After Russian retreat, Ukrainian military plans next move

Associated Press

After Russian retreat, Ukrainian military plans next move

Sam Mednick – November 24, 2022 

A sniper unit aims towards Russian positions during an operation, Kherson region, southern Ukraine, Saturday, Nov. 19, 2022. The Ukrainian sniper adjusted his scope, fired a.50-caliber bullet and said he saw a Russian soldier fall across the Dnieper River. Another Ukrainian used a drone to scan for Russian troops. Two weeks after retreating from from the southern city of Kherson, Russia is pounding the territory across the Dnieper with artillery. (AP Photo/Bernat Armangue, File)
A sniper unit aims towards Russian positions during an operation, Kherson region, southern Ukraine, Saturday, Nov. 19, 2022. The Ukrainian sniper adjusted his scope, fired a.50-caliber bullet and said he saw a Russian soldier fall across the Dnieper River. Another Ukrainian used a drone to scan for Russian troops. Two weeks after retreating from from the southern city of Kherson, Russia is pounding the territory across the Dnieper with artillery. (AP Photo/Bernat Armangue, File)
A destroyed school on the outskirts of a recently liberated village outskirts of Kherson, in southern Ukraine, Wednesday, Nov. 16, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)
A destroyed school on the outskirts of a recently liberated village outskirts of Kherson, in southern Ukraine, Wednesday, Nov. 16, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)
A destroyed school on the outskirts of a recently liberated village outskirts of Kherson, in southern Ukraine, Wednesday, Nov. 16, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)
A destroyed school on the outskirts of a recently liberated village outskirts of Kherson, in southern Ukraine, Wednesday, Nov. 16, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)
FILE - Residents queue to fill containers with drinking water in Kherson, southern Ukraine, Sunday, Nov. 20, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move.(AP Photo/Bernat Armangue, File)
Residents queue to fill containers with drinking water in Kherson, southern Ukraine, Sunday, Nov. 20, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move.(AP Photo/Bernat Armangue, File)
FILE - Residents plug in mobile phones and power banks at a charging point in downtown Kherson, southern Ukraine, Sunday, Nov. 20, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue, File)
 Residents plug in mobile phones and power banks at a charging point in downtown Kherson, southern Ukraine, Sunday, Nov. 20, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue, File)
Residents talk on the phone next to a monument with a recently paint Ukrainian flag in Kherson, southern Ukraine, Sunday, Nov. 20, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)
Residents talk on the phone next to a monument with a recently paint Ukrainian flag in Kherson, southern Ukraine, Sunday, Nov. 20, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)
Valeriy Gregoryevich points at the other side of the Dnipro river where Russian positions are fortified as he and other residents collect water from the river bank in the recently liberated city of Kherson, southern Ukraine, Monday, Nov. 21, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)
Valeriy Gregoryevich points at the other side of the Dnipro river where Russian positions are fortified as he and other residents collect water from the river bank in the recently liberated city of Kherson, southern Ukraine, Monday, Nov. 21, 2022. The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow most significant battlefield losses. Now that its troops hold a new front line, the Ukrainian military said through a spokesman, the army is planning its next move. (AP Photo/Bernat Armangue)

KHERSON, Ukraine (AP) — The Ukrainian sniper adjusted his scope and fired a.50-caliber bullet at a Russian soldier across the Dnieper River. Earlier, another Ukrainian used a drone to scan for Russian troops.

Two weeks after retreating from the southern city of Kherson, Russia is pounding the town with artillery as it digs in across the Dnieper River.

Ukraine is striking back at Russian troops with its own long-distance weapons, and Ukrainian officers say they want to capitalize on their momentum.

The Russian withdrawal from the only provincial capital it gained in nine months of war was one of Moscow’s most significant battlefield losses. Now that its troops hold a new front line, the army is planning its next move, the Ukrainian military said through a spokesman.

Ukrainian forces can now strike deeper into the Russian-controlled territories and possibly push their counteroffensive closer to Crimea, which Russia illegally captured in 2014.

Russian troops continue to establish fortifications, including trench systems near the Crimean border and some areas between the Donetsk and Luhansk regions in the east.

In some locations, new fortifications are up to 60 kilometers (37 miles) behind the current front lines, suggesting that Russia is preparing for more Ukrainian breakthroughs, according to the British Ministry of Defense.

“The armed forces of Ukraine seized the initiative in this war some time ago,” said Mick Ryan, military strategist and retired Australian army major general. “They have momentum. There is no way that they will want to waste that.”

Crossing the river and pushing the Russians further back would require complicated logistical planning. Both sides have blown up bridges across the Dnieper.

“This is what cut Russians’ supply lines and this is also what will make any further Ukrainian advance beyond the left bank of the river more difficult,” said Mario Bikarski, an analyst with the Economist Intelligence Unit.

In a key battlefield development this week, Kyiv’s forces attacked Russian positions on the Kinburn Spit, a gateway to the Black Sea basin, as well as parts of the southern Kherson region still under Russian control. Recapturing the area could help Ukrainian forces push into Russian-held territory in the Kherson region “under significantly less Russian artillery fire” than if they directly crossed the Dnieper River, said the Institute for the Study of War, a Washington-based think tank. Control of the area would help Kyiv alleviate Russian strikes on Ukraine’s southern seaports and allow it to increase its naval activity in the Black Sea, the think tank added.

Some military experts say there’s a possibility the weather might disproportionately harm poorly-equipped Russian forces and allow Ukraine to take advantage of frozen terrain and move more easily than during the muddy autumn months, ISW said.

Russia’s main task, meanwhile, is to prevent any further retreats from the broader Kherson region and to strengthen its defense systems over Crimea, said Bikarski, the analyst. Ryan, the military strategist, said Russia will use the winter to plan its 2023 offensives, stockpile ammunition and continue its campaign targeting critical infrastructure including power and water plants.

Russia’s daily attacks are already intensifying. Last week a fuel depot was struck in Kherson, the first time since Russia withdrew. This week at least one person was killed and three wounded by Russian shelling, according to the Ukrainian president’s office. Russian airstrikes damaged key infrastructure before Russia left, creating a dire humanitarian crisis. Coupled with the threat of attack, that is adding a layer of stress, say many who weathered Russia’s occupation and are leaving, or considering it.

Ukrainian authorities this week began evacuating civilians from recently liberated parts of Kherson and Mykolaiv regions, fearing lack of heat, power and water due to Russian shelling will make winter unlivable.

Boarding a train on Monday, Tetyana Stadnik has decided to go after waiting for the liberation of Kherson.

“We are leaving now because it’s scary to sleep at night. Shells are flying over our heads and exploding. It’s too much,” she said. “We will wait until the situation gets better. And then we will come back home.”

Others in the Kherson region have decided to stay despite living in fear.

“I’m scared,” said Ludmilla Bonder a resident of the small village of Kyselivka. “I still sleep fully clothed in the basement.”

Bill Barr says Trump will ‘burn the whole house down’ and destroy the GOP if he doesn’t win the 2024 nomination

Insider

Bill Barr says Trump will ‘burn the whole house down’ and destroy the GOP if he doesn’t win the 2024 nomination

Tom Porter – November 23, 2022

Bill Barr and Donald Trump
Former Attorney General Bill Barr and former President Donald TrumpDrew Angerer/Getty Images
  • Former Attorney General Bill Barr discussed Donald Trump’s 2024 campaign in an op-ed.
  • He said Trump’s “narcissism” means he would be unable to accept losing the GOP nomination race.
  • Barr is a former Trump loyalist, who has recently turned against his ex-boss.

Former Attorney Bill Barr said that Donald Trump would seek to destroy the Republican Party if defeated in his bid to become its 2024 presidential nominee.

In an op-ed in The New York Post published on Tuesday, Barr addressed Trump’s announcement last week that he was seeking the Republican Party candidacy for the White House in 2024.

He said that if Trump loses the nomination, it could tear the GOP apart.

“Unless the rest of the party goes along with him, he will burn the whole house down by leading ‘his people’ out of the GOP,” Barr said, referring to the former president’s hardline supporters in the party.

“Trump’s willingness to destroy the party if he does not get his way is not based on principle, but on his own supreme narcissism,” Barr wrote.

“His egoism makes him unable to think of a political party as anything but an extension of himself — a cult of personality.”

Trump’s status as the GOP’s most powerful figure has taken a hit in the wake of the midterm elections, when several of the high profile candidates he’d endorsed in key races were defeated. 

Barr is among Republicans claiming the the divisive and flawed candidates Trump endorsed are the reason for the party’s failure to win control of the Senate, and to only secure a small House majority.

“The GOP’s poor performance in the recent midterms was due largely to Trump’s mischief,” said Barr, citing his candidate choice, failure to provide proper funding, and stoking of internal GOP divisions.

His criticisms is strikingly similar to that of Trump’s niece, Mary Trump, who also believes that the former president would seek to “burn everything down” if Republicans blame their midterms defeat on him.

Trump announced his candidacy at a relatively muted event at Mar-a-Lago last week amid mounting criticism of his midterm strategy. Meanwhile, momentum is building behind his rival, Florida Gov. Ron DeSantis.

Barr was seen as among the most loyal members of Trump’s cabinet. But more recently has been highly critical of Trump over his refusal to concede defeat after the 2020 election, and his retention of stashes of classified information after leaving office.

Barr in the op-ed said it was time for new leadership in the Republican Party.

“It is painfully clear from his track record in both the 2020 election and the 2022 midterms that Donald Trump is neither capable of forging this winning coalition nor delivering the decisive and durable victory required,” Barr said.

“Indeed, among the current crop of potential nominees, Trump is the person least able to unite the party and the one most likely to lose the general election,” he added.

Ukrainians work to restore power to nuclear plants as country freezes

Reuters

Ukrainians work to restore power to nuclear plants as country freezes

Pavel Polityuk and Tom Balmforth – November 23, 2022

KYIV (Reuters) -Ukraine restored power on Thursday to two of its four nuclear power plants but much of the country remained consigned to freezing darkness by the most devastating Russian air strikes on its energy infrastructure so far.

Viewed from space, Ukraine has become a dark patch on the globe at night, satellite images released by NASA showed, following repeated barrages of Russian missiles in recent weeks.

With temperatures falling below zero, authorities were working to get the lights and heat back on. Russia’s latest missile barrage killed 10 people and shut down all of Ukraine’s nuclear power plants for the first time in 40 years.

Regional authorities in Kyiv said power had been restored to three quarters of the capital by Thursday morning and water was working again in some areas. Transport was back up and running in the city, with buses replacing electric trams.

Authorities hoped to restart the three nuclear power plants in Ukrainian-held territory by the end of the day. By early evening, officials said a reactor at one of them, the Khmelnytskyi nuclear plant, had been reconnected to the grid.

The vast Zaporizhzhia plant in Russian-held territory also had to activate backup diesel power but it too was reconnected on Thursday, Ukrainian nuclear power company Energoatom said.

Since early October, Russia has attacked energy targets across Ukraine about once a week, each time firing hundreds of millions of dollars worth of missiles to knock out Ukraine’s power grid.

Moscow acknowledges attacking basic infrastructure, saying its aim is to reduce Ukraine’s ability to fight and push it to negotiate. Kyiv says such attacks are clearly intended to harm civilians, making them a war crime.

Kremlin spokesman Dmitry Peskov said it was Kyiv’s fault Ukrainians were suffering because it refused to yield to Moscow’s demands, which he did not spell out. Ukraine says it will only stop fighting when all Russian forces have left.

“What is there to talk about? I think that the first step should come from them. For starters, they have to stop shelling us,” said 27-year-old Olena Shafinska, queuing at a water pump in a park in central Kyiv with a group of friends.

Nuclear officials say interruptions in power can disrupt cooling systems and cause an atomic disaster.

“There is a real danger of a nuclear and radiation catastrophe being caused by firing on the entire territory of Ukraine with Russian cruise and ballistic missiles,” Petro Kotin, head of Ukraine’s nuclear operator Energoatom said.

“Russia must answer for this shameful crime.”

WEAPONISING WINTER

Winter has arrived abruptly in Ukraine and temperatures were well below freezing in the capital, a city of three million. U.S. Ambassador to the U.N. Linda Thomas-Greenfield said Russian President Vladimir Putin was “clearly weaponising winter to inflict immense suffering on the Ukrainian people”.

The Russian president “will try to freeze the country into submission,” she added.

There was no prospect of action from the Security Council, where Russia wields a veto. Moscow’s U.N. ambassador, Vasily Nebenzya, said it was against council rules for Ukraine President Volodymyr Zelenskiy to appear via video as he did on Wednesday, and rejected what he called “reckless threats and ultimatums” by Ukraine and its supporters in the West.

He blamed damage to Ukraine’s infrastructure on its air defence missiles and said the West should stop supplying them.

Ukrainian authorities said three apartment blocks were hit on Wednesday, killing ten people.

“Our little one was sleeping. Two years old. She was sleeping, she got covered. She is alive, thanks be to God,” said a man who gave his name as Fyodr, dragging a suitcase as he walked away from a smouldering apartment building hit in Kyiv.

Also in the capital, performers and staff members of the Kyiv National Academic Operetta Theater tearfully bid farewell to 26-year-old ballet dancer Vadym Khlupianets who was killed fighting Russian troops in eastern Ukraine.

Moscow has shifted to the tactic of striking Ukraine’s infrastructure even as Kyiv has inflicted battlefield defeats on Russian forces since September. Russia has also declared the annexation of land it occupies and called up hundreds of thousands of reservists.

The war’s first winter will now test whether Ukraine can press on with its campaign to recapture territory, or whether Russia’s commanders can keep their invasion forces supplied and find a way to halt Kyiv’s momentum.

Having retreated, Russia has a far shorter line to defend to hold on to seized lands, with more than a third of the front now blocked off by the Dnipro River.

“Ukraine will slowly grow in capabilities, but a continued maneuver east of the Dnipro River and into Russian-occupied Donbas will prove to be much tougher fights,” tweeted Mark Hertling, a former commander of U.S. ground forces in Europe.

“Ukrainian morale will be tested with continued Russian attacks against civilian infrastructure … but Ukraine will persevere.”

Russia has been pressing an offensive of its own along the front line west of the city of Donetsk, held by Moscow’s proxies since 2014. Ukraine said Russian forces tried again to advance on their main targets, Bakhmut and Avdiivka, with only limited success.

Further south, Russian forces were digging in on the eastern bank of the Dnipro, shelling areas across it including the city of Kherson, recaptured by Ukrainian forces this month.

Reuters could not immediately verify the battlefield accounts.

Moscow says it is carrying out a “special military operation” to protect Russian speakers in what Putin calls an artificial state carved from Russia. Ukraine and the West call the invasion an unprovoked war of aggression.

(Additional reporting by Stefaniia Bern and Reuters bureauxWriting by Peter Graff, Alexandra Hudson, Philippa Fletcher, Editing by William Maclean)

Brain-eating amoeba infections keep spreading to new areas across the US

Insider

Brain-eating amoeba infections keep spreading to new areas across the US

Andrea Michelson – November 23, 2022

deadly amoeba
A map from the Centers for Disease Control and Prevention shows brain-eating amoeba infections from 1962-2019.Centers for Disease Control and Prevention
  • At least three people died of brain-eating amoeba infections in the US this year.
  • The amoeba was found in lakes and rivers in Iowa, Nebraska, and Arizona.
  • As temperatures trend warmer, infections have been reported further north than in previous years.

In 2022, deadly brain-eating amoeba infections were recorded in states that had not seen the water-borne pathogen before.

The amoeba Naegleria fowleri thrives in warm freshwater — mostly lakes and rivers, but it’s also been found in public splash pads. If inhaled up the nose, the microscopic creature can cause a devastating brain infection known as primary amebic meningoencephalitis (PAM).

In past years, this has meant that health officials in southern states spend their summers on the lookout for reports of mysterious brain infections. However, the amoeba’s geographic footprint has expanded as temperatures warm across the US.

About three PAM infections are reported each year in the US, and they’re usually fatal.

By Insider’s count, there have been at least four infections in 2022. The Centers for Disease Control and Prevention have kept a record of PAM cases since 1962, but the agency has not released data for 2022 yet.

One reported case came from Florida, where a teenage boy continues to recover from an infection he contracted in July. The other three individuals who got sick lived further north, and they all died shortly after coming down with symptoms.

States like Florida, which has the most reported PAM infections after Texas, are better prepared to treat any brain infection in a swimmer like a PAM case. As global temperatures continue to rise, a larger swath of health officials will need to prepare for summer infections.

The first exposure in Iowa

A Missouri resident died of PAM in July after going swimming in an Iowa lake.

Testing at the Lake of Three Fires later revealed the presence of N. fowleri in the southwestern Iowa waters.

Iowa officials had not previously detected the amoeba in the state, but it’s possible that it was present in past years. The amoeba only causes harm to humans if it enters the nose, gaining access to the brain.

It was the first recorded case of the season, and the first of two PAM deaths in the Midwest in 2022.

Nebraska’s first recorded case

Nebraska confirmed its first death due to N. fowleri in August, after a child died of a rapidly progressing brain infection. The state had never reported a PAM infection before.

The child fell ill after swimming in the Elkhorn River, located a few miles west of Omaha. Officials later confirmed the amoeba was present in the child.

The river runs along a similar latitude to the Lake of Three Fires, as well as a Northern California lake where officials believe a 7-year-old contracted the amoeba last year.

Infections have been occurring in the northern half of the US with increasing frequency as temperatures rise and water levels drop, Douglas County health officials said at a news conference.

“Our regions are becoming warmer,” county health director Lindsey Huse said. “As things warm up, the water warms up and water levels drop because of drought, you see that this organism is a lot happier and more typically grows in those situations.”

A late infection in Arizona

The brain-eating amoeba is not new to Arizona, according to the CDC. The state has reported eight infections with PAM since 1962, and a Nevada resident died this year after a potential exposure in Arizona waters.

A Clark County, Nevada, resident under the age of 18 died after swimming in the Arizona side of Lake Mead, a reservoir that is split between the two states.

According to the Southern Nevada Health District, the boy went swimming in early October and developed symptoms about a week later. Most infections have been reported in June and July of previous years, so it’s possible the amoeba’s timeline is expanding along with its geographic territory.

How deadly is lung cancer? Signs, symptoms and prevention, according to an expert

Yahoo! Style

How deadly is lung cancer? Signs, symptoms and prevention, according to an expert

Julia Ranney, Lifestyle Editor – November 23, 2022

X-ray of lungs showing lung cancer
Read on to learn more about lung cancer, its causes and key warning signs. (Photo via Getty Images)

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Contact a qualified medical professional before engaging in any physical activity, or making any changes to your diet, medication or lifestyle.

For years, more and more Canadians have faced the often deadly diagnosis of lung cancer. The condition can be hard to detect, and thus difficult to treat.

Almost 100 people every day are expected to be diagnosed with lung cancer in Canada, which is a concerning statistic.

For Lung Cancer Awareness Month, which is recognized in November, Yahoo Canada spoke to Dr. Susanna Yee-Shan Cheng, a Medical Oncologist at Sunnybrook Health Sciences Centre, about the condition and how you might be able to prevent it.

Read on to learn more about lung cancer, its causes and key warning signs.

doctor pointing at a photo of an x-ray of lungs
Lung cancers are usually grouped into two main types called small cell and non-small cell. (Photo via Getty Images)
What is lung cancer?

Cancer is a disease in which cells in the body grow out of control.

According to the Canadian Cancer Society, “lung cancer starts in the cells of the lung,” and when it starts in lung cells, “it is called primary lung cancer.”

Lung cancers are usually grouped into two main types called small cell and non-small cell.

Non–small cell lung cancer usually starts in glandular cells on the outer part of the lung, and small cell lung cancer usually starts in cells that line the bronchi in the centre of the lungs. Non–small cell is more common.

According to Cheng, while lung cancer might not be as common as skin or breast cancer for example, it’s the mortality rate that’s concerning.

“Lung cancer is actually the number one cause of cancer death. It is common but it’s actually the mortality that’s the biggest issue.”Dr. Susanna Cheng

“Lung cancer is actually the number one cause of cancer death,” says Cheng. “It is common but it’s actually the mortality that’s the biggest issue. Stage by stage lung cancer is prognostically worse than most cancers.”

What causes lung cancer?

Cheng says that smoking is “the number one cause” of lung cancer. As per Lung Cancer Canada, the majority of lung cancer cases – about 85 per cent — are directly related to smoking tobacco, particularly cigarettes.

Smoking increases lung cancer risk by:

• Causing genetic changes in the cells of the lungs

• Damaging the lungs’ normal cleaning process by which they get rid of foreign and harmful particles

• Lodging cancer-causing particles in the mucus and developing into cancer tumours

However, Cheng reveals that there’s a “growing number of patients who are non-smokers.”

man smoking a cigarette outside
Smoking is “the number one cause” of lung cancer, according to Cheng. (Photo via Getty Images)

“In particular, we’re now seeing patients who’ve never smoked or never had second-hand smoke exposure developing lung cancer, which is interesting because usually smoking is a key cause,” explains Cheng. “There’s a number of patients who are never smokers and might not have a reason to get lung cancer, so that’s the concerning part.”

Cheng says that “we don’t know why” non-smokers develop lung cancer, so more research needs to be done. However, her best guess is that it’s “related to certain hormones.”

That said, the main focus on lung cancer screening is for people with a history of smoking and who are between the ages of 55-70 years old.

Unfortunately, Cheng adds that “the system doesn’t allow for never smokers to be screened.”

“We’re now seeing patients who’ve never smoked or never had second-hand smoke exposure developing lung cancer.”Dr. Susanna Cheng

What are the signs and symptoms of lung cancer?

In its early stages, lung cancer might not cause any signs or symptoms. As the tumour grows and causes changes in the body, it usually results in coughing and shortness of breath.

However, if you have any of the below signs and symptoms that are linked to lung cancer, it’s important you see a doctor or medical professional as soon as possible:

  • A cough that gets worse or doesn’t go away
  • Shortness of breath
  • Chest pain that you can always feel, and that gets worse with deep breathing or coughing
  • Blood in mucus coughed up from the lungs
  • Wheezing
  • Weight loss
  • Fatigue
  • Hoarseness or other changes to your voice
  • Difficulty swallowing
  • Swollen lymph nodes in the neck or above the collarbone
  • Headache

Cheng notes that she usually sees “cough, infection or pneumonia” as precursors to lung cancer.

However, she reveals that “COVID put a stint in it.”

“Nowadays when someone has has COVID they they can be coughing for weeks and weeks,” she says. “Some cannot really tell what the symptoms are for sometimes, which can make it hard to diagnose at first.”

Male doctor examining patient in hospital gown who is coughing
A cough that gets worse or doesn’t go away is a key sign of lung cancer. (Photo via Getty Images)

She adds that cough, shortness of breath (especially when moving), unexplained weight loss, loss of appetite, chest pain, and hoarse voice are other possible warning signs of lung cancer.

“In smokers they may always have a chronic cough but in non-smokers they may never have a cough or develop it over time. Which can delay a lung cancer diagnosis,” adds Cheng.

How is lung cancer diagnosed and treated?

Lung cancer is usually diagnosed after a visit to your family doctor, who will ask you about your health history, symptoms, and perform a physical exam. You may also take a blood test, or get an X-ray, MRI or CT scan.

If lung cancer is diagnosed, other tests are done to find out how far it has spread through the lungs, lymph nodes, and the rest of the body. This process is called staging.

Screening for lung cancer is another important step that can help detect the condition early. With lung cancer, early detection is vital. The sooner the disease is diagnosed, the greater chances of survival.

“It’s unfortunate that there isn’t really screening for people who aren’t smokers yet, but hopefully soon.”Dr. Susanna Cheng

“It’s unfortunate that there isn’t really screening for people who aren’t smokers yet, but hopefully soon,” says Cheng.

When it comes to treatment, Cheng believes it’s going in a positive direction.

“In the last 20 years things have transformed significantly. We used to only have chemotherapy, but now it’s based on their pathology and their genetic mutations, which predicts what kind of treatment they get, such as immunotherapy and targeted drugs,” Cheng explains.

Woman smoking against a black background holding a poster with black lungs on it.
Stop smoking to reduce your risk of lung cancer. (Photo via Getty Images)
How can I prevent or reduce the risk of lung cancer?

Unfortunately, not all lung cancers can be prevented. However, there are things you can do to help prevent developing the condition, such as changing the risk factors that you can control.

Cheng says that the first thing you can do is to avoid smoking.

“Really, don’t smoke, and try not to be around a loved one who smokes because second-hand smoke risk is also very real,” she says.

Cheng adds that there aren’t many risk factors related to diet or alcohol, but keep an eye on “occupational exposure.”

“Watch occupational exposure like Ephesus. You could also check for radon in your house, but other than that there isn’t really much you could do,” she explains.

Dreaming of beachfront real estate? Much of Florida’s coast is at risk of storm erosion that can cause homes to collapse, as Daytona just saw

The Conversation

Dreaming of beachfront real estate? Much of Florida’s coast is at risk of storm erosion that can cause homes to collapse, as Daytona just saw

Zhong-Ren Peng, Professor of Urban and Regional Planning,

University of Florida November 23, 2022

Dozens of homes were left unstable in the Daytona Beach area after Hurricane Nicole's erosion. <a href=
Dozens of homes were left unstable in the Daytona Beach area after Hurricane Nicole’s erosion. Joe Raedle/Getty Images

Back-to-back hurricanes left an unnerving scene on the Florida coast in November 2022: Several houses, and even swimming pools, were left dangling over the ocean as waves eroded the earth beneath them. Dozens of homes and condo buildings in the Daytona Beach area were deemed unsafe.

The destruction has raised a disturbing question: How much property along the rest of the Florida coast is at risk of collapse, and can it be saved?

As the director of iAdapt, the International Center for Adaptation Planning and Design at the University of Florida, I have been studying climate adaptation issues for the last two decades to help answer these questions.

Rising seas, aging buildings

Living by the sea has a strong appeal in Florida – beautiful beaches, ocean views, and often pleasant breezes. However, there are also risks, and they are exacerbated by climate change.

Sea level is forecast to rise on average 10 to 14 inches (25-35 cm) on the U.S. East Coast over the next 30 years, and 14 to 18 inches (35-45 cm) on the Gulf Coast, as the planet warms. Rising temperatures are also increasing the intensity of hurricanes.

With higher seas and larger storm surges, ocean waves more easily erode beaches, weaken sea walls, and submerge cement foundations in corrosive salt water. Together with subsidence, or sinking land, they make coastal living riskier.

Florida’s erosion risk map shows most of the state’s coastline at critical risk. <a href=
Florida’s erosion risk map shows most of the state’s coastline at critical risk. Florida Department of Environmental ProtectionCC BY-SA

The risk of erosion varies depending on the soil, geology and natural shoreline changes. But it is widespread in U.S. coastal areas, particularly Florida. Maps produced by engineers at the Florida Department of Environmental Protection show most of Florida’s coast faces critical erosion risk.

Aging or poorly maintained buildings and sea walls, and older or poor construction methods and materials, can dramatically aggravate the risk.

Designing better building codes

So, what can be done to minimize the damage?

The first step is to build sturdier buildings and fortify existing ones according to advanced building codes.

Building codes change over time as risks rise and construction techniques and materials improve. For example, design criteria in the Florida Building Code for South Florida changed from requiring some new buildings to be able to withstand 146 mph sustained winds in 2002 to 195 mph winds in 2021, meaning a powerful Category 5 hurricane.

The town of Punta Gorda, near where Hurricane Ian made landfall in October 2022, showed how homes constructed to the latest building codes have a much better chance of survival.

Many of Punta Gorda’s buildings has been rebuilt after Hurricane Charley in 2004, shortly after the state updated the Florida Building Code. When Ian hit, they survived with less damage than those in neighboring towns. The updated code had required new construction to be able to withstand hurricane-force winds, including having shutters or impact-resistant window glass.

Many homes in Punta Gorda fared better in Hurricane Ian’s winds because they had been rebuilt to higher standards after Hurricane Charley in 2002. <a href=
Many homes in Punta Gorda fared better in Hurricane Ian’s winds because they had been rebuilt to higher standards after Hurricane Charley in 2002. Bryan R. Smith / AFP

However, even homes built to the latest codes can be vulnerable, because the codes don’t adequately address the environment that buildings sit on. A modern building in a low-lying coastal area could face damage in the future as sea level rises and the shoreline erodes, even if it meets the current flood zone elevation standards.

This is the problem coastal residents faced during Hurricanes Nicole and Ian. Flooding and erosion, exacerbated by sea-level rise, caused the most damage – not wind.

The dozens of beach houses and condo buildings that became unstable or collapsed in Volusia County during Hurricane Nicole might have seemed fine originally. But as the climate changes, the coastal environment changes, too, and one hurricane could render the building vulnerable. Hurricane Ian damaged sea walls in Volusia County, and some couldn’t be repaired before Nicole struck.

How to minimize the risk

The damage in the Daytona area in 2022 and the deadly collapse a year earlier of a condo tower in Surfside should be a wake-up call for all coastal communities.

Data and tools can show where coastal areas are most vulnerable. What is lacking are policies and enforcement.

Florida recently began requiring that state-financed constructors conduct a sea-level impact study before starting construction of a coastal structure. I believe it’s time to apply this new rule to any new construction, regardless of the funding source.

With Hurricane Nicole’s storm surge coinciding with high tide, the waves breached a condo tower’s sea walls in Daytona Beach in November 2022. <a href=
With Hurricane Nicole’s storm surge coinciding with high tide, the waves breached a condo tower’s sea walls in Daytona Beach in November 2022. Joe Raedle/Getty Images

A comprehensive sea-level impact study requirement should also allow for risk-based enforcement, including barring construction in high-risk areas.

Similarly, vulnerability audits – particularly for multistory buildings built before 2002 – can check the integrity of an existing structure and help spot new environmental risks from sea-level rise and beach erosion. Before 2002, the building standard was low and enforcement was lacking, so many of the materials and the structures used in those buildings aren’t up to the standards of today.

What property owners can do

There is a range of techniques homeowners can use to fortify homes from flood risks.

In some places, that may mean elevating the house or improving the lot grading so surface water runs away from the building. Installing a sump pump and remodeling with storm-resistant building materials can help.

FEMA suggests other measures to protect against coastal erosion, such as replenishing beach sand, strengthening sea walls and anchoring the home. Engineering can help communities, temporarily at least, through sea walls, ponds and increased drainage. But in the long term, communities will have to assess the vulnerability of coastal areas. Sometimes the answer is to relocate.

However, there’s a disturbing trend after hurricanes, and we’re seeing it with Ian: Many damaged areas see lots of money pouring in to rebuild in the same vulnerable locations. An important question communities should be asking is, if these are already in high-risk areas, why rebuild in the same place?

This article is republished from The Conversation, an independent nonprofit news site dedicated to sharing ideas from academic experts. It was written by: Zhong-Ren PengUniversity of Florida. Like this article? subscribe to our weekly newsletter.

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Zhong-Ren Peng receives funding from National Science Foundation, Florida Sea Grant, and Florida Department of Transportation.

Yes, You Can Really Have a Heart Attack From Shoveling Snow

lifehacker

Yes, You Can Really Have a Heart Attack From Shoveling Snow

Beth Skwarecki – November 23, 2022

Photo:  SKatzenberger (Shutterstock)
Photo: SKatzenberger (Shutterstock)

You may have heard of people—elderly folks in particular—getting a heart attack from shoveling snow. But what’s so dangerous about shoveling? And is everybody at risk, or is this pretty rare? Here’s what you should know.

Snow shoveling is hard exercise

The connection between shoveling and cardiac events is real. The American Heart Association cites several studies that found higher rates of heart attacks and sudden cardiac deaths after snowstorms. Shoveling is hard work, and it can cause your blood pressure and heart rate to rise far higher than levels that are considered safe for sedentary people with heart conditions. Cold temperatures also seem to make chest pain more likely, possibly because your arteries can constrict in the cold.

Who should check with a doctor before shoveling?

You may have heard the advice to check with a doctor before beginning an exercise program. We have more information on that here: most people don’t need to check with a doctor, but that depends on your medical history and on whether you intend to do intense exercise.

Since snow shoveling is intense exercise, it’s worth taking a look at those guidelines. If you have cardiovascular disease, diabetes, or kidney disease, and are currently not exercising intensely, you should check with a doctor before you start. That’s true whether the intense exercise you want to do is running, Crossfit, or shoveling six inches of snow from your enormous driveway.

Pushing a snowblower counts too

One surprising thing: The cautions around shoveling snow also apply to using a snowblower. Snowblowing turns out to also be serious exercise, even if, in theory, it should be easier because a machine is doing part of the work.

How to reduce your risk of heart attack

In a news release from the American Heart Association, the cardiologist who was the lead author on a paper on risks of exercise recommends that people who have had bypass surgery or coronary angioplasty, or who have already had a heart attack or stroke, should not do their own shoveling. He also includes current and former smokers, people who have diabetes, obesity, high blood pressure, high cholesterol, and people who are sedentary.

If you’re healthy enough that shoveling snow is reasonably safe, you may still want to take a few precautions to make shoveling easier on your body. Even though running a snowblower is hard work, it’s still easier than shoveling. And if you need to shovel, pushing a shovel is easier on your body than lifting it repeatedly.

I would add that it’s a game changer to shovel multiple times in a single snowstorm. Instead of waiting until you have six inches of snow on the ground, go out when there’s just two inches and it’ll be a breeze. Repeat that process two more times, and you’ll have a clear driveway without ever having to wrestle with ankle-deep snow.

Finally, be aware of how your body is feeling as you shovel, and stop if you don’t feel well. Or as the AHA put it:

if you experience chest pain or pressure, lightheadedness or heart palpitations or irregular heart rhythms stop the activity immediately. Call 9-1-1 if symptoms don’t subside shortly after snow removal.

Hundreds of Arizona Households Set to Be Without Water by End of Year

Gizmodo

Hundreds of Arizona Households Set to Be Without Water by End of Year

Lauren Leffer – November 22, 2022

In every month of 2022, Lake Mead’s water level has been the lowest recorded for the time of year since the reservoir was first filled.
In every month of 2022, Lake Mead’s water level has been the lowest recorded for the time of year since the reservoir was first filled.

More than 500 households in the rural Arizona desert are set to be without running water starting January, 1 2023, as first reported by NBC News. The homes, located in Rio Verde Foothills—an affluent, unincorporated community in the state’s Maricopa County, were built without complying to Arizona’s usual 100-year water supply requirement. Rio Verde Foothills doesn’t have its own water system. Instead, people living in the arid locale rely on private wells or water trucked up from the nearby city of Scottsdale.

However, in response to the ongoing and worsening megadrought, Scottsdale declared late last year that it would cease hauling water to communities outside the city limits on Jan 1, 2023 and encouraged Rio Verde Foothills to find an alternative. Now, with the set deadline fast approaching, residents haven’t found a solution.

At the end of August, Maricopa County rejected a proposal from 550 Rio Verde residents hoping to form their own Domestic Water Improvement District. And though proposed deals have continued to be discussed behind closed doors, Scottsdale Progress reported, no firm decisions have been made and no community-wide fixes are underway.

Under Arizona’s Assured Water Supply Program, housing developments in the state are supposed to have a guaranteed century’s worth of water supply to be approved for construction. But via a semantic loophole, the around 2,200 houses in Rio Verde Foothills were able to skirt that law and be built without a clear long-term water source. Now, even many of the households that once had working wells are running dry.

Scottsdale has been warning for nearly a decade that its water-trucking operation was only ever meant to be a temporary remedy, not a permanent resolution, according to NBC News. And federal pressure amid the ongoing drought has forced the city to try to reduce its water usage.

Last year, when Scottsdale first said it would cease water hauling by January 2023, the U.S. Bureau of Reclamation had declared a Tier 1 water shortage on the Colorado River—reducing the amount of water Southwestern states can get from the river. In August of this year, the Reclamation Bureau upped the shortage designation to Tier 2a.

Scottsdale gets 65% of its water from the Colorado River, and ending its practice of exporting water beyond the city was intended to help Scottsdale lower its total consumption. In addition to cracking down on Rio Verde Foothills, the city has been encouraging its residents to voluntarily lower their usage. And though residents have made some progress and Scottsdale met its initial water reduction goals, the drought persists.

Lake Mead is at its lowest November water level on record since the reservoir was first filled. In fact, in every month of 2022, Lake Mead has been at record low for that time of year. Some seasonal fluctuations are to be expected, but this year’s monsoon season wasn’t nearly enough to make up the deficit. And climate change may be helping to propel already-arid U.S. regions into a permanent state of drought. One study published earlier this year found that 42% of the Southwest’s current drought is attributable to human-caused climate change.

Rio Verde Foothills is yet more evidence that when poor planning and the climate crisis come together, the result is often disastrous.

Accountant testifies Trump claimed decade of huge tax losses

Associated Press

Accountant testifies Trump claimed decade of huge tax losses

Michael R. Sisak – November 22, 2022

Donald Bender, left, a former accountant for Donald Trump, arrives at Manhattan criminal court, Monday, Nov. 21, 2022, in New York. Prosecutors in the Trump Organization's criminal tax fraud trial rested their case Monday earlier than expected, pinning hopes for convicting Donald Trump's company largely on the word of two top executives who cut deals before testifying they schemed to avoid taxes on company-paid perks. (AP Photo/Michael Sisak)
Donald Bender, left, a former accountant for Donald Trump, arrives at Manhattan criminal court, Monday, Nov. 21, 2022, in New York. Prosecutors in the Trump Organization’s criminal tax fraud trial rested their case Monday earlier than expected, pinning hopes for convicting Donald Trump’s company largely on the word of two top executives who cut deals before testifying they schemed to avoid taxes on company-paid perks. (AP Photo/Michael Sisak)
FILE - Former President Donald Trump announces he is running for president for the third time at Mar-a-Lago in Palm Beach, Fla., Nov. 15, 2022. The Supreme Court has cleared the way for the handover of former President Donald Trump's tax returns to a congressional committee after a three-year legal fight. The Democratic-controlled House Ways and Means Committee had asked for six years of tax returns for Trump and some of his businesses, from 2015 to 2020. The court's order Tuesday, Nov. 22 leaves no legal obstacle in the way. (AP Photo/Andrew Harnik, File)
 Former President Donald Trump announces he is running for president for the third time at Mar-a-Lago in Palm Beach, Fla., Nov. 15, 2022. The Supreme Court has cleared the way for the handover of former President Donald Trump’s tax returns to a congressional committee after a three-year legal fight. The Democratic-controlled House Ways and Means Committee had asked for six years of tax returns for Trump and some of his businesses, from 2015 to 2020. The court’s order Tuesday, Nov. 22 leaves no legal obstacle in the way. (AP Photo/Andrew Harnik, File)
Trump Legal Troubles

NEW YORK (AP) — Donald Trump reported losses on his tax returns every year for a decade, including nearly $700 million in 2009 and $200 million in 2010, his longtime accountant testified Tuesday, confirming long-held suspicions about the former president’s tax practices.

Donald Bender, a partner at Mazars USA LLP who spent years preparing Trump’s personal tax returns, said Trump’s reported losses from 2009 to 2018 included net operating losses from some of the many businesses he owns through his Trump Organization.

“There are losses for all these years,” said Bender, who was granted immunity to testify at the company’s criminal tax fraud trial in Manhattan.

The short exchange amounted to a rare public discussion of Trump’s taxes — which the Republican has fought to keep secret — even if there was no obvious connection to the case at hand.

A prosecutor, Susan Hoffinger, questioned Bender briefly about Trump’s taxes on cross examination, at one point showing him copies of Trump tax paperwork that the Manhattan district attorney’s office fought for three years to obtain, before moving on to other topics.

The Trump Organization, the holding company for Trump’s buildings, golf courses and other assets, is charged with helping some top executives avoid income taxes on compensation they got in addition to their salaries, including rent-free apartments and luxury cars. If convicted, the company could be fined more than $1 million.

Trump is not charged in the case and is not expected to testify or attend the trial. The company’s former finance chief testified that he came up with the scheme on his own, without Trump or the Trump family knowing. Allen Weisselberg, testifying as part of a plea deal, said the company also benefited because it didn’t have to pay him as much in salary.

Bender’s testimony came on a day full of Trump-related legal drama, including the U.S. Supreme Court clearing the way for Congress to get six years worth of tax returns for Trump and some of his businesses.

Also Tuesday, the judge in New York Attorney General Letitia James’ civil fraud lawsuit against Trump and his company set an October 2023 trial date; a federal appeals court heard arguments in the FBI’s Mar-a-Lago documents investigation; and Sen. Lindsey Graham, a Trump ally, testified before a Georgia grand jury probing alleged 2020 election interference.

Bender’s tax loss testimony echoed what The New York Times reported in 2020, when it obtained a trove of Trump’s tax returns. Many of the records reflected massive losses and little or no taxes paid, the newspaper reported at the time.

The Times reported Trump paid no income tax in 11 of the 18 years whose records it reviewed, and that he paid just $750 in federal income tax in 2017, the year he became president. Citing other Trump tax records, The Times previously reported that in 1995 he claimed $915.7 million in losses, which he could have used to avoid future taxes under the law at the time.

Manhattan prosecutors subpoenaed Bender’s firm in 2019, seeking access to eight years of Trump’s tax returns and related documents, finally getting them after a protracted legal fight that included two trips to the U.S. Supreme Court.

Bender handled tax returns and other financial matters for Trump, the Trump Organization and hundreds of Trump entities starting in the 1980s. He also prepared taxes for members of Trump’s family and other company executives, including Weisselberg and Weisselberg’s son, who managed a company-run ice rink in Central Park.

Weisselberg, who pleaded guilty in August to dodging taxes on $1.7 million in extras in exchange for a five-month jail sentence, testified that he hid company-paid extras such as Manhattan apartments and Mercedes-Benz cars from his taxable income by having the company’s comptroller, Jeffrey McConney, reduce his salary by the cost of those perks.

Bender testified that Weisselberg kept him the dark on that arrangement — and that he only found out about it from prosecutors last year.

But emails shown in court Tuesday suggested that McConney tried to loop him in as early as 2013, with attached spreadsheets listing Weisselberg’s pay and reductions for extras, including Trump-paid tuition for his grandchildren’s private schooling.

Bender, who testified that he got numerous emails from Trump executives daily, said he didn’t recall seeing those messages. If he had, he said: “We would have had a serious conversation about continuing with the client.”

Mazars USA LLP has since dropped Trump as a client. In February, the firm said annual financial statements it prepared for him “should no longer be relied upon” after James’ office said the statements regularly misstated the value of assets — an allegation at the heart of her lawsuit.

Trump blamed Bender and Mazars for the company’s troubles, writing on his Truth Social platform last week: “The highly paid accounting firm should have routinely picked these things up – we relied on them. VERY UNFAIR!”

Bender testified that he put the onus on Weisselberg to fix any problems as scrutiny of the Trump Organization intensified after Trump’s election in 2016 and advised him to stop one dubious practice: the company’s longstanding, tax-saving habit of paying executive bonuses as freelance income.

The accountant said he told Weisselberg: “If there is anything bothering you, even if there’s the slightest chance, we have to set the highest standards so the company should be, effectively, squeaky clean.”

Dietitians Say This Is The One Change You Need To Make At Thanksgiving To Avoid Weight Gain

SheFinds

Dietitians Say This Is The One Change You Need To Make At Thanksgiving To Avoid Weight Gain

Marissa Matozzo – November 21, 2022

Thanksgiving is one of the most beloved and cherished seasonal holidays for many, as it brings family and friends together, as well as great food. If you’ve been working to lose weight and want to prevent overeating or weight gain during the holiday season, we reached out to registered dietitians, nutritionists and other health experts for one healthy eating habit tip and other points to keep in mind. Read on for suggestions and insight from Dana Ellis Hunnes, PhD, MPH, RDm senior clinical dietitian at UCLA Medical Center and Elise Harlow, MS, RDN, registered dietitian, nutritionist and founder of The Flourished Table.

Tip #1— Have A Meal Plan For The Holiday (And Stick To It!)

Many of us arrive to a relative or friend’s house on Thanksgiving Day without having eaten anything beforehand, as we anticipate a large meal. Hunnes stresses that avoiding this is key to prevent weight gain, and to stop yourself from overeating, as well. Instead, she recommends following a balanced, consistent meal plan for the day (planning out your breakfast, lunch and other small snacks before the big meal, thinking about what you will eat during it, etc), instead of going into anything blindly.

“Don’t show up to dinner starving as you will not be in the headspace to make good decisions on what you are eating or drinking,” Hunnes says, adding that you will be more likely to “binge out on more calories from unhealthy sources than if you show up already having had a small snack.” She recommends eating “an apple and a tablespoon of nut butter an hour or two ahead of time” if you’re looking for something healthy to hold you over.

When it comes to the actual Thanksgiving meal, she recommends “making sure at least half of your plate is filled with healthy vegetables and healthy proteins,” rather than “thick and creamy foods that are laden with calories.” This, she notes, will help you feel better later on, and still on track with your weight loss and health goals.

How To Prepare A Weight-Loss Friendly Thanksgiving Plate

This Thanksgiving, Harlow recommends following a couple simple strategies when determining what to eat at mealtime. “Start by filling your plate with 50% vegetables,” Harlow says, as “vegetables are low in calories and high in fiber, both of which are important to prevent weight gain.”

Next, in addition to the vegetables, she instructs to “make sure to include a protein on your plate, about 25% of the plate,” since “protein is the most satiating macronutrient.” This, she continues, will help you to feel full and satisfied (and less likely to go back for seconds, thirds, etc.)

Her next tip is to “fill the remaining 25% of your plate with a starch, such as mashed potatoes, rolls, etc.”

These, Harlow notes, tend to be the foods that are “highest in calories and are the most difficult to not overeat on.” However, if you enjoy these foods, then she says it is “important to not deprive yourself, just to watch the portion.” By following this planning method, Harlow adds, you can still enjoy the foods you love most around the holidays and prevent unwanted weight gain.

“It is important to not completely deprive yourself of your favorite holiday foods, as this could result in overeating this food once you finally do allow yourself to eat it,” she points out. She concludes that it is essential, as Hunnes noted previously, to avoid the trap of “saving your calories” during the day when you know you are going to eat out, or eat a higher calorie meal later in the day. “This causes you to go into that meal overly hungry, which makes it difficult to not overeat,” she says. “You are more likely to put more high calorie foods on your plate, eat quickly, and eat past the point of feeling comfortable.”