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Poor Quality Sleep May Be Linked to Heightened Risk of Irreversible Sight Loss

Summary: Those who suffer from poor sleep quality, including daytime sleepiness, snoring, or getting too much or too little sleep, are at increased risk of developing glaucoma.

Source: BMJ

Poor quality sleep, including too much or too little shut eye, daytime sleepiness, and snoring, may be linked to a heightened risk of developing irreversible sight loss (glaucoma), suggests a large UK Biobank study published in the open-access journal BMJ Open.

The findings underscore the need for sleep therapy in people at high risk of the disease as well as eye checks among those with chronic sleep disorders to check for early signs of glaucoma, conclude the researchers.

Glaucoma is a leading cause of blindness and will likely affect an estimated 112 million people worldwide by 2040.  

Characterized by progressive loss of light-sensitive cells in the eye and optic nerve damage, its causes and contributory factors are still poorly understood. But if left untreated, glaucoma can progress to irreversible blindness. 

While population screening may not be cost-effective, targeted screening of high-risk groups might be, suggest the researchers. And previously published research suggests that sleep disorders may be an important risk factor.

To explore these issues further, the researchers set out to ascertain the risk of glaucoma among people with different sleep behaviors: insomnia; too much or too little sleep; night or morning chronotypes (‘owls’ or ‘larks’); daytime sleepiness; and snoring. 

They drew on 409,053 participants in the UK Biobank, all of whom were aged between 40 and 69 in 2006-10 when recruited, and who had provided details of their sleep behaviors.

Sleep duration was defined as normal (7 to less than 9 hours/day) and as too little or too much, outside this range. Chronotype was defined according to whether the person described themselves as more of a morning lark or night owl. 

Insomnia severity—trouble falling asleep at night or frequent waking—was classified as never/sometimes or usually, whereas subjective daytime sleepiness was categorised as never/rarely, sometimes, or frequent. 

Background information on potentially influential factors was retrieved from the questionnaires filled in at recruitment: age (average 57), sex, race/ethnicity, educational attainment, lifestyle, weight (BMI), and residential area level of deprivation.

Medical records and death registration data were used to track the health and survival of all the participants until a first diagnosis of glaucoma (hospital admission), death, emigration, or the end of the monitoring period (31 March 2021), whichever came first.

During an average monitoring period of just over 10.5 years, 8690 cases of glaucoma were identified.

Those with glaucoma tended to be older and more likely to be male, an ever smoker, and to have high blood pressure or diabetes than those who weren’t diagnosed with the disease.

With the exception of chronotype, the other four sleep patterns/behaviours were all associated with varying degrees of heightened glaucoma risk.

Short or long sleep duration was associated with an 8% heightened risk; insomnia 12%; snoring 4%; and frequent daytime sleepiness (20%).

And compared with those with a healthy sleep pattern, snorers and those who experienced daytime sleepiness were 10% more likely to have glaucoma, while insomniacs and those with a short/long sleep duration pattern were 13% more likely to have it.

The results were similar when categorised by different types of glaucoma.

This is an observational study, and as such, can’t establish cause. The study relied on self report rather than objective measurement and reflected one point in time only, acknowledge the researchers. Glaucoma might itself influence sleep patterns, rather than the other way round, they add.

Glaucoma is a leading cause of blindness and will likely affect an estimated 112 million people worldwide by 2040. Image is in the public domain

But there are potentially plausible biological explanations for the associations found between sleep disturbance and glaucoma, say the researchers. 

The internal pressure of the eye, a key factor in the development of glaucoma, rises when a person is lying down and when sleep hormones are out of kilter, as occurs in insomnia, explain the researchers. 

Depression and anxiety, which often go hand in hand with insomnia, may also increase the internal eye pressure, possibly because of dysregulated cortisol production, they suggest.

Similarly, repetitive or prolonged episodes of low levels of cellular oxygen, caused by sleep apnoea (sudden stopping of breathing during sleep), might cause direct damage to the optic nerve, it has been suggested. 

“As sleep behaviours are modifiable, these findings underscore the necessity of sleep intervention for individuals at high risk of glaucoma and potential ophthalmologic screening among individuals with chronic sleep problems to help prevent glaucoma,” conclude the researchers.

About this sleep and visual neuroscience research news

Author: BMJ Media Relations
Source: BMJ
Contact: BMJ Media Relations – BMJ
Image: The image is in the public domain

Original Research: Open access.
“Association of sleep behaviour and pattern with the risk of glaucoma: a prospective cohort study in the UK Biobank” by Cun Sun et al. BMJ Open


Abstract

Association of sleep behaviour and pattern with the risk of glaucoma: a prospective cohort study in the UK Biobank

See also

Objectives 

Given the role of intraocular pressure in glaucoma, the patient’s sleeping pattern might contribute to the development and progression of glaucoma. We performed a study to understand the association between sleep behaviours and glaucoma.

Design 

Our study was a prospective cohort study.

Setting 

This was a prospective cohort study in the UK Biobank. Self-reported data on five sleep behaviours were collected using a questionnaire at baseline. We identified four sleep patterns based on a cluster analysis of the sleep behaviours.

Participants 

In the UK Biobank, 409 053 participants were recruited between 2006 and 2010 and followed for a diagnosis of glaucoma. We identified glaucoma as any hospital admission with a diagnosis of glaucoma, based on UK Biobank inpatient hospital data. Individuals who withdrew from the UK Biobank, or were diagnosed with glaucoma before recruitment, or had self-reported surgery or laser treatment for glaucoma, or had no information on sleep behaviors were excluded.

Primary and secondary outcome measures 

We estimated hazard ratios (HRs) with 95% confidence intervals (CI) using Cox proportional hazards models to estimate the associations of different sleep behaviors, as well as identified sleep patterns, with the risk of glaucoma, adjusting for multiple confounders.

Results 

Compared with individuals who had a healthy sleep pattern, an excess risk of any glaucoma was observed among individuals with snoring and daytime sleepiness (HR 1.11, 95% CI 1.03 to 1.19) or insomnia and short/long sleep duration (HR 1.13, 95% CI 1.06 to 1.20), but not late chronotype sleep pattern (HR 0.98, 95% CI 0.93 to 1.03).

Conclusion 

Snoring, daytime sleepiness, insomnia, and short/long duration, individually or jointly, were all associated with the risk of glaucoma. These findings underscore the need for sleep intervention for individuals at high risk of glaucoma as well as potential ophthalmologic screening among individuals with chronic sleep problems for glaucoma prevention.

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Once nicknamed “Murderapolis,” the city that made itself the center of the “Defund the Police” movement is grappling with heightened violent crime

She figured her son, Telly Blair, was checking in to see if she wanted a soda from a gas station down the street, where he often went for fuel and snacks.

“Mom, I’ve been shot,” he said. “Call the police!”

Marnette, her other son Tamarcus and his 12-year-old daughter rushed to the gas station from their home in the city’s north side, a part of town long beset by violent crime.

Blair’s family came upon his blue 1986 Chevy Caprice at pump No. 5 — beating police and paramedics by a few minutes, they said — only to find him slumped in his car, bleeding from multiple bullet wounds in his chest. A 17-year-old male in an orange hoodie had fired nine rounds from a handgun into Blair’s car before running off.

While an off-duty nurse in scrubs who’d been at the gas station tried to stop his bleeding, Marnette — a heart-transplant recipient — couldn’t bear to watch and stood at a distance. Telly was her caretaker.

“It was just horrible to see him sitting there, waiting on the ambulance,” she told CNN.

The 12-year-old called 911 while watching her uncle struggle to breathe.

“Oh my God, please,” the girl, who was crying, said to a dispatcher, according to 911 transcripts of the August 9, 2021 shooting obtained by CNN. “Hurry up, hurry up, hurry, hurry, he’s dead, hurry up!”

Telly Blair was among 93 people who were murdered in Minneapolis last year, city crime data shows. That’s just a few shy of the total killings in 1995, when the city earned the nickname “Murderapolis.” (Neighboring St. Paul witnessed 38 murders last year — a historic high.)

A photo of Telly Blair and his mother, Marnette, rests on a table in their home in north Minneapolis.

Marnette Gordon, 61, mother of Telly Blair, 36, who lost his life to gun violence in north Minneapolis, photographed in her home.

After the police murder of George Floyd in May of 2020, Minneapolis became a worldwide symbol of the police brutality long endured disproportionately by Black people. In a kind of Newtonian response, the city became the epicenter of the culturally seismic “Defund the Police” movement. But that progressive local effort fizzled with a decisive referendum last November.
Now, with its police department under investigation by the Department of Justice, the city of 425,000 is trying to find a way forward amid a period of heightened crime that began shortly after Floyd’s death.

That year, the number of murders soared to nearly 80 — dwarfing the 2019 body count of 46. It has cooled somewhat this year, though the amount of killing — and violent crime in general — remains elevated far above 2019 levels and homicides are on pace to surpass the 2020 figure. The reasons why are far from clear.

KG Wilson, a longtime resident of the Twin Cities, said police withdrew from violent neighborhoods in the aftermath of Floyd’s killing — a common sentiment among locals.

“The criminals were celebrating. They were getting rich,” he said. “They were selling drugs openly.”

Wilson told CNN the violence devastated his own family: His 6-year-old granddaughter was killed in May of 2021 after getting caught in the crossfire of a gunfight in north Minneapolis. The culprit remains at large.

Another factor was the pandemic, which some observers see as the biggest impetus for the crime surge.

“It unsettled settled trajectories,” said Mark Osler, a former federal prosecutor who is now a professor at St. Thomas School of Law in Minneapolis. “Kids who were going to school, who would have graduated but drifted off because there is no school — we’re seeing a lot of the violent crime is by juveniles.”

Citing sinking morale in the wake of the unrest after Floyd’s killing, leaders at the Minneapolis Police Department say the officer head count has shrunk from 900 in early 2020 to about 560 in August — a loss of more than a third of the force.

Against this backdrop, the political pendulum on public-safety matters in this reliably liberal city — the “Mini Apple” hasn’t had a Republican mayor since 1973, and that was for just a single day — seems to have swung away from a progressive mindset towards the middle.

And on matters of public safety, the middle is where many of the city’s Black residents already were.

Last year, progressives touted a ballot measure that was said to be a referendum on the “defund” concept. Question 2, as it was known locally, would have replaced the Minneapolis Police Department with a new “public health-oriented” Department of Public Safety and removed a minimum staffing requirement from the city charter.

It failed in November, with 56% of voters rejecting it. That figure was 61% in north Minneapolis, a pair of neighboring city wards where Blacks make up a strong plurality of the roughly 66,000 residents. All but one of the 17 precincts in the north voted against the measure.

“We did not believe that the police should be defunded, but we do believe in police reforms,” said Bishop Richard Howell of Shiloh Temple, a north-side church founded more than 90 years ago.

Rae McKay-Anderson — Telly Blair’s sister — said “you can’t possibly defund the police in a way that’s going to benefit the Black community.”

Dealing the final blow to the local “defund” movement last year was a city council vote to essentially refund a cut they’d made the prior year. Mayor Jacob Frey is proposing another budget bump for the next two fiscal years.

The question of the moment is, if the police budget has been restored, and if all the anti-cop shouting by politicians and activists that left officers demoralized has weakened to a whimper, why are citizens — especially in the rough parts of north Minneapolis — still feeling neglected by police and fearful for their safety?

A feeling of lawlessness, a sense of neglect

Residents of the north side describe a landscape that can feel lawless. Indeed, about 60% of police calls for shots fired this year have come from the area, even though it makes up just 15% of the population, according to city data.
Paul Johnson, 56, said young men openly sell drugs during the day in public places, such as a gas station on Broadway Avenue that has been dubbed the “murder station” due to all of the fatal shootings there. (It is near the one where Blair was killed.)

“You pull up to get gas — they try to sell you drugs,” he said. “And not just three or four, but it’s a bulk of people.”

The perception among many residents is that the police ignore the area.

“They just let it go on,” said Johnson’s friend, Brian Bogan, 42, who said he moved from north Minneapolis to relatively safer St. Paul due to his kids growing up in an area where they don’t know if “it’s fireworks or gunshots.”

While Minneapolis is far from the nation’s most dangerous city, its rate of increase in homicides — the count in 2021 was about double that of 2019 — is among the highest in the nation, said Richard Rosenfeld, a criminologist at the University of Missouri- St. Louis and co-author of an annual study on crime trends.

On per-capita murders, it has ranked fairly high — 19th out of 70 jurisdictions in the US — during the first half of this year, according to the Major Cities Chiefs Association. The city ranked even higher on other per-capita crime measures, such as robbery (4th), rape (8th) and aggravated assault (13th).

Juliee Oden, 56, can’t even count the times she has called 911 to report gunfire outside her north-side home. One night last summer, a volley of shots jolted her out of bed while she was watching TV — it was coming from her front lawn.

“I hit the floor,” she said. “My phone went flying. I had to crawl on my stomach to get to the phone” to dial 911.

It got to the point where it was hard to sleep at night and Oden, who works at a construction company, had colleagues install a bulletproof panel behind the headboard of her bed.

“Now I go in my room with complete confidence,” she said. “If somebody is to shoot directly at my house, I know: As long as I’m behind my headboard, I’m 100% safe.”

Oden was among eight residents in north Minneapolis who filed a lawsuit in the summer of 2020 calling on the city to replenish the police department by filling vacant positions. The suit singled out city council members who supported the “radical ‘dismantle the police'” idea and accused them and Mayor Frey of creating a “hostile” environment for the police. It was largely upheld by a state Supreme Court decision this summer — meaning the city needs to staff up to at least 731 police officers.

Doug Seaton, an attorney representing the eight residents, said the successful suit was filed in direct response to how progressive city council members had embraced the “defund” idea. It demoralized the police department and ultimately led to a mass exodus of officers, he said.

“That is, we think, the major reason that crime has spiked throughout the city and hasn’t gone away yet,” Seaton said.

Meanwhile, as the MPD headcount has shrunk, wait times have grown for people who call 911 to report serious “priority 1” incidents, which can include shots fired, robberies, assaults and mental health crises.

Average 911 response times jumped the very month of Floyd’s death — May of 2020 — from around 10 or 11 minutes early that year to 14 minutes, according to public records obtained by CNN. They kept rising in 2021 to 16 minutes; response times in the north side’s fourth precinct last year actually surpassed 17 minutes, where they remain.

Some nights are so busy that the dispatchers are directed to hold all non-priority-1 calls citywide; these would include reports of property damage, suspicious persons or theft. That happened during a frenetic five-hour stretch on the night of September 8, when officers responded to multiple shootings and calls for shots fired — many of them in north Minneapolis; one near the “murder station” — that left two dead and seven wounded.

The Minneapolis Police Department has even flatly refused to respond to certain crimes in a timely manner. One couple who run a property management business recently took it upon themselves to investigate the theft of their van, box truck and tools by a culprit who brought the stolen goods into a homeless encampment on the north side, according to local news reports.

Police told KARE 11 that the hostility towards police on the part of some encampment dwellers compels them to take a slower approach when investigating property crimes there.

But by and large, police officials have said the slower response times are the expected byproduct of a depleted force that has witnessed an overwhelming wave of retirements, resignations and disability leaves due to post-traumatic stress.

Much of that exodus owes to a bottoming out of morale in the wake of a crisis that left police officers feeling reviled, said interim Minneapolis Police Chief Amelia Huffman.

“There’s really been a very fundamental challenge to our sense of purpose in law enforcement,” Huffman said of the post-Floyd era. “(Minneapolis) is the eye of the storm. So all of those challenges and the pressure is magnified, you know, a hundred fold — a thousand fold.”

Similar headcount plunges have plagued police departments from coast to coast.

Some law enforcement officials have attributed the mass resignations and retirements to pandemic-related reasons, but Sgt. Betsy Brantner Smith of the National Police Association said morale is a major factor.

“It’s no secret that law enforcement … especially in the last two and a half years, has been badly vilified and wrongly vilified,” she told CNN. “You can’t call an entire profession racist and expect people to just sit back and say, okay, you know, keep piling on.”

In June, the embattled Minneapolis department was hit with more bad press — this time for its abysmal numbers on unsolved murders in recent years.

Since 2016, the clearance rate (or the percentage of homicide cases closed) in Minneapolis sank from around 54% — the most recent national average — to 38% in 2020, according to the latest available data from the FBI. Figures for last year haven’t been released by the FBI, but Huffman insists the rate has improved considerably, claiming that the unofficial figure for this year to date is back to 54%.

Even so, some family members of murder victims say they have felt compelled to take a lead role in the homicide investigations of their own loved ones.

Residents take matters into their own hands

Among them is Dorothy Royston, a 26-year-old healthcare professional who said she spent weeks proactively feeding police information shortly after her unarmed younger brother, Charles Royston Jr., was gunned down on a snowy street in north Minneapolis on a January night in 2021, according to police reports.

“They had a lot of the information or the logistics of what was — like bullet casings and stuff like that,” Dorothy said. “But when it comes to who was involved with the actual shooting, who was around — and the people information? I actually provided that to the police.”

Dorothy provided CNN with text messages between her and a lead investigator on the case. In February of 2021, the investigator told her in a message that there would be a warrant out for the arrest of a suspect by the next day. He still hasn’t been arrested, Dorothy said.

She said communications from the investigator fell off around March of 2021.

A couple months ago, about a year and a half after the killing, Dorothy said, she called the investigator to ask for an update.

“He told me that he was currently doing something and that he would call me back,” she said. “He never called me back.”

(The investigator agreed to talk with CNN, but a police spokesperson called off the interview. )

Taken together, the current state of crime and policing in Minneapolis — from slow response times to recent brutality complaints to the poor clearance rates — has fostered an atmosphere of distrust.

The distrust paves the way for some to assume bad intentions. Dave Bicking, a board member of the Minneapolis-based Community United Against Police Brutality, goes so far as to suggest the police since Floyd’s death may have engaged in a “sickout” — that is, that officers are purposefully sluggish to respond to or investigate certain crimes.

“It’s still going on to a considerable extent — it was dramatic in the beginning,” Bicking told CNN. “The police would simply, if they showed up at all, say, ‘Oh, we don’t have anybody to deal with that,’ or ‘You people don’t want us here, so we’re not going to do anything.'”

Bicking, who has been publicly critical of the “defund” tactic from the get-go, said he bases the sickout claim on a drop-off in jail bookings shortly after Floyd’s death and on more than 2,300 interviews the CUAPB has conducted over the past year and a half with Minneapolis residents about their experiences with the MPD.

He added that the CUAPB persuaded the Department of Justice to include in its investigation of the MPD the alleged lack of Minneapolis police investigations into murders of people of color.

Chief Huffman did not respond to follow-up questions related to sickout allegations, but in her earlier interview with CNN she said Minneapolis has unique challenges.

For one, she said, Minneapolis has a relatively low rate of domestic murders, which are typically easier to solve, and a high rate of gang murders, which are more difficult.

But the bigger factor again comes down to attrition. Huffman said the Minneapolis Police Department has lost about 100 investigators in its investigations bureau since early 2020.

Still, Huffman said the MPD is committed to solving homicides, adding that unsolved murders can have serious negative repercussions that ripple through communities for years and devastate families.

“The lack of justice for families who have had family members murdered is completely unacceptable,” she said. “And it’s incumbent on us to make sure that we’re doing everything we can to solve those cases.”

Huffman’s new boss, Cedric Alexander — who was hired in August as the city’s first ever community safety commissioner — said he understands the community’s frustration.

“When you have a body drop and another body drops and another body drops, what you have oftentimes is ongoing violence — it certainly does overwhelm an agency that already is struggling with a great deal of shortages,” he told CNN. “It does give people the perception nothing is being done. But I can assure you that it is. And in any of these violent cases where we have victims, it is taken at a very high priority.”

How ‘defund’ failed

In June of 2020, nine of the Minneapolis City Council’s 13 members stood on a stage adorned with an oversized sign saying “DEFUND POLICE.”

Around the same time, in another spectacle that made national news, Mayor Frey was booed and jeered by activists at a George Floyd protest near his home for saying — in response to a question — that he did not support “the full abolition of police.” As he walked away, the crowd broke into a “Go home Jacob!” chant.

“It was a lonely walk,” Frey told CNN recently. “At that moment there was a very loud chorus of people, including elected officials … that were all calling very loudly to defund the police.”

It’s well established that those widely viewed events boosted a movement in Minneapolis that would later fail at the polls last November. Lesser known is how the very community most directly impacted by crime and policing in the city — the north side — was among the least supportive of the “defund” idea.

“I think what’s at issue is the White progressives’ belief that they’re helping us,” said Lisa Clemons, a former Minneapolis police officer, who is Black and runs a gun-violence organization called A Mother’s Love in north Minneapolis. “Oftentimes they are hurting us.”

Clemons said people in north Minneapolis don’t want to get rid of cops — “they just want respectful cops.”

Minneapolis voters not only resoundingly rejected what was seen as the “defund” initiative, they also voted to strengthen the office of the mayor and reelected Frey, who’d become a local avatar for moderate Democrats put off by the party’s most liberal wing.

The Minneapolis area with the largest Black population — Ward 5 on the north side — also proved a strong base of support for Frey in his reelection, according to a CNN analysis of voter data.

Frey said that while no demographic group is a monolith, White progressives in the aftermath of Floyd’s death often seemed out of sync with ordinary Black residents.

“I heard a lot of White activists purport to be speaking on behalf of communities of color. And I was listening to them — listening to communities of color — and they weren’t saying the same things,” Frey said. “I’d walk down the street and I’d hear from White people, ‘Defund the police! Defund the police!’ And then I’d hear from a Black person a half block later, ‘Hey, we really need to have some additional help.'”

Sheila Nezhad, a community organizer who turned out to be one of Frey’s most competitive mayoral opponents in November, noted that turnout was lower in north Minneapolis than the citywide average, and that the advocacy group — called Yes 4 Minneapolis — that proposed the ballot measure that came to be seen as the “defund” referendum was led by Black people.

“And I’m not White,” she said. “So when Jacob Frey talks about only White people want to defund or whatever … I think that he is perhaps shaping the narrative to benefit his political goals.”

Even before Floyd’s killing, the MPD had drawn criticism for its approach to policing the Black community.

In 2016, anti-police protests erupted after it was announced that two Minneapolis officers involved in the shooting death of Jamar Clark — a 24-year-old Black man who scuffled with the officers and, according to authorities, reached for one of their guns — would not be charged. Two years later, after responding to calls of a man shooting a gun in the air, police chased and fatally shot 31-year-old Thurman Blevins, who said “please don’t shoot me” as he ran away from them; body cameras showed officers yelling at him to drop his gun. Police say Blevins turned with his gun toward the officers, who ultimately were not charged.

And then came May 25, 2020. In a nine-minute video that seemed to last an eternity, a police officer defiantly knelt on the neck of a handcuffed, face-down Floyd, whose pleas for help went unanswered until he fell silent. Now infamous, the officer, Derek Chauvin — who’d already had 18 prior complaints filed against him — was convicted of Floyd’s murder and sentenced to 21 years in federal prison.

“For me, it was a moment of deep grief,” said Nezhad, who still wants to abolish the Minneapolis Police Department. “And the days that followed offered a glimpse into just how ready so many people are for massive change.”

In April, the Minnesota Department of Human Rights released a report, two years in the making, charging that the Minneapolis department’s officers have engaged in a pattern or practice of race discrimination when conducting traffic stops or using force. It called for ordering a consent decree, which is essentially a court-enforced settlement to reform the department. The report also blasted the MPD for “ineffective accountability,” saying that “almost every investigation of a police misconduct complaint against an MPD officer … is assessed or guided by sworn MPD officers.”
The city is in negotiations with the humans right department over the consent decree, and Frey has indicated that some of his budget priorities are in direct response to the report.

Don Samuels — a former Minneapolis City Councilman who surprised political observers this summer by nearly defeating US Rep. Ilhan Omar, an icon of progressive politics in America — said the video of Floyd’s death was the most “evil thing I had ever seen.”

“That was so painful — just painful to watch and to see a Black man, of dark complexion, under the knee of a dispassionate White male,” Samuels said. “It conjured up all kinds of slavery imagery.”

And yet, Samuels, a 73-year-old immigrant from Jamaica — who lives in one of the most dangerous neighborhoods of north Minneapolis — experienced another kind of dismay when he saw the nine council members on the Defund stage while watching the news on TV with his wife.

“It was like a World Trade Center moment for us,” he told CNN. “Our jaws fell to the floor. Literally, we were aghast. We looked at each other and said, ‘Oh, my God. It’s going to be Crime City in Minneapolis.'”

That summer, Samuels joined the residents of north Minneapolis who sued the city for its police shortage. Half of the plaintiffs are Black.

During his campaign for Congress, Samuels ran a kind of middle-ground campaign on public safety.

“We don’t have to choose safety or police — we can have both/and,” Samuels said at a town hall campaign event in August. “Let’s get rid of the bad police, let’s fix the fixable police.”

He lost, but the “both/and” approach appears to be the current path that the city of Minneapolis is on.

‘Both-and’: A post-Defund approach

On a morning this August, in a scene that offered a sharp contrast from two years ago — when Mayor Frey made his “lonely walk” through an angry crowd — he and Commissioner Alexander, both smartly dressed, strode triumphantly through corridors of City Hall.

Alexander, a 67-year-old former deputy sheriff with a doctorate in psychology who was hand-picked by Frey, had just been confirmed as the city’s community safety commissioner in a contentious council meeting. His newly created position amounts to the first piece of Frey’s proposed plan to combine 911, police, fire, neighborhood safety and emergency management under one roof.

“The number one, first priority is the fact that people in this community don’t feel that they’re safe,” said Alexander — who served on the 21st Century Task Force on Policing under former President Barack Obama — during an impromptu press conference minutes after his hiring. “The fact is that we have violent crime that’s occurring, and occurring way too frequently.”

Alexander, who retired in 2017 as the public safety director in DeKalb County, Georgia, in the metro Atlanta area, added that the MPD isn’t likely to become fully staffed overnight — “probably not even in our careers” — and stressed the importance of data-driven policing and building relationships.

“If we don’t build relationships with these people in our communities, you ain’t solving crime nowhere,” said Alexander, a former CNN contributor on law enforcement issues.

Osler, the St. Thomas professor, said at the moment, people don’t want to work for the MPD, “where officers are not respected. And to be straight-up about it, MPD earned that lack of respect.”

In the meantime, he said, the department needs to focus on two key metrics: improving homicide clearance rates and executing search warrants for violent criminals, which, Osler acknowledged, is no easy feat.

“Think about it from the perspective of the person executing that warrant,” Osler said. “You’re going to bust down the door and who you know is on the other side is someone who’s probably already shot somebody. That’s a tough job. No wonder people don’t want to do it.”

On the policy front, the wheels of change seem to be grinding forward, however slowly.

Since Gov. Tim Walz signed a police accountability law two years ago that banned chokeholds and “warrior” style police training, the city of Minneapolis appears to be finding a path forward that avoids having to choose between building the police force and reimagining public safety. The city is not only looking at further beefing up the police budget but is also piloting a slate of programs that send unarmed responders to nonviolent 911 calls. Mayor Frey has proposed making them permanent in his recommended budget for 2023-2024.

Frey argues that the centerpiece of his proposed public safety plan — creating a new Office of Community Safety — captures much of what the “defund” movement was after in the first place.

The concept is to “match the best possible people with what is actually being experienced on the street,” Frey said. “Anybody who was for that before but is not for it now is pretty disingenuous.”

When it comes to hiring, the MPD is trying to entice young blood with incentives — for instance by covering the cost of tuition for potential recruits who need law-enforcement coursework but only have a high school degree. It’s a big challenge — not just because so many officers have left, but also because there is a shortage of young people across the country getting into law enforcement, Alexander said.

The city has made headway when it comes to filling the top job: Frey recently announced three finalists — all of them from outside Minneapolis — for the permanent chief position, which Huffman has filled on an interim basis since December.

Last summer, the police presence in the city was so thin — and the rate of violence so high — that a group of volunteers in the faith community went to heroic measures to break the cycle.

The idea was simple. In an initiative called 21 Days of Peace, church volunteers simply hung out in some of the most deadly neighborhoods to engage in violence prevention.

The effort was considered a success, but for one volunteer it came at a cost.

Gloria Howard, a grandmother, had just handed out snow cones to two women with young children at one of the violence hotspots near a liquor store on Broadway Avenue when a barrage of gunfire sent people scattering.

Howard crumpled to the ground. When she tried to get up, she couldn’t — she’d been shot twice.

People from a nearby church rushed out of the building to render aid and call the police.

“When I got to the hospital, the doctors were like, ‘Well, you’re some lucky lady and you must be somebody special because you have no metal fragments in your body,'” Howard said. The bullets, she said, “went through and through.”

Howard, who was against the “defund” initiative, said there are specific reforms she would like to see, starting with a push to require more officers to live in the city they serve.

(A 2017 Star Tribune report found that just 8% of MPD officers lived in Minneapolis. Chauvin lived in the suburb of Oakdale, where nearly 72% of the residents are White.)

“All Black men are not big and scary,” Howard said. “All Black women are not angry. So, you know, you have to be able to know the community.”

But she realizes that even with such reforms, improvement would take time.

“I don’t even walk Broadway anymore,” Howard said, while eying the thoroughfare from a distance, close to where she was shot. “I’ve seen the cars speeding up and down when they’re chasing each other. And then when they start shooting, it can come from anywhere. So I don’t even do that anymore. And I never used to be afraid coming over here.”

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Kosovo government postpones its plan for volatile north after tensions heightened

FILE PHOTO- Kosovo’s Prime Minister Albin Kurti looks on during a news conference with German Chancellor Olaf Scholz in Berlin, Germany May 4, 2022. REUTERS/Hannibal Hanschke

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MITROVICA, Kosovo, July 31 (Reuters) – The Kosovo government postponed implementation of a decision that would oblige Serbs in the north of the country to apply for car license plates issued by Pristina institutions over tensions between police and local communities that set roadblocks.

Late on Sunday the protesters parked trucks filled with gravel and other heavy machinery on roads leading to the two border crossings, Jarinje and Bernjak, in a territory where Serbs form a majority. Kosovo police said they had to close the border crossings.

“The overall security situation in the Northern municipalities of Kosovo is tense,” NATO-led mission to Kosovo KFOR said in a statement.

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In Moscow, Russian Foreign Ministry spokeswoman Maria Zakharova blamed the heightened tension on what she called “groundless discriminatory rules” imposed by Kosovo authorities

Fourteen years after Kosovo declared independence from Serbia, some 50,000 Serbs living in the north use license plates and documents issued by Serbian authorities, refusing to recognize institutions under the capital, Pristina. Kosovo has been recognised as an independent state by more than 100 countries but not by Serbia or Russia.

The government of Prime Minister Albin Kurti said it would give Serbs a transitional period of 60 days to get Kosovo license plates, a year after giving up trying to impose them due to similar protests.

The government also decided that as of Aug. 1, all citizens from Serbia visiting Kosovo would have to get an extra document at the border to grant them permission to enter.

A similar rule is applied by Belgrade authorities to Kosovars who visit Serbia.

But following tensions on Sunday evening and consultations with EU and U.S. ambassadors, the government said it would delay its plan for one month, and start implementation on Sept. 1.

Earlier on Sunday, police said there were shots fired “in the direction of police units but fortunately no one was wounded”.

It also said angry protesters beat up several Albanians passing on the roads that had been blocked and that some cars had been attacked.

Air raid sirens were heard for more than three hours in the small town of North Mitrovica inhabited mainly by Serbs.

A year ago, after local Serbs blocked the same roads over license plates, Kosovo’s government deployed special police forces and Belgrade flew fighter jets close to the border.

Tensions between the two countries remain high and Kosovo’s fragile peace is maintained by a NATO mission which has 3,770 troops on the ground. Italian peacekeepers were visible in and around Mitrovica on Sunday.

The two countries committed in 2013 to a dialogue sponsored by the European Union to try to resolve outstanding issues but little progress has been made.

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Reporting by Fatos Bytyci; Editing by Philippa Fletcher, Ron Popeski, Daniel Wallis and Sandra Maler

Our Standards: The Thomson Reuters Trust Principles.

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Heightened dream recall ability linked to increased creativity and functional brain connectivity

People who can frequently recall their dreams tend to be more creative and exhibit increased functional connectivity in a key brain network, according to new research published in the journal Nature and Science of Sleep. The findings provide new insights into the neurophysiological correlates of dreaming.

“I think that dreaming is one of the last frontiers of human cognition — a terra incognita of the mind if you will,” said study author Raphael Vallat, a postdoctoral researcher at the Center for Human Sleep Science at the University of California, Berkeley. “Although we all spend a significant amount of our lives dreaming, there are still so many basic research questions related to dreams that are unanswered, which obviously makes it such a fascinating topic to study!

“In this and previous studies, we address one of these fundamental research questions: why do some people recall their dreams every day while others almost never seem to recall a dream?”

For his new study, Vallat and his colleagues used brain imaging techniques to examine whether neurophysiological differences exist between individuals who frequently recall their dreams and those who do not.

The study included 55 healthy participants (ages 19–29) with normal sleep characteristics and body mass index. Twenty-eight participants were high dream recallers (able to recall about 6 dreams per week on average), while 27 participants were low dream recallers (recalling less than one dream per week on average). The two groups did not significantly differ in age, habitual sleep duration, or education.

Participants arrived at the sleep lab at Le Vinatier Hospital the night before their scanning session and completed self-reported assessments of personality, anxiety, and sleep quality. They also completed the Wechsler Memory Scale (used to measure immediate and delayed memory performance), the Guildford Uses Task (used to measure creative ability), and a digit span task (used to measure working memory’s number storage capacity). After staying at the lab overnight, the participants underwent three functional magnetic resonance imaging scans to measure resting-state brain activity.

The researchers found that high dream recallers and low dream recallers had similar personalities, levels of anxiety, sleep quality, and memory abilities. However, high dream recallers scored significantly higher on the Guildford Uses Task than low dream recallers, indicating that they had greater creative abilities.

Vallat and his colleagues also observed increased functional connectivity within the default mode network in high dream recallers compared to low dream recallers. The brain network “is known to be active during day-dreaming, mind-wandering (e.g. getting lost in your thoughts), and has been further suggested to promote creativity and dreaming,” Vallat explained. The increased connectivity was specifically found between the medial prefrontal cortex and the temporo-parietal junction, in line with clinical reports that have shown lesions to these brain regions result in a cessation of dream recall.

“In simpler words, high dream recallers have superior creative abilities, as well as a different brain functional organization, as demonstrated by this study and previous studies from our lab,” Vallat told PsyPost. “It remains an open question whether there is a causal relationship between dream recall, creative thinking, and brain ‘wiring’, and if so, what is the direction of that relationship (the chicken or egg problem). Does increased dreaming promote creative thinking and ultimately lead to changes in brain function? Or does an innate higher functional connectivity of the default mode network in these individuals promote their dream recall and creative abilities?”

An experimental methodology could help to untangle the causal relationships. “A next step of this study could be to take a group of non-dreamers, increase their dream recall abilities over time using some validated methods (the most known of which is to simply write down their dreams every morning as they wake up, the conscious effort of remembering their dreams eventually leading to a better recall of dreams), and assess their creativity and brain function before and after the manipulation,” Vallat explained.

But the study, like all research, includes some limitations. “Like most functional magnetic resonance imaging (fMRI) studies, we have used a fairly small sample size, which limits the generalizability of our findings (i.e. do these findings hold for a larger and more diverse population?),” Vallat said.

The study also only examined one type of creativity. In the Guildford Uses Task, participants are given two minutes to list as many alternative uses as possible for an everyday object. The total number of responses and the number of rare uses are used to measure a type of creative ability known as divergent thinking. “Creativity is an umbrella term that encompasses several concepts (e.g. convergent vs divergent thinking, problem solving, gist extraction, etc). In this study, we have measured a single subdomain of creativity,” Vallat noted.

“Understanding differences in dream recall between individuals is just one angle through which we are trying to decipher this fascinating and mysterious phenomenon that is dreaming,” Vallat said. “Studying dreams is a nightmare (sorry for the pun!) because it is not directly observable: we do not know exactly when dreaming happens during sleep, and we must therefore rely on waking up the sleeper to ask whether they were dreaming or not prior to awakening. Even then, this is imperfect because if they do not report any dreams, we cannot know for sure whether they were not dreaming or were in fact dreaming but immediately forgot their dream(s) upon waking.”

The study, “High Dream Recall Frequency is Associated with Increased Creativity and Default Mode Network Connectivity“, was authored by Raphael Vallat, Başak Türker, Alain Nicolas, and Perrine Ruby.

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As Chicago Moves Into Heightened COVID Risk, When Could a Mask Mandate Return? – NBC Chicago

Chicago moved from “low” to “medium” risk for COVID-19 transmission on Friday, so when could health officials reinstate restrictions like the mask mandate?

The Chicago Department of Public Health is now “strongly recommending” that people wear a mask in public, indoor spaces due to the increase in cases, but this doesn’t mean a face covering requirement is in place.

On Friday, CDPH Commissioner Dr. Allison Arwady said a citywide mandate is not in place and will not be reinstated unless Chicago moves from medium to high risk level. She reminded, however, that people can spread COVID two days before developing symptoms, so masking is a strong form of protection at this time.

“With the way the current COVID variants are behaving, those are measures we would consider if we reached the High COVID-19 community level—which we aren’t close to reaching in Chicago right now. But we obviously don’t want to get there, and exercising some more caution now will help us keep COVID in control in Chicago,” Arwady said.

Chicago is newly at the medium risk level, though Arwady said health officials have been expecting the city to reach this point “for some time now.”

“It’s not a cause for alarm, since most cases right now are mild and thankfully our COVID-19 hospitalizations and deaths remain at or near all-time pandemic lows in Chicago,” Arwady said. “But it is reason for more caution, and for more care with masking, since more people in Chicago are infected with COVID right now.”

Chicagoans are also encouraged to stay up-to-date on vaccinations and booster shots, as well as test for the virus should any symptoms appear.

The Centers for Disease Control and Prevention determines COVID Community Levels as low, medium and high, based on cases, hospitalizations and hospital capacity within the past week.

Over the last seven days, Cook County and Chicago combined recorded 259 COVID cases per 100,000 residents, which caused the area to move over the 200-case threshold for medium risk level.

To reach a high transmission level, however, Chicago-area hospitalizations would need to increase, CDPH noted. Health officials said there is “little short-term risk” of reaching a high level and that new mandates are not imminent.

As of Friday, nearly all of the Chicago area was experiencing medium risk levels for the virus, according to the CDC.

As of Friday, Cook, Kane, McHenry, Lake, DuPage, DeKalb, Kendall and Will counties all were listed under the CDC’s “medium community” alert level, the second-highest level on the CDC’s scale. At least six other counties in the state – including McLean, Logan, Sangamon, Douglas, Champaign and Winnebago counties – are also at this level.

Last week, only five counties were at the medium community level.

Here’s what the CDC recommends for counties under a medium alert level:

As of Friday, no communities were said to be experiencing high transmission in Illinois, though several counties in the Northeast had reached that designation.

Counties that do reach a high community level are urged to reinstate mask-wearing for all individuals indoors regardless of vaccination status and to consider avoiding non-essential indoor activities.

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Biden considers Ukraine options as Pentagon puts US troops on ‘heightened’ alert – live | World news

Staff turnover in the Biden administration is nowhere near what it was under Donald Trump, when senior aides came and went as through a revolving door in a hurricane.




Ron Klain. Photograph: REX/Shutterstock

Nonetheless, the press always likes a bit of speculation about who might be in and who might be out, and here comes the Washington Post with an exhaustive examination of how Ron Klain, Joe Biden’s chief of staff, has not had the smoothest first year in the job.

The piece is based on interviews with “more than 60 White House and administration officials, Cabinet secretaries, members of Congress and other Klain associates”.

In one of the kinder comments about Klain’s year in a role which Trump filled four times in four years, the Connecticut senator Richard Blumenthal told the paper: “I think that, by and large, he’s making the trains run on time – even though some of the boxcars may seem to be empty some of the time.”

Blumenthal might’ve been alluding to supply chain problems, among various crises (Covid, Ukraine, the assault on US democracy, the fallout from calling a Fox News reporter a “stupid son of a bitch”) which have dogged Biden’s first year.

But the Post piece focused on the damage to Biden, and thus to Klain, from protracted and mostly failed negotiations with the president’s own party on Capitol Hill, in particular over domestic spending and voting rights reform, both high-profile failures.

The Post said many Democrats complained progressives had been given too much weight, one saying Klain had created “a monster” by empowering Pramila Jayapal, the leader of House progressives. (Adhering to rather endearing American newspaper norms, the Post said that source used “an expletive to underscore the point”.)

Jayapal countered: “If he empowered us, it was because we were pushing the president’s agenda.”

The paper also spoke to Klain. He, it reported, “appeared to acknowledge that playing an inside-Washington game had been problematic for Biden in his first year, creating an image that the president spends most of his time in political negotiations.

“Klain vowed that Biden would spend more time on the road in 2022, interacting with Americans and showcasing his trademark style of backslapping empathy.”

There is of course much more in the piece. If you like that sort of thing, it’s here.

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