Five-month-old babies know what’s funny

<em>Photo by Lars Plougmann/Flickr</em>

From Aeon: “Before they speak or crawl or walk or achieve many of the other amazing developmental milestones in the first year of life, babies laugh. This simple act makes its debut around the fourth month of life, ushering in a host of social and cognitive opportunities for the infant. Yet despite the universality of this humble response and its remarkable early appearance, infant laughter has not been taken seriously. At least, not until recently. In the past decade, researchers have started to examine what infant laughter can reveal about the youngest minds, whether infants truly understand funniness, and if so, how.

“Prompted by observations of infant laughter made by none other than Charles Darwin himself, modern psychologists have begun to ask whether infant laughter has a purpose or can reveal something about infants’ understanding of the world. Darwin speculated that laughter, like other universal emotional expressions, serves an important communicative function, which explains why nature preserved and prioritised it. Two key pieces of evidence support Darwin’s hunch. First, according to the psychologist Jaak Panksepp of Bowling Green State University in Ohio, laughter is not uniquely human. Its acoustic, rhythmic, and facial precursors appear in other mammals, particularly in juveniles while they are at play, pointing to the role of evolution in human laughter.

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Lack of direct sunlight may reshape the human eye and impair vision

Sunlight seems to be controversial. Can’t live without it though. Sunlight is good in the morning to help set your sleep cycle. But it’s bad for your skin and causes cataracts. Yet you need it for your bones and vitamin D. But did you know it also helps your eyesight? Too much “screen time” seems to be causing an epidemic of myopia – great for the optical industry, but a pain for us glasses wearers. But where’s the sun in Seattle??

The NYT has an interesting article about this. Click here for more.

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How many of your knees hurt?

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Humility and Wisdom

“Wisdom is perceiving that the things in which you are wise are scarcely anything compared with the things in which you are not.”

Emanuel Swedenborg 1688-1772

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Bring your extra gear

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Physician Aid in Dying Gains Acceptance in the U.S.

From the NYT: “The number of residents taking advantage of these laws in Oregon and Washington has climbed in the past two years. Still, after nearly 20 years in Oregon and eight in Washington, far fewer than 1 percent of annual deaths involve a lethal prescription. (Of those residents who do receive one, about a third do not use it.) It’s not the way most Americans choose to die, even when they have the legal option.

“Yet the end of life care most people receive needs substantial improvement. While partisans fight over aid in dying, skeptics like Dr. Rabow note, the complicated and expensive measures that could improve end-of-life care for the great majority — overhauled medical education, better staffed and operated nursing homes, increased access to hospice and palliative care — go largely unaddressed.”

Click here for the full article.

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Federal Legislation to EXCLUDE Advance Care Planning under Medicare

 Unbelievable – “Death Panel” phobia redux! Yikes!
From the Medical Futility Blog: Congressman Steve King has re-introduced a bill to exclude coverage of advance care planning services under the Medicare program.Unfortunately, King fundamentally either misunderstands or deliberately mischaracterizes the current program, which is focused on soliciting and honoring the individual’s own treatment preferences, not about limiting or constraining choice in any way.

“My legislation prohibits Medicare payments for end-of-life counseling, blocking this harmful regulation before our government imposes yet another life-devaluing policy on the American people. ”

“A year ago this month, the government increased control over one of the most highly personal healthcare decisions an individual can make when the Centers for Medicare and Medicaid Services (CMS) began paying doctors to counsel patients about end-of-life care.”

“Allowing the federal government to marry its need to save dollars with the promotion of end-of-life counseling is not in the interest of millions of Americans who were promised life-sustaining care in their older years in exchange for their compelled funding of the program during their working years.

“Furthermore, this exact provision was removed from the final draft of Obamacare in 2009 as a direct result of public outcry. The worldview behind the policy has not changed since then and government control over this intimate choice is still intolerable to those who respect the dignity of human life.”

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“Last Words” – now or later?

Sage advice from a Hospice Chaplain.

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Going dark

From Dick Dion:

Going dark

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The arc of the universe

from the New Yorker

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Trump’s feud with John Lewis – a telling story on MLK day

From the NYT: Days before his inauguration, President-elect Donald J. Trump is engaged in a high-profile feud with some of the country’s most prominent African-American leaders, setting off anger in a constituency already wary of him after a contentious presidential campaign.

Mr. Trump’s criticism of Representative John Lewis of Georgia, a widely admired leader of the civil rights movement, has prompted a number of Democratic lawmakers to say they will not attend his inauguration on Friday.

Blacks around the country have reacted to Mr. Trump’s remarks with fury, and the subject has dominated social media and discussions among black activists. Mr. Trump said on Saturday on Twitter that Mr. Lewis, who asserted last week that Mr. Trump was not a “legitimate president,” should focus on his district and “the burning and crime infested inner-cities.”

“I don’t think we have ever had a president so publicly condescending to what black politics means,” said Mark Anthony Neal, an African and African-American studies professor at Duke University.

Mr. Neal added that while other presidents, like Ronald Reagan and Bill Clinton, may have imposed policies that hurt black communities, they were more sensitive to issues of race. Mr. Trump, through Twitter, is giving the world access in real time to his unvarnished thoughts, which Mr. Neal called “raw, unsophisticated, ignorant and uninformed.”

“He doesn’t care that people think the civil rights movement was important,” Mr. Neal said. “He doesn’t feel the need to perform some sort of belief that it is important.”

Mr. Trump’s talk is especially striking as it comes during the transition period, when, typically, incoming presidents are focused on trying to bring the country together.

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A few more thoughts

Character, not circumstances, makes the man.
— Booker T. Washington

The moment of critical mass, the threshold, the boiling point … a place where the unexpected becomes expected, where radical change is more than possibility.
— Definition of “tipping point,” in Malcolm Gladwell’s book The Tipping Point

 It was the best of times, it was the worst of times, it was the age of wisdom … it was the spring of hope, it was the winter of despair, we had everything before us, we had nothing before us, we were all going direct to Heaven, we were all going direct the other way …
A Tale of Two Cities, Charles Dickens

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Fake news or temper tantrum?

“I don’t know where he got the idea that screaming ‘fake news’ over
and over would get him out of doing his homework.”
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Taking Charge: Lessons from Letting Older Adults Self-Direct Their Care

From Investigage:

“As the number of care options available for older adults has grown, many older adults and policymakers are championing the concept of self-direction—the idea that even older consumers with severe disabilities could be in charge of their own care. An evaluation of one program based on the principles of self-direction (the Cash and Counseling Demonstration) has shown that self-directed older adults were not only more satisfied with services, but also safer and healthier than those using agency-based services. Recently, researchers evaluating this program wrote about five lessons that they have learned.

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Green side of the grass

From Basil F:  Perhaps a bit too religious for some but funny nonetheless

 

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Baseball and life – lessons from Coach John Scolinos and the metaphor of the 17″ home plate

 

From Tom Gibbs – this is worth reading: In  Nashville , Tennessee , during the first week of January, 1996, more than 4,000 baseball coaches descended upon the Opryland Hotel for the 52nd annual ABCA’s convention.

While I waited in line to register with the hotel staff, I heard other more veteran coaches rumbling about the lineup of speakers scheduled to present during the weekend. One name, in particular, kept resurfacing, always with the same sentiment — “John Scolinos is here? Oh, man, worth every penny of my airfare.”

Who is John Scolinos, I wondered. No matter; I was just happy to be there.

In 1996, Coach Scolinos was 78 years old and five years retired from a college coaching career that began in 1948. He shuffled to the stage to an impressive standing ovation, wearing dark polyester pants, a light blue shirt, and a string around his neck from which home plate hung — a full-sized, stark-white home plate.

Seriously, I wondered, who is this guy?

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Putting up with us

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A few more thoughts

Let go of certainty. The opposite isn’t uncertainty. It’s openness, curiosity and a willingness to embrace paradox. — Tony Schwartz

The Truth is rarely pure and never Simple  –  Oscar Wilde

 You are on Heaven’s Most Wanted List (Church)

And my favorite of the day from Reuters: U.S. President-elect Donald Trump on Wednesday said pharmaceutical companies are ‘getting away with murder’ in what they charge the government for medicines..” It’s interesting that VA prices for meds are much lower because they can negotiate with Big Pharma, but Medicare is blocked, by law, from negotiating for competitive prices. Good luck, Mr. President Elect, trying to get Orin Hatch and others in Congress to change that! Even so, drug stocks took a beating today.

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Spinning Ice Disk – pretty cool

 

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Ruminating on the present from the past

“Once you hear the details of victory, it is hard to distinguish it from a defeat.”— Jean-Paul Sartre

 “In politics, stupidity is not a handicap.” — Napoleon Bonaparte

 “What’s past is prologue” wrote William Shakespeare

“The pessimist sees difficulty in every opportunity. The optimist sees the opportunity in every difficulty.”  –Winston Churchill

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The depression diet

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RIP Huston Smith, The Man Of Religions

The recent passing of a “religious rock star” leaves us still searching for what comes next. In this delightful video below learn what Huston Smith has to say about aging and the afterlife, or as he says “when my body drops.” In the interview he sings his favorite hymn! If you want to learn more of his musings about the afterlife, read his Harvard Divinity School’s Ingersoll lecture called Intimations of Immortality.

For his obituary in the New York times click here.

From the Huffington Post: A year that brought the passing of too many important public figures capped it off with the death of the past century’s leading explainer of religion and the roles it plays in people’s lives. Huston Smith died peacefully in his Berkeley California home, at age 97, on December 30th, after a long, steady weakening that had those who knew him scratching their heads about how he lingered so long and remained so lucid. He was beloved for his wit, his decency and the joy he derived from good company and stimulating conversation, and he was revered for his unparalleled contributions to the study of the world’s religions.

Born in 1919 in China and raised there by missionary parents, Smith came home to America at 17 and pursued his studies in religion and philosophy. Always a self-identified Methodist, he was an indomitable explorer long before spiritual eclecticism became fashionable, and his investigation was never the kind of shallow pursuit he advised against, comparing religious dilettantes to people at a buffet who get too much of what they want and not enough of what they need. He plunged deeply into traditions other than his own, not just as a scholar but as a seeker of spiritual illumination. He practiced Zen meditation; he practiced disciplines from the Sufi branch of Islam; he practiced yoga, famously bending and stretching his tall, lean body to demonstrate asanas (postures) in a 1950s film that launched his public career and again, in 1996, on Bill Moyers’ five-part PBS series, “The Wisdom of Faith with Huston Smith.” By then, he was, as the Christian Science Monitor put it, “Religion’s Rock Star.”

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Avoid fake news — find accurate health policy information here

Dr. Diana Buist knows that national health policy is complex and won’t get easier in 2017. Here’s how she keeps up with news and strategy.

From Group Health Research Institute’s Dr. Diana Buist: Since November 8, like many people, I’ve been scrambling to figure out our country’s new directions in foreign affairs, economics, immigration, and more. Every rumor of a new adviser or cabinet secretary nomination creates a news flare. It’s exhausting to chase after all of them.

I care deeply about health policy, so for news in that arena, I turn to a reliable source: AcademyHealth, a national health services research and health policy organization. I serve on an AcademyHealth committee that focuses on health services research advocacy and public policy.

Less than two weeks after the election, I went to Washington, D.C., for a previously scheduled committee meeting. Naturally, the outlook for 2017 and beyond for health services research was a topic of discussion. Change is upon us.

If you are a researcher or care about health research because you are a study participant, stakeholder adviser, or concerned citizen, prepare for a tumultuous time ahead. We don’t know exactly what President-elect Trump’s priorities will be for the first 100 days in office or where he will get funds to support those initial projects.

However, the nomination of Representative Tom Price to be health and human services secretary signals a likely early attack on the Affordable Care Act (ACA, or Obamacare). Price is an outspoken resister of health care reform. Dismantling the ACA will be a protracted process, though. The law has many interconnected elements, as Group Health CEO and President Scott Armstrong explained in a Modern Healthcare article. Removing one piece is difficult without affecting others that people want to keep, such being able to get insurance despite pre-existing conditions.

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Election depression

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Reading about aging – articles from 2016

The web site InvestigAge has an interesting list of articles for those of us in CCRC’s: What about social isolation in a Life Care facility? How disruptive it is to move from one care level to another? Does sexual activity correlate with cognition in the elderly? To read these articles CLICK HERE

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