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If you’ve ever experienced brain fog, you know it can throw a wrench in everything from your mood to your motivation to your ability to concentrate and get things done. And whether that brain fog is a result of all the stress of the past two-plus years (we’re looking at you, pandemic) or the result of lingering COVID symptoms, if you’re experiencing brain fog on a regular basis, chances are, you’re ready to kick it to the curb—and move through your day with a better sense of focus and mental clarity.

But how, exactly, do you do that? Let’s take a look at strategies you can use to beat brain fog, increase mental clarity, and start feeling more focused, energetic, and motivated throughout the day:

Increase your water intake

Research has found that even mild dehydration can cause a decline in cognitive functioning, including issues with alertness—one of the telltale signs of brain fog. On the flip side, research has also found that proper hydration positively influences cognitive function—so, if you want to beat brain fog and increase mental clarity, one of the best things you can do?

Make sure you’re drinking enough water.

The general rule of thumb to stay properly hydrated is to drink eight eight-ounce cups of water per day, or 64 ounces total.

If downing eight glasses of water feels overwhelming, you can also hydrate through your diet. “Eat more foods that are high in water content, like cucumbers and melons,” says doctor of physical therapy and holistic health and fitness coach Dr. Eni Kadar.

Eat for mental clarity

The foods you eat play a major role in how you feel—including whether you feel foggy or clear in the brain.

So, if you want to experience more mental clarity? Start by reviewing your diet.

Eating a lot of processed, high-fat, and/or high-sugar foods throughout the day? “High-fat and high-sugar foods are more difficult for your body to process and can contribute to brain fog,” says Kadar.

If you want to increase mental clarity, swap out those processed, high-sugar, and high-fat foods for a more whole foods-based diet.

“Focus on getting as many nutrient-dense foods into your diet as possible—nutrient dense meaning foods that are close to their natural state, that aren’t packaged, processed and have an expiry date,” says Kadar. “Think of vegetables, fruits, legumes, whole grains, beans, and meat.”

Because brain fog can also be caused by nutrient deficiencies (for example, one 2013 study found that eating more protein and increasing body iron can boost attention, memory, and overall cognitive performance), you’ll also want to incorporate as many different types of whole foods into your diet as possible. “Get as much variety of fruits and vegetables into your diet as possible to ensure an adequate amount of phytonutrients, vitamins, minerals, and macronutrients,” says Kadar.

“Skipping meals can often lead to brain fog, difficulty concentrating, and low overall energy,” says Lorencz. “[Eating] breakfast and eating at least every 5 hours has helped many of my clients think more clearly and have more energy during the day.”

Prioritize exercise

Exercise is a must for improving mental clarity; research shows that regular aerobic exercise actually increases the size of the hippocampus, the area of the brain associated with memory and learning.

So, if you want to beat brain fog and feel more mentally clear, you need to make exercise a priority.

The American Heart Association recommends at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity each week—so if you want to see your mental clarity improve, those benchmarks are a great place to start.

In addition to a regular fitness routine that gets your heart rate up (like regular jogs or trips to the gym), you should also aim to move more throughout the day, particularly if you have a job that has you at a desk all day long.

“If you have a desk job or sedentary job, aim to stand up and move around at least once an hour,” says Kadar. “This helps with blood flow and energy, and also helps minimize any lower back and hip pain.”

Improve your sleep hygiene

Another common cause of brain fog? Not getting enough high-quality sleep.

“Brain fog is closely linked to lack of sleep because of the way sleep deprivation affects our ability to think and focus,” says Dr. Po-Chang Hsu, Medical Expert at SleepingOcean.com. “Sleepiness slows down the thought process and decreases reaction time. Additionally, lack of sleep may have a negative effect on one’s memory. Research also suggests that sleep issues make it more difficult for brain cells to communicate with each other, typically causing mental lapses.”

If you want to banish brain fog and increase mental clarity—and you suspect your sleep might have something to do with it—prioritizing getting more and/or better sleep is a must. And to do that, you’ll need to improve your habits around sleep, also known as sleep hygiene.

Your sleep schedule is a great place to start. “Establish a specific sleep schedule and follow it consistently,” says Hsu. “This means going to bed and waking up at approximately the same time every day—even during weekends.”

Getting into a regular schedule allows “brains and bodies more chances to get restful, deep sleep, as it’s easier for the brain to follow stable circadian rhythms when sleep patterns are consistent,” says Hsu.

In addition to getting on a more regular sleep schedule, other ways to improve sleep hygiene (and improve mental clarity in the process) include avoiding caffeine after 12pm, avoiding screens in the hour or two before bedtime (screens emit blue light that can mess with your body’s natural sleep cycle—also known as your circadian rhythm), and having a relaxing pre-bedtime ritual (like taking a bath or drinking a cup of hot tea) to signal to your brain and body that it’s time to go to sleep.

The post Brain Fog Getting in the Way of Everyday? Try These Tips for More Mental Clarity appeared first on Fitbit Blog.

Most of us experience a stiff neck from time to time—but that doesn’t make it any more pleasant (or less painful) to deal with. Luckily, there are steps you can take to alleviate the symptoms of a stiff neck and feel more loose, relaxed, and comfortable.

Let’s take a look at six strategies you can use to get rid of your stiff neck.

What causes a stiff neck?

Before we jump into tips to alleviate the symptoms of stiff neck, let’s quickly touch on some of the reasons why your neck might be feeling stiff—starting with posture.

“It’s no secret that most of us spend a good portion of our day looking at a phone and/or a computer screen,” says doctor of physical therapy and yoga instructor Kristina Kehoe. And all that time staring at a screen can lead to posture issues.

“Typically, we sit with what’s called ‘forward head posture,’ where the shoulders are rounded forward and the head is held forward, where the ears are lining up in front of the shoulder,” continues Kehoe. “This causes the muscles in the back of the neck and back to work harder to hold our head and neck up”—which can lead to a stiff neck.

Another culprit that may be playing into your neck stiffness? Too much stress.

“[When we’re stressed], we tend to hold a lot of tension in our shoulders or neck,” says Kehoe. “If you’re tensing your shoulders and surrounding muscles all day, these muscles can get tense and stiff.”

Not moving enough throughout the day—or staying in one position for too long (for example, sitting at a desk or sleeping in an uncomfortable position)—can also cause neck stiffness.

“The biggest cause of stiff neck is lack of movement,” says Tony Matoska, doctor of physical therapy and clinic manager for Athletico Physical Therapy in Muskego, WI. “Many people find themselves sitting in one place too long throughout the day, which causes joints to stiffen and muscles to tighten.”

Clearly, there are a lot of factors that could be causing symptoms of a stiff neck. But the question is, how do you alleviate those symptoms?

Do neck exercises…

One of the best ways to alleviate neck stiffness? Doing exercises and stretches that target the neck. Some exercises you may want to incorporate into your daily routine to alleviate the symptoms of a stiff neck include:

Chin tuck. The chin tuck exercise “will help improve posture throughout the day to avoid the forward head posture,” says Kehoe—and the stiff neck that can often come with it.

“To perform a chin tuck, you want to sit with a neutral posture—so shoulders in line with your hips and ears aligned with your shoulders,” says Kehoe. “Draw your chin back while keeping your jaw and shoulders relaxed.”

For best results, Kehoe recommends repeating the chin tuck between 10 and 20 times in a single session—and cycling through between 5 and 10 sessions throughout the day.

Upper trap stretches. The upper trap muscles are located on both sides of your neck—and “these are the muscles that get especially tight with stress since they’re the muscles we use to raise our shoulders towards our ears,” says Kehoe. “This stretch will help to decrease tension in these large muscles and can be very effective when stress is a main culprit of your neck stiffness.”

To stretch your upper trap muscles, “draw the right ear towards the right shoulder to feel a stretch on the left side of the neck,” says Kehoe. “If it’s tolerable, gently pull down on the side of the head towards the right [shoulder] to feel a deeper stretch.”

Hold the stretch for 20 to 30 seconds; then, repeat on the left side.

Levator Scapulae Stretch. Another muscle to target if you want to loosen up your neck? The levator scapulae.

“The levator scapulae is a muscle to the side and back of the neck,” says Kehoe. “In my experience, a lot of knots live in this muscle when the neck is stiff. Stretching this area out can help with overall mobility and stiffness of the neck.”

For this stretch, “start by bringing the right ear to the right shoulder,” says Kehoe. “After you’ve achieved that position, slowly turn your head towards your right armpit. You should feel a stretch on the left side of the neck—but more in the back of the neck when compared to the upper trap stretch.”

Hold the stretch for between 20 and 30 seconds, then switch to the left side. Repeat the process two to three times per side.

…and yoga poses

Yoga can also be a great way to alleviate neck stiffness. Some yoga poses that are especially helpful for stiff neck include:

Standing Forward Fold. Standing forward fold is a foundational yoga pose that’s also great for the neck as it “allows gravity to help decrease stress on the spine in the neck and open up the joint space in the neck,” says Kehoe.

To get into the pose, stand with your feet hip width apart. Slowly roll your spine down to bring your hands towards the floor,” says Kehoe. “Keep a slight bend in your knees to avoid putting excess strain on your back.”

You can either keep your fingertips on the floor or cradle your elbows in opposite hands. From there, “Allow your head to hang heavy toward the floor,” says Kehoe. “You can gently sway side to side or nod the head yes/ no if that feels comfortable.”

Remain in the posture for 5 to 8 breaths.

Thread the needle. This posture “helps open up the upper back and neck and relieves tension,” says Kehoe.

To thread the needle, “start on all fours,” says Kehoe. “Reach the right arm through the left arm, coming down onto the right shoulder if that feels comfortable.”

Hold here for 3-5 breaths, then repeat with the left arm.

Supported fish pose. This yoga pose “helps to improve the mobility through your thoracic spine…[which is important because] when this area is not moving well, the neck can compensate and feel stiff,” says Jackie Fenton, doctor of physical therapy, yoga instructor, and owner of Bright Heart Yoga Studio.

To get into the posture, place a pillow, block, or foam roller between your shoulder blades and perpendicular to your spine. With your knees bent and feet flat on the floor, lean back against the pillow, block, or foam roller and put your hands behind your head, allowing your chest to open. Stay in the posture for 10 breaths.

Adjust your workstation

As mentioned, spending all day sitting at a desk can play a major role in neck stiffness. So, if you want your neck to feel less stiff, creating a more ergonomic workstation is a great step.

There are a variety of ways to update your workstation to be more neck-friendly, including:

Put your monitor at eye level. “If you’re spending the day looking up or down at a monitor, you will inevitably have stiff muscles because those are not positions that are great for our head, neck, or shoulders,” says Kehoe. “Keeping the monitor at a point where it’s level with your gaze allows you to maintain good posture throughout the day.”
Adjust your desk and chair to ensure your feet are resting flat on the floor. “Make sure your desk height clears the knees and thighs,” says Matoska. “If your chair is too tall, use a footrest to ensure your feet are resting flat.”
Use a headset for phone calls. Holding your phone between your neck and shoulders is a surefire way to develop a stiff neck—so “use a headset and/or place a speaker close for calls to avoid cradling the phone between your shoulder and neck,” says Matoska.

Get a massage

Another great (and relaxing!) way to find relief from a stick neck? Booking a massage.

“Massage can definitely help a stiff neck…whether the neck stiffness is more acute or chronic,” says Kehoe. “Massage can help promote blood flow to tense muscles and improve muscle relaxation to help decrease pain.”

Let your massage therapist know you’re experiencing a stiff neck—and as they’re working, let them know if the pressure feels too intense or you find yourself tensing up.

For added benefit, ask your massage therapist to show some TLC to the areas surrounding your neck. “The upper traps and areas around the shoulder blades are common areas that get tight and sore with neck pain and are great to address during a massage,” says Matoska.

Invest in a new pillow

Do you find your neck is most stiff in the morning? “If you’re finding that you continually wake up with a stiff neck—and it improves over the day—it’s possible that your pillow may be a culprit,” says Kehoe.

If you’re using a soft, fluffy pillow, it may be time to switch things up. Kehoe recommends memory foam pillows that are contoured to allow the neck to stay in a comfortable, supported position throughout the night—as opposed to soft pillows, which don’t offer as much support and could be a contributing factor to stiff neck.

Try foam rolling

Foam rollers are great tools for workout recovery—and, as it turns out, they’re also great tools for dealing with neck stiffness.

To help alleviate symptoms of neck stiffness, you don’t want to actually foam roll on your next; instead, focus on your back.

“Rolling up and down the middle of your back (thoracic spine) is helpful for relaxing tight muscles and moving stiff joints,” says Matoska. “Working on extending your mid back backwards over the foam roller at different levels that feel stiff is also extremely beneficial.”

And if things sound a bit…crunchy during the process? Not to worry. “It is very common to feel pops and cracks as you foam roll, which are signs of pressure relief from stiff joints,” says Matoska.

The post Stiff Neck? Try These 6 Tips to Alleviate the Symptoms appeared first on Fitbit Blog.

When the COVID-19 pandemic prompted Harvard Medical School (HMS) to move learning online in March, faculty moved swiftly, developing new curriculum approaches, sometimes within hours, allowing educators to continue to teach classes and ensure that students are achieving learning objectives remotely.

But, among Harvard Schools, they had some unique challenges. Part of the process of teaching medical students how to fully assess their patients’ conditions requires human touch — and that can’t be done remotely.

“What is missing is the actual laying on of hands. We can use all of our other senses, but the ability to lay hands on and connect with a patient that way just can’t be replicated with virtual learning,” said John Dalrymple, associate dean for medical education quality improvement in the program in medical education.

“You can use your eyes and your ears a lot more, but just that physical connection … There’s no way to replicate that effectively,” he said.

It’s an obstacle, but not one that HMS faculty are letting hinder their teaching or the medical students’ education. In response, they have become more creative, and they’ve done it in record time.

Within weeks of moving classes online, for example, they converted objective structured clinical examination courses (OSCEs), into a virtual format. Ordinarily, students would perform OSCE’s with standardized patients — individuals trained to portray actual patients — in the School’s Clinical Skills Center, while faculty observe, coach and assess.

Now, faculty — led by OSCE Director Susan Farrell working with HMS IT teams — have developed a way to create televisits, where students can conduct standardized patient exams remotely, with faculty still able to watch and assess students’ skills.

This is part of our Coronavirus Update series in which Harvard specialists in epidemiology, infectious disease, economics, politics, and other disciplines offer insights into what the latest developments in the COVID-19 outbreak may bring.

Most American public schools will be bringing students back in the fall, a Harvard healthy buildings expert said, and districts should employ a broad risk-reduction strategy proven effective in places like hospitals — where maintaining appropriate distancing isn’t always possible — to keep them safe.

Joseph Allen, assistant professor of exposure assessment science at the Harvard T.H. Chan School of Public Health, said while the goal should be zero COVID-19 cases in schools and elsewhere, the national containment strategy has failed. That leaves school officials facing a difficult decision as to whether schools can be reopened safely in the fall despite continued community transmission of SARS-CoV-2, the virus that causes COVID-19.

Allen’s answer is a qualified yes: There will be some risk, but it can be kept relatively low as long as schools foster a culture of healthy compliance among students, employ an array of strategies designed to keep students, teachers, and staff safe, and isolate outbreaks when they occur.

“There’s certainly no such thing as zero risk in anything we do, and that is certainly the case during a pandemic,” Allen said. “[But] the U.S. has failed to put in the systems necessary to keep case counts low, and we’re forced to navigate reopening businesses, reopening society — not in a place where we want to be or should be — but facing the reality we have.”

The healthy school reopening measures are outlined in a 62-page report, “Schools for Health: Risk Reduction Strategies for Reopening Schools,” released Wednesday by the Harvard Chan School’s Healthy Buildings Program, which Allen leads.

Allen said the virtual classrooms employed in much of the country in March and April were a stopgap made necessary by the speed of the pandemics’ spread. But they also showed the importance of returning to in-person schooling. The experience in several big cities showed that substantial numbers of students did not log in regularly, risking a generation of not just virtual absentees, but virtual dropouts. In Boston, for example, 20 percent of students didn’t log in to class at all in May. In Philadelphia, only half of elementary schoolkids made daily contact with their classes.

Online learning should continue to be part of every districts’ reopening plan, Allen said, but it should be aimed at a minority of students and teachers, those ill or at high risk of suffering severe COVID-19 illness. Most kids, he said, should be in school, where they can grow not only through in-person learning, but also from the host of other benefits that schools bestow, from socialization to exercise to nutrition for students from struggling families. Reopening schools also allows parents to return to work — an important benefit as the economy struggles to regain its footing.

“There are devastating costs of keeping kids out of school,” said Allen, who outlined the report during a conference call with reporters Wednesday morning. “When we have this discussion about sending kids back to school, we have to have it in the context of the massive individual and societal costs of keeping kids at home.”

The “Schools for Health” report offers a detailed reopening plan with more than 100 suggestions in five major categories: healthy classrooms, healthy buildings, healthy policies, healthy schedules, and healthy activities. Though many schools have only recently let out for the summer, Allen said, now is the time for school officials to begin to prepare for the fall. Allen said flexibility is important in adopting the recommendations and that, as the weeks pass, school officials should be looking for changes to the science of COVID-19 or the local pandemic that might affect their plans.

The report’s 13 authors, led by Allen, warn that even if schools follow all the recommendations, infections may occur. But the guidelines recommend routine steps that will create a schoolwide system based on discrete groups, increased fresh air, distancing where possible, and the standbys of masking and handwashing that will minimize spread when cases do occur.

While Allen does not recommend that schools employ A/B days, when half of students are learning in person and half at home, he does recommend employing a flexible daily schedule that may start earlier and end later, creating leeway to stagger class times to avoid crowded hallways and facilitate pickup and drop off of students without crowding.

A key factor at hospitals, where masking, handwashing, and other infection-control measures have proven effective, is near-universal compliance. Allen acknowledged that may be difficult when dealing with children, which is why creating a schoolwide culture of compliance will be important to success. Healthy messages should be reinforced in pre-opening-day training programs, during daily morning announcements, and repeatedly through the day via school posters and other communication strategies.

“[Compliance] is going to be the biggest challenge,” Allen said. “The most important recommendation we have … is that schools have to establish and reinforce a culture of health, safety, and shared responsibility. This is really the only way we’re going to get through this. We have to move from the place where mask-wearing and handwashing is the exception to where it’s the norm.”

Since early 2020, when the pandemic exploded around the world, Massachusetts has seen nearly 19,000 COVID deaths and more than 840,000 cases. If a line graph of hospital admissions over the past 20 months looks like a series of peaks and valleys, the initial surge was Mount Everest for the state’s medical facilities, with patient loads and death rates that have not been matched since. To understand how the crisis has felt for frontline workers caring for the sick and dying, the Gazette reached out to 14 nurses at four Harvard-affiliated hospitals, many of whom work in intensive-care units. When the pandemic began, some had just started their careers, while others had been on the job for years. They risked their lives to stand by their patients, and their stories are marked by hope, heartbreak, and resilience.

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“It’s never easy to witness my patients suffering, but I never gave up on any of them. I held out hope and prayed that each would survive.”