I would not bother being there at the start. Let them settle in to their race routine and it'll be a complete zoo. From a hype standpoint, it's much much more fun and effective to have your buds at some point later on in the race when you're looking for a new wind. Lots of great spots where they should see you up until you get up until a little past Cleveland cirle where it starts to get hard to see folks in the crowd again. Not trying to say avoid the finishline, but you might get hung up logistically unless you're following them on side streets by bike.

Apparently neither team wanted to stop runs today

I was surprised that this wasn't mentioned in the article since they mentioned specifically returning the firearms that were illegally converted.

Is he able to continue his gun shop? Because that license should absolutely be on the chopping block. There's plenty of folks that can run one without the direct history of illegality.

Yep, however that passing lane was carved, in real bad conditions you're almost certainly safe rolling in the groove rather than forging your own path. 18 wheelers are great for this because they can make new tracks easier than most cars and smaller trucks. Always enjoyed seeing one pass me and allowing me to follow the tracks in my beater car.

Look at their profile. They are committed to this bit.

Thank you, this more of less boils down the issue. New Hampshire likely doesn't have a meaningful level fewer bodybuilders than say Mississippi in a way you will see on the population level. I get folks' aversion to BMI. Fat shaming has unfortunately only increased despite it being more and more likely to be overweight which has negative impacts and doesn't lead to positive behavioral change on the whole. There is also no need to throw out metrics where they are useful and when we understand the limitations.

Similarly, as a person that used to be in cognitive performance research, it's both fine to be skeptical of individual results and realize that these tests are very useful for studying cognitive decline over time.

So my hope and assumption is that they were likely saying "for individual use it's not great" which of course is PCP's bread and butter and on that note I would agree (with some caveats).

Unfortunately I'd like not to doxx myself by showing my own published stuff and having my name out there, but I actually got frustrated at one point in grad school by looking for something novel to say about the predictive value of WHR, circumference, and BMI and after a lot of hours on a really big longitudinal study I came away with "meh, use whichever".

Of course, if I wanna be super accurate, I'm doing a dexa scan or something, but geez human research is already expensive and I could rent this multi thousand dollar machine or just have a cheapo scale and wall height measurement and have it be good enough for research purposes.

Lastly, I think it absolutely must be said that regardless of size, moving more can counteract a ton of this stuff to the point where the negative cardiometabolic effects are hugely diminished. A lower bmi person is absolutely not 1:1 healthier.

I've posted links to meta-analyses on BMI as a predictor of various health outcomes. I'm not even coming close to scratching the surface on what is available.

Sure, I'll start with a basic muticohort mulitcountry study but it is one of the most used health metrics in population health, so I could dog up thousands depending on what you specifically want to know.

Diabetes

Here is a meta-analysis of 143 studies on mortality. Notice that there is a relatively wide range of where folks are not passing early, but in general, the higher the more problematic. Now if we are talking joint health, the point at which BMI is a predictor of pain is likely a lot lower than mortality for most folks.

I'd be happy to talk about the limitations of BMI as well. I've published papers on issues of self-report as well as the the bidirectional nature of some health issues with obesity, but hopefully that's at least a baseline to show that I'm not just making things up.

BMI was designed for population health and even blood pressure has plenty of outliers in terms of individual predictive power. Some doctors are lazy, but that's not really the fault of the metric. Anyone doing a competent exam is going to use multiple metrics anyway to assess health.

On that population scale, it's completely fine. The nation is not populated with linebackers and bodybuilders.

Although 6'6' 210lbs doesn't put you at or above 25, the category cut offs are largely arbitrary and it, like blood pressure is better thought of as a dimensional variable anyway.

Edit: because I want this to lean educational. When I've used other quick adiposity measures like waist circumference, waist to hip ratio, they all more or less have limitations on the individual level, but weren't head and shoulders better predictors of long term health compared with BMI.

Yeah I have a more general issue with opinion pieces often leaning towards platforming the already powerful and self-interested, but being against them being topical is a little silly. If there is a crash on the T or a policy proposal in the works, expect an influx of related content in the editorial page.

The mighty Quabbin demands ocean status NOW

Can confirm, was cycling on a carriage way and one squeezed past me and absolutely cut the shit out of me with the salt. I imagine that wouldn't be great for your vlear coat either. I was fortunate to have goggles on.

Being delayed a minute or two by the salt trucks will almost certainly be faster than stuck behind a pile up of texting drivers in icy conditions. Even more so if drivers try to squeeze past them and get hit.

It's the terminus of the AT and a pretty important state park for out of staters because of that, but ultimately it's just an example where no one is really complaining even about that park specifically.

Local and out of state/town differential rates can be found in a lot of things beyond camping sites. If your issue is the exact differential in this case rather than the concept than what is your ideal ratio?

Nah, Baxter State park in Maine only has entry fees for out of state residents and is free for residents so technically infinitely higher. I don't think people would flip out since you don't really hear anyone flip out about Baxter.

Despite tourism not being our main economy, MA has more total tourist visiting than either NH or ME each year. They don't really need to lure out of state folks into the campgrounds for the economy.

19k is barely above what I made as a PhD student at UMaine a handful of years ago and it should go without saying that my cost of living was a hell of a lot less ($500 / room rent) than Philly.

Also, anyone saying your lab work, teaching responsibilities, and mentor work is part time are being pretty silly.

While simultaneously bitching about traffic they're stuck in no less

Over 25 years ago and it's a hard coded number, not based on inflation, so every year national gas tax has contributed less to maintaining roads. Also local roads are far more heavily funded via property taxes. Gas taxes, federal and state don't come close to paying for themselves.

And the poor insulation/inefficiency argument also applies to heating one's house through any heat source if we are talking ability to keep a house warm. Upping insulation should be the very first thing everyone does especially in older homes regardless of heat source.

Sir, you need to put that organ back where you found it.

Miles and weight the way some tolls proxy by using axle/tire count. This would reflect road damage better.

If anyone is interested, the Metropolitan Waterworks Museum by Chestnut Hill is pretty dope. If the director is around, he has a ton of knowledge a d interesting personal engineering anecdotes.

I am literally all those things and I have no idea how I personally would respond. I don't think most people know truly how they would respond either. Without knowing them and processing it with them, speculation is all we have available to us.

Most of the replies are going to come from patients in the US healthcare system. On the whole, we spend more than any country in the world for worse outcomes. We still have wait times like everyone else, but medical debt is the most common reason for bankruptcy in the US. It's not just a little unaffordable, it can ruin you. The way our system is incentivized, we have an extreme lack of general practitioners and a lot of specialists.

If you have decent insurance (which you likely will have in your role) it's likely just annoyingly expensive, but fine. In MA we have only a small % of uninsured people, in states like Texas, they have about 20% uninsured. We have great disparities in the quality of care you get by state by your employer. You can choose your doctor...if they are in your insurance network. Basically this arbitrary aspect of your life is bound by how cool your employer is and your state.

In Boston and Massachusetts in general, we pay a little more than average for the US for healthcare, but it is pretty world class in this state and we have more subsidized options compared with the vast majority of other states. It's still bound by US issues, but it is an improvement.

I used to live in Maine and our rural healthcare non-systems are imploding and access is getting worse as these hospitals close. I know lot of folks that travel hundreds of miles for their cancer treatments /surgeries to Boston because of how much better it is here.

Being an RN is a grind anywhere as I'm sure you're aware, so I wouldn't let that bother you.

You'll find it takes longer to get folks to open up here, but it's exaggerated how different it is. New Englanders tend to be to the point and less likely to blow smoke up your ass to make nice. It wouldn't be strange at all for my older neighbor to tell me my car is shit for driving in the snow before digging me out of it.

Anyway, good luck in whatever you decide. We need all the nurses we can get.

Yeah, mine looks fine on the outside and the inside has shifted a but and will need to be taken down and built up at the top as a result. Not nearly 10k, but probably 4.5k when it's all said and done.