Can what you eat during pregnancy really change your gut bacteria? New research reveals how the Mediterranean diet boosts beneficial microbes for expectant mothers, while stress-busting mindfulness may not be enough.
Study: Effects of Mediterranean diet or Mindfulness Based-Stress Reduction during Pregnancy on Maternal Gut and Vaginal Microbiota. A sub-analysis of the IMPACT BCN trial. Image Credit: leonori / Shutterstock
In a recent study published in The American Journal of Clinical Nutrition, researchers conducted a clinical sub-analysis to investigate the impacts of maternal diet and stress levels on the maternal microbiome. The study leveraged data from the IMPACT BCN randomized trial and found that a Mediterranean diet intervention significantly altered the composition of the maternal gut microbiota, promoting an increase in beneficial, short-chain fatty acid-producing bacteria.
A mindfulness-based stress reduction program had more modest effects on the maternal gut microbiome, with some increases in health-associated bacteria, but did not significantly alter overall microbiome structure (p=0.094). These findings highlight the maternal gut as a potential therapeutic target for improving both maternal health and potentially influencing long-term child welfare. It is important to note that microbiome outcomes were measured as exploratory endpoints, and further research is needed to determine how these changes may influence clinical outcomes for mothers and infants.
Pregnancy represents a period of substantial and profound physiological change, extending beyond just the mother and her developing fetus to also include their resident microbial symbionts. Notably, research has found that maternal gut and vaginal microbiomes are the primary sources for seeding the infant’s microbiota, a process critical for the latter’s development of a healthy immune system and metabolism in later life.
Parallel studies have established a link between the independent influences of diet and stress on non-pregnant adult microbiome composition and function. Unfortunately, there remains a scarcity of evidence from randomized trials on whether structured lifestyle interventions, such as diet and stress level interventions, especially during pregnancy, can purposefully and beneficially alter these crucial microbial ecosystems.
Understanding these associations would provide prospective mothers and their caregivers with the information to optimize maternal and fetal physiological outcomes.
The present study aims to address this knowledge gap by conducting a sub-analysis of the Improving Mothers for a better PrenAtal Care Trial BarCeloNa (IMPACT BCN) cohort, a randomized controlled trial (parallel design) carried out at the Hospital Clínic and Hospital Sant Joan de Déu (BCNatal) in Barcelona, Spain. IMPACT BCN aimed to elucidate whether lifestyle interventions could reduce the incidence of small-for-gestational-age (SGA) newborns.
The current study focused on the maternal microbiome as a key exploratory outcome and used a subsample of 351 pregnant individuals from the main trial who were at high risk of having an SGA baby. Identified participants were randomly assigned to one of three experimental subgroups: 1. The Med Diet group – These individuals received counselling to adopt a Mediterranean dietary pattern, supplemented with extra-virgin olive oil and walnuts. 2. The Stress Reduction (SR) group – These individuals were enrolled in an 8-week mindfulness-based stress reduction program (Kabat-Zinn adapted for pregnancy), and 3. Usual/routine Care group: These individuals were subjected to standard prenatal care protocols without additional intervention.
Study data collection comprised the extraction of maternal fecal and vaginal samples (following intervention termination – 34-36 weeks’ gestation). Crucially, a subset of 85 participants was used to obtain baseline readings (before intervention initiation). Microbiome structure was evaluated using high-resolution 16S rRNA gene sequencing for community characterization and functional evaluation.
Study findings revealed that modifiable behaviors, particularly diet, are strongly linked to microbiome health in pregnant women. Specifically, the Med Diet intervention was closely associated with the overall alteration of the gut microbiota structure (p = 0.002), leading to a significant enrichment in bacteria from the Firmicutes phylum. Adherence to the Med Diet was observed to promote the growth of bacteria (e.g., Ruminococcaceae and Lachnospiraceae) known to produce beneficial short-chain fatty acids (SCFAs).
Simultaneously, Med Diet adherence reduced microbiome concentrations of potentially harmful bacteria, most notably the genus Campylobacter (p < 0.001). While the strength of outcomes was more limited, the mindfulness-based stress reduction intervention was associated with enrichment of specific health-associated bacteria, such as Ruminococcaceae_UCG-010 and Turicibacter, but did not significantly affect the overall gut microbiota composition (p=0.094 for overall structure).
Microbial diversity was observed to decrease as pregnancy progressed, with this reduction being more pronounced among participants in the intervention groups.
Additionally, independent of intervention group assignment, higher adherence to the Mediterranean diet pattern correlated with greater microbial diversity and beneficial microbial shifts.
It should be noted that the study exclusively analyzed the maternal microbiome; the offspring’s microbiome was not assessed.
Neither intervention had a significant effect on the composition or diversity of the vaginal microbiota, which remained stable (dominated by the Lactobacillus genus), as is typical during a healthy pregnancy.
The present study provides the first evidence highlighting the role of structured interventions (targeting modifiable behaviours) in influencing the maternal gut microbiome during pregnancy. It demonstrates that a Mediterranean diet can foster a gut environment rich in beneficial, anti-inflammatory SCFA-producing bacteria, providing a plausible mechanism through which this diet may improve pregnancy outcomes. However, clinical outcomes related to these microbiome changes were not directly assessed in this sub-analysis and should be investigated in future research. While the stress reduction program’s effect was more subtle, study findings still suggest a link between psychological well-being and gut microbial health.
Together, these outcomes position the maternal gut microbiome as a potentially important therapeutic target. By optimizing a mother’s diet and promoting stress management, it may be possible to cultivate a healthier microbial environment that benefits both mother and child. Future research exploring the long-term impacts of these microbial shifts on neonatal and child health may allow for the development of personalized maternal behavioral interventions designed to optimize both her and her offspring’s safety and holistic health.
OpenAI just helped fund an AI tool that could reduce your stress when staring at a huge spreadsheet.
A venture fund launched by OpenAI to invest in early-stage tech companies has led a $14 million funding round for Endex, a startup that said it has created an AI agent that will exist in Microsoft Excel and help you process data, handle financial tasks, and write memos.
“Finance professionals don’t just need search results; they need structured thinking and deep analysis,” said Tarun Amasa, CEO of Endex and recipient of the Thiel Fellowship, in a statement. “We envision a future where every firm has access to teams of digital analysts, seamlessly augmenting time-intensive workflows.”
Based on OpenAI’s blog post, Endex is powered by OpenAI’s reasoning models.
In a video that Amasa posted on X to announce Endex’s product launch on Wednesday, a screen displaying the word “Microsoft Excel” was replaced after a screen glitch to display “Endex,” followed by a brief demonstration of how the AI agent works by Amasa.
In the following posts, Amasa also said his team has spent a large portion of last year in OpenAI’s San Francisco office and has offered to send limited early invites to users who comment beneath the posts.
Microsoft and OpenAI did not immediately respond to a request for comment on how the AI agent would impact the Excel product.
The two companies have both competed and collaborated over the years.
Microsoft has invested over $13 billion in OpenAI since 2019 and is considered one of the company’s biggest backers. In exchange, Microsoft has access to OpenAI’s intellectual property and the right to resell it to customers through Azure’s OpenAI service and by building its own products with the technology, including its AI assistant, Copilot.
But as OpenAI builds its own service products like ChatGPT Enterprise and developer tools, it has also started to compete directly with its long-time investor. In 2024, Microsoft began to list OpenAI as a competitor in its annual report.
“What excites me most about this collaboration is our shared vision for vertical-specific AI,” said Amasa. “Our work goes beyond APIs — it’s about building the agent-user interfaces that will change how financial analysts do work.”
New Zealand fast bowler Will O’Rourke on Wednesday has been ruled out of the second Test against Zimbabwe after suffering a back injury, New Zealand Cricket (NZC) confirmed on Tuesday.
The 23-year-old pacer experienced stiffness in his back during the third day of the opening Test at Queens Sports Club in Bulawayo last week. O’Rourke bowled 23 overs in the match and picked up three wickets, playing a key role in New Zealand’s dominant nine-wicket victory. With O’Rourke unavailable, left-arm pacer Ben Lister has been added to the squad as cover. Lister, who has represented New Zealand in limited-overs cricket, is yet to make his Test debut.
Lister has yet to play a Test match, has appeared in three ODIs and 12 T20Is for New Zealand, with his last international outing coming over a year ago in Pakistan.
The second and final Test of the series is scheduled to begin on August 7, with New Zealand aiming for a clean sweep following their emphatic performance in the first Test. Earlier this week, New Zealand all-rounder Nathan Smith was also ruled out of the second Test against Zimbabwe due to an abdominal strain.
All-rounder Zakary Foulkes has been named as his replacement, earning his maiden call-up to the Test squad.Smith sustained the injury on the second day of the first Test in Bulawayo while batting. An MRI scan later confirmed the strain, which is expected to sideline him for two to four weeks.
The 27-year-old had played a key role in New Zealand’s first-innings bowling effort, returning figures of 3/20 as Zimbabwe were dismissed for 149.
However, he retired hurt on 22 off 79 balls during New Zealand’s innings and did not take the field thereafter.
New Zealand Test squad: Tom Latham (captain), Tom Blundell (wicket keeper), Devon Conway, Jacob Duffy, Matt Fisher, Matt Henry, Daryl Mitchell, Ben Lister, Henry Nicholls, Ajaz Patel, Glenn Phillips, Rachin Ravindra, Mitchell Santner, Zakary Foulkes, Nathan Smith and Will Young.
Australian surfer Molly Picklum is riding a wave of momentum in 2025 that has her standing at the top of the World Surf League (WSL).
The Gosford-born rider heads into this week’s Tahiti Pro in a rich vein of form, making the final in the past three events, including victory in Rio de Janeiro.
But when Picklum hits the water at the world-famous Teahupo’o, the crowd will be firmly behind a history-making 12-year-old.
Tahiti surfer Kelia Mehani Gallina will become the youngest ever competitor in the WSL.
Gallina will compete in the opening heat against Picklum and American five-time Champions Tour event winner Lakey Peterson.
The pre-teen won event trials in Tahiti last month, earning a wildcard spot into the final event of the season before the finals.
Kelia Gallina is set to become the youngest ever competitor on the World Surf League Champions Tour. (AP: Gregory Bull)
In an interview with ABC Sport in the lead-up to the event, Gallina said the waves she expects to surf at Teahupo’o will be bigger than what the 12-year-old will normally go for.
“It feels really good, it’s exciting,” Gallina told ABC Sport ahead of her Champions Tour debut.
“It’s going to be complicated, but I guess I’ll just go out and try … I’m pretty sure I’m good.
“A little stressed out because Mollie is definitely one of my heroes. She’s also really good at the barrels, so it’s going to be an interesting heat.
“I know Mollie really well … I can’t wait.”
Picklum spoke of her friendship with Gallina during her own interview with ABC Sport, speaking about training with her last year in preparation for the Olympic Games.
Despite being 10 years older and a role model for Gallina, Picklum said the young Tahiti surfer was an inspiration to the Australian.
“It’d be cool if she was looking up to me, but in the same way, she inspires me. Her technique, and everything, in the barrel is so good.
“She’s doing incredible things, and that’s, like, the next generation coming through.
“It pushes us to keep going further. It’s all I want to, I don’t want to be just sitting at the top and not being pushed.”
Picklum has already clinched her spot in the finals in Fiji, but has no intention of taking this week’s event lightly.
“I’m feeling pretty excited. I’ve had such a good year, and to just keep on going right to the end is important,” she said.
“It’s not celebration time by any means, but it’s definitely [time] to enjoy it and enjoy Tahiti.”
A cargo ship carries foreign trade containers on the Jiaozhou Bay waterway in Qingdao, Shandong Province, China, on August 5, 2025.
Costfoto | Nurphoto | Getty Images
China’s export growth in July sharply beat market expectations as the clock on a tariff truce with the U.S. keeps ticking, while imports rose to their highest in a year.
Exports climbed 7.2% in July in U.S. dollar terms from a year earlier, customs data showed Thursday, exceeding Reuters-polled economists’ estimates of a 5.4% rise.
Imports rose 4.1% last month from a year earlier, marking the biggest jump since July 2024, according to LSEG data. The data also indicated a recovery in import levels following June’s 1.1% rebound. Economists had forecast imports in July to fall 1.0%, according to a Reuters poll.
On a year-to-date basis, China’s overall exports jumped 6.1% from a year earlier, while imports fell 2.7%, customs data showed. China’s trade surplus this year, as of July, reached $683.5 billion, 32% higher than the same period in 2024.
China’s exports have supported the economy “strongly” so far this year, said Zhiwei Zhang, president and chief economist at Pinpoint Asset Management, cautioning that the momentum of businesses’ shipment front-loading may soon fade.
In July, China’s factory activity unexpectedly deteriorated to a three-month low with the official manufacturing purchasing managers’ index falling to 49.3 from 49.7 in June, missing expectations for 49.7.
The U.S. and Chinese negotiators have yet to strike an agreement that would keep the triple-digit tariffs at bay as the truce expires on Aug.12.
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US President Donald Trump said the tariff will not impact companies if they have already invested in US facilities.
United States President Donald Trump says he will impose a 100 percent tariff on foreign-made semiconductors, although exemptions will be made for companies that have invested in the US.
“We’ll be putting a tariff on of approximately 100 percent on chips and semiconductors, but if you’re building in the United States of America, there’s no charge, even though you’re building and you’re not producing yet,” Trump told reporters at the Oval Office on Wednesday evening.
The news came after a separate announcement that Apple would invest $600bn in the US, but it was not unexpected by US observers.
Trump told CNBC on Tuesday that he planned to unveil a new tariff on semiconductors “within the next week or so” without offering further details.
Details were also scant at the Oval Office about how and when the tariffs will go into effect, but Asia’s semiconductor powerhouses were quick to respond about the potential impact.
Taiwan, home of the world’s largest chipmaker TSMC, said that the company would be exempt from the tariff due to its existing investments in the US.
“Because Taiwan’s main exporter is TSMC, which has factories in the United States, TSMC is exempt,” National Development Council chief Liu Chin-ching told the Taiwanese legislature.
In March, TSMC – which counts Apple and Nvidia as clients – said it would increase its US investment to $165bn to expand chip making and research centres in Arizona.
South Korea was also quick to extinguish any concerns about its top chipmakers, Samsung and SK Hynix, which have also invested in facilities in Texas and Indiana.
Trade envoy Yeo Han-koo said South Korean companies would be exempt from the tariff and that Seoul already faced “favourable” tariffs after signing a trade deal with Washington earlier this year.
TSMC, Samsung and SK Hynix are just some of the foreign tech companies that have invested in the US since 2022, when then-President Joe Biden signed the bipartisan CHIPS Act offering billions of dollars in subsidies and tax credits to re-shore investment and manufacturing.
Less lucky is the Philippines, said Dan Lachica, president of Semiconductor and Electronics Industries in the Philippines Foundation.
He said the tariffs will be “devastating” because semiconductors make up 70 percent of the Philippines’ exports.
Trump’s latest round of blanket tariffs on US trade partners is due to go into effect on Thursday, but the White House has also targeted specific industries like steel, aluminium, automobiles and pharmaceuticals with separate tariffs.
Over recent months, the deteriorating humanitarian situation in the Gaza Strip has turned securing life’s most basic needs — water, food, and safety — into a daily tribulation. For many, even intense efforts will fail to provide a full stomach or a restful night.
Anas Arafat, a father of three living in Gaza City, described wartime life to The Times of Israel as a relentless struggle for survival from morning to night. “We focus on the basics,” he said.
Arafat lives in a building in the al-Daraj neighborhood in the northwestern part of Gaza City. Arafat has moved between several neighborhoods in the city, his hometown, during the war due to overcrowding and fears of IDF strikes. He is currently renting an apartment from a friend.
Unlike hundreds of thousands of other Gazans living in tents in displacement camps, Arafat has access to a jerry-rigged but functioning bathroom at home. He also still has his belongings, including clothing and kitchenware, from before the war.
With a nest egg that allows him to buy food, water, and power to charge his phone, Arafat is in many ways better situated than many others in Gaza who, lacking his means, have been left destitute, practically homeless and at the mercy of infrequent aid handouts requiring long journeys and deadly risks.
Yet even his relatively tolerable existence is still one of near-constant hardship. For Arafat and others like him who spoke to The Times of Israel to describe daily life in the Strip, making it through each day is a Sisyphean struggle filled with hunger, darkness and grave uncertainty.
“Yesterday morning, I went looking for someone selling water for washing and bathing,” Arafat told The Times of Israel via telephone. “I started around 7 a.m., and only found someone around 9 a.m.. After that, I looked for drinking water — two or three jugs. We need water for washing and for laundry every day. Even the water we buy for drinking isn’t really safe, but it’s all there is.”
While Arafat’s neighborhood has been targeted by the IDF multiple times during the war, the building he currently lives in remains habitable.
According to satellite imagery and UN statements, large parts of Gaza have been completely destroyed, including the northern tip of the Gaza Strip, eastern Gaza City, much of Rafah, and large sections of Khan Younis in the south of the Strip. In January, the UN Office for the Coordination of Humanitarian Affairs announced that 92 percent of buildings in Gaza had been damaged or destroyed.
This aerial view shows a war-devastated neighborhood in the Jabalia refugee camp in the northern Gaza Strip on April 2, 2025. (Bashar Taleb/AFP)
However, in western Gaza City, where the IDF’s ground operations were conducted primarily in the early months of the war, there are still areas with habitable buildings. The same is true for Deir al-Balah in the center of the Strip, where the IDF has conducted few ground operations.
Life in Gaza before the war was not exactly easy either. Since 2007, when the Hamas terror group seized power in a violent coup, Israeli restrictions on the movement of people and goods in and out of the Strip, as well as Hamas’s own policies, made the enclave into something of an economic basket case, with sky-high unemployment and a heavy reliance on foreign aid.
‘Every day, each member of the family gets one pita to last 24 hours. If we bathe once a week, that’s a success’
Israel said its embargo on Gaza was necessary to keep Hamas from building up its armed wing. Despite its efforts, Hamas still managed to develop a formidable fighting force along with miles of tunnels to support its activities beneath the Strip.
War erupted on October 7, 2023, as Hamas unleashed that force on southern Israel in a surprise attack, killing some 1,200 people and kidnapping 251, mostly civilians. Gazan terrorists still hold 50 hostages. Israel has said it will end the war and allow aid to flood the Strip the moment Hamas releases the hostages and disarms, blaming the terror group for the woes that have befallen Gaza’s people.
Protesters hold posters of the hostages in front of a still image taken from a Hamas video of hostage Evyatar David, on August 2, 2025. (Paulina Patimer/ Hostages and Missing Families Forum)
While lower-income segments of society before the war were dependent on humanitarian assistance, and electricity and other essential needs were often in short supply, it was possible in the past to make a living in Gaza.
Arafat, a former lawyer who was part of the Strip’s sizable self-supporting professional class, described going out to restaurants, visiting friends and experiencing a thriving social scene in his former neighborhood. Others talked about going to cafes or the beach from time to time.
One thing that remains in Gaza is cellular reception, allowing The Times of Israel to speak with residents to understand what daily life consists of. The reception relies on local infrastructure operated by Palestinian telecom companies, some of which was damaged during the war and partially repaired by Palestinians in coordination with Israel. It is also supported by cell towers located inside Israeli territory near the Gaza border.
All other trappings of modern life, like consistent access to food and water, are gone, Gazans say.
“Every day, each member of the family gets one pita to last 24 hours,” said Mouin Hilu, a Gaza City father of 10 and grandfather of two. “If not, they go to sleep hungry. For the past three or four months, we haven’t been eating properly. Every night, we go to bed hungry – waiting for morning, hoping maybe tomorrow there will be something.”
Water scarcity in Gaza predated the war, but the crisis has worsened since the conflict began.
Before the war, Gazans used water purchased by the Palestinian Authority from Israel’s Mekorot company, as well as from local wells and desalination facilities within the Strip.
Many wells across Gaza have been damaged in Israeli strikes. In addition, in November 2023, shortly after the October 7 Hamas-led invasion, Israel announced that it would stop selling water to Gaza.
Though the supply was gradually restored in the months that followed, damage to infrastructure remains extensive. Gaza’s desalination plant also went offline after Israel severed its supply of electricity to the Strip in March 2025. On July 26, Israel said it would reconnect power to the facility, but so far, this has not been confirmed by the UN or by local sources in the Gaza Strip.
As a result, houses in Gaza don’t have access to functioning pipelines, leaving them with no running water for bathrooms, showers, cooking and drinking needs.
Palestinians ride on a truck loaded with food and humanitarian aid as it moves along the Morag corridor near Rafah, in the southern Gaza Strip, August 4, 2025. (AP/ Mariam Dagga)
To operate his toilet and shower, Arafat said he buys water from a private vendor who fills a cistern approximately every four days at the cost of NIS 100 ($30) per fill-up — an astronomical sum beyond the reach of many in the enclave.
The high cost means showers are an infrequent luxury, and always cold, due to the lack of electricity or functioning solar water heaters.
“If we bathe once a week, that’s a success,” said Arafat. “Hygiene has deteriorated; soap and shampoo are expensive.”
‘You can’t imagine the sight — men, women, and children running after water trucks’
For drinking water, “there are maybe three or four vehicles for the whole area that distribute water for free,” Arafat said, referring to trucks likely operated by humanitarian organizations.
But access is limited and supply outstrips demand, “so we have to buy it.”
Private suppliers provide drinking water at a cost of approximately NIS 8-10 per day ($2.36-$3) for an amount sufficient for Arafat’s family of five, which is relatively small by Gaza standards. The source from which those companies obtain the water is unknown to him.
Palestinians line up near their containers as they await a water distribution truck at Bureij refugee camp in the central Gaza Strip on July 17, 2025. (Eyad BABA / AFP)
Hilu told The Times of Israel over the phone that “every morning, the first thing I do is search for water for drinking and for bathing.”
“As we speak, my children are downstairs with the water jugs, waiting by the trucks [that sell water]. You can’t imagine the sight — men, women, and children running after water trucks,” he said.
What little water his family can obtain is used for drinking or cooking, but there’s not enough for daily showers, Hilu said.
“After the water, we look for someone selling firewood so we can cook,” said Arafat. “There’s no gas, no fuel — nothing. Every day, we hunt for firewood so our children can eat. Some people burn plastic because firewood is too expensive.”
Both Arafat and Hilu cook in their homes using utensils they had before the war, but because there is no gas, cooking is done with firewood over an open flame in the kitchen.
Obtaining something to cook is another matter entirely.
“Flour is another essential,” Hilu said. “It’s incredibly expensive.”
Hilu and Arafat, who both spoke to The Times of Israel on July 27, said they buy food from local markets in Gaza City that are still operating. Markets in Gaza operate in areas where people still live in buildings, such as western Gaza City, the Nuseirat camp and Deir al-Balah, though not near displacement camps.
But prices can be extremely high and wildly volatile, often depending on when the aid trucks most recently reached the area.
Hilu said flour was costing him NIS 40-50 per kilogram (approximately $5.45 to $6.80 per pound), down from 10 days earlier, when those who could buy the staple for NIS 150-200 per kilogram ($20-$27 per pound).
Palestinians receive meals from volunteers in Gaza City, on July 28, 2025. (Ali Hassan/Flash90)
“I listened to the news all night, hearing that aid trucks would arrive today or tomorrow. I thought I could buy flour at five shekels per kilogram, but it’s still 40,” he lamented. “Nothing has changed.”
The grandfather said his family buys enough food for a single day. Hours before he spoke to The Times of Israel, he bought a kilogram of lentils for NIS 70 ($20 for 2.2 pounds) and a kilogram and a half of flour for NIS 60 ($18 for 3.3 pounds).
“That’s our food for today. Tomorrow? I don’t know what will happen,” he said.
Arafat said he stocked up months earlier when prices were lower, allowing his family steady access to a limited diet.
“We have lentils and pasta — we eat lentils one day, pasta the next. I bought five or six kilos [11 or 13 pounds] of lentils back when more aid was entering and prices were lower,” he said.
Palestinians carry humanitarian aid they received at the Rafah corridor as they walk in the Mawasi area of Rafah in the southern Gaza Strip on July 30, 2025. (AFP)
Except for a few months in the summer of 2024, Israel has blocked the private import of goods during the war, meaning food and other essentials are technically only supposed to be attainable gratis from international humanitarian organizations. Only in the last few days did Israel announce it would again allow commercial goods into the Strip.
But obtaining aid can be incredibly difficult, with international organizations having only limited supplies and near-daily reports of deadly incidents outside facilities run by the Israel- and US-backed Gaza Humanitarian Foundation, which now receives most of the supplies.
Gazans with means, therefore, usually prefer to buy food at markets that are still operating, though much of the goods they sell is thought to come from looted aid supplies.
‘That’s our food for today. Tomorrow? I don’t know what will happen’
It is unclear to what extent Hamas is involved in this theft.
Since the beginning of the war, Israel has repeatedly emphasized that Hamas is stealing the humanitarian aid sent to Gaza — particularly the aid delivered through the UN and international organizations — and reselling it to fund its terror activities.
The argument has been used to justify restrictions on the entry of food and supplies into the Strip.
However, senior military officials told The New York Times last month that no evidence had been found of Hamas systematically stealing aid from the UN, which has provided the majority of humanitarian assistance to Gaza throughout most of the war.
A woman sits by food cooking on a fire as children play nearby at the southern Gaza Strip on December 18, 2023. (Mahmud Hams / AFP)
Both men said food shortages in markets have worsened in recent months and prices have gone up, especially after Israel halted humanitarian aid for two months starting in March this year, and later reduced the flow through UN channels in favor of GHF.
Unlike Arafat and Hilu, many Gazans have no money to spend at markets and no supplies of stored food, leaving them completely reliant on limited aid supplies and public kitchens that provide hot meals, amid accounts of severe food shortages. According to estimations of humanitarian organizations, tens of thousands of people in Gaza fall into this category.
‘The hardest part is the children. We give them two meals a day. And even those aren’t real meals — just something to quiet their hunger’
In recent weeks, reports have proliferated of widespread starvation in the Strip, with Hamas-controlled health authorities in Gaza reporting dozens of deaths from hunger. These numbers are disputed by Israel.
On August 1, World Central Kitchen said it was managing to provide 90,000 meals a day to Gazans when supplies allowed, far below the number needed, due to Israeli military restrictions hampering the flow of aid supplies to their facilities. It was also supporting 25 community kitchens with supplies, down from over 90 kitchens it was able to help earlier in the war.
“The major drop in our ability to serve hot meals, along with reduced availability of food through other means in Gaza like local markets, has meant the need far exceeds what we can serve,” the group said.
Children wait with pots to receive meals from a charity kitchen in Gaza City on July 14, 2025. (Bashar TALEB / AFP)
Arafat and Hilu both said the food they buy and cook for their families was not enough for three full meals a day.
“The hardest part is the children,” said Arafat. “We give them two meals a day, one in the mid-morning, one in the afternoon. We can’t afford three. And even those aren’t real meals — just something to quiet their hunger. We purchase 2–4 kilograms of flour daily. If it’s too expensive, we look for alternatives — maybe a bowl of hummus in the morning.”
The two men live in houses in Gaza City and haven’t relocated into tents or other shelters, which are considered more difficult living conditions due to a lack of bathrooms, showers, proximity to food, and overcrowding.
According to the UN, over 1 million Gazans are living in temporary shelters across Gaza, some in displacement camps, others in scattered pockets of open space, including traffic circles.
But even those in homes lack electricity. Clothes are washed by hand and night is experienced by candlelight.
Electricity was already limited for Gaza residents before the war, but it is now completely unavailable.
In prior years, Israel sold electricity to the Palestinian Authority, which transferred it to the Strip, and there was a single power station in Gaza that generated electricity using fuel imported from Israel. Israel provided most of Gaza’s electricity, though the amount varied over time depending on the security situation in the Strip.
Flares light the sky as Palestinians gather to meet trucks carrying humanitarian aid at a distribution point at the Bureij refugee camp in the central Gaza Strip, early on June 9, 2025. (Eyad BABA / AFP)
On October 9, 2023, Israel cut off its electricity supply to Gaza. Gaza’s power station has also ceased to operate due to bombings and the halt of diesel deliveries.
As a result, no electricity flows to private homes or institutions in the Gaza Strip, and there is no ability to generate it independently.
Hospitals and other humanitarian organizations rely on diesel-powered generators, but these are generally not available to private households.
Some Gazans have access to power through solar panels. Before the war, rooftop panels were widespread due to Gaza’s chronic power shortages, but it’s difficult to determine how many survived the destruction wrought by the war.
People walk through the Al-Sahaba Market in the center of Gaza City, July 9, 2025. (AP Photo/Jehad Alshrafi)
In other areas of daily life, a black market has emerged, including one for charging cellphones and other devices for those who can afford to pay for it.
“Some people who have solar panels offer to charge your phone for one shekel a day. If you do that for a month, that’s 30 shekels,” said Arafat.
Footage on social media shows that some businesses are now offering electricity. For example, a cafe in Khan Younis posted a list last week of prices for charging devices, charging NIS 4 ($1.16) per megawatt for two hours of use.
The job market in Gaza has been nonfunctional for nearly two years. Since the war began, most private businesses within the Strip have shut down, though videos circulating on social media during the war have shown restaurants and cafés open in Gaza, including in recent months.
Arafat, who testified that there were no restaurants or cafés open in his part of Gaza City, described life on the streets as nearly frozen, especially after dark, with destitution and lawlessness widespread.
“People go out only for necessities,” he said. “By 5 p.m., the streets are empty. Anyone who ventures out at night risks being targeted by airstrikes or theft. There’s no internal security in Gaza.”
When Hamas stopped visibly operating on the ground in Gaza out of fear of being targeted by Israel with the outbreak of war, it also ceased operations of its internal security forces, such as the police.
According to reports from Gaza, armed Hamas forces still operate against the Palestinian population, but in a more limited and selective manner — for example, acting against individuals attempting to loot aid, as part of Hamas’s effort to control the humanitarian assistance entering Gaza.
Men walk carrying sacks of flour that were taken from a raided truck carrying foodstuffs, in Khan Younis in the southern Gaza Strip on July 22, 2025. (AFP)
Arafat has been out of work since the war started, along with pretty much every other Gazan.
Even Hamas, which shut down government institutions at the start of the war, has stopped paying salaries to its fighters as of early 2025, according to the Wall Street Journal, due to the organization’s budgetary difficulties.
It’s unclear if the terror group, which was Gaza’s largest employer before the war, has continued paying government officials. Many in Gaza, which had rampant unemployment and poverty even before the war, are thought to be broke.
‘By 5 p.m., the streets are empty. Anyone who ventures out at night risks being targeted by airstrikes or theft’
Arafat, Hilu and others in Gaza said they were living off of savings in their bank accounts. Arafat said that during the war, he also received sporadic donations from friends outside Gaza who transferred money into his bank account.
A resident of Gaza City, who requested anonymity and whose financial situation was relatively good compared to others in the Strip, said he had saved a significant amount of money before the war and is now “set,” as he put it.
Palestinians walk through a market ahead of the Muslim holiday of Eid al-Adha, in Gaza City, June 5, 2025. (AP Photo/Jehad Alshrafi)
Hilu is a former employee of the Palestinian Authority, which employed tens of thousands of civil servants who were dismissed following Hamas’s violent takeover of the Strip in 2007. To maintain symbolic control over the territory, the Palestinian Authority continued to pay their salaries, which were deposited monthly into bank accounts in Gaza prior to the war.
Hilu said that during the war, he continued receiving his salary, though delayed and partial, similar to PA employees still working in the West Bank. However, over the past two months, he has not received any salary at all, due to the PA’s budgetary difficulties stemming from Israel’s withholding of tax revenues it collects on the PA’s behalf under the Oslo Accords.
A café in Khan Younis offering device charging services due to the electricity shortage in Gaza. July 25, 2025. (Instagram, clause 27a of the copyright law)
But even those with money in the bank don’t have easy access to the funds.
Most banks have been closed since the war began and only partially reopened during the last ceasefire, though the institutions, which are all headquartered outside of the Strip, continue to give Gazans access to their accounts via phone apps.
To take out cash, many in Gaza are forced to use private currency brokers who charge high fees.
‘I have money in the bank, but it’s no use if I can’t access it’
“I have money in the bank, but it’s no use if I can’t access it,” said Hilu. “You have to pay a 50% commission to withdraw it. I have 200–300 shekels in my wallet now – not even enough for one day’s food.”
Some also take out money by finding friends or associates willing to loan out cash and get paid back via bank transfer.
“When I run out of money, I go to a friend who’s a merchant — he gives me 200 shekels, and I send it to him later through the bank’s app,” Hilu said.
Like other institutions, schools, universities and daycares in Gaza have been shuttered since the war began with Hamas’s deadly invasion of southern Israel on October 7.
During the ceasefire, some schools partially reopened, but currently everything is closed again and the children remain at home.
Arafat said he struggles with trying to protect his children — ages 6, 5 and 19 months — while trying to keep them busy.
A woman and a boy sit by debris and destroyed tents following overnight Israeli bombardment at a camp sheltering in the northwest of Khan Younis in the southern Gaza Strip on July 28, 2025. (AFP)
“We don’t want them playing too much — they’ll get hungry. We feed them, then tell them to sleep or rest,” he said. “It’s dangerous outside because of bombings. I don’t let them leave the building. I set up a little learning space for kids in our building during the war. They sit on chairs, play a little, but I don’t let them expend a lot of energy.”
Despite everything, the families remain hopeful as they hear news of potential increases in aid.
“My kids say to me: ‘We want meat, it’s been so long.’ My daughter told me, ‘You said to grow strong, we need to eat — but we eat nothing but lentils and pasta. I want a banana.’ That hurts more than the bombings,” Arafat said. “But even if aid comes in, people have no money to buy it. Still, there’s hope. As long as there are Palestinians, and as long as Allah exists, there is hope.”
A latest systematic review and meta-analysis conducted by scientists from institutions across China and the United States has uncovered promising insights into how vitamin D supplementation can significantly impact cardiometabolic health. The study, which was published in Engineering, has implications for tailored therapeutic strategies targeting cardiovascular diseases and related risks.
The comprehensive review analyzed 99 randomized controlled trials (RCTs) involving a total of 17 656 participants. The analysis revealed that vitamin D supplementation, with a median dose of 3320 International Units (IU) per day, was associated with favorable effects on various cardiometabolic risk factors, including reductions in systolic and diastolic blood pressure, total cholesterol, fasting blood glucose, hemoglobin A1C, and fasting blood insulin.
Significantly, the researchers discovered that the benefits of vitamin D supplementation were most pronounced in specific groups: non-Western populations, individuals with baseline 25-hydroxyvitamin D levels below 15.0 ng·mL−1, those with a body mass index (BMI) below 30 kg·m−2, and older individuals aged 50 years or above.
This research underscores the need for personalized vitamin D intervention strategies, taking into account individual characteristics such as ethnocultural background, age, BMI, and baseline vitamin D levels. The findings highlight the potential of longer intervention durations (three months or more) and higher doses to optimize cardiometabolic health outcomes in specific populations.
These findings could lead to significant advancements in preventive medicine and nutritional sciences, potentially leading to the development of more effective public health strategies. By tailoring vitamin D supplementation based on individual characteristics, healthcare providers may improve intervention efficacy and reduce the prevalence of cardiometabolic diseases.
The authors suggest that future research should focus on elucidating the mechanisms behind these observed effects and the potential benefits of vitamin D supplementation on chronic diseases such as cardiovascular diseases. Additionally, studies exploring the long-term effects and potential risks associated with high-dose supplementation are warranted.
This landmark study not only provides new insights into the benefits of vitamin D supplementation for cardiometabolic health but also emphasizes the importance of personalized medicine in optimizing these effects. As cardiovascular diseases remain a leading cause of mortality globally, the findings from this meta-analysis offer a glimmer of hope for more targeted and effective preventive strategies.
Source:
Journal reference:
An, P., et al. (2024). Modifiers of the Effects of Vitamin D Supplementation on Cardiometabolic Risk Factors: A Systematic Review and Meta-Analysis. Engineering. doi.org/10.1016/j.eng.2024.07.010.
Mount Sinai researchers have demonstrated the effectiveness of teaching surgical trainees a difficult procedure using artificial intelligence (AI) algorithms and an extended-reality headset without the presence of an instructor. All of the 17 trainees in the study achieved surgical success.
The novel study, published in Journal of Medical Extended Reality, drew highly favorable reviews from student participants who tested the deep learning model. The results carry significant implications for future training of residents and surgeons, as well as for the even broader field of autonomous learning within medicine.
For the first time, we created an AI model linked to an extended-reality headset to prove that a critical step in a kidney cancer procedure could be done with 99.9 percent accuracy. We believe our study offers early proof that AI programs that substitute for proctors, who teach resident physicians, can reduce training costs and ultimately improve the quality, efficiency, and standardization of that instruction.”
Nelson Stone, MD, Clinical Professor of Urology, Radiation Oncology, and Oncological Sciences at the Icahn School of Medicine at Mount Sinai, and corresponding author of the study
Surgical training of residents has traditionally required the presence of a teaching proctor alongside the student physician in the operating room, which can result in inconsistent skills acquisition. Dr. Stone and his team, which included researchers from the Department of Neurosurgery at the University of Rochester Medical Center in upstate New York, explored an alternative training system using AI programs they developed, including ESIST (educational system for instructionless surgical training). This model coupled deep learning methodology with a custom-designed extended-reality headset worn by the 17 participants to stream surgical instructions and video content before their eyes, while allowing their hands to remain free to practice the intricate procedure.
The operation simulated a partial nephrectomy procedure designed to remove a cancerous portion of a kidney, including placing a clamp on the renal artery. For this replication, researchers created a “phantom” kidney from 3D printed casts of an anonymized patient’s computerized tomography (CT) scans. The casts were filled with water-based polymers and assembled to create a partial nephrectomy model with kidney tumors. While students practiced, the system’s sophisticated first-person camera continuously monitored their training, providing real-time feedback and projecting corrective prompts as part of its skills assessment capability.
“Above all, our study proved that a complex procedure like a partial nephrectomy could be effectively taught to surgical trainees using a simulated model, without the presence of an instructor,” noted Dr. Stone. “This finding addresses an urgent need resulting from the shortage of trainers and supervisors to educate physicians on new medical devices and techniques, and from the severe time constraints on attending physicians to train residents pursing surgical careers.”
Another major advantage of advanced teaching technology, added Dr. Stone, is that it allows future surgeons to become proficient in procedures outside the operating room, thus helping to reduce the risk of surgical errors. “From the patient’s point of view, we hope this study will provide reassurance that the technology can be leveraged to greatly improve surgical proficiency, while reducing surgical errors,” said Dr. Stone.
The next step for Mount Sinai researchers is to use the AI algorithm technology they developed to build more complex synthetic cadaver models to train students in entire procedures, rather than just one component, as reported in the study. The team was encouraged by a survey it conducted after the training, which found that 100 percent of the participants believed the program had great educational value.
“Our investigation suggests that AI systems could indeed play an important complementary role in shaping the future of surgical education in this country,” asserts Dr. Stone. “The public should be reassured that the pathway to autonomous learning we investigated in this small study could eventually lead to significant cost savings and improved patient outcomes and, importantly, to the cultivation of a highly skilled new generation of surgeons.”
The study’s authors, as listed in the journal, are Jonathan J. Stone, Nelson N. Stone, Steven H. Griffith, Kyle Zeller, and Michael P. Wilson.
All authors, except Kyle Zeller, hold equity in Viomerse.
The research was funded by the National Institute of Biomedical Imaging and Bioengineering (grant 1R41EB026358-01A1) and the National Science Foundation (grant 1913911).
Source:
Mount Sinai Health System
Journal reference:
Stone, J.J., et al. (2025) Autonomous Educational System for Surgical Training Utilizing Deep Learning Combined with Extended Reality. Journal of Medical Extended Reality. https://www.liebertpub.com/doi/10.1177/29941520251361898