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Election Night Disinformation Concerns

Mark Lukasiewicz, dean of The Lawrence Herbert School of Communication, talked to Newsday about concerns of disinformation facing television and cable networks as they prepare for their Election Day coverage. “Virtually all the mainstream media outlets, and the major networks for sure, have developed and resourced units that specialize in spotting” disinformation, he said. “They’re certainly applying the resources to combat that and to prevent their own channels from disseminating false information and I give them credit for that." However, “the fact set for one group of people is completely different from the fact set of another group,” Dean Lukasiewicz explained, because of fast-growing social media platforms like TikTok — with 170 million users in the United States alone. Dean Lukasiewicz also spoke to the Associated Press for the story, “By moving to podcasts, Harris and Trump are turning away from legacy media to spread their messages.”

Expert Q&A - Craig Albert, PhD, talks election interference

Going into the final days of the 2024 election cycle there is a very real concern about election interference from both foreign and domestic actors, and it's something that will continue to be monitored even after the final votes are tallied. Craig Albert, PhD, graduate director of the PhD in Intelligence, Defense, and Cybersecurity Policy and Master of Arts in Intelligence and Security Studies programs at Augusta University, is a leading expert on propaganda, information warfare and national security studies. Albert has answered key questions about who is trying to interfere in the U.S. elections and why it matters. Q: How and when should someone vote and does it protect you more to avoid interference? The access to instantaneous news or events could affect people and their understanding of whom they want to vote for all the way up until the day they vote. Because of this ease of access, this election cycle has especially shown us how cautious we need to be in regards to scams. It's also why I know there has been a big push for early voting and mail-in voting, and it's necessary in some cases, but I prefer to vote on Election Day because you never know what type of news might come out about one of the candidates or parties. If something comes out that proves to be true, it could affect how someone might vote, but if you voted before Election Day, it's too late. At the same time, a very serious deepfake could be released that could manipulate how people choose to vote and it could mislead people, as well. Q: What are the consequences of the optics of an 'unfair' election? What the U.S. needs to be cautious about is preserving and maintaining the legitimacy of the election cycle. After the election, no matter who wins, narratives of interference and how it impacted the election are going to be shared and that's just irresponsible. Unless there's damning information and very clear evidence, you shouldn't mess around with the idea that the election was interfered with, because that could threaten the very structure of the United States. Q: What's the potential for post-election meddling? We have domestic bad actors as well as foreign maligned actors that are going to say the election was delegitimized no matter who wins. They have social media campaigns ready to post no matter which side wins, they're going to circulate false videos of ballot boxes burning or news that not all the the votes were counted and things of that nature. They're going to do all kinds of things because anybody can fake a ballot box being burned or mail in votes not being counted properly on video or something like that. The problem is if it goes out there or becomes viral, so many people will believe it and that sows discord. So, that creates distrust in the public system on a pretty big swath of the American population. Q: Who benefits from post-election doubts and chaos? You have foreign actors that really build on the type of anger that the political candidates and their parties already use through their propaganda and rhetoric. We have already seen Russia amplifying the message that somebody cheated or elections were hacked, and you have China, Iran, Venezuela, ISIS and Al Qaeda doing that, as well. You also have regular cyber criminals that just want to sew discord and distress so they can manipulate people later on and get into our banking systems and things of that nature. You have potentially hundreds, if not thousands of attack vectors coming at the United States between election night and January 20 when the new President will be sworn in. And then afterwards, they will all still be trying to create chaos, rebellion, civil unrest, or in the case of Iran, China and Russia, open civil war in the United States. Looking to know more and covering the election, Augusta University can help. Albert is available to speak with media – simply click on his name to arrange an interview today.

Civil discourse will be crucial to healing after the election

As we inch toward Election Day and brace for the aftermath, learning to disagree will be as important as ever. Civil discourse – actively engaging while aiming to understand, not persuade – is the key to navigating the upcoming political minefield, says Tim Shaffer, the Stavros Niarchos Foundation Chair of Civil Discourse at the University of Delaware. Shaffer, who is also director of the Stavros Niarchos Foundation Ithaca Initiative in UD's Biden School of Public Policy and Administration, can discuss the concept of civil discourse and how it can be used to navigate a society so divided politically that it has torn friendships and families apart. Some main points: • Civil discourse emphasizes listening to understand others’ perspectives, focusing on shared values – such as family – rather than conflicting positions. • Disagreement is actually important. Society needs friction for growth and progress. • Advice for healthy discourse: Practice intellectual humility, acknowledging the complexity of issues beyond right and wrong and recognizing the importance of gray areas in life. • Staying safe and sane on social media: "People need to feel safe and included, and we need to ensure we hear differing viewpoints, so how do we balance those competing values? There’s no secret answer, but we have to figure it out collectively." • Open discussions can be a valuable tool. "I believe in the power of education—church basements, community spaces, classrooms—to make a difference," Shaffer says. Reporters can connect with Shaffer directly by visiting his profile and clicking on the contact button.

Why Do We Tell Ghost Stories?

From collecting candy to carving pumpkins, Halloween is defined by its traditions, and few are as time-honored as the telling of ghost stories. Whether recounted by crackling campfires, read from well-worn books or streamed on big-screen TVs, supernatural tales seem to take on a special resonance in the lead-up to October 31. And, on the whole, we seem more than comfortable enduring chills and braving thrills to enjoy them. But what draws our attention, season after season, to things that go bump in the night? And what makes the paranormal such a powerful, and persistent, storytelling device? Mary Mullen, PhD, is an associate professor of English at Villanova University and the instructor of the course "Ghostly Matters," which delves into haunting's role in culture, history and society. From her perspective, our longstanding fascination with spirits, specters and phantoms speaks as much to our concern for the world around us as to our interest in the hereafter. "At their core, ghost stories unsettle us," says Dr. Mullen. "They raise questions about what we consider normal, what we view as 'everyday life,' what we value as 'modern' and whether the past is still with us or not." As Dr. Mullen explains, when we're presented with something that's "haunted," we're essentially being asked to consider the reasons why. The very existence of spirits, emerging from beyond the grave, compels us to reflect on their presence's meaning—and to think about what developments might draw the ire, intrigue or intervention of the dead. (When watching Steven Spielberg's "Poltergeist," for instance, a viewer might feel the movie's ghosts are completely justified in terrorizing the profit-hungry real estate firm that disturbed their eternal slumbers.) Spirits, in turn, consistently set our focus on items left unsaid, unconsidered or overlooked. Departed yet still present, drifting somewhere between this plane and the next, they often challenge the living's notions of progress, propriety and success—and signal a last-ditch effort at preserving something that has all but faded from recollection. In effect, they bring the past into dialogue with the present for the sake of the future. "Ghost stories are really useful for contemplating transition and change and what's lost in the process," says Dr. Mullen. "They give a name to things that are liminal… For example, Luke Gibbons [a professor at Maynooth University] says that ghost stories, in modern Irish writing, are frequently connected to memories that haven't yet become public history. So, they speak to facets of social life that exist, or have existed, but are not present in monuments or official accounts." From Virginia Woolf's "A Haunted House" to Toni Morrison's "Beloved," tales of the supernatural provide us with what Dr. Mullen terms "glimmers of possibilities." They serve to mirror and embody our complicated feelings on transformative happenings, whether personal, communal or generational, and they afford us the language and vocabulary to express sadness over what is done and hope for what is yet to come. "There are certainly ghost stories, like Elizabeth Bowen's 'The Demon Lover,' that end in absolute terror with no seeming resolution," says Dr. Mullen. "But I think that, in a lot of these tales, haunting leads to reconciliation, or different kinds of healing or important acknowledgements—of things that need to be acknowledged." As Dr. Mullen proceeds to explain, it's no coincidence that the roots of the contemporary ghost story can be traced to the 19th century, a period of great social upheaval, cultural displacement and scientific and technological advancement. The product and reflection of a tumultuous "new age," the genre, as we know it, took hold as a means of reckoning with that which was lost, actively transpiring and still to occur. Perhaps it's no surprise then that, as the leaves begin changing and autumn starts giving way to winter, we have an affinity for tales that center on visits from the afterlife, bridging the past, present and future. "I think that we tell ghost stories when we're open to moving beyond our sense of 'the everyday,'" says Dr. Mullen. "And there are certain points of the year, like the holidays and gatherings with family and friends, that are so rich with emotion and memory that the boundary between this world and the 'otherworld' seems maybe—just maybe—capable of being crossed."

Digital Contracting Is Broken. A Little "Friction" Could Go a Long Way in Fixing It

In mid-October, the Federal Trade Commission (FTC) announced a final “click-to-cancel” rule, which, after its provisions go into effect, will make it easier for consumers to cancel recurring memberships and subscriptions. The rule is an undoubtable victory for consumers who have run into roadblocks attempting to protect their wallets amid the flurry of oversubscription in today’s world, but it also begets an important question: Why is oversubscription occurring in the first place? “One important reason for that problem is that getting into contracts is frictionless, it’s too easy,” said Brett Frischmann, JD, the Charles Widger Endowed Professor in Law, Business and Economics in Villanova University’s Charles Widger School of Law. “The FTC is addressing a real concern in making it easier for people to exit agreements of this sort. But while making it as easy to unsubscribe as to subscribe sounds great – we all like even playing fields and symmetry – it might be better to also make subscribing a little more burdensome, so people understand what they are getting themselves into in the first place.” This idea is the focus of Frischmann’s recent paper, titled “Better Digital Contracts with Prosocial Friction-in-Design,” the publication of which coincides with public dissatisfaction over digital contracting processes. In August, Disney attempted to have a wrongful death lawsuit blocked, citing print in terms and conditions from a one-month Disney+ free trial the plaintiff signed up for in 2019. Since then, other companies have succeeded in recently blocking the commencement of similar lawsuits. In the research, Frischmann and his co-author, Rice University computer scientist Moshe Vardi, describe these contracts as “dehumanizing” and that they “undermine human autonomy and sociality, by design,” citing how they elicit behavior in a pre-determined manner (such as clicking on cue) and often include side agreements with other entities, unbeknownst to the users. “One-click” contracts rely on legal fictions, such as presuming that clicking an “I have read the terms and conditions” button actually means that they have. They are structured this way intentionally. “The idea behind digital contracting is ‘Let’s make the contract as quick as possible before people leave or change their mind,” Frischmann said. “They only want to do the minimum that the law requires, and all the law requires is notice of terms and action that says, ‘I agree.’” For these reasons, he argues, modern digital contracting contradicts the purpose of contract law in the first place; enabling people to reach genuine agreements and cooperate. “It’s antithetical to the underlying values of a contract,” Frischmann said. “Autonomy is undermined because people are not able to exercise autonomy in a meaningful way when they are not actually capable of deliberating about the terms to which they are agreeing. As for being cooperative, there is no relationship. Digital contracts are completely one-sided.” So what can be done to combat this? “Speedbumps,” Frischmann says, referring to measures that can cause friction in the contracting process to better protect the user. Physical road speedbumps represent a useful analogy, because while they make things slightly more inconvenient for the user, they are deployed strategically where other values are at stake, like the safety of children playing outside. “People tolerate speedbumps,” Frischmann says, “because they serve a social purpose. Friction in digital contracts is similar.” With respect to improving digital contracting, there are multiple measures that can be taken that inherently have such friction, but not all of them are always appropriate. Completely Automated Public Turing Test to Tell Computers and Humans Apart (CAPTCHAs), for example, are a type of friction-in-design that serve a useful social purpose (security) and have become normalized and tolerated, but some CAPTCHAs are ableist and others may generate proprietary data. Where he sees the most beneficial friction existing is in comprehension, which in software form could be completing a task or passing a test to prove an individual understands the agreement. Comprehension is the basis for one of Frischmann’s proposed alterations to contract law. Currently, the oft-criticized concept of informed consent is utilized. He argues it should be replaced with demonstrably informed consent, in essence requiring entities to further show that people truly comprehend what they are agreeing to. “Right now, individuals assent to contracts, going along with terms someone else insisted upon,” he said. “But assenting to terms is very different than being informed and consenting. To demand demonstrably informed consent shifts the burden on the provider to generate evidence showing in fact a person understood and agreed.” In the recent Disney case, for example, demonstrably informed consent would have required not just clicking an agreement when signing up for Disney+, but that Disney somehow explained to an individual that if they sign up for a free trial, they cannot take the company to court, and further generating reliable evidence that the individual understood that. If that were the case, perhaps the individual would not have signed up. “Or, they may not have ever gone to the Disney park if they had [signed up],” Frischmann said. This proposed change in contract law, along with the various potential methods of engineered friction in digital contracts all circle back to the same goal: slowing down contracting where it affects people in ways they do not understand. “You can’t have digital contracting built like a highway, where it’s all as fast as possible all the time,” Frischmann said. “For our digitally networked environment, it needs to be built like a neighborhood.”

ChristianaCare and Partners Launch Delaware’s First Nurse Anesthesiology Program

Wilmington University, in collaboration with ChristianaCare and the support of Anesthesia Services, P.A. (ASPA), announces the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University, Delaware’s first nurse anesthesiology program. This innovative, full-time, 36-month offering leads to a Doctor of Nursing Practice (DNP) degree, preparing graduates to sit for the National Certification Exam and become certified registered nurse anesthetists (CRNAs). A CRNA (or nurse anesthetist) is an advanced practice registered nurse who administers anesthesia and provides related care before, during, and after surgical, therapeutic, diagnostic, and obstetrical procedures. The program will offer students over 2,000 hours of hands-on clinical experience in high-acuity environments across various surgical specialties, supported by partnerships with ChristianaCare, ASPA—the largest anesthesia group in Delaware—as well as other health care organizations. Students will refine their clinical skills and decision-making in state-of-the-art simulation labs while engaging in diverse clinical settings. Led by experienced practitioners and educators, the curriculum integrates anesthesiology-specific coursework with advanced nursing practice, ensuring graduates are well-prepared to meet the evolving demands of clinical practice and systemic health care challenges. “We are proud to partner with ChristianaCare and ASPA to launch this transformative program,” says Wilmington University President Dr. LaVerne Harmon. “At Wilmington University, our caring, student-centered approach prioritizes academic excellence and personal well-being. While this initiative addresses Delaware’s critical need for anesthesiology professionals, we will focus equally on fostering an environment where students can excel and grow into compassionate, skilled leaders in the evolving health care field.” “ChristianaCare is excited to partner with Wilmington University and our colleagues at ASPA in this much needed program to help address Delaware’s growing need for highly qualified CRNAs,” says Janice E. Nevin, M.D., MPH, president and CEO of ChristianaCare. “By providing advanced training and education in anesthesiology services, we are helping to develop the next generation of health care experts who will serve our community with high-quality, safe care.” The U.S. Bureau of Labor Statistics projects a 38% growth in nurse anesthetist employment from 2022 to 2032, driven by increased demand for health care services like elective surgeries. Delaware’s health care system faces similar challenges due to a shortage of anesthesiologists and CRNAs, with many nearing retirements. With 15 programs in neighboring Pennsylvania unable to accommodate all qualified applicants, the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University aims to bridge this gap, providing essential local training to meet the growing demand in the workforce. “With an emphasis on evidence-based practice and patient-centered care, our graduates will be exceptionally equipped to provide high-quality anesthesiology services in diverse health care environments,” says Wilmington University Vice President of Academic Affairs Dr. Denise Wells. “This collaboration aims to cultivate a local pipeline of skilled registered nurses who will advance their careers as CRNAs, contributing to Delaware’s workforce and the surrounding region.” “Anesthesia Services, P.A. has been leading and innovating anesthesia care delivery in Delaware for the past 37 years,” says ASPA Board Chair Li Maceda, M.D., MBA. “This joint partnership with ChristianaCare and Wilmington University allows us to combine our expertise and resources to train the next generation of anesthesia providers for the communities that we serve and exemplifies our commitment to invest in the future advancement of perioperative care.” Dr. Jacqueline Mainwaring was recently named inaugural director of the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University. “I am excited to be part of this groundbreaking initiative that will provide critical care nurses in our state with the opportunity to advance their careers and become leaders in anesthesiology care,” says Dr. Mainwaring, also an associate professor. “We are committed to creating a high-quality program that prepares our graduates to excel in today’s complex health care landscape. This program will not only address the shortage of anesthesiology professionals in Delaware and the region but will foster a learning environment that emphasizes student well-being, clinical excellence, and interprofessional collaboration.” Leaders of the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University, currently in Capability Review, are pursuing initial accreditation from the Council on Accreditation of Nurse Anesthesia Educational Programs (COA). Please note, no students can be enrolled until initial accreditation has been awarded. Below is contact information for the COA: Council on Accreditation of Nurse Anesthesia Educational Programs (COA) 10275 W. Higgins, Suite 906 Rosemont, IL 60018 Phone: 224-275-9130 Email: accreditation@coacrna.org www.coacrna.org

Money vs Memories in Retirement

Summary: This article explores whether or not money or memories will bring more comfort to the elderly. It is written with the underlying assumption that there is already enough money to meet basic living expenses.  As we age, the question of what will bring us the most comfort in our twilight years becomes increasingly relevant. For many, it comes down to two key aspects: money and memories. On the one hand, financial security provides a foundation of comfort, ensuring that one’s needs are met without the fear of lacking resources. On the other hand, cherished memories bring emotional warmth, helping individuals navigate the often-challenging aging journey. In this article, we will explore which of these two — money or memories—plays a more significant role in delivering comfort in old age, assuming one has enough financial resources to cover basic living expenses. While I appreciate that good health takes precedence over money and memories, we unfortunately do not have complete control over our health. However, we have control over our decision to save our money to give us comfort.  Or we can choose to spend our money to create memories that will provide us with comfort. Financial Security: A Foundation for Comfort Money is a powerful enabler, allowing us to meet our needs and desires. It's particularly important in the context of aging because it can mitigate many of the hardships of growing older. 1. Access to Quality Healthcare: One of the most significant concerns for elderly individuals is health. With aging comes a higher likelihood of chronic conditions, disabilities, and the need for regular medical attention. Financial security allows individuals to afford quality healthcare, access advanced treatments, and have the freedom to choose the best facilities. Having sufficient money provides a critical safety net for those who experience sudden medical emergencies or need long-term care. 2. Comfortable Living Arrangements: As people age, they often face the decision of where to live. While some prefer to stay home, others may move to assisted living facilities or hire caregivers. Financial resources enable elderly individuals to choose comfortable living environments tailored to their needs and preferences. A well-maintained home, access to mobility aids, or a peaceful retirement community can significantly enhance an individual’s day-to-day life. 3. Freedom and Autonomy: Financial independence in old age allows for greater autonomy. With money, elderly individuals can control their lives by making choices that suit their preferences, such as travelling, pursuing hobbies, or supporting loved ones. The ability to make decisions about healthcare, leisure, or everyday living preserves dignity and independence, both of which are central to feeling comfortable and fulfilled. 4. Reducing Stress and Anxiety: Aging can bring about several uncertainties, especially health and mobility. However, financial security can significantly reduce the stress and anxiety of worrying about the future. Knowing that expenses, including potentially unforeseen ones, are covered allows elderly individuals to focus on enjoying life rather than constantly fretting over how to afford their basic needs. This peace of mind is invaluable in ensuring a comfortable old age. While money plays a crucial role in creating a foundation of comfort, it has emotional and psychological well-being limitations. This is where memories come into play. Memories: Emotional Anchors in the Journey of Aging As the years pass, memories become a primary source of emotional sustenance. They connect individuals to their past, their loved ones, and the experiences that shaped their lives. When people reflect on what matters most to them in old age, it’s often not material wealth but the moments that brought them joy, love, and meaning. 1. Emotional Fulfillment: Memories of joyful experiences, adventures, and time spent with loved ones can offer deep emotional fulfillment in old age. Recalling meaningful moments provides a sense of accomplishment and satisfaction, reminding individuals of the richness of their lives. For many, the bonds formed with family and friends, the challenges overcome, and the dreams pursued give life meaning and offer comfort in later years. 2. Connection to Loved Ones: As elderly individuals have fewer physical responsibilities, they often spend more time reminiscing. Positive memories help bridge the gap between generations, allowing the elderly to connect with their children, grandchildren, and even great-grandchildren. Sharing stories from the past strengthens family bonds and ensures that their legacy lives on, creating a sense of continuity and significance. 3. Combatting Loneliness: People may experience increased isolation as they age, particularly after losing a spouse or friends. In such times, memories serve as a balm for loneliness. Even in moments of solitude, recalling past experiences, adventures, or time spent with loved ones can bring comfort. Memories provide companionship in their own right, filling the gaps left by physical absence and reducing feelings of loneliness. 4. Identity and Self-Continuity: Our memories are integral to our identity. They help us understand who we are by reminding us of the paths we've taken, the challenges we’ve faced, and the triumphs we’ve celebrated. For elderly individuals, the ability to look back on a life well-lived reinforces their sense of self. Memories act as an anchor, helping them feel grounded as they navigate the changes that come with aging. 5. Psychological Resilience: Life is inevitably full of hardships, and old age is no exception. However, memories of overcoming past difficulties provide emotional strength and resilience. Looking back on moments of hardship reminds elderly individuals that they’ve faced challenges before and emerged stronger. This sense of resilience can be empowering in the face of the physical and emotional challenges of aging. Balancing Money and Memories It’s essential to recognize that money and memories are not mutually exclusive; they often complement each other. While financial security provides the external comfort and security needed to navigate old age, memories provide the internal warmth and emotional fulfillment that give life depth and meaning. In determining which offers more comfort, it’s essential to consider an underlying assumption: there is already enough money to meet basic living expenses. In this scenario, it becomes clear that while financial resources are essential, memories are more significant. Consider the following: 1. Life Experiences Are Often Enabled by Money: The ability to create cherished memories often depends on financial resources. Travelling, pursuing hobbies, and spending quality time with loved ones may all require money. However, the memories created from these experiences—not the money spent—bring lasting comfort. In old age, the satisfaction of having lived a rich life full of meaningful experiences often outweighs the material possessions acquired. 2. Financial Security Loses Meaning Without Emotional Fulfillment: Imagine having all the money needed in old age but lacking meaningful memories or connections to loved ones. In this case, wealth would bring only a hollow sense of comfort. With emotional fulfillment, money is likely to provide lasting satisfaction. In contrast, those with a lifetime of cherished memories may find comfort even in modest circumstances, as their inner wealth—their experiences—remains invaluable. 3. The Longevity of Memories vs. Material Wealth: As we age, our ability to enjoy material goods and external pleasures may diminish due to declining health or physical limitations. However, memories transcend physical limitations. Even if elderly individuals cannot travel or engage in once-loved activities, they can still find joy in recalling their past. In this sense, memories have a longevity that material wealth may lack. 4. Regret and Fulfillment in Old Age: Many studies have shown that people regret missed opportunities and unfulfilled relationships far more than financial shortcomings at the end of life. The things that bring peace and comfort in old age are often intangible: love, connection, purpose, and meaning. Memories of having lived a full life, having nurtured relationships, and having followed one’s passions often bring a greater sense of contentment than wealth alone. The Enduring Power of Memories In the context of aging, both money and memories play significant roles in creating comfort. Financial security provides the practical means to ensure health, independence, and a comfortable lifestyle, while memories offer emotional sustenance, a sense of identity, and a connection to loved ones. At Retire with Equity, we suggest everyone create an emergency fund of at least 5% of their retirement savings. One primary purpose of this fund is to pay for unexpected healthcare needs, such as assisted living or hiring caregivers. Given that basic financial needs are met, memories—those intangible, priceless moments—tend to provide the most incredible comfort in old age. They remind us of the richness of life, the love we’ve shared, and the experiences that have shaped who we are. While money offers external comfort, memories provide internal peace, warmth, and solace as we navigate the later stages of life. Ultimately, what will comfort us in our golden years is not how much money we have in the bank but how much life we’ve genuinely lived. Don't retire---Re-Wire

New Trends and Treatments in Menopause Care

If you’re in your 40s and you menstruate, you may already be experiencing the effects of menopause: the point in life when your menstrual cycle stops permanently, which arrives for most people around the age of 50. This hormonal shift comes with numerous symptoms, some of which are manageable with at-home care and others—like intense mood swings, hot flashes or trouble sleeping—may need medical attention. Menopause has officially happened when a year has passed since your last period. The roughly two to eight years before that, when periods become irregular and fertility decreases, is known as perimenopause. Some people experience perimenopause in their 30s and some as late as their early 50s, but most reach perimenopause in their late 40s. Menopause is a naturally occurring life change, not a disease, and not everyone requires treatment for it. Many people seek medical help to deal with their symptoms. There are many new trends in menopause care, from hormones to drugs to supplements and beyond, and navigating them may feel overwhelming. What’s safest for managing side effects? Should I buy over-the-counter treatments or seek more involved care from a health care provider—or both? Read on for answers to these and other important questions on how best to treat menopause symptoms. Is hormone therapy right for me? Menopause happens to everyone who menstruates, and it’s important to bring up any symptoms of menopause as they occur at your annual primary care checkup. A gynecologist with special training or interest in the transition from ages 40 to 55 is an ideal specialist to seek additional care and treatment from, especially if you’d like to explore medical treatments like hormone therapy. Hormone therapy in the form of prescribed estrogen and progestin (both reproductive hormones that exist in the body naturally) has been used since the 1980s to treat the symptoms of menopause. A decline in estrogen is the culprit for many menopause symptoms, so adding estrogen back into the body through hormone therapy helps to diminish symptoms. Not all people who go through menopause need hormone therapy, but it has numerous positive side effects, including the lessening of some symptoms and lowering the risk of osteoporosis, a loss of bone density that can be exacerbated by natural estrogen decreasing over time as we age. These therapies can be administered in a cream, a patch, or even through low-dose birth control pills. However, hormone therapies can carry an increased risk of some cancers, including breast cancer. Non-hormonal, complementary medicine and lifestyle options Non-hormonal options to treat menopause symptoms are growing in popularity and represent an alternative to hormone therapies. Some of these include: Be sure to consult your provider before adding any new drugs or supplements to your daily routine. There are also many popular and effective options for treating menopause symptoms that come from Eastern and herbal medicine traditions. These include acupuncture, which has been shown to help with hot flashes and night sweats, as well as herbal supplements that often accompany treatment from a trained acupuncturist. A main downside to acupuncture can be cost, as the treatment is rarely covered by insurance. Eating mindfully and exercising regularly both also have proven benefits to treat menopause symptoms and to keep our bodies healthy more broadly as we age. This includes getting enough vitamin D and calcium through diet in order to keep bones strong as hormone levels change and to limit caffeine and alcohol consumption. Challenges in menopause care Despite the progress made in menopause treatment over the past years, there are still a few main challenges that you may face in menopause care. These include: Stigmas surrounding speaking openly about symptoms, especially sexual side effects like vaginal dryness and changes in libido that can affect intimacy. It’s important for you to feel empowered to discuss all symptoms with your provider. The increased availability of at-home tests, purchased online, for menopause and perimenopause. While these tests may be helpful in showing a snapshot of your hormone levels on a given day, more information is needed to diagnose menopause and perimenopause correctly, and at-home results can often be misinterpreted. It’s best to conduct these sorts of tests under the care of your provider, who can place them in the appropriate context. It can be hard to find the time needed to diagnose and treat menopause symptoms in a clinical setting, especially because it often takes time and communication outside of an office setting to ensure diagnosis and treat symptoms properly. Seeking out a provider who specializes in menopause care helps a great deal to expedite this process and get you the care you need. Not everyone experiences menopause the same way: for some people, symptoms are mild enough that at-home remedies will meet their needs. But for those with more intense symptoms—or anyone hoping for clinical support during this challenging time—working closely with a gynecologist will bring you relief and greater insight.

Welcome to Retire with Equity: Where a New Retirement Journey Begins

Summary: A recent study reveals that 40% of Canadians over 50 feel financially unprepared for retirement. Retire with Equity aims to address this issue by educating retirees on the importance of leveraging home equity. The initiative emphasizes transparency, financial literacy, and personalized guidance to help seniors make informed decisions and achieve financial security in retirement. According to a recent National Institute of Aging study, almost 40% of Canadians over ​50 feel they are not financially ​prepared for retirement.  As a seasoned citizen myself, I know we can do better.  That's why we've created Retire with Equity.  It's time to help Canadians get the knowledge they need to make more informed financial decisions. My observations from my time in the industry, enriched by the research I've done over the past few years, clearly reveal a growing retirement crisis in Canada. I've worked in the banking and mortgage industry for over 25 years, specializing in equity lending, and spent the last 6 years as an executive at Canada’s largest Reverse Mortgage bank.  Many people are struggling with mounting debt and no company pension.  And they are living longer. Additionally, the long-term care situation in Canada has many seniors looking to age in place in their homes. Strategies like downsizing and moving in with family are often too simplistic and have little appeal to today's seniors.  Some eventually, often begrudgingly, turn to home equity options such as reverse mortgages as a solution. However, Canadians are conservative by nature, and many think it is taboo to touch their equity (nest egg). Consequently, a reverse mortgage is a last resort. 76% of people over 65 are homeowners, many of which have built up a substantial amount of equity yet cannot afford to retire. (Source: Statistics Canada) Income is the only way to solve the retirement crisis. Many are choosing to work longer to delay spending savings. Some need to pay off debt to eliminate payments that will free up cash flow. Others do not have enough savings to retire. I saw the stress this caused watching my Mother “do without” in her retirement.  With the benefit of experience, I now know there was a better way for her to finance her golden years. The Retirement Problem in Canada is Dire Many 55+ Seniors Don’t Have the Funds They Need: Many need an adequate budget and financial plan. And many don’t fully realize that employer and government pensions will fall short of their cashflow needs. Home Equity Unlocks Opportunities, But It's Misunderstood: Many retirees don’t fully understand the short—and long-term impacts of their home equity financing decisions. They rely on biased, incomplete,  anecdotal information from friends and family. Seniors Need to Be Cautious: Homeowners are especially vulnerable targets for misinformation and fraud. However, this demographic does not have time to recover from a financial mistake. Making the wrong choices that affect how they finance retirement and protect themselves could leave seniors without enough money later when they need cash for costly expenses like health care. The Financial Industry Needs to Do More: There is a need for unbiased, transparent, and trusted sources of information on home equity options that are aligned with consumer interests. Gone are the days of cookie-cutter retirement plans and guaranteed pensions. Every Canadian needs to proactively craft their unique vision and path for retirement.  Banking on My Experience The Retire With Equity mission is dedicated to helping retirees find the right combination of financial strategies to achieve their goals. The Equity Advantage One of the standout features of Retire with Equity's approach is our focus on home equity as a key component of retirement planning. For many Canadians, their home is their most significant asset, and unlocking its potential can be a game-changer. Whether through downsizing, refinancing, or reverse mortgages, Retire with Equity will offer guidance on integrating this valuable resource into a retirement strategy. The Human Touch At Retire with Equity, we promise to offer straightforward advice with a personal touch. It's not just about the numbers – it’s also about the dreams you have for retirement.  We will bring patience, empathy, and respect to every conversation. And we won't forget our sense of humour, as retirement is supposed to be fun.  We're committed to making things easy to access and understand, no matter where you are in life.  Education is Everything Two of our core values are empowering education and epic transparency. Our online resources, webinars, and workshops will be tailored to demystify the world of finance for retirees and soon-to-be retirees, increasing their financial literacy. We will bring transparency to the vital information reserved for the small print, answering the questions retirees don't even know to ask. Whether you're a financial guru or just starting to think about your nest egg, we'll have something for you. A Senior-Friendly Approach Our approach will integrate technology with a user-friendly interface so that retirees can access their services without hassle. Gone are the worries of getting stuck in the weeds of complex interfaces or endless financial jargon. We bring "kitchen table" logic when explaining all financial details, no matter how complex the concept is. Stories that Inspire From coast to coast, Retire with Equity will share personal stories that help educate and motivate Canadians. We want to show you visible proof that it's always possible to rethink and revitalize retirement plans. Hearing from fellow Canadians who have successfully navigated the retirement waters offers hope for those still planning their way. Feelings of guilt and shame are common among retirees searching for retirement options. Learning about countless other retirees in similar situations often alleviates this guilt and shame.  Join the Revolution Retire with Equity is more than just a company—it’s a movement. Canadians across the country will join in and transform their retirement years into the best chapter of their lives. Empowered by new tools and expertise at their fingertips, they will not just survive but truly thrive in retirement. As an "Equity Advocate," I pledge to help Canadians navigate the complexities of retirement in ways that educate, inspire, and entertain.  I look forward to the conversation.  Please subscribe to our regular updates and follow us on social media.  Here's to the best years ahead! Don't Retire---Re-Wire! Sue

AU expert talks Hurricane Helene’s impact on the supply chain

Hurricane Helene tore a path of destruction beginning at Florida’s Big Bend region and stretching up through Georgia, South Carolina, North Carolina, Tennessee and Virginia. As those affected have slowly been able to grasp the scope, a different form of trouble in the aftermath is creating a ripple effect that will be felt around the region, country and even the world. Western North Carolina is at the heart of the problem leading to sourcing, transportation and disruption issues. While still trying to understand the full scope of the impact in the most remote areas, ongoing recovery efforts continue following the storm where the death toll has risen to over 250 as of Oct. 14. According to Rick Franza, PhD, professor in the James M. Hull College of Business and an expert on operations and supply chain management, said lessons learned from the COVID-19 pandemic and the collapse of the Francis Scott Key Bridge at the Port of Baltimore incident earlier this year can help with mitigation of risk and recovering during these problematic times. “The biggest thing you’re always dealing with in situations like this is uncertainty,” said Franza. “You can’t expect everything. You can’t anticipate everything, but we learned a lot from COVID and then the Baltimore bridge collapse and the supply chain disruptions those caused.” Franza said North Carolina is a case study in disruption to the supply chain at three different points: the source, manufacturing and transportation. “When we think about supply chain disruptions, people don’t typically think about it affecting the physical supply, but rather the transportation and logistics,” said Franza. “This one’s a little trickier because you have one industry affected by the supply of raw materials, another affected by the manufacturing of supplies and so many more will be affected by transportation problems.” Problems in manufacturing One industry that has been heavily impacted by the storm is the medical field, particularly the manufacturing of IV fluid bags. Baxter International, one of the largest producers of IV fluid bags in the country, has a manufacturing plant located in Marion, North Carolina. According to the American Hospital Association, the Marion plant produces 1.5 million IV bags per day, which equates to 60% of the country’s supply. “There are two big questions affecting the supply chain for those IV fluid bags,” said Franza. “If you lose a manufacturing facility, like the one in Marion, does another facility or a competitor have the ability to add capacity, even if it’s just a short term? The other piece of it is, even if they have the capacity, do they have the raw material inputs? So it’s a ripple effect.” In the wake of the storm, Baxter announced its other manufacturing facilities would increase their capacity. Thanks to its new Mount Carmel Mega Distribution Center located in Mississippi, the company feels confident it will be able to meet the needs of hospitals across the country. Baxter plans to increase allocation levels for direct customers from 40% to 60% and for distributors from 10% to 60%. They are also increasing allocations for designated children’s hospitals by 100%. Problems at the source Just outside the town of Spruce Pine, a town of less than 2,200 people located in the Blue Ridge Mountains, are two mines that produce an estimated 80% to 90% of the world’s most pure quartz. The quartz found in those mines is used in the manufacturing of semiconductors for microchips for everything from smartphones to cars to medical devices and more. The two companies that manage those two mines, Sibelco and The Quartz Corp, shut down operations on Sept. 26 ahead of the storm. As recovery efforts continue in the region, there remains more uncertainty as the full scope of the damage continues to be realized, and there is no certain timeline for when things will get started again. “The issue with natural resources like quartz is, unless you’ve come up with some method of producing an artificial version of it, you can’t really make it somewhere else,” said Franza. “Since there isn’t currently an alternative, it then becomes a question of is the mine accessible or how long until it is accessible and people can get back to regular operations?” Problems with transportation In Western North Carolina, entire roads along with buildings and other structures were wiped out as streams and rivers surged and mudslides occurred. On top of getting the mine back up and running, there is also the problem of getting the raw quartz where it needs to go. “Once you are able to access the ability of the mine to get back online, you then have the problem of whether the raw material can get where it needs to go to be processed,” said Franza. “A big problem in western North Carolina is entire roads are gone, and it’s not a simple repave. On top of that, Interstate 40 is estimated to be shut down until sometime next year, so transportation in that area is going to be extremely difficult for quite a while.” The good news is that quartz and the microchips that it is used in are not perishable items, and some chip manufacturers may have several weeks’ worth of quartz supply built up to be able to continue production. But an extended shutdown will likely mean even more chip shortages, similar to the global chip shortage that began in 2020 and lasted through 2023 due to the COVID-19 pandemic and the tightened restrictions in the countries that manufacture those chips. The loss of roads is not the only source of recent transportation problems, as immediately following the during the storm there was a three-day disruption in imports at 36 ports, including shutting 14 down stretching from Maine to Texas, as 45,000 dockworkers went on strike over pay. While that disruption could have caused serious issues, particularly for the upcoming holiday season, Franza said many companies have learned from previous disruptions, and most of the goods needed for Cyber Monday, Black Friday and preparing for the holiday season were already in the country. “I have heard that somewhere between 80% to 90% of the items for the holidays are already here, so the dock workers’ strike would not have been as much of an issue for the holidays, but there would definitely have been things you’d run out of.” Franza said the biggest problem during situations such as this is misinformation. “One of the biggest problems is most people are uninformed,” Ranza said. “Look at the toilet paper shortage at the beginning of COVID. If all of a sudden people rush to buy everything up and hoard it all, you can’t meet that demand so it causes even more problems. People need to be better informed because rumors start and then more problems are caused.” But Franza reiterated that companies have learned from past events, and that planning has made the supply chain stronger. “I think we’re better than we were four years ago because each of these crises builds our toolbox on how to plan for and deal with disruptions. It has built resiliency.”