The Brown Bear

    My wife Laura and I were on the beach, with three of our children, taking pictures of shore birds near our home in Alaska when we spotted a bear. The bear was thin and small, moving aimlessly.

    Just a few minutes later, I heard my daughter shouting, “Dad! The bear is right behind us!” An aggressive bear will usually rush forward to frighten away its enemy but would suddenly stop at the last minute. This one was silent and its ears pinned back—the sign of an animal that is going in for the kill. And it was a cold April day. The bear behaved abnormally, probably because of hunger.

    I held my camera tripod (三脚架) in both hands to form a barrier as the bear rushed into me. Its huge head was level with my chest and shoulders, and the tripod stuck across its mouth. It bit down and I found myself supporting its weight. I knew I would not be able to hold it for long.

    Even so, this was a fight I had to win: I was all that stood between the bear and my family, who would stand little chance of running faster than a brown bear.

    The bear hit at the camera, cutting it off the tripod. I raised my left arm to protect my face; the beast held tightly on the tripod and pressed it into my side. My arm could not move, and I sensed that my bones were going to break.

    Drawing back my free hand, I struck the bear as hard as I could for five to six times. The bear opened its mouth and I grasped its fur, trying to push it away. I was actually wrestling (扭打) with the bear at this point. Then, as suddenly as it had begun, the fight ended. The bear moved back toward the forest, before returning for another attack—The first time I felt panic.

    Apparently satisfied that we caused no further threat, the bear moved off, destroying a fence as it went. My arm was injured, but the outcome for us could hardly have been better. I'm proud that my family reminded clear-headed when panic could have led to a very different outcome.

    The clock always seems to be ticking rather too fast in the doctor's office and the queue of patients outside the door seems to be pressing rather too hard. Some say it's high time for the model of short, sharp one-to-one appointments to give way to shared medical appointments (SMAs).

    SMAs are doctor-patient visits in which a group of patients receive patient education and counseling (咨询),physical examination and medical support in a group setting. Typically SMAs are designed to have one or more doctors attend to a group of patients who share a common illness or medical condition. In contrast to one-to-one visits, SMAs provide a longer appointment time-frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.

    However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr. Sumego, director of shared medical appointments, Cleveland Clinic, identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy; the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr. Sumego says, "The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is."

    "So, if an organization was looking to start shared medical appointments, I would advise them to start the buy-in from a few champion physicians, develop the work-flow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next."

    On average, Americans spend about 10 hours a day in front of a computer or other electronic devices and less than 30 minutes a day outdoors. That is a claim made by David Strayer, a professor of psychology at the University of Utah. In his 2017 TED Talk, Strayer explained that all this time spent with technology is making our brains tired.

    Using an electronic device to answer emails, listen to the news and look at Facebook puts a lot of pressure on the front of the brain, which, Strayer explains, is important for critical thinking, problem-solving and decision-making.

    So it is important to give the brain a rest. And being in nature, Strayer claims, helps get a tired brain away from too much technology. More than 15,000 campers from around the world attended an international camping festival in September. That is when friends and family take time off and escape to nature for several days. They take walks, climb, explore, swim, sleep, eat and play. Camping may be just what a tired brain needs.

    Take Carl for example. He lives in West Virginia and enjoys camping. He says that staying outdoors makes him feel at ease. It also prepares him for the work he must do. Kate Somers is another example who also lives in West Virginia. She says she enjoys camping with her husband and two children. She calls it a "regenerative" experience.

    At the University of Utah, David Strayer has studied both short-term and long-term exposure to nature. He found that spending short amounts of time in nature without technology does calm the brain and helps it to remember better. However, he found it is the long-term contact with nature that does the most good. He and his research team found spending three days in nature without any technology is enough time for the brain to fully relax and reset itself.

    The secret to living longer could be as simple as picking up your walking pace, according to a new study. Researchers from the University of Sydney found that walking at a brisk (快的) or fast pace was associated with a risk reduction of 24 percent for any cause of death.

    This effect was even more obvious in older age group, with fast walkers over the age of 60 reducing their risk of death by a surprising 53 percent. Professor Emmanuel Stamatakis, who led the study, explained, "A fast pace is generally five to six kilometers per hour, but it really depends on a walker's fitness levels; an alternatives indicator is to walk at a pace that makes you slightly out of breath or sweaty."

    In the study, the researchers looked at the results of 11 surveys from 1994 to 2008, in which participants recorded their walking pace, as well as age, sex and BMI. The analysis showed that walking at an average pace was associated with a 20 percent risk reduction for all-cause mortality (死亡率) compared with walking at a slow pace, while walking at a brisk or fast pace was associated with a risk reduction of 24 percent.

    The researchers hope the findings will encourage the development of public health message about the benefits of walking pace. Professor Stamatakis added, "These analyses suggest that increasing walking pace may be a straightforward way for people to improve heart health and risk for premature mortality—providing a simple message for public health campaigns to promote.

    "Especially in situations when walking more isn't possible due to time pressures or a less walking-friendly environment, walking faster may be a good option to get the heart rate up—one that most people can easily add to their lives."

    Imagine your body is like the house you live in. Every day, your family creates rubbish. The rubbish builds up until it is put out for the weekly garbage collection.

    Now, say you put three bags of garbage out, but because one of the collectors was away sick, only two bags are collected. You take the leftover bag inside to be put out again next week. The following week you put on another three bags, plus the leftover bag from last week. But again, only two bags are collected. Imagine this cycle is repeated over the following weeks.

    This is a simple description of what happens to your body when your kidneys (肾脏) don't work efficiently. Your body is not thoroughly emptied of waste products. Other areas of the body such as blood pressure and red blood cell production are affected and the insidious process that may lead to kidney failure begins.

    It's not uncommon for people to lose up to 90% of their kidney function before developing any symptoms. There may be no warning signs. This makes early detection (诊查)difficult.

    Kidney's main job is to remove toxins (毒素) and unwanted water from our blood. Every day our kidneys clean an average of 200 litres of blood. Kidney failure may be a gradual and silent process, going unnoticed because there is no obvious pain.

    Research shows that more than 35% of the patients requiring dialysis (透析) do not see a kidney specialist before they have to do so. Some risk factors for kidney disease such as age and genetic make-up are out of our control; however, some changes in lifestyle may help prevent kidney damage. Two major risk factors for kidney disease, diabetes (糖尿病) and high blood pressure, have been on the rise over the last few decades. Both conditions are chiefly affected by being overweight and not getting enough exercises, which are the potential (潜在的) risk factors for the kidney disease.

    Norwegian playwright and author Jon Fosse has just been awarded the 2023 Nobel Prize in Literature for his "innovative plays and prose which give voice to the unsayable". 

    The Swedish Academy credits Fosse as "one of the most widely performed playwrights in the world", although the 64-year-old originally made his name as a novelist, beginning with Red, Black in 1983. He has since written many works of prose and poetry. "His literary works, spanning a variety of genres (体裁) , comprises about 40 plays and a wealth of novels, poetry collections, essays, children's books and translations, " said Anders Olsson, chairman of the Nobel Committee for Literature. 

    Jon Fosse draws inspiration from his rural living environment and personal struggles, which have deeply influenced his distinctive writing style. Growing up in a small coastal village, Fosse was immersed in the beauty of nature and the vastness of the sea, which filled him with a sense of solitude and introspection (内省) that is reflected in his works. Fosse's writing discussed themes of loneliness, longing, and the search for meaning in life. Additionally, his battles with depression have enabled him to explore the depths of human emotions and existential despair. 

    "He touches you so deeply when you read his works," said Anders Olsson. "What is special about him is the closeness in his writing. It touches your deepest feelings —anxieties, insecurities, questions of life and death —which are things that every human being actually faces from the very beginning. In that sense I think he reaches very far and there is a sort of a universal impact of everything that he writes —it has appeal to this basic humanity."

    Fosse is the first-ever laureate writing in Nynorsk, one of the two official languages of Norwegian, but only used by just 10% of the population. As the Guardian writes, "Many Nynorsk speakers see Fosse ‘as a kind of national hero ‘for his championing of the language." Fosse's recognition on a global stage promotes the visibility and importance of Nynorsk as a written standard. It will attract more attention to Nynorsk literature, inspire and encourage Nynorsk speakers to continue preserving and promoting their linguistic heritage.