188 divided by 7

188 divided by 7 Judith Graham | (TNS) KFF Health News Carolyn Dickens, 76, was sitting at her dining room table, struggling to catch her breath as her physician looked on with concern. “What’s going on with your breathing?” asked Peter Gliatto, director of Mount Sinai’s Visiting Doctors Program. “I don’t know,” she answered, so softly it was hard to hear. “Going from here to the bathroom or the door, I get really winded. I don’t know when it’s going to be my last breath.” Dickens, a lung cancer survivor, lives in central Harlem, barely getting by. She has serious lung disease and high blood pressure and suffers regular fainting spells. In the past year, she’s fallen several times and dropped to 85 pounds, a dangerously low weight. And she lives alone, without any help — a highly perilous situation. This is almost surely an undercount, since the data is from more than a dozen years ago. It’s a population whose numbers far exceed those living in nursing homes — about 1.2 million — and yet it receives much less attention from policymakers, legislators, and academics who study aging. Consider some eye-opening statistics about completely homebound seniors from a study published in 2020 in JAMA Internal Medicine : Nearly 40% have five or more chronic medical conditions, such as heart or lung disease. Almost 30% are believed to have “probable dementia.” Seventy-seven percent have difficulty with at least one daily task such as bathing or dressing. Almost 40% live by themselves. That “on my own” status magnifies these individuals’ already considerable vulnerability, something that became acutely obvious during the covid-19 outbreak, when the number of sick and disabled seniors confined to their homes doubled. “People who are homebound, like other individuals who are seriously ill, rely on other people for so much,” said Katherine Ornstein, director of the Center for Equity in Aging at the Johns Hopkins School of Nursing. “If they don’t have someone there with them, they’re at risk of not having food, not having access to health care, not living in a safe environment.” Related Articles Health | Weight loss drugs like Ozempic, Wegovy are all the rage. Are they safe for kids? Health | Rural governments often fail to communicate with residents who aren’t proficient in English Health | Some breast cancer patients can avoid certain surgeries, studies suggest Health | Who gets obesity drugs covered by insurance? In North Carolina, it helps if you’re on Medicaid Health | How the FDA allows companies to add secret ingredients to our food Research has shown that older homebound adults are less likely to receive regular primary care than other seniors. They’re also more likely to end up in the hospital with medical crises that might have been prevented if someone had been checking on them. To better understand the experiences of these seniors, I accompanied Gliatto on some home visits in New York City. Mount Sinai’s Visiting Doctors Program, established in 1995, is one of the oldest in the nation. Only 12% of older U.S. adults who rarely or never leave home have access to this kind of home-based primary care. Gliatto and his staff — seven part-time doctors, three nurse practitioners, two nurses, two social workers, and three administrative staffers — serve about 1,000 patients in Manhattan each year. These patients have complicated needs and require high levels of assistance. In recent years, Gliatto has had to cut staff as Mount Sinai has reduced its financial contribution to the program. It doesn’t turn a profit, because reimbursement for services is low and expenses are high. First, Gliatto stopped in to see Sandra Pettway, 79, who never married or had children and has lived by herself in a two-bedroom Harlem apartment for 30 years. Pettway has severe spinal problems and back pain, as well as Type 2 diabetes and depression. She has difficulty moving around and rarely leaves her apartment. “Since the pandemic, it’s been awfully lonely,” she told me. When I asked who checks in on her, Pettway mentioned her next-door neighbor. There’s no one else she sees regularly. Pettway told the doctor she was increasingly apprehensive about an upcoming spinal surgery. He reassured her that Medicare would cover in-home nursing care, aides, and physical therapy services. “Someone will be with you, at least for six weeks,” he said. Left unsaid: Afterward, she would be on her own. (The surgery in April went well, Gliatto reported later.) The doctor listened carefully as Pettway talked about her memory lapses. “I can remember when I was a year old, but I can’t remember 10 minutes ago,” she said. He told her that he thought she was managing well but that he would arrange testing if there was further evidence of cognitive decline. For now, he said, he’s not particularly worried about her ability to manage on her own. Several blocks away, Gliatto visited Dickens, who has lived in her one-bedroom Harlem apartment for 31 years. Dickens told me she hasn’t seen other people regularly since her sister, who used to help her out, had a stroke. Most of the neighbors she knew well have died. Her only other close relative is a niece in the Bronx whom she sees about once a month. Dickens worked with special-education students for decades in New York City’s public schools. Now she lives on a small pension and Social Security — too much to qualify for Medicaid. (Medicaid, the program for low-income people, will pay for aides in the home. Medicare, which covers people over age 65, does not.) Like Pettway, she has only a small fixed income, so she can’t afford in-home help. Every Friday, God’s Love We Deliver, an organization that prepares medically tailored meals for sick people, delivers a week’s worth of frozen breakfasts and dinners that Dickens reheats in the microwave. She almost never goes out. When she has energy, she tries to do a bit of cleaning. Without the ongoing attention from Gliatto, Dickens doesn’t know what she’d do. “Having to get up and go out, you know, putting on your clothes, it’s a task,” she said. “And I have the fear of falling.” The next day, Gliatto visited Marianne Gluck Morrison, 73, a former survey researcher for New York City’s personnel department, in her cluttered Greenwich Village apartment. Morrison, who doesn’t have any siblings or children, was widowed in 2010 and has lived alone since. Morrison said she’d been feeling dizzy over the past few weeks, and Gliatto gave her a basic neurological exam, asking her to follow his fingers with her eyes and touch her fingers to her nose. “I think your problem is with your ear, not your brain,” he told her, describing symptoms of vertigo. Because she had severe wounds on her feet related to Type 2 diabetes, Morrison had been getting home health care for several weeks through Medicare. But those services — help from aides, nurses, and physical therapists — were due to expire in two weeks. “I don’t know what I’ll do then, probably just spend a lot of time in bed,” Morrison told me. Among her other medical conditions: congestive heart failure, osteoarthritis, an irregular heartbeat, chronic kidney disease, and depression. Morrison hasn’t left her apartment since November 2023, when she returned home after a hospitalization and several months at a rehabilitation center. Climbing the three steps that lead up into her apartment building is simply too hard. “It’s hard to be by myself so much of the time. It’s lonely,” she told me. “I would love to have people see me in the house. But at this point, because of the clutter, I can’t do it.” When I asked Morrison who she feels she can count on, she listed Gliatto and a mental health therapist from Henry Street Settlement, a social services organization. She has one close friend she speaks with on the phone most nights. “The problem is I’ve lost eight to nine friends in the last 15 years,” she said, sighing heavily. “They’ve died or moved away.” Bruce Leff, director of the Center for Transformative Geriatric Research at the Johns Hopkins School of Medicine, is a leading advocate of home-based medical care. “It’s kind of amazing how people find ways to get by,” he said when I asked him about homebound older adults who live alone. “There’s a significant degree of frailty and vulnerability, but there is also substantial resilience.” With the rapid expansion of the aging population in the years ahead, Leff is convinced that more kinds of care will move into the home, everything from rehab services to palliative care to hospital-level services. “It will simply be impossible to build enough hospitals and health facilities to meet the demand from an aging population,” he said. But that will be challenging for homebound older adults who are on their own. Without on-site family caregivers, there may be no one around to help manage this home-based care. ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.AP News Summary at 1:11 p.m. EST

New York: Low-income Americans who voted for Donald Trump say they are counting on him to keep their benefits intact even while his Cabinet picks and Republican lawmakers call on him to reduce federal spending, reported The Washington Post on Thursday. Fifty percent of voters from families with an income of less than 50,000 U.S. dollars a year cast their ballots for Trump, according to Census data, compared with 48 percent for Vice President Kamala Harris. Four years ago, Joe Biden carried those voters by 11 percentage points; Hillary Clinton won them by 12 points in 2016 and Barack Obama by 22 points in 2012. "Americans of all backgrounds elected President Trump because of his plans to lower costs, end the financial drain of illegal immigrants on our healthcare system, and ensure that our country can continue to care for American citizens who rely on Medicaid, Medicare, and Social Security," said Anna Kelly, a spokeswoman for his transition team. "Elon Musk and Vivek Ramaswamy, whom Trump has chosen to lead a new nongovernmental advisory panel, the Department of Government Efficiency, have said they want to trim $2 trillion from the government's annual budget, a cut that some experts say could be accomplished only by slashing entitlement programs," noted the report. Trump's pick for White House budget director was a key architect of Project 2025, a plan drawn up by conservatives to guide his second term that calls for steep cuts to programs such as food stamps. And GOP leaders in Congress and Trump advisers are considering significant changes to Medicaid, food stamps and other federal aid, it added.Chiefs' Isiah Pacheco and Charles Omenihu Remain Limited, Week 12 in QuestionRecreational players tend to struggle with this 1 thing, says top instructor

Heisman Trophy finalist and two-way Colorado star Travis Hunter was named The Associated Press Big 12 defensive player of the year while also being a first-team selection at wide receiver on Thursday. Buffaloes quarterback Shedeur Sanders is the league's top offensive player. Kenny Dillingham, the 34-year-old in his second season at Arizona State, was the unanimous choice as Big 12 coach of the year after leading his alma mater to a championship and a spot in the 12-team College Football Playoff. The Sun Devils (11-2) went into their league debut as the preseason pick to finish last among the 16 teams. At cornerback, Hunter had 31 tackles, tied for the Big 12 lead with 11 pass breakups and was tied for second with four interceptions. On offense, he leads the Big 12 with 92 receptions and 14 receiving touchdowns, and is second with 1,152 yards receiving. His 21 catches of at least 20 yards are the most nationally. He is also the AP's player of the year. Sanders is the Big 12 passing leader, completing 337 of 454 passes (74.2%) for 3,926 yards and a school-record 35 touchdowns with eight interceptions for the Buffaloes (10-2) Arizona State freshman quarterback Sam Leavitt, who is 11-1 as a starter, is the league’s top newcomer. The Michigan State transfer has 2,663 yards passing with 24 touchdowns and only five picks in 304 attempts. LAS VEGAS — Former Florida and Mississippi State coach Dan Mullen has agreed to lead UNLV's 24th-ranked football program, two people with knowledge of the hire said Wednesday. The people spoke to The Associated Press on condition of anonymity because no announcement has been made. The 52-year-old Mullen replaces Barry Odom, who left for Purdue on Sunday after going 19-8 and helping the Rebels receive back-to-back bowl invitations for the first time in program history. UNLV will play California in the LA Bowl on Wednesday. UNLV athletic director Erick Harper wasted little time in finding Odom's replacement. Mullen, most recently an ESPN college football analyst, went 103-61 at Florida and Mississippi State. Rich Rodriguez is returning to West Virginia for a second stint as head coach at his alma mater. Athletic director Wren Baker announced the hiring on Thursday, 17 years after Rodriguez made a hasty exit for what became a disastrous three-year experiment at Michigan. “We are thrilled to welcome Coach Rich Rodriguez and his family back home,” Baker said in a statement. “Coach Rodriguez understands what it takes to win at West Virginia, and I believe he will pour his heart, soul and every ounce of his energy into our program. I am convinced Coach Rodriguez wants what is best for West Virginia, WVU and West Virginia football, and I am excited about the future of our program.” Rodriguez, who is the current coach at Jacksonville State, an architect of the spread offense and a polarizing figure in his home state, replaces Neal Brown, who was fired on Dec. 1 after going 37-35 in six seasons, including 6-6 this year. TUCSON, Ariz. — Arizona star receiver Tetairoa McMillan declared for the NFL draft following three stellar seasons. McMillan announced his decision Thursday on Instagram. “Now, it’s time to take the next step. ... I’m officially declaring for the 2025 NFL Draft,” McMillan posted. “This is only the beginning.” McMillian is Arizona's all-time leader in receiving yards, finishing with 3,423 in three seasons, and is projected to be a first-round NFL draft pick. BRIEFLY FCS: The NCAA is taking its Football Championship Subdivision title game back to Tennessee. The FCS championship games at the end of the 2025 and 2026 seasons will be played in Nashville on the Vanderbilt campus. This season’s game will be played Jan. 6 at Toyota Stadium in Frisco, Texas, which will host the game for a record 15th season in a row and was set for at least two more. OC: UCLA announced Tino Sunseri’s hiring as offensive coordinator and quarterbacks coach. Sunseri replaces Eric Bieniemy, who was fired on Dec. 5 after fielding one of the nation’s worst offenses this season. Sunseri spent one season as Indiana’s co-offensive coordinator and quarterbacks coach after following Hoosiers coach Curt Cignetti from James Madison. Get local news delivered to your inbox!Hyderabad transgender traffic police assistants perform maiden drillNew Delhi: Amid the growing air power of China and Pakistan and the shortage of fighter aircraft faced by the Indian Air Force, the Defence Ministry has formed a high-level committee under Defence Secretary Rajesh Kumar Singh to look into the overall capability development of the service through indigenous design, development and acquisition projects. Government officials told that the committee was formed after the Indian Air Force made detailed presentations to Defence Minister Rajnath Singh during the Air Force Commanders' Conference last month in the national capital. During the conference, the top Defence Ministry functionaries were briefed about the futuristic combat aircraft requirements along with the gaps required to be filled in the capability that the force wants to have in the coming times to tackle the threat perception faced on both the fronts. The officials said the committee has other senior members of the Defence Ministry, including the Secretary (Defence Production), Sanjeev Kumar; Defence Research and Development Organisation chief Dr Samir V Kamat; and Deputy Chief of Air Staff Air Marshal T Singh, who is the committee's member secretary. The Secretary of Defence Finance also attended the first meeting of the committee that took place last week. The committee is expected to submit its report to the Defence Minister in the next two to three months with a detailed assessment of the requirements of the force. 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The Chinese are now also likely to provide fighter aircraft to the Bangladesh Air Force, where the new government is not seen as friendly to India. The Indian Air Force's plans of acquiring over 110 fighter aircraft of the 4.5-plus generation capability have been pending for some time with the government, and the committee may suggest a way to address the requirement through the indigenous route. The gap in weaponry on the aircraft in terms of all types of air-to-air and air-to-ground missiles has also been widening vis-a-vis the northern adversary. The long-range surface-to-surface missile systems with the Chinese forces are also believed to have longer ranges and are in much higher numbers than what is possessed by the Indian forces. The Indian Air Force has been relying mainly on the indigenous projects for its future capability development, but the LCA Mark 1A project has been hit by delays due to supply chain issues faced by the supplier GE of the US. The Indian Air Force's plans to have 114 fighter aircraft made in India by Indian manufacturers in collaboration with foreign original equipment manufacturers to fulfil the capability gap. The IAF has already stated that it favours all its major future acquisitions to be built through indigenous routes only. (You can now subscribe to our Economic Times WhatsApp channel )

( MENAFN - The Peninsula) The Washington Post During her time as a high school teacher, Alison Pappavaselio says she saw firsthand the negative impacts of unfettered technology access. When the 35-year-old's own children, now 4 and 6, showed an interest in music, she decided to do things differently. Instead of a tablet, smartphone or even a smart speaker, Pappavaselio handed her older child a used Walkman she purchased on eBay and a handful of cassette tapes. "I went a little bit more into the Technology that I grew up with because it felt safe to me,” said Pappavaselio, who lives in Somerville, Massachusetts. "But you do have to teach them not to rip the tape out.” Some modern parents are trying to give their children access to music without the temptations of a screen and internet access. Facing a lack of stand-alone options, they're digging into their pasts and dusting off Walkmen, portable CD players and record players, along with their own dated album collections. Some are experimenting with voice-activated speakers such as Amazon's Echo and Google Home, while others are relearning how to rip MP3s. While some adults are just nostalgic for their own childhood experiences with music, others want to protect their children's attention spans or minimize screen access before the teen years. According to Pew Research, the vast majority of teens are online every day, with 96 percent saying they check it daily. Almost half say they're online constantly. Even the way children discover music has changed. They still hear hits on the radio during car rides and get recommendations from friends, but they're also picking up artists and songs from video games such as "Fortnight” or the algorithms in their music apps. A broad affection for '80s music, however, has made their parents old collections cool again. - - - Where have all the iPods gone The consolidation of technology into smartphones and tablets has made screens nearly impossible to avoid. They have become so powerful, they've made a number of stand-alone devices practically obsolete: home phones, alarm clocks, point-and-shoot cameras and voice recorders. And, of course, the dedicated portable music player. Apple discontinued traditional iPods in 2017, and most online music consumption has migrated from buying music files to streaming subscriptions - something Apple also sells. The old devices still have some loyal users, but they take a little work to get running. More recent iPods can usually be fired up to work with iTunes, assuming you have all the relevant cables and ports on your computer. Some might need battery replacements, which you can get from a third party like iFixIt. There are also third-party apps for giving them a second life like Rockbox. When Eileen Keribar İsvan's 8-year-old daughter wanted a way to listen to music on the bus to school, she knew just where to look. İsvan's mother had an old iRiver MP3 player that was up and running with a pair of fresh batteries. "Part of the charm for me was giving her something that takes a little bit more effort,” said İsvan, a Montessori preschool teacher who lives in Istanbul. "And it's a very sensorial experience, music. It's better when you can isolate it from any distractions.” Stores still sell some new digital music players, often for less than $50. Where do kids get MP3s in a post Napster world? You can still buy them, but at 50 cents to a dollar a piece, that can add up quickly. Multiple parents we spoke to use free tools that turn YouTube music videos into MP3s, or burn their own old CDs. Local libraries also have free options for downloading music files; all you need is your library card. Even the companies trying to fill the gap left by the iPod are embracing old ways. The Yoto ($100) and Yoto Mini ($70)are simple music devices aimed at younger listeners. The devices are designed to look like retro toy radios. Children pop in small cards for the music they want, which you purchase separately - just like the old days. It also has a tiny screen that shows different images as the music plays, for a splash of screentime. "My daughter, who's 41⁄2, will just keep pressing the button so it stays illuminated,” says Pappavaselio. The company recently issued a recall for it smaller Yoto Mini players sold between November 2021 and April 2024 as the batteries could overheat and even catch fire. But the company says old players can get a replacement battery and new devices are not at risk. Another fresh option is the $115 Mighty, a digital music player that kids like because they load it up with a handpicked Spotify or Apple Music playlist instead of listening to their parents' favorites from the 1900s. It can hold more than 1,000 songs and looks like an iPod Shuffle. "To give your kids access to find their own taste in music is so important and was such a rite of passage,” says Rachel Childers, a musician with the Boston Symphony Orchestra. "Learning about yourself and what you're drawn to is one of the cool things about growing up.” - - - Delaying screens but not forever Screen time experts say that it's not necessarily the amount of time a child spends on a screen that's worrying, but the quality of that time. For example, a FaceTime chat is better than watching videos, and creating or reading are better than social media. Music falls on the positive end of the spectrum, but the experience is still different on tablet or phone. For some parents, it's not the screens but tech companies' opaque algorithms. Childers and her musician husband naturally expose their kids, 9 and 12, to music through their jobs and practicing at home. When it came to access, they tried to move away from apps feeding their kids artists. During the pandemic, their son started watching music videos on his school Chromebook and got into '80s hair metal and Gene Simmons, but they wanted to expand his horizons. "For us that's translated to taking YouTube off things,” said Childers. "It's the opposite of deciding your own taste. It's a computer's idea of your own taste fed to you.” Now their kids have access to a record player, a CD player, an extensive library of classic rock CDs, and a transparent FM/AM radio from the MoMA Design Store. "I don't think I am as opposed tostaring at the screen of Spotify as I am to staring at a screen of 'Fortnight,'” says Chris Mayfield, a 51-year-old musician and UX designer. For his two children, Mayfield has been experimenting with the right balance of control and freedom when it comes to technology. The family tried a Bark Phone and Mighty player but eventually let the 12-year-old be more in control of his own digital life. He's now obsessed with Peter Gabriel and The Police. Professor of music education Sarah Perry isn't worried about her son, 11, looking at screens as he listens. Perry has cycled through all the classics, giving him a CD player and an old MP3 player. Now he's on an old iPhone set up just for music where he likes to read lyrics, something not so different from how Perry used to listen. "I remember sitting on the bus and listening on my headphones, and we'd bring the album cover and look at the lyrics and sing,” says Perry. "He's doing the same thing, he's just looking at it and scrolling through it.” MENAFN22122024000063011010ID1109021598 Legal Disclaimer: MENAFN provides the information “as is” without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the provider above.Max George reveals he will be spending Christmas in hospital due to heart issues