A E.P.A. spokeswoman said in an emailed statement, “The agency does not discuss draft, deliberative documents or actions still under internal and interagency review.”
On Wednesday, the House Committee on Science, Space and Technology will hold a hearing on E.P.A.’s efforts. A top pulmonary specialist and a representative of the country’s largest nonprofit funder of research on Parkinson’s disease, the Michael J. Fox Foundation, are expected to testify that the E.P.A.’s proposed rule would eliminate the use of valuable research showing the dangers of pollution to human health.
Mr. Pruitt’s original proposal drew nearly 600,000 comments, the vast majority of them in opposition. Among them were leading public health groups and some of the country’s top scientific organizations like the American Association for the Advancement of Science.
The National Association of Pediatric Nurse Practitioners said it was “deeply concerned” that the rule would lead to the exclusion of studies, “ultimately resulting in weaker environmental and health protections and greater risks to children’s health.” The National Center for Science Education said ruling out studies that do not use open data “would send a deeply misleading message, ignoring the thoughtful processes that scientists use to ensure that all relevant evidence is considered.” The Medical Library Association and the Association of Academic Health Science Libraries said the proposal “contradicts our core values.”
Industry groups said the rule would ensure greater public understanding of the science behind regulations that cost consumers money.
“Transparency, reproducibility and application of current scientific knowledge are paramount to providing the foundation required for sound regulations,” the American Chemistry Council wrote to E.P.A. in support of the plan.
The new version does not appear to have taken any of the opposition into consideration. At a meeting of the agency’s independent science advisory board this summer, Mr. Wheeler said he was “a little shocked” at the amount of opposition to the proposal, but he was committed to finalizing it. Beyond retroactivity, the latest version stipulates that all data and models used in studies under consideration at the E.P.A. would have to be made available to the agency so it can reanalyze research itself. The politically appointed agency administrator would have wide-ranging discretion over which studies to accept or reject.
Recent BYU graduate Lauren Olsen wanted to be a dentist since she was 4 years old, but while at BYU, her advisor influenced her to pursue a different career path. She ended up graduating in 2018 with a degree in public health.
“He looked at me and was like ‘You know, if you’re a dentist, you’ll have a really hard time being a mom,’” Olsen said, describing the conversation that led her to change majors. “I left and just cried a lot.”
Olsen said a public health internship in Cambodia helped her realize she needed to return to her roots and study dentistry. While there, she met a young girl with an infected tooth and a swollen face who couldn’t speak. There were no dentists available in the area to assist her.
“I was flying home the next day and thought ‘I didn’t do anything for her,’ and it’s one of my biggest regrets,” Olsen said. “When I got home, I started having a lot of little experiences that reminded me that I wanted to be a dentist all along.”
Olsen said once she got home, she asked family members if they knew any women in dentistry. She eventually learned about Jennifer Klonkle, who is a mother and works one day out of the week as a dentist in Arizona.
Dentists like Klonkle inspired Olsen to find a way to share their stories with other aspiring female dentists.
“If only other girls at BYU could see this,” Olsen said. “I know these nice, normal, smart girls are dentists and moms and whatever they want to be.”
Despite the small number of female dentists in Utah, Olsen established the Women in Dentistry committee at BYU to inform others that there are women who have successfully forged a career in dentistry.
Only four percent of dentists in Utah are women, while 28.9 percent of dentists are female nationwide, according to a 2017 study by the Utah Medical Education Council.
Women in Dentistry president Kendra Law said the group has grown from six to about 30 members. Law said she believes the numbers have increased because of the committee’s support for students who would otherwise be discouraged from a career in dentistry.
“It just helps to have this support group of women who are all trying to reach the same goal,” Law said. “Even when some people are saying, ‘No, you can’t do it,’ we can turn to each other, and we have a good network of people supporting and pushing us to all reach the same dream.”
The Women in Dentistry committee volunteers for organizations like Community Health Connect to help youth from low-income Utah County families receive the dental care they need. Members of the committee participate in a fluoride varnish program where they check children’s teeth and refer severe cases to dentists who offer dental care free of charge.
“They get a chance to see and understand that there are kids that really don’t have a toothbrush or can’t take care of themselves,” said Julie Francis, Dental Assistant Program Coordinator of Mountainland Technical College. “They get that feeling to help people and become more involved in the community.”
Olsen said she is expanding the Women in Dentistry committee to reach female dental assistants who are juniors and seniors in high school.
“Ninety percent of the high school students we talked to signed up to learn more,” Olsen said. “It taught me when you teach young girls about their potential, they want to do big things.”
Olsen is now completing prerequisites at UVU so she can apply for dental school next summer. She is also creating a website where young women can observe the examples of female dentists who have successfully balanced their career and other interests.
“So that there will never be a girl again who comes to BYU and gets told ‘No, you can’t be a mom and a dentist. You can’t be a Young Women’s president and a dentist,’” Olsen said. “We’ll have a database of interviews showing that you can and that women all over the country are doing it.”
For updates about BYU Women in Dentistry club meetings, follow them on Facebook and Instagram.
Thirty-seven-year-old South Bend, Indiana mayor and presidential candidate Pete Buttigieg has undergone a dramatic shift in health care policy in less than two years.
Responding to criticism of his vague health care policies in early 2018, Buttigieg “declared” on Twitter that, “Most affirmatively and indubitably, unto the ages…I do favor Medicare for All.”
Later, as he entered the Democratic presidential primary, he landed on a kind of compromise: a single-player option he likes to call “Medicare for All Who Want It” that lets him show support for those frustrated by the high costs and substandard results of the American health care system while preserving the profit-driven forces that have contributed to that system.
Now, as he continues to promote his plan, which critics call “Medicare for Some,” he’s taken an antagonistic approach to true Medicare for All, as proposed in the Medicare for All Act, and to his opponents who support it: Sen. Bernie Sanders (D-Vt.), who “wrote the damn bill,” and frontrunner Sen. Elizabeth Warren (D-Mass.), who is cosponsoring and continues to support it.
In a new digital video ad from Buttigieg’s campaign, corporate consultant and former Facebook executive Joe Lockhart says, “Bernie Sanders and Elizabeth Warren believe that we have to force ourselves into Medicare for All, where private insurance is abolished.” Lockhart cofounded Glover Park Group, a corporate consulting and lobbying firm with current and recent clients in the health sector including Boehringer Ingelheim Pharmaceuticals, Horizon Therapeutics, Intuitive Surgical, and Sanofi U.S.
A Sludge review of Buttigieg’s recent third-quarter campaign finance report shows that as he rails against Medicare for All, executives and other managers in the health sector have kept the money flowing.
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Over 100 individuals in leadership, legal, consulting, or financing roles in health sector donated $200 or more to Pete for America between July and September. These donors include pharmaceutical industry leaders such as the chief corporate affairs officer at drugmaker Pfizer, the president of Astex Pharmaceuticals, a state lobbyist for Biogen, a vice president of public policy at Novartis, and the deputy vice president at the nation’s largest pharmaceutical trade association, PhRMA, as well as attorneys for AbbVie, Johnson & Johnson, and Merck.
The donors identified by Sludge gave a total of close to $97,000 to the Buttigieg campaign in the third quarter of 2019. Below are these donors’ employers, occupations, and total amount donated from July through September.
The Buttigieg campaign provided Sludge with the following statement:
Pete has always supported making Medicare (or a similar public health insurance vehicle) available to all Americans in order to achieve universal health care. He consistently describes his health care plan as a pathway to Medicare for All, which is likely why the health insurance industry has attacked his plan. For instance, our campaign website says, “If private insurers are not able to offer something dramatically better, this public plan will create a natural glide-path to Medicare for All.” Simply put, he has the same end goal as some of the other candidates in the race but differs on how to get there.
Health sector interests including pharmaceutical manufacturers, health insurers, and hospital groups generally oppose Medicare for All, as it would allow the government to negotiate down drug and care costs, cutting into industry profits. Democratic Party political groups have accepted significant amounts of money from lobbyist bundlers who have pharmaceutical and health insurance clients, as Sludge and Maplight havereported.
In July, Sanders created and signed a pledge to reject all contributions over $200 from the PACs, executives, and lobbyists of pharmaceutical and health insurance companies, urging his opponents to join him. Biden, who did not sign it, has, like Buttigieg, reaped the benefits of large donations from industry executives.
According to the Center for Responsive Politics, Buttigieg’s campaign has recieved $1,266,225 from individual donors in the health sector through the third quarter.
Mayor Pete is no stranger to special-interest support. His very first successful political campaign was fueled by lobbyist fundraisers, as the Center for Public Integrity/TYT reported, and as of July 2019, this year’s effort has been led by 94 contribution “bundlers,” or well-connected supporters who raised at least $25,000 in campaign checks for him.
Every day, the reporters at Sludge are relentlessly following the money to reveal the hidden networks and conflicts of interest that drive political corruption. We are 100% ad-free and reader supported, so we’re counting on our readers to help us continue calling out powerful politicians and lobbyists. If you appreciate the work we do, please consider becoming a member for $5 a month to support our investigative journalism. We can’t do this work without your support.
Webb, also known as Mellow Doodles, created an illustration to remind people of the physical symptoms of mental illness. The design reads, “I wish people know that my mental health is so physical too” alongside a woman with arrows highlighting her symptoms. Physical mental health symptoms can include headaches, jaw and teeth pain, sweating, nausea, fatigue, sensory overload, cramps, restless legs and more.
“The physical symptoms that mental health problems can cause are so difficult, and so wide ranging, and it felt really important for it to be addressed,” Webb told The Mighty via email, adding:
Often I think the reason mental health is not taken seriously is because people assume it’s ‘all in your head.’ In fact, it produces a whole range of symptoms like any other illness — and these physical manifestations can be just as difficult, and sometimes just as debilitating, as the internal struggles.
While we call it “mental health,” there’s a very good reason your physical health can be impacted too. Anxiety, for example, is a fear response that triggers your nervous system like you are responding to a threat. This can include sweating, tension and affect your digestive system. The neurons that help govern your mood, like serotonin, travel throughout your body — and 95% of your serotonin is made in your gut.
“I get really hot and start sweating when my anxiety is high,” Lindsay said. “My friend and I joke that it’s like I’m having hot flashes. However, at the time it’s happening, it’s not too funny. I also have stomach cramping and often feel like throwing up when I’m having prolonged anxiety attacks.”
Webb uses her illustrations to tackle other mental health subjects like setting boundaries, how to support others when they have a hard time, self-care ideas and colorful quotes and phrases to remind you you’re not alone. She said as an artist, visually appealing graphics with simple language is often an easier way to communicate important information when we’re stressed.
“I came to understand through personal experience that sometimes when we most need support for our mental health, picking up a word heavy or academic book that might help us can be so overwhelming,” Webb said. “My illustrations are intentionally bright and colourful so they are less daunting and more accessible. … For the people who need the work most, this is hopefully a better way to reach them.”
“So many people feel ashamed to be experiencing problems with their mental health and it’s such a shame when it is so common,” Webb said. She continued:
Often, when a conversation is started around mental health, you find that almost everyone has some sort of experience of it — whether that’s through past or current experience, or through seeing a friend or family member go through their own struggles. We are much more similar than we realise — and realising this helps build connection as well as lessen the shame around it. This is always such a positive thing for people and I hope my work can help aid that in some way.
Smoke is an unhealthy combination of carbon dioxide, carbon monoxide, soot, hydrocarbons, and other organic substances. Smoke particulates, which are a mixture of solid particles and liquid droplets in the air, can irritate horses’ eyes and respiratory tracts, and hamper their breathing.
“Owners should limit their horses’ activity when smoke is visible,” said UC Davis veterinary professor John Madigan, DVM, MS, Dipl. ACVIM, ACAW.
During California wildfires with persistent smoke several years ago, the Tevis Cup—a 100-mile endurance race—was postponed based on adverse air quality for exercising horses. This is an example of important management decisions that can protect horse health.
It is important to use human health air-quality advisories and apply them to horse events where horses will be exercising and breathing harmful smoke. If humans’ eyes burn and are bothered by smoke, you can assume horses will be in the same boat. Providing horses with resting from exercise, limiting smoke exposure when possible, and monitoring for signs of increased respiratory rate or cough should be at the top of owners’ to-do lists when wildfires are near. And should a concern arise, always consult your veterinarian.
“It’s also important to provide horses with plenty of fresh water, which keeps airways moist and helps them clear inhaled particulates,” said Madigan.
If a horse is having difficulty breathing, contact your veterinarian immediately to ensure the horse has not developed a reactive airway disease or bacterial infection accompanied by bronchitis or pneumonia. Horses can suffer from constriction of the airways, just as humans can.
In cases of heavy smoke exposure, it can take four to six weeks for smoke-induced damage to heal, during which time the horse should not be heavily exercised. Premature exercise could aggravate the condition, delaying healing and compromising the horse’s performance for weeks or months.
“If the horse has further smoke-related problems, such as persistent cough, nasal discharge, fever, or increased rate of breathing or labored breathing, the owner should contact a veterinarian, who may prescribe respiratory medications such as bronchial dilators or other treatments that will hydrate the horse’s airway passages and reduce inflammation,” Madigan said. “The veterinarian also may recommend tests to determine whether a secondary bacterial infection is contributing the horse’s respiratory problems.”
Invisalign aligners are an effective alternative to metal braces. Most patients are able to get the same results with these clear aligners that they would achieve with brackets and wires. Invisalign aligners are clear, unobtrusive, and easily removable. If you’re considering Invisalign for your treatment, here are some quick answers to common questions about what it’s like to live with Invisalign.
What Should I Do About My Sports Guard?
Invisalign aligners help straighten your teeth, but they do not protect them. Don’t make the mistake of thinking your aligners can double as a sports guard. If you play contact sports, it’s best to remove your Invisalign aligners before playing and protect your teeth with a sports guard designed for just this purpose. This will protect your teeth while you’re on the field or the court and keep your aligners safe from damage as well.
Does Invisalign Effect What I Eat and Drink?
No, Invisalign won’t have any impact on what you eat and drink. This is one of the most compelling reasons to choose Invisalign over other treatment options. While popcorn, taffy, and other tricky treats can get stuck in the brackets and wires of braces, you won’t have any such problem with Invisalign. You can remove your aligners at any time. Just pop them out at mealtime and brush your teeth carefully before putting the aligners back in.
Can I Still Play an Instrument With Invisalign?
Since Invisalign is a removable option, you can take your aligners out if they make it difficult to play an instrument. If you play a woodwind or brass instrument, you’ll likely find it’s easiest to remove your aligners when you’re playing. This is fine as long as you remember to keep them in for 20 to 22 hours a day.
Will I Still Be Able to Kiss?
Though it can seem like a touchy topic, there’s no need to worry about kissing while you’re using Invisalign. The aligners are barely noticeable in your mouth, so there’s a good chance your partner won’t notice a thing. If you’re with someone who asks about your aligners, you can explain that it’s much easier and more comfortable to kiss with aligners than with braces, and plenty of people have braved kissing in braces!
Aligners are smooth and fitted close to the tooth. They won’t dislodge while you’re kissing. Though you may feel nervous your first few kisses, you’ll soon forget all about these unobtrusive aligners. Although it may be tempting to take your aligners out, try to do so only on special occasions. You need to keep them in for as many hours as possible each day to get the right results.
Will Invisalign Change How I Talk?
During your first few days with Invisalign, you may notice a slight change in your speech. Your tongue needs a little time to get used to this new device in your mouth. While you may have a slight lisp at first, this typically goes away. You should be speaking normally again in a short time.
How Can I Keep My Aligners Clean?
There are two steps to keeping your Invisalign aligners clean. First, you need to keep your mouth clean. Brush and floss your teeth after every snack and meal. If you skip brushing, you’ll get food, plaque, and bacteria in your tray. Since aligners sit so close to your teeth, they can trap these hazards right next to the tooth and gum line where they can cause ample damage. Keep your teeth clean to prevent this.
The second thing you need to do is clean the aligner itself while it’s out. There are several methods for doing this. You can soak your aligner trays in clear mouthwash, a 50-50 solution of water and hydrogen peroxide, Polident denture cleaner, or a 50-50 blend of vinegar and water. Invisalign also sells a cleaning kit designed just for your aligners. Whichever method you choose, make sure you’re using it daily to prevent discoloration of the aligner tray.
Do Invisalign Aligners Smell?
No, your Invisalign aligners should not smell if you’re taking care of them properly. If your aligners have an odour, this means you’re not cleaning your teeth or your trays as thoroughly as you should. Step up your cleaning routine to help eliminate the smell.
Will Invisalign Give Me Bad Breath?
Properly cared for, your Invisalign aligners won’t do anything harmful to your breath. As mentioned previously, if there’s any unpleasant odour coming from the tray, you may want to re-examine your oral hygiene routine. Since you should be brushing your teeth several times a day with Invisalign, you should actually enjoy much fresher breath than you might if you were brushing just twice daily.
Invisalign is a comfortable alternative to traditional braces, and as you can see, living with Invisalign is easier than you might think!
Managing our emotions is often complicated. Sometimes it’s necessary to mitigate them, remain silent, and keep calm in moments of stress. We don’t want them to harm our personal relations. But on other occasions, what works best to maintain our relationships is to speak out and express ourselves. After all, letting out all that we’re feeling and thinking can help us see things from a different perspective. However, what you may not be aware of is that both behaviors can have significant effects on your health.
Bright Side wants to talk to you about a study that claims raising the volume of your voice is not always a bad idea.
Auto silence is a behavior people engage in when they’re afraid to express their real emotions. If properly externalized, they worry their feelings may affect their relationships with people close to them in some way, such as family members, friends, or employers. They choose auto silence because they dread having to start a disagreement, being the cause of an argument, or even breaking up a relationship.
More than 300 women participated in the study.
The North American Menopause Society (NAMS) conducted a study where they evaluated 304 married women who were near or after menopause. They reported experiencing certain feelings about putting someone else’s needs before their own, such as self-silencing, to avoid damaging a relationship. This type of behavior was met with bouts of constipation, an increase in cholesterol levels, depression, and obesity.
More yelling, less stressing
One of the points that researchers measured was the frequency at which these women experienced anger or euphoria outbursts. They addressed these as moments when they were able to let their emotions out by raising the volume of their voice and verbally stating what made them feel frustrated. Those who showed this behavior more often registered as having better health than those who didn’t. They also experienced the psychological benefits of preventing the repression of these emotional states.
Hiding your emotions has physical consequences.
Maintaining a facade of joy and calm doesn’t mean that this state is real. It’s a behavior that’s related to a greater sensitivity to rejection. A permanent state of alert that triggers the levels of stress are closely associated with the decrease of life expectancy in both men and women worldwide. During these episodes, blood pressure and glucose levels rise, so the chance of developing a cardiovascular condition increases.
There’s a healthy way to express yourself.
Although raising our voices from time to time to let go of negative emotions can be liberating, we must also consider that it enables us to say things that don’t help our relationships. In another experiment carried out with cancer patients, women showed some improvements by openly expressing their emotions. On the contrary, progress slowed when negative feelings were prevalent. For this reason, it’s good to keep in mind that showing respect for you and those around you is essential to maintain a healthier body and relationships.
Do you communicate your feelings in some other ways? How would you change the way you express yourself to improve your relationships? Tell us what you think in the comments!
After dinner one evening in September 1813, Jane Austen sat down to write a letter to her sister Cassandra. Austen, who had published Pride and Prejudice earlier that year, had much to report from the home front. She had accompanied three nieces and her brother Edward to a Wedgewood china shop, she wrote, where they’d perused the wares. Other news was less pleasant: Earlier that day, they’d been to the dentist for an hour of “sharp hasty screams.”
“The poor Girls & their Teeth!” Austen wrote. “Lizzy’s were filed & lamented over again & poor Marianne had two taken out after all.” The dentist—a Mr. Spence, who could have been one of several Spences working as dentists at the time—had even gone after her niece Fanny’s teeth, though they had seemed in decent shape. “Pretty as they are,” Austen recounted, the dentist had “found something to do them, putting in gold & talking gravely.” That didn’t sit right with Austen, who wrote that the tool-happy man “must be a Lover of Teeth & Money & Mischief.” Austen remarked that she “would not have had him look at mine for a shilling a tooth & double it.” Her note, which is going under the hammer at Bonhams on October 23, is an intriguing (if squirm-inducing) dispatch from an era of grisly dental work.
At the time Austen penned the letter, dentistry was still painfully unstandardized. Treatments varied widely, and troublesome teeth were often yanked out by people from all sorts of professions. “In London and large towns, surgeons were available to pull out teeth, but elsewhere, apothecaries, quack tooth-drawers, and even blacksmiths might oblige,” write historians Roy Adkins and Lesley Adkins in Jane Austen’s England: Daily Life in the Georgian and Regency Periods.
Austen’s reference to filings in the letter “shows the diversity of practice because of the lack of scientific understanding of the causes of decay,” explains Rachel Bairsto, head of museum services at the British Dental Association Museum, in an email. There was a lot of disagreement about whether various interventions would offer the patient relief, or just plunge them deeper into pain. Though filing had historically been used to smooth out uneven teeth, Bairsto adds, some practitioners recommended it as a way to prevent cavities. Others disagreed, arguing that it “made more space to trap food.” In any event, Bairsto writes, “overzealous filing could make the teeth more sensitive.”
Even where tooth-pullers and oral hygiene tools were available—and it was mostly the wealthy who could access them—they weren’t necessarily a good idea. “Early toothbrushes with their horsehair bristles often caused more problems than they prevented,” writes medical historian Lindsey Fitzharris in The Guardian. “Toothpastes or powders made from pulverised charcoal, chalk, brick or salt were more harmful than helpful.” Eighteenth- and 19-century animal-hair bristles were breeding grounds for bacteria, which could make any existing mouth trouble even gnarlier.
Though holes in teeth were sometimes patched, fillings “were not commonly practiced, as they were expensive and often didn’t last long,” Bairsto writes. Extraction was the more common, and decidedly miserable, route. An extraction was often accomplished with the help of a dental key (also called a tooth key), which Bairsto describes as “rather a fearsome-looking instrument.” It’s a nightmarish claw-and-rod contraption, and it would have been wielded without anesthetic. Bleeding and infection often followed.
Once the infected incisors or meddlesome molars were out, they would sometimes be replaced with dentures, which could be made from walrus or hippo ivory, porcelain, or teeth removed from other unfortunate people, living or dead. (When the Battle of Waterloo felled thousands of soldiers, “clients back in England were happy to wear dentures made from the teeth of fit young men killed in battle, which became known as ‘Waterloo teeth,’ or, more coyly, ‘Waterloo ivory,’” Adkins and Adkins note.) Dentures weren’t without their drawbacks, Bairsto writes: They had a tendency to stink and rot in the mouth, “and the use of a fan was required to waft the stench.”
By the middle of the 19th century, the world’s first dental school had opened in Baltimore, Maryland, reported, and across the pond, Queen Victoria had helped make it fashionable to own a personal set of dental tools. Her scalers—tools used to scrape off gunk—were outfitted with mother-of-pearl handles and gold detailing. That was of no help to Austen.
Because oral hygiene was expensive, Bairsto writes, “it is unclear” whether the Austens routinely used toothbrushes. For the most part, writes historian and Austen biographer Lucy Worsley in Jane Austen at Home, “Jane and her family simply had to put up with the small aches and ailments of life.” Even so, references to dentistry—and the anxiety that a visit to a dentist might incite—appear in some of the writer’s fiction. In Emma, Harriet has “a tooth amiss,” and is reported to appear a bit “out of spirits.” That’s “perfectly natural,” readers are told, “as there was a dentist to be consulted.” In Austen’s realm, even fictional characters knew that a visit to a dentist could sour an afternoon.
Janeites are a devoted bunch—the sight of her writing table, at the Jane Austen’s House Museum in Chawton, England, often prompts rapt reverence, or even tears—and the letter is likely to be catnip for her most enthusiastic reader-disciples. (Bonhams expects the letter to sell for somewhere between $80,000 and $120,000.) For everyone else, it’s a macabre memento from a time when the sharp end of a dentist’s tool was a place you really, truly did not want to be.