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Greg Nicholaides

April 15, 2022 By Greg Nicholaides

Scientists Finally Sequence the Entire Human Genome

While 92% of the human genome was sequenced in 2003, scientists have struggled to map the remaining 8%. Until now.

By David Lumb – CNet – April 1, 2022

When the Human Genome Project was declared completed in 2003, it had mapped 92% of genes, with the rest remaining a mystery for nearly two decades due to technological limitations. Now, scientists have finished sequencing the other 8%, and the human genome has finally been fully sequenced.

Almost 100 scientists from the Telomere-to-Telomere (T2T) Consortium collaborated on the project to map the entire human genome. The additional 8% that was sequenced accounts for 400 million new letters added to the existing sequenced DNA – enough for an entire chromosome, as CNN reported.

The additional genes are very important for adaptation, according to Evan Eichler, one of the major contributors to the main paper on the research and a professor of genome sciences at the University of Washington in Seattle. They include immune response genes enabling humans to adapt to and survive infections, plagues, and viruses, as well as genes that enable human brains to grow larger than those of other primates.

“I’ve always come back to that point that, to understand genetic variation comprehensively, we need to have a reference that’s complete,” Eichler said in a press release. “95% of the puzzle being solved is good enough for some people. But I guess for me, getting that last 5% was so important because I believe so much of what we don’t understand about disease, or we don’t understand about evolution, is disproportionately represented in that 5% of the of the genome that we didn’t sequence first off.”  

As detailed in the research, which was published in six papers in the journal Science on March 31, the team used two DNA sequencing methods: the “ultralong” Oxford Nanopore method, which sequences up to one million DNA letters with a 5% error rate, and the PacBio HiFi sequencing method, which reads 20,000 letters at a time but has a far smaller (0.01%) error rate. While the researchers used the former to span extended lengths of repeated DNA, they used the latter to discern how some lengths that looked like exact replications were actually subtly different.

The resulting fully sequenced genome is now a resource that other scientists can use to springboard their own research, though it only represents a single example. Further study by the T2T Consortium along with the Human Pangenome Reference Consortium will build out more genome examples, called haplotypes, from a diverse range of samples, according to the published research. 

This is another big step in enabling humans to sequence their individual genomes, which could drop in accessibility and cost to become a routine medical test that could run you under $1,000, study author Adam Phillippy, a genomicist with the National Institutes of Health, told CNN. In the meantime, scientists will be able to use the completed genome to investigate whether genetic variations are linked to particular cancers.

Even with this accomplishment, more work — and deeper understanding — lies ahead.

“We finished a genome. There will be hundreds, probably thousands of genomes over the next few years,” Eichler said in a statement. “I think our view of how humans differ from each other is going to be transformed, and how more complex genetic variation is important not only for making us human, but also making us different.”  

Filed Under: Uncategorized

March 20, 2022 By Greg Nicholaides

Senior House Sharing is on the Rise

Starting this year, HomeShare ATL is a matching service for home providers in Cobb, DeKalb, Fulton and Gwinnett counties. All applicants will be interviewed and screened so that we can provide suggestions for matches that will be based on the home provider’s expectations and compatibility rather than a waiting list position.

We anticipate receiving more applications from individuals seeking a home than from homeowners offering shared space. We are building our provider pool now. We can help you be ready to jump in!

Home sharing participants are not expected to and advised not to provide hands-on personal care such as assistance with bathing, dressing, lifting, or medications, etc.  The program is nonsectarian. COVID-19 precautions followed. Both participants must be fully vaccinated.

Benefits of Older Adults Sharing Their Home

1.  It can be less expensive to live with other adults. You can share housing costs, utilities and often food. If you own a large home, you can afford to offset the cost of maintaining it by taking on a housemate. You get to age in place and your housemate gains a more affordable way to live.

2. There will be another adult to share chores and responsibilities and to provide a helping hand when needed.

3.  It is more likely that someone will be around to help you if you take a fall, to notice if you don’t come home or to call 9-1-1 when necessary. This can provide real peace of mind. There is a sense of security that comes with having a housemate – and not just when you hear a noise in the middle of the night.

4.  You gain companionship and people to potentially share holidays and special occasions. Your circle can grow as you meet the friends and family that a housemate can bring to the equation. Only you can decide if this is desirable or not.

5.  A sense of community is good for your mind, body, and spirit. We need people around us to offer advice or support, to laugh together, to break bread, to get us out of the house and push us to try new things. Living with other people is one way to create such a valuable support circle.

Eligibility Requirements to Participate in HomeShare ATL

All Applicants Must

  • Be 21 years of age or older
  • Provide proof of income
  • Provide copy of valid government issued photo ID and Social Security Number
  • Provide four (4) meaningful personal references
  • Agree to and pass a criminal background check
  • Have no criminal record history or pending charges of crimes against person or property
  • Have no substantiated case of abuse or harassment of any kind

Home Providers Must

  • Own available house located within Cobb, DeKalb, Fulton, or Gwinnett county
  • Provide a private bedroom with a door and a private bathroom
  • Hold valid homeowner’s insurance
  • Pass home inspection by HomeShare ATL staff

Home Seekers Must

  • Want to live in a home within Cobb, DeKalb, Fulton, or Gwinnett county
  • Agree to acquire renter’s insurance within 15 days of move in

Steps for the HomeShare Process

1. Apply: Interested applicants request an application. After completion and submission, applicants are contacted by HomeShare ATL staff to schedule an Intake Interview.

2. Intake Interview: An in-depth assessment completed with home providers and home seekers to help us learn about your specific interests, needs, and preferences. We also review the eligibility documentation and complete the required consent forms. There is a non-refundable application fee due at the time of the initial interview to cover some of the expense of the background screening cost. Additional information on fees follows these steps.

3. Background and Reference Checks: To promote the safety and well-being of all home share participants each receives an in-depth screening by a third-party reporting agency. Every participant undergoes criminal background checks, credit check, and reference checks. After these steps are completed satisfactorily you are considered ready for the matching pool!

4. Match Search: Using the information provided in the intake interview, staff will begin the process of evaluating potential matches. Once a potential match is identified, staff will discuss the potential match with both parties and if both individuals agree, a phone or virtual meeting will be scheduled.

5. Match Meeting: Staff will facilitate the initial face-to-face meeting between home seekers and home providers. We recommend a neutral location for the first meeting but find home providers often prefer to meet at their home. It may take multiple introductions before the right match is found.

6. Trial Match: For participants who feel comfortable moving forward towards living together, we strongly encourage a two-week trial period to get better acquainted with each other’s lifestyles, to ensure compatibility, and to experience the details of the match agreement prior to signing the lease.

7. Match Agreement:  Once two participants agree to be matched, the HomeShare ATL staff will assist in the creation of a Living Together Agreement including a lease that captures the unique needs of each match. This includes how much rent will be paid, hours of services provided, and types of activities both parties are agreeing to.

8. Ongoing Support: Staff stays in regular contact with participants throughout the life of the match providing both emotional and tangible support for housemates. If needs change or issues arise, mediation is available as is assistance renegotiating the match agreement.

Fees

To promote the safety and well-being of all HomeShare ATL participants, a variety of background screens are run on all applicants. To assist us with the expense of the screenings and credit check, there is a one-time non-refundable application fee of $35.00 due at the time of the initial interview. Several payment methods are offered.

No one is denied services because they cannot afford the fees. Financial assistance is available; fees can be reduced or waived in cases of hardship.

Application packets can be requested to be received by Email or US Mail.  To request an application, call 770.677.9435 or email homeshare@jfcsatl.org.

Frequently Asked Questions

Who, what, and where is home sharing taking place?

Home sharing is an affordable housing solution that matches adults in need of affordable housing with individuals offering a room or more to share in Cobb, DeKalb, Fulton, or Gwinnett county. The program is open to all adults 21 years or older. For individuals to be considered for a match one participant must be 60 years of age or older. Typically, the senior is the home provider, but seniors can be home seekers. And two seniors can be matched!

What type of housing arrangements are available?

  1. Traditional Rent Agreement: This is most like a traditional roommate situation with the seeker paying reasonable monthly rent to the home provider.
  2. Service Exchange Only (no cash rent): This no cash option offers home seekers the opportunity to provide services in lieu of cash rent. The provider and seeker negotiate in advance the number of hours and types of services to be exchanged each month based on specific needs and abilities. The seeker will be responsible for personal expenses and maybe a portion of utilities. Services will not include personal care such as bathing, toileting, or medication management.
  3. Mixed Arrangement: This is a combination of cash rent and service hours. This arrangement offers home providers the benefit of some extra income and household assistance while home seekers pay a lower monthly rent.

What types of service exchanges does a home seeker do for a home provider?

Activities for service exchanges can include transportation, cooking, housekeeping, pet care, yardwork/gardening, technology assistance, even simple companionship in the home from playing games or movie and TV watching together, to activities outside the home like going to a park for a walk or attending a cultural event. The possibilities are endless. Personal care such as bathing, toileting, or medication management is not permitted as part of the match agreement.

How much service exchange does a home seeker do for a home provider?

The number of hours depends on the needs of the home provider. Some home providers do not want any service exchange while others may want 5,10, or more hours per week. Typically, the more service exchanges a home seeker is willing to do the lower the home provider decreases the cash rent.

What is a typical rent price and who sets the rent price?

Each situation is different based on location, neighborhood, home amenities, and ease of access to transportation. The home provider sets the rent. Average cash rent is about $600. Monthly rental ranges from $0 to $900+. HomeShare ATL provides home providers guidance and discussion about rent reduction for service exchange. The more service exchanges a home provider wants and a seeker is willing to do the lower the rent amount will be.

How long does it take to get matched?

Due to HomeShare ATL’s extensive process to make sure the match is a good fit, the quickest someone can be matched may be about six- to- eight weeks, this includes a Trial Match. For many of the home providers and home seekers, it can take longer to get matched due to personal preferences and the amount of time it takes to find a good fit.  A good fit includes location, affordability, compatibility, availability, and flexibility.

What is a Trial Match?

When HomeShare ATL identifies individuals recommended for a match, there are telephone and/or virtual introductions usually followed by a home visit. If both the home provider and the seeker are interested in pursuing next steps towards living together, participants are required to coordinate a Trial Match. Arrangements are made for the seeker to visit and stay in the home typically for two weeks. This gives participants the opportunity to experience sharing the same home, to get better acquainted, and to consider the details of their proposed match agreement including the lease.

How is the program safe?

After HomeShare ATL receives a completed application, our staff requires an interview and intake with each applicant including a confidential discussion about any physical and emotional health conditions, and substance use. For each applicant, HomeShare ATL performs a thorough national and state criminal background check, runs a credit check, and speaks to personal references.

What or who does HomeShare ATL not consider?

Home providers residing in a house or townhome under a lease agreement cannot be considered. Also, individuals renting an apartment are not considered as home providers. Emergency housing placements or rapid rehousing are not provided. The match process can take eight or more weeks to find a suitable match. Home sharing is not personal caregiving. Each participant must be able to meet their own personal activities of daily living without assistance from a housemate.

What makes it difficult to find a match?

Barriers to making a match often include pets, smoking, or a seeker preferring a specific location. The process of matching takes time and there is no guarantee that a match will be found for everyone.

More questions can be answered by contacting Jean Cohen, 770.677.9435 or jcohen@jfcatl.org

Filed Under: Uncategorized

March 20, 2022 By Greg Nicholaides

4 Mindfulness Tips for Better Heart Health

February is American Heart Month – American Heart Association

There’s a lot that goes into living a heart-healthy life. Yes, you need regular exercise and a diet filled with fruit, vegetables and whole grains. But taking steps to strengthen your heart emotionally is also important to health.

Everyday emotional stressors can cause physical problems like stomachaches and headaches, according to the American Psychological Association. And research shows that chronic, or long-term, stress may contribute to serious problems, including heart disease.

But there’s hope. You can fight the harmful effects of stress by taking your feelings seriously and asking loved ones to support your journey to better emotional and physical health.

Be mindful

Start your emotional heart health journey by identifying your feelings without judging yourself. Be honest about the good and the bad, and then try to “let it go.” That process frees you up to fully experience positive feelings like forgiveness, compassion, gratitude, love, joy, kindness and happiness. These all may contribute positively to your heart health. Scientists aren’t yet sure what the connection is, but researchers are looking into how emotions influence heart rate, sleeping patterns and healthy habits.

Talk to your loved ones

As you become more aware of your feelings and how they connect to your health goals, you can choose how to handle them. Relationships can simultaneously be a source of stress and a defense against it. The people close to us can support good habits or enable bad ones. Invite your friends and family to join your health team.

It helps to use “I” statements when expressing yourself to loved ones, especially when trying to resolve conflicts. Here are some examples of how you can approach difficult conversations:

  • I feel frustrated when you keep the television on until midnight because it keeps me from getting enough sleep, and I wake up too exhausted to go for my morning walk.
  • I feel angry when you ask me to cook dishes that are high in fat because I’m trying to lose weight and I need your support.
  • I feel sad when you work late every night because we end up having so little family time.

When you set up the conversation with “I” statements, you own your feelings. Plus, there’s no name-calling, which helps keep things calm. Don’t focus your conversations on the other person’s character, but on their observable behavior and how you feel about it.

Find positive coping habits

Some coping habits, such as overeating or smoking, can increase your risk of developing health problems. Try to find alternate ways to deal with negative feelings like frustration, anger and sadness when they arise.

Consider taking a walk or deeply breathing in fresh air. Practice mindfulness meditation or take a yoga class with a friend. For a more personal connection, meet with someone you care about in person, not just via email or text.

Get help processing negative emotions

It’s normal to have memories and feelings you don’t know how to deal with – you are not alone. If you’re going through challenging circumstances, a counselor – or even a good friend – can help guide you. Social workers are also excellent resources who can listen and point you to professionals like therapists and other support in your community.

Once you start using these tools – naming your feelings, communicating how you feel, having an outlet to release negativity – you’ll be more likely to have your needs met, more successfully meet the needs of others and could potentially face less chronic stress. You may even find that you’re tapping into a broader definition of a healthy heart.

Filed Under: Uncategorized

March 20, 2022 By Greg Nicholaides

No Amount of Alcohol is Good for the Heart, New Report Says, but Critics Disagree on Science

By Sandee LaMotte and Jen Christensen, CNN

January 20, 2022

In a bold move, the World Heart Federation released a policy brief saying that no amount of alcohol is good for the heart.

“At the World Heart Federation, we decided that it was imperative that we speak up about alcohol and the damages to health, as well as the social and economic harms, because there is an impression in the population in general, and even among health care professionals, that it is good for the heart,” said Beatriz Champagne, chair of the advocacy committee that produced the report.

“It is not, and the evidence has increasingly shown that there is no level of alcohol consumption that is safe for health,” said Champagne, who is also executive director of the Coalition for Americas’ Health, an organization dedicated to improving health in the Americas.

Swift criticism

Critics were swift to dispute the federation’s stance, saying that it was ignoring studies that do show a small benefit to some heart conditions when a moderate amount of alcohol is consumed.

One such study on the risks of alcohol, published in the Lancet in 2018, was extensively used in the WHF brief, “but seriously misrepresents, and selectively reports, their findings,” said David Spiegelhalter, the Winton Professor for the Public Understanding of Risk at the University of Cambridge.

“Given that the WHF report references this paper, it is really odd that their conclusion is that ‘no amount of alcohol is good for the heart,'” said Emmanuela Gakidou, a professor at the University of Washington’s Institute for Health Metrics and Evaluation who analyzes alcohol risks based on the Global Burden of Disease Study, which gathers worldwide data on premature death and disability from over 300 diseases.

“There are some scientific studies that support their headline, but based on my work on the Global Burden of Disease Study, which pulls together all the available evidence to date, the claim by the WHF is not supported by the scientific evidence currently available,” Gakidou said.

In response to these criticisms, Champagne sent CNN the following response:

“While we stand by our key messages, it is helpful to know that the wording of parts of the policy brief can give rise to misunderstandings. To address this we have updated the document (specifically page 8) to more clearly articulate our conclusions and specifically cite the studies by which they have been reached,” Champagne said in an email.

“In brief, our position is that studies showing a significant cardio protective effect of alcohol consumption have by-and-large been observational, inconsistent, funded by the alcohol industry, and/or not subject to randomized control. Furthermore, any potential cardio protective effect is negated by the well-documented risks and harms, rendering our judgment that no amount of consumption can be considered good for heart health.”

The American Heart Association, which is a member of the federation, says “moderation is key” when it comes to alcohol, which is defined as no more than one drink a day for women and two for men.

Dr. Mariell Jessup, the chief science and medical officer for the AHA, told CNN in an email that the AHA will “carefully review” the WHF brief. She said that the AHA had recently reviewed evidence on alcohol and cardiovascular risk for its 2021 Dietary Guidance Scientific Statement, and “we concluded that if one doesn’t drink alcohol, do not start; and if one does drink alcohol, limit intake.”

The World Health Federation is a Geneva-based health advocacy organization that represents hundreds of heart associations worldwide. It released the new policy brief, “The Impact of Alcohol Consumption on Cardiovascular Health: Myths and Measures,” to counter reports that some alcohol is OK or even good for heart health.

Drinking alcohol increases the risk of several cardiovascular problems, including coronary disease, heart failure, high blood pressure, stroke and aortic aneurysm, according to the report. Any amount of alcohol, not just heavy drinking, can lead to loss of healthy life, it says.

“Over the past several decades the prevalence of cardiovascular disease has nearly doubled, and alcohol has played a major role in the incidence of much of it,” the report says.

Cardiovascular disease is a leading cause of death in the world, disproportionately affecting people of low socioeconomic status. In 2019, nearly 2.4 million deaths — not just heart-related — could be attributed to alcohol, the report said. Alcohol negatively affects mental health, as well.

The World Health Organization has called for a 10% relative reduction in the per capita use of alcohol between 2013 and 2030, but the report said a lack of investment in proven alcohol reduction strategies, in addition to misinformation from the industry, has stymied progress toward that goal.

“The portrayal of alcohol as necessary for a vibrant social life has diverted attention from the harms of alcohol use, as have the frequent and widely publicized claims that moderate drinking, such as a glass of red wine a day, can offer protection against cardiovascular disease,” said Monika Arora, a member of the WHF Advocacy Committee and co-author of the brief, in a news release. “These claims are at best misinformed and at worst an attempt by the alcohol industry to mislead the public about the danger of their product.”

Filed Under: Uncategorized

February 18, 2022 By Greg Nicholaides

Coalition Members Meet Virtually with Senator Warnock

Jan. 11, 2022 – The Coalition for Medicare Choices News

Five members of the Coalition for Medicare Choices (CMC) recently participated in a virtual meeting with Senator Raphael Warnock (D-GA) to discuss the important role Medicare Advantage plays in providing seniors and individuals with disabilities with high-quality, affordable health care.

After introductions, Senator Warnock said, “I’m here to listen and learn about Medicare Advantage.”

CMC advocate Mutima explained that her mother, who is on Medicare Advantage, has diabetes and requires a lot of care. Her Medicare Advantage plan has made life easier, covering the cost of supplies and helping manage her care.

Coalition member Jaime shared her family’s history with diabetes, including several family members who passed away or suffered serious complications because they were unable to afford the medication they needed. Her mother is on Medicare Advantage, and thanks to the affordability of her plan, she can manage her condition and take care of herself.

Kim, who is a State Representative, said that she knows many seniors who are happy with the Medicare Advantage program, and pointed out that it’s very rare that so many individuals would be pleased by their health care plan. Kim said that many seniors are concerned about possible cuts to the program because it could impact their access to benefits and services.

Senator Warnock told Kim, “I haven’t heard about any cuts to Medicare Advantage, and I am opposed to cuts.”

Coalition members Charlene and Henry told the group that Henry developed asthma later in life. When he went to Denver for tests, they were “panic stricken” waiting for the bill, but it never came. “Medicare Advantage took care of that full bill,” Henry said. “Medicare Advantage has continued to provide medication to keep me at really no subsequent attacks going forward and I’m in good health now as a direct result of Medicare Advantage.” Charlene added that after coming home from a hospital stay, she needed to go to the grocery store to get food, but she was exhausted. When she got ready to leave, she found that Medicare Advantage had sent groceries to her house. “That was a godsend,” she said. “We want to help you with whatever we can do to encourage the other Senators and Congressmen to really look at the issues that they’re trying to cut and remember how it makes a difference in people’s lives.”

Senator Warnock closed the meeting with a few remarks, saying, “I believe in health care. We will fight for Medicare, Medicare Advantage, and Medicaid.”

The CMC is grateful to Senator Warnock for meeting with our Coalition members and for his support of Medicare Advantage.

As a Medicare options advisor, Greg Says is focused on helping Medicare beneficiaries make the best choice for them based on their current health concerns and personal preferences. There is no one solution that is right for everyone. Despite the growing popularity of Medicare Advantage plans, a Medicare Supplement and stand-alone Rx drug plan option is the best choice for many.

Filed Under: Uncategorized

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