#endeavor otc

[copperbadge]

Endeavor OTC game for ADHD

antidoteforreality

is it really different from a standard FPS game? I’m curious about it!

Hope it's okay that I popped this into its own post, I found I had a lot to say :D

Context from the earlier post: EndeavorOTC is a paid app based on EndeavorRX, which is a prescription game for kids with ADHD. RX is FDA-approved; OTC is the version that hasn't gone through FDA approval, but it's a fork of the same code. It's fairly repetitive but that's because it's a training module shaped like a game, not a game that happens to do training.

It's less of an FPS and more of an infinite runner, like Sonic Dash or Temple Run. You're in a little ship that flies along a waterway, and you're supposed to hit "energy fields" which help you speed up to catch a critter you're chasing. You can't control your speed; you tilt your device to swerve left or right to hit the energy fields, but that's it. This is the "Steering" skill.

Your other, simultaneous task is to shoot critters that jump out of the water at you, called "targeting". It's a misnomer since you don't tap ON the creatures, you just tap anywhere on the right side of the screen and it shoots them for you, no aim required. These critters come in three colors, and at the start of every mission they tell you only ONE color to shoot. If you shoot the wrong color or miss an energy field while steering, you slow down very slightly. The goal is to speed up so fast that you catch the critter you're chasing, which is, to be fair, quite challenging.

You aren't ever penalized, really; the critter sometimes gets away, but you get points for trying. You don't have "lives", but you are time-limited -- once you've played for 25 minutes (a "dose"), the game locks down for the rest of the day. Something I REALLY like is that once you've paid the subscription price there's nothing else to buy: no ads to watch for bonuses, no microtransactions, no loot crates. You can earn coin to buy different outfits for your avatar, but that's it, and you can't buy coin, you just get a set amount per day for completing the dose. Every 15 missions or so, your ability to steer-target is evaluated and your score adjusted, which lets you know how you're progressing in terms of treatment, rather than skill at the game. You're supposed to play at least five days a week for six weeks as an initial treatment.

The reason I was willing to give it a shot was that the "targeting" aspect is based on the Go/No-Go Task, which is a legit tool they use in ADHD testing, and the aspect of the test I bombed the hardest when I was evaluated. Ongoing Go/No-Go task training has been shown in some research to help emotional regulation, although it's cognitive and not mindfulness. Overall the game is meant to improve focus but it was the Go/No-Go aspect that I found most compelling as a reason to try.

It's not cheap; you can get a 7-day trial but only if you pre-emptively subscribe, and if you don't cancel the subscription at the end of the 7 days you are charged $130, which I admit is a sneaky move to pull on a population not known for remembering to cancel subscriptions. The first thing I did after signing up was go to google play and cancel the subscription -- I still got to keep the trial -- but honestly when my trial is up I'll probably subscribe, it's a fun little game and I'm willing to risk the money to see if it helps (but I'm also in a position to spend $130 "just to see"). You can also do month-to-month for $25 but obviously the $130 yearly sub is much cheaper in the long run.

I've seen a wide variety of reactions to it, from delight to frustration, although a lot of the frustration seems to be from people who are more accustomed to intense gaming and are treating it like a video game and not a training tool. I'll keep you guys posted on how it goes.

[spaceysoupy]

Oh boy folks it gets worse! This is a long post, if you want the TLDR you’ll have to scroll. There is so much to go through as to why this is bad and this is only surface level research that I fear goes much, much deeper.

Here’s an endeavor OTC user who says you get charged the yearly subscription fee if you forget to cancel your 7 day free trial.

Not the monthly subscription fee, which is already bad enough at $24.99 a month, but $129.99 is automatically taken out of your bank account if you forget to cancel your trial in 7 days.

You know what else you can get for that price? Two months of methylphenidate using goodrx, with room to spare!

Now I could understand charging the monthly subscription fee at the end of the free trial, even if I think that practice sucks already, but most subscription based apps and subscriptions in general do that already. But they always charge the lowest end of the price range they offer. There is absolutely no reason why an app designed for adults with ADHD should be charging $130 dollars immediately after your free trial ends. None.

If that doesn’t scream “we made this to pump money out of a desperate class of people who increasingly cannot access the medication they need and are known to have impulse issues and forgetfulness when it comes to money” I don’t know what does.

But don’t take my words for it, look at theirs!

Endeavor OTC claims that 83% of participants saw clinical improvement in their ability to focus and 73% reported quality of life improvements within a 6 week study

Most adhd medication takes at minimum a few weeks to a few months to get the dosage settled and for lasting improvement to show.

As you can see here the median trial length for ADHD drugs for children was 4 weeks, with the majority not approved until 6 or more months.

And that’s just to 1) make sure the drug doesn’t immediately kill the kid and 2) make sure there’s some sort of desirable effect

And frequently these companies have seen criticism from medical professionals that these trials still aren’t long enough and don’t accurately study the long term effects of these medications.

So how is 6 weeks enough time to say that your mobile game can efficiently treat ADHD at a similar or greater level than ADHD medication?

It’s not, but the developers sure want you to think so!

You see they assign a number to Your Focus and Bigger Number means you’re Doing Better. I haven’t found any information as to how this score is calculated, but based on this description of the gameplay—because I refuse to play it myself and legitimize predatory company practices—we can assume that it calculates your speed, steering accuracy, timing, and maybe simultaneous task performance

So, basically any video game that monitors your progress, and consistent with skill progression in any video game as you get used to the controls and difficulty.

That 73% of adults reporting quality of life improvement can also be explained by the brain getting dopamine for playing A New Game that gives you Rewards, also making you feel good because yay, I’m finally doing something about my adhd! I’m gonna get better from this alone, right? Right!?

Even further worrying is the language they use surrounding the app. It isn’t a mobile game that may improve adhd, it’s “adhd medication” and it’s not a “session” but a “dose.” This is preying on both the already disturbing trend of anti-medication influencers and the adhd medication shortage. ADHD adults, suddenly without medication they relied on to function, desperate to try anything that may help them survive in a society that is not built for them. And if you’re not seeing improvement, well maybe you’re just haven’t played enough? Oh, sorry, “had enough doses.” Or if you don’t see improvement after a few months you have to keep playing and keep paying each month because surely it’s just a plateau, right.

This is already shitty enough for me to hate it with a passion, but hold on to your hats folks because it gets worse!

Let’s take a look at their study for the 85% focus improvement and 78% increased productivity cited figures.

Now, it’s a bit strange that they’re not citing the actual paper name or linked it in their description, but given that they’ve given the journal name and researchers, I can actually find it pretty easily. Hm, that name seems familiar…

Here we see that the name of the study is “A Single-Arm Pivotal Trial to Assess the Efficacy of Akl-T01, a Novel Digital Intervention for Attention, in Adults Diagnosed With ADHD”

“But Nebs, why is that important?” You might ask.

Because it has to do with how the study is run.

A single-arm trial is the simplest trial design you can possibly have. It’s where you take a small sample of individuals with the targeted medical condition, give them the therapy, and follow them over time to observe their response.

“This design is employed when the objective of the trial is to obtain preliminary evidence of the efficacy of the treatment and to collect additional safety data, but is not generally used as confirmation of efficacy. The design may be desirable when the available patient pool is limited and thus it is not optimal to randomize many participants to a control arm.” -Clinical trial structures Scott R. Evans, Ph.D.

Already off to a bad start, single-arm trials rarely confirm efficacy—i.e the ability to produce a desired result, efficiency—because they have several limitations, including, but not limited to: inability to distinguish between effect of the treatment and placebo affect, the effect of natural history, and no frame of reference.

The most basic thing we learn about in high school science class—control groups—and they had none. No people with ADHD symptoms without formal diagnosis trying the app, no people without adhd trying the app, no people with ADHD not trying the app, no comparison to general skill progression of any other mobile game not “designed for ADHD”

Oh but don’t worry, it still gets more shady!

Remember this guy?

Scott Kollins, PhD, chief medical officer. Of what? Oh don’t worry, just the company that makes the game! Which he was announced to have joined December 1, 2022, nearly a full year before the study was published.

According to LinkedIn, Caitlin A. Stamatis, one of the other names on the publication, is also the Director of Medical and Scientific affairs for Akili.

The third and last name on the publication, Catherine Mercaldi, is, surprise surprise, the Director of Biostatistics for Akili Interactive.

Looking into Akili Interactive’s financials and we find even more weird (but not illegal, I should say) things, like the fact that David Baszucki, the CEO of Roblox is an investor. Or the multiple venture capital companies that seem to be investing in and only investing in this company.

EndeavorOTC gleaned 126,000 first-time downloads, 4,200 active users and an average of $81.88 per user from June 6 to Sept. 5, 2023, the first three months it was available on the Apple App store.

Further, the app had a 67% two-month retention rate, according to the release. Akili made $341,000 during those three months.

So yeah, clearly effective for them to them to make money.

And yet Akili is laying off 30% and 40% of its staff multiple times a year and their 10-K form does not seem to reflect the reported efficacy of this “treatment.”

Aside from the predatory and shady business practices, poorly designed studies and aggressive marketing, the gameplay itself does not seem to be helpful.

A quick look at the reviews on the iOS App Store shows a concerning amount of comments—even those who rated in favor of the app—who have trouble with the sensitivity of the controls, and even ended up with wrist pain after just a few “doses.”

Another reviewer states that despite the app coming with an epilepsy warning, there is no mention of motion sickness.

This may be one of the ADE’s (adverse drug events) that 5% of participants reported in the study, but we cannot know for sure considering the study doesn’t even report what they were.

This game comes with an epilepsy a warning, but says nothing about motion sickness. I really wanted this treatment and the help it could provide, but playing it made me feel physically sick despite wearing a ReliefBand. I'd love to try it again if they develop a different game mechanism, but cannot use it in the current state. - Sep 22, 2023 rihyzy

An even more concerning review by Drewzer93 on Sept 25th suggests even more predatory marketing practices

I started to download this app and canceled the download. Well today I looked at my Facebook and somehow they were spamming my friends on Facebook messenger pretending to be me with their game adds. I changed my password to Facebook but I'm afraid they have my account information and are going to continue to send adds to my friends and the same will happen to them. People need to be warned.

Other poor reviews mention that gameplay is impossible if you are colorblind, detrimental if you have migraines or motion sickness, and creates joint pain from the amount of phone manipulation needed to “steer.”

And remember that thing I warned about before, how they charge $130 at the end of your 7 day free trial? Well turns out they don’t even wait that long!

I was just charged $130 after only 6 days when they say you get a week free. I was under the impression I had 7 days to cancel, not 5. This is intentionally misleading. The day even said the 24th was when I would be auto renewed however today is the 23rd. I was charged at 4pm so it's not like it was close to midnight or anything. I will be reaching out to Apple as this is unacceptable.

Yikes! The reviewer goes on to mention how it doesn’t even have reminders that your free trial is ending, something that is standard with subscriptions and easy to implement.

So clearly something is wrong here. We have

Efficacy studies that are single armed

Mislabeled and misleading study titles

Studies with conflict of interest not disclosed and entirely funded by the company creating the “treatment”

Predatory subscription practices that rely on you forgetting to cancel your subscription

A subjective, at best, measure of focus and attention that can be compared to skill progression of normal video games

A focus (hah) on ADHD symptoms that are widely reported to *not* be the biggest concern for people with ADHD

Description of a non-drug treatment as “medication” that “should be compared to leading ADHD medication” without actually comparing the two

A reliance on anti-medication culture to sell

A reliance on misleading ads to sell

The CEO of Roblox, widely criticized for its predatory business practices that do uniquely target kids with ADHD, being an investor in this company. What.

Strange discrepancies with insider trading, reported profits and employee retention

A “treatment plan” that cannot be adjusted according to user needs, is not monitored by a medical professional,

No guarantee in spoken or written format that even more predatory business practices such as buying coins, buying more plays, loot crates, etc won’t be added.

In fact, it is likely that the addition of a shop to buy outfits for your character and coins that you can only get by completing “doses” means that this will be implemented, like every other FTP game that ends up purely as a money grabber.

An inaccessible game for those people with ADHD who may also have epilepsy, migraines, motion sickness, vision loss, joint pain, mobility issues, autism, sensory procession disorder, or any other condition that may cause overstimulation

TLDR; this app sucks. Endeavor OTC sucks, Akili Interactive, Akili Labs, Akili inc sucks, this is not an effective treatment for ADHD and it certainly isn’t ADHD “medication.” anti-medication agendas suck, their research sucks, you should not give your money to this company, you should not try the free version, there is no evidence that it works any more than any dopamine creating mobile game with multiple tasks, and more evidence that is detrimental to you. You might as well play something actually fun that is FTP with no in app purchases, since they even admit in their own advertising that it’s not the most fun game, and only the “most fun medication to take.”

Every time I see that fucking endeavour otc thing that is literally a fucking mobile game that claims to BE ADHD MEDICINE I fucking lose it like say you don’t actually listen to adhd folks about what struggles and symptoms affect us the most without saying it.

[rom-e-o]

Despite being an 1840s character, Connie is definitely based on Gibson Girl archetypes.

Queen Victorian, (of "Victorian, England") (1837-1901) considered make-up to be "rude and impolite". This created a disdain for make-up across England, at least, during this time period. Make-up artist Erin Parsons compared it to the "clean girl" make-up and I....can never unhear that. OBVIOUSLY, back then, Victorian England called for skin to be scrubbed clean, and anything else was pretty frowned upon, to my understanding.

On the other side of the pond in America, things shifted greatly. By the mid-1890s (still the Victorian Era in England) Gibson Girls were the thing. The term was coined from illustrations by Massachusetts-born and New York-residing artist Charles Dana Gibson in an endeavor to depict American women of the late 1800s and onward into the 1910s, around the end of the Edwardian Era and riiiight before the start of WWI. More ample bosoms/hips, hair piled high, and make-up!

These women were seen as more progressive (well, for the time - the suffrage movement hadn't occurred yet, and this is still very much a fashion magazine aesthetic). But it was a big deal.

GGs were athletic (ladies started playing cycling and play ball games more often), sought out careers and even went to university! They were also portrayed as dominant figures in the rituals of courtship and marriage.

Miss Langtree from OTC is super GG-coded (no wonder I like her.)

Fun fact: Charles Gibson also did some sketches and art for some notable Victorian works. Namely, stories by Charles Dickens, including "A Christmas Carol." Because of course.

So yeah, Connie is much more Gibson Girl-coded than traditional "Victorian."

That's the TED talk.

[asknarashikari]

the flick to the forehead in this gif is so cute https://heretherebedork.tumblr.com/post/750088294175588352/learn-to-lean-on-me-and-he-did-very-fast

----

What if Keiwa comes home sick... would Neon be able to do the things in the gifset?

Would she be able to cook something up for Keiwa as he's recuperating from sickness?

Honestly, I think she's gonna need help if he passes out at the door. If only because Keiwa is way taller than she is and probably weighs a good bit more, so trying to carry him anywhere when he's semi- or unconscious dead weight would be... an endeavor for her, to say the least.

Everything else though, I think she can manage. A nearby kombini or drugstore would probably have everything she needs to take care of him, like OTC meds, fever patches, light food, etc.

Also, a common food people eat when they're sick is okayu (rice porridge). Japanese rice cookers often have a dedicated setting for that so they just put the rice and appropriate amount of water in it, press the button and leave it to cook. Then they top it with stuff like scallions, umeboshi, raw egg (safe to eat in Japan), etc. I think she can manage that alright.

[god-trauma]

it's cool that they made narcan otc but it should really be free. anything that depends on junkies having money for non heroin purchases is a risky endeavor. most people are gonna be thinking about how much dope they could buy with that money and be like fuck it lets roll those dice

[hawksforex]

Navigating the Dynamic World of Forex Stock Exchange with Confidence

The world of finance is dynamic and ever-evolving, with investors seeking opportunities in various markets. One such avenue that has garnered widespread attention is the forex stock exchange. This global marketplace, where currencies are traded, provides a platform for investors to engage in the exchange of currencies and capitalize on fluctuations in exchange rates.

At the heart of the financial world, the forex stock exchange operates 24 hours a day, five days a week, spanning different time zones around the globe. This continuous operation allows for seamless trading and provides investors with the flexibility to respond to economic events and news in real-time. The key players in this market include central banks, financial institutions, corporations, and individual traders, all contributing to the vast liquidity and volatility that characterizes the foreign exchange market.

For those looking to participate in the dynamic world of the forex stock exchange, an essential tool is an online forex trading platform. This digital gateway connects traders to the global currency market, offering a user-friendly interface and a suite of tools for analysis and execution. These platforms provide real-time quotes, charts, and news updates, empowering traders to make informed decisions and execute trades swiftly.

The decentralized nature of the forex stock exchange makes it unique. Unlike traditional stock exchanges, the forex market operates over-the-counter (OTC), meaning there is no central exchange or physical location. Instead, trading occurs electronically, facilitated by a network of banks, brokers, and financial institutions. This accessibility ensures that traders can engage in forex trading from virtually anywhere in the world.

The popularity of the forex stock exchange can be attributed to its potential for significant returns. The market's liquidity and the ability to leverage positions allow traders to magnify their exposure to currency movements. However, it is crucial to note that the potential for high returns comes with inherent risks. It is advisable for traders to approach the forex market with a solid understanding of the factors influencing exchange rates and a well-thought-out risk management strategy.

In conclusion, the forex stock exchange offers a dynamic and accessible avenue for investors seeking opportunities in the global currency market. With the aid of advanced online forex trading platforms, individuals can navigate this complex market with confidence, armed with real-time information and tools to execute trades effectively. As with any financial endeavor, it is essential for participants to stay informed, exercise caution, and continuously enhance their understanding of the intricacies of the forex market.

[goldenpharma]

Golden Pharma Ltd: Pioneering Healthcare in South Sudan

In the dynamic landscape of healthcare in South Sudan, Golden Pharma Ltd emerges as a notable player in the pharmaceutical industry. This article explores the key aspects of Golden Pharma Ltd and its contributions to the healthcare sector in South Sudan.

Overview of Golden Pharma Ltd

Golden Pharma Ltd is a pharmaceutical company dedicated to providing high-quality healthcare solutions to the people of South Sudan. Established [insert year], the company has rapidly grown to become a trusted name in the region.

Vision and Mission

Vision:

To be a leading provider of pharmaceutical products, contributing to the health and well-being of the South Sudanese population.

Mission:

To develop, manufacture, and distribute pharmaceuticals of the highest quality, ensuring accessibility and affordability for all segments of society.

Product Portfolio

Golden Pharma Ltd boasts a diverse product portfolio that encompasses a wide range of pharmaceuticals, including:

Generic Medicines: Affordable alternatives to branded medications.

Over-the-Counter (OTC) Products: Non-prescription medications for common ailments.

Specialty Medications: Targeted treatments for specific health conditions.

Vaccines: Contributing to public health through immunization.

Quality Assurance

Golden Pharma Ltd places a strong emphasis on quality assurance. The company adheres to international standards in its manufacturing processes, ensuring that each product meets stringent quality benchmarks. This commitment to quality is reflected in the certifications and approvals obtained by the company.

Community Engagement

Beyond its commercial endeavors, Golden Pharma Ltd actively engages with the local community. Initiatives may include health awareness campaigns, support for healthcare infrastructure, and collaborations with healthcare professionals to address specific health challenges in South Sudan.

Future Outlook

As Golden Pharma Ltd continues to grow, its future outlook involves expanding its product range, embracing technological advancements in pharmaceuticals, and contributing to the overall improvement of healthcare infrastructure in South Sudan.

Conclusion

Golden Pharma Ltd stands as a beacon of innovation and commitment in the South Sudanese pharmaceutical landscape. With a focus on quality, accessibility, and community engagement, the company plays a crucial role in advancing healthcare and well-being in the region.

Disclaimer: Please note that the information in this article is generic and may not accurately reflect the specifics of Golden Pharma Ltd. For precise details, it is recommended to refer to official company sources or contact Golden Pharma Ltd directly.

[ailtrahq]

In light of a surge in illicit activities associated with the over-the-counter (OTC) crypto trading market, South Korea is increasing its regulatory scrutiny. Financial regulators in this tech-forward nation are actively delving into the largely unregulated domain of OTC crypto trading in the Asian country. The report claims a sense of urgency to establish concrete regulatory measures amid mounting concerns regarding possible abuse in money laundering and other illegal endeavors.  Increasing Pressure On OTC Crypto Exchanges In a discussion titled “Criminal Legal Issues Related to Virtual Assets,” key regulatory authorities such as Deputy Chief Prosecutor Ki No-Seong and the Financial Services Commission’s Park Min-woo emphasized the potential dangers of the unregulated OTC crypto sector, according to local news sources. Mr. Ki No-Seong emphasized the critical nature of regulating alleged illicit OTC crypto entities. These companies, often operating from foreign territories, facilitate unauthorized conversion of virtual currencies into the Korean won or other global currencies, according to No-Seong. The predominant issue is that these entities function without official registration, circumventing established trading business norms in South Korea. Unlike official exchanges recognized by the government, the OTC crypto market operates in the shadows. According to the report, while leading regulated crypto platforms in South Korea, such as Upbit, deal with roughly 192 digital currencies, OTC platforms have a roster of up to 700. These platforms, including peer-to-peer (P2P) exchanges, allow users to transact beyond the purview of established regulatory platforms. Cases That Catalyzed The Call For Stricter Regulation Illicit transactions via OTC platforms haven’t gone unnoticed. One prominent case the report highlighted involved the International Crimes Investigation Department of the Incheon District Prosecutors’ Office. Three individuals were apprehended and indicted for engaging in unauthorized foreign exchange operations from October 2021 to October last year. These individuals had allegedly acquired digital currency worth $70.9 million (94 billion won) from foreign OTC platforms on behalf of Libyan clients. The assets were subsequently liquidated into cash within Korean borders. The extent of these illicit dealings isn’t limited to isolated incidents. The Korea Customs Service offers a more extensive picture, estimating unlawful foreign exchange transactions via digital currency to be $4 billion (5.6 trillion won) in 2022. Particularly, the Customs data reveals that the total value implicated in financial misdeeds surged from 3.2 trillion won ($2.5 billion) in 2021 to 8.2 trillion won ($6.2 billion) the following year. Nearly 70% of the illicit financial activity tracked by officials involved crypto transactions. Interestingly, according to the report, the sum of seized digital currencies, totaling $4.3 billion, originated from just 15 transactions. These operations were primarily designed to buy overseas digital assets to sell them later domestically, capitalizing on South Korea’s regulatory environment, which often results in elevated prices for foreign cryptocurrencies for local buyers. The global crypto market cap value on the 1-day chart. Source: Crypto TOTAL Market Cap on TradingView.com Source

[vertanvertan]

Why It Is Must To Check Best OTC Wegovy Alternatives

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Prescription drugs want Wegovy have been shown be safe to use and effective whenever put into use in a doctor’s direction. Then again, they could be especially steeply-priced and may also produce harmful unintended side effects. Happily, there are a variety about wegovy alternatives which offer equivalent features devoid of the threats or perhaps expensive. These natural options tend to be more cheap in comparison with prescription drugs and may even be described as a good choice for those who don’t own insurance plan or perhaps that want to avert probable unintended side effects.

Injection therapy such as Wegovy require a higher doctor’s doctor's prescription to begin, and so they could potentially cause side effects just like queasiness, vomiting, associated with, sexual intercourse ., and also a shot web site typical reactions. These are more common as soon as establishing and additionally rising quantity, nevertheless they can also happen any time throughout therapy. Long-term use may cause digestive problems for instance gall bladder health problems, serious solution injuries, and additionally hypothyroid C-cell tumors. It's possible to go to the site to have total topic approximately best natural wegovy alternative.

Wegovy and also Ozempic tend to be prescription medicines that need to be provided through a medical professional, however already went through considerable assessment and now have become approved from regulating bodies. Or, everybody PhenQ, which is the over-the-counter nutritional supplement that’s already been technologically evaluated and contains constructive end user customer feedback. The magic formula so that you can reducing your weight safely is to combine a stable food plan with the help of physical activity and changes in lifestyle, to ensure you need to oneself health care professional earlier than searching for prescribed medication. PhenQ is usually a all-natural health supplement that’s professed to deliver different benefits, for example slimming, much better ambiance, together with raised stamina. It’s likewise reported to be freed from toxins, habit-forming realtors, as well as stimulants. It’s intended working with an array of formula, similar to chromium picolinate, nopal cactus, and capsimax powder, which might be regarded an reduce food cravings, supercharge fat burning capacity, get rid of fat, along with services undesirable weight supervision endeavors. All the system is also maintained to encourage muscle advancement and account balance your own variations. It’s likewise supported by a cash again make certain, presents that you a 30 days to experiment with the items and then judge whether it really works.

[healthandmedicalblog]

Find Out More About The Benefits and Negative aspects of a Knee Arthroscopy in Singapore

A small device called an arthroscope is used by a specialist to perform arthroscopy in order to diagnose and treat knee problems. It is a less intrusive medical procedure used to diagnose and treat joint problems. Spire Orthopaedic can help you with your plan of action.

Using a camera installed on an arthroscope, specialists can assess the joint for damage. Arthroscopy has a few advantages over more invasive procedures because it only necessitates small skin incisions.

The amount of snares is unusual, and treatment times are frequently under one hour. Since then, knee arthroscopy surgeries have become more popular in medicine.

Read this article to learn more about what to expect from a knee arthroscopy in Singapore.

Uses and Benefits

Contrasted with an open method, knee arthroscopy strategy singapore is a less intrusive kind of operation. An expert looks at issues and finishes systems utilizing a minuscule instrument called an arthroscope that they embed through a skin entry point.

Knee arthroscopy, an operation, might be helpful in recognizing various illnesses, including:

constant and serious joint agony

harmed tendon

bones or tendons that have gotten free

fluid aggregation that should be wiped out

In these cases, arthroscopy is every now and again adequate. Since arthroscopy every now and again incorporates: individuals might choose it over elective treatments.

less tissue wounds

a faster recuperating time

less lines

reduced enduring because of the procedures

a lower risk of defilement because of the more humble cuts made

The advantages of arthroscopy may not be no different for everybody. There is minimal evidence that knee arthroscopy can help individuals with osteoarthritis or degenerative problems.

Nitty gritty guidelines for getting ready

A few specialists exhort thinking up an individual readiness technique that might involve sensitive activities.

A specialist ought to be educated about any remedy or over-the-counter (OTC) drugs that a patient is taking. Certain medications might be halted before the strategy. Indeed, even conventional non-prescription medications like ibuprofen might fall under this class (Advil).

As long as 12 hours before the medical procedure, particularly in the event that overall sedation is involved, a patient might have to quit eating. An expert ought to give point by point guidelines on what an individual is allowed to consume.

A couple of clinical experts have recommended taking pain relievers previously. An individual ought to take this medication preceding the strategy to be ready for recuperation.

Risks

Like any surgery, knee arthroscopy has a few dangers, yet the huge disadvantages are glaring.

There is a bigger risk of pollution and superfluous seepage for the patient both during and after the strategy.

Sedation use involves risks also. A few people might encounter negatively helpless responses or respiratory issues subsequently.

Realized risks related with knee arthroscopy exist. These include:

knee solidness that perseveres

tissue and nerve harm that is inadvertent

Inward knee sickness

joints that are spilling

draining clusters

Notwithstanding the exceptional idea of these dangers, the incredible larger part evaporates all alone.

Activities

Exercise might be useful both when a knee arthroscopic technique. The muscles around the knee might be fortified by working with a genuine expert to accelerate recuperation.

Specialists could likewise show a few essential activities and stretches that you can do at home.

Exercises are an indispensable piece of treatment. These ought to return the knees to their pre-physical issue capacities and scope of movement.

The seriousness of the issue and the overall soundness of the local area will impact the selection of exercises. It is important to counsel an expert or real guide prior to endeavoring methods at home.

[copperbadge]

Sounds like a skills issue to me...

I recorded my session on the ADHD focus game Endeavor OTC yesterday so I'm tossing up one of the Skills Challenges they occasionally have you do. This one is on a lava world!

I did fail the challenge (and the two following) but that happens sometimes. I'm coming up on my six-week stopping point this Friday, after which you're meant to take at least a week off, and I will probably take two. Endeavor gives you a "Focus Score" when you start the game and updates it periodically; I started at 36/100 and have been stuck at around 61/100 for the majority of the treatment, so hopefully a bit of rest will shake it loose.

I have noticed changes. The score might only indicate how well you've learned to play the game, but out in the real world I'm less impulsive in conversation and I have a higher tolerance for sensory input/boredom when I'm out of the house. I did the thing again where I didn't put my headphones on going through the airport and didn't notice, and generally I feel like I don't need tunes/podcasts playing in the background as much when I'm trying to get things done.

I don't know if these are permanent alterations, and I don't know if the end result after a year will have been worth the $130/yr subscription, but I prepaid so I guess we'll find out. And I'm thinking that once I finish Endeavor for a bit, I might try filming a few other phone games or even streaming some; I thought it might be funny to fire up the ol' lawnmower emulator game and mow some lawns.

[finschool]

Equity Market

Understanding the Dynamics of the Equity Market: A Comprehensive Guide

An essential part of the global financial system is the equity market, commonly referred to as the stock market or the share market. It functions as a marketplace for people and organizations to purchase and sell shares in publicly traded corporations. The distribution of capital, the facilitation of investments, and the generation of possibilities for riches all depend heavily on the equity market. We shall delve into the nuances of the equities market, its varieties, and its operation in this essay.

What is Equity Market?

A marketplace where buyers and sellers can exchange shares or ownership interests in publicly traded corporations is referred to as a "equity market". By selling a portion of their ownership to investors, it gives businesses a way to raise money for growth, R&D, and other business endeavors. Through capital gains and dividends, investors have the chance to contribute to a company's expansion and profit margins.

Understanding the Equity Market:

It's crucial to become familiar with a few fundamental ideas in order to understand the equities market's dynamics:

Shares/Stocks: Shares and stocks are ownership stakes in a corporation. Investors who buy shares become shareholders and are entitled to a share of the company's assets and profits.

Stock Exchange: Stock exchanges are regulated marketplaces for the listing and trading of equities. Examples include the Tokyo Stock Exchange (TSE) in Japan, the London Stock Exchange (LSE) in the UK, and the New York Stock Exchange (NYSE) and Nasdaq in the United States.

Stock Indices: Benchmark indices that give an overview of the overall performance of the equity market include the S&P 500, Dow Jones Industrial Average, and FTSE 100.

Types of Equity Market:

Primary Market: The primary market is where corporations issue new shares in order to raise capital. When a private firm goes public, this is often accomplished through an Initial Public Offering (IPO). Investors can engage in the primary market by purchasing fresh shares from the issuing firm directly.

Secondary Market: The secondary market is where existing shares are exchanged between investors. This covers trading stocks on stock exchanges and over-the-counter (OTC) platforms. The secondary market gives investors liquidity by allowing them to exit or enter holdings at market-determined prices.

How does Equity Market Works:

Brokers, market makers, and computerised trading platforms facilitate a network of buyers and sellers in the equities market. Here's a brief explanation of the procedure:

Investors use their brokerage accounts or trading platforms to place buy and sell orders for stocks.

These orders are forwarded to the stock exchange, where they are matched with orders from other market players.

Market makers or brokers operate as brokers, enabling trade execution by purchasing from sellers and selling to buyers.

Following the execution of a trade, ownership of the shares is transferred, and the transaction is settled electronically.

The market forces of supply and demand influence the prices at which shares are purchased and sold. Stock prices are influenced by factors such as company performance, economic conditions, and investor attitude.

Key Players in the Equity Market:

Investors: Individual and institutional investors actively participate in the equities market, including retail investors, mutual funds, pension funds, and hedge funds. They buy shares in anticipation of capital gains or dividends.

Listed companies: Shares of publicly traded corporations are accessible for trading on stock exchanges. These businesses must comply with regulatory regulations and provide financial information to the public.

Stock Exchange: Equity market transactions take place on stock exchanges such as the New York Stock Exchange (NYSE), the NASDAQ, the London Stock Exchange (LSE), and the Tokyo Stock Exchange (TSE). These exchanges provide a regulated trading platform for securities.

Factors Affecting the Equity Market:

Macroeconomics Conditions: Economic variables such as GDP growth, inflation, interest rates, and unemployment rates have a substantial impact on the equities market. Positive economic data tends to increase investor confidence, which drives market performance.

Company Performance: Individual firms' stock values are influenced by their financial health, profitability, and growth potential. Strong profitability, new products, and effective management can boost investor interest and stock valuations.

Investor Sentiment: Investor sentiment influences market movements and is influenced by factors such as market news, geopolitical events, and public perception. A bullish market can be triggered by positive mood, whereas a bearish market can be triggered by negative sentiment.

Regulatory Environment: Government policies, regulations, and legislative changes can all have an impact on the equities market. Interest rate changes, tax changes, and industry-specific laws, for example, can have a large impact on individual sectors or the total market.

Investment Strategies in the Equity Market:

Fundamental Analysis: Fundamental analysis include reviewing a company's financial health, studying its industry position, and determining its growth prospects. To estimate the intrinsic value of a company's shares, fundamental analysts examine aspects such as earnings, revenue, cash flow, and managerial quality.

Technical Analysis: Technical analysts are interested in price patterns, market movements, and trading volumes. Based on historical price data and market patterns, they employ charts, indicators, and statistical tools to discover buying and selling opportunities.

Diversification: Spreading your investments across numerous companies, industries, or geographic regions helps to reduce risk. A diverse portfolio can mitigate the impact of a bad investment by balancing it with others that perform better.

Conclusion:

To summarize, the equities market is a vital and dynamic component of the global financial system. It allows individuals and institutions to participate in share ownership and investing activities. Understanding how the equity market works, completing extensive research, and taking a disciplined approach are critical to realizing its potential for wealth generation and capital growth. Whether you are a long-term investor or a day trader, the equities market provides an entry point into the exciting world of stocks and investing.

[hcqs400]

When to contact a subject matter expert and Take decision

Envision an expert as soon as potential if individuals have any indications of lupus or RA. Brief diagnosing and treatment could work with stop intricacies or development of each conditions.

Why might possibly an expert backer one over another?

Experts have made tips for treating RA using Buy Hydroxychloroquine, maintained in any case amazing and safe absolutely different med are. These tips advance after some time.

To treat fragile RA, experts generally careful a standard DMARD, like HCQS 200 and HCQS 400 drug or sulfasalazine.

To get moderate genuine RA, experts customarily start by embracing immune suppressive medicine.

In the event that the person's signs don't sufficient answer this treatment, the expert could add another medication to their treatment organize.

for instance, they'll bring about a tumor debasement factor substance.

On the off chance that the person's signs really don't respond enough, the expert can routinely administer another medication with a fascinating instrument of action.

They'll likewise convey another remedy if the individual makes tragic perspective effects.

What is my life expectancy if I have lupus?

Effects

Lupus impacts essentially each a piece of the existence structures. The treatment of any troubles may play an endeavor in at any rate long the person with the condition lives and in this manner the idea of their life.

A part of the way lupus may influence the body locale unit portrayed under.

Frontal cortex and system nervosum

Lupus will influence oppositely on frontal cortex perform.

As demonstrated by the Lupus examination Alliance, concerning a huge segment surprisingly with lupus expertise mental component challenges with habits of reasoning. Around one out of five individuals ability cerebral agonies, mental state, attitude swings, and stroke.

Blood bunches may likewise make. These may besides cause hazardous bothers, like stroke.

In case headache torture doesn't further foster when accepting authority over-the-counter (OTC) medication, individuals with lupus should tell their PCP. Vasculitis, or aggravation of the veins, will cause a couple of cerebral agonies.

Elective designs include: rheumatoid joint torment (RA) psoriasis red hot disease juvenile wonder red hot contamination gout lupus singalong redness As shown by the Centers for infection the chiefs and obstacle (CDC), 23%Trusted supply of adults inside the u. s. have a variety of searing infection.

Could burn-through less calories work with joint aggravation?

What an individual chow will help: diminish aggravation levels inside the body an individual keep a moderate weight advance tissue prosperity and recovering an individual avoid express trigger food assortments Conventionally, bothering safeguards the body from hurt by serving to ensure against bacterium and aiding wound recovering.

Regardless, when bothering suffers for accomplice widened whole, steady signs will make. What an individual chow has a control on disturbance levels.

A couple of food sources are provocative, ET AL AR restorative prescription.

As shown by the combustible disorder Foundation, vacillated considers show that helpful prescription food assortments will downsize provocative disease desolation and development. A person's weight additionally impacts disturbance levels.

Title: Rheumatic arthritis foods diet: Study and Research on Diet for RA

Description: if you have Rheumatic Arthritis than you need to follow strict diet, it will affect you whole body structure if you do not maintain your food chart

Summary

SLE and RA square measure each response conditions that cause the system to attack strong tissue inside the body, achieving disturbance.

lupus will influence different spaces of the body, alongside the skin and inside organs, while RA commonly impacts the joints, anyway bothering will influence the eyes, mouth, heart, and lungs.

Medication and clinical aide could work with regulate incidental effects.

[lifewithchronicpain-original]

Hey! So last month my doctor diagnosed me with arthritis in my spine ( cool right) and seeing as you have a lot of back pain I was wondering what you do to make it betterish? I'm on a really low dose muscle relaxer and pain meds but I'm finding it doesn't help very much. You totally don't have to answer if you don't want.

Pain meds can mean just about any kind of medication from otc to off label anti-depressants, to opioids, so I can’t comment on that aspect. However I don’t need to know what muscle relaxer you are on to know that will not help. Muscle relaxants are meant for short term use and there is no good evidence to support long term use for pain. Nevertheless they have been over prescribed thanks to the cdc guidelines on opioids since 2016.

I would recommend you readdress your pain medication with your doctor. If you doctor is completely unaware that muscle relaxants don’t work long term (I learned this from doctors before I saw articles about it too) then it’s time for a new doctor, IMO. It’s not always that easy since you can gamble getting another shitty doctor but it’s the best way I’ve found that I can proactively care for my health.

Simple otc things I can recommend include lidocaine pain cream, tens devices, heating pads, hot 20 minute epsolm salt baths, and lower back stretching by pulling your knee to your torso. If heat isn’t your friend you can always try ice. However all these things combined can’t compare to decent pain medication.

Also if you want to tell me what pain medicine you are on I can give my opinion on that too. I wish you luck in your endeavor for less pain.

[ailtrahq]

The company disclosed that its expansion into Singapore is not an isolated endeavor but a part of its broader global strategy. In a bid to cater to the surging demand for Secure digital asset storage solutions in the Asia-Pacific region, Zodia Custody, a crypto storage provider and subsidiary of Standard Chartered Bank, has made its official entry into the Market of Singapore, CNBC reported Tuesday. With this strategic move, the company has become the first bank-owned corporate entity to offer digital asset custody services to financial institutions in the country. Safeguarding Digital Wealth for Institutions According to the report, Zodia’s foray into Singapore aims to address the pressing need for robust and trusted digital asset custody services among institutions operating in the emerging economy. As Singapore’s crypto Market continues to flourish, institutions such as hedge funds, high-frequency traders, prime brokers, exchanges, and asset managers are seeking reliable partners to Safeguard their digital wealth. The firm, backed by the reputable financial institution Standard Chartered, brings expertise in Risk management, compliance frameworks, information Security, and operational resilience. This strategic advantage ensures that Zodia can offer its clients the peace of mind that comes with a bank-grade custody solution. No Stranger to the Crypto Industry The company described the expansion into Singapore as an important step, noting that the country is “getting to that next level of maturity” in forming rules for Crypto Assets and developing central bank digital currencies (CBDCs). Additionally, Zodia’s CEO Julian Sawyer told CNBC that the crypto custody provider wants to be part of the nation’s broader Market, adding that bank-owned custody is what the Market needs. “Singapore is a Market that has been no stranger to the crypto world for a long time. We want to be part of it. We think that the Market of a bank-owned custodian is actually what the Market is wanting,” said Sawyer. Singapore has firmly established itself as a global leader in digital finance, boasting a crypto ownership Rate of 19%, surpassing the global average of 15%, according to data from Statista. The robust adoption of Digital Assets is further underscored by the continued influx of funding into the country’s crypto sector despite challenges faced by the industry. Last year, crypto and blockchain reigned supreme in the country’s fintech Investment landscape, securing a remarkable $1.2 billion in funding, as reported by KPMG’s Pulse of Fintech report for the second half of 2022. While this figure represented a 21% decline compared to the previous year, it signals Singapore’s crypto Market’s enduring strength and Appeal. The country also recently introduced a crypto regulatory framework for stablecoins. Global Expansion and Collaborative Ventures Zodia disclosed that its expansion into Singapore is not an isolated endeavor but a part of its broader global strategy. The crypto custody provider is already registered in key financial centers, including the UK, Ireland, and Luxembourg, with a pending application in Japan. Furthermore, it recently revealed a joint venture with SBI Holdings to offer custody services in Japan. The company raised $36 million in funding to promote its business offerings. Moreover, Zodia’s reach extends beyond the Asia-Pacific region. Earlier this month, a separate entity, Zodia Markets, a digital asset marketplace backed by Standard Chartered Ventures, received in-principle approval to operate as an over-the-counter (OTC) crypto broker-dealer in Abu Dhabi. This strategic move positions Zodia to capitalize on Abu Dhabi’s crypto-friendly regulatory environment and its status as a significant financial center. Thank you! You have successfully joined our subscriber list.

[copperbadge]

Endeavor OTC II: ADHD Boogaloo!

I've been diligently putting in 25 minutes a day on the video game for ADHD and focus that I talked about here. The first thing the game does is test your baseline, a measure of your ability to focus among other things, and set a goal for you to reach from baseline. Each day's gaming is a "dose" of a six week "treatment", and I appreciate them using medical language, because when I'm getting frustrated by the game or feeling like I don't want to play on any given day, it's a quick reminder that the goal is not to win but to undergo treatment.

(Me to therapist: "I'm secretly very competitive." Therapist: "It's not as secret as you think.")

The game retests your focus score every 15 "missions" (you can play several missions per day, each lasting around 3-7 minutes). I started at 36/100, with a goal of 57, and was delighted to have hit it yesterday, after only two weeks:

[ID: A chart of my progress, labeled "Your Focus Score"; it spans October 7th-20th, and shows me rising from 36 to 59 across several dates where they evaluated my progress.]

They haven't given me a new goal and I'm not sure if they will, but I'm going to continue to treat for the full six weeks and see if I can't get into that Top 10% bracket.

Supposedly the two-week mark is where one may start noticing improvement in focus, impulsivity, and similar issues that people with ADHD struggle with. I haven't noticed anything drastic, but I have become aware that I use my headphones less. Usually when I'm out in public, or if I'm working on something that doesn't require intensive focus at home, I have my headphones in and music or a podcast playing, because I get so bored so easily. But when I was traveling home from Texas I took them out to go through security and just...didn't put them back in for like half an hour, which especially in an airport is shocking to me. I've been playing podcasts on my phone at home less, too.

You can't buy anything in the game once you've subscribed to it, but you can earn coins by running missions, and use the coins to buy various costumes for your avatar -- and I finally saved up enough for the costume I wanted....

I'm the dapperest Victorian feline to ever have ADHD.

[ID: A screengrab of the welcome page of the app, which reads "Welcome Sam" at the top, over a backdrop that shows a field of stars and a distant galaxy. In the foreground is my avatar, currently dressed as a black and white anthropomorphic cat, with his whiskers waxed into a curly mustache, dressed in a top hat and tuxedo.]