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Health

How Do I Know if I Have Grownup A.D.H.D.?

“I call them time-blind,” added Dr. Barkley added. “You just can’t manage yourself when it comes to time limits.”

Kylie Barron, an ADDA spokeswoman with ADHD, called it a “performance disorder.” For them this means “always unwittingly messing up, putting your foot in your mouth and doing the wrong thing at the wrong time”.

These concerns are common among ADHD patients, said Dr. Barkley.

“They set goals and want to achieve them,” he added. And while they are really sincere, they usually don’t follow suit, especially when it comes to long-term pursuits, he said.

Many adults with ADHD also have trouble regulating emotions and may show anger, impatience, inability to work, self-doubt, and difficulty coping with stress.

However, with treatment and the right support, people with ADHD can be very successful.

Yes, but adults diagnosed with ADHD must also be before age 12.

“There are all sorts of reasons people can grow up without being diagnosed or discovered,” said Dr. Barkely.

Girls, for example, are diagnosed less often than boys, which is one of the reasons the prevalence of ADHD in women is typically underestimated, he added.

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Politics

Afghan warfare has entered ‘deadlier and extra damaging section,’ UN says

Taliban fighters with a vehicle on a highway in Afghanistan.

Saibal Das | The India Today Group | Getty Images

The U.N. special envoy for Afghanistan on Friday said the war in the country has entered a “deadlier and more destructive phase” and questioned the Taliban’s commitment to political settlement. 

“A party that was genuinely committed to a negotiated settlement would not risk so many civilian casualties, because it would understand that the process of reconciliation will be more challenging, the more blood is shed,” Deborah Lyons told the U.N. Security Council on Friday. 

This comes after Afghan civilian casualties climbed to more than 1,000 in the past month, and as the Taliban continues to achieve territorial gains in Afghanistan. 

Fighting between the Taliban and Afghan security forces has raged since April when U.S. and coalition forces began their withdrawal from the country. The withdrawal is set to be completed later this month. 

On Friday, the Taliban captured its first provincial capital, Zaranj of the Nimroz province, since launching its offensive. 

The group also killed the Afghan government’s top media officer in Kabul on Friday, just days after attempting to assassinate the country’s acting defense minister, according to The Associated Press. 

The Taliban is also in control of large rural areas of Afghanistan, and is now challenging Afghan security forces in several large cities, Lyons said. This includes Herat, near the western border with Iran, as well as Kandahar and Lashkar Gah in the south, which are “under significant pressure.”

“To attack urban areas is to knowingly inflict enormous harm and cause massive civilian casualties. Nonetheless, the threatening of large urban areas appears to be a strategic decision by the Taliban, who have accepted the likely carnage that will ensue,” she said.

Peace talks between the Afghan government and the Taliban that began last year have not made any substantive progress, Lyons said. 

Lyons added that the U.N. expected a reduction in violence in Afghanistan after the U.S.-Taliban deal was signed in February. But instead, there was a 50% increase in civilian casualties in the country as more cities were attacked by the Taliban. 

Afghan citizens “expect far greater engagement and visible support” from the U.N. Security Council, Lyons said. She urged the council to issue a statement that calls for an end to violence in the country, and to ensure “a meaningful peace process.”

White House press secretary Jen Psaki also addressed the recent attacks by the Taliban at a Friday press briefing, stating that their actions won’t help them gain international legitimacy.

“Our view is that, if the Taliban claim to want international legitimacy, these actions are not going to get them the legitimacy they seek,” Psaki said.

 “They do not have to stay on this trajectory. They can choose to devote the same energy to the peace process as they are to their military campaign.”.

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World News

Berkshire Hathaway BRK earnings Q2 2021

Warren Buffett at Berkshire Hathaway’s annual meeting in Los Angeles, California. May 1, 2021.

Gerard Miller | CNBC

Berkshire Hathaway’s operating income continued to rebound as its myriad of businesses from energy to railroads benefited from the economic reopening.

The conglomerate reported operating earnings of $6.69 billion in the second quarter, up 21% from $5.51 billion in the same period a year ago, according to its earnings report released on Saturday.

Overall earnings, which reflect Berkshire’s fluctuating equity investments, increased 6.8% year over year to $28 billion in the second quarter.

Chairman and CEO Warren Buffett kept buying back Berkshire shares aggressively instead of making sizable acquisitions. The company repurchased $6 billion of its own stock in the second quarter, bringing the six month total to $12.6 billion. Berkshire bought a record $24.7 billion of its own stock last year.

At the end of June, Berkshire’s cash pile stood at $144.1 billion, holding steady from last quarter’s level and still near a record despite the company’s massive buyback program.

The results came as the conglomerate’s stock wiped out all of its 2020 losses and hit a record high in the period. So far in third quarter, Berkshire’s B shares are up another 2%, bringing their year-to-date gain to over 23%.

Zoom In IconArrows pointing outwards

As economic activity continues to grind back to life from the pandemic with more commodities and goods being shipped around the country, Berkshire’s Burlington Northern Santa Fe railroad stands to benefit. Earnings for railroads, utilities and energy jumped more than 27% from a year ago in the period to $2.26 billion, Berkshire said. The conglomerate’s other businesses, including homebuilders and a paint-maker, are also seeing a boost.

Though Berkshire acknowledged the quarterly results look stellar because they are bouncing back from a low base a year ago and the company is unsure of when results will truly return to normal.

“The COVID-19 pandemic adversely affected nearly all of our operations during 2020 and in particular during the second quarter, although the effects varied significantly,” Berkshire said in the earnings report Saturday. “The extent of the effects over longer terms cannot be reasonably estimated at this time.”

At the height of the Covid crisis, Berkshire experienced a drastic slowdown with its operating income falling 10% in the second quarter of 2020 year over year and tumbling 30% in the third quarter.

Berkshire said the risks from the pandemic still remain and could impact its results in the future.

“Risks and uncertainties resulting from the pandemic that may affect our future earnings, cash flows and financial condition include the ability to vaccinate a significant number of people in the U.S. and throughout the world as well as the long-term effect from the pandemic on the demand for certain of our products and services,” the conglomerate said.

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Entertainment

Stars Congratulate Allyson Felix on Historic Olympic Win

Allyson Felix won gold at the Tokyo Olympics, making history. After winning a medal in the women’s 4 × 400 meter relay on Saturday, the 35-year-old is now the most decorated US athletics Olympian, surpassing Carl Lewis. “First gold medal in @bysaysh’s history, I don’t even have the words for how proud I am,” Allyson wrote on Instagram. “You are worthy of your dreams. Keep it up!” As Olympians, athletes and stars got in the mood for this year’s ceremony, it didn’t take long for wishes for both their bronze and gold medals to pour in. A handful of celebrities showed their support in the comments, while others congratulated Allyson on Twitter. Check out more celebrity reactions to Allyson’s incredible win.

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Health

Firms rising extra cautious about delta variant, earnings calls present

A sign describes entry restrictions at a JLL office in the Aon Center in Chicago, Illinois, USA on Thursday, June 24, 2020.

Christopher Dilts | Bloomberg | Getty Images

When the reporting season started in earnest in mid-July, few companies asked questions or mentioned the Covid Delta variant.

That changed as new Covid-19 cases increased and the Centers for Disease Control and Prevention changed their stance on masks for vaccinated people, according to a CNBC analysis of transcripts of calls.

Between July 13 and Thursday, 142 S&P 500 companies out of 410 that reported quarterly earnings mentioned the Delta variant by name or answered a question about it in their earnings calls. Only 15% of those mentions came before July 27 – the same day the CDC said fully vaccinated people should wear masks in areas with high indoor transmission rates. New Covid cases also rose steadily as the highly contagious Delta variant became the dominant strain of the virus in the USA

The US reports a seven-day average of more than 109,000 new cases as of August 5, nearly 28% more than a week ago, according to Johns Hopkins University.

For the most part, executives said their companies did not see any significant business impact with the rise in new cases.

Becton, Dickinson & Co., a medical device company, was one of the few to report changes in consumer behavior and told analysts that fewer elective surgeries have been performed in some US states in recent weeks due to the variant. For the week ending August 1, 72% of beds in intensive care units in the United States were occupied, according to Johns Hopkins data.

But some companies with a more global footprint say it’s a different story outside of the US.

“An uneven recovery from the pandemic and an increasing delta variant in many countries around the world have once again shown us that the road to recovery will be a winding road,” said Apple CEO Tim Cook at the company’s conference call on April 27th. July.

Booking Holdings, the parent company of Kayak and OpenTable, said bookings were down 22% in July compared to 2019, a bigger decrease than the 13% decrease in June.

“In Europe, we noticed reductions in overnight stays in several of our most important countries, including Germany, France and Italy, in July,” said Booking CFO David Goulden on Wednesday at the company’s conference call.

Other companies reported supply chain disruptions as Covid cases accelerated in Asia and Europe. For example, rail operator Norfolk Southern said the Delta variant is affecting its suppliers in Southeast Asia.

“We have a couple of factories that source parts from Southeast Asia and due to manufacturing issues there, they had to bring forward scheduled production shutdowns later this year,” said chief marketing officer Alan Shaw on the company’s conference call on July 28th. “And that has now had an impact on our production and our volumes.”

The Delta variant has also led some companies to issue more conservative projections, although most companies said they don’t expect any further lockdowns in the US.

Abiomed, a medical device maker, told analysts on its conference call Thursday that the lower end of its full-year revenue forecast sees “some persistent unevenness” from the variant, even though the company raised its outlook.

Beyond Meat, which is not part of the S&P 500, said restaurant operators are more conservative with their food orders due to the uncertainty created by the Delta variant, as well as work-related challenges.

“For us, the main feature of the third quarter, and our forecast is simply a lack of visibility,” said CEO Ethan Brown on Thursday.

Categories
Politics

For G.O.P., Infrastructure Invoice Is a Likelihood to Inch Away from Trump

Instead, the response was crickets.

Ms. Collins and Senator Bill Cassidy, Republican of Louisiana, calmly pointed out that Mr. Trump had supported a much larger infrastructure plan in the past but failed to deliver. Mr. Portman, who had personally called Mr. Trump to encourage him to back the legislation, politely suggested that Mr. Trump change tactics and embrace the plan.

When the time came to vote to advance the measure on the Senate floor, the coalition of mostly moderate members found that, contrary to Mr. Trump’s efforts, the number of conservative senators supporting their plan had increased, not decreased — with members of Republican leadership, including Mr. McConnell and Senator Roy Blunt of Missouri, who is also retiring, joining their ranks.

Senator Kevin Cramer, Republican of North Dakota, said some of his constituents were “mad as hell” about his support for the bill — particularly about the idea of doing something that would make President Biden look good. But rather than follow Mr. Trump’s lead, he has made a point of talking up the agreement on conservative talk radio shows.

“I firmly believe that people — the longer they live with it, the more they look at it, the more they hear about it, the more they’ll like it, including conservatives,” Mr. Cramer said.

Several Republican aides said the developments left them feeling that while Mr. Trump’s influence over the Senate was not gone, he was diminished.

Indeed, many Republicans said they were puzzled over the point Mr. Trump was trying to make. The former president had proposed a $1.5 trillion infrastructure package while in office, so his opposition to a leaner bill seemed motivated either by personal pique or a simple desire to see his predecessor and the opposing party fail.

“It’s not really so clear what Trump’s substantive objection is here,” said Philip Wallach, a senior fellow at the conservative American Enterprise Institute. He’s certainly not saying doing an infrastructure bill is bad; he spent his whole four years talking about how great it would be. So all he’s really saying is, ‘Working with Democrats is bad.’ And for a lot of these senators from closely contested states, they figure their electoral base just doesn’t agree that bipartisanship is bad.”

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Health

Unvaccinated Adults Who Had Virus Face Danger of Reinfection, C.D.C. Says

According to a small study that assessed the likelihood of re-infection, unvaccinated people who have had Covid-19 are more than twice as likely to be re-infected as those who test positive and maintain their natural immunity with a vaccine have strengthened.

The study, published Friday by the Centers for Disease Control and Prevention, looked at the risk of reinfection in May and June in hundreds of Kentucky residents who tested positive for the virus in 2020.

Those who weren’t vaccinated this year were 2.34 higher risk of reinfection than those who received their vaccinations. The study, published Friday, suggests that adding a vaccine provided better protection to those who survived infection than the natural immunity created by their original battle with the virus alone.

Although the study looked at only a small number of people in Kentucky, it appears to disprove the argument made by one of its US Senators from his home state, Rand Paul, who has repeatedly claimed that vaccination for people like him who had the virus is unnecessary and developed immunity.

Dr. Rochelle P. Walensky, director of the CDC, said the data reinforces the importance of vaccination, including for those who have already had the virus.

“If you have ever had Covid-19, please get vaccinated anyway,” said Dr. Walensky on Friday. “The vaccine is the best way to protect yourself and others around you, especially as the more contagious Delta variant is spreading across the country.”

The study’s authors warned that not much is known about how long natural immunity to the virus lasts and that genome sequencing has not been performed to confirm the reinfections weren’t just flares of the remains of the initial infection of the subjects.

The CDC and the Biden government have been aggressively advocating an increase in vaccinations over the past few weeks as the number of cases and hospitalizations has risen sharply in the last month, largely due to the Delta variant and particularly in regions of the country where vaccination rates are low.

Last week, the number of new virus cases reported daily on Thursday averaged 100,200, and for the first time since mid-February the daily average exceeded 100,000, according to a database from the New York Times. On Friday, the country recorded 106,723 new cases a day.

Another study published on Friday reported that vaccinations drastically reduced hospital admissions for Covid in the elderly in February, March and April. The study looked at data from 7,280 patients from a Covid hospitalization monitoring network and used government records to check their vaccination status. The vast majority of hospital patients were not or only partially vaccinated; only 5 percent were fully vaccinated.

Although vaccination did not completely eliminate infection, the risk of hospitalization was significantly lower for people who were fully vaccinated. Among those 65 to 74, Pfizer-BioNTech and Moderna vaccines reduced the risk of hospitalization related to Covid by 96 percent, and Johnson & Johnson’s single-dose vaccine reduced hospital admissions by 84 percent. In the 75+ age group, Pfizer vaccination reduced hospital admissions by 91 percent; the Moderna vaccine by 96 percent; and the Johnson & Johnson vaccine by 85 percent.

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World News

Taliban Take Second Afghan Metropolis in Two Days

KABUL, Afghanistan – Another provincial capital, the second in two days, nearly fell in Afghanistan on Saturday, officials said, this one in the north of the country, where a Taliban offensive has encircled several cities since international forces began in May, to retire.

The capital Sheberghan in Jowzjan Province collapsed less than 24 hours after the Taliban took over a provincial capital in southwest Afghanistan.

“The whole city has collapsed,” said the deputy governor of Jowzjan, Abdul Qader Malia. “Nothing is left.” On Saturday afternoon, government troops were still controlling the airport and army headquarters outside Sheberghan.

However, much of the province bordering Turkmenistan is now under the control of the Taliban.

The Taliban’s victories – and the defeats of the Afghan government – come despite continued American air support and are the result of an insurgent strategy that has overwhelmed and exhausted the Afghan government forces.

Sheberghan’s fall comes after the Taliban captured around 200 of the 400 or so districts in Afghanistan in the past few months – often without firing a shot. They penetrate deep into the north of the country, even though the region has a reputation for being an anti-Taliban stronghold and relatively safe.

The insurgent offensive has turned into a brutal urban struggle as Taliban fighters advanced into cities like Sheberghan and Kunduz in the north, Kandahar and Lashkar Gah in the south, and Herat in the west, and tens of thousands of civilians amid a desperate struggle for control. Hundreds were killed or wounded and many more were displaced.

On Friday, government forces in Sheberghan reportedly repelled the Taliban incursion after insurgents entered the city and attempted to raid government buildings such as the police headquarters and the prison. The number of civilian victims is unclear.

“The situation in the city is so scary,” said Matin Raufi, a Sheberghan resident. “We don’t know what’s going to happen.”

The Taliban returned on Saturday and penetrated deep into the city, despite desperate attempts by security forces to defend what was still theirs.

“The government troops have withdrawn to the army brigade and the airport, the two places that are still under their control, to regroup and plan counter-attacks against the Taliban,” said Mohammad Karim Jawzjani, member of parliament from Jowzjan.

Sheberghan is the hometown of Marshal Abdul Rashid Dostum, a notorious warlord and former Afghan vice president who survived the last 40 years of war by cutting back and changing sides. It was long expected that Marshal Dostum would muster the same Uzbek militias that fought in the country’s civil war in the 1990s and helped overthrow the Taliban after the 2001 US invasion to serve as a bulwark against the group’s recent boom .

The Sheberghan case is evidence that, despite the resurgence of these militias – which the Afghan government advocates as a complement to its troops – these militias are currently unreliable when it comes to fighting the Taliban.

Marshal Dostum returned to Afghanistan in the past few days after weeks in Turkey – where he is resident and has close ties – to recover from health problems. The aging warlord has left much of his frontline duties to his son Yar Mohammad Dostum, who leads the fight against the Taliban on social media.

On Saturday, Marshal Dostum met with Afghan President Ashraf Ghani in the capital, Kabul, where Marshal Dostum pledged his continued support to the government’s security forces, according to a palace statement.

The warlord’s militias are only part of a kaleidoscope of armed groups that are regaining importance as American forces aim to complete their retreat by the end of August and the Afghan government tries to hold onto territory. The return of the militia is a terrifying throwback to the 1990s, when an ethnically charged civil war helped create the Taliban after the same armed groups brutalized civilians.

The fall of Sheberghan means the Taliban can now move their troops elsewhere, most likely to other besieged cities in the north. The same situation is playing out in southwest Afghanistan, where the insurgents captured Zaranj, the capital of Nimruz province, on Friday.

“Sheberghan and Zaranj can hardly be called cities given their small size, and although these are propaganda victories, the Taliban are still fighting to take the larger cities like Herat and Kandahar,” said Ibraheem Bahiss, an adviser to the International Crisis Group and a independent research analyst. “In these places they encounter considerable resistance and make sacrifices.”

Zaranj, known for its poor governance, lawlessness and illegal economy, will no doubt serve as the starting point for future Taliban operations in the west and south. This is especially true of the capital of neighboring Helmand Province, Lashkar Gah, which is dangerously close to collapse. Fierce fighting in recent days has left parts of the city to rubble and civilians killed.

This leaves the Afghan government few options in both provinces: counterattack and try to recapture the lost territory or relocate troops to another location to defend other besieged cities.

American air support, which is slated to last until the end of the month – or longer if the Pentagon gets permission to continue – is being launched from outside the country, meaning there are insufficient resources to defend every Afghan city attacked .

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Health

Brookdale Senior Dwelling mandates vaccine for workers

Brookdale Senior Living, a major operator of assisted living and skilled care facilities in the United States, will require its employees to be vaccinated against Covid, CEO Cindy Baier told CNBC on Friday.

The move is taking place as the highly transmissible Delta variant is causing an increase in coronavirus cases in the country, including in nursing homes. Between July 25 and August 1, coronavirus cases among nursing home residents rose 38%, although levels remain well below previous highs, according to the CDC.

Vaccines provide immune protection to vulnerable residents that was not provided in earlier stages of the pandemic, when long-term care facilities were epicentres for devastating outbreaks. At Brookdale Senior Living’s facilities, which are located in 41 states, 93% of residents are vaccinated, Baier told CNBC. The majority of Brookdale’s portfolio consists of assisted living and memory maintenance facilities.

“Given the widespread access of the vaccine, we are in a much better position to deal with the pandemic,” she said in an interview with the “Power Lunch”.

Still, the surge in coronavirus infection rates across the country puts nursing home residents at risk, many of whom are older and suffer from conditions that make Covid more dangerous to them. Rising vaccination rates among staff coming and going to the facility can play a crucial role in trying to limit the likelihood of an outbreak.

Covid vaccinations have not only been shown to be effective at reducing the risk of developing serious illness or death from the disease, but studies suggest that they can also provide protection against infection.

“We want [have] every Brookdale employee we can vaccinate. Although our efforts have been going on for several months and our vaccination rates are increasing, we would like them to be even higher, “said Baier.” That is why we have chosen a vaccine requirement with limited exemptions.

According to the Centers for Disease Control and Prevention, around 82% of nursing home residents in the US were fully vaccinated against the coronavirus by the end of July. However, the vaccination rates for health workers are lower at around 59%. Overall, 49.9% of the US population is fully vaccinated, while 58.2% received at least one vaccination, according to the CDC.

Earlier this week, Genesis Healthcare – another major U.S. nursing home operator – announced that workers would need to get the Covid vaccine in order to stay on the job. Outside of long-term care, a number of other big companies recently rolled out stricter vaccination policies for employees, including United Airlines on Friday.

The measures are seen as a shock to the country’s vaccination rate, which had slowed significantly since the spring and prompted U.S. health officials to step up efforts to convince hesitant Americans to get the Covid vaccinations.

Several southern states with low vaccination rates have seen increases in shots administered recently as the spread of the Covid Delta variant increased, according to a CNBC analysis of CDC data. In Mississippi, Louisiana, Alabama and Arkansas, the weekly average of the first daily doses reported has more than doubled since early July.

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Entertainment

Famed Conductor, Citing Mind Tumor, Withdraws From Concert events

The renowned conductor Michael Tilson Thomas announced on Friday that he would withdraw from performances for the next several months as he recovers from surgery to treat a brain tumor.

Thomas, 76, the former music director of the San Francisco Symphony, said in a statement that he would take a hiatus through October as he undergoes treatment. He said doctors recently discovered the tumor and advised he have surgery immediately. He described the surgery, which took place at the University of California at San Francisco Medical Center, as successful.

“I deeply regret missing projects that I was greatly anticipating,” Thomas said in the statement. “I look forward to seeing everyone again in November.”

Thomas, an eminent figure in the music industry known by the nickname M.T.T., stepped down as the San Francisco Symphony’s music director last year. He had held the post since 1995 and was widely credited with transforming the ensemble into one of the best in the nation and championing works by modern American composers.

Thomas said in the statement that he was canceling his participation in a starry concert with the National Symphony Orchestra in September to celebrate the 50th anniversary of the Kennedy Center, as well as appearances with the New World Symphony, a training orchestra for young artists in Miami that he helped found; the Indianapolis Symphony Orchestra, where he was to lead his “Agnegram” alongside works by Beethoven and Copland; and the Chicago Symphony Orchestra.