Monkey Magic and Shell Shock

Monkey Magic and Shell Shock
      
Beauty of the free franchise
      Is like a monkey
      With a sword in hand
      Razor sharp in the act of
      Execution

      Could be known as the
      King maker
      King pawn
      Or the king killer
      In the making

      Whether this monkey
      Is bright or not so bright
      Gets a chance
      Once in five or six years
      The act of demolition

      To the loser it’s a monkey
      To the winner the King Kong
      To me it’s a ping pong
      And I dash
      With all my might

      To the terrorist
      It’s a weapon of mass destruction
      Of its own kind
      In the guise of
      A demagogue or a demigod
      Not an act of tolerance

      Till the cows come home
      We would be playing
      This game of ping pong
      Until and unless
      The body politics become wiser
      To rid of the king and horsemen
      In their entirety

      To Ninja Turtles
      Of Sri-Lankan kind
      At the pace
      We are going through
      The shell shock of the century
      Is still in the waiting

Your Batteries can kill YOU-Safety Hazards of Batteries

Your Batteries can kill YOU!

I am a good candidate dying of Fire.

Reason I have so many gadgets in my room plugged in. 

I have had several accidents.

I lost one of my very expensive cameras due to fire couple of years ago.

There were several near misses.

Then I had 12 computers in a mini-network.

Two of them caught fire.

One my wife used one I use to download Linux.

Then one of my friends house caught fire and they had to live in pre-fabricated house few years ago.

Luckily they were fully insured.

I put my safety gear in full operation.

Dismantled all my network (old hardware) and bought two new computers with lot of fans for cooling.

One of the cooling fans busted and I could not replace it without changing the entire casing.

I do not use this computer for downloading NOW unless I am up all night.

I never use the computer during day time due to Global Warming and fire hazard.

I won't invest on air conditioning, it perpetuates more and more global warming.

My solutions.

I installed a multi media pack on my computer.

It has 8 USB ports for recharging all my gadgets (camera, cellphones, emergency battery charger, my USB multimedia player (mini), Tiny USB speaker radio) in one go.

It has all the slots for various cards from MicroSD to Media Cards for file and photo transfer to my computer.

While they are charging I would do my Internet search.

Only my headlamp (when electricity fails- thunderstorms etc) has to be plugged in straight.It got heated up today.

But I have decided to go for a battry powered headlamp.

But the best solution was to go "Digitally Zero" and say good bye to Internet riddled with scams!

Please read the reproduction below.

Reproduction

 

Safety Hazards of Batteries

Battery technology is at the heart of much of our technological revolution. One of the most prevalent rechargeable batteries in use today is the Lithium-ion battery. Cell phones, laptop computers, GPS systems, IPods, and even cars are now using Lithium-ion rechargeable battery technology. In fact, you probably have a Lithium-ion battery in your pocket or purse right now!Although Lithium-ion batteries are very common,

there are some inherent dangers when using ANY battery. Lithium cells are like any other technology –if they are abused and not used for their intended purposes, catastrophic results may occur,such as: first, second, and third degree burns, respiratory problems, fires, explosions, and even death.

Please handle the Lithium-ion batteries with care and respect.

User Safety Precautions. Short-circuiting. When the battery is not in use, you MUST disconnect the battery from the battery connector. When the battery is connected to the battery connector, do NOT leave it unattended. If the two wires with the alligator clips can touch, the battery will quickly heat up. Short-circuiting will damage the battery and generate heat that can cause burns.Do not leave the battery in the charger once it is fully charged. The battery charger will flash on and off with a red indicator light every 20 seconds when the battery is fully charged.

Disassembly: Never disassemble a battery, as the materials inside may be toxic and may damage skin and clothes. Throwing batteries into a fire or water: Disposing of a battery in fire can cause the battery to rupture. Also avoid placing batteries in water, as this may cause the battery to fail. Soldering: Never solder anything directly to a battery. This can destroy the safety features of the battery by damaging the safety vent inside the cap. Permanent connections to an energy cell may be made by spot welding solder tags to the terminals.

A soldered connection can subsequently be made to the tag.

Charging: Never charge with an unspecified charger or specified charger that has been modified. This can cause breakdown of the battery, swelling, or rupturing. Never attempt to charge a battery which has been physically damaged. Overcharging at high currents and reverse charging: Never reverse charge or overcharge with high currents (i.e. higher than rated). Doing so causes rapid gas

generation and increased gas pressure, thus causing batteries to swell or rupture.

Charging: Do not leave the battery in the charger once it is fully charged. Installation in equipment with airtight battery compartments: Always avoid designing airtight battery compartments. In some cases, gases, such as oxygen or hydrogen, may be given off. This creates the danger of the batteries bursting or rupturing in the presence of a source of ignition (sparks generated by a motor switch, etc.).

Use of batteries for other purposes: Do not use a battery in an appliance or purpose for which it was not intended. Differences in specifications can damage the battery or appliance.

Using old and new batteries together: Avoid using old and new batteries together. Also avoid mixing batteries using differing cell chemistries such as ordinary dry cell batteries, Ni-Cd, NiMH batteries or with another manufacturer's batteries. Differences in various characteristic value scan cause damage to the batteries or the product.Safety Procedures If the foil packaging on the battery does break, vent the room and leave immediately. If a fire starts, call the fire department immediately. The only extinguisher that will work on a Lithium-ion Battery fire is a Class D Fire Extinguisher or Dry Sand or Dry Table Salt.Disposal of Batteries Lithium ion batteries are found in many electronics like laptops, digital cameras, power tools and cordless phones. These batteries are very popular because they can be recharged and because of their ability to supply power for long periods of time. However, even lithium ion batteries reach a point where they can no longer hold a charge and need to be disposed of. When this time comes, it is important to know how to recycle the battery, and not simply put it in a trash can. Read the information found at the following link to determine your state’s recycling policy: There are many reasons to recycle these batteries rather than throw them away where they may end up in a regular landfill. One of which is because they enter the solid waste stream and can contaminate soil and water.Please check with your school on its policy of recycling of batteries.

Mobile Marfia

Mobile Mafia
A lot has to be done to get rid of CIA, FBI and KGB from snoozing.
American election was the case in point.
I warned about this Security Flow when Google came into existence (long before Google Phone).
Reason being it was based on Linux core without security features!

It is not the fault of Linux but the OEM infrastructure which was not time tested.

I am afraid even Linux Magazine ignored this flaw.

That is the very reason I never use (even Apple iPhone) a smartphone for mission critical work.

Only a Linux desktop like Debian has 95% (mark not 100%) security features and only 1% use Linux and from that also minority uses Debian and the majority use other derivatives of Linux not dedicated for mission critical work BUT for Fun.

Even Peppermit Linux (one I use for daily routines) has Flaws.

The latest vicim was my son's Android Game Player cum cellphone and camera (Chinese make).
I was trying to upload some Google Application's.
The end result it damaged the battery and the operating system.
It get stuck half way without booting.

 Reproduction

Over 30 different Android smartphones and tablets have been found to have had malware preinstalled on them before users even switched them on, according to a cyber security firm.
Check Point detected a “severe infection” on 38 handsets being used by two of its corporate clients, a telecommunications firm and a multinational technology company that have not been named.
The issue affects smartphones from a number of big-name brands, including Samsung, LG and Google. Those named by Check Point are:

• Samsung Galaxy Note 2
• LG G4
• Samsung Galaxy S7
• Samsung Galaxy S4
• Samsung Galaxy Note 4
• Samsung Galaxy Note 5
• Samsung Galaxy Note 8
• Xiaomi Mi 4i
• Galaxy A5
• ZTE x500
• Samsung Galaxy Note 3
• Samsung Galaxy Note Edge
• Samsung Galaxy Tab S2
• Samsung Galaxy Tab 2
• Oppo N3
• Vivo X6 plus
• Nexus 5
• Nexus 5X
• Asus Zenfone 2
• Lenovo S90
• Oppo R7 plus
• Xiaomi Redmi
• Lenovo A850

It must be made clear, however, that not all models of the devices named above are affected.
“According to the findings, the malware were already present on the devices even before the users received them,” reads the Check Point blog post announcing the discovery.

“The malicious apps were not part of the official ROM supplied by the vendor, and were added somewhere along the supply chain.”
Most of the malware discovered by Check Point were info-stealers, but one of the phones had been pre-loaded with ransomware called Slocker.
Ransomware allows a hackers to lock a user out of their device, only restoring proper functionality in exchange for money.
“Pre-installed malware compromise the security even of the most careful users,” continues the report. “In addition, a user who receives a device already containing malware will not be able to notice any change in the device’s activity which often occur once a malware is installed.”
However, users can protect themselves by downloading and running a malware scanner as soon as they first fire up their new device.
WikiLeaks’ recent Vault 7 data dump raised serious alarm bells in the technology community, with allegations that the CIA and MI5 developed techniques for hacking into phones, TVs and computers.

The agency hasn't commented on the documents, but a number of major technology firms have detailed ways for users to stay safe online.

Moles within and without, Perils of Dhamma?

 Moles within and without?

Perils of Dhamma.

This is an email to one of my old friends.

The BPS engineered "The Great Revival' in 2003" and had an audience with Chandrika.

She was supporting and non-interfering.

Then, MR hijacked (after the demise of Soma thera and Madihe Pannnhasha) the revival for political ends.

There was a BPS News Letter (? six monthly).

We had a Dhamma discussion spearheaded by Bikkhu Bodhi.

All these seem to be defunct now.

Why?

Time to revisit these issues.

Dhammapada was on the bottom shelf not accessible (not visible, too) at Sarasavi Bookshop.

It had book denouncing Rebirth and Kamma (one guy by the name of Athukorala).

Sumudura bookshop was promoting one Type of Dhammapada and No Narada Edition.

Vijitha Yapa I did not check. Just as well, NOW I can confirm it does not have any.

As I told you, I won't get involved in any mundane activities from now onwards.

Just today, in local English Daily there were two or three blatant distortion of Pali terms and rendering of Meditation for private or multinational gain.

Rev. Bikkhu Bodhi saw all these changes and Titled a leaflet "We are at crossroads" and disappeared to USA.

There are moles placed inside our institutions to destroy from within (coveted intention and tasks).

Killing Pali by Keelas

Killing Pali by Keelas

Below is a Paper cutting from an English Daily in Ceylon

Keela, Jeela and Eela by Scholars

"nithya, Dukkha, Anathma" He developed the method called "rya Astangika Marga"consisting of "eela, Samadi, Pragna" not just meditation only. Moral behavior or "eela"was an essential prerequisite for the next stage, "amadi"in which intense concentration and training of the mind, which had been prepared by the process of "eela" would be undertaken. There are no shortcuts in this method. The final goal is "ragna"which

Celebrating Four Years Without a Rice Meal

Celebrating Four Years Without a Rice Meal

I just celebrated 4 years without rice.

Incidentally, it coincided with our dog’s 14^th Birth Day.

Reason was not arsenic in rice.

I was reacting to some chemical contaminant for over 8 years without knowing it.

It was finally discovered by dropping each item in my diet.

Even milk rice off limits.

Be that it may, pesticide, fertilizer, rice preservative or alien dust is immatrial.

That was the best health initiative or insurance I can vouch for.

My work output was better (as compared to rice eating days) without late evening dumping syndrome.

I am trim (cut down the excess fat)!

I started enjoying alternative food items including Indian delicacies.

Chocolate was energy replacement often with liqueur or wine.

Fortunately, I did not react to string hoppers.

Please do not share this idea since an average Sri-Lankan might think I am gone bonkers.

Water physiology

Water physiology

Drinking water (without some electrolytes and glucose-not simple sugars) alone for me is un-physiological.

This was the basis of formulation of rehydration fluid by our (National Formulary-Headed by Professor Senaka Bible) yesteryear physicians.

I may be wrong but Pediatrician Prof. Sanath Lamabadusuriya PhD thesis in London was (somewhat) related to Rehydration Fluid.

This formula has saved millions of sick people including children.

This is not an attempt to revisit that history but to pen down water metabolism (physiology) in a few lines.

I looked at all my physiology and medical books (huge volumes) and I could not find a succinct account on water metabolism.

As a last resort I browsed the web (content reproduced below) and it was no better except the lively web discussion.

No human can (rats in the desert can live longer) survive three days without water.

There are centers in the brain that drive thirst and make somebody to crave for water if deprived of water completely.

That is also not my point of view here.

All these people who for political stunts (reasons) fast are scoundrels who cheat gullible masses and drink lot of sugary drinks and man can go on for three months of (absolute) starvation of solid food.

Let me come to the statement that drinking water alone is unphysiological.

There is only one place in the gastrointestinal tract that can absorb pure water (without electrolytes).

That is anatomically situated, not in the top end but in the bottom end.

It is the large intestine and rectum.

That is why rectal enema is saline based and never water.

In an old sick patient water enema can kill and cause water intoxication.

Water intoxication

Water intoxication can occur in a variety of different clinical settings but is generally not well recognized in the medical literature. The condition may go unrecognized in the early stages when the patient may have symptoms of confusion, disorientation, nausea, and vomiting, but also changes in mental state and psychotic symptoms. Early detection is crucial to prevent severe hyponatraemia, which can lead to seizures, coma, and death.

However, it is almost impossible to become water intoxicated by drinking water unless one is psychotic.

Many moons ago when I was working abroad I had a similar case.

The first thing I do when working abroad is, to find a difficult case generally neglected by the majority (patient is expected to die) and solve it on my own accord.

In this case very old gentleman 80 plus and supposed to have pneumonia.

Treated adequately with antibiotics but almost unconscious.

Generally old people present with confusion (not unconscious) with ill defined infection but this case had been adequately treated.

I ordered a repeat X-ray and it was all clear.

Looked at the basic biochemistry to see water intoxication (with hyponatraemia) with a saline drip running.

I asked the relatives what I should do?

They wanted their grandpa home.

I said give me two weeks and asked the nurse to take the drip down and leave the cannula.

They were hesitant but I said you have to follow my instructions.

Asked them to repeat blood chemistry twice a day and nothing by drip or mouth for two days.

In two days he woke up from slumber but still dazed.

Biochemistry marginally improved but not isotonic.

I told the nurses, he will ask for something to drink tomorrow give him a strong cup of coffee or tea and call me if he vomits.

In five days he recovered but disorientated.

I got friendly with him and the entire family and he went home in six weeks.

On the Christmas day he was admitted with broken hip.

I immediately transferred him by plane to the regional center where he had the hip replacement.

Mind you he broke his other hip within three months.

This was the only case who had bilateral hip replacement in my tenure in there.

He was doing OK when I left but he could not remember me (the family was very close to me) very well with all these medical misadventures. 

Coming to my bone of contention back; 

If one drinks large amount of water without food (it does not matter drinking water before or after a meal) one has to spend extra energy to absorb it and excrete the excess by the kidneys.

That is my bone of contention.

However, it may lower the risk of stone formation in the kidney.

All these physiological processes (water conservation or water excretion) need potential energy and we call it homeostasis.

What I am trying to say is if one is not feeling thirsty, do not drink water as a drill but always associate drinking water with food that helps digestion in many ways. 

It does not matter one drinks water soon before or soon after a meal or with the meal.

What I am against is drinking water as a drill which stresses the intestinal physiology (needs potential energy to excrete the excess of water).

Of course, if the water is retained that means there is water deficit to begin with but we cannot do that mental arithmetic ourselves but the the brain (pituitary does it automatically for us) does it for us.

Both hunger and thirst are physiological reactions to body's deficit in sugar or water.

No volition is implied here.

Little Physiology and Anatomy

The top end, the oesophagus cannot absorb anything including water.

The stomach, is the reservoir of food until partial digestion is carried out and has to secrete large amount of digestive secretions.

Upper intestine (duodenum and jejunum) also secrete large amount of digestive enzymes.

Lower intestine (about 22 feet in length -I could remember without referring) does most of the absorption including water (80%) and the digested food.

The small intestine in adults is a long and narrow tube about 7 meters (23 feet) long. The large intestine is so called because it is wide in diameter. However, it is shorter than the small intestine — only about 1.5 meters (5 feet) long.

Large intestine absorb 400 ml of water (20%).

Below is an interesting web interaction reproduced.

Water absorption occurs primarily in the
A. duodenum.
B. jejunum.
C. stomach.
D. large intestine.
E. mouth.

I thought small intestine can absorb water but Kaplan says large intestine is the right answer.
Can someone check this for me?

Yup. the small intestine absorbs sugars fats and protein.

The large intestine does the water absorption and K+ ions and B16 I think. But here are some notes I threw together from EK.

Hope it Helps.

My human physiology power power slides say it can also absorb water XD.

I don't know which one to follow.

The Large intestines main function is water absorption and electrolyte absorption. Remember that in the small intestine primarily the in the duodenum ( I forgot how to spell it) the body will absorb amino acids and sugars through the enterocytes directly into the blood stream. While the fatty acids will get absorbed into the enterocytes and then will be modified in the smooth ER where they are incorporated into chylomicrons (water soluble globules).

There really isn’t much water absorption in small intestine ... it was a question on my bio final... so I'm assuming.

A.. yes large intestine's main role is water absorption but it's only absorbing what's left over from small intestine. My whole class argued over this one.. so I remember this very well.

I'm pretty sure its the large intestine. The main function of the large intestine is to absorb the water from the material that comes in from the small intestine and make solid waste (feces).

Vitamin K and Water are absorbed within the LARGE intestine! Small intestine is primarily involved in absorption of nutrients.

Site of compaction = large intestine, so I think it's large intestine. If the small intestine was the answer..way too easy I think. 

 

Small intestine (jejunum). We JUST had a quiz on this today and that's the right answer.

Large intestine is the first answer that comes to mind.

Although my Physiology power points tell me that the small intestine reabsorbs 8500ml of water compared to 400ml in the small intestine.

Yeah, small intestine.

Note the difference between the two choices:

While most water is absorbed in the small intestine, that's not its primary function. The large intestine's primary function is water absorption, but it doesn't do the majority of that during the digestive process.

Also, if you look at the diagram, it looks as if the part where 8500 ml is being reabsorbed, it looks like that would be the jejunum.

I'm almost 100% sure that the discussion could have ended with this post.

Main function of Colon is water reabsorption, but most of water reabsorption is done in the small intestine.

Therefore its a major fuction of the large intestine.

Water ingested              2000 ml per day

Saliva                           1500 ml per day

Gastric Juice                 2000 ml per day

Bile                              500 ml per day

Pancreatic Juice           1500 ml per day

Upper Intestinal secretions 1500 ml per day

Lower intestinal absorption 8500 ml per day

Colonic absorption              400 ml per day

Feacal Excretion                 100 ml per day

Water Metabolism

Chemical reactions take place in cells. Collectively these reactions together are called metabolism, i.e. all the chemical and physical processes within a cell. The chemicals involved are called metabolites. Water is a metabolite in many reactions, either as a reactant or as a product of reaction. For example, it's involved in photosynthesis, digestion and aerobic respiration.

Metabolic water refers to water created inside a living organism through their metabolism, by oxidizing energy-containing substances in their food. Animal metabolism produces about 100 grams of water per 100 grams of fat 42 grams of water per 100 g of protein and 60 grams of water per 100 g of carbohydrate.

Some organisms, especially xerocoles, animals living in the desert, rely exclusively on metabolic water. Migratory birds must rely exclusively on metabolic water production while making non-stop flights. Humans, by contrast, obtain only about 8-10% of their water needs through metabolic water production.

In mammals, the water produced from metabolism of protein roughly equals the amount needed to excrete the urea which is a byproduct of the metabolism of protein. Birds, however, excrete uric acid and can have a net gain of water from the metabolism of protein.

Straight Back Response to American Dietary recommendations

Straight Back Response to American Dietary recommendations

Skip this part and read the content below if YOU are not a vegetarian.

Straight Back Syndrome of Mine

This description has no relationship to the medical conditions stated below.

Fortunately my initial are also S.B. and I am known to be a genetically predisposed be having a straight back aggravated by my early childhood sports activities.

 

It started to dawn on me that, I have had several minor spinal stress fractures.

 

They started affecting me in my internship.

 

As a kid I could touch my toes with hands by bending (while keeping the back straight).

 

I have long legs particularly suitable for short distance running and jumping.

I noticed that I was losing this ability gradually while in the university.

I did lot of long jump and hop step and jump as part of my training ending with military drill around the university track daily.

I never practiced short distance running in the track.

I did that with my dog around the lake of Kandy.

My dog was my trainer.

I could never beat him and I had the leash to restrain him when I needed to catch my breath and rest.

On the days (over the weekend) I wasn't in the campus, I did my running with the dog. My dog was perfect companion and sporting match and wizard. Unfortunately, dog died tragically when I went away for my internship. I should have taken him with me.

I won't tell you the story, I was told about its death.

I still believe it was cooked up story to pacify my anger.

He died due to his separation from its dearly loved master companion.

There was nobody to take him round the lake.

I did not have a dog for nearly 25 years after this episode.

My campus dog (called the lone ranger) and roommate of course lasted the full life cycle since I handed over the dog to Nicholus Uncle who was our physiology technician.

He was there even when I returned from UK, in good condition.

My Straight Back Syndrome started affecting me in my internship with constant back pain. I did not give up sporting activity but continued on badminton and table tennis and never running and long jump.

Over time with heat treatment (we did not have warm hydrotherapy) and constant alert and avoidance of further damage, I was without pain in about four years.

But my back became straight and I cannot touch my toes as I used to do as a kid.

This gave me an added advantage and good stead. 

I never bend down even to a politician. 

Also I never go with bended knees like an average Sri-Lanka. 

When, I went abroad, it was very useful.

All Asians, who are vociferous in front of the local voters go bended back and knees when in Western countries. 

I always kept my back straight in front of white men well over 6 foot 6 inches and most of them thought, I was smart and I never told anybody, I had a stiff back probably due to spinal fractures or the straight back syndrome. 

 But I regularly went for hydrotherapy which was available free in hospitals, there. Now my back does not bend to even monks of BBS. leave alone, the politicians. Below are medical explanations.

Flat Back Syndrome

Spinal Curvatures

The human spine has natural curvatures.

When you look at a back from behind, the spine should be straight and centered over the pelvis. However, when you look at the spine from the side, the curves are designed to maintain balance as the spine is behind organs in the chest and abdomen.

The spine has two alternating curves to create an “S” like shape.

In the neck and low back there is normally an inward curvature or sway back known as lordosis.

In the thoracic spine and sacrum there is an outward curvature known has kyphosis or hunchback. These curves normally balance out each other so that when the patient stands they are well balanced with their head straight above their hips when viewed from the side.

Standing in this position minimizes the effect of gravity and allows the patient to stand with the best posture and use the least energy when moving or walking.

Flat back syndrome is an abnormal condition where the spine loses its natural low back curve to become flat. The spine becomes imbalanced and the patient leans forward. Patients with flat back syndrome typically notice troubles standing upright or have ongoing back or leg pain. Symptoms usually worsen as the day goes on and the patient feels they lean further and further forward the longer they try to stand upright. The severity of the symptoms usually depends on the amount of curvature present and difficulties with standing erect.

In patients with flat back syndrome, a loss of normal lumbar curvature causes an imbalance of the spine. The patient’s head begins to lean forward, away from the body and they may have trouble standing upright. This imbalance can cause muscle fatigue and pain.

Today, the term flat back syndrome has been broadened to include any patient with a decrease in lumbar lordosis causing symptoms.

As such, flat back syndrome can occur as a result of any condition that shortens the front portion of the spine, causing the patient to lean forward.

Flat back syndrome may develop as the result of the following causes:

Degenerative Disc Disease,

Lumbar Post Laminectomy Syndrome,

Compression Fractures,

Ankylosing Spondylolitis.

Degenerative Disc Disease:

For some patients, progressive degeneration of the intervertebral discs or the shock absorbers of the spine may lead to a loss of height in the front part of the spine. As discs degenerate the spine begins to lean forward and lumbar lordosis decreases.

The patient may develop pain as a result of the degenerative disc disease or as a result of the spinal imbalance.

Lumbar Post Laminectomy Syndrome:

Lumbar flat back syndrome may develop in patients previously treated with a laminectomy or other lumbar surgery to decompress the spinal nerves to treat stenosis.

These procedures can lead to a decrease in lumbar lordosis and in some cases spinal instability.

Vertebral Compression Fractures:

Compression fractures are often the result of weak spinal bones due to osteoporosis. A fracture can lead to loss of height of the bone in the thoracic and lumbar spine. This may occur in one bone or in multiple bones throughout the spine, resulting in flat back syndrome.

Ankylosing Spondylitis:

Ankylosing spondylitis (AS) is a chronic inflammatory disease that causes stiffness and arthritis throughout the entire spine. Some patients with AS notice an increasing forward posture of the spine, including an increase in thoracic kyphosis or decrease in lumbar lordosis.

This can lead to symptoms of lumbar flat back syndrome.

Straight back syndrome (SBS)

Straight back syndrome (SBS) is a thoracic deformity characterized by loss of the normal upper thoracic spinal kyphosis. This deformity leads to a reduced antero-posterior diameter of the chest causing a compression or “pancaking” of the heart and great vessels so as to appear enlarged. This is accompanied by a leftward displacement of the heart, resulting in cardiac murmurs¹, chest pain and tracheal compression^.

Mitral valve prolapse (MVP) has been reported in 64% of patients.

Misdiagnosis of straight back syndrome as pericardial absence has also been cited.

A study investigating the relationship between SBS and MVP showed echocardiograms to be normal in 36% of patients diagnosed with SBS; however, 58% of these patients demonstrated mitral valve prolapsed.

Despite the fact that this syndrome has been recognized for over 50 years, it is not commonly considered as a differential diagnose and thus the incidence is unknown.

However, given that this syndrome is often associated with heart symptoms, it is important that health care practitioners are made aware of SBS and consider it as a differential diagnosis in a patient presenting with symptoms that can appear to be cardiac in nature.

This is especially true in cases of atrial septal defect which can resemble the symptom picture of SBS.

Reproduction

This is from American Cardiac association.

My question is why there was a delay in reporting associated research?

The plant-based diet

Whole food plant-based dietary patterns are becoming increasingly popular because of a variety of reported health benefits.

A vegan dietary pattern is devoid of all animal products, whereas a vegetarian diet is typically a nonmeat diet, but can include milk products and eggs.

All plants contain protein, but in variable amounts. Pound for pound (dry weight), vegetable protein-rich foods, such as legumes, contain as much or more protein than most animal foods, without the sodium or fat.

One cup of cooked lentils contains 18 g of protein (and no fat or sodium). For comparison, an average 6-oz steak may have up to 40 g protein, but also has 12 g of SFAs, which is nearly two-thirds of the recommended daily allotment.

It is not necessary to intentionally combine or “complement” plant foods to obtain adequate protein.

I do not agree with the aove phrase.

Additionally, I recommend our 4 G snack bar (with or without additional chocolate flavour- only five ruppies up) from Samaposa 20 ruppies a bar.

Although the quantities of essential amino acids vary from 1 food to another, nearly all plant-derived foods contain most of the essential amino acids.

Including foods from a variety of plant sources can provide adequate quantities with careful diet planning.

This sentence goes against the higlighted sentence.

Epidemiological studies and RCTs indicate that plant-based diets are associated with improvement in ASCVD risk factors and a decreased risk of ASCVD.

Studies have been conducted both for the prevention and treatment of CVD with plant-based diets, often in conjunction with other heart-healthy lifestyle behaviors.

In the European Prospective Investigation into Cancer and Nutrition, 44,561 men and women were followed for 11.6 years. Of the participants, 15,151 (34%) were vegetarians (consuming no meat or fish).

Vegetarians had a lower mean BMI, lower non-HDL-C, lower systolic blood pressure, and a 32% lower risk of developing CHD.

In the United States, vegetarian dietary patterns are associated with lower prevalence of T2DM and metabolic syndrome .

Meta-analyses have also shown that, compared with omnivorous dietary patterns, vegetarian dietary patterns are associated with healthier body weight and blood pressure.

In a systematic review and meta-analysis of 8 studies with a Seventh Day Adventist population (n=183,321), there was a reduced risk of CHD events (RR: 0.60; 95% CI: 0.43 to 0.80 vs. RR: 0.84; 95% CI: 0.74 to 0.96) and cerebral vascular disease events (RR: 0.71; 95% CI: 0.41 to 1.20 vs. RR: 1.05; 95% CI: 0.89 to 1.24) in vegetarians compared with nonvegetarians. Furthermore, populations consuming a predominantly plant-based diet are reported to rarely develop CVD. These include the Okinawans, the Papua Highlanders of New Guinea, the rural Chinese, central Africans, and the Tarahumara of northern Mexico.

Clinical trials have also demonstrated benefits of plant-based dietary patterns in patients with CHD.

In 1983 and 1990, RCTs using a lifestyle medicine intervention of a whole foods, low-fat, vegetarian diet, moderate exercise, social support, and stress-management training documented significant reversal in CHD, as measured by improvements in ventricular function using radionuclide ventriculography, a 400% increase in myocardial perfusion by cardiac positron emission tomography, regression in coronary atherosclerosis using quantitative coronary arteriography, and 2.5 times fewer cardiac events when compared with a randomized control group.

There was a dose-response correlation between adherence to this lifestyle intervention and changes in percent diameter stenosis. Two demonstration projects showed significant improvements in all risk factors, a >90% reduction in angina within weeks, decreased need for medications, and a 77% reduction in the need for revascularization.

Additionally, in 1995 and 2014, a whole food plant-based diet intervention was shown to result in prevention of coronary artery disease progression and angiographic disease reversal.

On this basis, it appears that a whole food, plant-based diet may halt progression of coronary atherosclerosis and achieve evidence of angiographic disease regression.

Most recently, a large prospective cohort study of U.S. health care professionals described the association between animal versus plant protein intake and mortality outcomes.

This study showed increased all-cause and CV mortality with high animal protein intake (including processed red meat, unprocessed red meat, and eggs).

High plant protein intake was inversely associated with mortality rates. These findings are consistent with recommendations to increase plant protein intake and substitute plant protein for animal protein.

Plant-based diets and ASCVD: the bottom line

Evidence indicates that a diet that is predominantly plant based is associated with improved ASCVD risk factors, reduced CHD progression, and beneficial effects on ASCVD.

A whole food, plant-based dietary pattern plays an important role in ASCVD risk reduction.