRISM360 data management solution, powered by Investment Data Solution of NeoXam, market leader in financial data software. UniSuper, one of Australia’s largest profit-to-member superannuation funds, is […]
Perkiomen's Patrese Feamster has "unfinished" business after committing to UMass
By Matt Allibone (@Bad2theAllibone) Patrese Feamster could have felt elated. He could have felt relieved. He had just accomplished a lifelong goal, after all. Instead, Feamster had a different feeling after committing to UMass earlier this month. The feeling is unfinished,” Feamster s
Microsoft planning Xbox layoffs today.
Microsoft is due to announce another round of Xbox layoffs today, according to sources familiar with the company’s plans. The cuts will reportedly be part of a larger restructuring, with The Information reporting that Microsoft plans to “consolidate several of its game studios.” Today’s layoffs will reportedly affect hundreds of employees, and are part of the 3,200 Xbox layoffs that Microsoft is planning by the end of June 2027.
Watchdog says Messmer's taxpayer-funded TV ad part of larger problem
U.S. Rep. Mark Messmer insists his recent taxpayer-funded, campaign-like commercial wasn't political. A watchdog says it shows reforms are needed.
Businesses ‘frozen out’ of Trump’s tariff channel with China
The private sector is largely in the dark about the Trump administration's plans for a "Board of Trade" to oversee reductions on billions of dollars worth of duties.
Sunda Energy, Meridian Mining, Quantum Helium, Light Science Technologies, Foresight Solar, hVIVO
Sunda Energy PLC (AIM:SNDA, FRA:GHA0) has raised £5.25 million to fund completion of its New Zealand acquisition. It's also launching a retail offer for a further £525,000. Meridian Mining Plc (LSE:MNO, TSX:MNO, OTCQX:MRRDF) has delivered a net present value of $2.09 billion for its Cabaçal project in Brazil. The CEO says the economics could make it the next major near-term gold-copper mine. Quantum Helium Ltd (AIM:QHE) is targeting Q4 2026 for a larger fracture stimulation programme at Sagebrush-1 in Colorado. It's also taking a 9% stake in Herencia Resources. Light Science Technologies Holdings PLC (AIM:LST, FRA:9FD) has secured a repeat order from a healthcare devices customer, pushing that contract past £500,000. It's building out higher-margin work in defence and medical sectors. Foresight Solar Fund Ltd (LSE:FSFL, FRA:1F5) says it's considering all strategic options to lift a share price stuck below the value of its assets. The board says it needs to "act decisively" to close that gap. hVIVO PLC (AIM:HVO) has appointed Caroline Shaw as an independent non-executive director. She brings more than 30 years of senior healthcare leadership to the board. Follow us and subscribe on YouTube, our social channels, and on proactiveinvestors.co.uk.
Jiang Feng: The Unravelling of German & European Politics
A state election in eastern Germany has become a revealing test of the changing political landscapes of Germany and Europe, writes Jiang Feng, Professor and Chairman of the Council of the Shanghai Academy of Global Governance and Area Studies (SAGGAS) at Shanghai International Studies University. His analysis follows the decisive victory of the Alternative for Germany (AfD) (which has been classified as right-wing extremist by German authorities)in the state of Saxony-Anhalt on 6 September, in which it finished far ahead of its mainstream rivals. Jiang previously served as Minister-Counsellor at the Chinese Embassy in Berlin. The following article was published on 8 September 2026 on huanqiu.com, the online platform of the Global Times. On 6 September, the results of the state election in Saxony-Anhalt, Germany, were announced. The Alternative for Germany (AfD), classified as far-right by German authorities, made history by becoming the largest party in the state parliament, winning 43.8 per cent of the vote — twice its share in the previous election. The Christian Democratic Union (CDU), which had governed the state continuously for 24 years, won just 17.2 per cent, its worst result ever in Saxony-Anhalt. On the night the results were announced, the atmosphere at the CDU gathering was unusually calm. There was neither shock nor argument, as if the defeat had long been expected. Several veteran party members who had spent years working in the state government said: “Defeat is not a bad thing. It is time to make changes.” This state election has not only upended Saxony-Anhalt’s political landscape, but also laid bare the deep tensions between Germany’s traditional party structure and model of governance, on the one hand, and an increasingly polarised society on the other. Its repercussions are already being felt at the federal level, making Saxony-Anhalt a useful case study of the broader trend towards political polarisation and realignment in Europe. Governing Difficulties after Electoral Victory The most immediate consequence of the election is a historic setback for the mainstream party order that took shape in post-war Germany. In Saxony-Anhalt, the AfD has leapt from a peripheral party to the largest political force in the state. Its electoral base has expanded beyond the traditional category of “marginal protest voters” to take on the characteristics of a cross-class coalition. The party has not only consolidated its support in rural areas, but also attracted many middle-class voters and even members of the social elite with stable jobs, their own homes, and substantial incomes. It has thus evolved from a “protest party” into one with the potential to govern. Despite its commanding lead in the vote, however, the AfD faces an institutional obstacle to governing the state: the mainstream parties’ long-standing “firewall” against it. Neither of the two potential routes to forming a government appears likely to break the current political deadlock. The first would be a coalition of establishment parties, led by the CDU and bringing together the Social Democratic Party (SPD), the Greens, the Left Party (Die Linke) and the Sahra Wagenknecht Alliance (BSW) in a cross-camp government. In terms of parliamentary arithmetic, such a coalition could prevent the AfD from forming a government and preserve the outward stability of the traditional political order. Yet these parties are fundamentally divided over key issues including immigration, the energy transition, economic management, and cultural and education policy. Coalition negotiations would therefore be extremely difficult, and even if a government could be formed, it would most likely prove short-lived. More importantly, an alliance of establishment parties aimed at keeping the largest party out of government would play directly into the AfD’s narrative that “political elites are suppressing public opinion”. It could deepen perceptions of political unfairness, further strengthening the AfD’s political capital, and creating a dynamic in which “the more it is suppressed, the more people vote for it”. Ulrich Siegmund, the AfD’s candidate for state premier, has said that if efforts to form a government fail because other parties refuse to cooperate, the AfD will push for a fresh election, which he believes could deliver the party an absolute majority of seats. This points to more intense political battles ahead. The second option would be a coalition between the AfD and the BSW. Together, the two parties would command a simple majority in parliament, making this, on paper, the quickest route to forming a government. The BSW is the only elected party that has not ruled out cooperation with the AfD, and the two parties share some common ground, including on policy towards Russia. There is therefore a degree of political basis for cooperation. Were such a coalition to materialise, Germany would see its first state government jointly formed by a party defined as far-right and one with a far-left background, creating what might be called a “bipolar anti-establishment alliance”. Such an outcome would fundamentally break with the ideological boundaries of post-war German party politics. It is worth noting that even if the AfD ultimately fails to enter the state government, its roughly 47 per cent share of parliamentary seats would give it a powerful blocking minority. Without its consent, major decisions requiring a two-thirds majority — including constitutional amendments, significant budgetary adjustments, and state-level institutional reforms — would be extremely difficult to pass. Therefore, whoever ultimately forms the government, the AfD will be an unavoidable force in Saxony-Anhalt politics, with a direct influence on the state’s legislative process. Systemic Failures in Germany’s Governance Model The Saxony-Anhalt election result reflects a systemic failure of Germany’s post-war mainstream-party model of governance to adapt to rapidly changing socioeconomic conditions. It stems from multiple, mutually reinforcing structural tensions and highlights the existing political system’s difficulty in adapting to “an increasingly polarised society First, collective anxiety has replaced individual material hardship as a central driver of political mobilisation. The rise of the AfD can no longer be explained simply by poverty or social marginalisation. Its increasingly cross-class electoral base suggests that what is driving voters towards the party is, above all, concern about the broader direction of society. This anxiety about the future of the political community goes beyond individual gains and losses. In political discourse, economic anxiety has become closely intertwined with immigration, while immigration and refugee issues are, in essence, questions of social fairness. This perception turns conflicts over the distribution of social resources into negative assessments of governing parties, providing a broad social basis for far-right political narratives. Second, regional disparities and East German identity have undermined the strategy of addressing eastern Germany’s structural challenges at the regional level. More than three decades after German reunification, eastern states such as Saxony-Anhalt have experienced periods of economic growth, but their underlying economic structures remain weak, and household incomes and wealth remain significantly below those in western Germany. At the same time, they continue to face population outflow, an ageing population, labour shortages, and other structural challenges. At a deeper level, historical experiences — including the collapse of the former East German economic system, mass unemployment during the transition, and the westward shift of decision-making power over major issues — have left some residents with a sense of being “second-class citizens” and of being excluded. For years, the German government treated the “syndrome” of reunification as a regional problem to be gradually addressed at the local level. That approach is becoming increasingly unsustainable, as regional development disparities emerge as a core structural factor shaping national politics. Third, the erosion of institutional trust is perhaps the most decisive factor. AfD supporters tend to distrust establishment institutions, including parliament, government, and the mainstream media. Their concerns about economic security, pensions, and social fairness are significantly greater than the social average. Increasingly, their support for the AfD reflects not an expectation that the existing system can be improved, but a search for an alternative to the current political order. Such a systemic deficit of trust will be extremely difficult for the traditional parties to repair in the short term. Fourth, a generational shift in political mobilisation has amplified political polarisation. Unlike traditional parties, which rely heavily on offline rallies and mainstream media coverage, the AfD has developed a social-media mobilisation strategy built around “raising an issue — identifying who is responsible — offering a simplified solution — building a shared identity”. It turns complex social tensions into concise political narratives, rapidly channelling public sentiment into political support. The contrast on the eve of the election was particularly telling. The establishment parties, together with trade unions and churches, organised an offline march attended by more than 10,000 people, but its reach was largely confined to those present and to traditional media coverage. The AfD held a much smaller indoor event, yet livestreaming on TikTok, YouTube, and other platforms, combined with the involvement of online influencers, gave it a reach and mobilising capacity far beyond that of the march. The contrast illustrates how the traditional parties’ methods of political mobilisation are increasingly struggling to keep pace with a political environment transformed by changes in media technology. A Microcosm of Structural Political Change in Europe The shockwaves from the Saxony-Anhalt election quickly travelled beyond the state to the federal level. Calls for political accountability followed immediately after the results were announced. The governing CDU and SPD are now under enormous pressure, while Chancellor Friedrich Merz and Vice Chancellor Lars Klingbeil face an unprecedented test. Political polarisation in Germany is no longer simply a regional phenomenon. The post-war model of multiparty government by establishment parties is breaking down and being reshaped. Viewed in a broader European context, the Saxony-Anhalt election is part of a continent-wide wave of party polarisation, mainstream-party decline, and rising right-wing forces. Far from an isolated phenomenon, it is a microcosm of the structural political changes unfolding across Europe. Weak economic growth, cultural tensions over immigration, and declining trust in institutions are fuelling the rise of right-wing forces in several countries, challenging the liberal internationalist order established in post-war Europe. As a core member state of the European Union, Germany’s ability to adapt its political system and the direction of its politics will have profound implications for both European integration and the evolution of the international order. Subscribe [ Pekingnology China’s Germany watchers take stock of Berlin’s uneasy turn On 7 December 2025, nearly 50 Chinese scholars and policy researchers gathered in Beijing for the 2025年德国形势年终研讨会 “2025 Year-End Seminar on the Situation in Germany… Read more 9 months ago · 31 likes · 1 comment · YIRUI LI and Yuxuan JIA ](https://www.pekingnology.com/p/chinas-germany-watchers-take-stock?utm_source=substack&utm_campaign=post_embed&utm_medium=web&embedding_publication_id=1151841) [ Jiang Feng on Germany's 2025 and beyond: no easy exit ](https://www.eastisread.com/p/jiang-feng-on-germanys-2025-and-beyond) Yirui LI and Yuxuan JIA · Jan 24 The following is an op-ed by Jiang Feng, published on 29 December 2025 at Shanghai Observer 上观新闻, the digital platform of Jiefang Daily, the official newspaper of the Shanghai Municipal Committee of the Communist Party of China (CPC). [ Read full story ](https://www.eastisread.com/p/jiang-feng-on-germanys-2025-and-beyond)
Redesigning healthcare for healthier women and families
Progress on many critical value-based care outcomes has stalled, with women's health most notable as an example of the gap between spending and outcomes.
Backyard Biodiversity: Recent Soil Science Insights Enlarge Understanding Of Why Plant Diversity Delivers Benefits
Plant diversity. Courtesy photo BY OWEN HABLUTZELFor Chama Peak Land Alliance’s Backyard Biodiversity series Plant diversity has a very long, widespread history of human use as a strategy for…
Brian Cox: UKRI’s Cern project cut ‘damages science base’
Cut will mean “reduced scientific capability” for Large Hadron Collider beauty upgrade, its board warns
Kayak Clarifies Position in Business Travel Marketplace
Kayak for Business is looking to broaden its appeal beyond its enterprise configuration with Blockskye, targeting SMEs as well as large clients. SVP Eva Fouquet told BTN's Elizabeth West the company also is pursuing a hybrid strategy, developing AI capabilities while maintaining traditional online booking options as traveler trust develops.
Nintendo Shares First Look At Zelda: Ocarina Of Time Switch 2 World Map
See how it compares to the original game
Intuitive enzyme design with LLM agents
Nature Computational Science - A collaborative system of large language model agents brings protein engineering closer to natural-language interaction, lowering the barrier between human intent and...
Voting groups sound alarm on funding shortfalls that they say could affect midterm turnout
Several of the nation’s largest left-leaning voter engagement and racial justice organizations are facing steep funding shortfalls and staffing cutbacks.
‘Give me an opportunity’: Akron aims to level playing field for local small businesses with new program
The city of Akron announced a new initiative Monday aimed at helping local small businesses compete against larger businesses for municipal contracts.
Presidents Cup week begins with U.S. juniors' record rout
The U.S. recorded the largest margin of victory in the Junior Presidents Cup with a 17.5-6.5 victory over the Internationals on Monday at Medinah Country Club.
iPhone 14 Pro vs. iPhone 18 Pro Buyer's Guide: Should You Upgrade?
Apple announced the iPhone 18 Pro and iPhone 18 Pro Max earlier this month, arriving four years after the iPhone 14 Pro and iPhone 14 Pro Max. Four generations of changes make for a substantial upgrade, bringing larger displays, an all-new design, improvements to every camera, significantly longer battery life, faster charging, USB-C connectivity, and support for Apple Intelligence.
Department of Health confirms case of Powassan virus in Rhode Island
A 60-year-old Washington County man, according to the Rhode Island Department of Health, has been diagnosed with Powassan virus- a rare tick-borne disease.
Dawnwalker's First Big PS5 Patch Adds an Even Easier Difficulty Mode and Improves Combat
Sun's up
Nurses Put Maine Hospitals On ‘RED ALERT’ Status to Highlight Healthcare Cuts
Registered nurses with the Maine State Nurses Association/National Nurses Organizing Committee (MSNA/NNOC) held a rally and community event on Saturday, Sept. 19 in Bangor to highlight the patient care impacts of federal health care cuts on Maine hospitals.
Faezipour co-authors book on large language models in health care
Miad Faezipour, associate professor of electrical and computer engineering technology in Purdue Polytechnic's School of Engineering Technology, co-authored Applications of Large Language Models (LLM) in Healthcare Systems: Opportunities, Challenges, and Ethical Considerations.
Giant Sunspot Of 1947 Suggests Our Sun Has The Potential To Launch A "Superflare" Once A Century
New work concludes our Sun is capable of flares tens of times stronger than the strongest we've yet measured.
Hackensack Meridian Health CEO Robert C. Garrett to Retire After Leading NJ's Largest and National Award-Winning Health System
/PRNewswire/ -- The Hackensack Meridian Health Board of Trustees announced today that CEO Robert C. Garrett plans to retire effective June 30, 2027, capping an...
Scientists Release Details About Moon's New Massive Crater
It's easy to think of the Moon as the static constant companion in the night sky. Its face hasn’t visibly changed in millennia, and always faces us with the same side. But looks can be deceiving, as our closest companion is constantly bombarded by asteroids and comets that make small craters across the lunar landscape. While they might not be large enough for us to see with our naked eye, professional Moon watchers can pick up on them. And a recent paper published in Science Advances, describes the largest ever found in modern times.
Business briefs: Treymor community opens in Mt. Juliet
Homebuilder group PulteGroup has announced the opening of its newest and largest Middle Tennessee John Wieland Homes neighborhood, Treymor, in Mt. Juliet. The 317-acre development community is located near Benders Ferry Road. It will feature 349 homes on lots up to nearly an acre, according to a company news release. The community will also offer
Dawn James Named Inaugural Executive Director of the Texas Energy Buyers Alliance - CEBA
AUSTIN — The Texas Energy Buyers Alliance (TEBA) is pleased to announce Dawn James as its inaugural executive director, bringing an experienced Texas energy and business leader to the helm as the alliance expands its work on behalf of large energy customers across the state. “This is a critical moment for Texas. We face unprecedented […]
Say Sawadika to Your New PS5 Controller, Feat Lisa from Blackpink
Got this DualSense from Geneva
Corridor raises $25M seed to build a health benefits brokerage for SMBs
Corridor focuses on SMBs, which it says traditional brokerages often overlook because small accounts generate lower commissions than larger accounts.
Expert Available: How Health Systems Can Help Address America’s Clinical Trial Bottleneck
A recent New York Times opinion essay argues that one of the greatest obstacles to developing new treatments is no longer scientific discovery, but the costly, complex and slow-moving system for testing those discoveries in people. The article also raises concerns that these challenges are driving more clinical research overseas. Adam Samson, president of the Advocate Health National Center for Clinical Trials (NCCT), is available to discuss how large, integrated health systems can help a
Research: The True Cost of Corporate Scandals? Talent.
New research tracking millions of career moves shows that corporate misconduct carries a significant hidden cost: voluntary employee departures. An analysis of 735 large public companies found that regulatory violations equal to 5% of annual revenue were associated with a 3.9% increase in departures. Turnover rises sharply when violations are geographically widespread, occur in rapid succession, or expand into new categories of misconduct. Employees who leave also tend to join companies with cleaner regulatory records, giving responsible competitors a recruiting advantage. Companies should treat compliance as a talent issue, monitor patterns of misconduct alongside attrition, and respond to violations with credible accountability to protect their workforce and reputation.
Erosion of Germany's political centre exposes Merz's weakening grip on power
Germany's far right and far left both made big gains in Sunday's state elections, exposing yet again the erosion of the political centre in Europe's largest economy as well as Chancellor Friedrich Merz's weakening hold on power.
iPhone 20 Pro Display Sizes Leak Ahead of 2027 Launch
Apple's 20th-anniversary iPhone lineup could feature slightly larger displays than the iPhone 18 Pro models, if a new leak shared on Weibo is accurate. Prolific Chinese leaker Digital Chat Station claims that early iPhone 20 Pro display specifications include a 6.41-inch screen with a resolution of approximately 2,686 × 1,236 pixels, while the iPhone 20 Pro Max is said to have a 6.96-inch display with a resolution of around 2,912 × 1,340 pixels.
Tim Lamb Group Facilitates La Porte Ford Acquisition
Tim Lamb Group, the largest auto dealership sales and acquisitions firm in North America, announced the successful acquisition of Auto Park Ford of La Porte. The dealership, located at 1522 E. …
KCC Entertainment Design | Mega City shortlisted for award
The large-format social entertainment venue, delivered for developer Wellstone, is one of three KCC-designed projects on the shortlist
Roundup: All The Xbox Reveals From The Tokyo PC Gaming Show, Including Multiple Game Pass Titles
10 Xbox-related trailers in all
Largest U.S. survey of Huguette Caland's work arrives at Hammer Museum
The Lebanese-born painter, sculptor and fashion designer Huguette Caland's life was as wild and audacious as her art. A Hammer Museum retrospective unpacks the once L.A.-based artist's remarkable legacy.
Islanders Preseason News: Kids’ first look
The Islanders opened the preseason schedule Sunday afternoon vs. the Devils with a lineup largely made of prospects and AHLers who mostly know they will not make the opening roster. But Cal Ritchie — the only NHL regular from last year — and Victor Eklund impressed Pete DeBoer, according to his post-game scrum, and Cole […]
Mount Nittany Health Opens Expanded Dermatology Practice
Mount Nittany Health has expanded its dermatology services with a new, larger location designed to improve access to care. The new dermatology practice
Tarrant County remains the last large 'purple' holdout in Texas
In recent elections, the county anchored by Fort Worth has swung back and forth between Republicans and Democrats. And that's why both parties are wrestling for control in 2026.
Trump heads into a week of diplomacy, hampered by a lack of allies
At the United Nations on Tuesday and in meetings with China's Xi Jinping on Thursday, the president will largely stand alone.
Iraola makes best league start since Fagan
With nine points from a possible 15 in the Premier League and wins at Anfield in the Champions League and Carabao Cup, Iraola has had a largely positive start to life at Liverpool. The 44-year-old is the first manager to remain unbeaten in his first five league games in charge of the Reds - winning two and drawing three - since Joe Fagan in September 1983.
Why collaboration is key to outbreak and pandemic response
Fragmented data flows and weak interoperability can hinder outbreak monitoring systems, so greater collaboration is vital to improving pandemic response.
Stellar Blade Still Not Finished, Four Free Bayonetta Costumes Coming to PS5
Original game will get "some changes" for sequel
Spud Drive-In approved as larger entertainment destination
Teton County, Idaho, commissioners have cleared the way for the Spud Drive-In to reopen, unanimously approving plans for a rebuilt theater, restaurant, bar and event venue at the landmark’s historic
Governor Evers tours College of Business and Economics
Chancellor Corey A. King and UW-Whitewater leaders welcomed Wisconsin Gov. Tony Evers for a visit to the UW-Whitewater College of Business and Economics, the state’s largest business school. During a one-hour walkthrough at Hyland Hall, Gov. Evers and local elected officials visited classrooms and interacted with students, faculty and staff on campus.
Culturally Relevant Cardiovascular Disease Prevention and Care Strategies
(Feature Impact) Driven by rising rates of obesity, diabetes, high blood pressure and other risk factors, cardiovascular disease has surpassed cancer as the leading cause of death among Hispanic adults in the United States. googletag.cmd.push(function() { googletag.display('fixed-big-ad-top-asset'); }); Hispanic people represent nearly 1 in 5 of the U.S. population and are the nation’s largest ethnic minority group, yet many continue to face barriers to achieving heart health and accessing high-quality healthcare. A new scientific statement published in the American Heart Association’s flagship journal, “Circulation,” revealed how social, economic, cultural and environmental factors contribute to persistent disparities in cardiovascular health, calling for culturally tailored prevention strategies, equitable access to care and greater representation of Hispanic populations in cardiovascular research.“Hispanic populations in the U.S. are incredibly diverse even within their own communities with differences in genetic ancestry, language, cultural traditions and social experiences that can significantly influence cardiovascular health,” said Johanna Contreras, M.D., M.Sc., FAHA, director of the Division of Heart Failure and medical director of the Hispanic Heart Center within the Mount Sinai Health System. “Yet Hispanic people remain underrepresented overall in the research that guides prevention and treatment strategies… Without better representation and more detailed data, we risk overlooking important differences that can help us improve care and save lives.”Hispanic Cardiovascular Health by the NumbersCardiovascular risk factors – obesity (nearly 46%), type 2 diabetes (15.5%) and high blood pressure (approximately 44%) – are prevalent among Hispanic adults and often emerge at younger ages and occur more frequently among Hispanic adults compared with white adults.According to the report, only about 1 in 5 Hispanic adults achieves ideal cardiovascular health as defined by the American Heart Association’s original Life’s Simple 7 metrics. Updated analyses using the Life’s Essential 8 framework demonstrated persistent disparities for heart and brain health, as well as suboptimal dietary quality, sleep patterns and levels of physical activity.Social and Economic Barriers MatterBiology alone does not explain cardiovascular health disparities. The environments where people live, work and age, along with social and economic challenges, impact heart health. In fact, approximately 17% of Hispanics live below the federal poverty threshold, compared with 8.2% of white adults. googletag.cmd.push(function() { googletag.display('fixed-big-ad-middle-asset'); }); “Many Hispanic adults face obstacles that extend far beyond the doctor’s office,” Contreras said. “Limited health insurance coverage, language differences, food insecurity, environmental exposures and concerns related to immigration status can make it more difficult to prevent disease, manage chronic conditions and receive timely treatment.”Contreras emphasized the cultural values and practices of Hispanic people also influence how they perceive their health and healthcare options.“Family plays a central role in many Hispanic communities and can be an extraordinary source of strength, support and resilience,” Contreras said. “At the same time, family members are often called upon to translate medical information, navigate health systems and help make healthcare decisions for loved ones. Those responsibilities can shape how health information is understood and acted upon.”An Action Plan for Improving Hispanic HealthThere are practical opportunities to achieve equitable cardiovascular health and reduce disparities through community engagement, culturally responsive care, inclusive research and policies that address the underlying drivers of health.“Reducing cardiovascular disease among Hispanic populations demands action at every level,” Contreras said, “from improving access to culturally responsive care and expanding research participation to addressing the social and environmental conditions that shape health.”By addressing both medical risk factors and the social conditions that shape health, experts believe there is an important opportunity to reduce disparities and help more people live longer, healthier lives. Learn more at Heart.org.Photo courtesy of Shutterstock googletag.cmd.push(function() { googletag.display('fixed-big-ad-bottom-asset'); });
Culturally Relevant Cardiovascular Disease Prevention and Care Strategies
(Feature Impact) Driven by rising rates of obesity, diabetes, high blood pressure and other risk factors, cardiovascular disease has surpassed cancer as the leading cause of death among Hispanic adults in the United States.Hispanic people represent nearly 1 in 5 of the U.S. population and are the nation’s largest ethnic minority group, yet many continue to face barriers to achieving heart health and accessing high-quality healthcare. A new scientific statement published in the American Heart Association’s flagship journal, “Circulation,” revealed how social, economic, cultural and environmental factors contribute to persistent disparities in cardiovascular health, calling for culturally tailored prevention strategies, equitable access to care and greater representation of Hispanic populations in cardiovascular research.“Hispanic populations in the U.S. are incredibly diverse even within their own communities with differences in genetic ancestry, language, cultural traditions and social experiences that can significantly influence cardiovascular health,” said Johanna Contreras, M.D., M.Sc., FAHA, director of the Division of Heart Failure and medical director of the Hispanic Heart Center within the Mount Sinai Health System. “Yet Hispanic people remain underrepresented overall in the research that guides prevention and treatment strategies… Without better representation and more detailed data, we risk overlooking important differences that can help us improve care and save lives.”Hispanic Cardiovascular Health by the NumbersCardiovascular risk factors – obesity (nearly 46%), type 2 diabetes (15.5%) and high blood pressure (approximately 44%) – are prevalent among Hispanic adults and often emerge at younger ages and occur more frequently among Hispanic adults compared with white adults.According to the report, only about 1 in 5 Hispanic adults achieves ideal cardiovascular health as defined by the American Heart Association’s original Life’s Simple 7 metrics. Updated analyses using the Life’s Essential 8 framework demonstrated persistent disparities for heart and brain health, as well as suboptimal dietary quality, sleep patterns and levels of physical activity.Social and Economic Barriers MatterBiology alone does not explain cardiovascular health disparities. The environments where people live, work and age, along with social and economic challenges, impact heart health. In fact, approximately 17% of Hispanics live below the federal poverty threshold, compared with 8.2% of white adults.#placement_976606_0_i{width:100%;max-width:550px;margin:0 auto;}var rnd = window.rnd || Math.floor(Math.random()*10e6);var pid976606 = window.pid976606 || rnd;var plc976606 = window.plc976606 || 0;var abkw = window.abkw || '';var absrc = 'https://ads.empowerlocal.co/adserve/;ID=181918;size=0x0;setID=976606;type=js;sw='+screen.width+';sh='+screen.height+';spr='+window.devicePixelRatio+';kw='+abkw+';pid='+pid976606+';place='+(plc976606++)+';rnd='+rnd+';click=CLICK_MACRO_PLACEHOLDER';var _absrc = absrc.split("type=js"); absrc = _absrc[0] + 'type=js;referrer=' + encodeURIComponent(document.location.href) + _absrc[1];document.write('');“Many Hispanic adults face obstacles that extend far beyond the doctor’s office,” Contreras said. “Limited health insurance coverage, language differences, food insecurity, environmental exposures and concerns related to immigration status can make it more difficult to prevent disease, manage chronic conditions and receive timely treatment.”Contreras emphasized the cultural values and practices of Hispanic people also influence how they perceive their health and healthcare options.“Family plays a central role in many Hispanic communities and can be an extraordinary source of strength, support and resilience,” Contreras said. “At the same time, family members are often called upon to translate medical information, navigate health systems and help make healthcare decisions for loved ones. Those responsibilities can shape how health information is understood and acted upon.”An Action Plan for Improving Hispanic HealthThere are practical opportunities to achieve equitable cardiovascular health and reduce disparities through community engagement, culturally responsive care, inclusive research and policies that address the underlying drivers of health.“Reducing cardiovascular disease among Hispanic populations demands action at every level,” Contreras said, “from improving access to culturally responsive care and expanding research participation to addressing the social and environmental conditions that shape health.”By addressing both medical risk factors and the social conditions that shape health, experts believe there is an important opportunity to reduce disparities and help more people live longer, healthier lives. Learn more at Heart.org.Photo courtesy of Shutterstock
The science on trans athletes is inconclusive. Cricket’s prejudice isn’t
Cricket Australia cleared Anaya Bangar to play elite women’s cricket. The ICC’s ban on trans athletes says the science is settled. It isn’t.
What the weather can teach us about health
What if predicting your future health is more like forecasting the weather than we realize? New research suggests fundamental limits to how far ahead even perfect weather models can see. That idea raises a provocative question for precision medicine: Can more data and better models ever make an individual’s future truly predictable?
Should you trust an AI doctor? Relying on Gemini for health advice could be fatal
A fake disease, complete with absurd clues and a fictional laboratory aboard the USS Enterprise, was enough to fool AI chatbots—and even find its way into the scientific literature. The hoax exposes a deeper problem: AI can sound authoritative without knowing whether the information it has absorbed is true.
Paved in frustration: Kings Highway businesses cite challenges of bridge reconstruction
A large-scale transportation project has some businesses in Nash and Texarkana feeling like they are on a rocky road.
NSF Over Billion Behind on Grants; IES Says Will Give Funds
As the fiscal year’s end looms Sept. 30, the National Science Foundation has awarded significantly fewer grants than usual, and a judge has ordered an update from the Institute of Education Sciences on its research funding progress.
'Rusty Treasure' in Austria Revealed as Europe's Largest Cache of Iron Age Iron Bars
500 swords' worth.
Eckerd’s conservation corps plants new microforest on campus
Student Emma Frantz using a shovel to help dig out the holes for the plants. A larger shovel was needed for harder ground. Photo by Amelia Welborn.
La Tapatia opens Downtown Fresno retail store
La Tapatia Tortilleria has opened a larger Downtown Fresno retail store. Read how high-speed rail construction hurt access to its Belmont location.
Ebola outbreak update: Cases and deaths; Dungu health zone, Haut-Uélé province now affected
A total of 73 new confirmed cases of Ebola Virus Disease (EVD) were reported on September 18, 2026, including 25 community deaths. Of these confirmed cases, 46 were from Ituri province, 18 from North Kivu, 6 from Haut-Uélé, and 3 from Tshopo. A new health zone, Dungu, in Haut-Uélé province, was affected during the day. As this zone borders South Sudan, strengthening cross-border surveillance is necessary. During the day on September 18, 2026, 12 deaths within Ebola Treatment Centers (ETCs)—10 in Ituri and 2 in North Kivu—were unfortunately recorded, bringing the total number of deaths for the day to 37. However, 41 patients were declared recovered (30 in Ituri, 6 in Haut-Uélé, 3 in North Kivu, and 2 in Tshopo) after testing negative for EVD twice. Since the start of the epidemic in the Democratic Republic of the Congo (DRC), a cumulative total of 7,614 confirmed cases, including 3,676 deaths, has been recorded, representing a case fatality rate of 48.3%. The epicenter remains Ituri province, which accounts for 77.2% of the confirmed cases reported across the seven affected provinces and also accounts for 63.0% of the new confirmed cases. A new health zone was affected on September 18, 2026. Consequently, 63 out of 167 health zones (37.7%) across 7 provinces are affected. Subscribe to Outbreak News TV on YouTube Response measures feature 97% traveler screening at entry points, surveillance expansion to new area Dungu, and community outreach sensitizing over 110,000 people in one day. The Democratic Republic of the Congo’s health system faces deep, structural constraints that predate the current Ebola outbreak and make epidemic response far harder. These problems are most acute in rural areas and the conflict-affected east. Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe Eastern provinces have seen health facilities damaged, looted, or abandoned. Insecurity delays patients, blocks supply deliveries, and exposes staff to attacks. Millions of displaced people live in camps with poor water, sanitation, and health services, increasing outbreak risk. Vast distances and poor roads mean many people walk hours or days to reach care. These same weaknesses explain why Ebola has continued to spread into new, under-prepared health zones even as some original hotspots show improvement: surveillance, laboratory turnaround, contact tracing, and infection control remain thin outside the best-supported sites. The Ministry of Health and partners have scaled up treatment centres, laboratories, and vaccination in the current outbreak, and some digital surveillance systems (DHIS2) provide a useful backbone. However, the underlying gaps in staffing, basic infrastructure, reliable funding, and logistics have not been closed. Without sustained investment in those foundations, the system will remain vulnerable to both routine disease burden and the next large outbreak. If you like the reporting on Outbreak News Today, please consider a paid subscription for $5/month or $30 a year. Help support the cause of this niche journalism. It is appreciated.
Crews battle large 3-alarm fire at Rockport business, town water supply affected
Crews are battling a large three-alarm fire at a business in Rockport, Massachusetts.
Why politicians should pay more attention to the polls (reprise)
Welcome to the 231st edition of The Week in Polls (TWIP), a polling newsletter that always welcomes new readers. So please don’t keep TWIP a secret; share it with your friends and colleagues: Share The Week in Polls With all the stories swirling around Reform, JL Partners and political polling, I am finally tearing myself away from talking about the regulation of polling this week - and instead re-running a previous piece reminding us why the solution to problems with polls isn’t simply to ban or ignore them. Rather, we need them to play a vital role in making our politics - and politicians - better. This is followed by summaries of the latest national voting intention polls, seat projections from MRPs and the most recent party leader ratings. Subscribers who pay for the full edition can also read ten insights from the latest polls and analyses, including: A trio of organisations and a pair of professors have been casting their eyes over the Liberal Democrats ahead of the party’s autumn conference; What impact did the summer heatwave have on views on climate change? and Which wins out between chocolate and cheese? If you are not yet a paid subscriber, you can read all ten by starting a free trial now: Get FREE 7-day trial For more polling news as it comes in ahead of next week’s edition, you can also follow The Week in Polls on Bluesky. Picking up on my doubt last week about whether or not 35% of British train travellers have tried to order a takeaway for delivery to a railway station or carriage, thank you to reader Iain, who has been in touch to say he has done just that… in India. Another quick pair of updates, this time on the controversies around Reform and polling. Politico has a further scoop - “Farage aide caught in donor sting attended Egypt retreat with JL Partners” - and Ian Dunt has written about the problems with polling too: “Seeing the response of many polling experts in the last few weeks suggests that they are nervous about what is happening and keen to mitigate against it. Seeing the response of journalists, which has been basically non-existent, suggests the precise opposite.” My usual reminder as well: please do hit reply if you’ve spotted a poll, focus group or new piece of poll-based research that you think should be in contention for coverage in a future edition. Thank you! And with that, on with the show. How politicians get public opinion wrong I have written before about the benefits that come from widespread availability of high-quality political polling. We need more polls and more good coverage of polls. However, what I’ve not dug into before is the research into how accurately politicians estimate public opinion on issues. Thankfully we have academic research to tell us. First, the bad news: We present results from a study of 866 politicians in four countries.1 Politicians were asked to estimate the percentage of public support for various policy proposals. Comparing more than 10,000 estimations with actual levels of public support, we conclude that politicians are quite inaccurate estimators of people’s preferences. They make large errors and even regularly misperceive what a majority of the voters wants. Politicians are hardly better at estimating public preferences than ordinary citizens. Walgrave, S., Jansen, A., Sevenans, J., Soontjens, K., Pilet, J.B., Brack, N., Varone, F., Helfer, L., Vliegenthart, R., van der Meer, T., Breunig, C., Bailer, S., Sheffer, L. & Loewen, P.J. (2023a), “Inaccurate Politicians: Elected Representatives’ Estimations of Public Opinion in Four Countries”, The Journal of Politics, 85(1): 209-222. The bad news is not quite as bad as that makes it sound because, when asked whether the majority of public opinion was for or against various policies, politicians picked the wrong option ‘only’ 29% of the time. However, this included getting it wrong even when public opinion is far from evenly split on an issue: They do not only get it wrong when the public is divided and hard to read (e.g., when there is a 51%:49% distribution). Seventy percent of the misplacements occur for policies with a relatively clear distribution of at least 60% (dis)agreeing citizens. Moreover, the public scored only slightly worse than politicians, picking the wrong option 2.7 out of 8 times on average, compared with 2.3 times for politicians. Turning to the other measure of accuracy (not which side is in the lead but what the percentage support is for each side), politicians on average were 18 percentage points out in their guesses. Again, this was only slightly better than the public, whose error came in at 21 percentage points.2 Further research, using the same mix of countries, gives a little more comfort about how (in)accurate perceptions are: We show that politicians have a better understanding of public opinion when they think the issue matters to voters. Further, when an issue is personally important to politicians they more accurately estimate their party supporters’ opinions. The results confirm that politicians hold more accurate perceptions of voters’ preferences when they think it is important to do so but not necessarily when the issues actually are important to voters. Butler, C., Walgrave, S., Soontjens, K. & Loewen, P.J. (2024), “Politicians are better at estimating public opinion when they think it is more salient”, Party Politics: 1–13. Even so, it’s not a good picture. The remedy for this? Politicians should spend more time reading the polls. So forward this newsletter to someone you know… Share For a more general argument against banning polls, see my 2024 piece. Is “Let Bartlet Be Bartlet” good advice or not? The latest episode of my Political Fictions podcast heads across the Atlantic for a dip into one of the political TV classics: Mark and Cory talk about a giant of American political drama for the first time this week, as they tackle The West Wing. They talk about Let Bartlet Be Bartlet, the nineteenth episode of series one. In it, Mark wonders if The West Wing is actually the epitome of the “Boris Johnson school of politics”, Cory outmanoeuvres Mark into confirming we will record a Christmas Special about Love, Actually and they debate whether the central message of this episode has been misunderstood. Cory’s email newsletter is Paperback Rioter and Mark has a family of email newsletters. Subscribe to our newsletter for some additional bonus content and to get alerted whenever a new episode comes out. Our theme tune is “Monkeys Spinning Monkeys” by Kevin MacLeod/incompetech.com and licensed under the Creative Commons: By Attribution 4.0 License. You can also listen to our episode on Apple Podcasts, Spotify, the web or YouTube. Elsewhere from me… [ A Lord's Eye View How to fix the problem of money in our politics Welcome to my latest update on work in the House of Lords. This time I am taking a look at how our political system is regulated, and the protections we need to keep democracy safe from becoming simply a contest to see who has the biggest bank account… Read more 5 days ago · 3 likes · 2 comments · Mark Pack ](https://lordseyeview.substack.com/p/how-to-fix-the-problem-of-money-in?utm_source=substack&utm_campaign=post_embed&utm_medium=web&embedding_publication_id=1269283) If you spot a factual error… Borrowing an idea from Stuart Ritchie and others, if you spot a factual error in an edition of this newsletter, I will give you a free 12-month subscription to the paid-for version (or an extra 12 months on your existing one). Factual errors qualify, but grammatical errors or disagreements over interpretation do not, and my decision is final. Messages about both of those are always welcome, though. Voting intention and leadership ratings Here are the latest voting intention polls from different pollsters. It is all pretty static at the moment, with a small and consistent Labour lead in nearly all the polls. The table is also online here, along with explanations about what is included. It is updated regularly throughout the week as new polls are released. Next are the seat projections from MRPs, also sorted by fieldwork dates, listing those which are based on dedicated fieldwork (rather than models based on averages of other polls). Because such MRPs are published infrequently, some of the entries below are quite old. Finally, here is a summary of leadership ratings, with a graph from PollCheck: Detailed numbers from the latest polls are online here, and both that and the graph are updated regularly throughout the week as new data comes out. For historical figures on both voting intention and leader approval stretching back to the 1930s, including Parliamentary by-election polls, see PollBase. Catch up on the previous two editions [ ](https://theweekinpolls.substack.com/p/a-crisis-point-for-political-polling) [ A crisis point for political polling Sep 13 ](https://theweekinpolls.substack.com/p/a-crisis-point-for-political-polling) [ Read full story ](https://theweekinpolls.substack.com/p/a-crisis-point-for-political-polling) [ ](https://theweekinpolls.substack.com/p/extra-questions-about-the-polls-in) [ Extra questions about the polls in Reform’s funding scandal Sep 6 ](https://theweekinpolls.substack.com/p/extra-questions-about-the-polls-in) [ Read full story ](https://theweekinpolls.substack.com/p/extra-questions-about-the-polls-in) My privacy policy and other legal information are available here. Links to purchase books or other items are usually affiliate links which pay a commission for each sale. Quotes from social media messages are occasionally lightly edited for punctuation and clarity. If you are subscribed to other email lists of mine, please note that unsubscribing from this one will not automatically remove you from the others. If you wish to be removed from all my lists, simply reply to this email to let me know. A quintet of Lib Dem polling analyses, and 9 other polling insights you shouldn’t miss The following ten findings from the most recent polls and analyses are only for subscribers who pay for the full edition, but you can sign up for a free trial to read them straight away. Ahead of the start of Liberal Democrat conference, we have a trio of organisations and a pair of professors with pieces out about Ed Davey’s party:
Analysis: Farke's side defensively strong again
Leeds came into this match on the back of their best performance of the season so far as they overpowered Newcastle 4-1 on Monday, but for large parts of the match at Elland Road, Crystal Palace were the better side. Leeds go into the three-week international break having conceded just three goals, which, level with Everton, is the joint fewest in the top flight. Daniel Farke will be delighted with how his side have performed so far this season, but will also feel they could have taken all three points if his main striker had converted a glorious chance.
Porsche Faces Thousands More Job Cuts as Volkswagen Overhauls Its Business
Porsche could reportedly cut 4,100 jobs amid a profit warning. This comes amid Volkswagen’s larger plan to lay off 50,000 employees by 2030. Reuters quoted German outlet Handelsblatt, which stated that internal documents outlining Volkswagen’s newly approved restructuring plan, described…
U.S.-China gastrodiplomacy: Despite political tension, fast food chains from both countries gain popularity in each other’s territory
Mixue, one of the world’s largest fast-food chains with more than 53,000 locations, opened its first three U.S. stores in December.
Fable Has Survived A Decade Of Development Because It's Seen As 'Vital' By Xbox, Says Director
The contract was first signed for it in 2017
Patriots fans largely still confident in Drake Maye, survey shows
Patriots fans still confident in Drake Maye.
Scientists Discover New Compound That Burns Fat Without Killing Your Appetite
Unlike GLP-1 drugs, which suppress appetite and reduce energy intake, a newly identified molecular compound helps cells burn more energy without changing food intake or exercise and has shown promise in mouse models. The most successful new obesity drugs largely work by helping people eat less. Researchers at UC Berkeley are exploring a different strategy:
Final Fantasy VII Revelation Could Have One Of The Biggest Download Sizes In Xbox History
Just to warn you
Even medical professionals are skipping health insurance because of high prices
A larger share of health care workers have health insurance than those in other fields. But they are feeling the pinch as health insurance costs rise.
Russia-Ukraine war creates new voting bloc in Israel as immigrants find their political voice
More than 102,000 immigrants from Russia and Ukraine since the 2022 invasion are eligible to vote in the October 27 election; several tell ynet that democratic institutions, minority rights, regional investment and immigrant integration are shaping their priorities
Five Games Are Confirmed For Xbox Game Pass Over The Next Few Days
Three "Day One" releases, and two games joining new tiers
‘Voters are like, No thanks’: Trump’s tariffs fall flat with the working class
It’s become an article of faith for trade hardliners in both parties that a protectionist agenda is a guaranteed pathway to building support among working-class voters. But now that President Donald Trump is testing that theory in practice, it is largely flopping on the campaign trail.
Multiple Switch Games Receive Switch 2 Compatibility Fixes
Following a major firmware update
‘Enormous potential’: UK envoy seeks deeper Israel ties in science, technology and trade
Ambassador Simon Walters tours the Oxford-Cambridge Growth Corridor, meeting researchers, investors and industry leaders as Britain seeks new partnerships with Israel in genomics, life sciences, agri-tech, AI and clean tech despite political differences
Stellar Blade Gets A Switch 2 eShop Demo Today
New Bayonetta collab trailer also released
Thompson Health Hosting Job Fair in Canandaigua
Thompson Health, Ontario County's largest employer, holds a job fair September 30 in Canandaigua. Learn about openings and interview on-site for positions.
National nurses union hosts rally in Bangor against federal healthcare cuts
Maine organizations representing nurses met with the largest registered nurses union in the nation to push back against federal healthcare cuts in Bangor on Saturday.
DPAA: WORLD CLASS ENTERTAINMENT AT OUR DOORSTEP
The Dayton Philharmonic Orchestra, The Dayton Opera and The Dayton Ballet. will come together this coming weekend (Sept. 26-27) to perform West Side Story.
Voting groups say funding shortfall could affect midterm turnout
Several of the nation’s largest voter engagement and racial justice organizations are facing steep funding shortfalls and staffing cutbacks
The growing Dodgers 10-strikeout club
Tyler Glasnow on Friday night struck out 10 Giants in his six innings, his most in a start this season. Aside from securing Los Angeles-area folks a free Jumbo Jack with a purchase of a large drink for the 130th time this season and the 27th time in the last 28 days, Friday affirmed the […]
Health department warns of increased Asian tiger mosquito activity
Evanston Health and Human Services and the North Shore Mosquito Abatement District (NSMAD) continue to see increased biting mosquito reports, largely
Patriots underrated WR viewed as Week 2 fantasy football sleeper
Patriots wide receiver Mack Hollins could be in line for a large workload in Week 2 with A.J. Brown sidelined.
Round Up: The Switch 2 Games We Played At TGS From 2026's Shoo-In 'Publisher Of The Year'
Resident Mega Dogma Wilds
DNA Has a Four-Letter Alphabet. Scientists Just Expanded It to Eight
Researchers showed how a natural bacterial enzyme can accurately transcribe DNA containing four extra genetic letters. Life uses a four-letter DNA alphabet, but could its genetic machinery read a larger one? Researchers at the University of California San Diego have shown that RNA polymerase, the enzyme that copies DNA instructions into RNA, can accurately transcribe
So, Are You Getting The Premium Upgrade For Gears Of War: E-Day?
Launch is just around the corner!
The Big Holes in Wearable Heart Rate Variability And Readiness Scores
On September 9th, Apple announced it was revamping its Apple Watch Health Sensing System, rolling out a Readiness score (0 to 10), and increasing the frequency of heart rate variability (HRV) outputs 24-fold. This can be viewed as upping its competition with various other consumer wearable sensors. These “readiness scores” as a composite of multiple metrics, with heart rate variability (HRV) being front and center for most. The majority of Americans are now using wearable sensors, which equates to well over 100 million adults. HRV and Readiness scores are increasingly being marketed as a measurement of autonomic nervous system health, a digital marker for future disease, a clock for biological age, and a holistic metric to promote healthspan and even longevity. (Apple also introduced a new longevity tab and “Health Age”.) None of this has been proven. In this edition of Ground Truths I am going to review what we know about heart rate variability and readiness scores. Heart Rate Variability HRV is the variation in normal heart cycle timing. The variability of the heart rate, the barely perceptible millisecond changes in time between consecutive heart beats (see R-R intervals in the Figure below, left panel), is due to interplay between the sympathetic and parasympathetic (vagal nerve) inputs. Distinct from heart rate, individuals with the same heart rate can have very different HRVs. It is a rough reflection of the autonomic nervous system (ANS) activity, inadequate to say whether a person’s ANS function is abnormal. For more than three decades, heart rate variability (HRV) has been measured and several studies have found an association of low HRV and clinical outcomes, particularly a link with higher all-cause and cardiovascular mortality. There have also been less well established links of low HRV to risk of early cognitive impairment, dementia, mental illness, Type 2 diabetes and substance abuse. An important reminder is that HRV is a surrogate marker without any established cause-and-effect relationship. If you increase your HRV, that doesn’t mean it will improve health outcomes. In fact, there is no hard evidence for that. All that work linking to health outcomes was done with electrocardiogram (ECG) derived HRV. Now, in the era of consumer wearables, this is getting assessed differently, by optical pulse (yes, the lights you see) plethysmography (PPG) or what is called pulse rate variability (PRV). They are not the same, as shown below (right panel) and only concordant when the delay between the ECG and pulse is kept constant, which basically means at rest. I should mention there’s also what I will call MPV, a mattress mechanical movement sensor, a derived heart rate variability, that companies like Eight Sleep use, even further away from directly measuring HRV. HRV has not one uniform measurement but many different types of quantification, such as RMSSD, the magnitude of difference between successive R-R intervals of normal sinus beats (N-N) or SDNN, the standard deviation of NN intervals, both in milliseconds. SDNN is one of the so-called frequency domain HRVs (others are LF, HF, LF/HF). Different wearable sensors use different metics; Apple has relied on SDNN and nearly all of the others use RMSSD, which is generally considered the more accurate metric. There’s also the different length of time measured, such as for a matter of minutes, all day, or an overnight’s sleep. Short measurements are especially problematic since they don’t capture enough of respiratory modulation and other factors that influence HRV. Share Ground Truths How well does HRV correlate with PRV? There are very limited studies, especially independently done. One that is commonly cited was conducted by Air Force researchers in only 13 healthy adults assessing Oura ring 3 and 4, Whoop 4.0, and Garmin Fenix 6 and showed a correlation coefficient of 0.88 to 0.97 and a mean absolute percentage error from 6 to 10%. The correlation is not a perfect 1.0, but there’s at least a fairly high level of correlation. HRV is supposed to increase during the night due to takeover of the parasympathetic nervous system, and higher during deep sleep. A recent example of my 1 week, all day “HRV,” and one during sleep is shown below. As you can see, the N of 1 data are inconsistent for the same days from different sensors (Oura, AppleWatch, Fitbit Air, and Eight Sleep) by patterns, absolute numbers, and comparison with prior days and weeks. The largest study in over 8 million Fitbit users (the old version, not Google Fitbit Air, introduced in May 2026) gives you a sense of the effect of age, sex, and the 2 different main HRV (here PRV) metrics, with RMSSD on the left and SDRR (=SDNN) on the right below. That study, from data collected in 2018, is a major outlier, since all the more recent ones are tiny with respect to sample size. Many of the companies have not had independent evaluation of their HRV, such as Eight Sleep, but have published a low standard error on their website. There are some other published studies on the correlation between HRV and PRV, but they are all small and only in healthy adults. A scoping review emphasized the lack of study in underrepresented individuals, including the aged, people of color (which affects the PPG signal), and individuals who are underweight or obese. Add the typical adult age 60 plus with one or more chronic diseases. For example, one study in over 900 adults found poor correlation of HRV and PRV, non-uniformly underestimated across many chronic diseases (cardiovascular, endocrine, neurological, respiratory, and others), concluding PRV is “an invalid surrogate for HRV.” A recent systematic review of 43 studies comparing HRV and PRV found reasonable pooled absolute standardized error (HRV as gold standard) but only 10 of the studies provided quantitative synthesis in ideal conditions. Their main conclusion was similarly cautious: “PPG-derived HRV [PRV] should not be regarded as universally interchangeable with ECG-derived HRV across all devices, populations, and recording contexts.” Factors Affecting HRV and PRV That gets me to the long list of factors that affect HRV (and PRV) besides the device, the type of measurement (RMSSD, SDNN or others), the person’s signal, the sensor site, the duration of data capture, if weighting by sleep stage is used, how artifact is processed and corrected. And this list is not complete!: Oura puts out data from their community of users (who input data) on what affects their overnight HRV. The factors currently provided are: no alcohol (increase 8%), melatonin (increase 2%, float tank (increase 2%), wine (decrease 4%), and party (decrease 14%) in overnight HRV. Must be some big parties! Subscribe What is a PRV measurement good for? It has been falsely characterized as an index of “autonomic balance” and a specific indicator of stress. A 2018 review of the studies available for HRV and its relationship to stress, not using any of the current wearables, found that stress can lower HRV. But so can many other factors. The non-specificity of the signal, indexed to the table above, is striking. Evidence from a UK Biobank study of over 46,000 participants with actual HRV looked at genetically predicted HRV, a genetic risk score, that failed to show the expected HRV-mortality link, indicating that _HRV is likely not causa_l, but rather a reflection of person’s physiologic state. A review of consumer wearable HRV data from 5 longitudinal studies showed that nighttime PRV was not associated with perceived stress, and surprisingly higher HRV, in the largest cohort (N=717 participants), was correlated with higher stress. An Oura ring cohort of 525 first-year college students found a link between overnight PRV and perceived stress, but that was also seen with resting heart rate, sleep, and respiratory rate. Several very small studies have examined the relationship of HRV and athletic injuries or guiding training with mixed, and predominantly negative results. HRV biofeedback training with paced breathing had no significant effect on reducing stress or raising HRV, as demonstrated with sham controlled trials. When HRV for multiple days showed a decline in conjunction with body temperature, the Oura ring published data for prediction of Covid. The WHOOP company sponsored an observational study, published in 2026, of 30,000 users for 72 weeks, without a control group, that reported reduced alcohol intake (5.8 % points) by self-report. That doesn’t tell us much, and particularly about the merits of HRV for behavioral change. If you use the same device and conditions as longitudinal trends for multiple (at least 2-3) weeks that may be the one way to get something useful from the measurements. Data for overnight sleep with minimal motion and using RMSSD is the best proxy for real HRV. The reason to look at trends rather than any given night is that it more likely represents something, even though you won’t know with certainty what the “it” is. Keep in mind there are no data, no peer-reviewed evidence, to show that HRV fluctuation in-person has any correlation with health outcomes. Share Readiness Scores These are proprietary scores that integrate different metrics for each of the wearables: no algorithms have been disclosed. They are unvalidated against health outcomes. In a review of 14 composite health scores of readiness and recovery, HRV contributed 86% to the scores, followed by reading heart rate (79%), physical activity and sleep duration (both at 71%). That review noted the substantial variability in measurement protools and lack of standardization. Sleep staging is notoriously inconsistent and inaccurate by these sensors, which adds further to the HRV uncertainties for what the scores, which use sleep stage data, mean. Only resting heart rate has been shown consistently across devices to be extremely accurate. I’ve made a Table to summarize what we know about which metrics are included, the scores, any peer-reviewed studies that compared the readiness score with health outcomes, and the corresponding (if any, NA-not available) citation. You will note that some companies do not use the term “readiness," such as WHOOP for recovery, and Garmin, which has 2 different scores, one of which is Body Battery. Eight Sleep uses the term “Fitness Score.” They all include HRV; Apple includes a new metric they call “Recovery HRV” which among other components uses 7-days of sleep, but it is unclear what this means or how it is differentiated from other scores (there are clearly no data for outcomes). We have no knowledge of how the different components are weighted or whether any of these scores are better than resting heart rate, HRV alone, physical activity, or any other single metric. Since none of these are standardized, they are not interchangeable, so if you get a 90 for Oura that has no relationship to a 90 on a Google Fitbit Air. Notably, the company can update its algorithm for readiness score at any point without notification to device users. Without any useful evidence of actionability for these scores or established relationship with health outcomes, it is hard to make a case for their value. At the Apple recent announcement they showed their Readiness score (0-10) on the watch (Figure below) but there are no published data on this score, not even on their website. It’s available only on their new Watch Series 12 or Ultra 4 [of course, ;-)]. That exemplifies the problems with these scores, lack of data and evidence for being meaningful to promote health. Perhaps the best study (which isn’t saying much) is the WHOOP Recovery for golfer performance, because it did correlate with an objective outcome, even though there was no control group and the authors were all from the company. Among the 389 pro golfers, an absolute 10-per cent point increase in Recovery score was associated with about 0.5 fewer strokes per round. But that’s hardly a health outcome! WHOOP is also conducting a study in over 2,700 runners to see if their recovery score will be linked to less injuries and improved performance, but that is not yet published and has no control group or randomization. Putting This in Context For two decades I’ve been enthusiastic about the potential for digital health and particularly wearable biosensors. Over the years, we’ve seen some great progress for their ability to promote physical activity and accurately detect atrial fibrillation (the first FDA cleared deep learning AI for consumers). That work was the subject of rigorous research. But there are holes in the data and evidence for other metrics. One notable one is the “VO2 max” story that I wrote about earlier this year. At that time many subscribers asked me to cover heart rate variability, which I finally got to here. When I dived into the research and publication for HRV and readiness scores, I expected to find at least some that were of high quality and demonstrated their utility by linkage to health outcomes. To my surprise, I found none. The wearable sensor measurements for HRV (PRV) are, for the most part, accurate, but that validation work has only been done in small studies of healthy adults and does not take into account the long list of factors, from the device, software side, and the user side, that affect HRV measurements. Moreover, this metric chiefly relies on optical sensing and, as we have learned for heart rate PPG sensing, may be less accurate in people of color. Keep in mind that all of the health outcome association evidence comes from ECG-derived HRV; none are from wearable sensor data. I will repeat the key point: there's no peer-reviewed evidence to show that in-person HRV fluctuation—or efforts to raise your HRV— has any correlation with health outcomes. For those of you who look at your HRV on awakening, or even 2+ week trends of it being low, I hope this context helps to relieve any anxiety. Yes, low HRV (not PRV) has been shown to increase risk of some diseases as summarized above. But efforts to raise your HRV—a surrogate metric— has not been established for improving any health outcomes. HRV does not have any evidence of causality (the genetic evidence actually goes against this possibility). In this summary, I have not included data for other wearable sensors such as Polar, Samsung, Withings, Suunto, Amazfit, Coros, Ultrahuman, or additional mattress sensors. These are beyond my first-hand experience, and as far as I know from my in-depth review none have any peer-reviewed published data that differ from the 6 sensors I’ve reviewed here. From the points I’ve gone over above, we’re not ready for readiness scores. Besides being proprietary, they are predominantly based on metrics that have their own issues. It’s compounding the problem, like building a house without a solid foundation that has never undergone a rigorous inspection, and then selling it. Like I mentioned for PRV, you can look at trends over weeks rather than any single day, to get a handle, but even that may not be helpful. There’s simply no evidence that these scores meaningfully relate to health outcomes. I’d emphasize they might, but that requires doing prospective or randomized studies to prove it. None exist. There’s great promise for HRV/PRV utility_. For example**,**_ Prof Maiken Nedergaard, who discovered the brain glymphatics that are essential in eliminating metabolic waste products from the brain during sleep, has posited that HRV could be a non-invasive marker for neuromodulator oscillations, brain-body regulatory circuits, and brain clearance. That would be extremely useful, but like everything else on HRV and readiness scores it requires solid research and validation. The lay media isn’t helping much to get the story straight. Earlier this year The Economist published a piece entitled “The most useful indicator of your overall health” which ordained HRV as an “accumulated stress score.” That’s akin to the false assertion about VO2max: “V02 max is the singular most powerful marker for longevity.” As I’ve summarized here, that is not established. The fact is that so many things can lower HRV, including physical exercise (especially an intense workout), reduced sleep quality, stress, the list above, no less the device, signal, and software. Whatever fluctuations observed have not been correlated with any health outcome. Sadly, “datamaxxers” are widely using HRV and readiness scores that have never been validated to mean anything. We already know that for some people using the sensors for sleep metrics, it can induce “orthosomnia,” an obsession to get high sleep quality, with associated high levels of anxiety. In an experiment done by a company to promote sleep quality for its employees, “For those employees who did use the trackers, many reported feeling perfectly rested until their tracker told them they had had a terrible night. Others were told that they had slept like a baby when they had actually been lying awake worrying about the quality of their sleep. “ The same problem can result from preoccupation with HRV or readiness scores, with anxiety that would lead to further reduction in both. It you are using a wearable like >100 million American adults, it’s OK to look at these data, but contextualized with the major caveats reviewed here. If you are one to require evidence that HRV or readiness scores are linked to health outcomes, you may not even want to look. The companies make it hard to turn them off! Let me end with the companies that make and sell wearables. Apple’s doubling down on HRV (24-fold more reporting and heart rate very 5 seconds) and introduction of a Readiness score tells us that consumers have bought into these metrics and they are joining the club. However, all of this is occurring with a backdrop of tens millions of users, claims about the data that are not backed up by adequate evidence, marketing way out in front of whatever limited data exists, and not being transparent about their readiness score algorithms. The companies can well afford to do the research that is needed to connect these metrics with health outcomes show, once and for all, that increasing HRV or using readiness scores promotes our health. If they believed and invested in the products they are selling, we’d not be in this position of not knowing. That’s essentially where we are with HRV and readiness scores. Perhaps someday this will change and we’ll have good reason to embrace them. NB: I wrote this post. No AI. I have no conflicts of interest with any of its content. Loading... Ground Truths has 215,000 subscribers from every US state and 214 countries. 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