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  • Trends and disparities in health status and health care in the United States during COVID-19 pandemic | BMC Medicine

    Trends and disparities in health status and health care in the United States during COVID-19 pandemic | BMC Medicine

    Population characteristics

    The study population initially included 110,283 NHIS adults between 2019 and 2022, from which we excluded 290 individuals with missing demographic information and 2763 individuals who identified their primary race as American Indian or Alaskan Native, did not identify as Latino/Hispanic and did not select a primary race, or identified their primary race as other because of small sample numbers (Fig. 1). The final sample size included 107,230 adults, of whom 6.1% were Asian, 12.1% were Black, 17.3% were Latino/Hispanic, and 64.5% were White. The characteristics of study population stratified by race and ethnicity is shown in Table 1. The year-specific participant number is presented in Additional file 2: Fig. S1. The estimated prevalence of low income was 24.8% (95% CI, 23.6% to 26.8%) among Asian individuals, 42.9% (95% CI, 41.1% to 44.6%) among Black individuals, 51.3% (95% CI, 50.2% to 52.4%) among Latino/Hispanic individuals, and 46.0% (95% CI, 44.3% to 47.6%) among White individuals. From 2019 to 2022, there were no significant changes in the proportion of individuals with low income among Asian and White participants (P > 0.05), while the estimated prevalence of low income changed by − 0.97 points (95% CI, − 1.38 to − 0.55; P = 0.010) among Black individuals and by − 1.38 points (95% CI, − 2.04 to − 0.71; P = 0.012) among Latino/Hispanic individuals (Additional file 2: Fig. S2). The overall adjusted trends in each self-reported health outcome and health care assess are shown in Additional file 2: Fig. S3, indicating an overall increase in clinician-diagnosed depression or anxiety disorders and some measures of health care access during the pandemic era. The rates of missingness were less than 1.1% for each outcome (Additional file 1: Table S2).

    Fig. 1

    Study population selection

    Table 1 Characteristics of the National Health Interview Survey population, 2019–2022

    Health status

    Poor or fair health status

    In 2019, the estimated percentage of poor or fair health status was 21.6% (95% CI, 19.7%–23.6%) among Black individuals, 21.7% (95% CI, 19.6%–23.9%) among Latino/Hispanic individuals, 13.7% (95% CI, 13.0%–14.3%) among White individuals, and 9.6% (95% CI, 7.8%–11.8%) among Asian individuals (Fig. 2; Additional file 1: Table S3). Between 2019 and 2022, there was no significant change in the estimated prevalence of poor or fair health status across all racial/ethnic groups (Table 2) and no significant change in the estimated gap between White compared to any of the other race/ethnicities (P = 0.45, P = 0.44, and P = 0.38, respectively) (Table 3). Black individuals with low income had the highest prevalence of poor or fair health status (30.9% [95% CI, 27.8%–34.3%] in 2019 and 28.4% [95% CI, 25.1% to 32.0%] in 2022), while Asian individuals with middle and high income had the lowest prevalence (7.9% [95% CI, 6.0%–10.2%] in 2019 and 8.5% [95% CI, 6.7% to 10.8%] in 2022) (Additional file 2: Fig. S4; Additional file 1: Table S3). When stratified by income, there was no significant change in the estimated prevalence of poor or fair health status across all racial/ethnic groups and no significant change in the estimated gap between White and other racial/ethnic groups (Tables 2 and 3). There was no significant linear trend in poor or fair health status by race/ethnicity and income from 2019 to 2020 (Additional file 1: Table S4); however, trends in difference between Asian and White individuals increased (+ 0.38 [95% CI, + 0.30 to + 0.47] percentage points; P = 0.003) and trends in difference between Black and White individuals decreased (− 0.41 [95% CI, − 0.82 to − 0.01] percentage points; P = 0.048; Additional file 1: Table S5).

    Fig. 2
    figure 2

    Trends of self-reported poor or fair health status, clinician-diagnosed depression or anxiety disorders, functional limitation, health care access, utilization, and affordability measures by race and ethnicity, 2019–2022

    Table 2 Change in the adjusted prevalence of health status and health care access, utilization, and affordability measures from 2019 to 2022, by race and ethnicity and income status
    Table 3 Racial and ethnic differences in the adjusted prevalence of health status and health care access, utilization, and affordability measures in 2019 and 2022, overall and stratified by income

    Clinician-diagnosed depression or anxiety disorders

    In 2019, the estimated percentage of depression and/or anxiety was 15.2% (95% CI, 13.7%–16.8%) among Black individuals, 16.2% (95% CI, 14.8%–17.8%) among Latino/Hispanic individuals, 22.3% (95% CI, 21.6%–23.1%) among White individuals, and 6.0% (95% CI, 4.7%–7.7%) among Asian individuals (Fig. 2; Additional file 1: Table S6). Between 2019 and 2022, the estimated prevalence of clinician-diagnosed depression or anxiety disorders increased significantly for White individuals, irrespective of income level (P < 0.001 for all), and for Asian, Black, and Latino/Hispanic individuals with middle and high income (P = 0.003, P = 0.003, and P = 0.001, respectively) (Table 2). Between 2019 and 2022, the estimated gap in the prevalence of clinician-diagnosed depression or anxiety disorders when comparing White vs. Black and Latino/Hispanic individuals significantly widened (P = 0.03 and P = 0.03, respectively) (Table 3). White individuals with low income had the highest prevalence of clinician-diagnosed depression or anxiety disorders (32.6% [95% CI, 30.8%–34.4%] in 2019 and 38.2% [95% CI, 36.4%–40.1%] in 2022), while Asian individuals with middle and high income had the lowest (5.1% [95% CI, 3.7%–7.0%] in 2019 and 9.0% [95% CI, 7.3% to 11.2%] in 2022) (Additional file 2: Fig. S4; Additional file 1: Table S6). When stratified by income, the estimated gap of clinician-diagnosed depression or anxiety disorders between White and Black and Latino/Hispanic individuals widened in those with low income (Tables 2 and 3). There was significant linear trend in clinician-diagnosed depression or anxiety disorders among Asian and White individuals regardless of income levels (Additional file 1: Table S4). Moreover, trends in difference between Black and White individuals decreased (− 0.94 [95% CI, − 1.24 to − 0.64] percentage points; P = 0.006; Additional file 1: Table S5).

    Functional limitation

    In 2019, the estimated percentage of functional limitation was 9.5% (95% CI, 8.3%–10.9%) among Black individuals, 9.9% (95% CI, 8.5%–11.5%) among Latino/Hispanic individuals, 8.8% (95% CI, 8.3%–9.3%) among White individuals, and 3.2% (95% CI, 2.1%–4.8%) among Asian individuals (Fig. 2; Additional file 1: Table S7). Between 2019 and 2022, there was no significant change in the estimated prevalence of functional limitation across all racial/ethnic groups (Table 2) and no significant change in the estimated gap between White and Asian or Black or Latino/Hispanic individuals (Table 3), with no significant differences across income groups. White individuals with low income had the highest prevalence of functional limitation (18.7% [95% CI, 17.3%–20.1%] in 2019 and 19.0% [95% CI, 17.4% to 20.8%] in 2022), while Asian individuals with middle and high income had the lowest (1.7% [95% CI, 1.1%–2.7%] in 2019 and 3.2% [95% CI, 2.0% to 5.1%] in 2022) (Additional file 2: Fig. S4; Additional file 1: Table S7). The trends in difference and gaps by race/ethnicity and income were similar when analyzing the annualized prevalence from 2019 to 2022 (Additional file 1: Tables S4 and S5).

    Health care access, utilization, and affordability

    Lack of health insurance

    In 2019, the estimated percentage of people reported being uninsured was 7.0% (95% CI, 5.9%–8.3%) among Black individuals, 21.1% (95% CI, 19.2%–23.0%) among Latino/Hispanic individuals, 5.7% (95% CI, 5.3%–6.2%) among White individuals, and 5.2% (95% CI, 3.8%–7.0%) among Asian individuals (Fig. 2; Additional file 1: Table S8). Between 2019 and 2022, the estimated rates of uninsured people decreased significantly for White (P < 0.001), but not for other racial/ethnic subgroups, without significant differences across income groups (Table 2). Between 2019 and 2022, the estimated difference of uninsured prevalence between White and Asian and Black individuals with low income significantly enlarged (6.41 percentage points higher for Asian individuals [95% CI, 1.22–11.60], P = 0.02; and 3.51 percentage points higher for Black individuals [95% CI, 0.28–6.74], P = 0.03, respectively) (Table 3). In 2022, Latino/Hispanic individuals with low income were the most likely to be uninsured (28.3% [95% CI, 25.3%–31.6%]), while White individuals with middle and high income were least likely (3.4% [95% CI, 3.0%–3.7%]) (Additional file 2: Fig. S4; Additional file 1: Table S8). Trends in adjusted annualized rate of change in lack of health insurance increased in Asian individuals with low income, while decreasing in White individuals (Additional file 1: Table S4). Trends in the gap between Asian and White individuals with low income increased (+ 2.10 [95% CI, + 1.44 to + 2.76] percentage points; P = 0.005; Additional file 1: Table S5).

    Lack of usual source of care

    In 2019, the estimated percentage of people reported being without a usual source of care was 9.4% (95% CI, 8.2%–10.9%) among Black individuals, 12.3% (95% CI, 11.0%–13.7%) among Latino/Hispanic individuals, 7.5% (95% CI, 7.0%–8.0%) among White individuals, and 7.8% (95% CI, 6.2%–9.7%) among Asian individuals (Fig. 2; Additional file 1: Table S9). Between 2019 and 2022, the estimated prevalence of people without a usual source of care did not significantly change across the different racial/ethnic groups, irrespective of income (Table 2; Additional file 1: Table S4). Between 2019 and 2022, the estimated difference between White and Asian, Black, and Latino/Hispanic individuals also did not significantly change (Table 3; Additional file 1: Table S5).

    Not seen or talked to a health professional in the past year

    The estimated percentage of people who reported not having seen or talked to a health professional in the past year in 2019 was 9.1% (95% CI, 7.9%–10.5%) among Black individuals, 16.1% (95% CI, 14.7%–17.6%) among Latino/Hispanic individuals, 10.9% (95% CI, 10.4%–11.4%) among White individuals, and 11.1% (95% CI, 9.5%–13.0%) among Asian individuals (Fig. 2; Additional file 1: Table S10). Between 2019 and 2022, the estimated prevalence of people who did not see a health professional in the past year significantly increased for Asian, Black, and White (P = 0.007, P = 0.03, and P = 0.04, respectively) individuals. Similar results were observed in people with middle and high income. The differences between White and Black, and Latino/Hispanic individuals did not significantly change during the study period, but difference between Asian and White increased (2.89 percentage points [95% CI, 0.08–5.70], P = 0.04) (Table 3). There was no significant linear trend in the rate and differences for health care utilization (Additional file 1: Tables S4 and S5).

    Foregone or delayed medical care due to cost

    In 2019, the estimated percentage of individuals who reported having foregone or delayed medical care due to cost in the past 12 months was 14.9% (95% CI, 13.3%–16.8%) among Black individuals, 16.9% (95% CI, 15.5%–18.5%) among Latino/Hispanic individuals, 11.4% (95% CI, 10.8%–12.0%) among White individuals, and 6.7% (95% CI, 5.1%–8.9%) among Asian individuals (Fig. 2; Additional file 1: Table S11). Between 2019 and 2022, the estimated prevalence of foregone or delayed medical care due to cost significantly decreased in Black and White individuals with low income, but not Latino/Hispanic individuals (Table 2; Additional file 1: Table S4). The differences between White and Black, and Latino/Hispanic individuals did not significantly change during the study period (Table 3; Additional file 1: Table S5).

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  • Every word from Mikel’s pre-Man United presser | Press conference | News

    Every word from Mikel’s pre-Man United presser | Press conference | News

    Mikel Arteta has been speaking to the press ahead of our opening game of the Premier League season against Manchester United.

    During the press conference at the Sobha Realty Training Centre, Mikel was asked about the squad availability, facing the Red Devils and the success of our academy.

    Find out what he had to say with our transcript below!

    on how excited he is for the new season:
    I’m super excited, I can’t wait. It’s been a really productive pre-season. We’ve made such an evolution in the squad as well and we’re ready to go.

    on the mood in the place:
    The mood of the place, the energy around it, the enthusiasm that the boys, the staff came with from day one, now we’re going to do better, to keep improving as a team and to win. That’s what drives my energy and that’s why I’m so excited.

    on Leandro Trossard’s availability:
    I think he’s much better. I think he will be able to train again tomorrow and if that’s the case, he will be fit.

    Read more

    Quiz: All our Premier League opening day opponents

    on if we need to make a sales in the transfer window:
    I’ll leave that to Andrea [Berta] and the club. My main focus is just about performing, preparing the games in the best possible way and winning. Now we start the season, it’s been a long off-season, pre-season with the market and being so active in it.

    on starting the season with tough games:
    We need to play each other, we need to play at some point, and we’ll start at an incredible stadium with so much history and a beautiful way to start the season. We will go game-by-game and make the best preparations and then perform to earn the right to win the game.

    on the potential for winning the title:
    Yes, especially the consistency that we’ve shown in the last three years. Now the margins, we know how small they are, we know the competition as well has increased the level, with recruitment, with another year together and we’re going to have to win.

    on how many teams can win the Premier League:
    A lot, too many! And it’s getting stronger and stronger. There are teams that maybe you don’t put them on a piece of paper right now, but suddenly they will surprise everybody. The squads, the quality of the managers, the structure they have in the clubs, they are so strong. It’s going to be very difficult.

    on what to expect from Manchester United:
    They will be different as well. The manager will have more time with them, they have a pre-season, they make some really good signings as well, like anybody else. I think they strengthened and they will be better than last year, like the rest of the teams.

    on what made us sign Viktor Gyokeres:
    I can just talk about Viktor and how happy we are to have him. I think he’s going to have a tremendous impact in the team. The adaptation has been very, very good and we’re really happy to have him.

    on Odegaard being our captain:
    Well, my opinion is clear. It’s not just my opinion, it’s all the staff and especially the players. I asked them to vote the captain and I got the result yesterday. And by a mile, by a big, big 100 marks, everybody’s choosing the same person, which is Martin Odegaard, which is the most clear sign that you can have, how they feel about who has to be their captain to defend, improve and win the matches that we want to win. So, I mean, there’s no question about that.

    Read more

    Merino on helping our Spanish contingent settle

    on how much the club has supported him in the transfer window this summer:
    It’s not just supporting me, of course, but supporting the team, supporting the vision, the idea and especially the ambition. And the level that we are playing, the competition we have and what we expect to do. So, we have to improve the squad, we have to improve the quality and the depth of that squad. And we certainly have done it in a really great way.

    on getting the best version of Gyokeres:
    Well, we want to do everything. First of all, understanding the player and exposing the player to the conditions that he can fulfil his incredible potential. Then that’s going to be the key, and the good thing is that many players, many strikers, they have come from different leagues, they have come to the Premier League and been successful. And it’s for us, creating the right context for Viktor to do what he does best, which is to score goals.

    on standout memories against Manchester United:
    Well, it’s a lot. Some great memories. It’s history, you know. The clashes when I was younger as well, there were some massive characters as well, playing for both teams. And it created something different in those games. And now it is different, but I think it’s going to be super intense and very exciting.

    on if he’s as excited as he was ahead of previous seasons:
    I think it gets you more and more excited. And the more I spend time with the players and the staff, the more reason they give me to come every single day with a big smile on my face, with a lot of energy, I’m very enthusiastic about what we do and very privileged.

    on the chance to get wins from difficult games early on:
    Yes, 100 per cent. It’s a big opportunity to go to Old Trafford on day one and go there and play the way we want to play and win the game. That’s the focus and the energy.

    on if there is more pressure on us to win the title this season:
    You keep digging, digging, digging. You have to keep digging because one day, the gold is going to be there. That’s all the time, what I’ve been taught, I’ve been educated and that’s it. For three seasons, we have more points than any other team in this league. It’s incredible, that’s why we have all the consistency. Now we have to do it in a season, to earn one more point or the same amount of points and more goals different than any other team. That’s the objective.

    on having multiple young players available from our academy:
    Well, that shows the great work that has been done in the academy throughout the years. Especially because those players have come to the first team and performed at the highest level without any professional experience. And that’s a very different case to any other player at a big club that has been playing at 17, 18, 19, 20 with many other experiences before that that is long, so playing at different teams. So that shows again what the academy has done, the preparation of these boys,  the maturity of these boys, and as well the quality that we have in this squad to support the young players, to feel so comfortable immediately to perform at the highest level. So it’s a compliment for everybody at the club.

    on if Gyokeres is ready to start on Sunday:
    Yeah, he’s getting better and better every day. He’s normally a really fit player. It’s true that he hasn’t trained so much with us. He had those two moments in games when he’s participated and the feeling was very good. So let’s see what we do on Sunday. 

    on if he’s had to manage availability differently with Calafiori and Havertz:
    Well, especially because those two cases, they were players that were coming back from long-term injuries. So, we have to be very cautious throughout pre-season, especially when you start to travel abroad and there are so many conditions that change for those players. We have more players, more balance as well in terms of availability. We have improved that in relation to the individual qualities of players as well and it’s going to be key to maintain them for as long as we possibly can. Fit, available, at their best. 

    Read more

    Relive six classic away wins at Manchester United

    on if Zubimendi is available for Sunday:
    Yes, he had a great integration. As everybody can see this immediately, a very big impact on the team. I’m really happy and he will be fit. 

    on if it’s a fight between Gyokeres and Havertz for the number nine position:
    Well, it’s always good. I play with 11 players, there are going to be some players on the bench that are going to be used, some others that cannot be used, some players that we’re going to have to leave in the stands. That’s the level. That’s the next level that we’re going to face, something that we probably haven’t faced before and then I heard a lot that you have two players per position. Well, we have three and four because there are players that can play in different positions as well. So, it’s going to be about earning the right to play, to compete and when you don’t have the chance to do that, to cooperate in the right way with any teammate to improve the level. It’s going to happen to all of them because the season is going to be so demanding that the first week is going to be a little bit different. But the moment we start to play three times a week, it’s going to flow in a really natural way.

    on if we have enough in attacking midfield:
    I think we have great versatility, very different qualities in relation to the opposition as well. We can manipulate that and have some great cohesion within those units. So, I’m very happy with that. 

    on what he’s earned going into this season from last season’s reflections:
    It was a long list of things. First of all, with the amount of situations we have to deal with, I think the team showed an incredible capacity to adapt and win a lot of matches in a very different context. Something that is not common and I revised that in the last Premier League for 20 years and what happened. After that, how we have to evolve as well, the squad, the individuals, certain roles that have changed and it’s the moment to move away from that. And then what is the real deal? What are the things that we have to continue to do or do better to give us the best possible chance to win the major trophies? And that’s clear. 

    on the evolution of our midfield:
    There are a few in relation to the players that we have and their qualities. Now we have probably elements and possibilities that we never had before and some others that will emerge naturally that probably are not in the book. So that’s a really good weapon to have. 

    on the players voting for who our captain is:
    Especially because we change a lot and we change all the leadership groups because a lot of the players that were there, they are gone. So, we need to re-establish that, and it gives you so much information, how they feel about themselves and who they see as a leader and how they see the people that can join that leadership group.
    So, it was really interesting to analyse all the data and to gather information. 

    Read more

    Memorable debuts: Laca, Gabi, Freddie and Saliba

    on the captaincy qualities Martin has:
    We all see it different and if we’re going to talk about leadership and the kind of leaders, we can be here for hours. So at the end, what matters the most is how these guys feel about who needs to lead them, how they feel comfortable, who’s going to push them, who’s going to give them support when it’s happening. Basically, who do you want to represent the club and the team when we go out there and face any opposition? That’s the key.

    on tweaks to the rules in the Premier League and what happened last season:
    It was very particular, and it only lasts for a few weeks and we were really punished for those few weeks but hopefully it won’t happen again.
    I think they’ve been very clear, we have very good meetings with the referees when we came here and in the manager’s meeting as well. I think it’s very clear what to expect and wish everybody the best. I think we’re going to need the best of all of us and to have the best Premier League ever, which I think is going to happen, and hopefully we’re going to come on top of that.

    on if the rules will be implemented more consistently:
    I think, and a lot of the data says, that there have been many, many improvements as well in the last year or two and we need to reinforce that message and try that process and support it. 
     

    Copyright 2025 The Arsenal Football Club Limited. Permission to use quotations from this article is granted subject to appropriate credit being given to www.arsenal.com as the source.

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  • Global plastic pollution treaty talks collapse over lack of consensus

    Global plastic pollution treaty talks collapse over lack of consensus

    Talks aimed at striking a landmark global treaty on plastic pollution fell apart Friday as countries failed to find consensus on how the world should tackle the ever-growing scourge.

    Negotiators from 185 nations worked beyond Thursday’s deadline and through the night in an ultimately futile search for common ground.

    A large bloc wants bold action such as curbing plastic production, while a smaller clutch of oil-producing states want to focus more narrowly on waste management.

    The stalemate was a resounding failure for the environment and for international diplomacy at a time when its frailties are in the spotlight.

    Delegates speak after talks on a global treaty on combating plastic pollution were extended an extra day in Geneva Photo: Fabrice COFFRINI/AFP

    Countries voiced anger and despair as the talks unravelled, but said they wanted future negotiations — despite six rounds of talks over three years now having failed to find agreement.

    “We have missed a historic opportunity but we have to keep going and act urgently,” said Cuba.

    Colombia added: “The negotiations were consistently blocked by a small number of states who simply don’t want an agreement.”

    Tuvalu, speaking for 14 Pacific small island developing states, said: “For our islands this means that without global cooperation and state action, millions of tonnes of plastic waste will continue to be dumped in our oceans, affecting our ecosystem, food security, livelihood and culture.”

    Read More: Clock ticks down on plastic pollution treaty

    The High Ambition Coalition, which includes the European Union, Britain and Canada, and many African and Latin American countries, wanted to see language on reducing plastic production and the phasing out of toxic chemicals used in plastics.

    The cluster of mostly oil-producing states calling themselves the Like-Minded Group — including Saudi Arabia, Kuwait, Russia, Iran, and Malaysia — want a much narrower remit.

    These countries railed against the negotiations being based on the entire life-cycle of plastic: from the petroleum-derived substance right through to waste.

    “Our views were not reflected… without an agreed scope, this process cannot remain on the right track,” said Kuwait.

    Bahrain said it wanted a treaty that “does not penalise developing countries for exploiting their own resources”.

    France’s Ecological Transition Minister Agnes Pannier-Runacher said: “I am disappointed, and I am angry,” blaming a handful of countries, “guided by short-term financial interests”, for blocking an ambitious treaty.

    “Oil-producing countries and their allies have chosen to look the other way,” she said.

    The talks in Geneva — called after the collapse of the fifth and supposedly final round of talks in South Korea late last year — opened on August 5.

     

    With countries far apart, Vayas produced two different draft texts on Wednesday and early Friday. The first was immediately shredded by countries, but while the second gained some traction, by sunrise, the game was up.

    Talks chair Luis Vayas Valdivieso said the session had merely been adjourned rather than ended.

    He told AFP that countries and the secretariat “will be working to try to find a date and also a place” for resuming the talks.

    The negotiations were hosted by the UN Environment Programme.

    UNEP chief Inger Andersen told AFP that the Geneva talks had fleshed out the deeper details of where countries’ red lines were.

    “They’ve exchanged on these red lines amongst one another — that’s a very important step,” she said.

    However, environmental NGOs warned that without radically changing the process to better reflect the majority view, future talks would hit the same dead end — while plastic garbage would continue choking the environment.

    The Center for International Environmental Law’s David Azoulay said the talks had been an “abject failure” because some countries were out to “block any attempt at advancing a viable treaty”.

    “We cannot continue to do the same thing and expect a different result,” said Greenpeace’s delegation head Graham Forbes, blaming “fossil fuel interests” and “a handful of bad actors” for exploiting the consensus-based process to skewer meaningful action.

    The World Wide Fund for Nature said the talks exposed how consensus decision-making “had now “outplayed its role in international environmental negotiations”.

    More than 400 million tonnes of plastic are produced globally each year, half of which is for single-use items.

    While 15 percent of plastic waste is collected for recycling, only nine percent is actually recycled.

    Nearly half, or 46 percent, ends up in landfills, while 17 percent is incinerated and 22 percent is mismanaged and becomes litter.

    The plastic pollution problem is so ubiquitous that microplastics have been found on the highest mountain peaks, in the deepest ocean trench and scattered throughout almost every part of the human body.

    On current trends, annual production of fossil-fuel-based plastics will nearly triple by 2060 to 1.2 billion tonnes, while waste will exceed one billion tonnes, according to the Organisation for Economic Cooperation and Development.

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  • Gut health specialist shares his 7-day gut reset plan for longevity | Health

    Gut health specialist shares his 7-day gut reset plan for longevity | Health

    Updated on: Aug 15, 2025 07:02 pm IST

    Find a simple, expert-recommended 7-day gut reset plan, including dietary changes to improve gut health and boost overall well-being.

    In our pursuit of longevity, the significance of gut health cannot be overstated. Although a week may seem too short to make sweeping biological changes, it can be a way to reconnect with your body’s signals—what may be called the ‘whispers of your gut’. So, we asked a Gut Health and Longevity Specialist about his own 7-day gut reset plan for longevity. You’d be surprised by how simple and easy to follow his plan is!

    Unlocking Gut Health: A 7-Day Reset for Longevity(Adobe Stock)

    How to heal your gut in 7 days?

    “As a cancer surgeon and gut health specialist, I’ve observed a prevailing misconception: the idea of a ‘clean’ gut. This notion is more myth than reality. Healthy gut function resembles a thriving rainforest—diverse, lively, and balanced. Just as ecosystems in nature flourish together, so too does your gut need a varied array of bacteria to maintain its vitality. Instead of striving for a sterile environment filled solely with “good” bacteria, we should aim for biodiversity, resilience, and awareness of our body’s signals”, Dr Arpit Bansal, Laparoscopic Cancer Surgeon, tells Health Shots.

    To help you embark on this journey towards renewed gut health, the expert has crafted a science-backed 7-day reset plan.

    Days 1–3: Hydration and listening

    • Hydration first: Begin your reset with a focus on deep hydration. Drink plenty of water throughout the day, considering adding electrolytes if necessary. “Skip the trendy superfoods for now—your focus should be on simple, home-cooked meals that are easy on the digestive system”, he explains.
    • Tune into your body: Use these first three days to observe how your body responds to meals. Pay attention to any signs of gas, bloating, constipation, or fatigue—these are the whispers from your gut that you should listen to. Jot down your experiences in a journal to identify patterns and triggers that could enhance or inhibit your gut health.

    Days 4–5: Introduce gut supporters

    • Nourishing your gut: With a better understanding of how your body reacts to certain foods, you can begin to introduce gut-supporting nutrients that promote a healthier gut. “Start incorporating fibre-rich foods into your diet”, he advises. Opt for ingredients like flaxseeds, soaked chia seeds, and a variety of vegetables.
    • Prebiotic power: Introduce gentle prebiotics such as cooked garlic or bananas, which can feed the beneficial bacteria in your gut. “If you tolerate them well, consider adding magnesium to your routine, as it can aid digestion and improve sleep quality”, he mentions. By this stage, you likely start noticing positive shifts in your microbiome.

    Days 6–7: Mind-body sync

    • Meditation and gut-brain connection: In the final two days of your reset, shift your focus to the mind-body connection. Commit to 10 minutes of daily meditation to activate the gut-brain axis. “Be aware that stress can alter your microbiome just as much as an unhealthy diet can”, he warns.
    • Food awareness: After every meal, take a moment to reflect on how you feel. This level of mindfulness—tracking your mood and body’s response—will be invaluable. “Your feelings, whether positive or negative, act as data points that inform how different foods impact your gut health”, he notes.

    How to reset your body from inflammation?

    Throughout this reset week, eliminate common inflammatory triggers from your diet, but remain open-minded about what works for you. “What may cause inflammation in one individual could have healing properties for another”, he emphasises. This reset isn’t so much about achieving perfection as it is about personalising your approach to gut health.

    How many days does it take to reset your gut?

    At the end of your 7-day journey, you won’t just have a “reset” gut; you will gain insights into how your body operates and responds to various foods and habits. Longevity in health begins with the understanding of your gut, paving the way for better overall well-being.

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    Catch every big hit, every wicket with Crick-it, a one stop destination for Live Scores, Match Stats, Quizzes, Polls & much more. Explore now!.

    Catch your daily dose of Fashion, Taylor Swift, Health, Festivals, Travel, Relationship, Recipe and all the other Latest Lifestyle News on Hindustan Times Website and APPs.


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  • VW introduces monthly subscription to increase car power

    VW introduces monthly subscription to increase car power

    Liv McMahon

    Technology reporter

    Getty Images A silver ID.3 Volkswagen vehicle is being driven along a road in London.Getty Images

    German car making giant Volkswagen (VW) has introduced a subscription for UK customers wanting to increase the power of some of its electric cars.

    Those who buy an eligible car in its ID.3 range can choose to pay extra if they want to unlock the full power of the engine inside the vehicle.

    VW says the “optional power upgrade” will cost £16.50 per month or £165 annually – or people can choose to pay £649 for a lifetime subscription.

    The firm said it was “offering customers choice” with the feature.

    Auto Express, who first reported the story, said a lifetime subscription would be for the car rather than the individual – meaning the upgrade would remain on the car if it was sold on.

    A VW spokesperson told the BBC they believed giving people the option to purchase more power for their car is “nothing new”.

    “Historically many petrol and diesel vehicles have been offered with engines of the same size, but with the possibility of choosing one with more potency,” they said.

    They added that the power upgrades would allow customers to opt for a “sportier” driving experience at any time, “rather than committing from the outset with a higher initial purchase price”.

    Such offers have proved controversial for some customers in the past, who are displeased they may have to pay to access features which – in some cases – are already present inside the car they own.

    ‘Nothing new’

    Other vehicle manufacturers such as BMW have introduced similar subscription-based add-ons in the past, such as for heated seats and steering wheels.

    And Mercedes introduced an online subscription service in the US in 2022 which allowed customers to pay to make its electric cars speed up quicker.

    According to a survey from S&P Global, some customers may be put off by the cost of in-car subscriptions for features such as connectivity, or by basic functions being split into paid tiers.

    It said the number of respondents who said they would pay for connected services had fallen from 86% in 2024 to 68% in 2025.

    This is despite a wider embrace of subscriptions in general, with market research firm Juniper Research estimating in 2024 the global subscription economy would reach nearly $1tn (£740bn) in value by 2028.

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  • How the world is reacting to Israel’s settlement plan in occupied West Bank | Israel-Palestine conflict News

    How the world is reacting to Israel’s settlement plan in occupied West Bank | Israel-Palestine conflict News

    Israel’s announcement that it will illegally build thousands of homes in a highly controversial development in the occupied West Bank – in a move Finance Minister Bezalel Smotrich boasted “buries the idea of a Palestinian state” – has drawn widespread international condemnation.

    Smotrich announced Thursday that he was pushing ahead with long-frozen plans for the  E1 area settlement project that would connect occupied East Jerusalem with the existing illegal Israeli settlement of Maale Adumim, located several kilometres to the east.

    The planned settlement, which was shelved for years amid opposition from the United States and European allies, would comprise more than 3,400 homes for Israeli settlers on Palestinian-owned land that experts say is vital for any future territorially contiguous Palestinian state in the West Bank.

    Smotrich said the development was being revived as a response to plans by other countries to recognise a Palestinian state.

    But the response from the rest of the world has been scathing, with governments describing the move as a blatant violation of international law that would fuel regional instability and leave the possibility of a two-state solution to the Israel-Palestine conflict in tatters. Here’s an overview of the reactions so far.

    Palestine

    Nabil Abu Rudeineh, spokesperson for Palestinian President Mahmoud Abbas, said the E1 development, in combination with the war in Gaza and escalating settler violence, would only lead to further escalation, tension and instability.

    He said he held the US responsible for halting Israel’s expansionist actions, and noted that the settlement announcement came as Israeli Prime Minister Benjamin Netanyahu had spoken of his vision for a “Greater Israel”.

    The Palestinian Ministry of Foreign Affairs, in a statement, called for international intervention to halt the settlement plans.

    It considered the E1 settlement “a continuation of the occupation’s plans to undermine the opportunity to establish the Palestinian state on its homeland, weaken its geographical and demographic unity, entrench the division of the West Bank into isolated areas surrounded by a sea of settlements, and facilitate the completion of their annexation”.

    Qatar

    Qatar’s Ministry of Foreign Affairs slammed the move, saying it “reaffirms Qatar’s unequivocal rejection of the Israeli occupation’s policies aimed at expanding settlements and forcibly displacing Palestinian people, measures intended to prevent the establishment of a Palestinian state”.

    Saudi Arabia

    Saudi Arabia’s Foreign Ministry condemned the settlement plans “in the strongest possible terms”, saying they were a violation of international law and a serious threat to the possibility of a two-state solution.

    In a statement, it called on the international community to “assume its legal and moral responsibilities, protect the Palestinian people, and fulfil their legitimate rights, including recognition of the Palestinian state”.

    Jordan

    Jordan’s Foreign Ministry condemned the move in the “strongest terms”. The ministry’s spokesman Sufyan Qudah affirmed his country’s “absolute rejection and condemnation of this settlement plan and the illegal Israeli measures that constitute a blatant violation of international law and international Security Council resolutions”.

    Qudah warned against the continued expansionist policy of the Israeli government in the occupied West Bank, which the ministry said “encourages the perpetuation of cycles of violence and conflict in the region”.

    Turkiye

    The Turkish Foreign Ministry said the settlement plan “disregards international law and United Nations resolutions” and “targets the territorial integrity of the State of Palestine, the basis for a two-state solution, and hopes for lasting peace”.

    It reaffirmed Turkiye’s support for an independent Palestinian state based on 1967 borders, with East Jerusalem as its capital.

    United Kingdom

    British Foreign Minister David Lammy said the plan must be stopped.

    “The UK strongly opposes the Israeli government’s E1 settlement plans, which would divide a future Palestinian state in two and mark a flagrant breach of international law,” he said in an emailed statement to the Reuters news agency.

    Germany

    The German government, a strong supporter of Israel, urged Israel to “stop settlement construction” and said it “strongly rejects” the plan for the new development

    “The settlement construction violates international law and relevant UN Security Council resolutions,” a spokesperson for the Foreign Office in Berlin said.

    “It complicates a negotiated two-state solution and an end to the Israeli occupation of the West Bank, as demanded by the International Court of Justice,” he added.

    Spain

    Spanish Foreign Minister Jose Manuel Albares called the expansion plan “a new violation of international law”.

    “It undermines the viability of the two-state solution, the only path to peace,” he said in a social media post.

    (Al Jazeera)

    United Nations

    The United Nations urged Israel to reverse its decision. “It would put an end to prospects of a two-state solution,” Stephane Dujarric, spokesperson for UN Secretary-General Antonio Guterres, told reporters.

    “Settlements go against international law … [and] further entrench the occupation.”

    European Union

    The European Union’s foreign policy chief Kaja Kallas also slammed the plan as a “breach of international law” that would further undermine a two-state solution.

    “If implemented, settlement construction in this area will permanently cut the geographical and territorial contiguity between occupied East Jerusalem and the West Bank and sever the connection between the northern and southern West Bank,” said Kallas.

    “The EU urges Israel to desist from taking this decision forward, noting its far-reaching implications and the need to consider action to protect the viability of the two-state solution.”

    She called on Israel to halt its settlement construction altogether, saying its settlement policy, combined with ongoing settler violence and military operations, were “fuelling an already tense situation on the ground and further eroding any possibility for peace”.

    Organisation of Islamic Cooperation

    The Organisation of Islamic Cooperation (OIC) also denounced the plans, saying the Israeli occupation and settlement expansion were illegal under international law, United Nations resolutions, and the advisory opinion of the International Court of Justice, and must end immediately.

    The intergovernmental organisation urged the international community to take responsibility, hold Israel accountable, and impose sanctions in line with international law and relevant UN resolutions.

    Israeli human rights group

    Israeli advocacy group Peace Now warned that the move was “guaranteeing many more years of bloodshed”.

    “The E1 plan is deadly for the future of Israel and for any chance of achieving a peaceful two-state solution,” it said in a statement.

    “There is a solution to the Israeli-Palestinian conflict and to the terrible war in Gaza – the establishment of a Palestinian state alongside Israel – and it will ultimately come.”

    United States

    Israel’s key ally, the United States, had no immediate words of criticism for the proposal. Asked about the settlement development, a spokesperson for the US State Department said Washington was focused on ending the war in Gaza and ensuring Hamas will never govern that territory again.

    “A stable West Bank keeps Israel secure and is in line with this administration’s goal to achieve peace in the region,” the spokesperson said, referring to the Israeli government for further information.


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  • Argentina star Lionel Messi's India tour receives final approval – Mid-day

    1. Argentina star Lionel Messi’s India tour receives final approval  Mid-day
    2. Lionel Messi’s India tour gets final seal of approval, first stop is Kolkata  The Hindu
    3. Messi mania: Safety of fans, celebs top priority for promoters  National Herald
    4. Shubman Gill, Shah Rukh Khan, Virat Kohli may share stage with Lionel Messi at Kotla  Telegraph India
    5. Lionel Messi To Meet PM Modi On His ‘GOAT Tour Of India 2025’  Oneindia

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  • A 19-Year-Old Chemist Turned a Perfume Ingredient Into a Lifesaving Drug

    A 19-Year-Old Chemist Turned a Perfume Ingredient Into a Lifesaving Drug

    “Hearst Magazines and Yahoo may earn commission or revenue on some items through these links.”

    Here’s what you’ll learn when you read this story:

    • 19-year-old Adam Kovalčík has created a stronger—and much cheaper—version of a powerful emerging medication known as galidesivir.

    • Instead of starting out with the sugar, which is normally used in the production of this drug, he rebuilt the formula with a base molecule of corn alcohol.

    • This change increases efficiency and cuts costs by reducing production steps and using inexpensive materials.


    We live in the aftermath of a global pandemic. Leftover COVID-19 trauma and world news updates reporting outbreaks of Zika or Ebola have made us apprehensive about viruses, and most of us have been vigilant about being vaccinated and re-vaccinated. But what about when preventative measures aren’t enough? What happens if a virus invades us before we can get to a vaccine?

    Adam Kovalčík is only 19, but the high school senior at Gymnázium Nové Zámky in Slovakia he has created something beyond what anyone would expect of someone his age. He has managed to turn an alcohol derived from corncobs and husks into galidesivir, an antiviral drug that targets RNA viruses like Zika and Ebola. Generating the drug this way, in his words, “could potentially save tens of thousands of lives.” Kovalčík recently won the $100,000 Genrge D. Yancopoulos Innovator Award at the 2025 Regeneration International Science and Engineering Fair (ISEF).

    Galidesivir is the human-synthesized version of adenosine, which itself is a nucleoside—the components of nuclei acids. Among other biochemical functions, they are involved in storing and transferring genetic information. Adenosine is also an inhibitor of the enzyme RNA polymerase, which interferes with the function of certain enzymes in RNA viruses. The adenosine produced by our our bodies can inhibit RNA viruses (which clone their genomes in order to keep producing infinite copies of themselves), but it usually needs a boost when faced with potentially fatal pathogens like Ebola and Zika. This is where galidesivir comes in.

    Though not yet approved by the FDA, in vitro and animal tests have shown that galidesivir increases survival rates and has few side effects, which is why it is also being considered for treating COVID-19. It binds to the molecules that viruses use to clone themselves, making that function no longer accessible to the virus. The problem with galidesivir is that it costs $75 per gram (0.035 ounce) to produce, making the cost of a future prescription almost unfathomable, especially considering the state of healthcare. Kovalčík’s process could bring that cost down to $12.50 per gram.

    Why is galidesivir so expensive? There is an extra step in the production of the most powerful form of this drug that ultimately affects the cost. When drugs are being developed, unwanted materials—such as variants of that drug—often end up in the first batch. These variants, or stereoisomers, have the same molecular formula as the finished drug, but their atoms form molecules in different arrangements. Kovalčík wanted to synthesize cis-OH galidesivir because it is 20 times stronger than its stereoisomer trans-OH galidesivir, so the trans version needs to be separated out to isolate the cis version. Separation involves extras steps that take extra time and cost more.

    Kovalčík used his experience working on perfumes in a chemistry lab to figure out how to synthesize galidesivir in a different way. He needed a starter molecule—typically, sugar is used for galidesivir, but sugar would just repeat the existing process, which was not efficient enough. Perfume taught Kovalčík that some scent compounds used furfural alcohol (corn alcohol) as a starter molecule, so he rebuilt the drug using it as the replacement starter molecule and was able to reduce the production steps from 15 to 10. Using corn alcohol also lowered the cost.

    This production method is not restricted to galidevisir—it could create other antivirals. Kovalčík used computer models to design new molecules that were supposed to operate in the same way as galidesivir, and one molecule he came up with (ADK-98) had the potential to be even more effective. The furfural alcohol distilled from corn would be the base for these future drugs.

    Kovalčík plans to continue refining his research and development process for this and other potential antivirals in collaboration with the Slovak University of Technology in Bratislava.

    And to think, this all started with a realization that came from molecules in perfume. Think about that with your next spritz of Dior Homme or Chanel No. 5.

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  • The Nike Ja 3 has officially put Ja Morant’s signature shoe line on the map — Andscape

    The Nike Ja 3 has officially put Ja Morant’s signature shoe line on the map — Andscape

    This summer, Ja Morant’s latest shoe took him to the edge of the world and back, sending his signature line off the runway.

    Three weeks. Two continents. Four countries. From the U.S. to Asia, all to push the launch of the Nike Ja 3 on the Memphis Grizzlies star’s first international promo run as a signature headliner. Nike taglined it the “Make Them Watch” tour, which is an incredibly fitting name for the promo run of a silhouette that makes it hard not to stop and stare.

    After an initial late-July release, the Ja 3 drops this week in the “Price of Admission” colorway Morant debuted on court in April, unveiling the new model’s marquee design element: a vertical Swoosh, strategically placed on the lateral sides of the upper pattern, so each shoe reads, “JA.”

    “I told the Nike design team I needed something that talks before I even lace it up,” Morant said. “I wanted my third signature shoe to feel like my game and my personality. I told them, ‘Don’t be scared. Push it. Make it rugged, make it different.’ And they ran with it.”

    So, what is different about the Ja 3? Nike actually includes this prompt in the FAQ section of the shoe’s release info page. Answer: “It’s the first Ja shoe built from scratch.”

    The 26-year-old All-Star point guard’s third signature model feels like a definitive statement, so let’s make some here:

    • The Nike Ja 3 is Morant’s best shoe to date since he was named a signature headliner for Nike Basketball in 2022. Don’t get it twisted: The Ja 1 and 2 are respectable basketball shoes, from both aesthetic and performance standpoints. But, it truly feels like this latest rendition has officially put Nike’s Ja series on the map among the best of the approximately 30 signature lines currently gracing the NBA court.
    • Another hyperbolic evaluation comes from Chris Chase, aka @NightWing2303, co-founder of the sneaker review platform WearTesters.com, who gave the Nike Ja 3 a 9 out of 10 rating, going even further by proclaiming the new silhouette as his “shoe of the year.”
    • For Morant, who is marketed as Nike Basketball’s first Gen Z signature athlete, the Ja 3 is — as the kids of this era say — one of them ones.
    Shades of Hyper Pink and Viotech purle highlight the upper of the Nike Ja 3 “Price of Admission.”

    Nike

    A heel photo of the Nike Ja 3 “Price of Admission.” The “Twelve” near the ankle references his jersey number.

    Nike

    Again, all of this isn’t to say the Nike Ja 1 and 2 aren’t solid sneakers. Consumers have, in fact, come out of pocket to co-sign Morant’s first two models. On StockX, the Ja 1 has sold nearly 80,000 pairs, representing a whopping $10 million in GMV (gross merchandise value), according to data provided by the sneaker reselling marketplace.

    Per the sneaker tracking platform, KixStats.com: The Ja 1 finished the 2023-24 NBA campaign — the shoe’s first full season on court — ranked No. 10 on the list of the most-worn basketball shoes in the league, laced up by 46 different players. Meanwhile, during the ongoing 2025 WNBA season, the Ja 2 has emerged as the league’s fifth most popular shoe, worn by 24 women’s basketball players, according to KixStats.

    Yet, early returns show that the Nike Ja 3 is in store for an even bigger impact. According to StockX, the new shoe is outpacing both of its predecessors. As of Aug. 8 — less than three weeks after its debut release — the Ja 3 had sold 10% more pairs than the Ja 2 did in its first complete month, and a staggering 421% more than the Ja 1. After hitting retail for $125, the Ja 3 is also commanding a stronger resale premium in its debut month, averaging $170 a pair compared to $121 for the Ja 2, which retailed for $120.

    The reality is that it’s taken Morant a little time to fully find his footing as a signature headliner since he unveiled his debut shoe, the Nike Ja 1, on Christmas Day in 2022. 

    Following a limited Ja 1 release surrounding 2023 NBA All-Star Weekend, Nike pushed back the shoe’s initially slated April 1 global release when Morant received an eight-game suspension due to conduct detrimental to the league. The delay made news in The Wall Street Journal under the headline, “Nike Sticks With Ja Morant’s Latest Sneaker Despite Rocky Rollout.”

    Morant missed all but nine games of the 2023-24 NBA season because of another suspension and season-ending shoulder injury. According to Kixstats, he has only laced up the Nike Ja 1 in 51 games over three seasons. Last September, Nike surprised its star headliner with his Ja 2 model during his Hall of Fame induction ceremony at his alma mater, Murray State University. Yet, Morant endured another injury-shortened 2024-25 season. He wore the Ja 2 in all 50 games he played.

    Perhaps the craziest stat is, in his six NBA seasons, Morant has played more total games — 110 — in models from the late Kobe Bryant’s signature Nike Kobe line than the 101 total games he’s played in his Nike Ja shoes.

    Memphis Grizzlies guard Ja Morant looks to pass against the Oklahoma City Thunder during Game 1 of the first round of the 2025 NBA playoffs on April 20 at Paycom Center in Oklahoma City.

    Joe Murphy/NBAE via Getty Images

    The Nike Ja 2 sneakers worn by Ja Morant of the Memphis Grizzlies during Game 1 against the Oklahoma City Thunder in the first round of the 2025 NBA playoffs on April 20 at Paycom Center in Oklahoma City.

    Joe Murphy/NBAE via Getty Images

    Morant actually has his Nike signature logo tattooed on his back, above a Swoosh. Further down, he has Bryant’s sheath Nike signature logo. The same triangle “JA” signature logo is prominently featured throughout the design of the Nike Ja 3, which Morant wore during a surprise debut of the new shoe on April 20, during the first round of the NBA playoffs.

    On the Ja 3’s release info page, Nike details a design session for the shoe, held at the brand’s global headquarters in Beaverton, Ore., during which senior footwear designer Ben Nethongkome and his team creatively tasked Morant to draw a Swoosh logo using spray paint.

    “We wanted him to feel like an artist, not just an athlete,” Nethongkome said.

    Memphis Grizzlies star Ja Morant (right) and New York Liberty guard Sabrina Ionescu (left) exchange pairs of their new Nike signature basketball sneakers on July 22 at Barclays Center in Brooklyn.

    Catalina Fragoso /NBAE via Getty Images

    The way Morant drew the Nike check to mimic the letter “J” in that meeting transformed into the Ja 3’s standout vertical Swoosh-forming “JA” on the lateral sides of each shoe.

    “Even the typeface we used was Ja,” recalled Nethongkome, who also shared a behind-the-scenes post detailing the design process on his personal Instagram page.

    “First time debuting a finished sample of the JA3 to Ja irl [in real life],” Nethongkome wrote. “That moment felt like time stopped for a sec. Preciate you Twelve.”

    The “Light Show” was the launch colorway for Ja Morant’s latest Nike signature sneakers, the Nike Ja 3.

    Nike

    As different as the Ja 3 materialized, steered by Morant’s original challenge to his design team, the shoe also feels paradoxically nostalgic. The “JA” detail is eerily reminiscent of the “AIR” lettering on the lateral sides of the 1996 Nike Air More Uptempo shoe.

    The “Price of Admission” colorway, in particular, looks like the Power Rangers villain Ivan Oooze beamed his way to Isla Nublar and cooked up a shoe at Jurassic Park. (Funny enough, a @NiceKicks Instagram post announcing that the Ja 3 will soon be available for customization on Nike By You includes a mockup inspired by the Jeep from the OG Jurassic Park movie.)

    One last notable detail featured on the Ja 3 is a quote from Morant etched into the outsole: “A happy Ja is a scary Ja.” According to Nike, Morant also proclaimed during the design process that 2025 would be his “takeoff” year.

    Fresh off a world tour with the Nike Ja 3, Morant’s signature line has finally arrived.

    Aaron Dodson is a sports and culture writer, primarily covering footwear endorsement deals and sneaker culture.


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  • Grand Theft Auto fans remake Jason’s house in Fortnite – ARY News

    1. Grand Theft Auto fans remake Jason’s house in Fortnite  ARY News
    2. GTA 6’s Full Map Is Even Bigger Than We Thought  GAMINGbible
    3. GTA 6 Leaks & Rumors: Will the Vice City Casino Be the Biggest Yet?  Breaking AC
    4. With over 10,500 posts and 3 years of research, this GTA 6 map thread is a hivemind of hot speculation, educated guesses and meticulous analysis on the potential size and scale of Vice City  PC Gamer

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