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Another pandemic malady: Decision fatigue

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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.

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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.

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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?

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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.

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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).

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Video: Two Americans Are Awarded the Nobel Prize for Medicine

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Video: Two Americans Are Awarded the Nobel Prize for Medicine

new video loaded: Two Americans Are Awarded the Nobel Prize for Medicine

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Two Americans Are Awarded the Nobel Prize for Medicine

Victor Ambros and Gary Ruvkun were awarded the Nobel Prize in Physiology or Medicine for their discovery of microRNA, which plays a role in organism development and gene regulation.

The Nobel Assembly at Karolinska Institutet has today decided to award the 2024 Nobel Prize in Physiology or Medicine jointly to Victor Ambros and Gary Ruvkun for the discovery of microRNA and its role in post-transcriptional gene regulation. Here are the two laureates.

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Sex, radiation and mummies: How farms are fighting a pesky almond moth without pesticides

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Sex, radiation and mummies: How farms are fighting a pesky almond moth without pesticides

In a windowless shack on the far outskirts of Fresno, an ominious red glow illuminates a lab filled with X-ray machines, shelves of glowing boxes, a quietly humming incubator and a miniature wind tunnel.

While the scene looks like something straight out of a sci-fi movie, its actually part of an experimental program to prevent a damaging almond pest from successfully mating.

A moth trap hangs from the branch of an almond tree.

(Gary Kazanjian / For The Times)

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With California almond growers reeling from dropping nut prices and rising costs, the pests have only added to their woes.

Every year, the navel orangeworm eats through roughly 2% of California’s almonds before they can make it to grocery store shelves. Last year, it was almost double that.

While that might seem small, if you do the math “it’s going to be a lot of millions of dollars lost to this pest,” said David Haviland, a Kern County farm advisor with University of California Agriculture and Natural Resources. “And that’s despite the control methods that people use,” he said.

California produces 80% of the world’s almonds, yet in 2022 the production value of the nut fell 34% compared with the previous year.

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Scientists say climate change could make the navel orangeworm problem even worse, with hotter temperatures allowing the moths to reproduce even faster. (Despite its name, the insect has largely left citrus farms unbothered and is in fact a moth.)

Traditionally, nut farmers have tackled the insect with chemical pesticides, or by destroying “mummies” — almonds left over after harvest. Mummies are a favorite winter shelter for the bugs.

However, research is increasingly showing that chemical pesticides are not only harmful to the environment but to people as well. One new study found that the impact of nearby pesticide use on cancer incidence “may rival that of smoking.”

“When you have to don a spacesuit, basically, to apply something, you’re definitely thinking, ‘This is not good,’” said Houston Wilson, an entomologist with UC ANR’s Kearney Agricultural Research and Extension Center and the mastermind behind the sci-fi shack.

“Across the board, folks want to get away from chemical controls,” he said.

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So farmers and researchers have been searching for other non-pesticide alternatives.

Removing almost every last mummy from every tree in an orchard can be effective, but since it must be done manually, it can become too expensive and complex for some growers.

Another tactic that’s been used since around 2010 is to cover orchards with disorienting levels of sex pheromones to confuse horny moths — a technique known as “mating disruption.”

But with limited budgets and climate change threatening to make the pest situation worse, researchers are studying another yet-to-be-proven approach: sterilizing almost a million moths a day with radiation and dropping them out of planes.

Houston Wilson looks over trapped moths at the Kearney Agricultural Research and Extension Center in Parlier, Calif.

Houston Wilson looks over trapped moths at the Kearney Agricultural Research and Extension Center in Parlier, Calif.

(Gary Kazanjian / For The Times)

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The idea behind the technique is that by flooding orchards with sterilized insects, they will mate with fertile insects and produce no offspring, reducing the overall population.

The simplest way to sterilize the bugs is to use radiation. Since their reproductive genes tend to mutate faster, the right dose can leave them relatively unfazed but unable to reproduce.

At the request of almond and pistachio farmers, the California Department of Food and Agriculture has been working with the Animal and Plant Health Inspection Service of the U.S. Department of Agriculture since 2018 to source sterilized moths from a Phoenix lab.

An X-ray machine designed to sterilize moths is shown at the Kearney Agricultural Research and Extension Center.

An X-ray machine designed to sterilize moths is shown at the Kearney Agricultural Research and Extension Center.

(Gary Kazanjian / For The Times)

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The lab sterilizes about 750,000 bugs per day, then chills the moths to put them to sleep and ships them off to California. The bugs are dropped from an airplane hundreds of feet in the air. Often too sleepy to fly, the insects crash into the hard ground or almond trees.

From there, the survivors have only one job: have sex.

Through this test program, the USDA hopes to perfect the best ways to get moths to reproduce in the lab and give them the right dose of radiation that will sterilize them but not severely injure or disorient them.

The program has yet to put a significant dent in the moth population, though, because they can’t produce enough sterile bugs.

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Right now, researchers are only finding a couple of sterile insects in traps for every hundred wild fertile moths. For the technique to be effective, they’ll need to deploy dozens of sterile bugs for every wild one.

Anisa Bel Guzman counts moths at the Kearney Agricultural Research and Extension Center in Parlier, Calif.

Anisa Bel Guzman counts moths at the Kearney Agricultural Research and Extension Center in Parlier, Calif.

(Gary Kazanjian / For The Times)

Matthew Aubuchon, national policy manager at the USDA’s Animal and Plant Health Inspection Service, estimated that the Phoenix facility could produce up to 8 million moths per day with enough staff working around the clock.

While opening more facilities in California would help, the program uses cobalt to produce high-energy radiation to sterilize the bugs — which is expensive and requires the lab to take extensive safety and security measures.

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Wilson’s sci-fi shack at Kearney might hold a solution that is cheaper and easier to scale.

Instead of using cobalt or other radioactive materials, Wilson’s team uses an X-ray machine to irradiate the pests. (Unlike a radioactive substance, an X-ray machine will not emit radiation when it is turned off.)

Then, the team puts their X-rayed bugs and the sterilized insects from Phoenix through a series of tests to determine which methods produce the healthiest, sterile moths.

The tests include gluing moths to the end of a stick suspended in the air. The stick rotates like a carousel as the moths flutter around and researchers record how well they can fly.

A red glow fills an insect wind tunnel.

Houston Wilson looks into an insect wind tunnel as researchers look for innovative ways to manage an invasive almond pest.

(Gary Kazanjian / For The Times)

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The researchers also place moths in a wind tunnel and release sex pheromones to see if the excited bugs are able to locate the smell. (Unfortunately for the insects, there are no potential mates at the end of the tunnel.)

While the team doesn’t yet produce enough X-rayed moths to test them in a full-blown almond orchard, they do send the Phoenix moths into their final test: releasing them into their seven-acre almond farm on the Kearney campus to see how good they are at actually finding fertile moths to mate with.

Houston Wilson looks over a navel orangeworm trap in an almond field in Parlier.

Houston Wilson looks over a navel orangeworm trap in an almond field in Parlier.

(Gary Kazanjian / For The Times)

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The researchers at Kearney may be in a race against time, however.

Scientists say it’s possible that climate change will continue to tip the weather in the moths’ favor. The metabolism of navel orangeworms — like many agricultural pests — is tied to temperature. The hotter it is, the faster they grow and reproduce.

A 2021 study found that the moths, which can have life cycles as short as just one month, may be able to squeeze in another generation each summer before holing up in nuts for the winter.

“For each additional generation, their population is increasing at an exponential rate,” said Tapan Pathak, an author on the study and a professor at UC Merced.

“If this additional generation is coinciding with … harvest,” Pathak said, “then they become unmarketable. That’s a huge economic loss.”

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However, the food web is complicated, and just because the warmer weather benefits the moths on paper doesn’t mean the moths will end up on top.

A closeup of an almond growing on a tree branch.

Every year, navel orangeworms eat through roughly 2% of California’s almonds before they can make it to grocery store shelves.

(Gary Kazanjian / For The Times)

“Navel orangeworm could be a nightmare … but it could also become less of a problem because all the things that eat it benefit more from the heat than the navel orangeworm,” said Haviland. “The crystal ball is certainly not clear enough to know what will happen.”

Researchers stress that successful pest control will require multiple measures.

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“What we’ve learned through integrated pest management is that the timing of one or staggering of different approaches together yields results for the growers,” said Aubuchon.

The tried-and-true non-pesticide method growers have been using since the moths’ unannounced arrival in the 1940s is to simply ensure all the almonds are either harvested or destroyed by the time winter arrives.

But for this method to be effective, there must be no more than two almonds left on every tree in an orchard. This can be hard to achieve in wet weather.

Rain makes almond branches soggy and flexible, which makes it hard to snap nuts off using an industrial shaker. Damp earth can also make it difficult for machines to get close to the trees.

Instead, workers must use poles to knock almonds off manually. As effective as this is, increasing labor costs mean some farms just can’t afford it.

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Anisa Bel Guzman counts moths at the Kearney Agricultural Research and Extension Center in Parlier.

Anisa Bel Guzman counts moths at the Kearney Agricultural Research and Extension Center in Parlier.

(Gary Kazanjian / For The Times)

While researchers say the sterile insect technique still has a lot of hurdles to clear before it will be widely effective, they say it holds great promise.

“You’re literally managing a pest by preventing it from being born in the first place,” said Haviland of both sterile insect technique and pheromone mating disruption. “To think that something like that was possible 10 or 15 years ago — nobody could imagine that growers would be using such innovative techniques as those.”

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The Tijuana River smells so bad, the CDC is coming to investigate

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The Tijuana River smells so bad, the CDC is coming to investigate

San Diego County residents will have an opportunity to share their pollution concerns about the Tijuana River when officials from the Centers for Disease Control and Prevention arrive later this month to conduct a health survey.

This is the first time that a federal agency is investigating the potential harm caused by millions of gallons of raw sewage pouring through the Tijuana River that have caused beach closures of more than 1,000 days. Residents living near the river say they have been suffering unexplained illnesses, including gastrointestinal issues and chronic breathing problems, because of the stench of hydrogen sulfide.

“We’re continuing to lean in and listen in on what our community residents are feeling,” said Dr. Seema Shah, the interim deputy public health officer with San Diego County. Supervisor Nora Vargas first wrote to the CDC back in May, formally asking the U.S. Department of Health and Human Services to look into the health complaints.

This week, the county began reaching out to thousands of residents to inform them that the CDC is coming in the hope that they will be more receptive to answering questions. “This is our chance to be able to communicate [pollution concerns] on a national level,” Shah added.

As part of what the CDC calls a Community Assessment for Public Health Emergency Response, 210 households will be surveyed about their mental and physical health, as well as the pollution’s effects on property values. The families will be randomly selected from 30 clusters of neighborhoods where San Diego County has identified air pollution complaints in the Tijuana River Valley.

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Around 30 officials from the CDC and 50 graduate student volunteers from San Diego State University’s School of Public Health will be going door to door to conduct interviews with local residents over a three-day period. Here are the times when the survey will be conducted:

  • Thursday, Oct. 17, 2024, from 2 p.m. to 7 p.m.
  • Friday, Oct. 18, 2024, from 2 p.m. to 7 p.m.
  • Saturday, Oct. 19, 2024, from 10 a.m. to 7 p.m.

The goal is to accommodate people’s schedules and, officials hope, catch them after work, Shah said. The volunteers are helping to bridge the language barriers with Spanish-speaking families.

“A lot of students, many of whom are bilingual, are from the community themselves,” said Paula Granados, an associate professor at San Diego State University’s School of Public Health, who’s been testing the Tijuana River for contaminants over the past month. “Our students are super excited. They want to help.”

The CDC could take weeks to months to release even the preliminary results from the survey, but for longtime residents like Bethany Case, this renewed attention already feels like a breath of hope.

“I just really want [this survey] to inform policy so that we don’t have to worry about our kids being sick,” said Case, the mother of two who’s lived in Imperial Beach for 16 years. For seven years she’s been an activist fighting to clean up the river as a volunteer with Surfrider, a nonprofit that works to preserve ocean access and cleanliness.

“I’m hoping that their survey shows that oftentimes it doesn’t just smell like sewage,” Case added. She doesn’t want the focus on the sewage to distract from the industrial waste that is dumped into the river that could be making people ill. “Oftentimes it smells like a chemical, it smells like a bite in the air, it burns your sinuses.”

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Granados said the CDC’s survey is only a snapshot of what was going on when the data were collected, and conditions could worsen for residents when rainy seasons flood the river once more. Granados wants residents to know that even if they aren’t picked to respond to this survey, SDSU will be conducting its own yearlong survey that they can answer multiple times at tjriver.sdsu.edu.

“There’s research that’s still ongoing,” Granados said, and all that data will help policy decisions in the future. “We’re just committed to the long haul, whatever it takes to support the community.”

The county and other federal and state representatives have been working to raise awareness around the pollution to a national level.

Next week, the San Diego County Board of Supervisors will consider a proposal by Supervisor Terra Lawson-Remer to petition the Environmental Protection Agency to label the Tijuana River a Superfund site in need of remediation.

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