BMA debates response to child gender care review

It comes as a top doctor brands the ban of the use of puberty blockers for gender identity reasons as “terrible”.

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Microbes found to destroy certain ‘forever chemicals’

UC Riverside environmental engineering team has discovered specific bacterial species that can destroy certain kinds of “forever chemicals,” a step further toward low-cost treatments of contaminated drinking water sources.

The microorganisms belong to the genus Acetobacterium and they are commonly found in wastewater environments throughout the world.

Forever chemicals, also known as per- and polyfluoroalkyl substances or PFAS, are so named because they have stubbornly strong carbon-fluorine chemical bonds, which make them persistent in the environment.

The microorganisms discovered by UCR scientists and their collaborators can cleave those stubborn fluorine-to-carbon bonds, they reported Wednesday, July 17, in the journal Science Advances.

“This is the first discovery of a bacterium that can do reductive defluorination of PFAS structures,” said Yujie Men, corresponding author of the study and an associate professor at UCR’s Bourns College of Engineering in the Department of Chemical and Environmental Engineering.

Men cautioned that the bacteria were effective only on unsaturated PFAS compounds, which have double carbon-to-carbon bonds in their chemical structures.

But importantly, the scientists also identified the specific enzymes in these bacteria essential for cleaving the carbon-fluorine bonds. This discovery opens the door for bioengineers to improve these enzymes so they can be effective on other PFAS compounds. (Enzymes are proteins that act as catalysts for biochemical reactions.)

“If we can understand the mechanism, maybe we can find similar enzymes based on the identified molecular traits and screen out more effective ones,” Men said. “Also, if we can design some new enzyme or alter this known enzyme based on the mechanistic understanding, we could be able to make it more efficient and work with a broader range of PFAS molecules .”

Last year, Men published a paper that identified other microorganisms that cleave the carbon-chlorine bond in chlorinated PFAS compounds, which triggers substantial spontaneous defluorination and destroys this group of pollutants. The most recent discovery greatly expands the number of PFAS compounds that can be destroyed biologically. Using bacteria to treat groundwater is cost effective because the microorganisms destroy pollutants before the water reaches wells. The process involves injecting the groundwater with the preferred bacteria species along with nutrients to increase their numbers.

Because PFAS compounds are linked to cancer and other human health maladies, the U.S. Environmental Protection Agency, or EPA, imposed water-quality limits earlier this year that restrict certain forever chemicals to only four parts per trillion in the nation’s tap water, spurring water providers to find PFAS cleanup solutions.

PFAS compounds came into widespread use in thousands of consumer products starting in the 1940s because of their ability to resist heat, water, and lipids. Examples of PFAS-containing products include fire suppressant foams, grease-resistant paper wrappers and containers such as microwave popcorn bags, pizza boxes, and candy wrappers; also, stain and water repellents used on carpets, upholstery, clothing, and other fabrics; according to the EPA.

The paper’s title is “Electron-bifurcation and fluoride efflux systems in Acetobacterium spp. Drive defluorination of perfluorinated unsaturated carboxylic acids.” Yaochun Yu is the lead author. He was a visiting student scientist and a UCR post-doctoral scientist at UCR before joining the Swiss Federal Institute of Aquatic Science and Technology, or Eawag, in 2022.

In addition to Yu and Men, the co-authors authors are Fengjun Xu, Weiyang Zhao, Calvin Thoma, Shun Che, Jack E. Richman, Bosen Jin, Yiwen Zhu, Yue Xing, and Lawrence Wackett.

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Sea ice’s cooling power is waning faster than its area of extent

As sea ice disappears and grows less reflective, the Arctic has lost around a quarter of its cooling power since 1980, and the world has lost up to 15%, according to new research led by University of Michigan scientists.

Using satellite measurements of cloud cover and the solar radiation reflected by sea ice between 1980 and 2023, the researchers found that the percent decrease in sea ice’s cooling power is about twice as high as the percent decrease in annual average sea ice area in both the Arctic and Antarctic. The added warming impact from this change to sea ice cooling power is toward the higher end of climate model estimates.

“When we use climate simulations to quantify how melting sea ice affects climate, we typically simulate a full century before we have an answer,” said Mark Flanner, professor of climate and space sciences and engineering and the corresponding author of the study published in Geophysical Research Letters.

“We’re now reaching the point where we have a long enough record of satellite data to estimate the sea ice climate feedback with measurements.”

The Arctic has seen the largest and most steady declines in sea ice cooling power since 1980, but until recently, the south pole had appeared more resilient to the changing climate. Its sea ice cover had remained relatively stable from 2007 into the 2010s, and the cooling power of the Antarctic’s sea ice was actually trending up at that time.

That view abruptly changed in 2016, when an area larger than Texas melted on one of the continent’s largest ice shelves.The Antarctic lost sea ice then too, and its cooling power hasn’t recovered, according to the new study. As a result, 2016 and the following seven years have had the weakest global sea ice cooling effect since the early 1980s.

Beyond disappearing ice cover, the remaining ice is also growing less reflective as warming temperatures and increased rainfall create thinner, wetter ice and more melt ponds that reflect less solar radiation. This effect has been most pronounced in the Arctic, where sea ice has become less reflective in the sunniest parts of the year, and the new study raises the possibility that it could be an important factor in the Antarctic, too — in addition to lost sea ice cover.

“The changes to Antarctic sea ice since 2016 boost the warming feedback from sea ice loss by 40%. By not accounting for this change in the radiative effect of sea ice in Antarctica, we could be missing a considerable part of the total global energy absorption,” said Alisher Duspayev, doctoral student in physics and the study’s first author.

The research team hopes to provide their updated estimates of sea ice’s cooling power and climate feedback from less reflective ice to the climate science community via a website that is updated whenever new satellite data is available.

“Climate change adaptation plans should bring aboard these new numbers as part of the overall calculus on how rapidly and how widely the impacts of cryospheric radiative cooling loss will manifest on the global climate system,” said Aku Riihelä, research professor at the Finnish Meteorological Institute and co-author of the study.

The research was funded by the University of Michigan Rackham Graduate School and the Research Council of Finland.

Mark Flanner is also a professor of earth and environmental sciences at the College of Literature, Science, and the Arts.

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DIY kits may see million more cervical-cancer tests

One million more women would have life-saving checks if the NHS adopted self-testing, researchers estimate.

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Research shows protein isoform inhibitors may hold the key to making opioids safer

Researchers at the University of Arizona Health Sciences identified a new way to make opioids safer, increasing the pain-relieving properties of opioids while decreasing unwanted side effects through the spinal inhibition of a Heat shock protein 90 isoform.

Opioids are the gold standard of chronic pain treatment, but they come with a host of negative side effects including constipation, addiction potential and respiratory depression that can lead to death. This study, published in Scientific Reports, offers a potential new way to treat acute and chronic pain by reducing the amount of opioid needed for pain relief while also lowering its addiction potential.

“We have been investigating the role of Heat shock protein 90 in regulating opioid signaling in the spinal cord for some time,” said John Streicher, PhD, member of the Comprehensive Center for Pain & Addiction at UArizona Health Sciences and a professor in the College of Medicine — Tucson’s Department of Pharmacology. “This study provides proof of principle that Hsp90 isoform inhibitors are effective at improving opioid pain relief and reducing side effects. This is the critical link that makes our work translationally relevant, giving us a clear path forward to develop a new drug that could benefit millions of people who live with chronic pain.”

Heat shock protein 90 is a chaperone protein that helps other proteins function, including those that promote tumor growth. It has been studied primarily in the context of cancer. Streicher is leading in a long-term effort to investigate its role in opioid receptor activation and pain relief.

Streicher’s prior research showed that Heat shock protein 90 acted upon opioid receptors in the brain differently than in the spinal cord. Inhibiting Hsp90 in the brain blocked the analgesic properties of morphine, meaning the opioid lost its ability to reduce the sensation of pain. But inhibiting Hsp90 in the spinal cord amplified the pain-relieving effects of morphine.

Building on that research, the team tested nonselective Hsp90 inhibitors in mouse models and saw a twofold-to-fourfold increase in the potency of pain relief provided by morphine. At the same time, tolerance was reduced and established tolerance was reversed. Tolerance is a condition where the body gets used to a medication so that more medication or a different medication is needed to achieve the same response.

Early cancer-focused studies, however, found that nonselective Hsp90 inhibitors can cause serious side effects, including macular degeneration. Streicher’s solution was to target individual isoforms of Hsp90, of which there are four.

“Isoforms are different versions of the same thing, like trim packages on a car,” Streicher said. “They are all slightly different and have similar roles, but not identical roles. So these four Hsp90 isoforms are four proteins that we can target individually.”

By using selective inhibitors to target each isoform, they were able to identify and isolate the isoforms that are active in the spinal cord from Hsp90-alpha, the one that is active in the brain. Recent reports have linked Hsp90-alpha with the serious side effect of retinal degeneration.

“We took isoform-selected inhibitors that we got from our collaborator, Brian Blagg, PhD, at the University of Notre Dame, and gave them to mice systemically via IV injection,” Streicher said. “We found that you can give these isoform-selective inhibitors by a translatable route and get the benefits. Pain relief goes up and side effects go down, and presumably we’re going to avoid some of those nasty side effects of the nonselective Hsp90 inhibitors.”

The findings suggest that selective Hsp90 inhibitors could be used as part of a dose-reduction plan in conjunction with opioid therapy prescribed by a physician for chronic pain. The goal is for doctors to be able to prescribe lower amounts of opioids that provide patients with the same pain-relieving benefits and fewer negative side effects.

“What I’m envisioning is you’d be given a pill that is a combination therapy of an opioid with one of these isoform inhibitors,” Streicher said. “The addition of that Hsp90 inhibitor would make the opioid better — it would increase the effectiveness of the pain relief and decrease the side effects.”

Streicher and his team are working to optimize the selective Hsp90 inhibitors to produce a stable drug that can be taken orally.

“Dr. Streicher’s research is an excellent example of the innovative, translational science that is needed to transform health care for pain and addiction,” said Todd Vanderah, PhD, director of the Comprehensive Center for Pain & Addiction, Regents Professor and head of the Department of Pharmacology. “This study is an important step toward developing a novel evidence-based therapy that will provide better treatment options with fewer disruptive side effects, empowering people with chronic pain to thrive.”

The research team included four co-first authors: David Duron, PhD, JD, former doctoral candidate in the Streicher Lab; Parthasaradhireddy Tanguturi, PhD, researcher/scientist in the Department of Pharmacology; former doctoral candidate Christopher Campbell, PhD; and Kerry Chou, former undergraduate student at the UArizona College of Nursing. Other co-authors included Paul Bejarano, and former doctoral candidates Katherin Gabriel, PhD, and Jessica Bowden, DVM, PhD, all of the Department of Pharmacology; Sanket Mishra, PhD, Christopher Brackett, PhD, and Brian Blagg, PhD, of the Department of Chemistry and Biochemistry at the University of Notre Dame’s College of Science; and Deborah Barlow and Karen Houseknecht, PhD, of the Department of Biomedical Sciences at the University of New England’s College of Osteopathic Medicine.

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A new addition to the CRISPR toolbox: Teaching the gene scissors to detect RNA

CRISPR-Cas systems, defense systems in bacteria, have become a plentiful source of technologies for molecular diagnostics. Researchers at the Helmholtz Institute for RNA-based Infection Research (HIRI) in Würzburg have expanded this extensive toolbox. Their novel method, called PUMA, enables the detection of RNA with Cas12 nucleases, which naturally target DNA. PUMA promises a wide range of applications and high accuracy. The team published its results in the journal Nature Communications.

Bacteria have developed special defense mechanisms to protect themselves against viruses, which by no means infect only humans. As part of these so-called CRISPR-Cas systems, a CRISPR ribonucleic acid (crRNA), which serves as a “guide RNA,” recognizes regions of a foreign genome, such as viral DNA. The CRISPR-associated (Cas) nuclease, directed by a crRNA, then renders it harmless by cutting it like a pair of scissors. Humans have exploited this strategy: “CRISPR, often referred to as ‘gene scissors’, is the basis of many molecular technologies,” says Chase Beisel, head of the RNA Synthetic Biology department at the Helmholtz Institute for RNA-based Infection Research (HIRI) in Würzburg. The institute is a site of the Braunschweig Helmholtz Centre for Infection Research (HZI) in cooperation with the Julius-Maximilians-Universität (JMU) of Würzburg, where Beisel holds a professorship.

The diagnostic platform LEOPARD, developed by Beisel’s lab in cooperation with JMU in 2021, also leverages CRISPR as a technology. LEOPARD has the potential to detect a variety of disease-related biomarkers in just one test. The approach is based on reprogramming RNA factors, so-called tracrRNAs. Those RNAs are naturally involved in helping produce guide RNAs used by Cas9 and different Cas12 nucleases. “LEOPARD focused on Cas9. However, CRISPR-Cas systems also include another diverse set of nucleases, called Cas12,” explains Beisel. While both Cas9 and Cas12 cut DNA targets, Cas12 can increase the output signal by performing cuts on “collateral” DNA. This can make detection technologies more sensitive and, therefore, more efficient.

The team led by Chase Beisel has now extended the unique features of LEOPARD to Cas12. The researchers have named the resulting method PUMA (Programmable tracrRNAs Unlock protospacer-adjacent Motif-independent detection of ribonucleic Acids by Cas12 nucleases). The details of their findings are the subject of a paper in the journal Nature Communications.

Overcoming hurdles

Although Cas12 nucleases are widely used in molecular diagnostics, two major limitations have persisted: Cas12-based technologies have been restricted to DNA targets, and a specific recognition sequence called a PAM, short for protospacer-adjacent motif, is required to identify the target molecule.

PUMA elegantly addresses these challenges. Like LEOPARD, this new method also relies on tracrRNAs. “Using PUMA, we can reprogram the tracrRNAs. This allows us to decide which RNA biomarker becomes a guide RNA. This guide RNA, in turn, directs Cas12 to a DNA molecule that we provide and activates the gene scissors,” explains the study’s first author, Chunlei Jiao. Chunlei Jiao, a former graduate student and postdoctoral researcher in the Beisel lab, was also involved in the development of LEOPARD. He recently started a professorship at the National University of Singapore. “DNA cutting then tells us which biomarker was present in the sample, such as biomarkers specific to different pathogens,” adds Beisel.

The novel method therefore enables the detection of RNA biomarkers using CRISPR nucleases that can normally only recognize DNA. “This is particularly important for molecular biomarkers that can only be found at the RNA level. This includes RNA viruses, for example,” says Beisel. And yet, PUMA does not require a specific recognition sequence: The PAM is contained in the DNA target molecule provided. Since the researchers provide the target molecule, they can also introduce truncated DNA. As a result, they were able to significantly increase the speed of the method.

Several birds, one stone

“PUMA has the potential to become a flexible and precise tool for RNA detection,” concludes Beisel. Finally, the team demonstrated the potential of the method by identifying five bacterial pathogens associated with acute sepsis. Their detection relied on a single universal, reprogrammed tracrRNA, which provides a simplified means of differentiating between various types of bacteria. This opens up a wide range of potential applications in medicine: “The new technology represents a novel form of CRISPR diagnostics that enables reliable molecular testing at the point of care — whether for the identification of viral or bacterial pathogens or the detection of cancer biomarkers,” says Jiao.

The research team is already planning its next steps: “Our goal is to achieve a multiplexed readout similar to that of LEOPARD and to expand the range of applications for the technology,” says Beisel, who also anticipates broad use in the research community: “We hope that our study will spur further exploration of tracrRNA reprogramming.”

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Evening activity for better sleep

Rigorous exercise before bed has long been discouraged, but University of Otago researchers have found short bursts of light activity can lead to better sleep.

In a world first study, published in BMJ Open Sport & Exercise Medicine and funded by the Health Research Council, participants completed two four-hour evening intervention sessions of prolonged sitting, and sitting interrupted with three-minute activity breaks every half hour.

The researchers found that after the participants completed the activity breaks intervention they slept for 30 minutes longer.

Lead author Jennifer Gale, PhD candidate in the Department of Human Nutrition, says sitting for long periods is associated with an increased risk of diabetes, cardiovascular disease and death.

“We know that for many of us, our longest period of uninterrupted sitting happens at home in the evening. In our previous studies we have found that getting up and doing 2-3 minutes of exercise every 30 minutes reduces the amount of sugar and fat in your blood stream after a meal.

“However, many sleep guidelines tell us we shouldn’t do longer bouts or higher intensity exercise in the hours before sleep, so we wanted to know what would happen if you did very short bouts of light intensity activity repeatedly throughout the evening,” she says.

Primary investigator Dr Meredith Peddie, Senior Lecturer in the Department of Human Nutrition, says the exercise intervention involved three exercises — chair squats, calf raises, and standing knee raises with straight leg hip extensions.

“These simple, bodyweight exercises were chosen because they don’t require equipment, or a lot of space and you can do them without interrupting the TV show you are watching.

“From what we know from other studies, you could probably get a similar effect if you walked around your house, marched on the spot, or even danced in your living room — the most important thing is that you get out of your chair regularly and move your body,” she says.

The fact this exercise resulted in longer sleep is important because insufficient sleep can negatively affect diet and has been associated with heart disease and type 2 diabetes.

“We know higher levels of physical activity during the day promotes better sleep, but current sleep recommendations discourage high-intensity exercise before bed because it can increase body temperature and heart rate resulting in poor sleep quality.

“It might be time to review these guidelines as our study has shown regularly interrupting long periods of sitting is a promising health intervention,” Dr Peddie says.

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New research demonstrates potential for increasing effectiveness of popular diabetes, weight-loss drugs

A network of proteins found in the central nervous system could be harnessed to increase the effectiveness and reduce the side effects of popular diabetes and weight-loss drugs, according to new research from the University of Michigan.

The study, appearing today in the Journal of Clinical Investigation, focused on two proteins called melanocortin 3 and melanocortin 4 found primarily on the surface of neurons in the brain that play a central role in regulating feeding behavior and maintaining the body’s energy balance.

Melanocortin 3 and melanocortin 4 impact everything from sensing long-term energy stores to processing signals from the gut regarding short-term fullness, or satiety, said U-M physiologist Roger Cone, who led the study.

The class of drugs known as GLP-1 agonists, which includes semaglutides (e.g., Ozempic) and tirzepatides (e.g., Mounjaro), have received substantial attention recently for their effectiveness in treating not only type 2 diabetes, but also obesity, heart disease and potentially addiction. They work by mimicking a natural hormone that the gut produces when it is full, triggering the brain to reduce feeding behavior.

“So the obvious question for us was: How do these GLP-1 drugs, which work by manipulating satiety signals, function when we prime the melanocortin system?” said Cone, professor of molecular and integrative physiology at the U-M Medical School and director of the U-M Life Sciences Institute where his lab is located.

Working in mouse models, Cone and his colleagues tested the effects of several hormones that reduce food intake. They compared the results in normal mice with mice that genetically lacked the MC3R protein, in mice that were given chemicals to block the activity of MC3R, and in mice that were given a drug to increase the activity of MC4R. (Because MC3R is a natural negative regulator of MC4R, meaning it decreases the activity of MC4R, blocking MC3R and increasing MC4R activity has similar effects.)

In all cases, Naima Dahir, first author of the study and a postdoctoral research fellow in Cone’s lab, and colleagues found that adjusting the melanocortin system — either by inhibiting MC3R or increasing MC4R activity — made the mice more sensitive to GLP-1 drugs and other hormones that affect feeding behavior. The mice that were given a GLP-1 drug in combination with an MC4R agonist or MC3R antagonist showed up to five times more weight loss and reduced feeding than mice receiving only the GLP-1 drugs.

“We found that activating the central melanocortin system hypersensitizes animals to the effects of not just GLP-1s, but to every anti-feeding hormone we tested,” Cone said.

The researchers also measured activity in parts of the brain thought to trigger nausea in response to GLP-1 drugs and observed no increased activation when GLP-1 drugs were combined with alterations to the melanocortin system. In contrast, priming of the melanocortin neurons significantly increased GLP-1 drug activation of neurons in hypothalamic feeding centers in the brain.

The findings indicate that pairing the existing GLP-1 drugs with an MC4R agonist could increase sensitivity to the desired effects of the drugs by up to fivefold, without increasing unwanted side effects.Ultimately, this approach could enable patients who are sensitive to the side effects to take a lower dose, or could improve the results in patients who have not responded to the existing drug dosages. Further drug development and clinical testing are needed before this can occur.

While this research has been conducted only in mouse models, Cone is optimistic that the results will translate well to humans.

“The melanocortin system is highly conserved in humans,” he said. “Everything we’ve observed in the mouse over the past decades studying these proteins has also been found in humans, so I suspect that these results would also be translatable to patients.”

This research was funded by the National Institutes of Health and Courage Therapeutics.

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American diets got briefly healthier, more diverse during COVID-19 pandemic, study finds

American diets may have gotten healthier and more diverse in the months following the start of the COVID-19 pandemic, according to a new study led by Penn State researchers.

The study — published in PLOS ONE — found that as states responded to the pandemic with school closures and other lockdown measures, citizens’ diet quality improved by up to 8.5% and food diversity improved by up to 2.6%.

Co-author Edward Jaenicke, professor of agricultural economics in the College of Agricultural Sciences, said the findings provide a snapshot of what Americans’ diet and eating habits might look like in the nearly complete absence of restaurant and cafeteria eating.

“When dine-in restaurants closed, our diets got a little more diverse and a little healthier,” Jaenicke said. “One post-pandemic lesson is that we now have some evidence that any future shifts away from restaurant expenditures, even those not caused by the pandemic, could improve Americans’ food diversity and healthfulness.”

Prior to the pandemic, the researchers said, the average U.S. diet was considered generally unhealthy. According to the Dietary Guidelines for Americans, eating patterns in the U.S. have remained far below the guidelines’ recommendations, with only slight improvements in the population’s average Healthy Eating Index score between 2005 and 2016.

Also, before the pandemic, the research team was in the midst of a grant-funded project that asked how people would feed themselves after a giant global catastrophe, such as an asteroid strike or nuclear war. In particular, Jaenicke’s team was tasked with investigating how consumers and food retailers might behave during such a disaster.

“At first, the most impactful events we could study using actual, real-world data were hurricanes and other natural disasters,” Jaenicke said. “But then, along came the COVID-19 pandemic, and we realized that this event was an opportunity to study the closest thing we had to a true global catastrophe.”

For the study, the researchers analyzed data from the NielsenIQ Homescan Consumer Panel on grocery purchases, which includes 41,570 nationally representative U.S. households. Data consisted of the quantity and price paid for every universal product code each family purchased during the study period.

Data was gathered from both before the pandemic hit and after the pandemic led to schools, restaurants and other establishments temporarily closing. Because states did not respond to the pandemic simultaneously, the researchers designated each household’s post-pandemic period as the weeks following the date that their county of residence closed schools in 2020.

Jaenicke noted that this allowed the team to show a true causal effect of the pandemic school closures, which generally occurred around the same time that restaurants and other eateries also closed.

“To establish causality, an individual household’s pre- and post-pandemic food purchases were first compared to the same household’s food purchases from one year earlier,” Jaenicke said. “This way, we controlled for the food-purchasing habits, preferences and idiosyncrasies of individual households.”

The researchers found that in the two to three months following pandemic-based school closures — spanning March to June 2020, depending on the specific U.S. state — there were modest increases in Americans’ food diversity, defined as how many different categories of food a person eats over a period of time.

They also found larger, temporary increases in diet quality, meaning the foods purchased were healthier. This was measured by how closely a household’s purchases adhered to the U.S. Department of Agriculture’s (USDA) Thrifty Food Plan, which was designed to meet the requirements of the recommended healthy diet according to the Dietary Guidelines for Americans.

These patterns were found across households with many different demographics; however, those households with young children, lower incomes and without a car exhibited smaller increases in these measures.

“During the COVID-19 pandemic, dine-in restaurants closed, schools and school cafeterias closed, and many supermarket shelves were empty,” Jaenicke said. “Since about 50% of Americans’ food dollars are spent on ‘away from home’ food from restaurants and cafeterias, the pandemic was a major shock to the food system.”

The researchers said there are several possible explanations for these findings. First, because other studies have found that food from restaurants is often less healthy than food made at home, the dramatic decrease of meals eaten at and purchased from restaurants during the pandemic could have contributed to an increase of food diversity and healthfulness at home.

Second, they said it was possible that a global pandemic triggered some consumers to become more health conscious and contributed to them buying healthier, more diverse groceries. Third, because the pandemic caused widespread disruptions to the supply chain, it’s possible that when familiar products were sold out, consumers shifted to newer ones that led to increased diversity and healthfulness.

Finally, school and business closures may have led to many households having more time to cook and prepare foods than they had before, while others — like those with small children — may have had less free time than pre-pandemic.

Jaenicke said that in the future, additional studies could continue to explore how different disasters affect purchasing and eating habits.

Douglas Wrenn, associate professor of environmental and resource economics at Penn State, and Daniel Simandjuntak, research associate at Newcastle University, were also co-authors on the study.

Open Philanthropy helped support this research.

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Bases Loaded Reflections + Videos Now Available

I’m happy to report that last week’s Bases Loaded event on Life Balance went exceedingly well. I’m really delighted with how it turned out – mentally and emotionally it was a very heart-opening and connected experience. If you haven’t gone through it yet, I strongly encourage you to get the recordings and watch them this week. It’s only $42 for all four days’ worth – more than 9 hours total. Feel free to watch it at double speed if you like.

I felt very tuned in and enthusiastic all throughout the event. Participation was fabulous, and there were some pretty moving moments too, especially near the end of Day 2.

I’ve been taking a different approach to my work this year – really going much further in the direction of vibrational alignment, which is such a great way to create breakthroughs when nothing else works. Sometimes we reach the point in life where the only practical way to advance is to permanently and meaningfully boost our default vibes and then keep them there. No going back to the old vibes.

Bases Loaded takes this vibrational approach and applies it to the challenge of creating a beautifully balanced and harmonious life. I’ve already been making significant changes to my life since working at this level. I love how simple principles and a focus on the right vibes can open a window to new levels of logical thinking too.

The four bases in Bases Loaded are the key vibes to use for creating balance and harmony in any and all areas of life. Instead of trying to juggle items based on scheduling alone – which doesn’t actually create balance – this approach relies on aligning each area of life as well as each goal, project, and task with vibes that naturally create harmony and balance.

Consider the vibes you’ve used to make many of the decisions in your life already and how those decisions are still impacting you today. What vibes led you to choose your current work, business path, or school, for instance? What vibes did you follow into your current relationship situation? Did you make various choices based on worry, anxiety, pressure, concern, ambition, security, neediness, clinginess, love, connection, oneness, peace, contribution, or something else?

There’s no escaping vibrational decisions. You naturally make such decisions all the time, every single day. Whenever you decide what to wear or what to eat, you’re making vibrational choices. Do you make those decisions harmoniously and with a similar set of vibes each time? Most likely not.

Do you know what the very best harmonizing vibes are? They are Courage, Love, Trust, and Joy. You really just need those four because they’re very robust and very cooperative with each other. To fully align with any one of them is really to invite all four into your life. The Bases Loaded experience guides you deeply through all four, focusing on one core vibe per day. Then we go through examples and stories of how to apply them. And there’s lots of sharing from people who were on the live calls each day. Hearing from others and witnessing their shifts is a big part of the overall experience. It invites you to start making similar shifts in your decision-making too. Get your decisions aligned with the most harmonious vibrational roots. Stabilize your decision-making vibes, and you’ll stabilize your decisions and their unfolding ripples. As you see when you apply these ideas, it’s lovely to experience the ripples of decisions rooted in Courage, Love, Trust, and Joy.

Look at the items on your to-do list for today, and ask yourself: What vibes led to each item appearing on my list? You’ll probably notice that your to-dos aren’t all very well-aligned with these harmonizing vibes. Some items may be on your list due to feelings of anxiety or pressure. Others may have gotten onto your list because they seem creative. And still others may have a tedious “I should do this” feeling to them. Notice how these different vibes impact your productivity and flow. You can also review bigger projects or goals if you’d like. Remember that every decision is a vibrational one. Do this simple check right now and see what you notice.

One reason people struggle with consistency is that they make decisions from different vibrational roots. Then as their vibes shifts, they’re constantly remaking or unmaking those same decisions. That gets messy very quickly.

Your vibes control your state of mind, and your state of mind controls what kinds of thoughts you’ll access. Different vibes lead to different thoughts, including different logic running through your mind. Any logic depends on priorities. Logic alone cannot set priorities. Priorities are set for vibrational (or emotional) reasons. You have to care about something to make it a priority, and there’s no logical mandate to care about anything, not even your survival. So every priority you set in life is really a vibrational decision. If your vibes shift often and then you try to make decisions with different vibes, you’ll surely experience inconsistency. You’ll have a hard time sticking to your past choices. Your life will become chaotically unbalanced and disharmonious.

You may think that too much chaos or stagnation is dragging down your vibes. But the real issue is that you’re not aligning with the vibes you want when making decisions. To create harmonious results, it’s necessary to keep synching with harmonious vibes. I make this super easy for you by giving you the best vibes to sync to in order to create balance and harmony (right here in this post).

There’s a way to make strong choices and have them stick – no waffling afterwards. That’s a vibrational alignment approach, and Bases Loaded is a powerful invitation to practice and apply this. Ostensibly it’s about life balance, but truly it’s about so much more. These vibes are universals that you can apply again and again.

Got a work challenge that’s unbalancing your team dynamics? Use these harmonizing vibes to get everyone on the same page. Got a health or relationship issue popping up? Use these harmonizing vibes to clarify the path forward.

I’ve been working in the self-development field for about 20 years now. I haven’t wavered in that commitment. I haven’t wanted to quit. Same goes for committing to Conscious Growth Club, which is now flowing along beautifully in its 8th year together. My relationship with Rachelle is still going strong, now in our 15th year together. I don’t normally struggle with making big decisions and long-term commitments because I learned the importance of synching to intelligence-raising vibes when making such decisions. I know that if my vibes are inconsistent, I can never really trust my decisions, and I can be sure that my future self will eventually think differently. But I can also know that these four harmonizing vibes will always matter to me. I can trust them because they’re timeless, and synching to timeless vibes is the real key to consistency. You can’t get consistency from what’s temporary and unstable.

Bases Loaded is my ultimate expression of how to make such commitments. If you can’t commit yourself to a certain direction and stick with it year after year, you can’t really benefit from the delights of such long-term investments. You’ll constantly swirl around at ground level instead of really getting somewhere. You’ll often feel like you’re starting from scratch yet again.

The truth is that you can have the best of both worlds here. I love being a beginner too and exploring in new directions. I always want to keep learning and growing. But I also love having some forever projects and directions where I feel solidly committed. It’s so gratifying to be able to really invest long-term and accumulate all the benefits of past lessons. These harmonizing vibes don’t just stabilize and enhance my long-term commitments – they also show me which new directions are truly strong matches for me. When I work with these vibes, I often feel that I’m being lovingly guided by a much greater intelligence. It’s like I’m harmonizing with universal wisdom that’s always broadcasting. I just have to keep tuning in to it.

I’ve priced Bases Loaded ridiculously low on purpose. I want it to be accessible to lots and lots of people. Now that it’s over, it really does feel like a beautiful diamond – a baseball diamond even – to add to this ever-growing body of work. I know I’ll always have fond memories of the experience. The weekend afterwards I was all aglow from so much immersion in these vibes, and Rachelle and I enjoyed a lovely date together on Saturday.

Bases Loaded is very much a vibrational experience for you as you go through it. There’s a reason I did it live on video instead of just writing up a series of text posts. It’s important to hear it and feel it. You’ll notice that my energy is very high and lively throughout. I did my very best to embody and demonstrate the vibes as we went. I didn’t just want to talk about them. I wanted you to see and sense what it feels like when you invite more Courage, Love, Trust, and Joy into your everyday life. Feeling joyful, vibrant, and enthusiastic each day is normal for me, but the flip side is that it’s crucial to keep leaning in directions that require Courage and Trust to maintain this. There is no sustainable Joy or Love without Courage and Trust. Have you figured that out yet?

People so often overlook the harmonizing power of Trust, for instance. They try to be happy without it, thinking maybe it’s not essential, and that approach fails again and again. Do you have high-Trust relationships with the people you engage with each day? Do you keep seeking to build stronger Trust with those people? Do you approach new connections and potential relationships on the basis of deliberately seeking to build Trust? Do you set goals and make decisions based on deepening and strengthening your already powerful Trust in life? Do you keep placing bigger bets in the direction of Trust? We cover Trust in great depth on Day 4 of Bases Loaded, and you’ll see how powerfully and intelligently it connects with Courage, Love, and Joy as well.

Self-Trust is very powerful too. Do you trust yourself to make wise choices? Do you trust in your ability to keep learning and growing? Do you trust that investing in your self-development really pays off over time? I obviously do. Trusting in this direction rescued me from a lot of problems I encountered (and created) when I was younger. Continuing to build stronger Trust in myself, in my intuition, in life, and in the people I connect with daily is delightful. It takes time to get used to it, especially if you need to release low-Trust vibes, people, and situations, but then it feels so natural. High-Trust relationships and communities are very accessible if we make Trust-aligned decisions.

Bases Loaded is a very aspirational experience too. It will likely invite you to reach well beyond your current circumstances. As I shared during the Day 1 call, these harmonizing vibes are demanding. As you invite them in, they will push out whatever doesn’t align with them. A shedding process is inevitably part of the re-alignment process. That takes Courage. It takes Courage just to sign up and press play because you don’t know how working with these vibes will affect you till you’re in the midst of them.

What I can say is that you can trust these vibes. They’re challenging indeed, but they’re on your side 100%. If this invitation is showing up in your life now, that’s surely for good reason. It means you’re ready to start shifting away from struggle, stuckness, or stagnation and into a whole new experience of growth. But it won’t be the same kind of growth experience you’ve had before. This vibes are here to invite you into an uplifting phase of fresh new growth.

When you’re ready.

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