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With November being "National COPD Awareness Month,” experts urge patients who suffer from Chronic Obstructive Pulmonary Disease to verify their treatment plans, and to be diligent about COVID-19 precautions.Seventy-one-year-old Janice Cotton is a self-proclaimed "advocate for COPD-ERS." Her advocacy is all over YouTube. She says, “Oh, I think so!.. I think I’m a YouTube star.”Cotton said she likes to tell her story, and while full of personality, her road to advocacy wasn't easy.“In 1997, my mom died from COPD,” Cotton said. “We didn’t know what it was. We had no idea. The last thing she said was, ‘Janice, please stop smoking.’”She said she smoked a pack a day for more than 40 years. Even after being diagnosed with COPD, she says she still smoked.“I didn’t quit smoking when he told me, because when I went into the office to get the test, I was told you’ll be dead in 10 years so I said, ‘What the heck? I may as well keep smoking,’” Cotton said.Eventually, she quit, and now urges others to do the same.Does Cotton still crave tobacco?“Oh no way Jose. Not at all; I don’t crave it,” Cotton said. “I don’t think about it. I tell people who are thinking about smoking, I say, 'Put a straw in your mouth, toothpick, something, anything but a cigarette.'”“This is a treatable disease,” said Dr. Tom Corbridge, pulmonologist, a faculty member at the University of Northwestern near Chicago, and GlaxoSmithKline medical expert. “It is a progressive illness but it's also a treatable illness and the sooner you get in, the sooner you connect with a trusted healthcare provider, the sooner you can get help to restore some of the things you’ve lost.”He says COPD is an umbrella term for chronic lung disease, which include things like emphysema and chronic bronchitis. He says there are 27 million patients with COPD in the U.S. and it's the fourth-leading cause of death.“The main symptom that COPD causes (is) shortness of breath," Corbridge said. It's "hallmark symptom that would be worse with exertion, but also cough, raising of phlegm or mucous and wheezing are really the hallmarks of the disease.”Those symptoms, he said, can be complicated by COVID-19.“The pandemic has impacted my life and my disease management,” Cotton said. “So many of us were scared (of) death and afraid and didn’t want to go anywhere, didn’t want anybody to come see you.”In a recent GlaxoSmithKline study, 83% of people living with COPD agree that COVID-19 has been a wake-up call about the vulnerability of the illness. But, Cotton said she's using her voice to make sure all COPD patients are diligent about things like face masks, hand washing and social distancing. She also recommends having what she calls an "action plan" with your doctor.“I want people to understand and realize that knowledge is power. The more you investigate and research, the better off you’ll be when it comes to managing COPD,” Cotton said.Doctors say the most important aspect is staying in touch with your physicians and staying on top of your symptoms. 3035

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-- and its wider implications for human mental health treatment -- was found in their poop, per new findings published in Behavioural Brain Research.Rats are better drivers when they're mentally stimulatedKelly Lambert, study author and head of the University of Richmond's Lambert Behavioral Neuroscience Laboratory, trained two groups of young rats: One bunch raised in an "enriched environment" with toys, ladders, balls and pieces of wood designed to spark mental stimulation, and another reared in a standard, unexciting lab cage.The rats learned to enter a custom "rat-operated vehicle," or ROV, adorably constructed from a one-gallon plastic container turned on its side.Once inside, the rat racers would stand on an aluminum plate and press on a copper bar that would trigger the wheels' motor. They'd hold down on the bar until they propelled their tiny car to the end of their enclosure, where they collected their reward: Froot Loops.When it came time to drive, the rats who played with ladders, balls and toys were more adept at operating and steering the ROV, thanks to the neuroplasticity (their brains' ability to change over time) triggered by their environment. Their unstimulated cage counterparts effectively "failed their driving test," Lambert said.Hormones found in their feces showed improved emotional resilienceIn sifting through their fecal matter, Lambert found both groups of rats trained to drive secreted higher levels of corticosterone and DHEA, hormones that control stress responses.Corticosterone is a hormone animals could secrete in high-stakes scenarios like running from a wild animal or defending themselves from predators, but it can also be expressed in lower-risk tasks like doing taxes or worrying about a loved one (though rats likely aren't advanced enough to form a government, let alone impose taxes on fellow rats).DHEA acts as a sort of "buffer," Lambert said, when corticosterone becomes toxic -- that is, when it can't be turned off in a reasonable amount of time, creating prolonged stress.It's evidence that mastering a complex task, like driving a car, bolstered the rats' emotional resilience."It is likely that driving gives the rats a sense of control over their environment," she said. "In humans, we would say that it enhances a sense of agency or self-efficacy."What have rats got to do with human health?The brains of humans and rats share nearly all of the same areas and neurochemicals -- they're just smaller in rodents. And though humans are certainly more complex than rats, Lambert said there are "universal truths" in how both species' brains interact within their environment to maintain optimal mental health.So these results have implications for human health, too (and no, they don't mean rats will drive alongside people in tiny lanes on highways). Emotional resilience is one of the first lines of defense against mental illnesses like depression, she said, and learning what behaviors build that up could clue physicians in on how to treat those illnesses in humans.It's a concept Lambert refers to as "behaviorceuticals," activities that release hormones that can ward off prolonged stress brought on by corticosterone."Anything that reduces stress can build resilience against the onset of mental illness," she said.The activity can be something as simple as knitting, or in rats' case, learning to drive a car. Just engaging hands, paws and brains of varying sizes can enhance a participant's sense of control. 3489

RELATED: High surf closes La Jolla Children's Pool wall, Ocean Beach PierThe lifeguard service sent out a Twitter message to the public Sunday 145

in Chicago reports.Mack stunned hundreds of shoppers earlier this month by paying layaway bills at the Walmart in his hometown of Fort Pierce."She rung it up, and everything came up to zero. And I was like, 'Wow! This is really great!'" said one Walmart shopper following Mack's gesture.But according to 306