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Build Stakeholder Trust Before You Need It

Preparing relationships for change deserves as much attention as preparing the business.

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Oct 16 • 4:46 PM EDT • Business • tcbmag.com
Performers’ Circle features Larry Guenther and Friends

The Performers’ Circle will feature Larry Guenther and Friends at 7 p.m. Tuesday Oct. 27, at Odd Fellows Hall, 415 Second St. in Davis. Larry and Friends will bring original

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Oct 16 • 4:44 PM EDT • Entertainment • davisenterprise.com
Community invited to 5th annual Night of the Living Health Fair

The event will take place from 5:30 to 7:30 p.m. on Friday, October 23 at RHI’s Anna health center.

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Oct 16 • 4:43 PM EDT • Health • kfvs12.com
Eagles Sign Joe Milton After Jalen Hurts Injury News

Philadelphia Adds Quarterback Depth The Philadelphia Eagles are making a move to strengthen their quarterback room, signing Joe Milton III off the Dallas Cowboys’ practice squad following the news that Jalen Hurts will miss Sunday’s game against the Carolina Panthers. The move comes at a difficult time for Philadelphia, which enters Week 6 at 2-3…

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Oct 16 • 4:36 PM EDT • Sports • sports.yahoo.com
WP Intelligence Briefing | What the midterms could change about U.S. health care

An election lookahead at what’s at stake for health policy

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Oct 16 • 4:32 PM EDT • Health • washingtonpost.com
Inside 'Dancing With the Stars' rehearsals with Tatyana Ali and Jan Ravnik: Sore ribs, sharp humor and 'no days off'

Tatyana Ali and Jan Ravnik talk "DWTS" rehearsals, taking criticism and who's on his "dead to me" list.

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Oct 16 • 4:32 PM EDT • Entertainment • yahoo.com
Some GOP politics before Nov. 3 election in Sullivan

Republican politics came into the Sullivan County Commission meeting Thursday

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Oct 16 • 4:30 PM EDT • Politics • timesnews.net
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Trump's team is in chaos as midterms enter final stretch

A White House that has enjoyed relative stability over the past two years has returned to a state of disarray that characterized much of Trump's early political career.

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Oct 16 • 4:26 PM EDT • Politics • latimes.com
Enquirer announces Oct. 16 athlete of the week winners

Cincinnati Enquirer readers made their choices for the Oct. 16 Beacon Orthopaedics and Sports Medicine Athletes of the Week.

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Oct 16 • 4:17 PM EDT • Sports • sports.yahoo.com
Bellingham agrees new Real deal

Real Madrid midfielder Jude Bellingham ready to commit his future to La Liga club, Arsenal and Liverpool told price for Brentford's Kevin Schade, Man Utd and Chelsea among clubs monitoring Jules Kounde's future at Barcelona, plus more.

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Oct 16 • 4:16 PM EDT • Sports • sports.yahoo.com
Liverpool predicted lineup vs. Brentford: Projected XI, team news
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Oct 16 • 3:55 PM EDT • Sports • sports.yahoo.com
These Brewers aren't Cinderella. They might be MLB's next behemoth
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Oct 16 • 3:55 PM EDT • Sports • sports.yahoo.com
What Makes Your Cannabis Business Buyable Right Now?

It’s a fraught question for many operators: How attractive is my business to potential buyers in the current market? M&A experts offer 5 characteristics buyers are seeking for entrepreneurs considering or curious about their businesses’ potential in an exit. Plus, 5 ways to make your business more attractive to buyers.

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Oct 16 • 3:53 PM EDT • Business • cannabisbusinesstimes.com
Panthers list Taylor Moton as questionable, Monroe Freeling as doubtful
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Oct 16 • 3:53 PM EDT • Sports • sports.yahoo.com
Amarillo VA Health Care System to host Veterans Flue Fairs next week

The Amarillo VA Health Care System set to host a walk-in Veterans Flue Fair Next week, October 19-24.

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Oct 16 • 3:41 PM EDT • Health • newschannel10.com
“The Hobbit ”and Marvel star Martin Freeman quietly marries longtime partner Rachel Benaissa

Freeman and Benaissa have been dating since 2020.

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Oct 16 • 3:30 PM EDT • Entertainment • yahoo.com
David Montgomery to be unavailable for Week 6

Texans RB David Montgomery ruled out for Week 6 due to groin injury

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Oct 16 • 3:27 PM EDT • Sports • sports.yahoo.com
Sports Overtime: Week 8 (Friday, Oct. 16, 2026)

Watch highlights and view scores from Week 8 of the 2026 NSAA football season.

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Oct 16 • 3:22 PM EDT • Sports • 1011now.com
Manny Diaz has Suggestion to Fix Transfers in College Athletics

Duke football head coach Manny Diaz has a great suggestion on how to fix transfers in college athletics.

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Oct 16 • 3:16 PM EDT • Sports • sports.yahoo.com
A mom asked for a free business-class upgrade for her kid. The flight attendant had the perfect comeback

Reddit users cringed, but it took a true professional to nail the response.

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Oct 16 • 3:14 PM EDT • Business • creators.yahoo.com
Winona Health holding memorial ceremony for infant loss

The ceremony will take place on Saturday, Oct. 17.

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Oct 16 • 3:11 PM EDT • Health • kttc.com
'American Pickers' star Mike Wolfe, girlfriend split

"American Pickers" star Mike Wolfe and girlfriend Leticia Cline are no longer together.

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Oct 16 • 3:11 PM EDT • Entertainment • centraloregondaily.com
What Does Hims & Hers Health (HIMS) Expansion Into The UK And Australia Mean?

Hims & Hers Health (NYSE:HIMS) announced the launch of Hers personalised hair loss and wellness care in the UK in October 2026. The Hers UK rollout introduces tailored treatment plans for women's hair loss alongside broader wellness services through the company's telehealth platform. The business is also expanding its Hers care platform into Australia, adding another English speaking market to its international footprint. The Hers UK hair loss launch and Australia expansion open new chapters...

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Oct 16 • 3:10 PM EDT • Health • finance.yahoo.com
Bears’ Former Veteran Wide Receiver Signs New Deal With Lions

A former Chicago Bears veteran wide receiver has landed a new deal in the NFC North with the Detroit Lions amid the latest NFL signing news. The post Bears’ Former Veteran Wide Receiver Signs New Deal With Lions appeared first on HEAVY.

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Oct 16 • 3:04 PM EDT • Sports • sports.yahoo.com
Billy Joel can't drive or perform following brain disorder diagnosis

Billy Joel shared health updates following his 2025 brain disorder diagnosis, stating that he has to take “a series of tests” before being able to tour and drive again.

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Oct 16 • 3:03 PM EDT • Entertainment • latimes.com
The Jeremy Wilson Foundation helps local musicians navigate healthcare and medical crisis

Oregon’s Jeremy Wilson Foundation is stepping up for musicians in medical crisis with grants and health navigation; free Oct 22 Portland event on big 2027 OHP changes.

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Oct 16 • 3:02 PM EDT • Health • katu.com
Selma Blair breaks silence on arrest and plane incident

The actress was arrested on Oct. 11 after allegedly assaulting two flight attendants mid-flight during “a medical emergency.”

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Oct 16 • 3:02 PM EDT • Entertainment • yahoo.com
Kyle Monangai will not play in Week 6

Bears RB Kyle Monangai set to miss second straight game

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Oct 16 • 3:00 PM EDT • Sports • sports.yahoo.com
Community invited to 5th annual Night of the Living Health Fair

The event will take place from 5:30 to 7:30 p.m. on Friday, October 23 at Rural Health, Inc.'s Anna location.

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Oct 16 • 3:00 PM EDT • Health • kfvs12.com
Mayor Parker’s administration told Congress it doesn’t endorse Krasner and Bilal’s anti-ICE statements

In its report, the Republican-led House Judiciary Committee portrayed Philadelphia as obstructive to ICE, saying that officials ignored 162 detainer requests between January 2024 and June 2026.

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Oct 16 • 2:50 PM EDT • Politics • inquirer.com
Phoenix mental health clinic hosts event to connect families with care

Aurora Behavioral Health hosted its first-ever Connect Fest at its location near 59th Avenue and Peoria Avenue.

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Oct 16 • 2:22 PM EDT • Health • azfamily.com
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Kim Kardashian cried ‘every single night’ on “Dancing With the Stars ”and was ‘praying to get kicked off’

“It’s traumatized me for life,” she said of her 2008 stint on the show.

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Oct 16 • 2:20 PM EDT • Entertainment • yahoo.com
Sen. Susan Collins struggles to name a time she stopped Trump
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Oct 16 • 2:20 PM EDT • Politics • washingtonpost.com
Joy Behar calls some past “The View ”cohosts ‘mean girls,’ reflects on Meghan McCain feud

The longtime host said that the current roundtable is “very good.”

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Oct 16 • 2:13 PM EDT • Entertainment • yahoo.com
“Baby Brain” During Pregnancy: What Science Says About Forgetfulness

Discover new research into pregnancy-related forgetfulness, how hormones may affect memory and practical ways expectant parents can cope.

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Oct 16 • 2:07 PM EDT • Science • health.yahoo.com
Football Obsessions Impact Productivity and Health for Fans

Learn how football obsessions impact productivity, how to safely deal with football fandom in safe ways. Manage being a football fan with grace.

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Oct 16 • 2:00 PM EDT • Health • sports.yahoo.com
Science Museum of Virginia Opens “Rescue” Exhibit

Watch Virginia This Morning each weekday from 9 to 10 a.m. Find the show on Facebook and Instagram at @VirginiaThisMorning.

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Oct 16 • 1:50 PM EDT • Science • wtvr.com
Trump casts doubt on press secretary Katie Zacharia's future

Trump said he'd spoken to Zacharia and that he felt she didn't deserve what he called negative media coverage.

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Oct 16 • 1:49 PM EDT • Politics • pbs.org
Trump says press secretary Katie Zacharia should ‘reconsider’ her role

“Maybe it’s not for her,” President Donald Trump told reporters on Friday, saying that he would ultimately leave the decision to Zacharia.

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Oct 16 • 1:35 PM EDT • Politics • washingtonpost.com
Business temporarily evacuated after gas leak in Horry County

A business was temporarily evacuated after a gas leak in Horry County on Friday.

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Oct 16 • 1:13 PM EDT • Business • wmbfnews.com
Raiders wide receivers Week 5 snap and production review

Undermanned unit doesn’t produce much in defeat

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Oct 16 • 1:05 PM EDT • Sports • sports.yahoo.com
What Impresses Titans the Most About RB Nick Singleton

Coach Randy Jordan reveals why the Penn State rookie’s explosive physical tools offer a high-upside solution as Tennessee navigates looming contract decisions for its veteran backfield.

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Oct 16 • 1:00 PM EDT • Sports • sports.yahoo.com
The Next Pandemic Might Already Be Taking Shape at the Edge of the World’s Vanishing Forests

Outbreaks cluster where people, livestock, and damaged ecosystems collide, a new Nature study finds.

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Oct 16 • 1:00 PM EDT • Science • popularmechanics.com
What to do with the Yankees’ free agents

Who should the Yankees bring back?

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Oct 16 • 1:00 PM EDT • Sports • sports.yahoo.com
Important Players to Watch: College Football Week 5

The season is progressing but Jesse Legree and Jeremiah Smith are elevating every week along with others

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Oct 16 • 1:00 PM EDT • Sports • sports.yahoo.com
From Snack Bags to Sports Drink Sachets: How PepsiCo Shares Packaging Science Across Foods and Beverages
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Oct 16 • 12:50 PM EDT • Science • packworld.com
Cook Political Report moves 11 more House races toward Democrats

The election prognosticator says more races are becoming competitive in traditional GOP strongholds because of voter frustration with the economy.

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Oct 16 • 12:45 PM EDT • Politics • washingtonpost.com
PSV Secure Shuryjano Cornecion’s Future With New Contract Until 2031

Fresh off an impressive first-team debut, the teenage midfielder commits his long-term future to the Eredivisie giants as Peter Bosz looks to integrate the academy graduate permanently.

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Oct 16 • 12:42 PM EDT • Sports • sports.yahoo.com
UT Health oncologist discusses breast cancer awareness
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Oct 16 • 12:36 PM EDT • Health • ksat.com
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WDBJ7+ Hometown Health Special: October 2026

WDBJ7+ Hometown Health Special: October 2026

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Oct 16 • 12:31 PM EDT • Health • wdbj7.com
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Indiana football hosts Ohio State: 3 Things to watch for

Indiana football is set to play its biggest home game in program history Saturday. Here’s what to watch for.

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Oct 16 • 12:30 PM EDT • Sports • sports.yahoo.com
Dr. Phil McGraw addresses Collin Gosselin’s ‘false’ claim that he helped offer Jon and Kate millions to stay married

The talk show host did not have “any vested interest” in the Gosselins’ relationship.

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Oct 16 • 12:29 PM EDT • Entertainment • yahoo.com
Trump wants the midterms to be all about him. Based on Democrats' ads, they are happy to oblige

Many of the Democrats' ads accuse Republican opponents of siding with the president over voters, particularly on issues like tariffs and the Iran war, which they blame for jacking up costs.

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Oct 16 • 12:28 PM EDT • Politics • pbs.org
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Cavaliers Star James Harden Ranked 11th-Best 'Creator' in NBA

James Harden is one of the best creators in the NBA.

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Oct 16 • 12:18 PM EDT • Sports • sports.yahoo.com
Health officials issue water quality advisory for Fort Walton Beach park

The advisory remains in effect until follow-up testing confirms bacteria levels have dropped back into acceptable safety ranges.

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Oct 16 • 12:14 PM EDT • Health • wjhg.com
Mental Health Awareness Week

Steve Carleton, Chief Clinical Officer with Porch Light Health joins us in studio to talk about Mental Health Awareness Week.

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Oct 16 • 12:01 PM EDT • Health • kktv.com
Tennessee-Alabama football game score predictions

Tennessee versus Alabama football game score predictions in Week 7.

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Oct 16 • 12:00 PM EDT • Sports • sports.yahoo.com
Matchday 31: Who can clinch playoffs or be eliminated?

By MLSsoccer staffThis weekend during Matchday 31:Six teams can clinch an Audi 2026 MLS Cup Playoffs spot.One team can be eliminated from Audi 2026 MLS Cup Playoffs contention.Nashville SC can clinch ...

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Oct 16 • 12:00 PM EDT • Sports • sports.yahoo.com
The best Amazon deals this weekend: Score big brands like Yeti, Lego, Apple and more for up to 70% off

We found fabulous fall discounts on everything from kitchenware and vacuums to holiday gifts, headphones, skin care and more.

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Oct 16 • 11:57 AM EDT • Technology • shopping.yahoo.com
NFLPA names Hunter Henry their Community MVP for Week 6
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Oct 16 • 11:57 AM EDT • Sports • sports.yahoo.com
Hill Country businesses get more time to apply for flood recovery grants as holiday season nears
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Oct 16 • 11:57 AM EDT • Business • ksat.com
Exclusive-US Strikes One-Year Deal to Fund Maternal and Newborn Health Donations in Poorest Countries

By Ammu Kannampilly, Jennifer Rigby and Victoire Mukenge NAIROBI/LONDON/NYANGEZI, Democratic Republic of Congo, Oct 16 (Reuters) - The US ⁠government has ⁠struck a deal to continue supplying some of the ⁠world's poorest nations with free life-saving medication and equipment for mothers, infants and ...

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Oct 16 • 11:55 AM EDT • Health • usnews.com
NBA, sportsbooks agree to ban different types of prop bets

The NBA and prominent sportsbooks agree to ban different types of prop bets.

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Oct 16 • 11:45 AM EDT • Sports • sports.yahoo.com
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Billy Joel says he can no longer perform or drive due to health condition

Billy Joel, 77, said he has a condition called hydrocephalus that has affected his balance. (Source: AP Images, Canva, DCC Gray News)

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Oct 16 • 11:38 AM EDT • Health • wcax.com
Billy Joel says he can no longer perform or drive due to health condition

Billy Joel, 77, said he has a condition called hydrocephalus that has affected his balance. (Source: AP Images, Canva, DCC Gray News)

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Oct 16 • 11:38 AM EDT • Health • wsfa.com
Billy Joel says he can no longer perform or drive due to health condition

Billy Joel, 77, said he has a condition called hydrocephalus that has affected his balance. (Source: AP Images, Canva, DCC Gray News)

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Oct 16 • 11:38 AM EDT • Health • kold.com
Shawnee business honors first responders with pancakes and gratitude

EnviroTech Heating and Cooling owner James Gallet said the idea started last year when his daughter suggested hosting a breakfast for the community’s first responders.

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Oct 16 • 11:36 AM EDT • Business • kctv5.com
Wildfires, heat waves and access to care among health-related problems facing Californians

The latest annual California Health Interview Survey (CHIS) offers a more precise look at how the 2025 wildfires affected Californians’ health and well-being. The data also reveal trends in the health of immigrants, low-income individuals, and transgender and gender-expansive communities. The 2025 CHIS data show: 500,000 more California adults said their mental health was harmed...

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Oct 16 • 11:35 AM EDT • Health • ssrs.com
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Title revealed for “The Mummy” sequel featuring the onscreen reunion of Brendan Fraser and Rachel Weisz

The franchise’s fourth installment is a direct sequel to 1999’s “The Mummy” and 2001 sequel, “The Mummy Returns.”

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Oct 16 • 11:32 AM EDT • Entertainment • yahoo.com
Music star who attended Berklee College hits Trump with 3-word insult onstage

A Grammy-winning singer with a Berklee College background used some choice words about President Donald Trump during a recent performance.

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Oct 16 • 11:32 AM EDT • Entertainment • masslive.com
How“ Street Fighter”’s surprising ending sets up a sequel — and introduces an iconic final boss

The new video game adaptation comes across as a clear part one of a two-part series.

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Oct 16 • 11:30 AM EDT • Entertainment • yahoo.com
Angine de Poitrine is weird. That may be exactly what your brain craves.

Québécois rock duo Angine de Poitrine has gone viral for its bizarre costumes and unconventional music, earning praise from rock legends. A cognitive neuroscientist explains the science behind its app...

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Oct 16 • 11:25 AM EDT • Entertainment • yahoo.com
Hilary Swank addresses ‘backlash’ over pregnancy at 52: ‘You’re too old’

Meanwhile, she said men don’t receive the same criticism.

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Oct 16 • 11:23 AM EDT • Entertainment • yahoo.com
Dunleavy was confident that Butler would appreciate …

Dunleavy was confident that Butler would appreciate …

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Oct 16 • 11:18 AM EDT • Sports • sports.yahoo.com
Health officials warn mosquito-borne illnesses confirmed on Gulf Coast

We're taking a look at what these illnesses are, where they are being reported and what's being done to stop the spread.

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Oct 16 • 11:14 AM EDT • Health • fox10tv.com
NBA, sportsbooks reportedly agree to ban certain bets, including parlays involving the under on same player's stats
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Oct 16 • 11:14 AM EDT • Sports • sports.yahoo.com
Indiana's biggest home game ever will reveal just how far Curt Cignetti has taken the Hoosiers
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Oct 16 • 11:13 AM EDT • Sports • sports.yahoo.com
Health officials warn mosquito-borne illnesses confirmed on Gulf Coast

IN-DEPTH WITH SARAH WALL: A warning from health officials about several mosquito-borne illnesses confirmed on the Gulf Coast: We're taking a look at what these illnesses are, where they are being reported and what's being done to stop the spread.

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Oct 16 • 11:13 AM EDT • Health • fox10tv.com
Newcastle United v Aston Villa Live TV and these global channel listings

Around the world, here are the channels you can watch Newcastle United v Aston Villa Live TV. The global TV listings are featured below for local (to you) coverage on Saturday (5.

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Oct 16 • 11:11 AM EDT • Sports • sports.yahoo.com
Napoli must separate McTominay contract negotiations from their midfield plan

Scott McTominay’s reported contract discussions have brought Napoli’s approach to retaining important players back into focus.The immediate temptation is to read every negotiating position as a pr...

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Oct 16 • 11:10 AM EDT • Sports • sports.yahoo.com
Arizona Cardinals Daily Links:

The Cardinals select South Carolina edge rusher Dylan Stewart in a new 2027 NFL mock draft.

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Oct 16 • 11:05 AM EDT • Sports • sports.yahoo.com
Trump will rally Georgia Republicans despite party divisions in battleground state

President Donald Trump's midterm campaign blitz arrives in Georgia on Friday for a rally with top Republican candidates in a state that has long been the epicenter of the president's false claims about election fraud.

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Oct 16 • 10:57 AM EDT • Politics • pbs.org
PDHD Farmers Market promotes mental health and connections

Click here to view this video from wpsdlocal6.com.

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Oct 16 • 10:55 AM EDT • Health • wpsdlocal6.com
In immigrant-heavy Georgia city, Trump to test limits of his midterm message

The visit to Dalton is especially complicated for GOP gubernatorial candidate Rick Jackson, who increasingly has emphasized his independence from the president.

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Oct 16 • 10:52 AM EDT • Politics • washingtonpost.com
Kuakini Breast Health Institute expands access to cancer screening and treatment

The Kuakini Breast Health Institute is now open in time breast cancer awareness month, offering specialized cancer treatment, including screening, surgery and monitoring.

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Oct 16 • 10:51 AM EDT • Health • hawaiinewsnow.com
NFL fans question Donald Trump’s choice of Week 6 game

Ale_Mi/Depositphotos Donald Trump cancels NFL game visit President Donald Trump was reportedly planning to attend the Pittsburgh Steelers game against the Tampa Bay Buccaneers on October 18, 2026. CNN correspondent Kristen Holmes first reported the expected visit on October 13. The game was scheduled for a Sunday afternoon kickoff at Raymond James Stadium in Tampa,…

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Oct 16 • 10:45 AM EDT • Sports • sports.yahoo.com
Talarico compares his campaign to David and Goliath after GOP invests over $158M against him

The Democrat faces more than $158 million in outside spending by Republican leadership and the world's richest man, Elon Musk.

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Oct 16 • 10:44 AM EDT • Politics • pbs.org
Biggest post-postseason questions for the White Sox

October was an eye-opener for the future of the team

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Oct 16 • 10:42 AM EDT • Sports • sports.yahoo.com
Is the Prince estate finally listening to fan complaints?

MINNEAPOLIS — Is the Prince estate finally listening to complaints from hardcore fans? On Oct. 9, the estate and NPG Records released the “Calabama EP” as a follow-up to the

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Oct 16 • 10:38 AM EDT • Entertainment • recorderonline.com
More than 4,400 measles cases reported in US as CDC plans to send 'disease detective' to Pennsylvania

More than 4,400 measles cases have been reported in the U.S. as the CDC says it plans to send a "disease detective" to Pennsylvania.

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Oct 16 • 10:33 AM EDT • Health • abcnews.com
Can AI solve our mental health access problem?

Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.

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Oct 16 • 10:32 AM EDT • Health • yourlocalepidemiologistca.substack.com
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