Seema Verma, administrator for the Centers for Medicare and Medicaid Services, sits down for a rare one-on-one interview with special correspondent Sarah Varney of Kaiser Health News. They discuss President Trump’s plan for sustaining public health insurance programs, how the administration would respond if Obamacare is struck down by the courts in the future, and the latest Medicare for all proposals.
‘Successful Aging’ uses research from developmental neuroscience and the psychology of individual differences to show that sixty-plus years is a unique developmental stage that, like infancy or adolescence, has its own demands and distinct advantages. Levitin looks at the science behind what we all can learn from those who age joyously, as well as how to adapt our culture to take full advantage of older people’s wisdom and experience. Throughout his exploration of what aging really means, Levitin reveals resilience strategies and practical, cognitive enhancing tricks everyone should do as they age.
Author of the iconic bestsellers This Is Your Brain on Music and The Organized Mind, Daniel Levitin turns his keen insights to what happens in our brains as we age, why we should think about health span, not life span, and, based on a rigorous analysis of neuroscientific evidence, what you can do to make the most of your seventies, eighties, and nineties today no matter how old you are now.
From a European Heart Journal study:
When the five sleep factors were collapsed into binary categories of low risk vs. high risk (reference group), early chronotype, adequate sleep duration, free of insomnia, and no frequent daytime sleepiness were each independently associated with incident CVD, with a 7%, 12%, 8%, and 15% lower risk, respectively (Table 3). Early chronotype, adequate sleep duration, and free of insomnia were independently associated with a significantly reduced risk of CHD; while only adequate sleep duration was associated with stroke.
Cardiovascular disease (CVD), including coronary heart disease (CHD) and stroke, is among the leading causes of mortality globally.1 In addition to traditional lifestyle behaviours, emerging evidence has implicated several unhealthy sleep behaviours were important risk factors for CVD.2,3 For example, short or long sleep duration,4–9 late chronotype,10,11 insomnia,12–17 snoring,18,19 and excessive daytime sleepiness20,21 were associated with a 10–40% increased CVD risk. 
To read more: https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehz849/5678714
From a Caltech online article:
During this decade, as in previous decades, Caltech scientists and engineers reinvented the landscape of scientific endeavor: from the first detection of gravitational waves and the discovery of evidence for a ninth planet in the solar system; to bold missions to explore and understand the solar system; to the development of new methods to see inside the body and the brain and understand the universe around us; to the invention of devices to improve human health, some taking inspiration from nature; to the initiation of a transformative new effort to support research into the most pressing challenges in environmental sustainability.
Though the brain orchestrates how we experience the world, many questions remain about its complex workings. During the past 10 years, Caltech scientists have discovered how the brain recognizes faces and drives and quenches thirst, and learned about the pathways that govern sleep. A major focus has been on understanding the experience of non-neurotypical individuals, such as those who have autism or those who are missing a brain hemisphere. New realms of neuroscience research were made possible in 2016, when philanthropists Tianqiao and Chrissy Chen announced a gift to establish the Tianqiao and Chrissy Chen Institute for Neuroscience at Caltech.
As modern technology advances, so do the possibilities for treating medical conditions that were previously considered untreatable. Caltech researchers used an electrode array to help a paralyzed patient stand and move his legs voluntarily and developed a novel method for preventing the spread of diseases, contact lenses for preventing blindness in diabetic patients, an app that monitors heart health, gene therapy for repairing nerves in the brain, and a robotic arm controlled by a paralyzed patient’s intent to move. The decade also saw the establishment of the Merkin Institute for Translational Research, which aims to advance medical technologies, and a continued commitment to the Donna and Benjamin M. Rosen Bioengineering Center.
To read more: https://www.caltech.edu/about/news/decade-of-discovery
From a Scientic American online article:
In our own study of more than 7,000 middle-aged to older adults in the U.K., published in 2019 in Brain Imaging and Behavior, we demonstrated that people who spent more time engaged in moderate to vigorous physical activity had larger hippocampal volumes. Although it is not yet possible to say whether these effects in humans are related to neurogenesis or other forms of brain plasticity, such as increasing connections among existing neurons, together the results clearly indicate that exercise can benefit the brain’s hippocampus and its cognitive functions.
In fact, a growing body of research suggests that exercise that is cognitively stimulating may indeed benefit the brain more than exercise that does not make such cognitive demands. For example, Gerd Kempermann and his colleagues at the Center for Regenerative Therapies Dresden in Germany explored this possibility by comparing the growth and survival of new neurons in the mouse hippocampus after exercise alone or after exercise combined with access to a cognitively enriched environment. They found an additive effect: exercise alone was good for the hippocampus, but combining physical activity with cognitive demands in a stimulating environment was even better, leading to even more new neurons. Using the brain during and after exercise seemed to trigger enhanced neuron survival.
To read more: https://www.scientificamerican.com/article/why-your-brain-needs-exercise/
From a Harvard Gazette online article:
“This work cements the idea that, for the right patients, we can deliver hospital-level care outside of the four walls of the traditional hospital, and provides more of the data we need to make home hospital care the standard of care in our country,” said corresponding author David Levine, a physician and researcher in the Division of General Internal Medicine and Primary Care.
“It opens up so many exciting possibilities — it’s exciting for patients because it gives them the opportunity to be in a familiar setting, and it’s exciting for clinicians because we get to be with a patient in that person’s own surroundings. As a community-minded hospital, this is a way for us to bring excellent care to our community.”
The home hospital model of care — in which select patients receive hospital-level care for an acute illness from the comfort of their own home instead of in a traditional hospital — has become increasingly popular across the U.S.
To read more: https://news.harvard.edu/gazette/story/2019/12/home-hospital-model-reduces-costs-by-38-improves-care/
Produced by WIRED Brand Lab with American Institute of Architects | How can design transform emergency rooms from one of the most stressful and chaotic places into a place of healing? Dr. Bon Ku and architect Billie Faircloth, AIA, break down the science behind designing a better work environment for hospitals.
Interactive immune systems are at the center of cancer and other diseases. Dr. Matthew Krummel explores how the immune system can regulate cancer progression. Recorded on 10/31/2019.
To read more: https://www.uctv.tv/shows/Understanding-and-Treating-Cancer-and-Other-Diseases-Through-the-Immune-System-35239
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