i just saw the most beautiful act of love. gonna be sappy in the tags real quick :’)

Good News From Israel

In the 31 Dec 23 edition of Israel’s good news, the highlights include:

A 95-year-old reservist re-enlisted to fight for Israel.

Volunteer overseas medics are rushing to help Israel.

See who is being successfully treated with Hyperbaric Oxygen Therapy.

Papua New Guinea has opened the first consulate in Judea & Samaria.

Israeli scientists are fighting bad bacteria and utilizing good bacteria.

Intel’s billion-dollar investment shows confidence in Israel’s economy.

The Israel Philharmonic Orchestra is “playing” its part in Israel’s war effort.

Welcome to 1,200 new French Israelis.

Read More: Good News From Israel

As 2023 comes to an end, I unashamedly write this introduction with much emotion. There are now definite signs that Israel is winning the war against Hamas in Gaza. It cannot fail, thanks to a winning team of supporters in Israel and across the globe who, like the many thousands of readers of this newsletter, have been donating time, money, skills, accommodation, essential supplies, and more, to help the IDF fight against those wishing to destroy the Jewish State and civilization as a whole.

The remaining 50% of this week's newsletter celebrates winning teams of Israelis: - developing medical innovations, therapies, and performing life-saving surgery. - two award-winning scientists, - winning the battle against bacteria, radiation, and environment-unfriendly gases - increasing revenues in Israel's top 5 companies

It's also good to see: - a winning Israeli gymnast auctioning off his gold medal to help war victims - global IT companies, such as Intel, supporting the winning side - record numbers making Aliyah from France, even during a war.

And what a way to end the year - with a new winning team of translators from Syracuse, New York who have translated my last newsletter issue into French, Spanish and Hebrew to add to the translation by my loyal German translator.  We hope for more winning news in 2024.

The photo (TY Aubrey) is of a Hebrew sign that translates as "We will win in Gaza".  The sign can also be translated as "We will win with God's help".  Amen.

Hyperbaric Medicine (HBO)

I'm sorry, what is that?

I have a side hustle as a hyperbaric medicine provider and I am here to give you the down and dirty!

Sometimes referred to as HBO (hyperbaric oxygen), hyperbaric or dive medicine is a specialty that utilizes oxygen at high pressure to treat a variety of conditions, primarily things involving wounds. We place a patient in a chamber, deliver 100% oxygen to them, pressurize the chamber, and keep them in there for about 120 minutes. Since oxygen is the number one thing you need to heal a wound, we use a lot of it to try and speed up the process.

The Basics

Wait - what? HOW? Try not to have PTSD from your days in chemistry, but remember these?

The treatment physiology of hyperbarics relies on gas laws. Recall that it takes a lot of pressure to dissolve a gas into a liquid.

We use pressure to force oxygen into the blood stream at high rates to facilitate wound healing. For reference, most of your oxygen content is bound to hemoglobin (~98%). You do have dissolved oxygen in your blood, represented by your PaO2/PvO2 in a blood gas. However, this makes up a fraction of O2 content (~2%: if you want a clinical soap box, you should hear me talk about blood gases to students lol). A normal ABG would have a PaO2 of 65-100. An ABG acquired during hyperbaric treatment would be well over 2,000.

As an aside, recall that ambient air is 21% oxygen. Also, as a reminder, we exist at 1.0 ATA of pressure (one atmosphere).

How is it done?

Delivering oxygen this way requires delivery of a lot of pressure. We utilize dive chambers for this purpose. There are two types of chambers:

Monoplace: literally looks like a class coffin. Holds one patient and delivers oxygen at pressure through the entire chamber. These are very popular at wound centers.

Multiplace: literally looks like a submarine. Holds 2+ patients and delivers oxygen at pressure to individual patients hooked up to hoods or masks. These are found at tertiary care/academic medical centers.

Literally, the multiplace hoods make you look like a silly space person.

The reason oxygen is delivered this way in a multiplace chamber is to reduce the risk of fire. Oxygen at pressure can go boom. Having an entire chamber full of O2 is a big risk. So, we deliver the gas individually to each patient.

How did it start?

Dinking around with gases at pressure has been a thing for 400 years. However, it didn't become a more focused endeavor until the first dive suits started to be a thing in the 1870s. The specialty itself is relatively new, developed in the 1930s due to advent of decompression illness with divers. Things really progressed in the 1950s.

One pivotal study was "Life without Blood" in 1959. Dr. Boerema proved that he could keep a pig alive with HBO alone. The ethics of this experiment are questionable but he exsanguinated a pig under hyperbaric conditions (3.0 ATA, 100% FiO2). Plasma was left behind. By doing this, he proved that, at pressure, an organism does not need hemoglobin to live. Kind of a radical thing to prove! Don't worry, the pigs did get their blood back and recovered without issue.

What is treated with HBOT? (hyperbaric oxygen therapy)

Anything related to wound healing can be treated with HBOT. We also treat carbon monoxide poisoning, air gas embolism, and decompression sickness with HBOT. I'll start with those since they are (imo), the most clinically interesting. ;-D

Carbon monoxide poisoning: The physiology of using HBOT to treat CO poisoning is based on the binding affinity of CO to hemoglobin. CO has 200 x the binding affinity for hemoglobin than O2 or CO2 does. Because the binding sites are taken up by CO, hemoglobin cannot pick up O2. It also can't offload whatever O2 is already bound. The goal with HBOT is to bombard the blood with massive amounts of O2 to force CO off.

For reference, it would take about 6 hours for CO to offload on its own from hemoglobin on room air. It would take half as long at 100% FiO2 delivered at standard air pressure (1.0 ATA). CO is rapidly forced off within 30 minutes with HBOT. With very severe CO poisoning, particularly in cases of LOC, this is vital for limitation of hypoxia and neurological sequelae of exposure. Treatment is 1-3 "dives" depending on clinical context. The patient is treated at 2.8 ATA (60 feet of sea water) for about 120 minutes.

Air gas embolism: This occurs when gas is accidentally introduced into circulation. It can either be venous or arterial. The venous system has much more flexibility in tolerance for air bubbles. 15 cc or less of gas introduction is probably not going to result in symptoms. Higher volumes go to the lungs and can result in local lung infarction.

The real danger with this is air introduced into arterial circulation. Depending on where it is introduced, it can go directly to the heart causing an MI, or to the brain causing a stroke. Any volume of air introduced into arterial circulation is bad news bears. Treatment is usually 1 "dive" but could be more based on the context. The patient is treated at 2.8 ATA for 30 minutes and then the ascent is extremely slow. The whole dive takes about 5 hours. Why so long? If we ascend too quickly, the air bubble will reform.

Decompression sickness: This occurs primary with scuba divers who ascended too quickly. Scuba divers generally breath mixed gas, most commonly air (21% O2, ~79% N2) or nitrox (35% O2, ~65% N2). As someone is diving, the nitrogen they breath is also dissolved into their blood since they are at a pressure greater than 1.0 ATA. If a diver ascends too quickly, the nitrogen dissolved in the blood will rapidly reform air bubbles in the blood. We just mentioned how that is problematic.

Since air bubbles can go everywhere in circulation, the symptoms are variable ranging from headache, vertigo, nausea, joint pain, chest pain, stroke symptoms, loss of bowel/bladder function, etc. The treatment for this is to recompress the patient and very slowly ascend in the HBO chamber. Treatment is usually 1 dive but could be more based on the context. The patient is treated at 2.8 ATA for 30 minutes and then the ascent is extremely slow. The whole dive takes about 5 hours. Why so long? Again, if we ascend too quickly, the air bubble will reform.

Wound related conditions: there are roughly 15 approved diagnoses for HBO by Medicare in the USA. This is important to mention because if a condition is not covered, paying out of pocket is extremely cost-prohibitive. Insurance is billed $6,000 per treatment! Some of the most common conditions treated are osteoradionecrosis, soft-tissue radionecrosis, irradiation cystitis with hematuria, and refractory chronic osteomyelitis. Wounds created from radiation exposure have the best evidence to support the use of HBOT. These are considered outpatient conditions so patients come to be treated Monday-Friday. We dive to 2.4 ATA for 120 minutes. At minimum, patients are prescribed 20 dives but most treatment protocols for radiation induced injuries is at least 40 dives.

As you can see, this is a HUGE commitment for the patient. One dive is not enough for these wound related conditions. As a hyperbaric provider, I can say that we have patients with such significant symptom relief from HBO. For example, irradiation cystitis with hematuria is extremely debilitating. Patients are fatigued from chronic blood loss, deal with painful bladder spams and pelvic pain, pain with urination, and increased frequency. The blood can clot and obstruct their urethra or foley catheter. Symptoms like this limit quality of life. HBOT makes a huge difference for them.

Benefits

Anyone who has barriers to wound healing can benefit from HBO. Barriers include vascular disease, CKD, COPD, DM, heart failure, and immunocompromised status. The goal is symptom resolution/improvement or healing of the wound. Some patients get approved for far more treatments than we typically do. Usually the maximum insurance will cover is 60. However, in some situations, the clinical benefit of continued treatments is recognized by insurance and treatment is extended.

As a provider, I get to know these patients pretty well. They show up every day that I am staffing in HBO and it is rewarding to see them improve. Compared to my critical care role, this is a nice change of pace.

Adverse Reactions and Risks

There are risks and side effects to HBO. The most common are barotrauma, pneumothorax, seizure, temporary worsening of cataracts/vision, and abdominal distention.

Barotrauma of the ears and sinuses is by the most common issue we face in HBOT. If patients are not able to clear their ears as they descend ("pop" their ears), they can rupture their ear drums. Patients that cannot descend without extreme pain may need myringotomy tubes (ear tubes) to assist with equalizing pressure.

Seizure is a risk of HBOT and that primarily comes from oxygen reducing the seizure threshold. We mitigate this with "air breaks". These are 5 minutes intervals of the treatment where the patient is receiving air rather than 100% O2. Example, we treat at 100% for 30 minutes, have a 5 minute air break, repeat x 2. Obviously the people at highest risk are those with epilepsy or taking seizure threshold reducing medications.

HBOT can worsen cataracts and vision temporarily. The mechanism of this is poorly understood but we know it is reversible. Distance vision is affected the most.

Contraindications

The only absolute contraindication to HBOT is an untreated pneumothorax. There are many relative contraindications that require a risk benefit analysis. An example of this is pregnancy. HBOT has not been thoroughly studied in pregnancy and is not recommended EXCEPT in cases of CO poisoning where we know that the CO concentration is higher in fetal circulation than maternal. Always treat a pregnant person with CO poisoning.

Other potential contraindications include use of certain chemotherapy agents, COPD with blebs/bullae, severe heart failure, epilepsy, sinus/HEENT disease, claustrophobia, certain implanted devices, or active infection.

With certain chemo agents, they can lower the seizure threshold putting patients at higher risk of seizure in the chamber. People with COPD and blebs are at risk of those blebs popping under pressure and causing acute respiratory distress. People with heart failure can experience flash pulmonary edema after an HBO treatment. If people are claustrophobic, obviously spending time in a monoplace chamber can trigger panic attacks. At my center, we sometimes have people referred to our multiplace chamber for exactly that reason.

Most implanted medical devices are HBOT compliant. Generally, pacers and other devices are tested at 4.0 ATA of pressure. We double check with the manufacturer that the device is compliant. If it isn't, we cannot safely treat and have to deny the consult.

Obviously, if someone is sick, we don't want them in the chamber. Particularly colds, severe allergies, fever, or anything that is affecting HEENT. People with acute sinus infection are unable to clear sufficiently to dive. Even if they can clear, they feel miserable. No need to go through that.

Safety Issues

I mentioned that high O2 environments are at risk for explosion. Safety is the number one concern with any chamber. The goal is to reduce risk of fire by removing fabrics that create static (anything synthetic), removing electronic devices that are not HBOT approved, and going through multiple levels of safety checks for patients and for chamber preparation.

At our chamber, only 100% cotton is allowed in the chamber. All patients have special scrubs that they wear during treatment. No electronic devices can be brought in the chamber which includes phones, tablets, laptops, e-readers, watches, pagers, etc. We do have HBOT approved IV pumps and radio headsets that we use. These have been tested at 4.0 ATA. The radio headsets are for the attendant (staff member) who is in the chamber and this is also for safety purposes. Since we have a mulitplace chamber, a staff member is always in the chamber with the patient(s).

One thing I do want to address is that some people are concerned about putting a patient with active cancer into the chamber. There is concern that the high O2 environment will "feed" the cancer. There is simply not data to support this. Active cancer is not a contraindication to HBOT.

And there you have it! The down and dirty of HBOT! Hopefully you learned something cool. If you think you have a patient who would benefit, find your local HBOT provider. We are always happy to talk with you about the process. If you care about a soapbox of how insurance companies suck, see below. :-D

Soapbox: I will say, I have definitely been frustrated with insurance companies. They are the gatekeepers of this treatment. You can have several providers supporting the use of treatment and an insurance company can still say "no". Very frustrating.

A prime example of this are patients who have avascular necrosis that is steroid or chemotherapy induced. These are often younger patients (late teens, early 20s) who have/had leukemia of some kind. They end up having necrosis at a joint, usually the femoral head, that will likely result in complete joint replacement at a young age. No orthopedic surgeon wants to replace joints on a young person. It comes will all kind of problems and always needs revision later in life.

Insurance companies will say "we only cover radiation induced necrosis" because that is what the literature supports. Yes, they are correct that the vast majority of studies support HBOT for radiation induced injury. However, the pathophysiology of the tissue destruction, while a little different, ends up with the SAME problem. There are studies that support HBOT use in these situation but not nearly as many as radiation induced injury. The result is that patients suffer, get a joint replacement they could have avoided (or postponed until they are fully developed), and generally are shafted.

*end soapbox*

At this point I'm willing to try anything for my long covid. I'll throw anything at it. For decades, the medical establishment was just not doing anything for ME/CFS patients, and now long covid patients are getting the same treatment.

I have an appointment with my doctor at the long covid clinic in a few weeks. I'm going to tell him how the speech therapist said I didn't need speech therapy, the PT is making me feel worse, and the aspirin + plavix regimen didn't do anything. In the past, he's been willing to discuss the literature with me. I'm going to ask about his opinion on options that the clinic doesn't provide because insurance never covers them.

I bought nattokinase supplements. I'm considering hyperbaric oxygen, low dose naltrexone, and NAD+ IVs or injections. This stuff is so expensive. My mom is also pressuring me to see some functional medicine neurologist in NY who doesn't take insurance and charges $2000 for an initial visit. My grandmother offered to pay for it. But I don't want to go because it feels scammy.

If only a knowledgeable expert in the field would sit me down and tell me what my best options are.

Inhale and exhale Simple This Winter season In A 420 Challenging-Sided Hyperbaric Holding chamber

The Benefits Of hyperbaric chamber, Described If you’ve been within a hyperbaric chamber, then you know how extraordinary it is actually. But exactly what is a hyperbaric chamber? Of course, if you’re not familiar with them, just how can they operate? Effectively, let's begin by identifying whatever they are: A hyperbaric chamber is definitely an encased place that improves the stress close to you using atmosphere or fresh air fuel. The increased pressure aids your body's tissue process far more oxygen—which can help handle several problems like persistent cuts, infections and much more!

Exactly What Is A Hyperbaric Chamber? A hyperbaric chamber can be a pressurized room which utilizes higher than typical quantities of air to take care of health conditions. You can use it to treat cuts, enhance immunity, and assistance with recuperation after surgical procedure. Why Would You Need A Hyperbaric Chamber It may help with a variety of health problems. Hyperbaric therapy is a great way to improve the circulation of blood and fresh air amounts, which could provide relief from a wide array of situations, including: •Sleeplessness •Head aches •Muscle soreness •Curing injuries Which Are The Benefits Of A Hyperbaric Chamber? The first significant benefit of a oxygen therapy durango colorado is greater stamina and endurance. When you’re in a hyperbaric chamber, your body is subjected to 100% oxygen, which can lead to an increase in producing red blood flow tissue. This increased generation assists produce more vitamins and minerals and air throughout all of your system, including muscle tissues and bodily organs that will normally not fully nourished. If you’re looking for the best side at the health club or around the area, think about how much less difficult performing those additional representatives could possibly be when you are able inhale (and think) clearly!

Healing Of The Nervous System The neurological system is really a sophisticated community of nerves that control the body. They carry messages back and forth from your brain, which transmits out emails towards the entire body. Your brain also obtains information using their company body parts, including once you feel anything hot or cold. The neural tissue with your spinal-cord deliver information and facts to different parts of the body to help you move easily and do things such as check this out write-up or ingest espresso while producing it!

Being diagnosed “early”, and how it affected me

Unlike a lot of autistic people who are AFAB and present as “high functioning”, I was diagnosed when I was 4. In a lot of ways, I feel very fortunate that I was diagnosed that early. I had a much better understanding as to why I seemed different to other kids throughout my childhood.

In other ways, though, there were also some downsides. I was diagnosed in 2008, when the narrative surrounding autism was primarily a negative, medical model based one. And my mom was unfortunately sucked into this narrative.

Now, before I continue, I want to make something clear: my mom knew that she could not “cure” my autism. She simply wanted to help me live my best life, and was doing the best she could with the resources that she could find.

(This is also, though, a great example of why the medical model of autism is so dangerous. It preys on vulnerable parents, and promises them a “cure”.)

For several years, I saw an autism specialist that was recommended to us by TACA and DAN! Now, I did not have any issues with the doctor as a person. I knew that she just wanted to help me, and other autistic individuals. However, I did have, a still do to this day, issues with many of her practices. She promoted things like diets, hyperbaric oxygen therapy, and chelation therapy, because she had been influenced by the medical model of autism to believe that those things could “cure” it. I always left her office with this nagging feeling that there was something really wrong with me, and struggled with the fact that I was autistic for many years. It wasn’t until I got on social media, and began to find autistic self advocates, that I learned to accept my autism.

Once again, I do not blame my mom, or the doctor, for what they did when I was younger. I know that they were just trying to help me. But I can’t help but wonder how my childhood would have been different if my autism had been seen as an integrated part of who I am, and not as a flaw

Finding Quality HBOT Services in Hyderabad: What to Look For

HBOT is a medical treatment that involves breathing pure oxygen in a pressurized chamber. This therapy is used to treat various medical conditions, including chronic wounds, decompression sickness, carbon monoxide poisoning, and more. If you're seeking HBOT services in Hyderabad, it's crucial to find a quality provider to ensure safety and efficacy. Here’s what to look for when selecting an HBOT service in Hyderabad.

1. Accreditation and Certification

The first step in finding a reputable Best Hyperbaric Oxygen Therapy Centres in Hyderabad is to check for proper accreditation and certification. Look for clinics that are accredited by recognized medical bodies, such as the Undersea and Hyperbaric Medical Society (UHMS) or similar organizations. Accreditation ensures that the clinic meets stringent standards for safety, equipment, and staff training.

2. Experienced Medical Staff

The expertise of the medical staff is critical for the safe administration of HBOT. Ensure that the clinic has experienced and certified hyperbaric physicians and technicians. The presence of trained professionals guarantees that you will receive proper medical supervision and care during your therapy sessions.

3. State-of-the-Art Equipment

Quality HBOT clinics should be equipped with state-of-the-art hyperbaric chambers and monitoring devices. Check if the clinic uses modern monoplace or multiplace chambers that meet international safety standards. Advanced equipment ensures effective treatment and minimizes the risk of complications.

4. Comprehensive Consultation and Assessment

A reputable Best Hyperbaric Oxygen Therapy Centres in Hyderabad will offer a thorough consultation and assessment before starting the therapy. This includes a detailed medical history review, physical examination, and possibly some diagnostic tests to determine if HBOT is appropriate for your condition. Personalized treatment plans should be developed based on individual needs and medical requirements.

5. Patient Safety Protocols

Safety is paramount in Best Hyperbaric Oxygen Therapy Centres in Hyderabad. Inquire about the clinic’s safety protocols, emergency procedures, and infection control measures. Ensure that the clinic has a clear plan for managing potential complications and that they conduct regular maintenance and safety checks on their equipment.

6. Customized Treatment Plans

Each patient’s medical condition is unique, and a one-size-fits-all approach to Best Hyperbaric Oxygen Therapy Centres in Hyderabad is not effective. Look for clinics that provide customized treatment plans tailored to your specific health needs. This includes the number of sessions, duration, and pressure levels used during the therapy.

7. Post-Treatment Care and Follow-Up

Quality HBOT services should include comprehensive post-treatment care and follow-up. This ensures that your progress is monitored and any adverse effects are promptly addressed. Continuous evaluation helps in optimizing the treatment outcomes and adjusting the therapy as needed.

8. Patient Testimonials and Reviews

Patient reviews and testimonials can provide valuable insights into the quality of Best Hyperbaric Oxygen Therapy Centres in Hyderabad services at a particular clinic. Look for feedback from previous patients regarding their experiences, the professionalism of the staff, and the effectiveness of the treatments. Positive reviews and high satisfaction rates are good indicators of a reliable clinic.

9. Transparent Pricing

Transparency in pricing is crucial to avoid unexpected costs. A reputable HBOT clinic will provide a clear breakdown of costs for the treatment sessions, consultations, and any additional services. Ensure that you understand the pricing structure and any available payment plans or insurance options.

10. Location and Accessibility

Finally, consider the location and accessibility of the HBOT clinic. Choose a clinic that is conveniently located and easily accessible, especially if you require multiple sessions. A clinic with good transport links and ample parking can make your treatment journey more comfortable and less stressful.

Conclusion

Finding quality Best Hyperbaric Oxygen Therapy Centres in Hyderabad services in Hyderabad involves careful consideration of several factors, including accreditation, staff expertise, equipment quality, and patient care protocols. By taking the time to research and evaluate potential providers, you can ensure that you receive safe, effective, and personalized hyperbaric oxygen therapy. Investing in a reputable HBOT clinic not only enhances your treatment outcomes but also provides peace of mind throughout your therapeutic journey.

Europe Advanced Wound Care Market Will Hit Big Revenues In Future | Biggest Opportunity Of 2024

Latest added Europe Advanced Wound Care Market research study by Market Research Forecast offers detailed outlook and elaborates market review till 2030. The market Study is segmented by key regions that are accelerating the marketization. At present, the market players are strategizing and overcoming challenges of current scenario; some of the key players in the study are Coloplast A/S (Denmark),Paul Hartmann AG (Germany),Smith & Nephew (U.K.),ConvaTec Group PLC (U.K.),Mölnlycke Health Care AB (Sweden),Tissue Regenix (U.S.),Medtronic (Ireland),Integra Lifesciences (U.S.),3M (U.S.)} etc.  Free Sample Report + All Related Graphs & Charts @: https://marketresearchforecast.com/report/europe-advanced-wound-care-market-866/sample-report The Europe Advanced Wound Care Marketsize was valued at USD 11.38 USD Billion in 2023 and is projected to reach USD 16.78 USD Billion by 2032, exhibiting a CAGR of 5.7 % during the forecast period. The latest edition of this report you will be entitled to receive additional chapter / commentary on latest scenario, economic slowdown and COVID-19 impact on overall industry. Further it will also provide qualitative information about when industry could come back on track and what possible measures industry players are taking to deal with current situation. Each of the segment analysis table for forecast period also high % impact on growth. This research is categorized differently considering the various aspects of this market. It also evaluates the upcoming situation by considering project pipelines of company, long term agreements to derive growth estimates. The forecast is analyzed based on the volume and revenue of this market. The tools used for analyzing the Global Europe Advanced Wound Care Market research report include SWOT analysis. Influencing Trend:

Increasing Number of Hospitals and ASCs Identified as Significant Market Trend

Market Growth Drivers:

Increasing Adoption of Synthetic BVF to Boost Market Growth

The Global Europe Advanced Wound Care segments and Market Data Break Down are illuminated below: Product Type: Advanced Wound Dressings {Alginate Dressings, Hydrogel Dressings, Film Dressings, Antimicrobial Dressings, Foam Dressings, Others}, Wound Care Devices {Negative Pressure Wound Therapy, Hyperbaric Oxygen Therapy, Extracorporeal Shock Wave Therapy, Others}, and Active Wound Care {Biological Skin Equivalents, Biological Dressings, and Others},Indication: Diabetic Foot Ulcers and Others,End User: Hospitals, Clinics, Homecare Settings, Others}

Get Up to 10% Discount on Various License type of this Premium Version of the Report: https://marketresearchforecast.com/report/europe-advanced-wound-care-market-866/request-discount The regional analysis of Global Europe Advanced Wound Care Market is considered for the key regions such as Asia Pacific, North America, Europe, Latin America and Rest of the World. North America is the leading region across the world. Whereas, owing to rising no. of research activities in countries such as China, India, and Japan, Asia Pacific region is also expected to exhibit higher growth rate the forecast period 2021-2027. Highlights of the report:

A complete backdrop analysis, which includes an assessment of the parent market

Important changes in market dynamics

Market segmentation up to the second or third level

Historical, current, and projected size of the market from the standpoint of both value and volume

Reporting and evaluation of recent industry developments

Market shares and strategies of key players

Emerging niche segments and regional markets

An objective assessment of the trajectory of the market

Recommendations to companies for strengthening their foothold in the market

Strategic Points Covered in Table of Content of Global Europe Advanced Wound Care Market:

Chapter 1: Introduction, market driving force product Objective of Study and Research Scope the Europe Advanced Wound Care market

Chapter 2: Exclusive Summary – the basic information of the Europe Advanced Wound Care Market.

Chapter 3: Displayingthe Market Dynamics- Drivers, Trends and Challenges & Opportunities of the Europe Advanced Wound Care

Chapter 4: Presenting the Europe Advanced Wound Care Market Factor Analysis, Porters Five Forces, Supply/Value Chain, PESTEL analysis, Market Entropy, Patent/Trademark Analysis.

Chapter 5: Displaying the by Type, End User and Region/Country 2015-2020

Chapter 6: Evaluating the leading manufacturers of the Europe Advanced Wound Care market which consists of its Competitive Landscape, Peer Group Analysis, BCG Matrix & Company Profile

Chapter 7: To evaluate the market by segments, by countries and by Manufacturers/Company with revenue share and sales by key countries in these various regions (2023-2030)

Chapter 8 & 9: Displaying the Appendix, Methodology and Data Source Finally, Europe Advanced Wound Care Market is a valuable source of guidance for individuals and companies. Get More Information: https://marketresearchforecast.com/report/europe-advanced-wound-care-market-866/checkout?type=corporate Key questions answered

Who are the Leading key players and what are their Key Business plans in the Global Europe Advanced Wound Care market?

What are the key concerns of the five forces analysis of the Global Europe Advanced Wound Care market?

What are different prospects and threats faced by the dealers in the Global Europe Advanced Wound Care market?

What are the strengths and weaknesses of the key vendors?

Definitively, this report will give you an unmistakable perspective on every single reality of the market without a need to allude to some other research report or an information source. Our report will give all of you the realities about the past, present, and eventual fate of the concerned Market. Thanks for reading this article, we can also provide customized report as per company’s specific needs. You can also get separate chapter wise or region wise report versions including North America, Europe or Asia. Contact US : Craig Francis (PR & Marketing Manager) Market Research Forecast Unit No. 429, Parsonage Road Edison, NJ New Jersey USA – 08837 Phone: +1 201 565 3262, +44 161 818 8166 [email protected]

Suicide Prevention by Committee: The VA/DOD Avoid Proper Diagnoses of both the Suicide Epidemic and Brain Wounds

Politics and Rice Bowls are driving a National Suicide Strategy, not Medicine or Health

The government has issued the NATIONAL STRATEGY FOR SUICIDE PREVENTION, 2024 . They state: “Suicide is an urgent and growing public health crisis. More than 49,000 people in the United States died by suicide in 2022. That’s one death every 11 minutes.” They continue: The 2024 National Strategy for Suicide Prevention is a bold new 10-year, comprehensive, whole-of-society approach to suicide prevention that provides concrete recommendations for addressing gaps in the suicide prevention field. This coordinated and comprehensive approach to suicide prevention at the national, state, tribal, local, and territorial levels relies upon critical partnerships across the public and private sectors. People with lived experience are critical to the success of this work. The National Strategy seeks to prevent suicide risk in the first place; identify and support people with increased risk through treatment and crisis intervention; prevent reattempts; promote long-term recovery; and support survivors of suicide loss.‍ There is so much in this Strategy to admire. Better late than never. Sadly, combat and other Veterans figure little in their bold new plan. The Strategy reads more like a cookbook for organizing and communicating and cooperating, a bureaucratic, political document rather than an ops plan for ending suicidal ideation. Rather than a truly revolutionary, root cause analysis of what combat and BLAST and repetitive head hits can lead to, and what Hyperbaric Oxygen Therapy (HBOT) is doing to eliminate suicidal ideation and heal brain wounds, the strategy glances off “treatment” to focus on intercepting and dealing with the suicidal. It's an updated version of the last decade's bumper sticker: "If you see something, say something." 15 Goals and 89 Objectives. We're going to need Artificial Intelligence to track all those actions and measurements over time, to say not so much about how bureaucratic it all sounds. There is NO QUESTION that the nation needs a Suicide Prevention Strategy with accountability. Government is hard; finding reasons for why people commit suicide is even harder. But failing to use a proven treatment to end suicidal ideation and heal brains -- well, that's negligence. This is deadly serious business, reversing the daily suicide rate. It demands serious, objective people untethered from business-as-usual, dedicated to actually healing brain wounds and whatever other medical conditions are amenable to alternative treatments. Some will remember the initial rollout of the Affordable Care Act/Obamacare. After letting the Agencies and contractors have their crack at it, the White House decided to get it done right. So they contracted with the pros-from-high-tech and the best insiders to surge a solution. It wasn't perfect, but it cut through the incompetence and finger-pointing that plagued a real solution. So too with this Suicide Prevention treatment. One would have thought that after 15-20 years of a suicide epidemic we would have done at least as much to understand more than how to draw an updated wiring diagram of community caregivers and speed up actions that have proved inadequate at effective diagnosis and healing treatment for at least traumatic brain injuries. It is comforting to read that the VA/DOD Clinical Practice Guideline for the Assessment and Management of Risk for Suicide and the VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT AND REHABILITATION OF POST-ACUTE MILD TRAUMATIC BRAIN INJURY are being updated. It would be better if those CPGs were done by expert outsiders who were up-to-date with the new science, and who were not involved in self-dealing.‍ Clearly we need a plan for dealing with “in extremis” cases, just as we need an “All hands on deck” approach to the epidemic. (One wonders, of course, why it’s twenty years in and we’re still congratulating ourselves for how hard we’re working to bring everyone together?) How woeful and tired can it get? And could they please stop relegating brain-wounded warriors to the "mental health" category until they get properly evaluated for TBI? There is no sense of URGENCY about Veterans or the daily suicide rate, whatever it is. It's malignantly bad, whether it's 16, or 22, or 45 per day for Veterans. This chart above from the VA is enough to show how the plan doesn’t seem to be working. It’s unsurprising that the plan lacks attention to Veterans, and the need for immediacy for treatment of brain wounds. The Public Sector Chair of the strategy is Dr. Carolyn M. Clancy, MD, Assistant Undersecretary for Health, Discovery, Education and Affiliate Networks (DEAN) U.S. Department of Veterans Affairs. Dr Clancy wrote a scaremongering note to a member of Congress in 2015 that warned of the risks of HBOT, the lack of evidence, etc. The same arguments were regurgitated to Congress last month in almost verbatim form: HBOT is too risky, unproven, too costly, logistically hard, and proven to not work. This is a dereliction of duty on the part of the VA and DOD. They either haven’t kept up with science or they choose to ignore it. (Read the evidence). As recently as last month, the VA was testifying to the House Veterans Affairs Subcommittee on Health. They gave a failing grade to hyperbaric oxygen therapy as a proven, evidence-based treatment for TBI. Their arguments are ten years old, lacking in understanding of the new science of HBOT-for-TBI, and repetitive in their distortions about risks. ‍ Just read this below for a sense of the wandering in the wilderness quality in the Strategy. It’s a failing grade with respect to treating and healing brain wounds. Suicide Prevention is the #1 clinical priority that the VA and DOD and the nation claim to care about. Yet look at the results issuing from years of work by hundreds of contributors. STRATEGIC DIRECTION 2: Treatment and Crisis Services. Preventing suicide requires making sure those at risk of suicide get connected to the proper treatment and services they need. Therefore, this strategic direction focuses on the critical importance of implementing a systematic approach to suicide care within health systems, including emphasizing the structural role of the health system in preventing suicide rather than the responsibility resting solely in the hands of individual clinical providers. Additionally, Strategic Direction 2 sets the vision for a complete and coordinated crisis response infrastructure that includes not only a 24/7 nationally available crisis line but also a mobile crisis response, crisis stabilization facilities, and community based alternatives to 911 emergency response. ‍Sift through that and ask: What are you doing differently and what are you going to DO that will make an immediate difference, save lives, save money, and restore health to the warrior and the family? Hundreds of thousands of us? Are we going to be met with the same bushwa using drugs, talk therapy and “mental health” nostrums? Or is the system serious about healing? Healing that reduces need for black-box-labeled drugs and eliminates symptoms rather than masking them under the drug haze? ‍You’ll find no mention of the VA’s own statistics about suicides, and no apology for putting out so much chaff about their “centers of excellence” for TBI and PTSD. Look anywhere in the system they tout as doing so well: Intrepid Center/NICoE, DVBIC, Intrepid Spirit Centers, WRIICs, PREP, Care Coalitions, Wounded Warrior Battalions, and Independent Wellness Centers. Concussion Treatment Centers. The Mayo Clinic, U Penn, UCLA, Langone Center, the Shepherd Center, the Marcus Institute for Brain Health, UPMC Concussion Center. Most of these caregivers really care, but none of them even talk about brain wounds, much less medically approved HBOT for wound healing. What they are good at is all the rest: cognitive, and vestibular, and vision rehabilitation, along with physical therapy and psychotherapy. All of this is good. All may be necessary, but they are insufficient when there is underlying physical damage done to the brain. Heal Brains. Stop Suicides. Restore Lives. TreatNOW. ********** The TreatNOW Mission is ending service member suicides. Along the way, we have learned that we can end suicidal ideation, help end symptoms of PTSD, and heal brain wounds to end the effects of BLAST injury, mild TBI Persistent Post Concussive Syndrome, and polytrauma. www.treatnow.org

Heal Brains. Stop Suicides. Restore Lives. TreatNOW

Information provided by TreatNOW.org does not constitute a medical recommendation. It is intended for informational purposes only, and no claims, either real or implied, are being made. Read the full article

Raquel's Health Journey

raquelwwe:

The healing journey has been a learning journey too. Learning about the lymphatic system and coming in for regular lymphatic massages has been so pivotal in helping me get past some caca days. Sometimes I spend all day at @detoxitymedispa and I love it!

#healing #lymphaticmassage #lymphaticsystem #hivamat200 #detox #detoxity #toxicfreeliving

Being able to get back in the ring Monday meant so much to me. This has been a long couple of months. This didn’t just take a toll on my body but it took a big hit to my mental health. I isolated myself and I’m grateful I had people who love me around me to be there with me as I questioned my self worth and my future. Some blood work came back with mold and toxin poisoning that caused such a big reactions and flare up. I didn’t realize how hard it would be to work through this and not stress when it is difficult to look at yourself and not recognize what you see in the mirror. I have major respect for people struggling out there. I hope you know you’re not alone. I’ve had to change my workout routines, my diet, and really focus on a closer relationship with God. I miss tortillas, pickles, chocolate, tequila, baked goods and cheese but I know that God has a plan for me. I know that I can put my worries and trust in him and that one day I’ll be able to eat all those yummy things again. For now I’m focusing on the present and counting my blessing of getting to be in Perth Australia for the first time ever ❤️ God is good 🙏🏼

Living for that chamber life! On my healing journey and finally getting to test out the Hyperbaric Oxygen therapy 😮‍💨🫁 what do yall think? I plan on sharing all the new technology I’m learning about to help heal myself and hopefully help others too

Elevate Your Wellness: Hyperbaric Chamber and Oxygen Therapy in Sydney with CRYO Stay Young

Experience a revolutionary approach to wellness with CRYO Stay Young's Hyperbaric Chamber and Oxygen Therapy services in Sydney. As a leading provider of advanced wellness solutions, we're proud to introduce these cutting-edge therapies to our range of services, offering Sydney-siders a unique opportunity to enhance their health, vitality, and overall well-being.

Discover the Healing Power of Hyperbaric Chamber in Sydney

In the bustling city of Sydney, where the demands of daily life can take a toll on your health, Hyperbaric Chamber therapy offers a welcome respite. Our state-of-the-art Hyperbaric Chamber provides a pressurized environment where you can breathe pure oxygen, promoting healing, recovery, and rejuvenation. Whether you're seeking relief from chronic pain, recovering from an injury, or looking to enhance your athletic performance, Hyperbaric Chamber therapy at CRYO Stay Young offers a safe and effective solution.

Rejuvenate Your Body and Mind with Oxygen Therapy in Sydney

In addition to Hyperbaric Chamber therapy, CRYO Stay Young offers Oxygen Therapy sessions in Sydney. Oxygen Therapy involves breathing in higher concentrations of oxygen in a relaxed setting, allowing your body to absorb oxygen more efficiently and promote healing and rejuvenation from within. Whether you're looking to boost your energy levels, improve cognitive function, or enhance overall vitality, Oxygen Therapy at CRYO Stay Young offers a natural and non-invasive way to optimize your health and well-being.

The Benefits of Combined Therapy

What sets CRYO Stay Young apart is our integrated approach to wellness, combining Hyperbaric Chamber and Oxygen Therapy to deliver unparalleled results. While Hyperbaric Chamber therapy promotes healing and recovery at the cellular level, Oxygen Therapy complements the process by enhancing oxygen delivery to tissues and organs throughout the body. Together, these therapies work synergistically to accelerate healing, reduce inflammation, and promote overall wellness.

Personalized Care for Your Wellness Journey

At CRYO Stay Young, we prioritize your well-being and comfort, which is why we offer personalized care tailored to your specific needs and goals. Whether you're seeking relief from a specific condition, looking to enhance your athletic performance, or simply want to optimize your health and vitality, our experienced practitioners will work closely with you to develop a customized treatment plan that addresses your concerns and aligns with your desired outcomes.

Elevate Your Wellness Experience with CRYO Stay Young

If you're ready to take your wellness journey to the next level, CRYO Stay Young is here to help. Experience the transformative power of Hyperbaric Chamber and Oxygen Therapy in Sydney and discover a new level of health, vitality, and well-being. With our state-of-the-art facilities, experienced practitioners, and personalized approach, we're committed to helping you achieve your wellness goals. Contact us today to schedule your consultation and start your journey towards a healthier, happier you with CRYO Stay Young.

Stem Cell Therapy for Autism in South Africa

Autism is a neurodevelopmental disorder characterized by difficulties with social interaction and communication, as well as restricted and repetitive behaviors. It affects around 1 in 44 children in the United States according to recent estimates from the Centers for Disease Control and Prevention (CDC). In South Africa, the prevalence rate is estimated to be around 1 in 160 children.

While there is no cure for autism, stem cell therapy shows promising results for improving symptoms and functionality. In this article, we will explore the science behind stem cell therapy for autism, review clinical studies and research, discuss treatment options available in South Africa, and provide key considerations for parents of autistic children seeking this therapy abroad.

What Are Stem Cells and How Do They Help Autism?

Stem cells are cells that have the unique ability to develop into many different types of cells in the body. They offer therapeutic potential because of their powerful regenerative qualities. There are several types of stem cells but the two relevant to autism treatment are:

Umbilical cord stem cells - These are extracted from donated umbilical cord blood after a baby is born. Cord blood contains large amounts of hematopoietic (blood-forming) and mesenchymal (connective tissue) stem cells. It is these stem cells that show promise in helping autism symptoms.

Autologous stem cells - These are stem cells extracted from the patient's own fat or bone marrow. They are purified and reintroduced into the body.

The thinking behind how stem cells may help autism is that they could help repair damage, reduce inflammation in the brain, promote the growth of new neurons, stimulate connectivity between neurons, regulate immune responses, and modify gene expression leading to behavioral improvements.

Some of the ways researchers believe stem cells influence behavior include:

Promoting neural growth and repair of damaged neurons

Modulating neuroinflammation which plays a role in many neurodevelopmental disorders

Secreting neurotrophic factors that support the growth, survival, and differentiation of neurons

Regulating immune cell responses in the brain linked to conditions like autism

Enhancing proliferation of myelinating glial cells in the brain which insulate neurons improving connectivity

Clinical Studies on Stem Cell Therapy for Autism

While stem cell therapy is still considered experimental for autism, a growing body of research has found encouraging results. Some key clinical studies include:

A 2017 study on 25 children with autism compared intravenous infusions of umbilical cord blood along with hyperbaric oxygen therapy (HBOT) versus a control group receiving only HBOT. At six months follow-up, the stem cell therapy group had significantly greater improvements in intellectual development, language skills, and adaptive behaviors.

A 2019 study on 24 children with autism receiving umbilical cord stem cell infusions reported "significant improvement" in autism symptoms, including social interactions, communication, and repetitive/restrictive behaviors at six months. There were no serious treatment-related adverse events.

A 2020 clinical trial on 30 children with autism compared intravenous stem cell therapy versus placebo over six months. At three-month follow-up, the stem cell group displayed superior improvements in core autism domains and functional measures. Gains were maintained at six months.

While larger, long-term studies are still needed, these preliminary results are encouraging. Stem cell therapy appears safe based on current research and holds promise for helping children with autism reach new developmental milestones and gain greater functionality. To date, no clinical trials have found major adverse effects relating to the treatment.

Stem Cell Therapy for Autism in South Africa

In South Africa, stem cell therapy is viewed as an emerging regenerative medicine, though its utilization remains limited by available data and established clinical guidelines. There are three private clinics throughout the country currently offering autism stem cell therapy, a frontier treatment in this setting:

1. R3 Stem Cell Clinic (Cape Town)

R3 is one of the leading stem cell clinics in South Africa offering autism treatment. Their approach uses a patient's own adipose-derived mesenchymal stem cells. After surgical extraction of fat tissue, R3 isolates purifies, and concentrates the stem cells before intravenous administration under anesthetic. They report positive outcomes in patients undergoing 3-5 treatments.

2. BioskinMED Clinic (Johannesburg)

Similar to R3, BioskinMED specializes in adipose stem cell therapy for autism. They offer consultations to determine candidacy and develop an individualized treatment plan. Stem cells are extracted from abdominal fat, purified, and reintroduced into patients to support neural recovery and repair.

3. Cape Stem Cell Clinic (Cape Town)

Cape Stem Cell provides stem cell therapy exclusively using umbilical cord blood allogeneic products. Their standardized approach for autism involves monthly infusions of cord blood stem cells over a 6-12 month period. Pre-treatment testing and monitoring are conducted to measure progress.

All three clinics emphasize the importance of a multidisciplinary treatment plan consisting of occupational therapy, behavioral therapy, dietary modifications, and other lifestyle interventions to maximize potential benefits when combined with stem cell administrations. Costs range between R150,000-R250,000 depending on treatment plans devised at consultations.

It should also be noted that stem cell therapy may be supplemented by hyperbaric oxygen therapy (HBOT) at some South African clinics. HBOT delivers 100% oxygen in a pressurized chamber and has shown promise for helping autism symptoms, reducing inflammation, and supporting neural regeneration when combined with stem cell administrations.

Key Considerations for Stem Cell Therapy Abroad

For parents seeking experimental stem cell therapy abroad due to limitations of access or guidelines locally, there are important factors to vet carefully:

Credentials and experience - Check clinic accreditation status, research publications, and number of stem cell procedures administered. R3 and Cape Stem Cell have administered the most stem cell infusions for autism to date in South Africa based on available data.

Safety record - Review independent reports of adverse events to ensure a strong record of safely administered procedures. All South African clinics report no major side effects to date.

Standardization - A standardized protocol applied uniformly to all patients provides the greatest confidence in results likelihood based on collective experience and data. Not all programs have standardized autism treatment plans.

Affordability - Costs for stem cell tourism and associated travel/accommodation exceed R150,000 per course. Carefully consider the affordability and long-term fiscal impacts of pursuing offshore treatment unavailable at home.

Clinical equipoise - Determine if equipoise, or genuine uncertainty regarding a procedure's known risks/benefits, exists for your child's condition. Experimental medicine requires fully informed consent with no guaranteed results.

While experimental, stem cell therapy for autism shows promise based on emerging clinical evidence. South African clinics like R3 Stem Cell offer a regulated, standardized option for access when domestic treatment availability remains limited by present guidelines and data supporting safety, efficacy, and value for autism. Careful consideration of each family's needs and all risks/benefits involved is always advised before pursuing unproven therapies. Further research with large, long-term outcomes studies is still needed.

Key Takeaways

In summary, stem cell therapy holds promise as an advancing treatment for autism based on evidence showing its ability to repair neural pathways, reduce inflammation, promote connectivity between neurons and help modulate gene expression leading to improvements in core symptoms and functioning. Key considerations for parents include:

Autism is a treatable condition, not a lost cause. Stem cell therapy shows encouraging preliminary results helping children achieve new developmental milestones when part of a comprehensive treatment plan.

South African clinics like R3 Stem Cell in Cape Town have extensive experience administering stem cell infusions to autistic children under local guidelines. Their standardized cord blood or fat-derived stem cell protocols provide access to this emerging regenerative therapy.

Combining stem cell therapy with other interventions like hyperbaric oxygen therapy, behavioral therapies, dietary modification, and lifestyle changes may maximize functional benefits. A multi-pronged approach is advised.

Currently, no serious adverse effects have been recorded from stem cell therapy for autism in research studies. However, more long-term data is still needed given its relatively new use for this condition. Fully informed consent is paramount.

Parents pursuing experimental stem cell therapy abroad should vet clinic experience and credentials, safety record, clinical equipoise regarding their child’s condition risks/benefits, and total out-of-pocket financial costs involved carefully.

With further research and data collection, stem cell therapy holds promise in helping some children with autism learn, grow, and achieve developmental milestones they may otherwise not reach. It offers new hope to many families when administered properly under oversight with a full understanding of present limitations and uncertainty regarding long-term outcomes for this innovative application in medicine.

Reviving The Rhythm: Innovative Solutions For Weak Heart Treatment And Low Pumping Efficiency

There's a beat inside all of us. A constant rhythm, steady and strong, powering our every move. The heartbeat, the faithful drum keeping the symphony of life going. The tragedy begins when this beat goes off rhythm; when the heart weakens. We've lived in an era where the common solution to this has been surgeries and angioplasties. But now, the rhythm can be revived differently. Non-surgical alternatives are entering center stage, and they're here to change the tempo of heart treatment.

Introduction

Heart conditions – they're a phrase we've all heard, words we've all feared. The possible solutions? Angioplasty, bypass surgeries, a lifetime of medicines, or worse. It's a daunting list. A list that brings along severe side effects and life-altering changes. But what if I told you there's another song you could dance to? A melody that doesn't involve scalpels and stitches. Welcome to the era of non-surgical alternatives for heart treatment.

Understanding Weak Heart Treatment

We all know what a weak heart means - it is like a broken drumbeat. It is inefficient to pump blood as it should. But do we know what causes it? The culprits are many. High blood pressure, heart muscle damage, or even infections can weaken our heart. It's like a slow fade of music into silence.

The symptoms of a weak heart, however, play loud and clear. Shortness of breath, fatigue, swelling - these are the warning bells. And these bells toll a somber tune, one of heart attacks and heart failures.

Options for treating a weak heart have been limited. Angioplasty, heart surgeries, medications - they've been our only hope. But they come with a cost - a chance of complications, a steep medical bill, and an invasive procedure.

This, dear readers, is the rhythm of weak heart treatment as we know it. But there's a new tune in town.

Non-Surgical Alternatives for Weak Heart Treatment

Here's where the harmony changes. Poona Preventive Cardiology Center, a maestro in treating weak heart, offers a symphony of non-surgical alternatives that are as effective, if not more, than traditional treatments. Their repertoire includes EECP, HBOT, ESMR, EECP Plus, etc. which are conducted by experienced professionals in the medical field.

How Non-Surgical Alternatives Work

EECP (Enhanced External Counter pulsation) - Heart failure symptoms can be improved by this treatment effectively.

HBOT (Hyperbaric Oxygen Therapy) - With this procedure, the body's natural healing ability is enhanced with pure oxygen.

ESMR (Extracorporeal Shock Wave Myocardial Revascularization) - A non-invasive therapy for angina and coronary artery disease. High-energy shock waves stimulate angiogenesis, enhancing blood vessel formation in the heart.

EECP Plus - EECP combined with lifestyle modifications.

The benefits? They're vast. Fewer side effects, no hospital stays, and more affordable than traditional methods.

And it's not just empty words. They've a choir of satisfied patients singing their praises.

Nevertheless, like any medical procedure, there are potential risks. But they're minor compared to surgical alternatives.

Conclusion

It's time to listen to the new rhythm of heart treatment. Non-surgical alternatives are the future - one where treatment is less invasive, non-surgical, more affordable, and just as effective.

Don't just accept the default tune of angioplasty or heart surgeries. Explore your options. Listen to the symphony of non-surgical treatments, and you might just find your rhythm.

In the face of heart conditions, remember: innovation is our best ally. And with non-surgical alternatives, we're turning heart treatment from a solo to a symphony.

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