Daytime Sleepiness (Credit: Canva)
Experiencing daytime sleepiness is something that is usually perceived as a minor inconvenience, but for older adults, it could be an early warning sign of Dementia. This neurodegenerative disease leads to the progressive decline of brain cells. This eventually
affects memory, cognition, and personality, making everyday tasks more difficult. As one of the fastest-growing neurological disorders across the world, dementia poses a significant health threat to ageing populations.
For this study, researchers followed 445 older adults (average age 76) over three years, aiming to determine whether poor sleep could increase the risk of mild cognitive impairment (MCI), which often leads to dementia. At the start, none of the participants had MCI, but by the end of the study, 36 individuals had developed the condition.
The researchers discovered that participants with poor sleep were more likely to develop MCI compared to those who slept well. However, when depression symptoms were taken into account, the link between poor sleep and MCI became less pronounced, suggesting that while sleep issues are a concern, mental health also plays a key role in dementia risk.
To assess sleep quality, the Pittsburgh Sleep Quality Index (PSQI) was used, evaluating factors such as sleep duration, disturbances, and daytime alertness. Among these, "daytime dysfunction"—defined as excessive sleepiness and low energy during the day—was most strongly associated with an increased risk of MCI. Those experiencing daytime dysfunction were more than three times as likely to develop MCI as those who didn’t report such symptoms.
There are many types of dementia:
Dementia is not a specific disease. According to the Centers for Disease Control and Prevention (CDC), it is an overall term that describes a decline in mental ability that interferes with daily life. People with dementia often have symptoms like trouble remembering, thinking, or making everyday decisions. These symptoms tend to get worse over time.
Alzheimer’s disease is the most common type of dementia, and it mostly affects the elderly. Each form of dementia has a different cause. Though dementia mostly affects older adults, it is not a part of normal ageing. An estimated 6.7 million older adults have Alzheimer's disease in the United States. That number is expected to double by 2060, as per data from the CDC.
In 2022, 3.8% of men and 4.2% women in US were diagnosed with dementia. The percentage of people increase with age from 1.7% for those aged 65-74 to 13.1% for those aged 85 and older. Alzheimer's accounts for 60 to 80% of all dementia cases and it is most prevalent in California, Florida, and Texas, as these states have the highest number of people.
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As the true number of COVID-19 cases and deaths is believed to be higher than reported, a new study suggests that the actual toll of long COVID may also double than the current estimates.
The research, led by Mass General Brigham, found that many long COVID cases remain hidden because current surveillance systems rely heavily on diagnostic codes that fail to capture a large number of patients.
Using a novel AI algorithm, researchers analyzed medical records of nearly 460,000 COVID-19 patients across 58 hospitals in the United States. The findings showed that approximately one in six people — around 16 per cent — developed long COVID, translating to more than 18 million Americans.
The figures are nearly double current estimates and highlight the growing burden of chronic health conditions following COVID-19 infection. The study was published in JAMA Network Open.
“Over 10 million people with long COVID would go entirely undetected by the diagnostic code that health systems and policymakers rely on to track the disease burden,” said corresponding author Hossein Estiri, a faculty member in the Mass General Brigham Department of Medicine.
“The figures we uncovered are almost certainly an undercount,” he added.
Researchers noted that current diagnostic coding systems, including the ICD code U09.9 for post-COVID conditions, identify fewer than 7 per cent of long COVID patients.
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The study analyzed electronic health records from 457,950 patients who had previously tested positive for COVID-19 across four US regions — New England, Southeast Texas, Southern California and Western Pennsylvania.
Overall, 16.3 per cent of patients were identified with long COVID, with regional rates ranging from 13.6 per cent to 22.7 per cent.
The researchers also found significant regional differences in long COVID symptoms and related conditions, including varying rates of prediabetes, which is emerging as a possible long-term effect of COVID-19.
The study authors noted that undocumented infections — which became more common after widespread testing declined — were not included in the analysis. Patients without long-term medical records were also excluded, suggesting the actual burden of long COVID could be even higher.
“These patients are not absent from clinical care; they are absent from the diagnostic code that would identify them as long COVID patients,” said lead author Jiazi Tian, a data scientist in the Clinical Augmented Intelligence Group at Mass General Brigham.
“The cardiologist seeing new dysautonomia, the endocrinologist seeing new metabolic disease, the neurologist seeing unexplained cognitive complaints — some of these presentations are long COVID arriving without the label that would connect them to a COVID-19 infection,” Tian added.
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Long COVID refers to symptoms that continue for three months or longer after the initial COVID-19 infection.
Common symptoms include:
Researchers say many long COVID conditions are still being studied, and some people may experience multiple symptoms at the same time.
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US President Donald Trump this week underwent his third annual medical check-up during his second term and declared that it went “perfectly well”.
Trump, who turns 80 next month, visited the Walter Reed National Military Medical Center for a routine health examination on May 26. The medical check-up, conducted after about 13 months, reportedly lasted around 3.5 hours.
“Everything checked out PERFECTLY,” Trump wrote on social media.
However, neither Trump nor the White House has disclosed detailed medical findings, leading to renewed speculation about the health of the oldest American President.
The concerns come amid visible signs of deterioration observed during several public appearances. These include persistent bruising on his hands, micro naps during public meetings, slurred speech, and frequent factual mix-ups — all of which have raised questions about whether information regarding his health is being withheld.
The White House had earlier explained that the bruises on Trump’s hands were caused by “frequent handshaking” combined with aspirin use.
Doctors have also speculated that his slurred speech may indicate signs of a recent stroke.
Dr. Bruce Davidson, a professor at Washington State University’s Elson S. Floyd College of Medicine, discussed the issue during an appearance on The Daily Beast podcast. He said his interpretation was based on observing Trump’s physical behavior and speech patterns over time.
“Earlier in the year, there was video of him shuffling, and I thought that was weird,” he said on the podcast.
He suggested that such movement patterns can sometimes be seen in patients recovering from strokes.
Despite the speculation, Trump has continued to defend his mental sharpness and cognitive abilities.
“So I’ve taken (a cognitive test), and I’ve aced it all three times, I’ll tell you, because it is a positive thing,” Trump said. “It starts off with an easy question. And by the time you get to the middle, it gets tougher.”
According to a White House summary of Trump’s previous annual medical examination in April last year, he was found to be in “excellent cognitive and physical health”.
“A comprehensive neurological examination revealed no abnormalities in his mental status, cranial nerves, motor and sensory functions, reflexes, gait, and balance. Cognitive function, assessed using the Montreal Cognitive Assessment (MoCA), was normal with a score of 30 out of 30,” White House physician Captain Sean Barbabella wrote.
There were also tests for depression and anxiety, and Trump recorded scores “within the normal range for both,” although exact numbers were not disclosed.
Scans conducted in October also reportedly showed that Trump was in “excellent overall health”.
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The United Kingdom is facing a certain rise in cases of botulism, which is a dreadful disease caused by bacteria and can cause difficulty in breathing, paralysis, and even death. According to the United Kingdom Health Security Agency (UKHSA), two more people from Leeds have come forward with symptoms of this fatal disease.
Last week, a small number of people with symptoms of botulism presented to the National Health Service (NHS) around Leeds. These people observed botulism signs after aesthetic treatments involving botulinum toxin. After a sudden increase in patients of this dreadful disease, the authorities are on alert.
Botulism is a very rare disease caused by toxins produced by Clostridium botulinum bacteria. Though in very few cases, Clostridium butyricum and Clostridium baratii can also cause it. There are several sources of this disease, including cosmetic procedures, due to the use of highly purified Clostridium botulinum. Thus, in some cases, improper procedure can also lead to botulism.
UKHSA urged people to take precautions when seeking cosmetic procedures and has advised medical staff to look out for possible botulism in people who have had recent treatments and have symptoms. It also has said the symptoms of botulism, which are drooping of the upper eyelids, double vision, difficulty swallowing, slurred speech, and lethargy.
Notably, this is not the first time that the United Kingdom has been facing a sudden rise of Botulism cases, as it also happened back in 2025 when 38 cases of botulism were found who contracted the disease was poisoning linked to the use of unlicensed products.
A study by US researchers has shown that Botox injections can act as a “rescue therapy” to treat conditions such as finger ulcers, digital ischemia, and gangrene that are difficult to manage with standard therapies.
Finger ulcers (or digital ulcers) are painful open sores, while acute digital ischemia causes the fingers to become extremely painful, cold, and sometimes pale or bluish. Gangrene is the dangerous death of body tissue (necrosis), often turning skin black, green, or purple.
These debilitating complications, often associated with conditions like lupus, rheumatoid arthritis, systemic sclerosis, or bacterial infections, are caused by reduced blood flow to the fingers and heal poorly.
Botox injections, which work by reducing blood vessel constriction and improving circulation, may help achieve complete healing of lesions in more than 85 percent of such patients, according to a study recently published in JAMA Dermatology.
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