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Candidates’ aging brains are factors in the presidential race − 4 essential reads

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Candidates’ aging brains are factors in the presidential race − 4 essential reads

Joe Biden and Donald Trump are two of the three oldest people ever to serve as president.
AP Photo

Jeff Inglis, The Conversation

The leading contenders in the 2024 presidential election are two of the three oldest people ever to serve as president. President Joe Biden is 81. Former President Donald Trump is 77. Ronald Reagan took office at 69 and left it at age 77.

Both Biden and Trump have faced criticism about what can appear to be obvious signs of aging, including questions about their memory and cognitive abilities.

Scholars writing for The Conversation U.S. have discussed various aspects of how aging affects people’s brains. Here we spotlight four articles that collectively explain why there is cause for concern, why there is no clear statement to be made about any specific person’s cognitive power as they age, and ways people can preserve their brain power into their golden years.

1. Decline in thinking can come with age

Brandeis psychology professor Angela Gutchess, who studies brain activity to understand human thought, said there is a body of work documenting a cognitive decline in aging people:

Past behavioral data largely pointed to loss in cognitive – that is, thinking – abilities with age, including poorer memory and greater distractibility.”

But her work has also found that “aging brains can reorganize and change, and not necessarily for the worse.”

2. Some people age faster than others

Aging is an individual experience, explained Aditi Gurkar, a geriatric medicine scholar at the University of Pittsburgh:

Although age is the principal risk factor for several chronic diseases, it is an unreliable indicator of how quickly your body will decline or how susceptible you are to age-related disease. This is because there is a difference between your chronological age, or the number of years you’ve been alive, and your biological age – your physical and functional ability.”

Gurkar’s work has been focused on the latter, noting that some people with the same chronological ages can have very different cognitive and physical abilities. Key factors include the strength of a person’s social connections, as well as their sleeping habits, water consumption, exercise and diet.

YouTube video
As University of Pittsburgh geriatric scholar Aditi Gurkar notes in her TED Talk, aging is not just a number.

3. Even cells age differently inside the body

Ellen Quarles, who teaches cellular and molecular biology of aging at the University of Michigan, explained that aging is so individualized that it varies even at the cellular level:

There is no single cause of aging. No two people age the same way, and indeed, neither do any two cells. There are countless ways for your basic biology to go wrong over time, and these add up to create a unique network of aging-related factors for each person that make finding a one-size-fits-all anti-aging treatment extremely challenging.”

4. There is a way to preserve abilities

Brian Ho and
Ronald Cohen, University of Florida scholars who study brain health in aging people, have found that physical activity makes a real difference in cognition:

People in the oldest stage of life who regularly engage in aerobic activities and strength training exercises perform better on cognitive tests than those who are either sedentary or participate only in aerobic exercise.”

Specifically, they found:

“(T)hose who incorporated both aerobic exercises, such as swimming and cycling, and strength exercises like weightlifting into their routines – regardless of intensity and duration – had better mental agility, quicker thinking and greater ability to shift or adapt their thinking.”

Whether it’s for Biden and Trump or anyone else, these scholars advise staying active, deepening connections with family and friends and recognizing that not everyone ages the same way.

This story is a roundup of articles from The Conversation’s archives.The Conversation

Jeff Inglis, Politics + Society Editor, The Conversation

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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AIs flunk language test that takes grammar out of the equation

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theconversation.com – Rutvik Desai, Professor of Psychology, University of South Carolina – 2025-02-26 07:39:00

AIs flunk language test that takes grammar out of the equation

AIs can sound good without having a clue about what they’re saying.
Carol Yepes/Moment via Getty Images

Rutvik Desai, University of South Carolina

Generative AI systems like large language models and text-to-image generators can pass rigorous exams that are required of anyone seeking to become a doctor or a lawyer. They can perform better than most people in Mathematical Olympiads. They can write halfway decent poetry, generate aesthetically pleasing paintings and compose original music.

These remarkable capabilities may make it seem like generative artificial intelligence systems are poised to take over human jobs and have a major impact on almost all aspects of society. Yet while the quality of their output sometimes rivals work done by humans, they are also prone to confidently churning out factually incorrect information. Skeptics have also called into question their ability to reason.

Large language models have been built to mimic human language and thinking, but they are far from human. From infancy, human beings learn through countless sensory experiences and interactions with the world around them. Large language models do not learn as humans do – they are instead trained on vast troves of data, most of which is drawn from the internet.

The capabilities of these models are very impressive, and there are AI agents that can attend meetings for you, shop for you or handle insurance claims. But before handing over the keys to a large language model on any important task, it is important to assess how their understanding of the world compares to that of humans.

I’m a researcher who studies language and meaning. My research group developed a novel benchmark that can help people understand the limitations of large language models in understanding meaning.

Making sense of simple word combinations

So what “makes sense” to large language models? Our test involves judging the meaningfulness of two-word noun-noun phrases. For most people who speak fluent English, noun-noun word pairs like “beach ball” and “apple cake” are meaningful, but “ball beach” and “cake apple” have no commonly understood meaning. The reasons for this have nothing to do with grammar. These are phrases that people have come to learn and commonly accept as meaningful, by speaking and interacting with one another over time.

We wanted to see if a large language model had the same sense of meaning of word combinations, so we built a test that measured this ability, using noun-noun pairs for which grammar rules would be useless in determining whether a phrase had recognizable meaning. For example, an adjective-noun pair such as “red ball” is meaningful, while reversing it, “ball red,” renders a meaningless word combination.

The benchmark does not ask the large language model what the words mean. Rather, it tests the large language model’s ability to glean meaning from word pairs, without relying on the crutch of simple grammatical logic. The test does not evaluate an objective right answer per se, but judges whether large language models have a similar sense of meaningfulness as people.

We used a collection of 1,789 noun-noun pairs that had been previously evaluated by human raters on a scale of 1, does not make sense at all, to 5, makes complete sense. We eliminated pairs with intermediate ratings so that there would be a clear separation between pairs with high and low levels of meaningfulness.

numerous colorful beach balls
Large language models get that ‘beach ball’ means something, but they aren’t so clear on the concept that ‘ball beach’ doesn’t.
PhotoStock-Israel/Moment via Getty Images

We then asked state-of-the-art large language models to rate these word pairs in the same way that the human participants from the previous study had been asked to rate them, using identical instructions. The large language models performed poorly. For example, “cake apple” was rated as having low meaningfulness by humans, with an average rating of around 1 on scale of 0 to 4. But all large language models rated it as more meaningful than 95% of humans would do, rating it between 2 and 4. The difference wasn’t as wide for meaningful phrases such as “dog sled,” though there were cases of a large language model giving such phrases lower ratings than 95% of humans as well.

To aid the large language models, we added more examples to the instructions to see if they would benefit from more context on what is considered a highly meaningful versus a not meaningful word pair. While their performance improved slightly, it was still far poorer than that of humans. To make the task easier still, we asked the large language models to make a binary judgment – say yes or no to whether the phrase makes sense – instead of rating the level of meaningfulness on a scale of 0 to 4. Here, the performance improved, with GPT-4 and Claude 3 Opus performing better than others – but they were still well below human performance.

Creative to a fault

The results suggest that large language models do not have the same sense-making capabilities as human beings. It is worth noting that our test relies on a subjective task, where the gold standard is ratings given by people. There is no objectively right answer, unlike typical large language model evaluation benchmarks involving reasoning, planning or code generation.

The low performance was largely driven by the fact that large language models tended to overestimate the degree to which a noun-noun pair qualified as meaningful. They made sense of things that should not make much sense. In a manner of speaking, the models were being too creative. One possible explanation is that the low-meaningfulness word pairs could make sense in some context. A beach covered with balls could be called a “ball beach.” But there is no common usage of this noun-noun combination among English speakers.

If large language models are to partially or completely replace humans in some tasks, they’ll need to be further developed so that they can get better at making sense of the world, in closer alignment with the ways that humans do. When things are unclear, confusing or just plain nonsense – whether due to a mistake or a malicious attack – it’s important for the models to flag that instead of creatively trying to make sense of almost everything.

If an AI agent automatically responding to emails gets a message intended for another user in error, an appropriate response may be, “Sorry, this does not make sense,” rather than a creative interpretation. If someone in a meeting made incomprehensible remarks, we want an agent that attended the meeting to say the comments did not make sense. The agent should say, “This seems to be talking about a different insurance claim” rather than just “claim denied” if details of a claim don’t make sense.

In other words, it’s more important for an AI agent to have a similar sense of meaning and behave like a human would when uncertain, rather than always providing creative interpretations.The Conversation

Rutvik Desai, Professor of Psychology, University of South Carolina

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Why people rebuild in Appalachia’s flood-ravaged areas despite the risks

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theconversation.com – Kristina P. Brant, Assistant Professor of Rural Sociology, Penn State – 2025-02-26 07:38:00

Why people rebuild in Appalachia’s flood-ravaged areas despite the risks

Parts of the North Fork of the Kentucky River flooded in July 2022, and again in February 2025.
Arden S. Barnes/For The Washington Post via Getty Images

Kristina P. Brant, Penn State

On Valentine’s Day 2025, heavy rains started to fall in parts of rural Appalachia. Over the course of a few days, residents in eastern Kentucky watched as river levels rose and surpassed flood levels. Emergency teams conducted over 1,000 water rescues. Hundreds, if not thousands of people were displaced from homes, and entire business districts filled with mud.

For some, it was the third time in just four years that their homes had flooded, and the process of disposing of destroyed furniture, cleaning out the muck and starting anew is beginning again.

Historic floods wiped out businesses and homes in eastern Kentucky in February 2021, July 2022 and now February 2025. An even greater scale of destruction hit eastern Tennessee and western North Carolina in September 2024, when Hurricane Helene’s rainfall and flooding decimated towns and washed out parts of major highways.

YouTube video
Scenes of flooding from several locations across Appalachia in February 2025.

Each of these events was considered to be a “thousand-year flood,” with a 1-in-1,000 chance of happening in a given year. Yet they’re happening more often.

The floods have highlighted the resilience of local people to work together for collective survival in rural Appalachia. But they have also exposed the deep vulnerability of communities, many of which are located along creeks at the base of hills and mountains with poor emergency warning systems. As short-term cleanup leads to long-term recovery efforts, residents can face daunting barriers that leave many facing the same flood risks over and over again.

Exposing a housing crisis

For the past nine years, I have been conducting research on rural health and poverty in Appalachia. It’s a complex region often painted in broad brushstrokes that miss the geographic, socioeconomic and ideological diversity it holds.

Appalachia is home to a vibrant culture, a fierce sense of pride and a strong sense of love. But it is also marked by the omnipresent backdrop of a declining coal industry.

There is considerable local inequality that is often overlooked in a region portrayed as one-dimensional. Poverty levels are indeed high. In Perry County, Kentucky, where one of eastern Kentucky’s larger cities, Hazard, is located, nearly 30% of the population lives under the federal poverty line. But the average income of the top 1% of workers in Perry County is nearly US$470,000 – 17 times more than the average income of the remaining 99%.

This income and wealth inequality translates to unequal land ownership – much of eastern Kentucky’s most desirable land remains in the hands of corporations and families with great generational wealth.

When I first moved to eastern Kentucky in 2016, I was struck by the grave lack of affordable, quality housing. I met families paying $200-$300 a month for a small plot to put a mobile home. Others lived in “found housing” – often-distressed properties owned by family members. They had no lease, no equity and no insurance. They had a place to lay one’s head but lacked long-term stability in the event of disagreement or disaster. This reality was rarely acknowledged by local and state governments.

Eastern Kentucky’s 2021 and 2022 floods turned this into a full-blown housing crisis, with 9,000 homes damaged or destroyed in the 2022 flood alone.

“There was no empty housing or empty places for housing,” one resident involved in local flood recovery efforts told me. “It just was complete disaster because people just didn’t have a place to go.”

Most homeowners did not have flood insurance to assist with rebuilding costs. While many applied to the Federal Emergency Management Agency for assistance, the amounts they received often did not go far. The maximum aid for temporary housing assistance and repairs is $42,500, plus up to an additional $42,500 for other needs related to the disaster.

The federal government often provides more aid for rebuilding through block grants directed to local and state governments, but that money requires congressional approval and can take months to years to arrive. Local community coalitions and organizations stepped in to fill these gaps, but they did not necessarily have sufficient donations or resources to help such large numbers of displaced people.

A man walks from a store with lighted rooms above it. In the background, homes are flooded.
Affordable rental housing is hard to find in much of Appalachia. When flooding wipes out homes, as Jackson, Ky., saw in July 2022 and again in February 2025, it becomes even more rare.
Michael Swensen/Getty Images

With a dearth of affordable rentals pre-flood, renters who lost their homes had no place to go. And those living in “found housing” that was destroyed were not eligible for federal support for rebuilding.

The sheer level of devastation also posed challenges. One health care professional told me: “In Appalachia, the way it usually works is if you lose your house or something happens, then you go stay with your brother or your mom or your cousin. … But everybody’s mom and brother and cousin also lost their house. There was nowhere to stay.” From her point of view, “our homelessness just skyrocketed.”

The cost of land – social and economic

After the 2022 flood, the Kentucky Department for Local Government earmarked almost $300 million of federal funding to build new, flood-resilient homes in eastern Kentucky. Yet the question of where to build remained. As another resident involved in local flood recovery efforts told me, “You can give us all the money you want; we don’t have any place to build the house.”

It has always been costly and time-intensive to develop land in Appalachia. Available higher ground tends to be located on former strip mines, and these reclaimed lands require careful geotechnical surveying and sometimes structural reinforcements.

If these areas are remote, the costs of running electric, water and other infrastructure services can also be prohibitive. For this reason, for-profit developers have largely avoided many counties in the region. The head of a nonprofit agency explained to me that, because of this, “The markets have broken. … We have no [housing] market.”

In an aerial view of Kentucky's mountains, now-flat areas where mountain top were mined for their coal are visible.
Eastern Kentucky’s mountains are beautiful, but there are few locations for building homes that aren’t near creeks or rivers. Strip-mined land, where mountaintops were flattened, often aren’t easily accessible and come with their own challenges.
Posnov/Moment via Getty Images

There is also some risk involved in attempting to build homes on new land that has not previously been developed. A local government could pay for undeveloped land to be surveyed and prepared for development, with the prospect of reimbursement by the U.S. Department of Housing and Urban Development if housing is successfully built. But if, after the work to prepare the land, it is still too cost-prohibitive to build a profitable house there, the local government would not receive any reimbursement.

Some counties have found success clearing land for large developments on former strip mine sites. But these former coal mining areas can be considerable distances from towns. Without robust public transportation systems, these distances are especially prohibitive for residents who lack reliable personal transportation.

Another barrier is the high prices that both individual and corporate landowners are asking for properties on higher ground.

The scarcity of desirable land available for sale, combined with increasingly urgent demand, has led to prices unaffordable for most. Another resident involved in local flood recovery efforts explained: “If you paid $5,000 for 30 acres 40 years ago, why won’t you sell that for $100,000? Nope, [they want] $1 million.” That makes it increasingly difficult for both individuals and housing developers to purchase land and build.

One reason for this scarcity is the amount of land that is still owned by outside corporate interests. For example, Kentucky River Properties, formerly Kentucky River Coal Corporation, owns over 270,000 acres across seven counties in the region. While this landholding company leases land to coal, timber and gas companies, it and others like it rarely permit residential development.

But not all unused land is owned by corporations. Some of this land is owned by families with deep roots in the region. People’s attachment to a place often makes them want to stay in their communities, even after disasters. But it can also limit the amount of land available for rebuilding. People are often hesitant to sell land that holds deep significance for their families, even if they are not living there themselves.

Two men dump buckets of ruined wallboard removed from a home. The yard they are walking through is filled with mud.
Rural communities are often tight-knit. Many residents want to stay despite the risks.
AP Photo/Timothy D. Easley

One health care professional expressed feeling torn between selling or keeping their own family property after the 2022 flood: “We have a significant amount of property on top of a mountain. I wouldn’t want to sell it because my papa came from nothing. … His generation thought owning land was the greatest thing. … And for him to provide his children and his grandchildren and their great-grandchildren a plot of land that he worked and sweat and ultimately died to give us – people want to hold onto that.”

She recognized that land was in great demand but couldn’t bring herself to sell what she owned. In cases like hers, higher grounds are owned locally but still remain unused.

Moving toward higher ground, slowly

Two years after the 2022 flood, major government funding for rebuilding still has not resulted in a significant number of homes. The state has planned seven communities on higher ground in eastern Kentucky that aim to house 665 new homes. As of early 2025, 14 houses had been completed.

Progress on providing housing on higher ground is slow, and the need is great.

In the meantime, when I conducted interviews during the summer and fall of 2024, many of the mobile home communities that were decimated in the 2022 flood had begun to fill back up. These were flood-risk areas, but there was simply no other place to go.

Last week, I watched on Facebook a friend’s live video footage showing the waters creeping up the sides of the mobile homes in one of those very communities that had flooded in 2022. Another of my friends mused: “I don’t know who constructed all this, but they did an unjustly favor by not thinking how close these towns was to the river. Can’t anyone in Frankfort help us, or has it gone too far?”

With hundreds more people now displaced by the most recent flood, the need for homes on higher grounds has only expanded, and the wait continues.The Conversation

Kristina P. Brant, Assistant Professor of Rural Sociology, Penn State

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How Nutriset, a French company, has helped alleviate hunger and create jobs in some of the world’s poorest places

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theconversation.com – Nicolas Dahan, Professor of Management, Seton Hall University – 2025-02-25 12:50:00

How Nutriset, a French company, has helped alleviate hunger and create jobs in some of the world’s poorest places

Michel Lescanne, founder and president of the French company Nutriset, holds Plumpy’nut packets in 2005.
Robert Francois/AFP via Getty Images

Nicolas Dahan, Seton Hall University and Bernard Leca, ESSEC

About 19 million children under 5 around the world suffer from severe acute malnutrition every year. This life-threatening condition kills 400,000 of them – that’s one child every 10 seconds.

These numbers are staggering, especially because a lifesaving treatment has existed for nearly three decades: “ready-to-use therapeutic food.”

Nutriset, a French company, was founded by Michel Lescanne. He was one of two scientists who invented this product in 1996. A sticky peanut butter paste branded Plumpy’nut, it’s enriched with vitamins and minerals and comes in packets that require no refrigeration or preparation.

Health care professionals were quickly convinced of its promise. What was harder to figure out was how to manufacture as many packets as possible while cutting costs. In 2008, ready-to-use therapeutic food producers like Nutriset charged US$60 for one box of 150 packets – the number needed to treat one severely malnourished child for the 6-8 weeks needed for their recovery.

In a study we published in the Journal of Management Studies in October 2024, we explained how the international agencies, nongovernmental organizations, activists and for-profit companies involved in the product’s distribution managed to resolve a public controversy over the use of Nutriset’s patent and its for-profit business model.

Contrary to the expectations of activists and many humanitarian NGOs, this for-profit company managed to reduce its prices down to $39 per box of Plumpy’nut packets by 2019 and keep them consistently lower than any nonprofit or for-profit competitors could, all the while enforcing its patent rights.

We interviewed Jan Komrska, a pharmacist then serving as the ready-to-use therapeutic food procurement manager at UNICEF, the United Nations agency for children; Tiddo von Schoen-Angerer, a pediatrician who was leading the access to medicines campaign at Doctors Without Borders, a medical charity; and Thomas Couaillet, a Nutriset executive. We also studied documents issued over the course of a decade to find out why this company’s unusual approach to intellectual property protection was so successful.

Helping franchisees in low-income countries get started

Nutriset and humanitarian organizations disagreed at the start over how to proceed with the production of ready-to-use therapeutic food.

Doctors Without Borders at first accused Nutriset of behaving like a big drugmaker, shielding itself from competition by aggressively enforcing its patents to charge excessively high prices. The nongovernmental organization demanded that Nutriset allow any manufacturer to make its patented packets, without any compensation for that intellectual property.

By 2012, Nutriset had changed course. It had stopped being almost the sole producer of ready-to-use therapeutic food and instead allowed licensees and franchisee partners, chiefly located in low-income countries, to make the packets without having to pay any royalties. It did, however, make an exception for the United States. It allowed Edesia, a Rhode Island-based nonprofit, to become a Nutriset franchisee.

It also provided these smaller producers with seed funding and technical advice.

Nutriset is still the world’s largest ready-to-use therapeutic food producer, we have determined through our research. It’s responsible for about 30% to 40% of the world’s annual production, down from more than 90% in 2008.

There are some other U.S. manufacturers, such as Tabatchnick Fine Foods, but they aren’t Nutriset partners.

YouTube video
Nutriset produced this video in 2012 to explain the scale of hunger around the world and how its ready-to-use therapeutic food packets can help.

Threatening legal action

At the same time, the company continued to threaten to take legal action against potential rivals located in developed countries that were replicating their recipe without authorization. Usually, cease-and-desist letters were sufficient.

Nutriset implemented this strategy to ward off competition from big multinational corporations that might try to establish their brands in new markets, gaining a foothold before flooding them with imported ultraprocessed food. A big risk, had that occurred, would have been less breastfeeding for newborns and the disruption of local diets.

Nutriset’s strategy of opening access to its patent selectively has enabled UNICEF to double the share of packets it buys from producers located in the Global South.

UNICEF, the world’s biggest buyer of ready-to-use therapeutic food, bought less than one-third of its supplies from those nations in 2011. That share climbed to two-thirds in 2022.

Nutriset’s reliance on local franchisees has helped create over 1,000 jobs in hunger-stricken regions while strengthening the supply chain and reducing the carbon emissions of transportation, according to UNICEF.

Nutriset’s creative patent strategy also helped its partner producers in low-income countries, which include nonprofit and for-profit ventures, compete with large corporations in developed countries by the time its patent expired in 2018.

In this instance, a for-profit company not only managed to keep its prices lower than its competitors, including nonprofits, but used its patent to support economic development in developing countries by shielding startup producers from international competition.

As a result of these successes, we found that nongovernmental organizations eventually stopped criticizing the French company and recognized that high prices were actually not due to Nutriset’s patent policy but rather to global prices of the packets’ ingredients.

In recognition of its contributions and innovation, Nutriset won the U.S. Patent and Trademark Office’s Patents for Humanity Award in 2015.

Offering a cheap, convenient and effective treatment

One of the biggest advantages of ready-to-use therapeutic food is that parents or other caregivers can give it to their kids at home or on the go. That’s more convenient and cheaper than the alternative: several months of hospitalization where children receive a nutrient-dense liquid called “therapeutic milk.”

The at-home treatment works most of the time. More than 80% of the children who get three daily food packets recover within two months.

Severe acute malnutrition deaths remain high because historically only 25% to 50% of children suffering from it get treated with ready-to-use therapeutic food, due to insufficient funding. The treatment programs are run by governments, UNICEF and other international agencies, and NGOs such as Doctors Without Borders.

USAID’s funding role

The U.S. government spent about $200 million in 2024 through the U.S. Agency for International Development on ready-to-use therapeutic food, enough packets to treat 3.9 million children. That’s nearly as much as UNICEF, which treats about 5 million children annually.

It’s unclear whether the Trump administration, which is trying to dismantle USAID, will discontinue its funding of ready-to-use therapeutic food that the U.S. government has purchased exclusively from U.S. manufacturers with U.S.-sourced ingredients.

At a time when the flow of development aid from several wealthy countries is declining, the precedent Nutriset set suggests that humanitarian organizations, by teaming up with international agencies, governments and for-profit companies, can help drive down the costs of saving lives threatened by hunger while increasing the nutritional autonomy of the Global South.

But the funding for ready-to-use therapeutic food and its distribution has to come from somewhere, whether it is from governments, foundations or other donors.The Conversation

Nicolas Dahan, Professor of Management, Seton Hall University and Bernard Leca, Professeur en sciences de gestion, ESSEC

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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