NaNoWriMo – Days 18-19

My novel is up to 33,835 words now. The daily writing has become pretty habitual, so it feels like smooth sailing till the end.

Mapping the Field

As I write scene after scene, I feel like I’m mapping out a field of possibilities, not just for my story but also for what I can do with fiction writing.

This includes learning how to write different kinds of scenes and aspects of scenes, such as:

  • Dialogue between two characters
  • Dialogue with more than two characters
  • Fast action scenes
  • Slow action scenes
  • Action interspersed with dialogue
  • Indoor scenes
  • Outdoor scenes
  • Practicing “show me; don’t tell me”
  • Scenes with fixed environments
  • Scenes with changing environments
  • Solo scenes with only one character
  • Humorous scenes or moments
  • Surprises and plot twists
  • Creating different speech patterns for different characters
  • Introducing a setup in one scene to deliver a payoff in a later scene
  • Integrating exposition judiciously (without making it so obvious)
  • Weaving in subtext
  • Getting the pacing right
  • Sexually suggestive scenes
  • Sexually explicit scenes
  • Manipulative or persuasive scenes
  • Scenes involving suspicion or interrogation
  • Arguments and debates
  • Emotional, tearful, or vulnerable scenes
  • Creating interesting and varied settings
  • Sciency or geeky scenes
  • Minor setbacks
  • Major setbacks
  • Weaving a change of value for at least one character into each scene
  • Mystery elements
  • Dropping clues
  • Integrating backstory
  • Writing with different POVs (first person, third person, etc)
  • Scenes that require research
  • Describing sensory details (without overdoing it)
  • Describing characters
  • Introducing characters
  • Naming characters

So yeah… there’s a lot to learn and discover.

Tasting New Skills

The first time I write each type of scene or element, it’s a new experience for me. It feels awkward and bumbling since I’m out of my depth. But I always learn something, and the next time I attempt something similar, I’m a little better at it.

If all I do is write a type of scene and read it back the next day, I’ll surely spot some mistakes that I can learn from. And of course I can supplement this with studying the craft of writing in others ways too. But it really helps to at least taste the many different skill possibilities, so I can become familiar with them. I need to build hooks in my brain to hang all of these different skills. Then I can explore different ways to combine these skills.

This reminds me of going through a similar process when I was in Toastmasters for several years. I learned to do informative speeches, persuasive speeches, humorous speeches, Power Point presentations, storytelling, improvisational speaking, speech evaluations, speech contests, etc. Then I challenged myself with speaking opportunities outside of Toastmasters, speaking in other countries, radio and podcast interviews, and so much more.

Aligning Skills with Long-Term Goals

It took years, but eventually I acquired enough speaking experience that I could feel right at home doing my own 3-day workshops in a hotel ballroom on the Las Vegas Strip. I could weave in interactive social activities and games, bring people up on the stage with me, handle Q&A, and do plenty of spontaneous humor and playful banter. Plus I learned how to find and book rooms, negotiate meeting room contracts, to work with meeting planners. Now the whole collection of skills seems relatively straightforward, but it sure didn’t look that way when I first began.

When I’m starting fresh in a new field of learning, I find it useful to court a variety of experiences, so I can mentally map out the possibility space. This gives me more options and flexibility. It helps me figure out where I need to invest to get the most long-term leverage, so I can develop the right skills for my long-term goals.

With public speaking I wanted to do my own public workshops eventually. I didn’t want to get into corporate-style speaking. Could you see me donning a suit and speaking to groups of insurance agents and healthcare workers? No, thanks! My early skill-mapping phase for speaking helped me see where I needed to invest versus which skills I could mostly ignore. This helped me to avoid over-investing in skills that were relatively useless for my goals.

Embracing the Beginner Phase

I know from experience that the initial experience of getting into a new field can seem overwhelming. There are so many sub-skills to learn and practice, and when you’re just starting out, you’ll probably suck at all of them. That’s to be expected. But you can keep chipping away at the challenge by gaining experience, and this will add up to tremendous value over time. With speaking I did this one speech at a time. With fiction writing I’m approaching this one scene at a time.

Consequently, I’m using this first draft to practice writing different kinds of scenes. These are my first forays into the vast menu of fiction writing skills, so I want to taste a fairly wide range of skills. I’m not sure which skills I’ll need for this particular story, but by testing many different skills, I’m gaining some understanding of how I might use them.

I’ve never written a car chase scene, and I don’t anticipate including one in my novel, but since words are cheap, I could just take a stab and write one, and I’ll probably learn something useful from the experience. Even if I still don’t want to include a car chase, I might include some other kind of chase. Or maybe I’ll gain extra practice that could help me write a well-paced action scene. Moreover, I’ll surely learn more about my characters by throwing them into a car chase and seeing how they behave under that kind of pressure.

So as I see it, I’m trying to lose my fiction writing virginity with each type of skill I might find useful for fiction writing. Just crossing that threshold is useful because it reduces resistance to using unfamiliar and under-developed skills. I know my first car chase scene will be awkward to write, but if I lose my car chase virginity, I’ll expand my comfort zone. Expanding my comfort zone means that I’m also expanding the edge of my comfort zone, which means that even more interesting possibilities become accessible beyond that edge.

Another advantage to this approach is that you learn which sub-skills you enjoy. I’ve already figured out that I enjoy writing dialogue, especially between two characters. I enjoy weaving sexual tension into scenes and writing sexually explicit scenes too.

I also notice that I’m avoiding writing violent scenes. There are no guns, weapons, or fights in my book so far. So I may want to try writing a violent scene at some point to see how it goes and what I learn from it. That doesn’t mean I have to include violence in the book, but it’s good to at least explore that type of writing because it will help me understand what purpose a violent scene might serve. And by writing something violent, it also gives me a different perspective on writing a nonviolent story.

As you keep exploring known skills, eventually you’ll discover your own ways of doing things. My blog is very different from anyone else’s because I’ve followed my own path of skill development. I can see myself doing something similar with fiction writing, such as by diving into territory that seems relatively under-explored.

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Health24.com | Analysis: Unlike the global trend, South Africa’s children are too short and too overweight

  • Growth measured in height and weight recognised as a measure of health
  • Imbalance between investment in improving nutrition in pre-schoolers, and in school-aged children and adolescents
  • In SA, polices needed to to support an enabling environment

“Tall as trees” sounds very clichéd but it may not apply to children in many sub-Saharan African countries, according to a Lancet article reporting on children’s height and weight changes over the past thirty years. 

The Lancet article pooled data from over two thousand studies from two hundred countries with a study population of 65 million participants and reported on the projected changes of height and body-mass index (BMI) of school-aged children and adolescents from 1985 to 2019. 

The data showed that the unhealthiest changes – gaining too little height and/or too much weight for their height occurred in many countries in sub-Saharan Africa, including South Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls.

Growth measured in height and weight has long been recognised as a measure of the health of individuals, hence part of the reasoning for the promotion of routine growth monitoring for children under five years of age. In South Africa, every child is presented with a Road to Health Booklet to record and monitor their weight and height measures from birth.

Mothers and caregivers are encouraged to visit their health facility for monthly growth monitoring to track their child’s growth and development as a proxy for health. 

A major public health concern

Malnutrition identified in the failure to grow in height and weight is a major public health concern worldwide. In South Africa, 27% of children younger than five years are too short for their age and in the same age group, 15% are too fat. These indicators serve as proxies for the state of overall health.

As reflected in the Lancet article, young South African children are too short and too fat.Our adolescent nutrition profile does not paint a much better picture, with 6.1% males and 16.7% females in the age group 15-19 years overweight and their average height below the global average of 1.62m. 

The Lancet reported that 19-year-old boys in 11 countries throughout Asia, Latin America, and sub-Saharan Africa had the same mean height as that of Dutch boys aged 13 years. In many countries in sub-Saharan Africa, with emerging economies, the height of children and adolescents, especially boys, has on average stagnated or become shorter since 1985.

This points directly to the increasing levels of poverty driving the vicious cycle of malnutrition as households and communities struggle to access adequate and sufficiently nutritious food. The Lancet reported that the largest improvements in average height of children over the 35-year period were seen in emerging economies such as China, South Korea and some parts of southeast Asia.

For example, 19-year-old boys in China in 2019 were 8cm taller than in 1985, with their global rank changing from 150th tallest in 1985 to 65th in 2019. Over the same period, the average height of South African girls stagnated, while boys gained only around 2cm.

Nineteen-year-old South African girls had the same average height as 12-year-old Dutch girls, while South African boys of the same age had the average height of 14-year-old Dutch boys. 

South Africa is mentioned in the report as one of the countries where children compared fairly well with international growth references at the age of five years, but by the time they reached 19 years, they fell behind due to insufficient growth in height during school-age years.

While little or no height was gained per year of age, the girls in particular gained weight, so that the average weight of South African girls in each age group was markedly higher after 2010 than in the 1980s and was in the overweight range at age 19 years.

Falling behind

The Lancet report also highlighted that while children in some countries grow healthily to age five years, they fall behind in the school years in terms of growth in length.

This highlights that there is an imbalance between investment in improving nutrition in pre-schoolers, and in school-aged children and adolescents. This issue was especially important during the Covid-19 pandemic when schools were closed throughout the world, and many poor families are unable to provide adequate nutrition for their children.

This recognition that school feeding is an important and integral intervention to promote and sustain child nutrition, prompted civil society in South Africa to approach the courts to force government to reinstate the national school nutrition programme.

While many school-aged children do not have access to adequate nutritious food for linear growth and physical development, they seem to have high enough intakes of sweetened cold drinks and cheap snack foods to gain excessive weight. Some of these cold drinks and snacks are even available in the school environment at low cost.

This is probably an important driver of the weight gain reported in South African school-age girls.

Ensure food security

The Lancet report re-affirms the imperative to sustain adequate food and nutrition support throughout the critical stages of life including during pregnancy, early childhood, adolescent and adult years to consolidate and reap the benefits gained in food and nutrition interventions and investments in infants and children younger than five years.

This is imperative because adolescents and women of child-bearing age are the future parents of the next generation of children. 

Mothers with poor nutritional status will bear children with poor nutritional status and this is a lost and costly opportunity as malnutrition castes a long shadow into the future robbing individuals, communities and countries of health, well-being and development.

If we are to improve child health and nutrition, governments need to ensure food security.

Food security is defined as all people at all times having physical and economic access to adequate amounts of nutritious, safe, and culturally appropriate foods. This will help children grow taller without gaining excessive weight for their height. 

To achieve these goals, South Africa needs policies to support an enabling environment, with restricted access to unhealthy foods and drinks and more access to facilities in the community and in the school environment for safe play and sports.

*Dr Witten is at based the University of the Free State’s Faculty of Health Sciences, Division of Health Science Education. Kruger is a Professor at the North-West University’s Centre of Excellence for Nutrition.

*This article was produced by SPOTLIGHT – health journalism in the public interest. SIGN UP for our newsletter.

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Climate change and ‘atmospheric thirst’ to increase fire danger and drought in NV and CA

Climate change and a “thirsty atmosphere” will bring more extreme wildfire danger and multi-year droughts to Nevada and California by the end of this century, according to new research from the Desert Research Institute (DRI), the Scripps Institution of Oceanography at the University of California, San Diego, and the University of California, Merced.

In a new study published in Earth’s Future, scientists looked at future projections of evaporative demand — a measure of how dry the air is — in California and Nevada through the end of the 21st century. They then examined how changes in evaporative demand would impact the frequency of extreme fire danger and three-year droughts, based on metrics from the Evaporative Demand Drought Index (EDDI) and the Standardized Precipitation Evapotranspiration Index (SPEI).

According to their results, climate change projections show consistent future increases in atmospheric evaporative demand (or the “atmospheric thirst”) over California and Nevada. These changes were largely driven by warmer temperatures, and would likely lead to significant on-the-ground environmental impacts.

“Higher evaporative demand during summer and autumn — peak fire season in the region — means faster drying of soil moisture and vegetation, and available fuels becoming more flammable, leading to fires that can burn faster and hotter,” explained lead author Dan McEvoy, Ph.D., Assistant Research Professor of Climatology at DRI.

“Increased evaporative demand with warming enables fuels to be drier for longer periods,” added coauthor John Abatzoglou, Ph.D., Associate Professor with the University of California, Merced. “This is a recipe for more active fire seasons.”

The research team found that days with extreme fire danger in summer and autumn are expected to increase four to 10 times by the end of the century. Their results also showed that multi-year droughts, similar to that experienced in California and Nevada during 2012-2016, were projected to increase three to 15 times by the end of the century.

“One major takeaway was that we can expect to see a lot more days in the summer and autumn with extreme fire danger related to increased temperature and evaporative demand,” McEvoy said. “Another takeaway was that even in locations where precipitation may not change that much in future, droughts are going to become more severe due to higher evaporative demand.”

Study authors say that the cumulative effects of increases in evaporative demand will stress native ecosystems, increase fire danger, negatively impact agriculture where water demands cannot be met, and exacerbate impacts to society during periods of prolonged dryness. Several members of the research team are part of the California-Nevada Applications Program (CNAP), and will use these study results to provide resource managers with a view of possible future scenarios.

“These results provide information to support science-based, long-term planning for fire management agencies, forest management agencies, and water resource managers,” said coauthor Julie Kalansky, Ph.D., Program Manager for CNAP. “We plan to work with partners to help integrate the findings from this paper to support building climate resilience.”

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Materials provided by Desert Research Institute. Note: Content may be edited for style and length.

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How rotavirus causes severe gastrointestinal disease

Rotavirus is a major cause of diarrhea and vomiting, especially in children, that results in approximately 128,000 deaths annually. The virus triggers the disease by infecting enterocyte cells in the small intestine, but only a fraction of the susceptible cells has the virus. In the mid-90s, scientists proposed that the small portion of infected cells promotes severe disease by sending out signals that disrupt the normal function of neighboring uninfected cells, but the nature of the signal has remained a mystery.

In the current study published in the journal Science, a team led by researchers at Baylor College of Medicine discovered that rotavirus-infected cells release signaling molecules, identified as adenosine diphosphate (ADP), which binds its cellular receptor P2Y1 on neighboring cells. Activating P2Y1 by ADP results in signals called intercellular calcium waves in these uninfected cells. Disrupting ADP binding to its receptor reduced the severity of diarrhea in a mouse model of the disease, suggesting that targeting the P2Y1 may be an effective strategy to control viral diarrhea in human populations.

“In our previous studies using fluorescent calcium sensors and time-lapse imaging, we discovered that rotavirus-infected cells display aberrant calcium signals that we can visualize as bright pulses of intercellular calcium waves that radiate from the infected cells,” said corresponding author Dr. Joseph Hyser, assistant professor of virology and microbiology and member of the Alkek Center for Metagenomic and Microbiome Research at Baylor. “Calcium signaling was known to be associated with various aspects of rotavirus infection and our work revealed the dynamic nature of the alterations induced by rotavirus.”

In the current study, the researchers conducted the experiments using a lower dose of the virus and noticed that it was not just the virus-infected cells that showed dynamic calcium signaling, but also the adjacent uninfected cells surrounding the infected cells produced pulses of calcium waves that were coordinated with those of the infected cells. This observation suggested that the infected cells could be triggering intercellular calcium waves in the uninfected cells.

The researchers connected their observation to a concept proposed in the mid-90s suggesting that rotavirus-infected cells send signals to neighboring uninfected cells that disrupt their function, promoting diarrhea and vomiting.

“Our videos of live fluorescent microscopy showing intercellular calcium wave signaling in both rotavirus-infected and uninfected cells provided an unprecedented means to investigate the nature of the proposed signal, which had not been identified,” said first author Dr. Alexandra L. Chang-Graham, an M.D./Ph.D. student in the Medical Scientist Training Program who completed her Ph.D. thesis working in the Hyser lab.

Finding the signal

Chang-Graham, Hyser and their colleagues worked with three different laboratory models to identify the signal that triggers intercellular calcium waves on uninfected cells. They used a monkey kidney cell line commonly used to study rotavirus. They also worked with human intestinal enteroids, a cultivation system that recapitulates many of the characteristics of the human infection and a neonatal mouse model of rotavirus infection and diarrhea. Their studies showed that suspected triggers of calcium waves, such as prostaglandin E2 and nitric oxide, did not elicit a calcium response. Then they tested ATP and ADP, known mediators of calcium signaling that had not been previously associated with rotavirus infection. They found that rotavirus-infected cells triggered intercellular calcium waves by releasing ADP that binds to its receptor, P2Y1, on uninfected neighboring cells. Knocking out the P2Y1 gene, which prevents ADP from signaling, reduced intercellular calcium waves.

“Across the three model systems we consistently found evidence that rotavirus-infected cells signal uninfected cells with ADP and that this contributes to the severity of the disease,” Chang-Graham said. “We consider it paradigm shifting that the actual signal, ADP, was not even on the radar before.”

ADP signaling is involved in triggering severe rotavirus symptoms

Further studies revealed previously unknown roles of ADP on rotavirus infection and replication, shining a spotlight on ADP as an important trigger of the multiple factors involved in severe diarrhea and vomiting caused by rotavirus. For instance, the researchers found evidence that ADP signaling increases rotavirus infection, the expression of inflammatory cytokine IL1-alpha and the secretion of serotonin, an inducer of diarrhea. ADP signaling also increases the expression of enzymes that produce prostaglandin and nitric oxide, potentially causing the increases in those compounds observed in rotavirus infection. Preventing ADP signaling and intercellular calcium waves reduced the production of the compounds mentioned above.

“Finally, we determined that inhibiting the P2Y1 receptor reduced the severity of rotavirus-induced diarrhea in a mouse model,” Chang-Graham said. “Using intercellular calcium waves, rotavirus amplifies its ability to cause disease beyond the cells it directly infects. This is the first virus identified to activate ADP-mediated intercellular calcium waves. This may be a strategy that other viruses also use to cause disease in their hosts.”

“Our findings add a new and very potent signaling pathway into the causative mechanisms of rotavirus diarrhea,” Hyser said. “In terms of treatment, this is exciting because currently some drugs targeting P2Y1 are undergoing preclinical testing as anticlotting drugs. It’s possible that such drugs could be repurposed, if proven to be safe for children, to be used to treat diarrhea caused by rotavirus infection.”

Other contributors to this work include Jacob L. Perry, Kristen A. Engevik, Francesca J. Scribano, J. Thomas Gebert, Heather A. Danhof, Joel C. Nelson, Joseph S. Kellen, Alicia C. Strtak, Narayan P. Sastri, Mary K. Estes and Robert A. Britton at Baylor College of Medicine. Melinda A. Engevik and James Versalovic are affiliated with Baylor and Texas Children’s Hospital.

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Predicting preterm births

Predicting preterm birth can be difficult, especially for women who have not given birth. It has long been known that the best predictor of preterm birth is someone who has had a prior preterm birth; however, this information is helpful only in second and subsequent pregnancies. For women in their first pregnancy, it is a challenge for obstetricians and midwives to advise them on their risks. To address this issue, researchers at Baylor College of Medicine and Texas Children’s Hospital studied how family history can predict preterm birth. Their findings were published in the American Journal of Obstetrics & Gynecology.

“This is a retrospective study of prospective data,” said Dr. Kjersti Aagaard, professor of obstetrics and gynecology at Baylor and Texas Children’s Hospital. “We developed a biobank and data repository called PeriBank where we consistently asked our pregnant patients a set of questions about their familial history. We were able to take that detailed data and determine if that specific woman’s family history did or did not predict her delivering preterm.”

Once familial information was gathered, the research team was able to answer questions to quantify estimates of risk for preterm birth based on the pregnant patient’s family history of preterm birth in herself, her sister(s), her mother, grandmothers and aunts and great-aunts. Their findings showed scenarios for women who have previously given birth (multiparous), as well as women who have never given birth (nulliparous). If a nulliparous woman herself was born preterm, her relative risk for delivering preterm was 1.75-fold higher. If her sister delivered preterm, her relative risk was 2.25-fold higher. If her grandmother or aunt delivered preterm, there was no significant increase of risk. If a multiparous mother with no prior preterm births was born preterm herself, her risk was 1.84-fold higher. However, if her sister, grandmother or aunt delivered preterm, there was no significant increase.

“We’ve managed over the years to collect data from a very large population of pregnant women that reflect Houston. There was considerable diversity by race, ethnicity, culture and socioeconomic status. This was a key strength of our study. With this breadth and depth of data reflective of the diversity of Houston, we were able to ask some good questions, which gave us really important information about ‘heritability’ of risk,” Aagaard said.

The research team showed that preterm births cannot be fully attributed to genetics, Aagaard said. Family members may share DNA or genetic code, but the same generation of family members are more likely to share social determinants or have experienced systemic racism and bias. This was best demonstrated by their finding that a history of preterm birth in the pregnant woman or her sister was significantly associated with preterm birth, while a grandmother or aunt was not. These same-generation predictors are generally thought to reflect more about common environmental or social exposures (or a combination of limited genetics plus common exposures) than genetic linkages.

“We know that for the majority of women who deliver a baby preterm, we cannot say that the cause of that preterm birth was in whole or in part genetics. Rather, this study provides subtle but important clues that it is more likely the shared familial background and its exposures that render risk,” Aagaard said. “We hope others will similarly be mindful of those subtle characteristics when looking at heritability and risk. We remain committed to finding the underlying true causal and driving factors. In the meantime, we provide for the first time some reliable risk estimates for first time moms based on their and their family history of preterm birth.”

Other contributors to this work include Amanda Koire and Derrick Chu.

This work was funded by the March of Dimes Preterm Birth Research Initiative (KA) and the NIH (1R01NR014792; KA).

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Materials provided by Baylor College of Medicine. Note: Content may be edited for style and length.

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Meta-Lists

While you may have plenty of experience of making lists, such as for your to-dos and goals, have you ever thought of making a meta-list? A meta-list is a list of lists.

Which lists do you think it would be worthwhile to create?

Here’s an example of a meta-list:

  • Places to visit
  • Goals to achieve
  • Skills to develop
  • Experiences to share with a relationship partner
  • Programming languages to learn
  • Technologies to study
  • Potential purchases to research
  • Exercises or types of workouts to try
  • Exercise equipment to acquire for a home gym
  • Fears to face and overcome
  • Kitchen items to replace or upgrade
  • Home maintenance tasks to do
  • Home upgrades to do
  • New business ideas
  • New product or service ideas
  • New marketing campaign ideas
  • Email list providers to investigate
  • Web hosting platforms to evaluate
  • Sexual experiences to have
  • Coaching programs and personal development courses to invest in
  • Books to read
  • Movies to watch
  • Games to play
  • Apps to try
  • Websites to check out
  • Articles to read
  • Videos to watch
  • Dietary improvements to make
  • Favorite healthy recipes
  • Favorite wines
  • Favorite Star Trek episodes
  • Fitness milestones to achieve
  • Yoga positions
  • Best running shoes
  • Investment opportunities to research
  • Holiday gifts to buy for friends and family
  • Activities that make you happy
  • Most effective productivity practices
  • Personal values
  • Favorite memories
  • Restaurants to try
  • National parks to visit

So a meta-list is like a shopping list of shopping lists, not just for buying items at a store but for experiences to have across many areas of life.

I’ve maintained a lot of lists over the years, including many like the ones above, and I’ll tell you that they’re easy to create, but they also require tremendous patience. It’s one thing to work on a singular list of goals, but when you have many such lists, it can easily feel overwhelming at first.

When you see how easy it is to brainstorm items and how long it takes to actually do them, you may be tempted to abandon the practice, but I urge you to stick with it. There is a payoff, but it takes time.

Those lists can help you stay alert for when some item on some list becomes more accessible than usual, encouraging you to snag an opportunity while it’s hot. You can also periodically skim your lists to grab new ideas to explore. Such lists are great for whenever your life starts becoming a bit stale or predictable – they can give you so many ideas for mixing things up.

When it comes to meta-lists, think in terms of decades, not just months or years. You may have an item on one of your lists that you don’t get to for 20 years, but it’s still satisfying to check it off.

There were many items I added to a list during my 20s, and I didn’t finally get to it until my 40s. Some examples include traveling to various European countries, going skydiving, doing an extended water fast, going to Disney World and Epcot Center, and reading several Mark Twain books including Tom Sawyer, Huckleberry Finn, and A Connecticut Yankee in King Arthur’s Court.

Note that you don’t have to fill in all of these lists at once. Just create your one meta-list of the lists you may want to create. Then create a stub for each list, such as in the Notes or Reminders app on your phone. Whenever an idea for any of these lists pops into your mind, such as a movie a friend recommends, you can easily add it to the appropriate list. You can even do this verbally by telling a smart device to do it for you. Rachelle and I use our Apple Watches to add items to the grocery list whenever an item runs low. Then we’ll automatically have access to that list on our watches and phones whenever we’re out.

You can also use crowdsourcing to populate some of your lists. Ask people for book and movie recommendations, for instance. You may be surprised at how efficient this is. A single Facebook post can fill up your movie queue with some outstanding gems.

Lists are relatively easy to maintain since they just sit there till you need them. I especially find it helpful to have a “books to read” list since then I’m never left wondering what to read next. Most items on my list were suggested by friends.

While it may take time to fill out a bunch of lists, it only takes a few minutes to create a meta-list. Why not take a short break to do it right now? You could even copy the one I brainstormed above and edit it to suit your needs.

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Health24.com | Poor nutrition in poorer countries: Children in these nations grow up much shorter than elsewhere

  • There are few global studies on the height and BMI of children 
  • Research was conducted to fill this information gap 
  • There is a height difference of 20cm between the tallest and shortest adolescent populations>

Limited data exist on the health and nutrition of school-aged children and adolescents on a global level. A global analysis, led by Imperial College London, was recently published in The Lancet. The study examined the height and weight of groups aged between five and 19 years. 

The world’s tallest kids

Researchers assessed growth trends among 65 million participants between 1985 to 2019 – based on data pooled from 2 181 population-based studies.

An average difference of 20cm was found between adolescents from the world’s tallest and shortest populations. The tallest were from the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina (boys); and the Netherlands, Montenegro, Denmark, and Iceland (girls). And the world’s shortest kids lived in Timor-Leste, Laos, the Solomon Islands, and Papua New Guinea (boys); and Guatemala, Bangladesh, Nepal, and Timor-Leste (girls).

South African kids not among the healthiest

In the case of South Africa, the findings indicated that local girls tended to gain too much weight for their height.

The study also showed that around the age of five years, South African children were at optimal height, but once they reached 19 years they were shorter than recommended by the World Health Organization for that age group.

In their paper, researchers said: “The unhealthiest changes – gaining too little height, too much weight for their height compared with children in other countries, or both – occurred in many countries in sub-Saharan Africa.” 

Good nutrition is vital

This kind of study is of great importance as it shows that good nutrition is vital in young children to ensure good outcomes. Researchers warned that good nutrition in the early life of a child is vital as it can impact the rest of their life, and, if neglected, can lead to stunted growth and obesity.

Image credit: Unsplash

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Tocilizumab: Arthritis drug may treat severe Covid

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