#Chronic Disease Management Ohio

[foreverlogical]

Jessica Day-Weaver holds a ceramic hand print of her daughter, Anastasia, at her home, Thursday, Feb. 2, 2022, in Boardman, Ohio. (AP Photo/Nick Cammett)

Results from 6-year-old Anastasia Weaver’s autopsy may take weeks. But online anti-vaccine activists needed only hours after her funeral this week to baselessly blame the COVID-19 vaccine.

A prolific Twitter account posted Anastasia’s name and smiling dance portrait in a tweet with a syringe emoji. A Facebook user messaged her mother, Jessica Day-Weaver, to call her a “murderer” for having her child vaccinated.

In reality, the Ohio kindergartner had experienced lifelong health problems since her premature birth, including epilepsy, asthma and frequent hospitalizations with respiratory viruses. “The doctors haven’t given us any information other than it was due to all of her chronic conditions. ... There was never a thought that it could be from the vaccine," Day-Weaver said of her daughter's death.

But those facts didn’t matter online, where Anastasia was swiftly added to a growing list of hundreds of children, teens, athletes and celebrities whose unexpected deaths and injuries have been incorrectly blamed on COVID-19 shots. Using the hashtag #diedsuddenly, online conspiracy theorists have flooded social media with news reports, obituaries and GoFundMe pages in recent months, leaving grieving families to wrestle with the lies.

There’s the 37-year-old Brazilian television host who collapsed live on air because of a congenital heart problem. The 18-year-old unvaccinated bull rider who died from a rare disease. The 32-year-old actress who died from bacterial infection complications.

The use of “died suddenly” — or a misspelled version of it — has surged more than 740% in tweets about vaccines over the past two months compared with the two previous months, the media intelligence firm Zignal Labs found in an analysis conducted for The Associated Press. The phrase’s explosion began with the late November debut of an online “documentary” by the same name, giving power to what experts say is a new and damaging shorthand.

“It’s kind of in-group language, kind of a wink wink, nudge nudge,” said Renee DiResta, technical research manager at the Stanford Internet Observatory. “They’re taking something that is a relatively routine way of describing something — people do, in fact, die unexpectedly — and then by assigning a hashtag to it, they aggregate all of these incidents in one place.”

The campaign causes harm beyond just the internet, epidemiologist Dr. Katelyn Jetelina said.

“The real danger is that it ultimately leads to real world actions such as not vaccinating,” said Jetelina, who tracks and breaks down COVID data for her blog, “Your Local Epidemiologist.”

Rigorous study and real-world evidence from hundreds of millions of administered shots prove that COVID-19 vaccines are safe and effective. Deaths caused by vaccination are extremely rare and the risks associated with not getting vaccinated are far higher than the risks of vaccination. But that hasn't stopped conspiracy theorists from lobbing a variety of untrue accusations at the vaccines.

The “Died Suddenly” film features a montage of headlines found on Google to falsely suggest they prove that sudden deaths have “never happened like this until now.” The film has amassed more than 20 million views on an alternative video sharing website, and its companion Twitter account posts about more deaths and injuries daily.

An AP review of more than 100 tweets from the account in December and January found that claims about the cases being vaccine related were largely unsubstantiated and, in some cases, contradicted by public information. Some of the people featured died of genetic disorders, drug overdoses, flu complications or suicide. One died in a surfing accident.

The filmmakers did not respond to specific questions from the AP, but instead issued a statement that referenced a “surge in sudden deaths” and a “PROVEN rate of excess deaths,” without providing data.

The number of overall deaths in the U.S. has been higher than what would be expected since the start of the COVID-19 pandemic, in part because of the virus, overdoses and other causes. COVID-19 vaccines prevented nearly 2 million U.S. deaths in just their first year of use.

Some deaths exploited in the film predate the pandemic. California writer Dolores Cruz published an essay in 2022 about grieving for her son, who died in a car crash in 2017. “Died Suddenly” used a screenshot of the headline in the film, portraying his death as vaccine related.

“Without my permission, someone has taken his story to show one side, and I don’t appreciate that,” Cruz said in an interview. “His legacy and memory are being tarnished.”

Others featured in the film survived — but have been forced to watch clips of their medical emergencies misrepresented around the world. For Brazilian TV presenter Rafael Silva, who collapsed while reporting on air because of a congenital heart abnormality, online disinformation prompted a wave of harassment even before the “Died Suddenly” film used the footage.

“I received messages saying that I should have died to serve as an example for other people who were still thinking about getting the vaccine,” Silva said.

Many of the posts online cite no evidence except that the person who died had been vaccinated at some point in the past, using a common disinformation strategy known as post hoc fallacy, according to Jetelina.

“People assume that one thing caused another merely because the first thing preceded the other,” she said.

Some claims about those who’ve suffered heart issues also weaponize a kernel of truth — that COVID-19 vaccines can cause rare heart inflammation issues, myocarditis or pericarditis, especially in young men. Medical experts say these cases are typically mild and the benefits of immunization far outweigh the risks.

The narrative also has leveraged high-profile moments like the collapse of Buffalo Bills safety Damar Hamlin as he suffered cardiac arrest during a game last month after a fierce blow to his chest. But sudden cardiac arrest has long been a prominent cause of death in the U.S. — and medical experts agree the vaccine didn’t cause Hamlin’s injury.

Hub peek embed (APFactCheck) - Compressed layout

For some families, the misinformation represents a sideshow to their real focus: understanding why their loved ones died and preventing similar tragedies.

Clint Erickson's son, Tyler, died in September just before his 18th birthday while golfing near their home in Florida. The family knows his heart stopped but still doesn't know exactly why. Tyler wasn't vaccinated, but his story appeared in the “Died Suddenly” film nonetheless.

“It bothers me, him being used in that way,” Erickson said. But “the biggest personal issue I have is trying to find an answer or a closure to what caused this.”

Day-Weaver said it was upsetting to see people exploiting her daughter's death when they knew nothing about her. They didn't know that she loved people so much she would hug strangers at Walmart, or that she had just learned how to snap.

Still, Day-Weaver said, “I wouldn't wish the loss of a child on anybody. Even them.”

[toughgirlchallenges]

Risa August - Removing limiting beliefs, shifting her perspective, and embracing an expansive life…. Author of 'The Road Unpaved: Border to Border with a Brain Tumor and a Bike’.

In this episode, we delve into the extraordinary life and inspiring journey of Risa August, a multifaceted individual based in Colorado, USA. Risa wears many hats - she's a Gestalt practitioner, a captivating speaker, an author, and a passionate patient advocate. Her story is one of resilience, marked by her decade-long battle with a pituitary tumour and a rare disease, Acromegaly.

Risa shares candidly about her experiences, offering profound insights into overcoming adversity and embracing life with unparalleled vigour.

Risa's journey into the realm of personal transformation began with her participation in Ironman races, a testament to her fierce determination and love for physical challenges. However, her path took an unexpected turn when she started noticing troubling symptoms, eventually leading to a diagnosis that altered her life trajectory. Despite facing daunting health challenges, Risa's spirit remained unyielding as she navigated through surgeries, treatments, and the complexities of managing a chronic condition.

In her book, The Road Unpaved: Border to Border with a Brain Tumor and a Bike, Risa eloquently chronicles her courageous cross-country bicycle journey, symbolising her refusal to let adversity define her. 

Throughout our conversation, Risa reflects on how her perspective on life and adventure has evolved, emphasising the importance of embracing new experiences and pushing beyond perceived limits. Her insights into removing limiting beliefs and fostering a positive mindset resonate deeply, offering profound lessons for anyone navigating their own challenges.

Join us as Risa shares her story of resilience, adventure, and the transformative power of embracing life fully, no matter the obstacles. Get ready to be inspired by her unwavering spirit and her profound wisdom gained through living a life unleashed.

***

Don't miss out on the latest episodes of the Tough Girl Podcast, released every Tuesday at 7am UK time! Be sure to hit the subscribe button to stay updated on the incredible journeys and stories of strong women.

 By supporting the Tough Girl Podcast on Patreon, you can make a difference in increasing the representation of female role models in the media, particularly in the world of adventure and physical challenges. Your contribution helps empower and inspire others. Visit www.patreon.com/toughgirlpodcast to be a part of this important movement. 

Thank you for your invaluable support!

***

Show notes

Who is Risa

Based in Colorado, USA

Working as a gestalt practitioner, speaker, author and patient advocate

Her passion for learning

‘CANI’ - Constant And Never-ending Improvement 

The connection with Tony Robbins 

Growing up in Cleveland Ohio and her early years

Taking herself on adventures 

Being inspired by her dad and a buffalo head nickel

How the meaning of adventure has changed over the years

Why adventure means - learning and experiencing something new 

Setting out a timeline

2011 - completing her first Ironman race 

Starting to notice changes in her body 

Fast forward 7 years and training for another Ironman.

Not being able to recover and not being able to keep the weigh off

Plus dealing with severe headaches and lack of sleep

Pushing for an MRI of her brain

Being diagnosed with an enlarged pituitary and a brain tumour 

Looking at brain surgery and being diagnosed with a rare disease - Acromegaly.

Processing and working through the diagnosis 

Having a mindset of getting it done and moving on with her life

Waiting 3 months for surgery 

Acromegaly is a rare condition where the body produces too much growth hormone, causing body tissues and bones to grow more quickly. 

Being very conscious of what goes into her body

Radiation or medication?

Feeling very lonely even while being supported

Battling orthorexia in her 20s

Not being able to exercise and spend time in the outdoors

Deciding to ride her bicycle down the Pacific Coast Highway (PCH)

Looking back on her adventurous life and remembering what it felt like

Starting to paint and how it became an outlet 

Instead of focusing on what she couldn’t do - focusing on what she could do

What can I do now?

Small steps, one thing at a time.

Stopping judging herself and blocking out the noise from other people

Getting back to the CrossFit gym

Acceptance around her identity and how it’s changed

Signing up for a semi supported tour on the PCH

SAG - Support And Gear

Book: The Road Unpaved: Border to Border with a Brain Tumor and a Bike 

Reflecting back on the ride and some of the magical moments 

Trying to control situation and outcomes and how the universe has a completely different plan for you

Being open to what’s possible

To be open to letting go of limiting beliefs 

Why it was a massive learning experience 

Being present and spending time in the moment

Naming her brain tumour and the reason behind it

Being kind to her body

Louise Hay Book: Heal Your Body: The Mental Causes for Physical Illness and the Metaphysical Way to Overcome Them. 

Adding humour to her situation and how it can change perspective - especially during dark moments

Her prognosis and being on medication to control the tumour 

Dealing with the uncertainty of her future 

Making big changes in her life

Divorcing after an 18 year marriage

Letting go of people and things in her life, that no longer felt in alignment

Creating a list of all the things she wanted to do, or try

Stepping more into who she wants to be

Being unpolished, unapologetic and unleashed 

Getting up, getting back in the saddle and doing it. 

Taking it each day at a time

Choosing to cycle the Camino de Santiago in Spain

The realities of the camino and why it wasn’t like she imagined

Why it was a spiritual journey 

Challenges on the journey and wanting to quit

What do I need to do, to make this work

Finding moment of joy even through she physically struggled 

Wanting to be alive 

Being realistic about adventures and challenges

Handing the frustrations and challenges 

The next adventure…. And having multiple options

Recovery after the camino

How to connect with Risa

Final words of advice and wisdom for other women who are going through a tough time

Ask yourself ‘what CAN (Capable - Able - Now) I do’

  Social Media

Website: www.risaaugust.com

Instagram: @risaunleashed

Facebook: @risaunleashed

Linktree: https://linktr.ee/risaaugust

Substack: @risaunleashed

Book: The Road Unpaved: Border to Border with a Brain Tumor and a Bike.

  Check out this episode!

[pennsylvaniamedicalcard]

How to Apply for a Medical Marijuana Card in Pennsylvania: Benefits and Key Information

In Pennsylvania, medical marijuana has been legal since 2016, providing relief for patients with qualifying conditions. However, recreational marijuana remains illegal, which means if you're an adult resident seeking to use cannabis for therapeutic reasons, you'll need to apply for a medical marijuana card in Pennsylvania. This card opens the door to legal cannabis access in the state, and understanding how to apply can make the process smoother.

In this article, we'll break down the steps to apply for a medical marijuana card in Pennsylvania and highlight the many benefits of doing so, especially since recreational marijuana remains off-limits.

Recreational Marijuana vs. Medical Marijuana in Pennsylvania While neighboring states such as New Jersey, Delaware, Maryland, Ohio, New York, and Virginia have legalized recreational cannabis, Pennsylvania is yet to join the ranks. Adult-use marijuana is still illegal in Pennsylvania, and it's important to note that transporting marijuana across state lines, even from states where it is legal, is a federal offense. This leaves medical marijuana as the only legal pathway to access cannabis in Pennsylvania.

Benefits of a Medical Marijuana Card in Pennsylvania Acquiring a medical marijuana card in Pennsylvania provides several important benefits:

Legal Access to Medical Cannabis: With a medical marijuana card, you can legally purchase cannabis products from any licensed dispensary in Pennsylvania. This access allows you to obtain various forms of cannabis, including tinctures, oils, pills, and vaporizable forms of flower.

Higher Potency Products: Medical marijuana patients have access to cannabis products that are typically more potent and effective than those found on the black market. This ensures you get the proper dosage and the right strain to manage your symptoms.

Access to Expert Guidance: Dispensaries in Pennsylvania employ trained staff who can offer advice on the best strains, forms, and dosages for your specific medical condition. This type of guidance is essential for first-time users or those new to medical cannabis.

Legal Protection: Holding a valid medical marijuana card offers legal protection against penalties for possession and use of cannabis within state limits. As long as you follow the state’s guidelines, you won’t face legal repercussions.

Purchase Limits and Supply: Medical marijuana patients in Pennsylvania can legally purchase and possess up to a 30-day supply of cannabis at any given time, ensuring you have enough medication without frequent trips to the dispensary.

How to Apply for a Medical Marijuana Card in Pennsylvania The process of obtaining a medical marijuana card in Pennsylvania is straightforward, but you need to follow each step carefully to ensure approval. Here’s what you need to do:

Register with the Pennsylvania Medical Marijuana Program To start the process, you’ll need to visit the official Pennsylvania Medical Marijuana Program website and create an account. Make sure to have a valid PA driver’s license or state ID on hand, as this information will be required to confirm your residency. During registration, you’ll also be asked to provide some basic personal information, including your contact details.

Get Evaluated by an Approved Physician Once you’ve registered, the next step is obtaining a certification from a physician approved by the Pennsylvania Department of Health. You must have a qualifying medical condition to receive this certification, and the doctor will review your medical history to determine if medical marijuana is appropriate for you.

Some qualifying conditions include:

Chronic pain

PTSD

Anxiety disorders

Cancer

Epilepsy

Crohn’s disease

Multiple sclerosis

Make sure to ask your doctor any questions you might have about cannabis treatment to better understand how it can benefit your specific condition.

Pay for Your Medical Marijuana Card Once your physician submits your certification, you’ll need to return to the online patient portal and complete the application by paying the annual fee. Currently, the fee is $50, although discounts are available for patients who participate in Medicaid, PACE/PACENET, CHIP, or other state assistance programs.

Receive Your Pennsylvania Medical Card After your payment is processed, your medical marijuana card will be mailed to you. You can then use this card to purchase medical cannabis from licensed dispensaries throughout the state.

Key Considerations for Medical Marijuana Cardholders in Pennsylvania While holding a medical marijuana card in Pennsylvania gives you access to legal cannabis, there are still some restrictions you need to keep in mind:

You Cannot Transport Marijuana Across State Lines: Even though recreational marijuana is legal in nearby states such as New Jersey, New York, and Maryland, crossing state lines with cannabis remains illegal under federal law.

No Smoking: In Pennsylvania, smoking marijuana is not permitted. However, patients can use vaporization products, tinctures, oils, or edibles to receive their medication.

Employment Protections: Employers in Pennsylvania are not permitted to discriminate against employees solely based on their status as a medical marijuana patient, although certain positions may require adherence to drug-free policies.

Why Now is the Time to Apply for a Medical Marijuana Card Given that recreational cannabis remains illegal in Pennsylvania, and crossing state lines with cannabis from states where it's legal could lead to serious legal consequences, applying for a medical marijuana card is the best option for legal access to cannabis. With this card, you can safely obtain the products you need to manage your medical conditions without fear of prosecution.

If you are considering applying, make sure to do so through the proper channels and with the guidance of a certified physician. You’ll not only benefit from legal protection but also gain access to a wide range of cannabis products that can significantly improve your quality of life.

[mypositiveoutlooks]

6 natural ways to improve your gut health and enhance your well-being

If you frequently experience stomachaches, tiredness, or skin issues, it could be a sign that you need to improve your gut health. Gut health involves good digestion, a balanced mix of beneficial bacteria, and a strong immune system. According to Forbes, it impacts overall health, stress management, and chronic disease. Ohio State University Wexner Medical Center experts note that diet, behavior,…

[ohiopsychiatricservices121]

Dr. Raj Fatehchand MD, FACP Physician-Primary Care, Internal Medicine and Addiction Medicine

Many primary care visits in the United States are related to behavioral health needs, and many common medical problems seen in primary care involve poor health habits that may initiate excessive weight, all perpetuating symptoms and poor functioning.

Dr Raj Fatehchand, MD, Board-certified and trained is now available by appointment at Ohio Psychiatric Services for our registered patients, should they require urgent primary healthcare services.

Dr Raj Fatehchand serves to provide consultation visits for our patients and to answer questions regarding medical clearance for TMS and Esketamine (Spravato) services if needed. He is available to assist, navigate and educate our patients on good health; preventing diseases by identifying risk factors, coordinating with our patients’ regular primary care physician on managing chronic diseases and maintaining optimal health and advocating for patients by coordinating the use of the entire healthcare system to benefit them.

[dranshulgupta]

Transform Your Health with AnshulGuptaMD: Your Partner in Functional Medicine

At AnshulGuptaMD, we believe in a holistic approach to healthcare that addresses the root causes of disease, not just the symptoms. Dr. Anshul Gupta, a renowned Functional Medicine Doctor in Ohio, is dedicated to guiding you on a transformative journey toward optimal health and well-being. Functional Medicine Doctor OH

Functional medicine is a patient-centered approach that focuses on identifying and addressing the underlying factors that contribute to chronic illness. Unlike conventional medicine, which often treats the symptoms, functional medicine looks deeper to understand how and why illness occurs and restores health by addressing the root causes of disease for each individual.

At AnshulGuptaMD, we offer a comprehensive range of services tailored to meet your unique health needs. Dr. Gupta combines advanced diagnostic techniques with personalized treatment plans to create a roadmap for your health journey. Whether you are struggling with autoimmune diseases, thyroid disorders, gut health issues, or chronic fatigue, our goal is to help you achieve sustainable health improvements and vitality.

Our process begins with an in-depth consultation to understand your medical history, lifestyle, and health goals. We utilize state-of-the-art diagnostic testing to uncover hidden imbalances in your body. Based on these insights, Dr. Gupta crafts a personalized treatment plan that may include nutritional guidance, lifestyle modifications, stress management techniques, and natural supplements to support your body's innate healing capabilities.

At AnshulGuptaMD, we are committed to empowering you with the knowledge and tools needed to take control of your health. We believe that true healing comes from understanding and addressing the intricate connections between your mind, body, and environment.

Experience the difference that a functional medicine approach can make in your life. Join us at AnshulGuptaMD, and embark on a journey towards renewed health and vitality. Contact us today to schedule your consultation and take the first step towards a healthier, more vibrant you.

For More info: Functional Medicine Doctor Houston

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[ultimatecarepharmacyllc]

Early Warning Signs of Diabetes to Look Out For

Type-2 diabetes is one of the most common chronic conditions affecting adults worldwide. It can increase the risk of heart disease, kidney disease, vision & hearing problems, nerve damage, and many more.

[alliedcreation]

E-Textile Market Latest Industry Trend, Challenges, Strategy  2021 to 2030 

There have not been many commercial successes with e-textiles up to this point. This is attributed to the healthcare industry's unwillingness to invest in academic or research endeavors in favor of a wait-and-see attitude. Some manufacturers have substituted wellness/sports sector in its place, where repercussions of a false signal are significantly less severe.

However, with chronic diseases such as diabetes, heart disease, cancer, and respiratory disorders continuing to rise in many parts of the world, older populations living longer, and increase in the number of surgeries performed in important healthcare markets such as Europe and the U.S., e-textile developments are on the rise to utilize cutting-edge electronics and medical technology. In some clinical studies, smart clothing has demonstrated the ability to guard against infectious diseases, sense the wearer's health status, and aid in the prevention, treatment, and management of health.

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E-textiles must continue to evolve in terms of dependability, liability, and certification to overcome obstacles. Device producers and researchers face additional difficulties with regulatory approvals because getting FDA approval might take years. Then comes the challenge of receiving certification and permission from insurance companies. The development of the several smart clothing concepts that have been proposed would take three to five years. Many experts predict that this turning moment will occur around 2020.

University-level research shows great promise for the future of patient care technology among those creating e-textiles for the healthcare business.

The VTT Technical Research Center in Finland is working on an intriguing project where researchers have developed smart fabric that can be worn as clothing or blankets and determine whether a patient needs to be warmed or cooled based on initial data measured from person and environment. Thegear adapts to body's temperature during surgery, hence it might also be utilized by doctors who feel too warm during an operation.

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The ElectroScience Laboratory at Ohio State University is developing useful e-textiles that gather, store, or transmit digital information by weaving antennas into objects such as brain caps that sense brain activity to help treat conditions such as epilepsy or addiction. These antennas use platforms such as the Intel Edison development platform. Researchers are also developing a smart bandage that can communicate with a doctor about the state of surrounding tissue's healing without having to remove it.

While this is going on, researchers at the University of Bristol are developing soft robotic clothing that could prevent falls in people who are vulnerable by supporting them while they walk and provide bionic strength to people who need it to get from a sitting to a standing position or climb stairs. Nanotechnology, 3D printing, electrical stimulation, and full-body monitoring technologies are all used in creation of smart clothes. As per opinions of various researchers this technology could ultimately lead to potentially freeing wheelchair-bound people from having to use the devices.

The Empa research institute in Switzerland has developed a fitted cap that measures heart rates and is incorporating optical fibers into e-textiles to monitor skin circulation and avoid bed sores. Hospitals find the clothing to be perfect as it can endure a disinfecting wash cycle.

This technique, according to researchers, may one day be used to gauge tissue pressure, respiration rate, or oxygen saturation. To examine bodily fluids or gases, e-textiles could also be made into chemical or biological sensors such as those provided by Maxim Integrated. Based on a series of ultra-low power ARM® Cortex®-M microcontrollers from Maxim, ultra-low power and secure development boards are available. These ARM Cortex-M4F 32-Bit MCUs combine ultra-low-power, high-efficiency signal processing functionality with user-friendliness, making them perfect for the growing category of wearable medical and fitness applications. The integrated pulse oximetry and heart-rate monitor module from Maxim, the MAX30102 Pulse Oximeter & Heart-Rate Sensor, has inbuilt LEDs, photodetectors, optical components, low-noise electronics with ambient light rejection, and it also has low-power electronics.

Even though many of these research projects are progressing and working toward commercialization, new developments in microelectronics and high-tech fabrics are expanding the potential applications for healthcare-related e-textiles.

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Some of these concepts and early pilot projects include t-shirts that treat chronic back pain, shirts with stretch sensors to track respiratory rates in people with chronic lung disease, soft all-day belly bands to track fetal heart rate and uterine contractions in pregnant women, pressure monitor stockings for people with diabetes, or even a shirt that shocks people with severe heart problems.

According to some experts, shirts that monitor heart rate, blood pressure, oxygen saturation, and other metrics will eventually totally replace bedside monitoring in hospitals.

With the Google-Levi Project Jacquard commuter jacket for cyclists, the concept of using gesture detection in smart clothing has recently gained prominence. There are currently much more affordable and well-established technologies that will be difficult to surpass in the next five years, despite the fact that many experts believe gesture recognition could find its way into clothing for healthcare—possibly for use by paraplegics, elderly who have suffered strokes or heart attacks, or elderly in the home who fall.

It can be easily shrunk and does not require moving mechanical elements, haptic feedback, or the use of touch in a user interface design, hence holds a lot of potential for e-textiles. To engage a patient's muscles, haptic feedback, which can be anything from a slight tickle to a powerful force input, is employed in electric muscle stimulation (EMS). To stimulate muscle movements or for rehabilitation, smart clothing with haptic feedback technology might be worn on any region of the body at any hour of the day. Prototypes of haptic feedback-based projects, like those from Novasentis, are now being created for use in medical apparel and should be available later this year.

The e-textile market is segmented on the basis of type, product, application, functionality, and region. On the basis of type, the E-Textile Industry is bifurcated into classic electronics and modern electronics. By product, it is classified into passive, active, and ultra-smart. On the basis of application, it is categorized into defense, sports & fitness, healthcare, household textiles, fashion & entertainment, transport, protection & military, architecture and others. On the basis of functionality, it is classified into sensing, energy harvesting, luminescence & aesthetics, thermoelectricity, and others. Region-wise, theE-Textile Market is analyzed across North America, Europe, Asia-Pacific and LAMEA.

The players operating in the global e-textile market have adopted various developmental strategies to increase their E-Textile Market Share, gain profitability, and remain competitive in the market. The key players included in the E-Textile Market Analysis are- CARRÉ TECHNOLOGIES Inc., Chronolife., E. I. DU PONT DE NEMOURS AND COMPANY , INTERACTIVE WEAR AG, Mitsufuji Corporation, Myant Health , Outlast Technologies GmbH , sanSirro GmbH , Schoeller Textile AG, SENSING TEX, S.L. , Sensoria Inc. , SunstarTaiwan ENT. CO., LTD. , Tex-Ray Industrial Co., Ltd., TORAY INDUSTRIES, INC., Vista Medical Ltd., Vulpés Electronics GmbH, Xenoma Inc.

Key findings of the study

On the basis of product type, the classic electronics segment is projected to witness the major E-Textile Market Growth with the CAGR of 6.5%, in terms of revenue, during the E-Textile Market Forecast period.

On the basis of product, the ultra-smart segment E-Textile Market Size is expected to dominate the market from 2022 to 2031.

On the basis of application, the defense segment has the high E-Textile Market Trends and is expected to grow at a significant CAGR during the forecast period and has myraid E-Textile Market Opportunity.

On the basis of functionality, the sensing functionality segment dominated the global market in the 2021, with a E-Textile Industry share of more than 30%.

Region wise, Europe dominated the global market in 2021. This is attributed to expansion of new wholesale fabrics companies and surge in E-Textile Market Demand for apparel and textile machinery exports for e-textiles.

[fitlife360inc]

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We are offering you a complete 360° care with our fitness plans, exercises, disease management, and healthy routine.

[kidneyfoundationohio]

An Advocate for Kidney Patients

Elizabeth Oldham learned she had Chronic Kidney Disease (CKD) in 2018. Since then, she is learning everything she can in order to manage the disease. She knew she was at risk because of a family history of chronic disease, and her higher likelihood of developing CKD as a Black woman. However, Elizabeth lives a vegan lifestyle and is proactive in her healthcare journey, which she is hopeful will keep her from developing end-stage renal disease, and off dialysis, as long as possible.

Elizabeth attended a community health fair on behalf of Kidney Foundation of Ohio.

While attending an educational class at a dialysis unit, Elizabeth received a pamphlet from Kidney Foundation of Ohio. She was inspired to get more involved with our educational offerings and began attending learning series sessions and World Kidney Day events. Then, in 2022, she took a step further and became a volunteer, assisting in passing out resources at community health fairs.  

Elizabeth feels blessed to have more resources at her disposable than a lot of individuals with kidney disease, so she wants to give back to the kidney community. Aside from volunteering with KFO, her work has included helping to get the Living Donor Protection Act passed, writing articles for local news outlets, and serving on committees for national kidney organizations.

Elizabeth spoke in a video for Cleveland MOTTEP promoting COVID-19 vaccinations.

Since a very young age, Elizabeth and her family have been committed to community service, and education. Her passion for education on early disease detection is admirable, and we are thankful to have Elizabeth as a kidney patient advocate and volunteer. In her free time she is an avid reader who loves to collect old novels, go vintage shopping, and watch old classic films.

Interested in getting more involved as a volunteer for Kidney Foundation of Ohio? Contact Annette at afetter@kfohio.org or (216) 771-2700, or visit our website to learn what opportunities are available.

[atyourdoorhealth]

Address: 314 Agler Road, Suite B Gahanna, OH 43230

Phone: (614) 284-4114

Website: https://atyourdoorhealthcare.com/

Description: "At Your Door Visiting Healthcare Services was started in 2015 by Angela Hoff, DNP, APRN, CNP. We have created our excellent reputation by providing compassionate care to the senior population in Ohio (and currently expanding to other locations) for a variety of assisted living facilities, independent living facilities, skilled nursing facilities, and memory care communities. Our professionalism, experience, and attention to detail, including highly responsive communication, have distinguished us from other visiting providers!

Our mission is to provide the highest quality care to all of our residents in order to allow them to age in place.

Each At Your Door provider is board certified and able to care for patients of all ages. Our trained providers will come to your facility and utilize our expertise to provide your community with the same care expected at any doctor’s office."

Keywords: healthcare, chronic disease management, transitional care, wound care, patient counceling

Hour: 24hrs

Facebook: https://www.facebook.com/atyourdoorhealthcare/

[howtogohealthy]

That’s because lots of Americans are following a special diet. On any given day, about one in six Americans reports eating a “special” diet, a new U.S. government study finds.

A special diet may be a diet to lose weight or one aimed at improving health, such as a lower-carbohydrate diet for someone with diabetes, or avoiding gluten for someone who has Celiac disease.

“About one-half of U.S. adults have diet-related chronic diseases, such as cardiovascular disease, high blood pressure or type 2 diabetes. Special diets are one way that many adults prevent, treat and manage such diseases,” wrote the research team led by Dr. Bryan Stierman. He’s from the U.S. National Center for Health Statistics (NCHS).

But if you’re healthy and don’t have a chronic illness, you probably don’t need a special diet, said registered dietitian Liz Weinandy. She works at the Ohio State University Wexner Medical Center in Columbus.

Even if you need to lose weight — as many Americans do — “dieting, in general, doesn’t work,” Weinandy said. “Diets usually do not lead to success in the long term because they don’t produce behavior changes. It’s better to look at your overall eating patterns: Are you eating a lot of highly processed foods? Do you eat lots of fruits and vegetables? And then try to develop healthier patterns,” she advised.

“That’s probably not the answer most people want to hear. It may seem too general to say follow a healthy pattern, eating mostly fruits, vegetables and whole grains while not eating too many processed foods. People may be looking for more specific rules and guidelines to follow. And the multibillion-dollar diet industry provides them,” Weinandy said.

The study found that more than 9% of Americans aged 20 and older were on a weight-loss or low-calorie diet. Just over 2% said they were following a diabetes diet, and another 2% said they were eating low-carb. Nearly 2% reported eating a low-fat or low-cholesterol diet. Read more

[trishmishtree]

[Current as of March 13, 2020]

Dr. Shahed (screenshot above) is an emergency department physician in Ohio who shared this post on Facebook. It’s an account of COVID-19 from the perspective of an ICU doc working on the frontlines in Seattle. Some of my laypeople-friends were sharing it around (and I’ve seen it floating around on twitter and various internet forums], but I noticed that it’s really dense and contains a lot of medical abbreviations and jargon, like it was meant more for other physicians and isn’t really useful for the average reader. So I thought I’d provide a translation for my non-medblr followers who are looking to stay informed. (If you want further clarification, feel free to drop me an ask)

***

This is from a front-line ICU physician in a Seattle hospital

This is his personal account:

We have 21 patients and 11 deaths since 2/28.

We are seeing patients who are young (20s), fit, no comorbidities, critically ill. It does happen.

US has been past containment since January

Currently, all of ICU is for critically ill COVID patients, all of med-surg [medical-surgical] floors are for stable COVID patients and end-of-life care, half of PCU [progressive care unit], half of ER. New Pulmonary Clinic offshoot is open for patients with respiratory symptoms

CDC is no longer imposing home quarantine on providers who were wearing only droplet-isolation PPE when intubating, suctioning, bronching, and in one case doing bloody neurosurgery. Expect when it comes to your place you may initially have staff home-quarantined. Plan for this NOW. Consider wearing airborne-isolation PPE for aerosol-generating procedures in ANY patient in whom you suspect COVID, just to prevent the mass quarantines.

We ran out of N95s (thanks, Costco hoarders) and are bleaching and re-using PAPRs [powered air purifying respirators], which is not the manufacturer’s recommendation. Not surprised on N95s as we use mostly CAPRs [controlled air purifying respirators] anyway, but still.

Terminal cleans (including UV light) for ER COVID rooms are taking forever, Environmental Services is overwhelmed. This is bad, as patients are stuck coughing in the waiting room. Recommend planning now for Environmental Service upstaffing, or having a plan for sick patients to wait in their cars (that is not legal here, sadly).

CLINICAL INFO (based on our cases and info from CDC conference call today with other COVID providers in US):

The Chinese data on 80% mildly ill, 14% hospital-ill, 6-8% critically ill are generally on the mark. Data [in the US] very skewed by late and very limited testing, and the number of our elderly patients going to comfort care. 

Being young & healthy (zero medical problems) does not rule out becoming vented or dead 

Probably the time course to developing significant lower respiratory symptoms is about a week or longer (which also fits with timing of sick cases we started seeing here, after we all assumed it was endemic as of late Jan/early Feb). 

Based on our hospitalized cases (including the not-formally-diagnosed ones who are obviously COVID – it is quite clinically unique), about 1/3 of patients have mild lower respiratory symptoms and need 1-5L NC [1-5 liters of oxygen per minute, via nasal cannula]. 1/3 are sicker, need face mask or non-rebreather. 1/3 are intubated with ARDS [acute respiratory distress syndrome]. 

Thus far, everyone is seeing: 

normal WBC [white blood cell] count. Almost always lymphopenic, occasionally poly [neutrophil]-predominant but with normal total WBC count. Doesn’t change, even 10 days in. 

Bronchoalveolar lavage: lymphocytic despite blood being lymphopenic. (Try not to bronch these patients; this data is from pre-testing time when we had several idiopathic ARDS cases) 

Fevers, often high, may be intermittent; persistently febrile, often for >10 days. It isn’t the dexmed, it’s the SARS2. 

Low procalcitonin; may be useful to check initially for later trending if you are concerned later for VAP [ventilator-associated pneumonia], etc.

Elevated AST/ALT, sometimes alkaline phosphatase. Usually in 70-100 range. No fulminant hepatitis. Notably, in our small sample, higher transaminitis [elevated AST/ALT] (150-200) on admission correlates with clinical deterioration and progression to ARDS. LFTs [liver function tests] typically begin to bump in 2nd week of clinical course. 

Mild AKI [acute kidney injury] (creatinine <2). Uncertain if direct viral effect, but notably SARS2 RNA fragments have been identified in liver, kidneys, heart, and blood.</li>

Characteristic chest x-ray: always bilateral patchy or reticular infiltrates, sometimes peri-hilar despite normal ejection fraction and volume down at presentation. At time of presentation may be subtle, but always present, even in our patients on chronic high dose steroids. NO effusions.

CT is as expected, rarely mild mediastinal lymphadenopathy, occasional small effusions late in course, which might be related to volume status/cap leak.

Note - China is CT'ing everyone, even outpatients, as a primarily diagnostic modality. However, in US/Europe, CT is rare, since findings are nonspecific, would not change management, and the ENTIRE scanner and room have to be terminal-cleaned, which is just impossible in a busy hospital. Also, transport in PAPRs, etc. 

2 of our patients had CTs for idiopathic ARDS in the pre-test era; they looked like the CTs in the journal articles. Not more helpful than chest x-ray. 

When respiratory failure occurs, it is RAPID (likely 7-10 days out from symptom onset, but rapid progression from hospital admission). Common scenario for our patients is: admit on 1L/min oxygen via nasal cannula. Next 12 hrs escalate to NPPV [non-invasive positive pressure ventilation]. Next 12-24 hrs → vent/proned/Flolan. 

Interestingly, despite some needing Flolan, the hypoxia is not as refractory as with H1N1. Quite different, and quite unique. Odd enough that you’d notice and say hmmm. 

Thus far many are dying of cardiac arrest rather than inability to ventilate/oxygenate. 

Given the inevitable rapid progression to ETT [endotracheal tube, aka intubation] once respiratory decompensation begins, we and other hospitals, including Wuhan, are doing early intubation. Face mask is fine, but if patients are needing HFNC [high-flow nasal cannula] or NPPV [non-invasive positive pressure ventilation], just tube them. They definitely will need a tube anyway, and no point risking the aerosols.

No MOSF [multi-organ system failure]. There’s the mild AST/ALT elevation, maybe a small creatinine bump, but no florid failure. Exception is cardiomyopathy.

Multiple patients here have had normal EF [ejection fraction] on formal Echo or POCUS [point-of-care ultrasound] at time of admission (or in a couple of cases, EF 40ish, chronically). Also normal troponins from emergency department. Then they get the horrible respiratory failure, sans sepsis or shock. Then they turn the corner, come off Flolan, supined, vent weaning, looking good, never any pressor requirement. Then over 12 hrs, newly cold, clamped, multiple-pressor shock that looks cardiogenic, EF 10% or less. Then either VT [ventricular tachycardia, aka V-tach] → VF [ventricular fibrillation, aka V-fib] → dead, or PEA [pulseless electrical activity] → asystole in less than a day. Needless to say, this is awful for families who had started to have hope. 

We have actually had more asystole than VT. Other facilities report more VT/VF, but same time course, a few days or a week after admission, around the time they’re turning the corner. This occurs on med-surg patients too. One today, who is elderly and chronically ill but with baseline EF preserved, became newly hypotensive overnight, EF <10. Already no escalation, has since passed. So presumably there is a viral cardiomyopathy aspect, which presents later in the course of disease.

Of note, no wall motion abnormalities on Echo, right ventricular function preserved, troponins don’t bump. Could be unrelated, but I’ve never seen anything like it before, especially in a patient who had been hemodynamically stable without sepsis.

TREATMENT:

Remdesivir might work, some hospitals have seen improvement with it quite rapidly, marked improvement in 1-3 days. ARDS trajectory is impressive with it, patients improve much more rapidly than expected in usual ARDS.

Recommended course is 10 days, but due to scarcity, all hospitals have stopped it when the patient is clinically out of the woods. None have continued >5 days. It might cause LFT bump, but interestingly seem to bump (200s-ish) for a day or 2 after starting, then rapidly back to normal, suggests this is not a primary toxic hepatitis.

Unfortunately, the Gilead compassionate use and trial programs require AST/ALT <5x normal, which is pretty much almost no actual COVID patients. Also CrCl [creatinine clearance] >30, which is fine. CDC is working with Gilead to get LFT requirements changed now that we know this is a mild viral hepatitis.

Currently the Gilead trial is wrapping up, NIH trial still enrolling, some new trial soon to begin, can’t remember where.

Steroids are up in the air. In China, usual clinical practice for all ARDS is high dose methylprednisolone. Thus, ALL of their patients have had high dose methylprednisolone. Some question whether this practice increases mortality.

It is likely that it increases secondary VAP/HAP [ventilator-associated pneumonia/hospital-acquired pneumonia]. China has had a high rate of drug-resistant GNR [Gram-negative rod] HAP/VAP and fungal pneumonia in these patients, with resulting increases in mortality. We have seen none, even in the earlier patients who were vented for >10 days before being bronch’ed (prior to test availability. Again, it is not a great idea to bronch these patients now).

Unclear whether VAP-prevention strategies are also different [in China vs US], but wouldn’t think so?

Hong Kong is currently running an uncontrolled trial of HC 100IV Q8 [hydrocortisone 100 mg IV every 8 hours].

General consensus here (in US among doctors who have cared for COVID patients) is that steroids will do more harm than good, unless needed for other indications.

Many of our patients have COPD on ICS [inhaled corticosteroids]. Current consensus at Evergreen, after some observation & some clinical judgment, is to stop ICS if able, based on known data with other viral pneumonias and increased susceptibility to HAP. Thus far patients are tolerating that, no major issues with ventilating them that can’t be managed with vent changes. We also have quite a few on AE-COPD [acute exacerbation of COPD]/asthma doses of methylprednisolone, so will be interesting to see how they do.

[fitlife360inc]

It is the lockdown time. Although restrictions are getting less strict, many people get feared to come out of their house because of virus exposure. At 360° Fit Life, we are offering fitness with social distancing. We have a vast 30,000 sqft area where you can maintain your fitness plans without any fear of the virus exposure. But those who want to maintain their fitness at home find it difficult to be as active as they are in the gym. They don’t have that equipment for their activities at their home. This makes them measurable. To help them out, we are mentioning some of the home gym equipment that you can easily afford and can easily store. Call to consult with our coaches on their weight programs and get a better tip for your health.

[it-management-consulting]

Author: Dr. Sri Gaddam (Doctor of Management), CEO, ERPA Group

The phrase “Internet of Things” was coined back in 1999 by MIT researcher Kevin Ashton. Since then, this phrase has evolved, and it now focuses on every type of item that has smart capabilities and which can be controlled in one way or another over the internet. Devices that are a part of the Internet of Things ecosystem usually have sensors that gather, share or store data that can be spread online.

 According to the Gartner research firm, there are roughly 10 billion smart, connected items that are a part of the Internet of Things ecosystem. These range from industrial robots to door locks, smoke detectors, toasters, smart cars, trains, heart monitors and so on. Mackenzie Global Institute estimated that the total Internet of Things market might reach $11.1 trillion by 2025.

Smart Cities

As technology evolves, cities will start adopting smart technologies naturally. Cities around the world are investing in “start city” initiatives to improve citizen services, traffic control, utility consumption and quality of life. Cities will start automating, collecting, and managing data remotely as taxis, bike rental stations and even surveillance systems will be interconnected. This will make it easier to track a person, but it will also offer more convenience and value for the user at the same time. We might even be able to eliminate gridlocks since cars will be interconnected and keep the right distance between one another.

Smart homes

We are still ways away from having a Jarvis, however houses are becoming a lot smarter. A Mackenzie study reveals that an adoption of Internet of Things applications in homes for chore automation, energy management, safety and security alone can make an economic impact of over $200 billion by 2025. The Internet of Things will help trim the average costs by monitoring devices and whenever something feels off, you will be required to repair it. That will trim the average maintenance costs and time up to 20%, sometimes even more than that. The Internet of Things my sound a great opportunity and very attractive to the consumers due to its enormous benefits in terms of ease of use, quality of life, efficiencies, and cost savings. However, in the short -term consumers may be hesitant to adopt Internet of Things based applications until they feel secure and comfortable to share their data and privacy.

Smart manufacturing

A Mackenzie study reveals Internet of Things applications in factory settings has a potential to create up to $3.7 trillion by 2025, as a result of using sensors data to remotely track, monitor and adjust machinery at different parts of the plants or even across plants. The robots are already playing a critical role in the factory automation, predictive maintenance, and operations optimization. Also, Internet of Things applications would allow machines to interact with one another, making it very simple to fully automate an entire production line. People would focus more on tracking problems and designing, as the manufacturing process will eventually become fully automated. Home robots will become a thing soon, and they will have full connectivity thanks to the Internet of Things. We can expect these to be autonomous and to provide us with ways to save time while still completing menial tasks. At first these robots will focus on a single task, but they will surely evolve in the long run.

Healthcare Internet of Things

We can expect patient data to be in the cloud and readily available on any doctor’s device as needed. Smarter medical devices facilitate remote monitoring and patients improved connection with the doctors, and the care of chronic diseases, and that alone can make a huge difference. Since most medical devices will be interconnected, it might reduce human errors and inefficiencies, we might even receive AI suggestions to what medical treatments will better serve a person. Internet of Things can play a key role in optimizing pharmacy research, clinical trials, and manufacturing, resulting in lower drug prices.

Privacy concerns

We will constantly pursue the idea of creating faster, better networks that support more IoT devices. Faster networks will help acquire and study data quickly, which means a much better user experience for any smart device. At the same time, the more devices are connected to each other and to the internet, the more personal privacy, confidentiality, and integrity of data concerns appear. Something like this means a lot of people will be worried that their personal data will be stolen or accessed by unlawful people. Most importantly, IoT concerns about cybersecurity introduces new risks associated with home security systems, personal data theft, disrupted health monitors, attack on power grids, etc., can create massive economic harm and threats to human health and safety. The consumers may not be able to adopt IoT systems unless they believe that their data is safe and secure form the cyber security breaches.

Conclusion

The future is bright, and we believe that the Internet of Things will have a great impact on all of that. Does Internet of Things have the potential to really change our lives? Absolutely, but this also comes with its fair share of challenges. We believe that eventually the Internet of Things will help us improve the way we work and live, however we still need to monitor it and not leave everything under its control. Technology can be a great thing, but it can also be dangerous. That is why the smart thing to do is to bring in the Internet of Things technologies gradually into the mix, test them and then make them public. The potential is amazing, but a cautious implementation will help keep things safe for everyone!

About the author

Dr. Gaddam is a seasoned entrepreneur who launched three successful technology companies in the last seventeen years. Dr. Gaddam’ s greatest accomplishment lies in raising ERP Analysts, Inc. from a two-person organization to eighty-five million firms. ERP Analysts, Inc. has been recognized as one of the fastest-growing companies by Inc. 5000 for ten years, Deloitte Fast 500, & Business First Fast 50 for several years. ERP Analysts is recognized as a “Best Places to Work” in Ohio for several years (erpagroup.com). Dr. Gaddam graduated the Doctor of Management (DM) from Case Western Reserve University, MBA from the Ohio State University, and the Owner/President/Management program (OPM 43) from Harvard Business School. He is the author of the book “Destination Success: Discovering the Entrepreneurial Journey” and also co-author of “Roadmap to Success,” with Deepak Chopra, Ken Blanchard, and other entrepreneurial leaders.

[justforbooks]

"STORMY WEATHER" WITH MR BILL ROBINSON! 

Bill Bojangles Robinson (May 25, 1878  November 25, 1949) was an American tap dancer and actor of stage and film. Robinson was born in Richmond, Virginia to Maxwell, a machine-shop worker, and Maria Robinson, a choir singer. He was raised by his grandmother after both parents died when he was an infant—his father from chronic heart disease, and his mother from natural causes. Details of Robinson's early life are known only through legend, much of it perpetuated by Bill Robinson himself. He claims he was christened "Luther"—a name he did not like. He suggested to his younger brother Bill that they should exchange names. When Bill objected, Luther applied his fists, and the exchange was made. At the age of six, Robinson began dancing for a living, appearing as a "hoofer" or song-and-dance man in local beer gardens. He soon dropped out of school to pursue dancing as a career. In 1886, he joined Mayme Remington's troupe in Washington, DC, and toured with them. In 1891, at the age of 12, he joined a traveling company in The South Before the War, and in 1905 worked with George Cooper as a vaudeville team. He gained great success as a nightclub and musical comedy performer, and during the next 25 years became one of the toasts of Broadway. Not until he was 50 did he dance for white audiences, having devoted his early career exclusively to appearances on the black theater circuit. In 1908 in Chicago, he met Marty Forkins, who became his lifelong manager. Under Forkins' tutelage, Robinson matured and began working as a solo act in nightclubs, increasing his earnings to an estimated $3500 per week. The publicity that gradually came to surround him included the creation of his famous "stair dance" (which he claimed to have invented on the spur of the moment when he was receiving an honor from the King of England, who was standing at the top of a flight of stairs; Bojangles' feet just danced up to be honored), his successful gambling exploits, his bow ties of multiple colors, his prodigious charity, his ability to run backward (he set a world's record of 8.2 seconds for the 75-yard backward dash) and to consume ice-cream by the quart, his argot—most notably the neologism copacetic , and such stunts as dancing down Broadway in 1939 from Columbus Circle to 44th St. in celebration of his 61st birthday. Because his public image became preeminent, little is known of his first marriage to Fannie S. Clay in Chicago shortly after World War I, his divorce in 1943, or his marriage to Elaine Plaines on January 27, 1944, in Columbus, Ohio.

Daily inspiration. Discover more photos at http://justforbooks.tumblr.com