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Prediabetes diagnosis as an older adult: What does it really mean?

Prediabetes often precedes the development of type 2 diabetes, and in young and middle-aged people it's important to identify prediabetes because it may be possible to prevent or delay the development of diabetes. Researchers wanted to know if the implications of being diagnosed with prediabetes are similar for older adults.

Shaking off shingles

Shingles is a painful neurological condition that is more likely to attack as people age. Left untreated, it can increase risk for chronic pain, blindness, and other long-term health problems.

Need physical therapy? 3 key questions your PT will ask

Physical therapy can be helpful if you have an injury or a condition that affects mobility or is causing pain. But before you embark on a course of treatment, your physical therapist will ask crucial questions that will help shape your program.

Answering your questions about the COVID-19 vaccine

People who get the COVID-19 vaccine may experience arm pain, rashes, aches, fever, or fatigue. Doctors say it's worth the risk, since an older adult's risk of dying from COVID is 3% to 11%.

The pandemic isn't over — particularly for people with disabilities

While the pandemic has disrupted everyone's lives, its effects on the lives of people with disabilities are especially evident. And COVID-19 may pose a greater risk to some people with intellectual and physical disabilities, though this may depend on a variety of factors.

Is IBD an underrecognized health problem in minority groups?

Inflammatory bowel disease (IBD) is a treatable condition once considered a disease that largely affects people who are white, although in recent years it has been diagnosed more often in other racial and ethnic groups, in the US and around the world. Recognizing this condition early can make a difference in care and quality of life.

COVID-19 vaccines and the LGBTQ+ community

A history of discrimination in multiple settings, including health care, may make some people who identify as LGBTQ+ hesitant to get a COVID-19 vaccine, even though the virus has disproportionately harmed this community. If you're struggling to make a decision, this may help you consider benefits and risks.

Most COVID-19 cases are spread by people without symptoms

Research we're watching

You may be more likely to get COVID-19 from someone without symptoms than from someone who is feverish and coughing, according to a study published online Jan. 7, 2021, by JAMA Network Open. Study authors calculated that more than half of all COVID-19 cases were likely spread by someone without symptoms of the disease. Drawing on data from eight Chinese COVID-19 studies, the researchers developed a model that could estimate how people were infected, specifically looking at whether an infection would likely have come from someone with or without symptoms. They broke the asymptomatic people into two groups: those who were infected but hadn't yet developed symptoms (presymptomatic), and those who were infected but never got symptoms. Study authors assumed that it took five days from exposure for symptoms to develop or for someone to receive a positive test. The model also assumed that people were infectious for 10 days. Using these assumptions, they determined that 59% of people were infected by someone without symptoms. Thirty-five percent of the total would have been infected by someone who was presymptomatic, and 24% by someone who would never develop symptoms. These numbers rose when the researchers modified their model to assume that everyone was infectious a day earlier. Under this second model, 67% of cases were spread by someone without symptoms.

The researchers said their findings show the importance of public safety measures such as mask use, avoiding gatherings, distancing, and handwashing, all of which can reduce the spread of COVID-19 by people who don't know they have it.

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