VIP Syndrome health care for the few

Health care for chronic and acute illnesses in the USA is average, with a few spikes of genius. Most follow common methods and do not learn about supplemental wellness. Some are fortunate to access health affordable health care. As an inverted bell, the low extremes – poorest and wealthiest have some access. The moon may belong to everyone but the best things in life cost money and influence. The VIP-Syndrome deals with health care for the richest and more influential. Is that true?

A significant issue is health care for all. Yet, even in areas around the world where universal health care is available, a person’s status may receive better medical care. It is known as VIP-Syndrome. A “VIP-syndrome” has been recognized. It occurs when a very important person (VIP) is admitted to a health care facility and the status of that person affects decisions about medical care.

Universal health care may require long waits for appointments and therapeutic treatment. Care visits are brief. In European countries, people need to spend more for better health care. Yes, it’s best to be a VIP or is it really?

Every now and then, you read news articles of hospitals that have floors dispensing ordinary health care and other floors where wealthy people may get upscale health care. What distinguishes heath care quality? VIP-Syndrome! In wealthier countries, VIP medicine is a variety of the VIP-syndrome—the phenomenon of a perceived “VIP” (very important person) using his or her status to influence a given professional or institution to make unorthodox decisions under the pressure or presence of said VIP, that relates to the accessibility and quality of care. It is not a schism of mediocrity. VIP-Syndrome demonstrates that status has privileges to better health care.

Who might be a VIP? According to the United States National Institutes of Health (NIH), VIP patients, often those who hold celebrity status, power, or perceived connections, engender awe and fear in those who care for them, even though they may be medical professionals and clinicians who have an intimate knowledge of medicine and the medical system. Is this patient-centered health care? Or is it Netflix type health care on demand for short term health over wellness?

VIP-Syndrome health care may not be better than ordinary health care. According to the ABIM Foundation, VIP-Syndrome (in certain circumstances) may be bad for the VIP. ABIM stands for American Board of Internal Medicine and works towards core values of medical professionalism. As a VIP receives health care, that individual can sign and dictate custom health care.

Coined around 1964, VIP-Syndrome came from the field of psychiatry. Psychiatrist Walter Weintraub described the syndrome in a 1964 article in the Journal of Nervous and Mental Disease, noting that “the treatment of an influential man can be extremely hazardous for both patient and doctor.” Does patient influence (or appearance) influence neutrality within a therapeutic treatment? Since 1964, this VIP-Syndrome brought up assorted ethical questions that tightened and set restrictions of therapeutic modalities.

For example, since First Lady Betty Ford made it vogue, rehab centers cropped up to serve addiction therapies for VIP individuals. Though efficacy studies have been tried, even the costly VIP rehab centers tend to generate less than 10% long-term graduates. This helps demonstrate that VIP-Syndrome Rehab-on-Luxury Demand fares about as well as ordinary rehab modalities regarding addictive behaviors.

In 2020, VIP-Syndrome is most viable as a tool to condemn a pandemic during a pivotal pre-election war of ideas. Chiding health care for all, one VIP with VIP-Syndrome is manipulating his health to win sympathy and erase a vast disease from the minds of fans. VIP-Syndrome is when the needs of the one outweigh the needs of the many. Being a VIP in health care and influence on medical caring may be hazardous to health.

VIP-Syndrome is not a condition to be taken lightly. But… if you have the bucks and brains, the doctors may have degrees and experience but VIP-Syndrome means you’re still the boss. But does that VIP accept responsibility if the guesses are wrong? Do the probabilities of side-effects outweigh going back too early? That’s why VIP-Syndrome sounds like a form of disease itself. Means justify the ends.

Power of dietary fiber

Wellness has a very close partnership with chi (energy) and how it flows routinely. It’s how energy flows. That’s how dietary fiber each day helps build immmunity from toxins. According to an article published by AARP:
“Soluble fiber changes immune cells from being pro-inflammatory warrior cells to anti-inflammatory peacekeeper cells,” says Gregory Freund, M.D., of the University of Illinois. Here’s why: Soluble fiber boosts production of the protein interleukin-4, which stimulates the body’s infection-fighting T-cells.

When you think of dietary fiber, it’s about flow. If you’re thinking about eliminating excess fats, including cholesterol, fiber helps create bathroom visits. Meat and fish have no dietary fiber. Your side of vegetables contains fiber. Yes, fiber is integral in many carbohydrates. Fiber also lowers blood sugar levels. Fiber helps aid flow to promote wellness.

The best and most fiber is delivered through “whole” foods. The most commonly recognized source of fiber in the adult diet comes from non-digestible carbohydrates and lignin which occurs naturally as part of the food consumed, such as from whole grains (oat, wheat, barley, rice, etc.), beans, fruits and vegetables. Fiber is also contained in breast milk in the form of galact-oligosaccharides. Normal pasteurized milk has no fiber.

How much dietary fiber is necessary? The American Heart Association Eating Plan suggests eating a variety of food fiber sources. Total dietary fiber intake should be 25 to 30 grams a day from food, not supplements. Currently, dietary fiber intakes among adults in the United States average about 15 grams a day. That’s about half the recommended amount. That’s because most people eat processed foods. Processing effectively reduces fiber to nothing. Most breakfast cereal only have about 3 grams of fiber per serving. White bread has virtually no fiber per slice.

When counting carbohydrates, grams of fiber are subtracted from total carbs. If a can of beans (about 3 servings) has 75 grams of total carbohydrates. Dietary fiber may be up to 25 grams. This delivers net-carbohydrates of 50 grams per can. Strange? Not really…because fiber is a type of carbohydrate that your body can’t digest, it does not affect your blood sugar levels. You should subtract the grams of fiber from the total carbohydrate.

Of course there are 2 fundamental dietary fiber types. They behave differently. There are two types – soluble and insoluble fiber. Soluble fiber dissolves in water, and includes plant pectin and gums. Insoluble fiber doesn’t dissolve in water. It includes plant cellulose and hemicellulose. Soluble fiber can help improve digestion and lower blood sugar, while insoluble fiber can soften stool, making it easier to pass.

Suprisingly, there’s more fiber in parts of foods you don’t eat. Like peanut shells (yech). Waste not. Some fibers, such as those from Psyllium Husks, are considered almost as a natural laxative. Psyllium husk, a natural dietary fiber originating from plantago ovata, has been the source of both soluble and insoluble fiber in Metamucil for 80 years. Studies suggest that the psyllium in Metamucil works differently. The psyllium fiber in Metamucil forms a viscous gel that traps some bile acids (made from cholesterol) and gently removes them from your body. This gel also traps some carbohydrates and sugars, allowing them to be more slowly absorbed by the body. This gelling property of psyllium also helps you feel less hungry between meals and promotes digestive health.

There’s no evidence that daily use of fiber supplements — such as psyllium (Metamucil, Konsyl, others) or methylcellulose (Citrucel) — is harmful. Fiber has a number of health benefits, including normalizing bowel function and preventing constipation. Psyllium Husks are also sold as supplements as ppwders or pills. Some early cholesterol drugs used psyllium husks that were sprinkled on foods. Yes, they can. But a rather acquired taste that offended many.

One study found that 5 grams of psyllium twice a day can help people with type 2 diabetes control their blood sugar. A repeated test study showed that the amount of psyllium husks should be tailored to the individual.

As opposed to European medicine, USA doctors shy away from these supplements. They prescribe other bile-sequestrants. Psyllium Husks seem very beneficial but responsible dosing with a nutritionist recommendation may avoid some uncomfortable side-effects. Gas or stomach cramping may occur. Metamucil and some psyllium husk supplements may contain sugar, sodium, or phenylalanine. Check the medication label if you have diabetes, high blood pressure, phenylketonuria (PKU), or if you are on a low-salt diet. Also vomiting is common.

Vomiting may be associated with NOT drinking at least 8-ounces of water after a dose. Inadequate water may result in husk thickening in throat.

I tend to support the American Heart Association’s approach of getting good fiber from whole foods. For those who are constipated, maybe Metamucil or a supplement may be helpful. Psyllium husk dosage varies. Start with a conservative approach. Take 1 teaspoon of finely ground psyllium husk once a day in the morning, mixed with at least 8 ounces of liquid and followed by an additional 8-ounce glass of water. You may feel full and even more bloated the first few days, but after a week your body should be used to the increased fiber.

According to the Mayo Clinic:
Benefits of a high-fiber diet may
Normalize bowel movements. Dietary fiber increases the weight and size of your stool and softens it.
Helps maintain bowel health.
Lowers cholesterol levels.
Helps control blood sugar levels.
Aids in achieving healthy weight.

Might be worth trying? Add dietary fiber as a routine to your daily nutrition needs.

Starch and resistant starch carbohydrates and you

Carbohydrates are classified into three subtypes: monosaccharides, disaccharides, and polysaccharides. They form key nutrients your body needs and your tongue craves. Excess dietary carbohydrates may lead to diabetes and weight gain. Sugar and starch are examples of many foods. The only foods without sugar or starch are meat and fish. All plants have carbohydrates. Both are pre-factors of energy fuel.

When people talk about carbohydrates, sugar comes to mind, normally sucrose, fructose, and glucose. They come from plants and a great source is sugar, derived from cane and many fruits.

Another carbohydrate is starch. Starches are long chains of the sugar glucose joined together. Starches (formerly known as complex carbohydrates) occur naturally in a large range of foods including nutrient-rich foods like root vegetables, legumes, cracked wheat, brown rice, pearl barley, quinoa and oats. As with sugar, there are many starches. There are essentially two types of starch -simple starch that are digested rapidly and resistant starch that metabolizes at a slower rate.

Resistant Starch is the subject of the latest health studies. Unlike other forms of starch, the small intestine does not digest resistant starch. Instead, it passes through and gets metabolized by the large intestine. Skipping the digestive process means that resistant starch gets turned into fuel. The fuel is then burned off quickly as energy, while some resistant starch remains to become prebiotics, food for the healthy bacteria that live in the gut.

According to Johns Hopkins Medical, Resistant starch is a carbohydrate that resist digestion in the small intestine and ferments in the large intestine. As the fibers ferment they act as a prebiotic and feed the good bacteria in the gut. There are several types of resistant starch. Food processing usually reduces the healthy effects resistant starches provide. Processing minimizes heart and body health benefits that resistant starch provides.

Foods that contain resistant starch include:
Plantains and green bananas (as a banana ripens the starch changes to a regular starch)
Beans, peas, and lentils (white beans and lentils are the highest in resistant starch)
Whole grains including oats and barley.
Cooked and cooled rice.
Seeds such as almonds, pistachios, and others that are not roasted.

There are two ways to add resistant starches to your diet — either get them from foods or take a supplement. Several commonly consumed foods are high in resistant starch. This includes raw potatoes, cooked and then cooled potatoes, green bananas, various legumes, cashews and raw oats, according to Healthline.

I don’t believe that eating resistant starch is a road to better health health. Using small portions of meats, fish, fruits complement nutritional holes and tastes as life fuels. These are the natural components for activity and endurance.

As the fuels of early civilization, grains could be dried for storage. Fruits were also dried by dehydration or preserves. Survivalists dried fish and dried meat to help make foods last longer for travel and activity. The jerky was popular for feeding soldiers centuries ago for nutrients, albeit sugars and salts at unhealthy levels.

With the absence of drinkable water, sea travelers knew to ferment grains to make whiskies and beer. They also fermented fruits into wine. These helped dilute the salty tastes of dried fish and meats.

Resistant starch foods deliver more than essentials for food if you have an active lifestyle. If you are inactive, then you can gain weight and develop sicknesses. Carbohydrate based diets are for movers and shakers but resistant starch is more enduring.

Barring pathogens from the air, preserving foods support healthy lifestyles in lock downs. Resistant starch foods may keep you healthy.

Here are resistant starch recipes to try.

South Atlantic anomaly and viruses

Long ago, a galaxy far away fell apart. Well…actually a solar system exploded as a star went to black. The frontier of space is not a void. Besides meteors and asteroids, space is filled with tiny fragments from destroyed planets, moons, and stars. Astronomers have discovered one of those particles that they call South Atlantic Anomaly or SAA.

According to Space.com and other sources the South Atlantic Anomaly is a weak spot in Earth’s magnetic field, which protects the planet from high doses of solar wind and cosmic radiation. This anomaly exists because the Earth’s inner Van Allen radiation belt comes closest to the planet’s surface, causing an increased flux of energetic particles.

Earth’s magnetic field, also known as the geomagnetic field, is the magnetic field that extends from the Earth’s interior out into space, where it interacts with the solar wind, a stream of charged particles emanating from the Sun or elsewhere. Earth’s space station, satellites, and moon, as well as Earth itself have magnetic fields that helps keep keep our atmosphere in check, as well as weather patterns, and surfaces.

What would happen if Earth’s magnetic field disappeared tomorrow? A larger number of charged solar particles would bombard the planet, putting power grids and satellites on the fritz and increasing human exposure to higher levels of cancer-causing ultraviolet radiation. According to the writers of Live Science, it would be the end of earth life as we know it. It is climate change at a horrific degree. And our satellites and Space Station will plummet down to our planet.

Many theories about climate change blame our planetary lifestyles that are changing Earth’s temperatures. Humans are increasingly influencing the climate and the earth’s temperature by burning fossil fuels, cutting down rainforests and farming livestock. This adds enormous amounts of greenhouse gases to those naturally occurring in the atmosphere, increasing the greenhouse effect and global warming.

Livestock? Livestock eat grasses and plants that otherwise would contribute to our atmosphere via photosynthesis. During photosynthesis in green plants, light energy is captured and used to convert water, carbon dioxide, and minerals into oxygen and energy-rich organic compounds.

Now the South Atlantic Anomaly is threatening to speed the process by damaging the magnetic field. NASA has been tracking the South Atlantic Anomalyand believes this particle has attached itself to Earth’s magnetic field…much like a virus to a cell. SAA is creating a dent in Earth’s magnetic field. Is it science fiction theory or fact?

Based on teachings in Astronomy, this anomaly exists because the Earth’s inner Van Allen radiation belt comes closest to the planet’s surface, causing an increased flux of energetic particles. A belt is a zone of energetic charged particles, most of which originate from the solar wind, that are captured by and held around a planet by that planet’s magnetic field. Earth has two such belts and sometimes others may be temporarily created.

How does a dent in the magnetic field effect climate change? Earth revolves at an angle. This helps create seasons as the sun’s reflection moves from Tropic of Cancer to Equator and Tropic of Capricorn. North hemisphere winters are South hemisphere summers. 4 distinct seasons north and south. But this wasn’t always the case, according to scientists.

The reversal was dated to approximately 15 million years ago. In August 2018, researchers reported a reversal lasting only 200 years. But a 2019 paper estimated that the most recent reversal, 780,000 years ago, lasted 22,000 years. If areas of strength and weakness happens, sometimes the field even flip-flops, with north and south switching places. The current weakening of the Earth’s magnetic field could portend another one of these flip-flops, or it could simply be a temporary fluctuation.

For reasons not entirely understood but related to the planet’s interior dynamics, the magnetic field is currently undergoing a period of weakening. That’s why magnetic north is drifting. As of February 2019, magnetic north was located at 86.54 N 170.88 E, within the Arctic Ocean, according to the NCEI.

The fluctuating dent made by the South Atlantic Anomaly onto the world’s electromagnetic field may also influence virus behavior. The effects of pathogens are being potentiated by electromagnetic frequencies (EMFs) in a dual manner. EMFs greatly impact our immune system, making us more susceptible to viruses, bacteria and biotoxins, and also potentiate the virulence of those pathogens. Can the coronavirus-19 pandemic have something to do with the South Atlantic Anomaly?

As Earth civilization explores new frontiers in space, there’s much to learn about the South Atlantic Anomaly as the dent may impact Earth. So far, the South Atlantic Anomaly dent can infect digital devices, including satellites and smart devices. As we view Mars, Venus, Jupiter and other seemingly lifeless planets near us, phenomena of unidentified space particles may have resulted in chaos. Until we can cruise at much faster than the speed of light, the South Atlantic Anomaly may thwart efforts now and for other generations.

So far, Earth’s atmosphere insulates us well from solar winds and particles. Tiny particles burn and are destroyed in the upper atmosphere. South Atlantic anomaly requires more observations to determine how it impacts our lifestyle now and the future.

Where have all other diseases gone in pandemic

The 2020 pandemic is altering many lifestyles but people are adapting 50% or so. Well…masks and social distancing aren’t taken seriously. Amidst this pandemic, a group of medical doctors did a review that there appears to be a trend that many diseases are significantly reduced. Is there real evidence to support this? Anyone know where those diseases went?

Flu attacks respiratory and circular weaknesses. Coronavirus-19 and its variants seem to do a very good job. Where have other deaths gone? Are they being overshadowed by the pandemic from CoVid-19?

A new study in Journal of American Medical Association (8/2/20), observed: in Colorado, Connecticut, Massachusetts, New York, and North Carolina, decreases in emergency department visits ranged from 41.5% in Colorado to 63.5% in New York, with the most rapid rates of decrease in visits occurring in early March.

This notes significant trends that fewer patients are being attended for non-COVID as emergencies or as admissions during the pandemic over 5 months.

It is estimated that 5 – 20% of people in the United States and 10% of Europeans are infected with influenza each year during flu season; globally resulting in about 3-5 million severe cases and 250,000-500,000 deaths every year.

2020 is one of several pandemic crises. It’s just 103 years from one of the biggest after World War I. The horrific scale of the 1918 influenza pandemic—known as the “Spanish flu”—is hard to fathom. The virus infected 500 million people worldwide and killed an estimated 20 million to 50 million victims—that’s more than all of the soldiers and civilians killed during World War I combined. Some are covered in annual flu vaccines. Descendants of the 1918 influenza virus still circulate today, and current seasonal influenza vaccines provide some protection against the 1918 virus.

Coronavirus-19 is a flu that potentially attacks people with chronic respiratory diseases and vascular issues. A flu is contagious. This tiny virus is lingering and reproducing better versions to make a pandemic valid. In flu seasons, getting a flu is common. This coronavirus is a flu but seems more complex and frightening. It’s cause for biggest pandemic in history.

Where have all the diseases gone in this pandemic?

There are upper respiratory infections and lower respiratory infections. Viruses enjoy lingering and attaching to healthy cells. Common cold and digestive issues reveal body malfunctions. Organisms gain entry to the respiratory tract by inhalation of droplets and invade the mucosa. Epithelial destruction may ensue, along with redness, edema, hemorrhage and sometimes an exudate (a mass of cells and fluid that has seeped out of blood vessels or an organ, especially in inflammation). Like any body irregularity, inflammation partners, and exudation may mean good news or bad news.

Hard to determine. These States are very different with varying lifestyles and per-capita statistics. Studies are done to answer or refute questions.

Did patients have fewer heart attacks and strokes in this period due to lifestyle changes stemming from the pandemic? Or did rates stay constant, with more people suffering at home instead of coming into the emergency room because of the pandemic?

During the pandemic and lockdown measures, coronavirus-19 may have substituted for other chronic disease diagnoses. So people with bad cold symptoms might have been seen as susceptible to coronavirus flu.

While there are health pandemics in the USA about every couple decades, none of those pandemics are as lifestyle redefining as coronavirus-19, without any durable vaccines that have been thoroughly tested under neutral empirical standards.

People tend to be glib about common colds that may include acute flu strains and viral infections. Testing was less relevant as symptoms faded within weeks. So colds could have been bacterial or viral. Masks, gloves, and distancing would have been wise choices to filter microbial transmission. Glib attitudes among doctors, people, employers, and affordable health care never were really sensitive to poossible repiratory infectons on-the-go.

According to the CDC,uncomplicated influenza signs and symptoms typically resolve after 3-7 days for the majority of people, although cough and malaise can persist for more than 2 weeks, especially in elderly people and those with chronic lung disease. People with flu are most contagious in the first three to four days after their illness begins. Most healthy adults may be able to infect others beginning 1 day before symptoms develop and up to 5 to 7 days after becoming sick. Orthodox medicine suggests that masks, gloves, handwashing help reduce likeliness of getting the flu. Yet the coronavirus behind the 2020 pandemic is a new form of virus microbe that is also mutating to form newer variants. That means our bodies have not seen this virus before and we are unlikely to have any antibodies.

In common cold flu no tests are given by practice. Most doctors prescribe antibiotics. If a virus infection is the untested cause, antibiotics are abused. Antibiotics do not work against viruses; they only work on bacterial infections. Antibiotics do not prevent or treat coronavirus disease (COVID-19), because COVID-19 is caused by a virus, not bacteria.

During this 2020 pandemic, moles become mountains. The length and the severity of the pandemic foster disobedience of not wearing masks and social distancing properly. CDC estimates that influenza was associated with more than 35.5 million illnesses, more than 16.5 million medical visits, 490,600 hospitalizations, and 34,200 deaths during the 2018–2019 influenza season.

The limited scope of the JAMA trend analysis study basically diminishes other respiratory and congestive diseases to lower importance. Few die of artery and breathing diseases because coronavirus is dominant in thoughts and minds.

Older people are subjects to other diseases, contagious or not. Adding coronavirus to the series during a pandemic makes medicine and science more confusing. Where have all those diseases gone? They’re there. Hidden in deaths.

JAMA’s numbers are incorrect. The real numbers are accidentally hidden. Globally, for seasonal influenza, the WHO estimates the mortality rate is usually below 0.1%. However, the WHO also notes that mortality is “to a large extent determined by access to and quality of healthcare”. When this pandemic fades to memories, the numbers of hospital admissions will return to what they were before 2020. That is…until the next pandemic shows up. It’s likely.

New coronavirus mutation brings more cases to USA

Just as you thought this coronavirus pandemic ebbed and a glimmer of normalcy shined dimly, a new coronavirus mutation has been behind spikes of rising cases in Europe and the USA. Place masks on again!

According to Science Daily:

Research out today in the journal Cell shows that a specific change in the SARS-CoV-2 coronavirus virus genome, previously associated with increased viral transmission and the spread of COVID-19, is more infectious in cell culture. The variant in question, D614G, makes a small but effective change in the virus’s ‘Spike’ protein, which the virus uses to enter human cells.

Coronavirus 19 has been with us so long as to infect cells and lives. Viruses adapt very well to host cells and easily renovate our make-up. Symptoms or none, our cells spread like monsters. These disfigured zombie cells appear to be using those streaming filaments, or filopodia, to reach still-healthy neighboring cells. The protuberances appear to bore into the cells’ bodies and inject their viral venom directly into those cells’ genetic command centers — thus creating another zombie. Are we becoming the walking dead?

Symptoms of coronavirus may not appear or may be light. More than likely, coronavirus microbes have already entered your body. Quixotically, how many are required to show symptoms? Researchers found that when SARS-CoV-2 infects cells, it assumes control over a family of enzymes known as kinases. Under normal circumstances, kinases serve as master regulators of metabolism, growth, movement, repair and other important cellular functions. Kinases work by attaching tiny chemical tags to proteins through a process known as phosphorylation. Once attached, these tags act as switches that turn proteins on or off, which keeps the complex machinery of the cell running smoothly. According to warnings from Chinese researchers, individuals infected with the earlier SARS-CoV-2 coronavirus strains could be defenseless against the more aggressive European strains with the D614G mutations.

According to CNN report on coronavirus-19 mutation, finding reliable vaccines are confounded by old coronavirus 19 strains and the new ones. Coronavirus 19 has new brother that must be reckoned with. Research published on Medical-Xpress cites research that D814G may well be the dominant one.

D614G mutation cells mean higher rate of testing positive on COVID testing. No evidence was shown whether higher death rates are correlated.

With coronavirus variants and mutations, your responsibility is to use masks and social distancing. They are uncomfortable and against normal social moires. Even eating outdoors means mask removal. So more passersby should wear masks.

States are showing spikes in coronavirus cases in States that opened too soon. D614G may be factored into those statistics. It’s very clear. Coronavirus is adapting to us. It’s up for us to not ignore warnings as we do our part to help restrict spread.

FDA approves first prescription ADHD game

Attention Deficit Hyper-activity Disorder or ADHD is a parent’s worst nightmare as children enter school ages. The FDA just approved the first prescription video game — it’s for kids with ADHD. This is a totally new treatment method for use with or without current medicines.

The game was built by Boston-based Akili Interactive Labs suggests evidence that it may improve attention function. Called Endeavor/Rx, requires a prescription and is designed for children ages 8 to 12 with certain symptoms of ADHD. It’s the first time the FDA has cleared a digital therapy for improving ADHD symptoms, and the first time the agency has ever authorized marketing of a game-based therapy for any condition.

During game development and research it was called Project EVO, and earned awards as a combination of a daily planner and intelligent mobile app. The system is personalized to YOU and specifically designed around how your Brain Type™ naturally works so you can achieve more flow and thrive.

As part of the Sensory Neurodevelopment & Autism Program, Endeavor/Rx demonstrated success with ADHD subjects. Experimental conclusions observed: “In the randomized, controlled trial of 348 children and adolescents diagnosed with ADHD, AKL-T01 showed a statistically significant improvement compared to an active control (p=0.006) on the predefined primary endpoint, a change in the Attention Performance Index (API), a composite score from the Test of Variables of Attention (T.O.V.A.®). The T.O.V.A.® is an objective measure of sustained attention and inhibitory control. AKL-T01 was shown to be safe in this study, with no serious adverse events observed.”

The Project Evo game requires children to multi-task by switching between a memory-based task and a visuomotor task. The first requires players to tap the screen to choose a target from a few options, for example, a blue fish as the target with red and yellow fish as distractions, according to the paper. The second task consists of steering a hovercraft along a river. The game’s difficulty increases as the child progresses.

While I normally suspect reliability of studies with 348 people, Endeavor/Rx did get approval from the FDA as a valid treatment for ADHD with Autism. Will health insurance pay for it? You may find a very good guide to Evolution/Rx foundation on Amazon online.

Medical drugs and alchemy supplements may help ADHD quickly but side-effects may be more dangerous than what you want to treat. Consult nutritionists.

We live in an APP happy world and “smart” digital therapy tech is very available. Our bodies are magicians and have innate properties for healing. Evolution/Rx may be a game, a first of many, to help conquer many ADHD symptoms toward a better future lifestyle for those with ADHD diagnoses and parents.

Unmasking protective mask types to prevent coronavirus and more

You can bitch, moan, or debate about PPP and PPE. Wearing a protective mask and pair of gloves during a horrible disease pandemic is a necessary prophylactic, both courteous and wise. What were once used as options in factories, medical and science offices are now more essential wearables in a world where tiny microbes coexist with us through an invisible masks.

People tend to shy from using prophylactics such as a protective mask. Another form of prophylactic is use of a condom. The global rate of unintended pregnancy was estimated at 44% of all pregnancies between 2010 and 2014, corresponding to approximately 62 unintended pregnancies per 1000 women between the ages of 15–44 years old. One in two sexually active persons will contract an STI by age 25. The Centers for Disease Control and Prevention (CDC) estimates that nearly 20 million new STIs occur every year in this country, half of those among young people aged 15–24. Yet the use of condoms as a prophylactic measure remains constant.

We take our breathing and our respiratory health for granted, but the lung is a vital organ that is vulnerable to airborne infection and injury. Respiratory diseases are leading causes of death and disability in the world. Coronavirus-19 barely comes close to those numbers but ranks high among infectious, contagious diseases. Virus based colds are varied. Flu is a common, common cold. Discovery and use of flu vaccines help make incidence less common. Each year new viruses develop and attack unprotected immune systems. According to CDC, about 400,000 patents were hospitalized with a viral infection, each year, over the past decade. Many of those patients died because of respiratory issues that occured prior to flu.

Wearing a protective mask and gloves, especially in dense populations, may prevent these “colds” from spreading to others. Or prevent their colds spreading to you. Sneezes and coughs spread droplets of microbes and some are infectious. Using a hand or sleeve to cover a sneeze is no sure way of filtering spread to others or to items they carry. Viruses are tiny microbes. They are about 1/3 of 1 micron in size. If you lined them on a ruler, there might be over 100,000 to an inch. A protective mask helps filter viruses from entering nose and mouth. What was optional in the 20th century seems more reasonable in the 21st. Microscopes that discovered tiny microbes (electron microscopes) were more accessible to labs in the 1960’s. Perhaps there’s a lesson we should learn during this pandemic. A protective mask, gloves, and some proportionate social distancing may help humans survive better into the 22nd century. Scientists have only been glimpsing into sub-micron sized particles for the past 50 years and their behaviors.

There are many protective masks. Let’s explore a few. There are basics: homemade cloth face mask, surgical mask {procedure and respirator), N95/N98/N99?N100 respirator.Many are made of paper and are disposable. Some are plastic and N100 is notably metallic. On those masks there are filters (often carbon) that are replaceable.

A surgical/procedure mask is a 3-layer to 5-layers protective sheet, rectangular, with ear loops or head-straps. The are usually common and affordable. Most masks worn during routine medical exams are also found in nail salons. This mask is a loose-fitting disposable mask that protects the wearer’s nose and mouth from contact with droplets, splashes and sprays that may contain germs. A surgical mask also filters out large particles in the air. Surgical masks may protect others by reducing exposure to the saliva and respiratory secretions of the mask wearer. These generally do not have FDA approval for surgical use. They are fine for l;leisure walking, short periods, with social distancing. Protection might be 70 to 90% and are comfortable.

There are fabric masks, usually handmade or fashionable, that function like procedure masks. They tend to protect from colder weather. They are seen as bandanas and scarves as well. Fabrics must be very tightly woven to offer protective mask protection. Mesh won’t do. So inappropriate for summer wear.

Cloth masks may be custom designed and laundered. Cloth masks are cheap and simple to make. Must be tightly stitched as microns get through. CDC offers designs for no-sew that may provide very near to N95 efficiency.

More appropriate for surgery, N95 mask offers more protection than a surgical mask does because it can filter out both large and small particles. The name indicates that the mask is designed to block 95% of very small particles. Like surgical masks, N95 masks are intended to be disposable. However, researchers are testing ways to disinfect N95 masks so they can be reused. These are costlier than procedure masks. Essential oil sprays (tea tree, oregano, eucalyptus) may be antiviral for longer durability but studies are thin. I’dd feel better if surgeon disposes of old masks. For tightest protection, the N95 protective mask manufacturers advise head-straps over ear-loops, clean-shaven instead of beards.

You may have heard of N98, N99, and N100 as a protective mask label. Often respirators with added filters, these may be used by doctors but are more common for use in areas of extreme toxic chemicals. The difference between N95, N99 and N100 masks is simply the filter’s efficiency level. N95 filters 95% of particulates and N99 filters 99% of particulates on the air. The higher the efficiency, the more particulates respirator will filter out. That means microns are virtually filtered.

N100 masks are designed to protect the wearer from inhaling non-oil-based particulates, and according to OSHA standards, they must prevent 99.97 percent of those particulates from getting in when properly worn. The larger, bulky N100 protective mask is designed to block dangerous hazards like lead, cadmium, arsenic and methylenedianiline, commonly referred to as MDA. All the N100 masks usually are NIOSH-approved.

There are also P100 respirator protective mask types. P100 respirators are effective at blocking 99.97 percent of oil-based particulates when properly worn. They can protect wearers from exposure to dust, fumes and hazardous mists. P100 masks are ideal for construction environments, food processing plants, agricultural applications and pharmaceutical manufacturing. They also provide complete protection against non-oil-based particulates, like lead, arsenic and cadmium. P100 respirators are often used during welding, as well.

A protective mask may be created anywhere. Many are manufactured in Asia. The ways to help a consumer find the best protective mask is by regulating standards. You’ve probably heard of OSHA before, the Occupational Health and Safety Administration. NIOSH and OSHA are two sides of the same coin; they are different organizations, but they were both founded with the same act, and they work together to tackle the problem of workplace hazards. Yet, it’s likely that most of the masks used during the Coronavirus-19 pandemic were not manufactured to these standards.

NIOSH is a part of the Centers for Disease Control and Prevention, or CDC. They tend to work more on the research and health side of things. That’s why they’re relevant for masks and respirators; they care about things like air pollution and environmental hazards and safety. So, expect NIOSHA to be recommended by the CDC.

So…many of the disposable procedure and N95 masks may NOT be as efficient as claimed. It’s possible they were designed for cosmetic applications and food preparation instead of medical use. Theoretically, use of a protective mask and a pair of gloves, along with reasonable social distance may help keep some infectious flu microns away.

There are man points and counterpoints about how to live in a world with coronavirus. Habitually wearing a protective mask and pair of gloves when outdoors is your first shield against microbial infections. During a pandemic, epidemic, or “cold” seasons these are prophylactic measures to improve wellness. Yes, you can gamble your health with many things other than microbes. I think wearing a suitable protective mask is a safety net with degrees of assurance.

Coronavirus-19 means there were previous coronaviral sources of the flu. Vaccines contain protection from those. The current microbe is a recmutation. It may not be in every breath you take or in any breath you take or anything you touch but can be encountered, especially among crowds of people. Some, only few have flu-like symptoms and, of those, may be unaware that they are carriers. Using a protective mask and gloves might help reduce the spread of infection.

I think that beyond wearing masks and gloves routinely, social distancing and quarantines may not be necessary. People need liberty to socialize and go places. In cold seasons, I’d advise wearing masks and gloves as a health and fashion ethic. Yet, we see that people don’t use condoms, don’t diet, don’t exercise. Mutual reciprocity in relationships must proximally overcome social barriers. A protective mask needs to become an ethical part of your wardrobe. You are not over-reacting if you use a protective mask within a vetting process. It is mutual protection of the other. Wearing a protective mask and gloves are not punishments. They help prevent disease spread for you and for others.

Respiratory illnesses cost the U.S. economy roughly $40 billion a year — substantially more than other conditions like asthma, heart failure, and emphysema. There are larger numbers when you add non-viral and viral expenses and sick days. Yet group dynamics prove that people don’t follow rules or ethics. You shouldn’t be forced to wear a protective mask if you’re willing to sin against harming others and/or self. Infectious diseases are humanity’s bane. A protective mask and responsible distancing help keep societies and businesses in balance. Let debaters continue to debate with or without masks. Viruses will mutate further. Left futures decide and predict whether these masks may be more necessary than now.

NOMID and COVID multisystem inflammatory disease

Can there be a relationship to the coronavirus-19 (COVID-19) that affects young children? People are talking about it. It’s called NOMID or Neonatal onset multisystem inflammatory disease. Other than both being inflammatory diseases. Are they siblings or distant cousins? They may not be in the same family! What’s the link?

It’s rare. As we immerse ourselves at coronavirus prevention, a disease emerged that affects kids from 2-15. Neonatal-onset multisystem inflammatory disease is a rare genetic periodic fever syndrome which causes uncontrolled inflammation in multiple parts of the body starting in the newborn period. Symptoms include skin rashes, severe arthritis, and chronic meningitis leading to neurologic damage. It’s there since birth but symptoms can show anytime. Is YOUR child safe from multisystem inflammatory disease?

Neonatal onset multisystem inflammatory disease (NOMID) is a disorder that causes persistent inflammation and tissue damage primarily affecting the nervous system, skin, and joints. Recurrent episodes of mild fever may also occur in this disorder. People with NOMID have a skin rash that is usually present from birth.

NOMID is also known as chronic infantile neurologic cutaneous articular (CINCA) syndrome. As a syndrome, it encompasses many neurological diseases and symptoms. While NOMID is a very rare disorder. Only about 100 affected individuals with different ethnic backgrounds have been widely reported. Males and females are equally affected. Yet, within the coronavirus pandemic. NOMID tips the scales to focus on children’s susceptibilities. Some believe there are genetic mutations, much like DDX3, Muscular Dystrophy, and Multiple Sclerosis…among many.

While there are some standard therapies and some under investigation, NOMID
has no cures, much like other diseases from genetic mutations.

NOMID is an American term for CINCA. Statistics of possible CINCA prevalence has been done elsewhere. The exact prevalence of chronic infantile neurological, cutaneous, and articular (CINCA) syndrome is unknown, it is estimated that the whole spectrum of CAPS has a prevalence of 1/360,000 in France, CINCA being the less common form. In the Eurofever registry, collecting information on over 250 patients with NLRP3 mutation, about 25% of the patients present the most severe CINCA phenotype.

Symptoms noted, may confuse parents and pediatricians:

Chronic aseptic meningitis

Progressive profound sensorineural hearing loss in >70%

Increased intracranial pressure

Papilledema – Papilledema is a serious medical condition where the optic nerve at the back of the eye becomes swollen. Symptoms can include visual disturbances, headaches, and nausea.

Headache

Ventriculomegaly – Ventriculomegaly, also known as hydrocephalus, is a condition in which the CSF-filled structures within the brain become larger than normal. As a result, the large ventricles can inhibit the proper development of the brain.

Cerebral atrophy

Seizures

Significant developmental delay

Where 3 or 4 symptoms are chronically present, genetic testing would be required. Advice is to see a pediatric neurologist.

Bringing NOMID/CINCA into the spotlight is that some therapies used seem to also work on COVID-19 patients. This is dissimilar as COVID-19 is viral and NOMID/CINCA is genetic. Whether this loose relationship is better for NOMID patients or COVID patients is like grasping at straws.

Parenting is difficult. Comparing NOMID to COVID-19 leads to overwhelming concerns. Both are actively still seeking treatmets, cures, vaccines. Symptomatically COVID is more respiratory and NOMID relates to irregular brain pressures. I don’t see how one relates to the other.

Coronavirus and food access for mobility challenge

This coronavirus flu pandemic is among the worst flu crises in the past 200 years. Able-body people are forced into quarantine lock downs at home, protective gear, social distancing, and closures of schools and businesses. USA was caught unaware. It was shocking. That includes access to supermarkets. It’s a hysterical situation. Imagine having motor and other disabilities. When those microbes flee and vaccines develop. Most people will gradually normalize. For many people with chronic disability challenges, many challenges that were once somewhat manageable are above and beyond possible.

Quarantines, social distancing, wearing (and finding) protective masks and gloves are large and bitter pills to swallow, even in this digital age. But compared to congestive flu, pneumonia symptoms and death, you deal with it.

When supplies run low, shopping online provides basics but if you have special, dietary needs or seek taste preferences, you may be out of luck. Most people can get to supermarkets and pharmacies that are better supplied and even wait on restrictive lines. People with visual, mobility, emotional, mentally, or otherwise impaired, those challenges are virtually impossible for adaptation.

The global lockdown and social distance is shocking to most people. This Coronavirus pandemic is impacting many lives. For the disabled and for those with chronic mobility challenges, this is even more devastating. Having myotonic muscular dystrophy, lack of accessibility is a permanent condition. Corona virus pandemic attacks the disabled and human civilization with greater than military impunity.

According to statistics gathered by the World Bank, One billion people, or 15% of the world’s population, experience some form of disability, and disability prevalence is higher for developing countries. One-fifth of the estimated global total, or between 110 million and 190 million people, experience significant disabilities. Of course disabilities cover wide ranges and few have been addressed as seriously as coronavirus-19 over the past 4 months.

Confronting dilemmas of coronavirus and disabilities is that disabilities are chronic with no treatments or cures. Acute diseases are the diseases that affects an individual for short span of time. Chronic diseases are the diseases that persist for a long period of time. They develop over a time and does not appear suddenly. For example, Heart disease, kidney disease, neuro-muscular diseases, among others are chronic. Coronavirus is a flu and is acute.

Although acute, and seeming temporary, each year flu can possibly kill many. CDC estimates that influenza was associated with more than 48.8 million illnesses, more than 22.7 million medical visits, 959,000 hospitalizations, and 79,400 deaths during the 2017–2018 influenza season. The coronavirus-19 (SARS-Cov2) of 2020 far exceeds that. Will microbes eventually be the end of human civilization through repeated attacks from infectious microbes? Each year there is a flu season. Some are prevented with researched vaccines. Each year, though, people around the world die from flu diseases. They may be brief but deadly to some. Coronavirus has demonstrated death tolls around the world. And science research is slow in finding weapons.

In the USA, scientific research is usually neglected. Many studies are small, short, and not representative samples of the population. When we debate health care, thorough research usually isn’t factored.

Viruses, bacteria, and fungi are contagious by contact with air, boards, and other materials. Chronic disabilities are likely in genetic or in-utero. Chronic disabilities are not contagious, other than family blood lines.

Both coronavirus and disabilities can shorten lifespan, depending on severity. Living in a quarantine-like environment such as coronavirus restrictions isn’t unique for those with chronic mobile disabilities. Doing things is just more challenging.

People with chronic disabilities need to adapt to the environment. In New York, I don’t go to stores. I shop online or by phone. The store delivers. Under the coronavirus pandemic, shopping is even more challenging because traveling to stores may be extremely difficult. More online stores have established restrictive policies.

People with disabilities aren’t seniors although many seniors have congestive diseases that can confound or amplify coronavirus symptoms. While death might have been accelerated by coronavirus, there may have been others that suppressed the body’s immune system. Generally, proper nutrition is supportive but not medically accepted.

As an acute disease, Coronavirus and lockdowns restrict access to laundries, barbers, hair salons, nail spas and other personal services that people with disabilities make use of. Yes, people on lockdowns are coping with all these services closed.

COVID stress gets worse as lockdowns become longer. People are required to think out-of-the-box to take care of needs they’ve always taken for granted. They must adapt to new and harsher realities as cases and deaths grow higher each day. They must adapt as soldiers without legitimate authority through lockdowns and mandatory social distancing for an undetermined time. Thank heavens for Internet and unemployment!

But this coronavirus pandemic will pass. Human civilizations will normalize. Economies will surge and lives will become better with achievements and joy.

Yet, for people with chronic disabilities who use wheelchairs, walkers, braces and other accessories for different challenges, restrictions will remain with prayers for some ease with access to foods and services. Of course we’ve adapted to problems with maneuvering and travelling in a world full of obstacles. These challenges are permanent (or can get worse). I am motivated to confront my challenges although many days I succumb to failure. Then try to re-adapt. Thinking out-of-the-box and supportive relationships help.

In a world of bullets and bombs, human civilization must appreciate this coronavirus pandemic as evidence that science research against infectious microbes must not be suppressed. The bible talked about breaking swords and making plowshares. Science, responsible lifestyles, and mutual respect may make a better garden grow, amidst climate change and world pollution.

The endgame, as this coronavirus pandemic passes, is that no lessons were learned. Better, more infectious microbes will evolve and attack every few years. Human civilization and our future generations must learn the chronic war against these infectious microbes and furtherance of overall human wellness. Or face extinction like the Aztecs.

The Biblical Book of Isaiah sheds a utopic view of the world. The famous “swords to plowshares” quote (Isaiah 2:4) is but one of its famous proclamations:

And he shall judge among the nations, and shall rebuke many people: and they shall beat their swords into plowshares, and their spears into pruning-hooks: nation shall not lift up sword against nation, neither shall they learn war any more. (Isaiah 2:4).

This goes back nearly 3,000 years. Reference to this or essences appear in the Old Testament, New Testament, and Koran. What is the plowshare we need?

Methodical microbial research will help human civilization span evolution better. Our economy must rely on research for our selves and future generations. This recent pandemic is far more destructive than bullets and bombs.. We must rethink and examine the prophets and create those plowshares to aid global civilizations on an ever-changing planet. Just because you can’t see the attack coming, doesn’t mean it isn’t there. That’s how coronavirus worked this time around.

While climate change and environment are important, generations are best served by research to help prevent pandemics and help the disabled meet challenges with greater dignity and understanding.