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This Thanksgiving will be different for everyone. Whether you're going to a small, socially distanced gathering or doing things virtually, this year’s holiday will be a first for everyone.However, there is one constant: uncomfortable conversations.The old adage is to not talk about religion, politics and finances as they are bound to be personal or create polarizing views that could put a rift between family members.This year has given no shortage of things to disagree on. Politics, the pandemic, racial justice, they all produce very strong opinions that can be on very different sides of the topic and elicit emotional responses. But whether you’re around a table or giving thanks over Zoom, these heavy topics can be talked about without ruining the holiday.“I think that for a lot of people, Thanksgiving is going to come with an extra layer of anxiety,” said Deanna Singh, Chief Change Agent for Uplifting Impact. “There are so many things we don’t have answers for. Internal conflicts, external conflicts, this year will come with an extra layer of anxiety but also hope it comes with an extra level of Thanksgiving.”Anxiety and stress are at all-time highs. The American Psychological Association says 60% of Americans are overwhelmed by the number of issues facing the United States right now and Generation Z, those who are 18 to 23 years old, are the most stressed. Roughly 1 in 3 people in the group report their mental health is worse than the same time last year.Singh says because of that, it’s important to recognize what you have to be thankful for this Thursday."We’ve been through a lot this year,” Singh said. “So, to be able to come together around the table and enjoy the people we love, I hope it comes with this extra layer of, ‘Wow. Let’s not take this for granted.’ This is big stuff.”The hot topic conversations also present the highest stress level for people. Eight out of ten people say the pandemic is a source of significant stress in their lives. Before the election, 68% of adults said they were stressed about it. That's up from 52% in 2016. Racial topics also bring about more stress with 59% of people saying police violence against minorities is a significant source of stress in their lives.It doesn’t mean you should avoid those “tough to talk about” topics altogether. There has been tremendous progress made on the racial justice front this year. After the killing of George Floyd, millions of people across the globe stood up against police brutality. It’s created a conversation on standing up for African Americans and being an ally.Around the dinner table, it may feel like an opportunity to share this newfound urge to stand up for racial equity. Singh says, it can be, if done appropriately so it has the most impact.She has three tips to have the most productive outcome from a tough conversation.Above all else, she says you need to check your own agenda before starting the conversation.“Understand what you are coming to the table with and what your purest intentions are,” Singh said. “It’s important to know what your agenda is and make sure your agenda isn’t like an, ‘I got you and I’m going to prove I’m the right person.’ I have never ever seen a conversation that starts with an agenda of, ‘I got you.’ If anything, it raises defenses.”It’s important to remember, as dug in as you are about your viewpoint and however correct you feel on the topic, someone else feels the exact same way about their own viewpoint. In order to be productive, Singh says it takes time to listen.“There are people with different views,” Singh said. “What an amazing opportunity to go to people you trust and love and try to expand your own thinking. Try and see things from a different perspective. I think it’s an amazing opportunity to learn.”Singh says it’s important to go into a conversation like this assuming your own opinion is wrong. It will help you gain empathy to someone else’s view and understand how you can explain your own view better.“It’s a humbling thing to think about, wow, I could be wrong,” Singh said. “No matter how vehemently you feel, start from that premise. That could allow for you to think about how to get to a conclusion or the space you want to move your audience to in a much more effective way. I have to be open to the fact that my ideology has holes in it. I will never convince somebody if I don’t understand them.”In order to be effective, it’s important to think about how you go about explaining your viewpoint. Singh says people have a tendency to explain their views in a way that makes sense to them but that could be counterproductive.“When people want to have difficult conversations, the way they prepare is the way they would want to receive the information and not in a way that’s best for the person they’re trying to have the conversation with,” Singh said. “Some people want facts or numbers and they need to see things on an Excel document and that’s how they make decisions. Other people really understand through stories or experiences. If you are going to wade into the water with people of differing opinions, one thing to prepare is to think about how they receive information and what’s the most effective for them.”Singh’s third tip is to be intentional. When it comes to politics, racial justice or how the pandemic is being handled, it can be easy to let your emotions get the best of you. She urges people to be able to address when something like that happens and acknowledge your interest in having a conversation.“Right now, I want to talk about how great the dressing is and this turkey and who made the mac n’ cheese?” Singh said. “Have that conversation when it’s appropriate. Let’s figure out a time when it would make more sense to have a conversation. There are certain spaces and places that are good for these conversations and you should do that. There are also certain places and spaces that are not.”By reeling in emotional responses, it can keep the conversation under control and prevent pushing loved ones farther apart.“One of the big things for me, I like to say I feel very uncomfortable right now,” Singh said. “I’m really, really emotional about what you said. I do not think I’m in a position to handle emotions that is respectful of you and respectful of me. I’m going to stop. I’m going to stop participating in this right now.”In order to de-escalate, Singh says it’s best to clarify what someone may have said. Asking, “What do you mean by that?” or “Can you tell me your reasoning behind that?” can be disarming ways to continue the conversation and help cooler heads prevail.Ultimately, ‘not talking about it’ may be less of an option now than ever before and Singh says that’s OK.“I would say this is a perfect opportunity for you to wade into those spaces if you’re feeling comfortable and feeling that calling,” Singh said. “It’s ok to do that. I would think carefully about where and how you do it. If you make a big scene of something and someone is already feeling defensive, what’s going to happen? More than likely, no matter how amazing they are as a person, they’re probably going to double down.”Singh has many other tips she is sharing in a webinar on How to be an Ally. Uplifting Impact is hosting the virtual webinar between Feb. 1 and Feb. 3. There is more information on the Uplifting Impact website.This story was originally published by Shaun Gallagher at WTMJ. 7424

There have now been more than 2 million confirmed cases of the novel coronavirus in the United States, according to a database kept by Johns Hopkins University.The U.S. surpassed the milestone early Thursday morning. More than 112,000 people have died in connection with the virus in the United States — all of them coming since February.Across the country, many regions are seeing a gradual increase in cases as states ease lockdown restrictions. Earlier this week, 14 states reported 7-day highs associated in newly-reported cases. Some of those see increases have occurred in rural areas of the country.More than 7.25 million people worldwide have contracted the disease since it was first detected in China late last year. The U.S. continues to lead all countries in confirmed cases, followed by Brazil (about 740,000 cases), Russia (about 493,000 cases) and the United Kingdom (about 290,000 cases).The U.S.also leads all countries in deaths linked to the virus, followed by the U.K. (about 41,000), Brazil (about 38,000) and Italy (about 34,000).Health experts suspect that the true number of people who have been infected with the coronavirus is likely much higher. Many people often experience mild symptoms and never seek out a test. Some countries, like the U.S., were also limited by a lack of testing resources at the beginning of the outbreak.Though there is currently no cure or vaccine for the coronavirus, Dr. Anthony Fauci of the National Institute for Allergies and Infectious Diseases says he hopes the NIH will have a "couple hundred million" doses of a viable vaccine available by the end of the year. 1630

This is what's happening in the world of politics Saturday, Aug. 25, 2018.Trump fires back at Sessions— President Donald Trump fired back at U.S. Attorney General Jeff Sessions, saying the AG doesn't understand what's happening at the Department of Justice. "Jeff Sessions said he wouldn't allow politics to influence him only because he doesn't understand what is happening underneath his command position," Trump tweeted. "Highly conflicted Bob Mueller and his gang of 17 Angry Dems are having a field day as real corruption goes untouched. No Collusion!"After previous criticisms this week by the president, Sessions said, "While I am Attorney General, the actions of the Department of Justice will not be improperly influenced by political considerations."Read more. Juror: Pardoning Manafort would "be grave mistake"— A juror who sat on the Paul Manafort trial said to would be a "grave mistake" if a presidential pardon came for the former Trump campaign manager."I feel it would be grave mistake for President Trump to pardon Paul Manafort," Paula Duncan, one of the jurors, said during an interview with Anderson Cooper. "Justice was done, the evidence was there and that's where it should stop."Duncan was one of the 11 jurors who convicted Manafort on five tax fraud charges, one charge of hiding foreign bank accounts and two counts of bank fraud. The jury was hung 11-1 on the other 10.Manafort faces 80 years in prison.Read more. Pompeo's meeting with North Korea canceled— President Trump has asked Secretary of State Mike Pompeo not to go to North Korea, citing insufficient progress of denuclearization and China's reluctance to help further due to trade tariffs."I have asked Secretary of State Mike Pompeo not to go to North Korea, at this time, because I feel we are not making sufficient progress with respect to the denuclearization of the Korean Peninsula. Additionally, because of our much tougher Trading stance with China, I do not believe they are helping with the process of denuclearization as they once were," Trump wrote on Twitter.Pompeo had announced he would be in Pyongyang with his new Special Representative for North Korea Stephen Biegun.It would have been Pompeo's fourth trip to the country following Trump's Singapore summit with Kim Jong Un.Read more. 2365

Too few new antibiotics are under development to combat the threat of multidrug-resistant infections, according to a new World Health Organization report published Tuesday. Adding to the concern: It is likely that the speed of increasing resistance will outpace the slow drug development process.As of May, a total of 51 antibiotics and 11 biologicals -- medical products often made from natural sources -- are being developed, the new report said."The idea is that biologicals could replace use of antibiotics, which could help in overcoming the resistance problem," Peter Beyer, an author of the report and senior adviser to the WHO's Department of Essential Medicines and Health Products, wrote in an email.Seemingly, this large number of potential new drugs should suffice, yet it is not nearly enough.First, just 33 of the antibiotics in the pipeline target priority pathogens. This year, the WHO published a list of a dozen "priority pathogens": 12 separate families of antibiotic-resistant bacteria that pose the greatest threat to human health.Among the priority pathogens is a drug-resistant tuberculosis, which kills about 250,000 people around the world each year, and a variety of multidrug resistant strains -- Acinetobacter, Pseudomonas and various Enterobacteriaceae -- which are responsible for infections in hospitals and nursing homes and among patients whose care requires ventilators and catheters.Of the 33 potential medicines for treating priority bug infections, only eight are innovative treatments. The other 25 are simple modifications of existing families of antibiotics. At best, then, the 25 will serve as short-term solutions since it is expected bacteria will quickly adapt to and resist these new (though somewhat familiar) drugs, according to the WHO."It is difficult to speculate why companies develop specific new medicines," Beyer noted. "But in general many new treatments do not necessarily constitute advances over existing treatments."TB infections require a combination of at least three antibiotics, according to the new report, yet only seven of the new TB medicines are even in clinical trials. Soon, there will be a serious lack of treatment options for this infection, the report warns.The same is true for gram-negative pathogens, which can cause severe, often deadly infections typically in hospitals and nursing homes.Gram-negative bacteria have more complex cell walls than gram-positive, explained Beyer. "In a nutshell, it is more complex to develop a novel antibiotic that can penetrate the complex gram-negative cell wall and stay inside the bacterium," he wrote.Finally, the WHO sees too few oral antibiotics being developed. These are necessary "to target the critical priority pathogens (and) be accessible in low- and middle-income countries," Beyer noted.To address the problem of developing new antibiotics, the WHO and the Drugs for Neglected Diseases Initiative set up the Global Antibiotic Research and Development Partnership. However, new drugs alone cannot combat the threat of antimicrobial resistance. The WHO is also working to improve infection prevention and control while developing guidance for the responsible use of antibiotics."Always seek medical advice before taking antibiotics and then always follow the advice of the health-care professional," Beyer noted.The new report is a "fantastic (and very useful!) summary" of the antibiotic situation, wrote Bill Hanage, an associate professor of epidemiology at Harvard T.H. Chan School of Public Health, in an email. Hanage, who has also published studies of antibiotic resistance, was not involved in the new report.Although the risk of getting a completely resistant infection is low in the United States, about 2 million people each year become infected with "resistant enough" bacteria that are harder to treat, Hanage said. And every year, more than 20,000 people die of these infections."More resistant infections don't just mean you or someone you care about is more likely to die from one, they also mean healthcare will get even more expensive," Hanage said. "Many of the procedures we take for granted in medicine, from cancer treatments to surgeries, depend on our ability to handle infections that happen in the course of treatment."The number of new drugs in development is simply not enough, he said."The great majority will not make it into the hands of doctors or your treatment," Hanage wrote. "As the report states, for drugs to be used in humans they have to pass 3 hurdles, the phase 1, 2 and 3 trials. Drugs entering that pipeline have just a 14% chance of getting all the way through to be used in humans." 4676

Therapists are volunteering their time to help health care workers during the coronavirus pandemic.A nonprofit called The Emotional PPE Project is connecting medical workers in need with licensed mental health professionals. They can contact each other directly.“We think that's actually very important, because there are so many barriers to people receiving help, one of them being concerns about licensing implications or concerns about stigma,” said Dr. Daniel Saddawi-Konefka, Board Director and Co-Founder of The Emotional PPE Project.Saddawi-Konefka says it started with a simple text from his neuroscientist neighbor in March, saying “what can I do to help?”Together, the two of them created the online directory for volunteer therapists.While others were talking about ventilator and PPE shortages, Saddawi-Konefka realized resilience would be a crucial problem.“Health care workers, they experience higher levels of burnout, higher levels of depression, and despite that are less good at asking for helping, are less good at reaching out for help,” said Saddawi-Konefka.The group hopes to keep the program alive through the pandemic. They're hoping to work with the volunteer therapists for future plans. 1221

来源：资阳报