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#GERD has stages
godhatesdoctors · 1 year
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Do your jobs so they aren’t afraid of dying or abusing alcohol
The black hats
Yeah.. we’re all tired of the medical oppression.
Get your shit ass nurses in line
— “Explain this hole!”
I think I just did. Pretty sure it’s esophagitis and that man in my dream with really dark eyes
He’s mad.
Nah.
Yeah.
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Alcohol is the enemy. Of all toxic chemicals on this planet…
— still …India… you can’t quite ignore that man.
And, they don’t. But, sides.
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Oh sides, okay.
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brokenfoxproductions · 7 months
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I must have a really bad digestive bleed because every time I've farted or used the toilet for the past 48 hours, it looks like a period, but I'm not on my actual period. Great. Just great.
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magnoliabutters · 2 years
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• GOODS AND BADS •
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pairing: eddie munson x reader (she/her, 18+)
request: from @xxbookdrunkdemigodxx​; reader has been testing eddie’s patience all day, and then she acts out during hellfire club and after everyone leaves. he punishes her. he rolls a 20 sided die to decide how many times she’ll be edged before he takes her home.
warnings: 18+ content, mdni, adult language; angst, dom eddie + sub reader, pet names, choking, kinky kinky, cum denial, edging, rough play, biting, “master” dynamics, (f receiving) oral, public sex, etc.
word count: ~2.1k
note: oh my gerd. yes. 1 million times yes. let’s annoy the fuck out of eddie until he fucks us. let’s go! first request ever so i hope i interpreted your thoughts right or i wrote okay 👌🏼 my anxiety poppin off today!
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Eddie has always driven you to school. He enjoys seeing your sweet face fresh and early in the morning. He loves the cinnamon smell that follows you as you carry your hot chocolate. He loves how passionate you are. How you make him feel like he is the only person in the universe. How your body fits perfectly against his. How he never thought of soulmates before he met you. He loves that you were each other’s firsts and that you will be each other’s last. He loves how much of a freak you are. How you both share the same love for music. How you look in just his Hellfire shirt the morning after. How open minded you are and willing to talk about the craziest of things. He loves how your eyes scan over his body. How he will never have to doubt how you feel about him. How you happily will be missus Munson before you know it. He loves you with every fiber of his being, through all your goods and all your bads. He will love you forever.
One of the things he loves about you is the way you somehow always forget things. He likes to be your knight and shining armor, finding a solution to all your simple problems. Most days, he enjoys being the person in your life to remind you of the mundane things. Like, “Don’t you need your backpack?” or “Did you bring your lunch?” But today? No. Today, he fucking hated being that person. 
Today began with an ask for a pencil. You needed a number 2 pencil for your English exam. Eddie happily shared his. However, he also remembered how many times he reminded you about bringing in a pencil for the exam.
Before lunch, you asked to borrow his jacket between classes. He didn’t mind sharing his jacket. He loves seeing you in it. You wear it so well. He did mind the part where he reminded you to bring a jacket and you said you wouldn’t be cold and not to worry. He did mind that it was winter in Hawkins, Indiana and all he had underneath was his hellfire shirt.
During lunch, you managed to return the pencil - snapped in half. He had no clue how that could have happened and he had no intention of finding out. Any reason given would just piss him off more.
Despite your absolute natural ability to annoy him, Eddie would drop everything to be there for you. To be that knight. Your protector. Your lover. And sometimes, even your master. Your forgetfulness is just a fault he is more than willing to accept and love if that means he has forever with you.
All members of the Hellfire club meet after school on Fridays. You rest in one of the auditorium chairs as you watch Eddie’s latest campaign develop in front of your eyes. You always enjoyed how the Hellfire boys would react to Eddie��s crazy plot lines. As the entire group settles at the table, Eddie converses with his sheep and discusses the next steps of the night’s DND session.
All of a sudden, he calls on you. “Y/n, can you bring up the handbook?” he asks as he gestures for you to join them on stage. You immediately sink into your seat, realizing you left Eddie’s DND player handbook on your bed after trying to learn more about the different character classes.
With the hesitance of your movement, Eddie tightens his lips once again and slams his palms against the table. You shudder at the loud sound, knowing that whatever follows will not be good. Now, Eddie is an incredibly gentle, loving man. But he most definitely has his own way of punishing you, and fuck are you going to get it.
“We’re ending early today,” Eddie struggles to say calmly. The entire Hellfire club watches with wide eyes. They slowly begin to pack their things and leave the auditorium, careful not to do anything to further piss their dungeon master off. You gulp as you watch him pace back and forth on the stage. “Eddie?” you whisper. He gestures for you to be quiet as he continues to ponder how he can express exactly how much you’ve tested his patience today.
Several minutes go by but they feel like forever. You keep your head down, only flicking your eyes up every so often to try and interpret Eddie’s facial expressions. “Y/n, come on up here, please,” he instructs with a monotone. You take a deep breath before standing and accepting your fate.
As you reach the stage, Eddie pulls out his 20-sided die. He rolls it across the table towards you with a quick flick of his wrist. “What does it say?” he asks without making eye contact. You reach for it, holding it up to read the number. “Seven?” you respond, confused. “You’re lucky,” he mumbles under his breath.
Eddie nods very slowly as he places his hand to his chin. Although it feels like he is deciding your fate, you cannot help but to smile at the sight of him. His curly brown hair, gliding over his shoulders. His hellfire shirt, rolled up to his elbows. “Come here,” he demands as he points to his end of the table. You walk over solemnly, unsure of what is to come.
“Pull down your pants,” Eddie says as he places some distance between you two. You shoot him a wide eyed expression, gesturing for him to look at your surroundings. “We’re in the auditorium,” you mutter. “Pull down your pants,” he repeats. You roll your eyes as you unbutton your jeans and slide them down to your ankles. With one of your legs, you reluctantly flick your pants over towards him. Knowing full well if he repeats himself for a third time that he will make you pay for it three times over.
Eddie slowly walks up to you. His hands quickly grasp onto your ass cheeks. He grips on so tightly that the muscle pours from his ringed fingers. A gasp escapes your lips as you watch him lean firmly against your body. “You have tried my patience too many times today, my darling,” he mumbles. His hand slowly raising up your stomach, between your breasts, and lightly onto your neck.
“I’m sorry,” you pout as you watch him with those doe eyes he loves so much. “It’s too late for that,” he hisses through his teeth. With a quick movement, he picks you up and places you atop the table. His other hand provides firm pressure onto your neck. He holds you down, pressed firmly against the table. You peer back at him, a devilish smirk paired with those innocent chocolate eyes.
“Stay,” Eddie demands. When he gets like this, you know it’s your place to just button up and stay quiet. You are no longer a being. You do not get a say. You are his play thing, and for him to enjoy in any way he pleases. Exactly where and who you want to be in this moment. He shimmies your panties down to your knees. You rest, exposed for him. Vulnerable to him.
Eddie abruptly grabs your dangling legs and props your ankles onto the table. Your legs wide for him, just for him. You rest your head against the table, looking up to the dimmed stage lights. All your senses focus simply on touch. Where will he start? Where will he touch you? What will he do to you?
Without saying a word, Eddie bites into your inner thigh. Another gasp escapes your lips as you instinctually raise to grip his soft curls. Your legs clench together, which Eddie must not have liked. He harshly places his cold hands against your inner thighs and pushes down until you are spread wide open for him again.
“Do not do that again,” Eddie instructs sternly against your inner thigh. You feel his breath as he speaks lowly against your sensitive skin. It leaves you shaking, feeling completely overstimulated with the smallest touch. You nod, as you firmly place your head against the table. He trails his tongue up your thigh, leaving shivers and electricity throughout your body. “I didn’t hear you,” he mumbles. With a gulp, you respond, “Yes, master.”
Eddie slowly brings his tongue to the delicate space where your leg meets your groin. He places a light kiss before indulging in another monstrous bite. The pain of his teeth digging across your skin leaves you heaving for breath, but it also makes your entire body hot and excited for more. The air intensifying the pain of the bite once he’s left behind that reddened, bruised spot. Your nipples harden as he sloppily licks closer to your lips.
“You’re so wet, baby,” he mumbles as he drags his tongue across your folds. You desperately try not to clench your legs as the sensation almost pulls you over the edge. You whimper as he laps his tongue lightly against your clit. “Hmm, you taste so good,” he moans against you. The vibrations of his low toned words feel incredible on your most sensitive bits.
Another wince lets out as his finger makes its appearance. Your waist jolts at the unexpected feeling, but you quickly try to keep yourself planted to the cold wooden table. Eddie smirks as he rubs a thumb against your thigh. “Good girl,” he murmurs before diving back into you.
With each tensed lick, you find yourself struggling to hold on. Struggling to keep your legs down, your hips, your head. You want to see Eddie. To see those beautiful eyes peer over you as he laps up your wet pussy. But this isn’t about you. This about him, taking whatever he wants from you. You are still trying to understand where your punishment will come into play.
Your body tenses as Eddie circles his tongue around your hole. “You going to cum for me, dirty girl?” he asks as he grips tightly against your thighs. He feverishly pulls you closer onto his mouth with a huge gesture of his muscles. “Yes, m-master,” you say as you whimper from his touch. He gradually dips his tongue within you. You suck in as much breath as you possibly can. So close you can barely stand it. But how can you communicate? When you’re only allotted the words “Yes, master” without consequence.
Eddie dives himself deep within you. His hardened tongue dragging in and out of you. His thumb softly flicking your bean as he extends deeper within. “I can feel how close you are, baby,” he mumbles against your folds. “You want to cum, don’t you?” he mutters as he lathers his two fingers with your slick. He slowly pushes himself within you. He curls the tips of his fingers to brush against those familiar bumps. “You’re so tight for me, baby. I can feel you tightening around my fingers,” he mumbles as he breathes in heavily.
Eddie’s eyes close as he shifts his focus towards the feeling of his fingers. Your eyes close as you hone into that frivolous pit in your stomach. The way your toes desperately want to curl. How your thighs want to collapse around him, squeezing him against you forever. How you have to split your attention in two by remaining still and enjoying this oncoming mind numbing orgasm. With just one more thrust of his fingers within you, you whimper, “Please can I cum, master?”
“No.”
Your eyes quickly shoot open. Your body so close to the edge, yet told you cannot jump into the pleasure below. Almost leaving you without a choice, Eddie quickly shifts his speed by slowing his thrusts. Slowing his rubbing of your clit. Almost as though he was starting all over again. His lips gently kiss upon your thigh. “That’s one,” he mumbles against your skin.
“No, fucking way,” you loudly express. Finally, you understand where his punishment begins. You are swiftly met with a light slap of your inner thigh. You gasp once again to the burning sensation on your leg, met with the hotness of the air meeting your new love mark.
Eddie places a sweet kiss upon the top of your knee as he leans between your legs. He rests on his hands beside your waist. His hips tight against yours. A sweet feeling of his denim against your groin. “Six more to go,” he whispers. That beautiful smile returns to his face. He gnaws on your knee, finally showing some kind of empathy for your pained pussy. As your clit throbs and your body aches, you slowly lift your head to make eye contact with Eddie Munson. With a huff, you lightly rest your head back and widen your thighs once more.
“Did I really annoy you that bad today?” you ask.
“Yes,” Eddie answers.
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  note: hope i made you proud, bestie <3  feedback puhlease
• nav • no-no plagiarism • one shot • requests open •
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newwwwusername · 7 months
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Acid Reflux/GERD Fic Requests Open
My reflux has been getting worse despite medications so if anyone has any fic requests related to that, I need somewhere to work this out lol
My fic rules can be found here
The following is a list of fandoms I'd especially be curious to write for
Cabaret (Stage Musical)
Monster High (Live Action Movies)
The Amazing Spider-Man (Andrew Garfield Movies)
The Owl House
Arcane : League of Legends
Helluva Boss
The Play That Goes Wrong
School Bus Graveyard (Webtoon)
The Road Within
Tales from the Gas Station
Goosebumps (Disney+)
Death Note : The Musical
Spicy Mints (Webtoon)
Spider-Man : The New Animated Series (2003 Cartoon)
You Can't Take It With You (Stageplay)
Newsies : The Broadway Musical! (2017 Proshot)
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passperspective · 7 months
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2023 BALLON D'OR WINNERS
2023 Men's Ballon d'Or: Lionel Messi
The notorious Argentinian went on to win his EIGHTH Ballon d'Or on the 30th of October at the Theatre du Chatelet in Paris, France. The host, Didier Drogba, presented him with the award for the 3rd time.
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2023 Ballon d'Or Feminin: Aitana Bonmati
Aitana Bonmati received this award tonight, another to add to the collection after leading her country to victory at the Women's World Cup in August.
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2023 KOPA Award: Jude Bellingham
The Birmingham native was a fan favourite to win this award. Earlier in the night, football legend Gary Lineker, stated that within the next 5 years, he would place Bellingham as a favourite to win the Ballon d'Or.
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2023 Yashin Award: Emiliano Martínez
Martínez was graciously presented the award by his father who was hidden backstage for the surprise. However, as Martínez approached the stage to receive his award, in the crowd an eruption of 'booing' could be heard.
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2023 Gerd Muller Award: Erling Haaland
Haaland scored 56 goals last season for both club and country, narrowly beating Kylian Mbappé who amassed 54 goals. Following his speech and highlight reel, the City player was challenged by the host, Drogba, to celebrate using either his own or Gary Lineker's celebration after his next goal.
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2023 Socrates Award: Vinicius Jr.
Vinicius Jr. was presented the Award tonight by Prince Albert of Monaco. The Brazilian was hailed for his selflessness and endless support to improve education for underprivileged children back in his home country. He has invested over 4 million euros thus far into his charity. He was also honoured for all of his activism in reducing racism within the sport after his most recent racial attack during a match between Real Madrid and Sevilla.
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2023 Mens Club of the Year: Manchester City
2023 Women's Club of the Year: FC Barcelona Femení
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thislovintime · 1 year
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Peter Tork, 1966.
“Local Singer Debuts On NBC-TV Sept. 12 Mansfield (Special) — A local folk-singer will make his television debut Sept. 12 when The Monkees’ premiere on the NBC network at 8 p.m. Peter Thorkelson, 24, is the son of Prof. and Mrs. John Thorkelson of Wormwood Hill Road. Known professionally as Peter Tork, [he] has been interested in folk singing and the guitar for the past 15 years. A 1959 Edwin O. Smith High School graduate, he attended Carlton [sic] College in Northfield, Minn. While there he was a disc jockey for the college radio station. Thorkelson as been entertaining in Greenwich Village and Hollywood, Calif. for the past three years. During his year at Smith, he was a reporter for the school humor magazine and was active in the drama club. Before attending Smith, Thorkelson completed three years at Wyndham High School where he was active in the drama, rifle and French clubs and was a member of the school band. […] Peter will be flying into New York with the other cast members, to spend the weekend with his grandmother, Mrs. Cait Strauss [sic].” - Hartford Courant, September 3, 1966
"[When I lived in New York] I also taught a bunch of kids up in Westchester for awhile. I wonder if they remember me now." - Peter Tork, The Monkees: Here We Are (1967)
“I arrived on the Village scene the winter of ‘61, and stayed there for about two and a half years. I played guitar and banjo. I came to the Village for glamour, excitement, hippiedom, the liberal lifestyle, free love. I was on the basket-passing circuit in the smaller clubs, like the Basement, the Cyclops and the Id. I later played Gerdes. What I was working towards was to be in a group. When the Beatles hit, where were all the folkies going to go? But I also wanted to be a folk music performer. A lot of what I did was hanging out, feeling for the first time that I was part of the scene, walking down the street and seeing people I knew, doing a little flirting. People were coming to the Village to sit down and have a cup of coffee and hope to find the free love that was supposed to be all around. The character that I was on The Monkees was developed on the stages of the Village clubs.” - Peter Tork, Bringing It All Back Home: 25 Years of American Music at Folk City (1986) (x)
More about Peter’s years at Carleton College and Greenwich Village here; more about Peter’s school days here.
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loveislattes · 2 years
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Long Health Post Update
You know, I don't think I ever did a post here talking about what's been going on the past couple of months. So, let's do that.
Warning: This is a decently long post and it goes in-depth with medical and surgery talk.
On July 1st, I went to the ER after dealing with debilitating dizziness for about a week (not vertigo). I had seen my primary earlier and she said to go to the ER if it got worse so, when I almost passed out off my bed, I finally went. Found out I have a cyst in my right maxillary sinus causing all my migraines and sinus troubles (that we're keeping an eye on to make sure it doesn't grow) along with discovering I was in the early stages of walking pneumonia. I'm going to be seeing a neurologist in a few months to see if the dizziness was caused by a vestibular disorder as I keep having episodes.
I've also been working towards gastric bypass surgery for the last 5ish months and I'm finally having surgery this Wednesday, the 17th. I've been on liquids, no caffeine, and minimal-to-no sugar since the 10th. It's going like hell but I'm managing. A big reason for surgery is, of course, for weight loss health BUT the main reason is that they found I have a condition called Barrett's esophagus. This is caused by prolonged reflux in the esophagus (GERD) that causes the lining to become rough like the stomach lining and, if not prevented with this surgery, usually leads to esophageal cancer; which obviously has a short life expectancy.
So, it's been a busy and scary few months with all this on top of having my appendix out last November and my carpal tunnel surgery this January. Safe to say, I feel like I'm falling apart lol.
I'll definitely update my close friends and family first once I'm out of surgery and coherent, but I'll also try to make a post here in case anyone else wants to be aware of my status (AKA me NOT dying on the operating table, which I'm terrified of lol).
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bopinion · 2 years
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2022 / 32
Aperçu of the Week:
"There are things I don't even talk about with myself."
(Konrad Adenauer, first Chancellor of the Federal Republic of Germany)
Bad News of the Week:
The hunger crisis is currently overshadowed by many other crises. Yet it is worse than ever. One in ten people on this planet suffers from insufficient nutrition, according to the latest UN food report. However, 3.1 billion people cannot afford a healthy diet anyway - they are happy having something to eat at all. Children are the worst off: In 2020, more than one-fifth of all young children were documented to have growth disorders as a result of malnutrition. That was before the start of the current crisis apocalypse. Right now, 15,000 girls and boys die - every day!
According to the former German Minister of Development Gerd Müller a scandal. Because it costs just 50 cents a day to feed a refugee child in Africa or Yemen. But "no one gets fed by talking." Specifically, Müller proposes a UN emergency aid fund. Because international research results show: With about 40 billion euros extra per year, hunger can be defeated by 2030 - that was actually the goal of the United Nations. And that's just about as much as Elon Musk wanted to spend on Twitter. Or almost as much as the world's largest oil producer, Saudi Aramco, made profit in 2021.
So it can't be the amount. It's the lack of will on the part of the decision-makers. Stupidly, no child's life saved in the third world has an impact on the stock market price. Or on the next election forecast. We should all be ashamed of ourselves.
Good News of the Week:
"The lie as a business model" headlines an article in the Tagesschau last week about the bizarre workings of Infowars founder Alex Jones. Who has demonstrably already cost human lives with his wild conspiracy theories. For example, in 2016, a young man grabbed a gun in a Washington DC pizzeria and started shooting. Why? Because he believes that in the basement of the pizzeria children are being kept as sex slaves under the control of Hillary Clinton. "Pizzagate" was a hit on the charts of Fake news and hate speech that was and is spread by Alex Jones.
For him, 9/11 had been a kind of awakening to what the Deep State and especially the Democrats were capable of - because "with 98 percent probability" it was a "government-controlled bombing of the World Trade Center." From there on, Jones got rich. With his "info channel" and plenty of tawdry merchandise ranging from inflammatory writings to dubious vitamin pills. And it went blow by blow: Global warming is a hoax made up by the World Bank to control the world economy through a carbon tax. Michele Obama is transgender and there are so many gays because they would be affected by chemicals in the water to not be able to have children. Al-Qaeda is funded by George Soros. Elites are working worldwide to overthrow societies to install dictatorships, vulgo the "New Global World Order". Hurricane Irma was "geo-engineered" and the droughts in California would not exist. Barack Obama created the terrorist organization "Islamic State." Corona vaccines don't work. And so on.
But his top theme in different variations is always: U.S. Democrats stage attacks to declare martial law and then establish a dictature. After all, the Boston Marathon bombing had to have been faked by the FBI. The Robb Elementary School shooting was staged too. So it is only logical that Jones also claimed that the massacre at Sandy Hook Elementary School never took place. But in doing so, he apparently miscalculated. Because brave parents were tired of being terrorized by Jones supporters after the tragic loss of their child, they should stop lying about ever having had a six-year-old son. And moved to court.
And that did its job. The jury in Texas (!) sentenced Alex Jones to $4 million in compensatory penalty - and another $45 million in "punitive damages." This is the first time Jones has been held liable for his personal info war. More important than the payments for pain and suffering, however, is the clear signal sent by this verdict: False claims about real people cause real damage. For which one will be held accountable. Pay attention, Tucker Carlson: you may be next!
Personal happy moment of the week:
I work almost exclusively in my home office. Which is good. Against Corona, against the obligation to wear pants and against lost time on the way to the office. But once a week I am in the office to meet colleagues and to focus all personal meetings on this day. And it's always Monday. Usually we say goodbye then with "See you next Monday!". But this week a colleague asked me, "Are you coming next week on Tuesday then, or not at all?". I must have looked at him questioningly, because he added: "Because Monday is a holiday...". I had completely overlooked that. This may be due to the fact that "Assumption day" is not a public holiday everywhere. But only in communities with a predominantly Catholic population. Which is the case in Munich. And who am I, would I not observe a law? Or risk my salvation? So I'm going to sleep in this Monday. And over the first coffee, think of the colleagues at other locations who don't have that day off. And of the colleague who reminded me just in time. Thank you, Patrick!
I couldn't care less...
...that former German Chancellor Gerhard Schröder survived a expulsion process from his Social Democratic Party of Germany (SPD) because he could not be proven to have "violated the party's statutes." Either way, with his clinging to buddy Vladimir Putin, whom he had once called a "flawless democrat" in office, he has disqualified himself as an elder statesman. And with the lucrative supervisory board positions at Nord Stream and Rosneft, which he owes to Vlad, he has trampled on the ideals of Willy Brandt - whose "new East politics" against the Hallstein Doctrine laid the foundation for a cold war that never got hot. Whether you have a party card or not: Gerd, you're out!
As I write this...
...I am sitting on the train to Augsburg. Germany's second oldest city - yes, it was formally founded by Roman emperor Augustus - just an hour away from Munich. My wife and I benefit from the "9-Euro-Ticket" (for a whole month of public transport, unfortunately the last time this month) and will spend a nice day with culture and sightseeing. And at an excellent burger joint, where I have already reserved a table last week to be on the safe side. Nice.
Post Scriptum:
Leaving the comfort zone. What used to be considered an art to jumping over one's own shadow, will become a duty. That's what Klaus Müller, as head of the Federal Network Agency the master of gas distribution in Germany, tells us. Who will not have enough to distribute in the coming winter. Without 20% savings in private households, it won't work. Since the alternative would be a huge loss of jobs and prosperity if industries had to shut down for lack of gas. I sincerely hope that insight and goodwill will be enough to overcome this bottleneck. And that in the process, everyone becomes a little more thoughtful about what kind of comfort really justifies what kind of dependency.
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beturbecky · 2 years
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I have some suspicious of what the hell is happening to me.
This is based on looking around on the internet as well as suspicious from my past health reports and talks from the doctors.
I think I’m either starting to develop diabetes or I have GERD or something similar? I mean it’s my own fault for eating unhealthy foods most of my life, but the diabetes one I feel like might be the most plausible. Last time, my glucose and other related levels were on the boarder line of having diabetes. I mean, I would think the doctors would have said something, but maybe they assumed I knew I had it already or something?
The other one, even my doctor has suspected, would be GERD. It’s in abdominal thing and- actually, maybe not? I’m looking more into it rn and it doesn’t seem like that’s it, but apparently there are different stages. Hopefully that ultrasound and gastroenterologist appointment will be the end of it, I’ll get what I need, and things can return to normal. Obviously I’ll see what I can do to keep from getting this again.
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Netherlands FIFA World Cup Dutch history in men’s football World Cup
The Netherlands fifa world Cup team has been a ball center for periods. Now and has never been ranked inferior to 36 in the world by FIFA. For a republic with a projected populace of just under 18 billion persons in 2022. The Netherlands has someway rarely been short of fineness players and trainers. From the iconic Johan Cruyff and Patrick Kluivert to present. Actors similar to Memphis Depay and Virgil van Dijk, the Dutch have unceasingly bragged robust teams.
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 But has that star power ever reformed into a World Cup win? The Sporting News dives into their best at the blokes' FIFA contest. To date, the Netherlands has not ever won the World Cup but has come agonizingly near in the past. They have second place in three cases, behind the final in 1974, 1978, and 2010. Their last two finals both went to added time through the Dutch behind 3-1 to Argentina in 1978. Before Spain bounded past them 1-0 in 2010 graciousness of Andres Iniesta's box in the 116th minute.
The Netherlands have also fallen small at the semi-final stages twice pressuring. Their ability to go deep into the competition without final success. While they finished an extra three times, South Africa 2010 marks their best general drive. The Netherlands won all six of their sporting leading up to the final in the illogicality of Spain. Scoring 12 times and soft just five goals on their way to an additional ineffective final.
History of the Netherlands national football team
The Netherlands nationwide football team frolicked their first worldwide match in Antwerp in contradiction of Belgium on 30 April 1905. The players were designated by a five-member knowledge from the Dutch football connotation. After 90 notes, the notch was 1–1, but since the willing was for a cup (the "Coupe van den Abeele"). The game died into extra time, in which Eddy de Neve logged three periods. Created the groove 4–1 for the Dutch side.[5]
The Netherlands made their first arrival at the World Cup final competition in 1934. After another arrival in 1938, they did not look for additional World Cup until 1974. The 1970s saw the formation of Total Ball (Dutch: Totaalvoetbal). Originated by Feyenoord and Ajax then led by playmaker Johan Cruyff and nation-wide side coach Rinus Michels.
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The Dutch whole huge paces, qualifying for two World Cup championships in the retro. The head of the Brazilian lateral that increased the 1970 FIFA World Cup. Carlos Alberto, died on to say. The only team I’ve tacit that did belongings then was Holland at the 1974 World Cup in Germany. Since then all appearances more or less alike to me. Their ‘carousel’ style of play was astonishing to wristwatch and delightful for the game.
In 1974, the Netherlands weary both Brazil and Argentina in the extra group stage. Accomplishing the final for the first time in their past. However, the lateral loss to West Germany in the final in Munich. Nevertheless overwhelming gone 1–0 up finished Johan Neeskens' early importance kick beforehand any German had even pretentious the ball. However, armor-plated by the crowd. transformed penalty by Paul Breitner and the champion from Gerd Müller led to a defeat for the Germans.
Netherlands' best finish at FIFA World Cup
By contrast, Euro '76 was a displeasure. The Netherlands lost in the semi-finals to Czechoslovakia, as much because of the aggression within the collection and the trainer George Knobel, as well as the aptitude of the final winners. In 1978, the Netherlands again affected the final of a World Cup, only to be beaten by the host, this period Argentina. This side played without Johan Cruijff, Willem van Hanged, and Jan van Beveren, who declined to donate to the World Cup.
It is still incomplete Johan Neeskens, Johnny Rep, Arie Haan, Ruud Krol, Wim Jansen, Jan Jongbloed, Wim Suurbier, and Attack Rensenbrink from the 1974 collection. The Netherlands was less impressive in the cluster phases. They talented as another place, after an inducement with Peru and a loss to Scotland. In the extra group phase, but, the Netherlands beat a group plus Italy and West Germany, location up a final through Argentina.
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However, the Dutch over as contenders up for the supplementary World Cup in a racket as they eventually lost 3–1 after two added-time goals from Argentina. Unfortunately for the Dutch, Rensenbrink hit the Argentinian post in the last small of typical time, with the score 1–1. Euro '80 was the last competition for which the Total Ball team fit, nonetheless, they did not loan past the group stage, despite the competition format being long drawn out that year.
Veterans such as Krol and Rensenbrink retired soon later and the Netherlands missed the 1982 World Cup, Euro '84, and the 1986 World Cup in series. A precondition for Euro 1984 was inside reach, but the Dutch drive on the same quantity of opinions as rivals Spain, and the same goalmouth change (+16). Spain is broadminded having equaled two more goals.
 The let-down to spread the 1986 World Cup was similarly very close. In a play-off with residents Belgium, the Netherlands lost 1–0 in Brussels but were significantly 2–0 in the home-based leg in Rotterdam with a few movements unresolved. Belgium logged to end the tie 2–1, and the whole play off 2–2. Belgium was liberal on the inattentive goal rule. Rinus Michels repaid to educator the team for the Euro '88 rivalry.
Netherlands World Cup history and results
After behindhand the first group match likened to the Soviet Union (1–0), the Netherlands went on to prosper for the semi-final by beating England 3–1 (with a hat-trick by the tournament's top scorer Marco van Basten), and National of Ireland (1–0). For many Dutch ball groups, the most significant match in the rivalry was the semi-final in the illogicality of West Germany, the host republic, careful a retaliation for the lost 1974 World Cup final (also in West Germany). 
Despite high forecasts as the team inwards the 1990 World Cup, the competition was not an achievement. Van Basten was ineffective in scoring, as he was often noticeable by contradictory defenders, while Gullit was unproductive having not fully better quality from the wound. The Dutch managed to loan notwithstanding drawing all three group games, session their arch-rivals West Germany in the rotund of 16.
The match is most recalled for the spitting incident connecting Frank Rickards and Rudi Voller as the Netherlands lost 2–1. The team strained the semi-finals in the Euro '92, which was famous for the entrance of Dennis Bergkamp, but they were uninvolved by ultimate champs Denmark, with Van Basten's kick in the significant shootout being saved by Peter Schmeichel.
This continued to be van Basten's last major contest as he suffered a kind ankle injury soon after, finally elastic defeat and cagy at the age of 30 in 1995. In the 1994 World Cup, in the absence of the hurt van Basten and the attractive Gullit, Dennis Bergkamp led the side with three goals, and the Netherlands progressed to the quarter-finals, where they lost 3–2 to eventual champions Brazil.
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Getting to Digestive Health: A Comprehensive Guide to Gastroenterology Treatment
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Introduction:
The field of gastroenterology encompasses a wide range of disorders affecting the digestive system, from common ailments like acid reflux and constipation to more serious conditions such as inflammatory bowel disease and liver disease. In this blog, we'll explore the diverse landscape of gastroenterology treatment, covering everything from lifestyle interventions to advanced medical therapies and surgical procedures aimed at promoting digestive health and well-being.
Lifestyle Modifications:
Many gastrointestinal disorders can be effectively managed through simple lifestyle modifications. Dietary changes, such as avoiding trigger foods, increasing fiber intake, and reducing alcohol consumption, can help alleviate symptoms of conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD). Additionally, maintaining a healthy weight, regular exercise, and stress management techniques can contribute to overall digestive health.
Medications:
Pharmacotherapy plays a crucial role in the treatment of various gastrointestinal conditions, providing relief from symptoms and reducing inflammation. Antacids, proton pump inhibitors (PPIs), and H2-receptor antagonists are commonly prescribed for acid-related disorders like GERD and peptic ulcers. Anti-inflammatory medications, immunosuppressants, and biologic agents are used to manage inflammatory conditions such as IBD and autoimmune hepatitis. Additionally, laxatives, antidiarrheal agents, and antibiotics may be prescribed for conditions like constipation, diarrhea, and bacterial overgrowth.
Endoscopic Interventions:
Endoscopy is a minimally invasive procedure used to visualize and treat abnormalities within the gastrointestinal tract. Endoscopic interventions can be therapeutic, allowing for the removal of polyps, treatment of bleeding ulcers, dilation of strictures, and placement of stents to relieve obstruction. Advanced endoscopic techniques, such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), are employed for the treatment of early-stage gastrointestinal cancers and precancerous lesions.
Surgical Procedures:
In cases where conservative treatments fail to provide relief or complications arise, surgical intervention may be necessary. Gastrointestinal surgery encompasses a wide range of procedures, including laparoscopic and open surgeries for conditions such as appendicitis, gallstones, and colorectal cancer. Bariatric surgery is performed for the management of obesity and related comorbidities, while liver transplantation may be indicated for end-stage liver disease.
Emerging Therapies:
Advances in gastroenterology continue to drive the development of innovative therapies for challenging gastrointestinal conditions. Biologic therapies targeting specific molecules involved in inflammation have revolutionized the management of IBD, offering improved efficacy and safety compared to traditional immunosuppressants. Additionally, fecal microbiota transplantation (FMT) has emerged as a promising treatment for recurrent Clostridioides difficile infection and may hold potential for other gastrointestinal disorders.
Profession: Gastroenterologists are medical doctors who specialize in diagnosing and treating disorders of the digestive system. This includes conditions affecting the esophagus, stomach, small intestine, colon, rectum, pancreas, gallbladder, bile ducts, and liver.
Here are some key aspects of the profession of gastroenterology treatment:
Education and Training: Gastroenterologists undergo extensive education and training. After completing medical school, they typically undergo a residency in internal medicine followed by a fellowship in gastroenterology, which focuses on the diagnosis and treatment of digestive system disorders.
Diagnostic Procedures: Gastroenterologists use various diagnostic procedures to assess digestive system health, including endoscopy, colonoscopy, sigmoidoscopy, and imaging tests such as ultrasound, CT scans, and MRIs.
Treatment Modalities: Gastroenterologists employ a variety of treatment modalities to manage digestive system disorders. This may include medications, lifestyle modifications, dietary changes, endoscopic procedures, and, in some cases, surgery.
Specialized Areas: Within gastroenterology, there are subspecialties that focus on specific aspects of digestive health, such as hepatology (liver diseases), inflammatory bowel disease (Crohn's disease and ulcerative colitis), gastroesophageal reflux disease (GERD), and motility disorders.
Collaboration: Gastroenterologists often work closely with other healthcare professionals, including primary care physicians, surgeons, dietitians, and radiologists, to provide comprehensive care to patients with digestive system disorders.
Research and Innovation: Gastroenterologists are involved in research to advance the understanding and treatment of digestive system disorders. They may contribute to clinical trials, publish scientific papers, and participate in medical conferences to share knowledge and best practices.
Conclusion:
From lifestyle modifications and medications to endoscopic interventions and surgical procedures, gastroenterology treatment encompasses a diverse array of therapeutic modalities aimed at promoting digestive health and well-being. By embracing a comprehensive approach that addresses the underlying causes of gastrointestinal disorders and tailors treatment to individual patient needs, gastroenterologists can help patients navigate the path to optimal digestive health and quality of life.
Important Information:
Conference Name: 14th World Gastroenterology, IBD & Hepatology Conference Short Name: 14GHUCG2024 Dates: December 17-19, 2024 Venue: Dubai, UAE Email:  [email protected] Visit: https://gastroenterology.universeconferences.com/ Call for Papers: https://gastroenterology.universeconferences.com/submit-abstract/ Register here: https://gastroenterology.universeconferences.com/registration/ Exhibitor/Sponsor: https://gastroenterology.universeconferences.com/exhibit-sponsor-opportunities/ Call Us: +12073070027 WhatsApp Us: +442033222718
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sidshospital · 2 months
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The Importance of Regular Screenings: Preventive Measures for Gastrointestinal Conditions
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Maintaining a healthy lifestyle involves more than just a balanced diet and regular exercise. The proactive monitoring of our body’s internal systems is equally crucial, especially when it comes to gastrointestinal health. Gastrointestinal conditions can often develop silently, with symptoms only becoming apparent when the situation has advanced. Let’s discuss the significance of regular screenings as preventive measures for gastrointestinal conditions, emphasizing the importance of early detection and intervention in this blog by our specialist at SIDS hospital, being the Best Gastro Hospital in Surat.
1. Understanding Gastrointestinal Health:
The gastrointestinal (GI) system plays a vital role in our overall well-being, responsible for the digestion and absorption of nutrients. However, various conditions, such as colorectal cancer, inflammatory bowel disease (IBD), and gastroesophageal reflux disease (GERD), can affect the GI tract. Regular screenings from the best hospital in Surat are essential to detect and address these conditions in their early stages, allowing for more effective and less invasive treatments.
2. Colorectal Cancer Screenings:
Colorectal cancer is a leading cause of cancer-related deaths worldwide, but it is also highly preventable and treatable when detected early. Routine screenings, including colonoscopies and stool tests, can identify precancerous growths (polyps) or early-stage cancer, providing an opportunity for timely intervention.
For individuals aged 50 and older, regular colorectal cancer screenings are recommended. However, those with a family history of colorectal cancer or certain risk factors may need to start screenings earlier. Consult with your healthcare provider to determine the most suitable screening schedule based on your individual risk factors.
3. Endoscopy for Upper GI Conditions:
Endoscopic procedures, such as upper endoscopy and esophagogastroduodenoscopy (EGD), are valuable tools for assessing and diagnosing conditions affecting the upper GI tract. These screenings are crucial for detecting issues like GERD, peptic ulcers, and Barrett’s esophagus and are available at SIDS Hospital, one of the best gastro hospitals in Surat.
Individuals experiencing persistent heartburn, difficulty swallowing, or unexplained weight loss should undergo an upper endoscopy to assess the condition of the oesophagus, stomach, and upper small intestine. Early detection through endoscopic screenings allows for more effective management of these conditions, reducing the risk of complications.
4. Screenings for Inflammatory Bowel Disease (IBD):
Inflammatory bowel disease, encompassing conditions like Crohn’s disease and ulcerative colitis, can significantly impact a person’s quality of life. Regular screenings, including blood tests, imaging studies, and endoscopic procedures, help monitor the progression of IBD and identify potential complications.
Individuals with a family history of IBD or those experiencing persistent gastrointestinal symptoms, such as abdominal pain, diarrhoea, and rectal bleeding, should undergo screenings to evaluate their GI health. Early diagnosis enables healthcare providers to implement appropriate treatment plans, manage symptoms, and improve the long-term outlook for individuals with IBD.
5. Liver Health Screenings:
The liver, a crucial organ in the digestive system, can be affected by various conditions, including fatty liver disease, viral hepatitis, and cirrhosis. Routine liver function tests and imaging studies can help assess the health of the liver and identify any abnormalities.
Individuals with risk factors such as excessive alcohol consumption, obesity, or a history of viral hepatitis should prioritize regular liver health screenings. Timely detection allows for early intervention, lifestyle modifications, and the prevention of irreversible liver damage.
6. Screening for Celiac Disease:
Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. Regular screenings, including blood tests and endoscopic procedures, are essential for diagnosing celiac disease and preventing complications such as malnutrition and intestinal damage.
If you experience symptoms like chronic diarrhea, abdominal pain, or unexplained weight loss, consult with your healthcare provider or visit the best gastro hospital in Surat, such as SIDS Hospital, to determine if screening for celiac disease is warranted. Early diagnosis enables the adoption of a gluten-free diet, effectively managing symptoms and promoting long-term intestinal health.
Conclusion:
Regular screenings are a cornerstone of preventive healthcare, especially when it comes to gastrointestinal conditions. Prioritizing routine screenings for colorectal cancer, upper GI conditions, inflammatory bowel disease, liver health, and celiac disease from the best hospitals in Surat can help in taking proactive measures to maintain gastrointestinal well-being.
Early detection through screenings not only facilitates timely intervention but also empowers individuals to make informed decisions about their health, paving the way for a healthier and more fulfilling life. Consult with healthcare professionals to establish a personalized screening plan based on your individual risk factors and overall health profile. Remember, preventive measures today can lead to a healthier tomorrow.
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naturalrights-retard · 6 months
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STORY AT-A-GLANCE
An estimated 12.3 million Americans over 50 are affected by osteoporosis (“porous bone” or low bone density), and an additional 47 million younger Americans are in the early stages. Worldwide, the prevalence is 18.3%
Rates of hip fractures vary from tenfold to a hundredfold between countries, showing that low bone density is not a consequence of aging per se, but is dependent on lifestyle factors, including the use of certain drugs such as proton pump inhibitors (PPIs), the most popular heartburn medications on the market
PPIs are only recommended for short-term use, yet 60% of users report staying on the drug for more than one year; 31% are still on them after three years. More than 60% are also taking them to treat conditions for which these drugs are not indicated, such as indigestion
Dozens of studies show rates of hip fractures are elevated among both long- and short-term users of PPIs, and at all dose levels
More recent research suggests one of the primary ways by which PPIs damage bone may be by way of collagen, as these drugs have been shown to inhibit collagen production through several mechanisms of action
Americans spend a whopping $13 billion a year on over-the-counter (OTC) antacids (acid neutralizers) and OTC and prescription proton pump inhibitors (PPIs), which are the most popular heartburn medications on the market.1 It’s estimated that more than 15% of the population are on PPIs.2,3
Prescription PPIs like Nexium, Dexilant, Prilosec, Zegerid, Prevacid, Protonix, Aciphex and Vimovo inhibit acid production in your stomach and are routinely used to treat gastroesophageal reflux disease (GERD), a condition affecting about 20% of the U.S. population.4 OTC versions like Prilosec OTC, Zegerid OTC and Prevacid 24HR are also available.
Once prescribed, your doctor may keep you on a PPI drug for years, despite label warnings suggesting they be used only for short periods. One of the potential ramifications of long-term use of heartburn medication is osteoporosis. In the Nutrition Facts video above,5 Dr. Michael Greger reviews the evidence for this.
Your Osteoporosis Risk Is Highly Modifiable
As of 2020, an estimated 12.3 million Americans over 50 were affected by osteoporosis (“porous bone” or low bone density), and an additional 47 million younger Americans were in the early stages.6 Worldwide, the prevalence is 18.3%, according to data cited by Greger.
If your bones are getting compromised in your 40s or even 30s, your life expectancy, not to mention quality of life, will be seriously lowered. As noted by Greger, the good news is, osteoporosis is not an inevitable outcome even in advanced age, as lifestyle has been shown to play the greatest role in its development.
Rates of hip fractures vary from tenfold to a hundredfold between countries,7 showing that low bone density is not a consequence of aging per se, but is dependent on things like diet, exercise, alcohol use — and the use of certain drugs, including:8
PPIs and H2 blockers
Antidepressants, anti-anxiety and antipsychotic drugs
Antiparkinsonian drugs
Benzodiazepines and other sedatives
Systemic corticosteroids
PPIs Linked to Bone Fractures
The link between PPIs and brittle bone is strong enough that the U.S. Food and Drug Administration issued a safety alert on it in 2010, warning that the use of these drugs increases the risk of wrist, hip and spine fractures. As noted in that safety announcement:9
“The new safety information is based on FDA's review of several epidemiological studies that reported an increased risk of fractures of the hip, wrist, and spine with proton pump inhibitor use.
Some studies found that those at greatest risk for these fractures received high doses of proton pump inhibitors or used them for one year or more. The majority of the studies evaluated individuals 50 years of age or older and the increased risk of fracture primarily was observed in this age group.
While the greatest increased risk for fractures in these studies involved people who had been taking prescription proton pump inhibitors for at least one year or who had been taking high doses of the prescription medications (not available over-the-counter), as a precaution, the ‘Drug Facts’ label on the OTC proton pump inhibitors (indicated for 14 days of continuous use) also is being revised to include information about this risk.
Healthcare professionals and users of proton pump inhibitors should be aware of the possible increased risk of fractures of the hip, wrist, and spine with the use of proton pump inhibitors, and weigh the known benefits against the potential risks when deciding to use them.”
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FDA Safety Alert Is Out of Date
However, in March 2011, the FDA removed the warning for PPIs sold over the counter, claiming they had “concluded that fracture risk with short-term low dose PPI use is unlikely.” The caveat, of course, is that users of OTC PPIs must then strictly follow usage recommendations to avoid the risk of bone fractures.
OTC PPIs are not to be used for more than 14 days in a row, up to three times in a single year. Chances are, many users do not stick to these parameters, and since there’s no warning label, they might not think anything of it.
According to one survey, 60% of PPI users stayed on the drug for more than one year, and 31% were still on them after three years. More than 60% were also taking them to treat conditions for which these drugs are not indicated, such as indigestion.10 So, overuse is clearly a problem.
What’s more, as noted by Greger, as of 2023 there are dozens of studies showing rates of hip fractures are elevated among both long- and short-term users, and at all dose levels. So, the FDA’s safety alert is seriously outdated.
PPIs and the Risk of Bone Fractures
Studies showing a clear link between PPI usage and bone fractures include a prospective study11 published in 2009, which found that use of the PPI omeprazole was “a significant and independent predictor of vertebral fractures,” with a 3.50 relative risk compared to nonusers.
Relative risk ratio refers to the probability of an event occurring in the exposed group versus the probability of the same event occurring in a nonexposed group.12 So, in this case, PPI users were 3.5 times, or 350%, more likely to fracture their spines during the six-year follow-up compared to those who did not use the drug.
A meta-analysis13 published in 2016, which looked at 18 studies involving a total of 244,109 fracture cases, concluded PPI use was associated with a “modestly” increased risk of all fractures, including hip and spine fractures.
Here, pooled analysis showed PPI use raised the relative risk of hip fracture by 1.26 times, and this was true both for short-term (less than one year) and long-term (more than one year) use. The relative risk of spine fracture was also 1.58 times higher, and any-site fractures 1.33 times higher among PPI users.
How PPIs Cause Osteoporosis
As for how PPIs cause osteoporosis, studies suggest they can affect bone density by:
Inducing hypochlorhydria (a state where production of hydrochloric acid production is absent or very low), which inhibits calcium absorption14
Dysregulating bone resorption, which is essential for healthy bone15
Secondary hyperparathyroidism caused by a negative calcium balance16
PPI-induced hypergastrinemia resulting in parathyroid hypertrophy or hyperplasia17
Gut microbiome alterations18
Hypomagnesemia (low magnesium)19
More recent research suggests one of the primary ways by which PPIs damage bone may be by way of collagen, as these drugs have been shown to inhibit collagen production through several mechanisms of action.
Interestingly, more recent research suggests one of the primary ways by which PPIs damage bone may actually be by way of collagen, as these drugs have been shown to:20
Inhibit Type 1 collagen found in bone by increasing the release of calcium and deoxypyridinoline (the latter of which provides structural stiffness to Type 1 collagen)
Inhibit the gene expression of several collagen types
Reduce total collagen levels by inhibiting expression of dimethylarginine dimethylaminohydrolase (DDAH)
Impair vitamin B12 absorption, which can lead to elevated homocysteine. High homocysteine increases the risk of fractures by altering the quality of collagen21
As noted in a 2020 paper in the Frontiers in Endocrinology:22
“PPIs may actually target the ECM [extracellular matrix] in general and members of the collagen family in particular to influence bone pathophysiology including increasing the risk of osteoporosis and osteoporotic fractures ...”
Other Risks Associated With PPIs
Dependency is also a real risk. Research cited by Greger found that just two months of PPI therapy in healthy volunteers induced “acid-related symptoms” when the drug was withdrawn.23 Besides bone fractures, other health risks associated with PPIs include:24
Kidney disease25
Intestinal infections, including Clostridioides difficile infection — In one study, those taking PPIs had a 1.7 to 3.7 times increased risk of developing C. difficile or Campylobacter infection compared to nonusers26
Stomach cancer
Gastrointestinal polyps
Pneumonia
Heart disease27 and heart attacks, even if you have no prior history of cardiovascular disease28
Erectile dysfunction
Premature death
Higher risk of knee replacement29
Dementia30 and Alzheimer’s disease31,32 — In one study, PPIs were found to cause statistically and clinically significant impairments in the participants’ executive functions, visual memory and planning function after just one week of use33
Natural Remedies for Treating Occasional Reflux Problems
As explained in “Keys to Optimal Digestion” and “Why You Should Never Take Antacids for Digestive Reflux,” stomach acid serves several important functions, such as breaking down proteins, killing ingested pathogens, ensuring optimal nutrient absorption, and regulating the rest of the digestion process.
If you use acid-blockers, you’re compromising your entire digestive system. You may also be compromising your bone health and significantly raising your risk of osteoporosis and serious bone fractures that take a long time to heal.
So, if you suffer from occasional heartburn, indigestion and other minor reflux symptoms, forgo the PPIs and try one or more of the following nondrug alternatives instead:34,35,36,37,38
Aloe juice — The juice of the aloe plant naturally helps reduce inflammation, which may ease symptoms of acid reflux. Drink about one-half cup of aloe juice before meals. To avoid its laxative effect, look for a brand in which the laxative component has been removed.
Apple cider vinegar (raw, unfiltered) — Take 1 tablespoon of raw unfiltered apple cider vinegar in a large glass of water before or directly after meals.
Astaxanthin — When compared to a placebo, this potent antioxidant was found to reduce symptoms of acid reflux, especially for individuals with pronounced H. pylori infection.39 The researchers concluded a daily dose of 40 mg of astaxanthin was effective for reflux reduction.
Baking soda — One-half to 1 teaspoon of baking soda (sodium bicarbonate) in an 8-ounce glass of water, or orange juice, will help neutralize your stomach acid and ease the burn of acid reflux. While I do not advise this as an ongoing remedy, it is effective on an "emergency" basis when you are in excruciating pain.
Ginger root — Ginger has a gastroprotective effect by suppressing H. pylori. It also accelerates gastric emptying which, when impaired, contributes to heartburn. Add two or three slices of fresh ginger root to 2 cups of hot water and let it steep for several minutes. Drink it about 20 minutes prior to your meal.
Sauerkraut — Consuming sauerkraut or cabbage juice will stimulate your body to produce stomach acid.
Glutamine — The amino acid glutamine has been shown to address gastrointestinal damage caused by H. pylori. Glutamine is found in many foods, including beef, chicken, dairy products, eggs, fish and selected fruits and vegetables. L-glutamine is widely available as a supplement.
Ripe papaya or a papain supplement — Papaya contains papain, an enzyme useful for breaking down both protein and carbohydrates.
Fresh pineapple or bromelain supplement — Bromelain is a proteolytic enzyme found in pineapple that helps digest proteins.
Pepsin supplement — Like bromelain, pepsin is a proteolytic enzyme involved in protein digestion.40
Betaine HCI supplement — Betaine HCl is the hydrochloride salt of betaine, not to be confused with betaine or trimethylglycine (TMG). As noted in a 2020 review paper:41 “... the most common recommendation for the use of betaine HCl supplements is usually implemented using an empirical test for low stomach acid whereby increasing doses of betaine HCl are given during sequential meals until such time as an uncomfortable sensation is noticed by the patient.
Along with improvements in symptoms of dyspepsia (or laboratory analysis of improved protein digestion), the lack of side effects acts is an empirical confirmation that low gastric acid production was contributing to poor digestion and/or dyspeptic symptoms.”
Bitters — Bitters have a long history of use in herbal medicinal traditions to promote digestion and/or to relieve digestive complaints.42
Slippery elm — Slippery elm coats and soothes your mouth, throat, stomach and intestines, and contains antioxidants that may help address inflammatory bowel conditions. Because it stimulates nerve endings in your gastrointestinal tract, it is useful for increasing mucus secretion, which has a protective effect against ulcers and excess acidity.
Vitamin D — Vitamin D is important for your gut health. Once your vitamin D levels are optimized, you will benefit from your body's production of about 200 antimicrobial peptides that will help eradicate gut infections.
Zinc — Your stomach needs zinc to produce stomach acid, so make sure your body has the necessary raw ingredients. The recommended daily amount for adults is 8 to 11 mg. Zinc-rich foods include oysters, lobster, beef, cashew nuts, beans and raw yogurt. A zinc supplement can be used if you rarely eat these foods.43
Talk to Your Doctor About Getting Off PPIs
If you’re currently on a PPI, I strongly recommend working with your doctor to wean off it, as inhibiting stomach acid can raise your risk of other, far more serious health conditions, including:44
Osteoporosis
Asthma
Depression
Gallbladder disease
Migraines
Macular degeneration
Autoimmune conditions, including but not limited to Celiac disease, Type 1 juvenile diabetes, Grave’s disease (hyperthyroid), lupus, multiple sclerosis (MS), rheumatoid arthritis and ulcerative colitis
The best and safest way to do that is to work with your doctor to lower the dose you're taking while simultaneously implementing the following lifestyle modifications:
Avoid reflux triggers and/or any food that irritates your stomach
Avoid processed foods and sugar
Eat a Mediterranean diet, focused on fruits, healthy fats, lean meats, nuts and vegetables. Research published in the Journal of the American Medical Association Otolaryngology — Head & Neck Surgery found a Mediterranean diet was as effective as PPIs in treating acid reflux symptoms45
Reseed your gut with beneficial bacteria from traditionally fermented foods or a high-quality probiotic supplement
Thoroughly chew each bite of food
Once you get down to the lowest dose of the PPI, you can start substituting with an over-the-counter H2 blocker like Pepcid (famotidine) which appears to be the safest of all the OTC H2 blocker options out there. Then, gradually wean off the H2 blocker over the next several weeks.
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jcmarchi · 7 months
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AI System Self-Organises to Develop Features of Brains of Complex Organisms - Technology Org
New Post has been published on https://thedigitalinsider.com/ai-system-self-organises-to-develop-features-of-brains-of-complex-organisms-technology-org/
AI System Self-Organises to Develop Features of Brains of Complex Organisms - Technology Org
Cambridge scientists have shown that placing physical constraints on an artificially intelligent system – in much the same way that the human brain has to develop and operate within physical and biological constraints – allows it to develop features of the brains of complex organisms to solve tasks.
Artificial intelligence, machine learning, large language models – artistic interpretation. Image credit: Gerd Altmann via Pixabay, free license
As neural systems such as the brain organise themselves and make connections, they have to balance competing demands. For example, energy and resources are needed to grow and sustain the network in physical space, while at the same time optimising the network for information processing. This trade-off shapes all brains within and across species, which may help explain why many brains converge on similar organisational solutions.
Jascha Achterberg, a Gates Scholar from the Medical Research Council Cognition and Brain Sciences Unit (MRC CBU) at the University of Cambridge said: “Not only is the brain great at solving complex problems, it does so while using very little energy. In our new work we show that considering the brain’s problem solving abilities alongside its goal of spending as few resources as possible can help us understand why brains look like they do.”
Co-lead author Dr Danyal Akarca, also from the MRC CBU, added: “This stems from a broad principle, which is that biological systems commonly evolve to make the most of what energetic resources they have available to them. The solutions they come to are often very elegant and reflect the trade-offs between various forces imposed on them.”
In a study published today in Nature Machine Intelligence, Achterberg, Akarca and colleagues created an artificial system intended to model a very simplified version of the brain and applied physical constraints. They found that their system went on to develop certain key characteristics and tactics similar to those found in human brains.
Instead of real neurons, the system used computational nodes. Neurons and nodes are similar in function, in that each takes an input, transforms it, and produces an output, and a single node or neuron might connect to multiple others, all inputting information to be computed.
In their system, however, the researchers applied a ‘physical’ constraint on the system. Each node was given a specific location in a virtual space, and the further away two nodes were, the more difficult it was for them to communicate. This is similar to how neurons in the human brain are organised.
The researchers gave the system a simple task to complete – in this case a simplified version of a maze navigation task typically given to animals such as rats and macaques when studying the brain, where it has to combine multiple pieces of information to decide on the shortest route to get to the end point.
One of the reasons the team chose this particular task is because to complete it, the system needs to maintain a number of elements – start location, end location and intermediate steps – and once it has learned to do the task reliably, it is possible to observe, at different moments in a trial, which nodes are important. For example, one particular cluster of nodes may encode the finish locations, while others encode the available routes, and it is possible to track which nodes are active at different stages of the task.
Initially, the system does not know how to complete the task and makes mistakes. But when it is given feedback it gradually learns to get better at the task. It learns by changing the strength of the connections between its nodes, similar to how the strength of connections between brain cells changes as we learn. The system then repeats the task over and over again, until eventually it learns to perform it correctly.
With their system, however, the physical constraint meant that the further away two nodes were, the more difficult it was to build a connection between the two nodes in response to the feedback. In the human brain, connections that span a large physical distance are expensive to form and maintain.
When the system was asked to perform the task under these constraints, it used some of the same tricks used by real human brains to solve the task. For example, to get around the constraints, the artificial systems started to develop hubs – highly connected nodes that act as conduits for passing information across the network.
More surprising, however, was that the response profiles of individual nodes themselves began to change: in other words, rather than having a system where each node codes for one particular property of the maze task, like the goal location or the next choice, nodes developed a flexible coding scheme.
This means that at different moments in time nodes might be firing for a mix of the properties of the maze. For instance, the same node might be able to encode multiple locations of a maze, rather than needing specialised nodes for encoding specific locations. This is another feature seen in the brains of complex organisms.
Co-author Professor Duncan Astle, from Cambridge’s Department of Psychiatry, said: “This simple constraint – it’s harder to wire nodes that are far apart – forces artificial systems to produce some quite complicated characteristics. Interestingly, they are characteristics shared by biological systems like the human brain. I think that tells us something fundamental about why our brains are organised the way they are.”
Understanding the human brain
The team are hopeful that their AI system could begin to shed light on how these constraints, shape differences between people’s brains, and contribute to differences seen in those that experience cognitive or mental health difficulties.
Co-author Professor John Duncan from the MRC CBU said: “These artificial brains give us a way to understand the rich and bewildering data we see when the activity of real neurons is recorded in real brains.”
Achterberg added: “Artificial ‘brains’ allow us to ask questions that it would be impossible to look at in an actual biological system. We can train the system to perform tasks and then play around experimentally with the constraints we impose, to see if it begins to look more like the brains of particular individuals.”
Implications for designing future AI systems
The findings are likely to be of interest to the AI community, too, where they could allow for the development of more efficient systems, particularly in situations where there are likely to be physical constraints.
Dr Akarca said: “AI researchers are constantly trying to work out how to make complex, neural systems that can encode and perform in a flexible way that is efficient. To achieve this, we think that neurobiology will give us a lot of inspiration. For example, the overall wiring cost of the system we’ve created is much lower than you would find in a typical AI system.”
Many modern AI solutions involve using architectures that only superficially resemble a brain. The researchers say their works shows that the type of problem the AI is solving will influence which architecture is the most powerful to use.
Achterberg said: “If you want to build an artificially-intelligent system that solves similar problems to humans, then ultimately the system will end up looking much closer to an actual brain than systems running on large compute cluster that specialise in very different tasks to those carried out by humans. The architecture and structure we see in our artificial ‘brain’ is there because it is beneficial for handling the specific brain-like challenges it faces.”
This means that robots that have to process a large amount of constantly changing information with finite energetic resources could benefit from having brain structures not dissimilar to ours.
Achterberg added: “Brains of robots that are deployed in the real physical world are probably going to look more like our brains because they might face the same challenges as us. They need to constantly process new information coming in through their sensors while controlling their bodies to move through space towards a goal.”
“Many systems will need to run all their computations with a limited supply of electric energy and so, to balance these energetic constraints with the amount of information it needs to process, it will probably need a brain structure similar to ours.”
Source: Cambridge University
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kevinpshanblog · 8 months
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100 year old film
Bell Boy 13 Jan 19, 1923
Bell Boy 13 is a 1923 American silent comedy film directed by William A. Seiter, and starring Douglas MacLean, John Steppling, Margaret Loomis, William Courtright, Emily Gerdes, and Eugene Burr. The film was released by First National Pictures on January 19, 1923.
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Douglas MacLean was an American stage and silent film actor who later worked as a producer and screenwriter in the sound era . Born in Philadelphia, MacLean was educated at Northwestern University and Lewis Institute of Technology in Chicago. He went on to appear with Dorothy Gish in The Hun Within, and he co-starred with Doris May in the romantic comedy 23 1/2 Hours' Leave, which was a big hit.
From 1922 to 1929 he starred in 14 other features for Paramount and First National, all maintaining the standard light romantic comedy formula that proved successful for him.
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MacLean was a popular actor of his time. His films were well-received by audiences and critics alike. Bell Boy 13 was one of his most successful films. It was praised for its humor. MacLean's performance as Harry Elrod was also highly appreciated by the audience.
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The film follows the story of college graduate Harry Elrod (MacLean) who wishes to marry actress Kitty Clyde (Loomis), but his Uncle Ellrey Elrod (Steppling) has picked out Angela Fish (Gerdes) as a wife for his nephew. Harry arranges an elopement with Kitty. His uncle's suspicions are aroused and he trails Harry continuously. Harry receives a telegram from his uncle, disowning him. Broke, Harry takes a job as a hotel bell boy.
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Although almost completely forgotten today, Douglas MacLean was a talented actor who made significant contributions to the film industry. Bell Boy 13 is a testament to his acting prowess and remains a classic silent comedy film to this day.
Douglas MacLean - Wikipedia
Bell Boy 13 - Wikipedia.
https://en.wikipedia.org/wiki/Bell_Boy_13.
Bell Boy 13 (Short 1923) - IMDb.
https://www.imdb.com/title/tt0013866/.
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indianmedicalacademy · 9 months
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Unmasking the Silent Culprit: Understanding Acid Reflux and Its Impact
Acid reflux, a seemingly harmless term, carries the potential to disrupt our daily lives and compromise our well-being. In a fast-paced world like ours, where stress and erratic eating habits often take centre stage, it’s crucial to comprehend the intricacies of acid reflux and its effects on our digestive system. This blog aims to shed light on this silent culprit, exploring its prevalence in India, its underlying causes, and the impact it can have on our daily lives. Moreover, we’ll delve into a promising solution that offers relief.
The Prevalence of Acid Reflux in India
Acid reflux, also known as gastroesophageal reflux disease (GERD), is alarmingly prevalent in India. This digestive disorder occurs when stomach acid flows back into the esophagus, causing discomfort and irritation. Recent studies suggest that between 10% to 30% of the Indian population experiences the discomfort of acid reflux, making it a matter of significant concern. Its widespread occurrence highlights the need for a comprehensive understanding of this condition.
Unmasking the Culprits: Causes of Acid Reflux
Understanding the root causes of acid reflux is essential in managing and preventing its occurrence. Unhealthy dietary habits, such as consuming spicy, fried, or fatty foods, can trigger acid reflux. Additionally, excessive consumption of caffeinated beverages, alcohol, and citrus fruits can exacerbate the condition. Stress and obesity are also identified as contributors to acid reflux, further underlining the need for a holistic approach to its management.
Effects on Daily Life
The impact of acid reflux on daily life can be significant, often leading to discomfort and hindrance in various activities. Frequent episodes of heartburn, regurgitation of stomach contents, and a persistent sour taste in the mouth are common symptoms. These symptoms can disrupt sleep, impact productivity, and even dampen the enjoyment of meals. Moreover, untreated acid reflux can lead to complications such as esophageal inflammation, ulcers, and in severe cases, even esophageal cancer.
Getting Relief from Acid Reflux
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The Promising Solution
Ranitidine’s efficacy in managing acid reflux has made it a go-to option for individuals seeking relief. Its four decades of legacy speak volumes about its reliability and safety. What sets Ranitidine apart is its availability over-the-counter, making it accessible for those in need of prompt relief. By reducing the excess acid that causes discomfort, Ranitidine helps restore harmony to the digestive system, allowing individuals to regain control over their lives.
The Road to Wellness
In a world where our health is constantly tested by demanding schedules and lifestyle choices, understanding acid reflux is the first step towards combating its effects. By identifying its causes and being aware of the symptoms, we empower ourselves to make informed decisions. Ranitidine serves as a supportive ally in this journey, providing a subtle yet powerful solution to the discomfort of acid reflux. As we strive for balanced well-being, let’s unmask the silent culprit and embrace the solutions that promise relief, allowing us to savour life’s moments without the looming discomfort of acid reflux.
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