The day before I was diagnosed with stage-four lung cancer, I had cycled 50 miles," LaPorte said. "I was having difficulty running but I could still get on my bike. So you wouldn't look at me and really know that I was in advanced terminal lung cancer. My prognosis was three to six months when I was diagnosed." She said that physicians found cancer had spread throughout her spine, liver, and left eye. Now retired from nursing, LaPorte has been in treatment for 13 months. Due to the coronavirus pandemic, LaPorte's experience of having trouble accessing routine care has become commonplace. Nationwide, there have been declines in cancer screenings as well as barriers to accessing treatment and physicians now worry that delays have led to patients arriving at their offices with advanced cancer. Now, as mammography rates are beginning to increase, many women are playing catch-up to get these vital health screenings done, which leads to another potential issue a drastic increase in workload for radiologists," Hicks wrote. "No doubt about it, we have unfortunately seen some advanced cases this year in the communities that we serve, likely due to women postponing screening." Doctors also worry that these delays in screening and care can have larger impacts on communities of color, exacerbating troubling disparities in health care that have long existed before the pandemic. We're concerned that disparities are growing, but we definitely still need time to understand the full impact of the pandemic since we're still living through it. It just takes time to get all the data, but I think what we can say is that the impact is two-fold," Dr. Laura Makaroff, the senior vice president for prevention and early detection at the American Cancer Society, told CNN on Tuesday. Number one, we definitely saw a steep decline in cancer screening at the beginning of the pandemic way back in Spring 2020, as health systems needed to adjust and not do elective procedures, including cancer screening, to attend to the acute needs of patients with Covid. Now, there's a backlog that created," Makaroff said. The second part of it is that, in addition to access to care in terms of where our health systems are and how cancer screening can be accomplished, is the impact of health insurance and employment," she said. "Communities and populations that face additional barriers to cancer screening, which includes health insurance and financial means to pay for screening, have also been impacted by unemployment and loss of employer-sponsored insurance due to the pandemic. Data from the US Centers for Disease Control and Prevention shows that Black and Hispanic people are at least twice as likely to die of Covid-19 as non-Hispanic White people and nearly three times more likely to be hospitalized. Both Black and Hispanic people are more likely than White people to be infected with Covid-19, too. Similar disparities exist for some types of cancer too as well as their risk factors.
Thứ Năm, 14 tháng 10, 2021
Thứ Tư, 13 tháng 10, 2021
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What makes "nudges" different from laws, rules and overt manipulation is that people always have a choice they can decide to do or not do the suggested behavior. All this may sound abstract, but there are distinct ways we can harness the power of the nudge to encourage those we love to adopt healthier behaviors. We can even use it on ourselves. All sorts of persuasion tools are nudges. If I change the layout of a cafeteria to put healthy food up front, that's a nudge. When I say to you, "Oh I've reserved a vaccine for you," and then you want it and go get one, that's a nudge. I haven't changed the economic calculus of this decision in any way, but you feel like that does belong to you, and you certainly don't want someone else to get your vaccine, so you act. When you emphasize actions the majority of people are taking, that's a nudge. People are eager to follow social norms. They don't want to be left out. Once you recognize how these "nudges" work, they can become helpful tools for changing people's behavior for the better -- whether it's your spouse or your neighbors or your employees or your customers. Default settings are a fairly blunt instrument or nudge, that turns out to have a huge impact. In the case of auto-enrollment for retirement savings, a classic study shows that auto-enrolling people in a 401k plan but letting them opt out can produce nearly a 40% boost in enrollment rates. But for the most part, which nudges to use depends on the behavior you're hoping to change: Why isn't this person interested in getting a flu shot? Why isn't this person interested in recycling? Why doesn't this person want to sign up for the gym? Why won't your spouse cook dinner each of these behaviors in a positive direction works best when you match your problem and solution? For example, if someone is just forgetting to recycle, then good old-fashioned reminders work well. People generally underestimate how forgetful they are. They say, "Of course I'm not going to forget that it's important to me!" And then oops, life is busy, and they do. So as mundane as they are, reminders are highly effective in many situations, such as nudging medication adherence, boosting savings, and even encouraging vaccinations.
Thứ Ba, 12 tháng 10, 2021
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At Children's Hospital Colorado, they too saw "significantly" more MIS-C cases in September, compared to previous months, according to Dr. Sam Dominguez, a pediatric disease expert at the hospital. But he said they aren't seeing the same rates as they were seeing in December 2020 and January 2021. Children's Healthcare of Atlanta also noted an increase in MIS-C cases in late September, about nine weeks after the area saw a spike in cases. During the past four weeks, Children's Healthcare of Atlanta has treated 58 children with nearly 20% of all the MIS-C cases they've treated so far but Jennifer Burkhardt, a spokesperson for the hospital, said that MIS-C is still considered rare. It has occurred in less than 5% of the almost 7,400 children they've treated for Covid-19. Burkhardt said to prevent MIS-C and Covid-19, the hospital strongly recommends that everyone who is eligible get the vaccine. Edwards at UH Rainbow Babies & Children's Hospital in Cleveland said a lot of the kids they treat for had mild or even asymptomatic coronavirus infections first. She said that's something for parents to keep in mind. Even if you're not sure whether your kid had Covid if they had mild symptoms after being exposed to somebody, but then they got better, and then about a month later, they seem to be getting sick again, especially if they have a very high fever, I would err on the side of having them checked out sooner rather than later, Edwards said. What we know about MIS-C is the earlier you intervene, the less sick the kids seem to get. Doctors don't know for sure what causes MIS-C. Often kids have Covid-19 first, but not always. For those few kids that do go on to develop, the condition seems to inflame different parts of the body, and it can be serious.
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Trick-or-treating can be pretty safe from a coronavirus standpoint. Many families in my neighborhood will be placing packets of treats in their yards for kids to find, like a scavenger hunt. My son and a couple of friends will be walking around together, with everyone's parents, of course, and this activity is very safe. There are a lot of people who want to return to pre-pandemic days and greet the kids as they say "trick or treat." If it's not raining or snowing, I'd encourage them to set up outdoors. It's better to put wrapped candies in a kid's basket than for kids to be reaching into a large bowl. If the kids do end up touching each other's hands or other commonly used surfaces like doorknobs, make sure to have hand sanitizer available. If you live in an area with individual houses or townhomes, I think it's probably also low risk to knock on people's doors and trick or treat. Just make sure not to step inside someone's house. If you live around a lot of apartment blocks and have to enter elevators and hallways to trick or treat, the Covid-19 risk is significantly higher. I'd encourage parents not to enter other people's apartment buildings, and instead, look for activities in a neighboring park or other primarily outdoor settings. Just as there will be some families that are willing to take on some of these risks, there are other families that want to take additional precautions. Some families have younger children who are not yet vaccinated. They could be living with elderly relatives who are immunocompromised. For people in such circumstances, it may be reasonable to avoid higher-risk indoor activities to protect others in the household.
Chủ Nhật, 10 tháng 10, 2021
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When people can't scroll and post as they usually do, Kerner said they can become bored and vulnerable to difficult emotions and stressors -- sometimes without knowing how to cope with them. "People find that they are alone with their own thoughts. And they're a little bit of a stranger to themselves in a way. Prior to social media, I think we were much better at being on our own, finding ways to engage ourselves, and remain curious," Kerner added. Once people realized, 'oh, these networks are almost all down,' there was this bizarre, but very clear sense of relief. The feeling was 'I don't have anything I have to keep up with. I'm not missing out on anything,'" Duffy told CNN. During the outage, "people realized in real-time the importance of face-to-face relationships, and the relative emptiness of a connection that takes place solely via Facebook or Instagram," he added. Clients that expressed relief during the outage took concrete steps to connect with others in real life, Duffy said. "One took a friend out for coffee. Another took a walk with a friend," he said. Some have come away from the experience with the realization that their fear of missing out was unjustified, and they could approach the apps with more moderation. "I think some of us realized yesterday, 'I'm way over-involved and invested in social media in my life," Duffy said. People realized that "maybe I can check this once or twice a day instead of 20 or 30 times a day. But if some of us felt relieved when social networking apps went quiet for a while, why is it difficult to stop checking our feeds so frequently? Dr. Anna Lembke, a professor of psychiatry and behavioral sciences at Stanford University, and the Medical Director of Addiction Medicine at Stanford University School of Medicine looked at the brain for answers. All the experts CNN connected with emphasized how social networking tools have many positive effects on society, allowing people to stay connected to distant loved ones and helping them fare better emotionally during a long, exhausting, isolating pandemic.
Thứ Bảy, 9 tháng 10, 2021
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The Draconids are optimal for early birds, because, unlike other showers that peak after midnight, this one becomes visible at nightfall, as soon as the sky turns dark. This will also be one of the last meteor displays before colder weather comes in late October and November. Don't bother using a telescope, because it would limit your view of the sky. The naked eye is the best instrument to track these shooting stars. The meteor shower will be sporadic, so grab a lawn chair and plan on sitting outside for a while. For the best view, try to find a spot without as much light pollution. The waxing crescent moon, just a sliver in the sky, won't obscure the meteor shower this year. Getting to a higher elevation and facing north can help increase visibility as well. Looking up at the sky on Friday, you may see more satellites than meteors (the latter travel much faster), but Lunsford said it's the perfect opportunity to practice identifying constellations. The shower's radiant point, where meteors appear to emerge, is at the head of the constellation Draco the Dragon, which the shower is named after. But meteors can show up anywhere in the sky. People in the northern hemisphere will have a better view of this meteor shower. The dragon isn't always sleepy. Draconids are classified as variable showers, Lunsford said. While other showers are consistent from year to year, variable showers can produce thousands of meteors one year or only a handful the next.
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The Draconids are optimal for early birds, because, unlike other showers that peak after midnight, this one becomes visible at nightfall, as soon as the sky turns dark. This will also be one of the last meteor displays before colder weather comes in late October and November. Don't bother using a telescope, because it would limit your view of the sky. The naked eye is the best instrument to track these shooting stars. The meteor shower will be sporadic, so grab a lawn chair and plan on sitting outside for a while. For the best view, try to find a spot without as much light pollution. The waxing crescent moon, just a sliver in the sky, won't obscure the meteor shower this year. Getting to a higher elevation and facing north can help increase visibility as well. Looking up at the sky on Friday, you may see more satellites than meteors (the latter travel much faster), but Lunsford said it's the perfect opportunity to practice identifying constellations. The shower's radiant point, where meteors appear to emerge, is at the head of the constellation Draco the Dragon, which the shower is named after. But meteors can show up anywhere in the sky. People in the northern hemisphere will have a better view of this meteor shower. The dragon isn't always sleepy. Draconids are classified as variable showers, Lunsford said. While other showers are consistent from year to year, variable showers can produce thousands of meteors one year or only a handful the next.
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