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What is the breast cancer calculator actor Olivia Munn suggested after her mastectomy?

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What is the breast cancer calculator actor Olivia Munn suggested after her mastectomy?

Olivia Munn arrives Jan. 9 at the Governors Awards on Tuesday at the Dolby Ballroom in Los Angeles.

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Olivia Munn arrives Jan. 9 at the Governors Awards on Tuesday at the Dolby Ballroom in Los Angeles.

Chris Pizzello/Invision/AP

When Olivia Munn revealed this week that she was diagnosed with breast cancer and had a double mastectomy, she urged people to ask their doctors to figure out their score on a breast cancer risk calculator.

Munn said her score prompted further tests and the discovery of an aggressive form of the disease.

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“I’m lucky. We caught it with enough time that I had options,” the 43-year-old actor posted on Instagram. “I want the same for any woman who might have to face this one day.”

A look at the calculator, the Breast Cancer Risk Assessment Tool:

What is the Breast Cancer Risk Assessment Tool?

It’s a questionnaire on the National Cancer Institute’s website that is designed for health care providers to use with patients. The tool received a “dramatic increase in visits” since Munn’s post, according to an NCI spokesperson.

First developed in 1989, it was originally based on data from only white women. Updates have made it more accurate for Black, Hispanic and Asian and Pacific Islander women.

It doesn’t take everything into account and can’t actually predict whether any one person will get breast cancer.

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It asks about age, age at first menstrual period, age when the woman’s first child was born or if the woman has not given birth, family history of breast cancer, past breast biopsies, results of past biopsies, race and ethnicity.

The result is a lifetime risk and a five-year risk based on factors that have been tied to a higher risk of breast cancer. For comparison, it also gives an average risk for U.S. women of the same age, race and ethnicity.

Dr. Elizabeth Comen, who treats breast cancer at Memorial Sloan Kettering Cancer Center in New York, said women should do the assessment with their doctors, not by themselves.

“It’s very important to talk to your doctor about doing that together, and then making decisions about what imaging techniques are appropriate” based on the results, Comen said. Munn’s high score prompted additional imaging tests that aren’t recommended for women of average risk.

Should everyone use the tool?

It’s not the best risk calculator for some women. If you have a certain gene mutation or a previous history of breast cancer, it’s not for you. It also doesn’t take into account dense breast tissue, which can make cancer harder to spot.

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The National Cancer Institute says the tool may underestimate risk in Black women with previous biopsies and Hispanic women born outside the U.S.

“The model needs further validation for Hispanic women and other subgroups,” the institute’s website says. “Researchers are conducting additional studies to gather more data to test and improve the model.”

There are dozens of similar tools, said Ashley Johnson, a nurse practitioner at Vanderbilt University Medical Center, who has studied them. Many health groups recommend that women over age 25 have such an assessment, she said, but there’s not enough evidence to say which tool is best.

What do the scores mean?

A five-year risk score of 2%, for example, means a woman’s estimated risk of developing breast cancer over the next five years is 2%.

A lifetime risk score of 7% means a woman’s estimated risk of developing breast cancer through age 90 is 7%.

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Mammogram guidelines are for women at average risk, said Dr. Arif Kamal, chief patient officer at the American Cancer Society. Guidelines vary but the society says women can choose to start annual mammograms at age 40.

“Knowing your risk starts even before the age of 40,” Kamal said. That’s where a risk calculator can help.

How can I lower my risk of breast cancer?

Everyone has some risk of cancer, Comen said, but some lifestyle changes can reduce the chances.

She suggests avoiding processed foods, adding exercise and strength training to your routine, limiting alcohol and not smoking.

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Great movies you may have missed : Pop Culture Happy Hour

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Great movies you may have missed : Pop Culture Happy Hour

Xie Miao and Yang Enyou in The Furious.

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There have been some fantastic movies released this year, and we know you can’t see them all. So we’re recommending four recent movies we missed that you should add to your watchlist: The Furious, Tuner, She’s The He, and Heresy.

If you need a few more fun film recommendations, check out these episodes: 

Fun movies you may have missed

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Our favorite movies on Tubi

We debate the best movies to watch on an airplane

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A judge says the Kennedy Center must update him on its plans — and address that tarp

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A judge says the Kennedy Center must update him on its plans — and address that tarp

A tarp covers the facade of the John F. Kennedy Memorial Center for the Performing Arts in Washington, D.C., on June 13. A federal judge has asked the arts complex’s leadership to explain the purpose of the tarp and the surrounding scaffolding.

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On Wednesday, the federal judge overseeing the Kennedy Center lawsuit ordered the center to give him a status report on the center’s operation and programming within the next few weeks. Judge Christopher R. Cooper also said that the Kennedy Center must explain the purpose and status of the tarp and scaffolding that have been placed over the front of the arts complex, where until recently both President Trump and President John F. Kennedy’s names were both displayed.

In a directive issued last Tuesday, Judge Cooper had given Kennedy Center administrators three days to update him on the arts complex’s immediate plans regarding construction, programming and public access. Trump, who now serves as the center’s chairman, had announced July 5 as the date the venue would close for major renovations.

Last Friday, on Cooper’s due date, lawyers for the Kennedy Center filed a request asking for an extension. In that filing, Matt Floca, who was promoted as the center’s president and CEO in March, said that the Kennedy Center’s current management intends to present its board with “an array of options” for trustees to vote on at their next meeting on an unspecified date in mid-July.

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According to Floca, the options are a complete closure for extensive renovations; a partial closure “enabling some continued public access and limited programming” while some renovations are undertaken; and “a highly limited series of phased closures to address only the center’s most serious infrastructure needs while scheduling and maintaining a full slate of programming.”

In his newest order, Cooper denied Floca’s request for an extension. And he mandated that the center file a status report within seven days of the center’s July board meeting or by July 31, whichever date is earliest. He also ruled that the report must “indicate the purpose for and status of the tarp and scaffolding,” which were erected by workers over the center’s front signage in the early morning hours of June 13.

When asked for comment Wednesday, the Kennedy Center pointed back to the documents its legal team submitted to the court.

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4 ways to design a dreamy summer, according to a happiness expert

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4 ways to design a dreamy summer, according to a happiness expert

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I tend to romanticize summer. The movies and TV shows I grew up with made me think that the season was about adventure and big-time transformation.

I imagined myself building a tight-knit friend group and getting out of a pickle together, like in The Sandlot or Camp Nowhere. Or traveling across the world, say, to Greece, like Lena Kaligaris, a character in The Sisterhood of the Traveling Pants, having a whirlwind summer romance and returning an entirely different person.

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I’ve never actually had a summer like that.

Even when your expectations are more modest than mine, “so often, the summer just flies by, and we haven’t taken the picnics or gone for the day trip or whatever it was that we thought we were gonna do,” says happiness expert Gretchen Rubin.

Rubin, author of The Happiness Project and host of the podcast Happier With Gretchen Rubin, has been sharing ideas on social media about how to make the season more memorable and satisfying.

She walks through four exercises to help you get what you want — and more — out of the season. Print out our worksheet here, fill it out and stick it on your fridge to keep you accountable. Or take a screenshot and post it to Instagram (don’t forget to tag @NPRLifeKit!).

🍑 Give your summer a theme

Pick a single word or phrase that you want to embrace this season — something that captures the feeling you want to have over the next few months.

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“My theme for the summer is ‘ketchup,’” Rubin says. “It has a kind of a summer feeling, because you think of putting ketchup on your burger.”

“It’s a metaphor,” she says. It means to look for “whatever I could add [this season] to make something elevated and more fun.”

Meanwhile, my theme word this summer is “juice.” I no longer think that I need to travel far or completely transform to have a delicious summer. I just need to take advantage of the abundance that the season offers: ripe peaches and tomatoes, juicy softball pitches and the opportunity to feel juicy in my body when I wear a bathing suit.

My Dream Summer worksheet to print.

Print out our worksheet here, fill it out and stick it on your fridge to keep you accountable. Or take a screenshot and post it to Instagram (don’t forget to tag @NPRLifeKit!).

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🪣 Create a summer bucket list

What do you want to do this summer? On my bucket list: ride the Ferris wheel at a summer fair, have more barbecues at my parents’ house and see the sunrise at least once.

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