gbaapk

gbaapk Thousands attend funeral of Afghan ministerThe Penguin Might Be Hiding Batman: Part II Villain in Plain Sight

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 | US life expectancy gap widens to 20 years among groups, researchers found Health | Biden says healthy women help US prosperity as he highlights White House initiative on their health Health | Rural governments often fail to communicate with residents who aren’t proficient in English Health | Who gets obesity drugs covered by insurance? In North Carolina, it helps if you’re on Medicaid 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.

Hail Flutie: BC celebrates 40th anniversary of Miracle in MiamiVentive Hospitality shares in green after listing debut: Details hereKeira Knightley is excited about turning 40. Login or signup to continue reading The British actress who is married to musician James Righton and has Edie, nine, and four-year-old Delilah with him - will celebrate the milestone birthday in March and feels as if it will be "quite fun" because of where she and her children are at in life. "Most of my friends have turned 40 and it looks rather great," she told The Sunday Times. "My kids are at a point where suddenly I am getting a bit of life back. I feel like it might be quite fun." The Hollywood actress had her breakthrough as a teenager in Bend It Like Beckham before going on to star in Pirates of the Caribbean and Atonement throughout the 2000s. In more recent years, she has starred in the romantic drama Berlin, I Love You and the comedy Misbehaviour but admitted that she has surprised herself with what she has turned down. "I've been really surprised in the past few years about what I've said no to," she said. "I've wanted it to be more pure entertainment and maybe that's because I've needed that. "I keep being offered things about children dying or about mothers dying. Can't do it," she said. Now she appreciates Saturday-night family entertainment at home. ""There's nothing more pleasurable than sitting down watching Strictly Come Dancing with your nine-year-old. It's f***ing fabulous.." Australian Associated Press DAILY Today's top stories curated by our news team. Also includes evening update. WEEKDAYS Grab a quick bite of today's latest news from around the region and the nation. WEEKLY The latest news, results & expert analysis. WEEKDAYS Catch up on the news of the day and unwind with great reading for your evening. WEEKLY Get the editor's insights: what's happening & why it matters. WEEKLY Love footy? We've got all the action covered. WEEKLY Every Saturday and Tuesday, explore destinations deals, tips & travel writing to transport you around the globe. WEEKLY Get the latest property and development news here. WEEKLY Going out or staying in? Find out what's on. WEEKDAYS Sharp. Close to the ground. Digging deep. Your weekday morning newsletter on national affairs, politics and more. WEEKLY Follow the Newcastle Knights in the NRL? Don't miss your weekly Knights update. TWICE WEEKLY Your essential national news digest: all the big issues on Wednesday and great reading every Saturday. WEEKLY Get news, reviews and expert insights every Thursday from CarExpert, ACM's exclusive motoring partner. TWICE WEEKLY Get real, Australia! Let the ACM network's editors and journalists bring you news and views from all over. AS IT HAPPENS Be the first to know when news breaks. DAILY Your digital replica of Today's Paper. Ready to read from 5am! DAILY Test your skills with interactive crosswords, sudoku & trivia. Fresh daily!

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 | Sewage discharges reported across Boston, officials warn of ‘bacteria or other pollutants’ 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 | Infectious diseases killed Victorian children at alarming rates — their novels highlight the fragility of public health today 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.Rodriguez boys basketball outlasts Fortune for overtime win

City and school district offices closed for Thanksgiving holiday

With Boston College trailing defending champion Miami, Flutie threw the Hail Mary and found receiver Gerard Phalen, who made the grab while falling into the end zone behind a pair of defenders for a game-winning 48-yard TD. Flutie and many of his 1984 teammates were honored on the field during BC’s 41-21 victory over North Carolina before the second quarter on Saturday afternoon, the anniversary of the Eagles’ Miracle in Miami. “There’s no way its been 40 years,” Flutie told The Associated Press on the sideline a few minutes before he walked out with some of his former teammates to be recognized after a video of The Play was shown on the scoreboards. It’s a moment and highlight that’s not only played throughout decades of BC students and fans, but around the college football world. “What is really so humbling is that the kids 40 years later are wearing 22 jerseys, still,” Flutie said of his old number. “That amazes me.” That game was played on national TV the Friday after Thanksgiving. The ironic thing is it was originally scheduled for earlier in the season before CBS paid Rutgers to move its game against Miami, thus setting up the BC-Miami post-holiday matchup. “It shows you how random some things are, that the game was moved,” Flutie said. “The game got moved to the Friday after Thanksgiving, which was the most watched game of the year. We both end up being nationally ranked and up there. All those things lent to how big the game itself was, and made the pass and the catch that much more relevant and remembered because so many people were watching.” There’s a statue of Flutie winding up to make The Pass outside the north gates at Alumni Stadium. Fans and visitors can often be seen taking photos there. “In casual conversation, it comes up every day,” Flutie said, when asked how many times people bring it up. “It brings a smile to my face every time we talk about it.” A week after the game-ending Flutie pass, the Eagles beat Holy Cross and before he flew off to New York to accept the Heisman. They went on to win the 49th Cotton Bowl on New Year’s Day. “Forty years seem almost like incomprehensible,” said Phalen, also standing on the sideline a few minutes after the game started. “I always say to Doug: ‘Thank God for social media. It’s kept it alive for us.”’ Earlier this week, current BC coach Bill O’Brien, 55, was asked if he remembered where he was 40 years ago. “We were eating Thanksgiving leftovers in my family room,” he said. “My mom was saying a Rosary in the kitchen because she didn’t like Miami and wanted BC to win. My dad, my brother and I were watching the game. “It was unbelievable,” he said. “Everybody remembers where they were for the Hail Mary, Flutie pass.”

The Canada Pension Plan (CPP) retirement pension varies because of factors such as length of contributions, age at which you start payments, and average earnings throughout your working life. The government website says the maximum CPP amount for 2025 if you claim at age 65 is $1,346.60. However, most CPP users receive only an average of $815 monthly (as of July 2024). The reason? You qualify for the maximum monthly pension if you have contributed at least 39 years between 18 and 65, and the contributions are the maximum amount. The maximum annual pensionable earning for 2025 is $71,300, an increase of $2,800 from the $68,500 threshold in 2024. This threshold refers to the income or earnings required to qualify for the maximum CPP payout. If you have not earned the maximum pensionable earnings for most of your working years, kiss your chances goodbye. CPP users won’t get much pension increase for the enhancements in 2019. Many current contributors to the fund will likely fall short, too. The remedy is to augment the average CPP pension with investment income. If you have money saved, consider buying . Note that the average pension of $815 is 60.5% of the maximum CPP pension. The difference is $531.60. Generous dividend payers like ( ) and ( ) can help you earn the amount. However, it takes time and patience to reach the goal. Given the average 6.62% dividend yield, you must invest or accumulate $48,200 worth of shares ($24,100 in each) to make half or $265.90. If you add the Old Age Security (OAS) of $713.34 (2024 max at 65), you’d have a total of $1,794.24. CIBC is a solid choice because it’s the top-performing big bank stock year to date (+48.29%). Besides the hefty 5.5% dividend yield, the dividend track record is 156 years and counting. The current share price is $91.11. As of this writing, the market cap is $61.61 billion. Canada’s fifth-largest bank did not disappoint investors in its recent quarterly performance. In the third quarter (Q3) fiscal 2024 (three months ending July 31, 2024), revenue and net income rose 13% and 25% year over year to $6.6 billion and $1.8 billion. Its president and chief executive officer (CEO), Victor Dodig, credits the disciplined client-focused strategy and diversified North American platform for the strong results. TC Energy is fresh from the spinoff of its liquids pipeline business. The $71.4 billion company is now a pure-play natural gas, natural gas storage, power and energy solutions provider. At $70.14 per share, current investors enjoy a 56.54% year-to-date gain on top of the 7.74% dividend yield. Management expects demand for natural gas to soar and is confident that TC Energy can meet the surge in demand. Four key growth projects worth an estimated $1.5 billion in gross capital expenditures will drive long-term growth. The reality for future retirees is that only a handful receive the maximum CPP pension. Fortunately, it’s not the not of the road. There are other ways to boost retirement income, like generating pension-like income from top dividend stocks.

Tetairoa McMillan, one of the best wide receivers in Arizona history, will skip his final year of eligibility and enter the 2025 NFL Draft, he announced on social media on Thursday. Projected as a top-10 draft pick, the 6-foot-5, 212-pound McMillan finished his illustrious career at Arizona with 3,423 receiving yards, breaking the mark set by Bobby Wade (3,351). In three seasons, the Hawaii native also posted the fourth-most catches (213) and third-most touchdowns (26) in school history. "Wildcat Nation, this journey has been everything I dreamed of and more," McMillan wrote on Instagram. "From the moment I committed to the University of Arizona, to every second spent wearing that Arizona jersey ... it's been an absolute honor. "The University of Arizona has provided me with the platform to grow and chase my dreams. ... Thank you from the bottom of my heart. To the best fans in the country, I appreciate you for all of the love and support you have given me these last 3 years. I will always be a Wildcat." In 2024, McMillan totaled 84 grabs (ninth in Division I) for 1,319 yards (third in Division I) and eight touchdowns for the 4-8 Wildcats. He also ranked third in Division I with 109.9 receiving yards per game. McMillan is a finalist for the Biletnikoff Award, given to the most outstanding receiver in college football. --Field Level MediaAP Business SummaryBrief at 5:37 p.m. EST