Science
Another pandemic malady: Decision fatigue
Most all of us have felt the exhaustion of pandemic-era decision-making.
Is it secure to ship my youngster to day care? Ought to I journey to see an aged relative? Can I see my associates and, in that case, is inside OK? Masks or no masks? Check or no check? What day? Which model?
Questions that when felt trivial have come to bear the ethical weight of a life-or-death alternative. So it would assist to know (as you’re tossing and turning over whether or not to cancel your non-refundable trip) that your battle has a reputation: determination fatigue.
In 2004, psychologist Barry Schwartz wrote an influential e-book, “The Paradox of Alternative: Why Extra Is Much less.” The essential premise is that this: Whether or not choosing your favourite ice cream or a brand new pair of sneakers or a household doctor, alternative is usually a great factor. However too many selections can depart us feeling paralyzed and fewer happy with our choices in the long term.
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And that’s only for the little issues.
Confronted with a stream of adverse selections about well being and security throughout a world pandemic, Schwartz suggests, we might expertise a singular type of burnout that might deeply have an effect on our brains and our psychological well being.
Schwartz, an emeritus professor of psychology at Swarthmore Faculty and a visiting professor on the Haas Faculty of Enterprise at UC Berkeley, has been finding out the interactions amongst psychology, morality and economics for 50 years. He spoke with KHN concerning the determination fatigue that so many People are feeling two years into the pandemic, and the way we will cope.
What’s determination fatigue?
Everyone knows that alternative is nice. That’s a part of what it means to be an American. So, if alternative is nice, then extra should be higher. It seems, that’s not true.
Think about that whenever you go to the grocery store, not solely do it’s important to select amongst 200 sorts of cereal, however it’s important to select amongst 150 sorts of crackers, 300 sorts of soup, 47 sorts of toothpaste, and so forth. In the event you actually went in your procuring journey with the intention of getting one of the best of every thing, you’d both die of hunger earlier than you completed or die of fatigue. You possibly can’t reside your life that manner.
Once you overwhelm folks with choices, as an alternative of liberating them, you paralyze them. They will’t determine. Or, in the event that they do determine, they’re much less happy, as a result of it’s really easy to think about that some various that they didn’t select would have been higher than the one they did.
How has the pandemic affected our potential to make choices?
At first of the pandemic, all the alternatives that we confronted vanished. Eating places weren’t open, so that you didn’t need to determine what to order. Supermarkets weren’t open, or they have been too harmful, so that you didn’t need to determine what to purchase. Abruptly your choices have been restricted.
However, as issues eased up, you form of return to some model of your earlier life, besides with an entire new set of issues that none of us thought of earlier than.
And the sorts of choices you’re speaking about are extraordinarily high-stakes choices. Ought to I see my dad and mom for the vacations and put them in danger? Ought to I let my child go to high school? Ought to I’ve gatherings with associates exterior and shiver, or am I prepared to threat sitting inside?
These usually are not choices we’ve had apply with. And having made this determination on Tuesday, you’re confronted with it once more on Thursday. And, for all you already know, every thing has modified between Tuesday and Thursday. I feel this has created a world that’s simply not possible for us to barter. I don’t know that it’s doable to go to mattress with a settled thoughts.
Are you able to clarify what’s occurring in our brains?
Once we make selections, we’re exercising a muscle. And simply as within the gymnasium, whenever you do reps with weights, your muscle tissues get drained. When this choice-making muscle will get drained, we principally can’t do it anymore.
We’ve heard loads about extra folks feeling depressed and anxious in the course of the pandemic. Do you assume that call fatigue is exacerbating psychological well being points?
I don’t assume you want determination fatigue to clarify the explosion of psychological well being issues. But it surely places an extra burden on folks.
Think about that you simply determined that, beginning tomorrow, you will be considerate about each determination you make. OK, you get up within the morning: Ought to I get off the bed? Or ought to I keep in mattress for an additional quarter-hour? Ought to I brush my tooth, or skip brushing my tooth? Ought to I dress now, or ought to I dress after I’ve had my espresso?
What the pandemic did for lots of people is to take routine choices and make them non-routine. And that places a type of stress on us that accumulates over the course of the day, after which right here comes tomorrow, and also you’re confronted with all of them once more. I don’t see the way it might probably not contribute to emphasize and nervousness and melancholy.
Because the pandemic wears on, are we getting higher at making these choices? Or does the compounded exhaustion make us worse at gauging the choices?
There are two potentialities. One is that we’re strengthening our decision-making muscle tissues, which implies that we will tolerate extra choices in the middle of a day than we used to. One other risk is that we simply adapt to the state of stress and nervousness, and we’re making all types of unhealthy choices.
In precept, it must be the case that whenever you’re confronted with a dramatically new scenario, you discover ways to make higher choices than you have been in a position to make when it began. And I don’t doubt that’s true of some folks. However I additionally doubt that it’s true typically, that persons are making higher choices than they have been when it began.
So what can we do to keep away from burnout?
First, simplify your life and observe some guidelines. And the principles don’t need to be excellent. For instance: “I’m not going to eat indoors in a restaurant, interval.” You’ll miss out on alternatives which may have been fairly nice, however you’ve taken one determination off the desk.
And you are able to do that with respect to numerous issues the way in which that, after we do our grocery procuring, we purchase Cheerios each week. You recognize, I’m going to consider numerous the issues I purchase on the grocery, however I’m not going to consider breakfast.
The second factor you are able to do is to cease asking your self, “What’s one of the best factor I can do?” As an alternative, ask your self, “What’s a adequate factor I can do?” What possibility will result in adequate outcomes more often than not? I feel that takes an unlimited quantity of stress off.
There’s no assure that you simply gained’t make errors. We reside in an unsure world. But it surely’s loads simpler to seek out adequate than it’s to seek out finest.
This dialog has been edited for size and readability.
KHN (Kaiser Well being Information) produces in-depth journalism about well being points, one of many three main working packages at KFF (Kaiser Household Basis).
Science
Panama Canal’s Expansion Opened Routes for Fish to Relocate
Night fell as the two scientists got to work, unfurling long nets off the end of their boat. The jungle struck up its evening symphony: the sweet chittering of insects, the distant bellowing of monkeys, the occasional screech of a kite. Crocodiles lounged in the shallows, their eyes glinting when headlamps were shined their way.
Across the water, cargo ships made dark shapes as they slid between the seas.
The Panama Canal has for more than a century connected far-flung peoples and economies, making it an essential artery for global trade — and, in recent weeks, a target of President-elect Donald J. Trump’s expansionist designs.
But of late the canal has been linking something else, too: the immense ecosystems of the Atlantic and the Pacific.
The two oceans have been separated for some three million years, ever since the isthmus of Panama rose out of the water and split them. The canal cut a path through the continent, yet for decades only a handful of marine fish species managed to migrate through the waterway and the freshwater reservoir, Lake Gatún, that feeds its locks.
Then, in 2016, Panama expanded the canal to allow supersize ships, and all that started to change.
In less than a decade, fish from both oceans — snooks, jacks, snappers and more — have almost entirely displaced the freshwater species that were in the canal system before, scientists with the Smithsonian Tropical Research Institute in Panama have found. Fishermen around Lake Gatún who rely on those species, chiefly peacock bass and tilapia, say their catches are growing scarce.
Researchers now worry that more fish could start making their way through from one ocean to the other. And no potential invader causes more concern than the venomous, candy-striped lionfish. They are known to inhabit Panama’s Caribbean coast, but not the eastern Pacific. If they made it there through the canal, they could ravage the defenseless local fish, just as they’ve done in the Gulf of Mexico and the Caribbean.
Already, marine species are more than occasional visitors in Lake Gatún, said Phillip Sanchez, a fisheries ecologist with the Smithsonian. They’re “becoming the dominant community,” he said. They’re “pushing everything else out.”
Science
Sitting hurts. Train for your desk job with these 5 easy exercises for your head and neck
It’s Monday morning, the start of your work week. You’ve put the finishing touches on that big report, prepared for that imminent presentation. But it’s likely that there’s one aspect of the job you’re not ready for: the marathon of sitting at your desk all day.
Time to start training. Because while it might not be earthshaking news, it bears repeating: Prolonged desk work can lead to a host of musculoskeletal issues, from annoying aches and pains to injuries.
Even if your work space is ergonomically correct — and even if you exercise regularly in your free time — excessive desk work (considered three or four continuous hours) can lead to weakened, tight muscles, joint stiffness, inflammation in the muscles and tendons and tight fascia (connective tissue). Add it all up, and the result is typically some level of discomfort.
Left untreated, muscles that are stressed and deconditioned can lead to painful soft tissue problems, such as tendonitis and carpal tunnel syndrome, as well as chronic lower back pain. You can also become at risk for bulging or herniated discs, pinched nerves and other issues.
Desk work can also lead to biomechanical imbalances. Weakened glutes from sitting, for example, can lead to stress on the knees and lower back; tired hip flexors can alter pelvic movement, leading to lower back pain.
Which is concerning seeing as sitting for work is both on the rise and can put us at risk for other serious health issues, says Stella Volpe, president of the American College of Sports Medicine.
“We know that there are more Americans now that have sedentary jobs than ever in the past,” Volpe says. “The more we sit, the greater risk we have of diabetes, obesity and cardiovascular disease.”
Blame our sitting-related woes on the advent of furniture, says David Raichlen, a USC evolutionary biologist who studies sedentary behavior and exercise.
Before chairs with a back and arm rests debuted as a status symbol among ancient Egyptians about 5,000 years ago, he says that humans mostly kneeled or squatted for about 2 million years. Those resting postures require light muscle activity, but when the body is fully supported by a chair or a couch, it turns off that activity in the body parts being supported by the furniture, Raichlen says. Prolonged inactivity can then lead to muscle atrophy and other problems.
“From an evolutionary standpoint, the human body hasn’t yet adapted to furniture,” Raichlen says. “It never had to deal with completely inactive muscles for long periods of time until very recently.”
But the good news is you can train for long-distance sessions at your desk by working out your neck, your wrists, your lower back, even your feet and toes. These “exercise snacks,” as trainers call them, don’t require a trip to the gym, or equipment, or even much time.
They’re not meant to replace regular exercise, but they will — if done regularly — prepare your body for the challenge that is desk work by stretching and strengthening your muscles, taking pressure off your joints and reducing stiffness and inflammation in the area — all of which may alleviate pain and prevent new injuries.
“We’re designed to be hunter-gatherers, not to wiggle our fingers on a keyboard for eight hours straight,” says Dr. Joshua T. Goldman, a UCLA sports medicine physician. “We need to build up strength, for endurance purposes, to help those body parts tolerate that activity.”
“The human body hasn’t yet adapted to furniture. It never had to deal with completely inactive muscles for long periods of time until very recently.”
— David Raichlen, USC evolutionary biologist
We spoke to exercise physiologists, sports medicine physicians, personal trainers, physical therapists and others to devise a short, five-minute exercise routine for six key regions of the body. We’ll roll out one routine a week — starting with the head and neck area — for six weeks, until you have a complete full-body workout.
Each exercise is purposefully simple, meant to take 30-60 seconds. And each routine lasts about five minutes or less in total. They’re ideally done throughout the day, so as to promote mobility and circulation, bringing blood flow and nutrients to the muscles and tendons, and increasing lubrication in the joints. Set a timer. Take a five-minute break to execute one routine. Then get back to work.
Still too busy? Do just one exercise, for 30-60 seconds, then continue working. If you get through one routine by day’s end, consider it a win. Focus on a different routine the next day.
“It all adds up,” Volpe says. “Our society often thinks that if you’re not running a marathon, you’re not doing enough. But the additive effect is still good for you.”
A routine for your head and neck
The neck is a common area in which to develop pain from desk work. Looking at a computer monitor, we often jut our neck forward rather than tucking in our chin, as we should. That pushes our cervical column out of alignment and creates excess stress on the bones and discs of the cervical spine. It shortens and tightens muscles in the neck, which can lead to pain and cause tension headaches.
Do these exercises to help stretch and strengthen the muscles that support your head and neck. They’re demonstrated by trainer Melissa Gunn, of Pure Strength LA, whose team trains desk workers on how to protect their bodies through exercise.
- Clasp your hands behind your head and gently tuck your chin down toward your chest. Hold 10 seconds. Do five times.
- Slowly tilt your head to the left, bringing your ear toward your shoulder. Hold for 10 seconds, then raise it slowly back up to the starting point. Switch sides. Do three times on each side. To increase the stretch, after bringing your ear to your shoulder and holding, turn your head and look down toward your armpit on the same side, then return to starting position.
- Place your back flat against a wall and stand with your feet about eight inches from the wall, with knees slightly bent. Your arms should be flush against the wall, with palms facing outward. Tuck your chin slightly and push your head gently against the wall. Slide your arms up the wall, as if doing a snow angel. Go as far as you can with your arms and hands flush against wall. Stop when they begin to pull away from the wall — typically when palms are between shoulder height and head height. Do 10 times.
- Stand up straight and align your head, shoulders, hips and ankles — most people jut their neck forward without knowing it, creating static tension there, so consciously move your head back so it’s above your shoulders. Slowly roll your head in a circle, first to the left, clockwise, all the way around; then to the right, counter-clockwise. Do 3 times on each side.
- Stand up straight and align your head, shoulders, hips and ankles. Your arms should be beside you and your palms facing outward. Then pull your arms back but no further than the back pockets of your pants — without lifting your shoulders — and draw your shoulder blades together. Hold for 2-5 seconds. Do 5-10 times.
(Exercises came from Dr. Joshua T. Goldman, UCLA sports medicine; Melissa Gunn, Pure Strength LA; Tom Hendrickx, Pivot Physical Therapy; Vanessa Martinez Kercher, Indiana University-Bloomington, School of Public Health; Nico Pronk, Health Partners Institute; Niki Saccareccia, Light Inside Yoga.)
Science
Lead Poisoning May Have Made Ancient Romans a Bit Less Intelligent
Roughly 2,000 years ago, the Roman Empire was flourishing. But something sinister was in the air. Literally.
Widespread pollution in the form of airborne lead was taking a toll on health and intelligence, researchers reported on Monday in the journal Proceedings of the National Academy of Sciences.
During the roughly two centuries starting in 27 B.C., a period of relative stability and prosperity known as the Pax Romana, the empire extended throughout Europe, the Middle East and North Africa. Its economy relied on silver coinage, which required huge mining operations.
But extracting silver from the Earth creates a whole lot of lead, said Joseph McConnell, an environmental scientist at the Desert Research Institute, a nonprofit group based in Nevada, and the lead author of the new research. “If you produce an ounce of silver, you’d have produced something like 10,000 ounces of lead.”
And lead has a host of negative effects on the human body. “There is no such thing as any safe level of lead exposure,” said Deborah Cory-Slechta, a neurotoxicologist at the University of Rochester Medical Center who was not involved in the research.
Dr. McConnell and his colleagues have now detected lead in layers of ice collected in Russia and Greenland that date to the time of the Roman Empire. Lead entered the atmosphere from Roman mining operations, hitched a ride on air currents and eventually fell out of the atmosphere as snow in the Arctic, the team surmised.
The levels of lead that Dr. McConnell and his collaborators measured were extremely low, roughly one lead-containing molecule per trillion molecules of water. But the ice samples were collected thousands of miles from southern Europe, and lead concentrations would have been highly dispersed after such a long journey.
In order to estimate the amount of lead originally emitted by Roman mining operations, the researchers worked backward: Using powerful computer models of the planet’s atmosphere and making assumptions about the location of the mining sites, the team varied the amount of lead emitted to match the concentrations they measured in the ice. In one case, they assumed that all silver production took place at a historically important mining site in southwestern Spain known as Rio Tinto. In another case, they presumed that silver mining was equally spread out across dozens of sites.
The team calculated that anywhere from 3,300 to 4,600 tons of lead were being emitted into the atmosphere each year by Roman silver-mining operations. The researchers then estimated how all that lead would be scattered across the Roman Empire.
“We ran the model in the forward direction to see how those emissions would be distributed,” Dr. McConnell said.
With those atmospheric-lead concentrations in hand, the researchers next used modern-day data to estimate how much lead would have entered the bloodstreams of people in ancient Rome.
Dr. McConnell and his colleagues focused on infants and children. Young people are particularly susceptible to taking up lead from their environment via ingestion and inhalation, said Dr. Bruce Lanphear, a public heath physician at Simon Fraser University in British Columbia who was not involved in the research. “Pound for pound, children, particularly infants, eat more and breathe more.”
In recent decades, lead levels in children’s blood have been correlated with a slew of physical and mental health metrics, including I.Q., Dr. Cory-Slechta said. “We have actual data on I.Q. scores in kids with different blood-lead concentrations.”
Using those modern-day relationships, Dr. McConnell and his team estimated that children across much of the Roman Empire would have had around 2 to 5 additional micrograms of lead, per deciliter of blood. Such levels correspond to I.Q. declines of roughly 2 or 3 points.
For comparison, American children in the 1970s had average blood-lead-level enhancements of around 15 micrograms more lead per deciliter of blood before the phasing out of leaded gasoline and leaded paints. Their corresponding average I.Q. decline was about 9 points.
But lead exposure would have had other negative effects on Romans as well. Higher levels of lead in the blood have also been linked to higher incidences of preterm births and reduced cognitive functioning in old age. “It follows you throughout life,” Dr. Lanphear said.
Some scholars have hypothesized that lead poisoning played an important role in the decline of the Roman Empire. But that idea has been called into question, at least when it comes to water contaminated by lead pipes. A 2014 study showed that, while the pipes used to distribute water in Rome increased lead levels, the water was unlikely to be truly harmful.
These new findings make sense, said Hugo Delile, a geoarchaeologist at the French National Centre for Scientific Research, who was not involved in the research. “They confirm the extent of lead pollution resulting from Roman mining and metallurgical activities.”
According to Dr. McConnell, the research also confers a dubious honor on Roman mining. “To my knowledge, it’s the earliest example of widespread industrial pollution,” he said.
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