States with low vaccination rates now being battered by the highly transmissible COVID-19 Delta variant are seeing more people getting vaccinated, including Arkansas, Florida, Louisiana, Nevada and Missouri. Meanwhile, 341.8 million COVID-19 vaccine doses have been administered in the US as of Sunday and 163 million Americans are now fully vaccinated, according to the CDC.
People in the five global "blue zones" -- specific areas of Greece, Japan, Sardinia, Costa Rica and California -- practice lifestyle habits that appear to contribute to greater survival past age 100. Researcher Dan Buettner has found that these people make key lifestyle choices in nine areas: Movement, purpose, stress, mealtimes, plant-based diet, wine consumption, spirituality, family relationships and friendships.
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Symptom burden stayed at pre-chemotherapy levels in cancer patients who received remote 24-hour monitoring and rose starting with the first chemotherapy cycle in patients who did not receive remote monitoring, according to a study in The BMJ. Patients in the intervention group used their mobile device to answer a questionnaire daily and whenever they felt unwell, symptoms were evaluated by the remote system, patients were directed to self-care resources, and clinicians received amber alerts for persistent mild to moderate symptoms and red alerts for emergencies.
Flaws were found in clinical decision support algorithms that identify patients at high risk for sepsis, predict inpatient length of stay or predict appointment no-shows, and researchers say studies validating CDS algorithms in real-world use are rarely replications of the original research. Two scientists at Macquarie University's Center for Health Informatics in Sydney, Australia, found only 12 of 4,063 CDS papers were replications, and study leader Enrico Coiera says this highlights the need for a cultural shift in the field to encourage replication work.
Aledade's network of accountable care organizations is expected to have saved Medicare about $300 million in health care spending in 2020, while providing high-quality care to more than 410,000 beneficiaries, according to the company. Independent primary care practices working with Aledade are set to receive over $120 million in direct savings payments across commercial insurers, the Medicare Shared Savings Program, Medicare Advantage and Medicaid.
An analysis of Medicare Part B fee-for-service data and the Medical Expenditure Panel Survey, published in the Annals of Family Medicine, indicated that primary care physicians are the main source of vaccinations for older adults at 46%, followed by mass immunization programs at 45% and then nurse practitioners and physician assistants at 5%. Researchers also found that primary care physicians provide the largest percentage of clinical visits for vaccines at 54%.
Experts say that older adults and members of Gen X are more likely than younger adults to shop for food based on past experiences and preferences, rather than modern concerns like environmental issues, organic status and clean labels. Older shoppers are "a little bit more set in their ways where they've figured out what works for them, and they feel less of the need to be pivoting," said Tamara Barnett of The Hartman Group.
Sensitive use of language on its own isn't enough to wipe out ageism, but it's a good start, writes Jim Witherell. People of all ages should embrace simple, respectful terms like "older adult" in place of "elderly" or "senior citizen," he writes.