Tuesday, February 18, 2020

Essential Priorities Next USA President Must Possess

My dad used to state call me antiquated. All things considered, I get the ball is in my court now. With such huge numbers of new advancements accessible and are being made particularly in the field of mechanical technology with rambles flying around wherever makes you kind a marvel how far will this innovation take us. Will we have the option to arrive at Alpha Centauri in a week or exist together with self reasoning human droids? In one regard growing new advancements empowers one to improve the human experience. However, there must likewise be where innovation doesn't shorten the physical and mental improvement of the human body or psyche. We are completely brought into the world with qualities that permit each human the capacity to not just adjust to the earth to which they are conceived at the same time, the capacity to develop truly and intellectually with the direction of our folks, educators, mentors and so forth. This to have the option to arrive at our maximum capacity as individuals. In the event that we permit innovation to do a large portion of that for us we will free sight of our unique reason that God expected for us.

Of course, creating more up to date advances and upgrading existing ones improves our personal satisfaction kind of talking. Be that as it may, on the planet today where there is such a lot of imbalance millions the world over still won't have the option to use all that man has created. The lopsided characteristics that exist has just made the requirement for humankind to depend without anyone else independence only for endurance. On the off chance that we surrender to permitting innovation to supplant our capacity of independence regardless of on the off chance that we colonize different universes or not will demonstrate grievous. All on the grounds that our capacity to adjust and depend alone activity and inventiveness when innovation inevitably comes up short and it will has been supplant by innovation. It is our capacity to act naturally dependent that empowers us to fix bombing innovations or adjust to conditions encompassing us when innovation flops once more. Consider that when you utilize a lighter just to discover there is no lighter liquid or match.

Call me antiquated a respected custom. The refinement of my dads period has remained with me all during that time however I am lucky to have the option to utilize a portion of the innovation that has been created. The PC is one such innovative miracle that has given a great many individuals of each social status the capacity to assemble data and has made business openings that beforehand didn't exist. In any case, it is my capacity to stay independent that has made me what I am today. An independent man. Today and into the future we need to walk an almost negligible difference between creating advancements that will upgrade our capacity to act naturally dependent or be influenced to create innovations that strip away ones capacity to do as such. Consider that melody by Zager and Evans " In The Year 2525" could really become. What a world that would be. I most definitely might not want to be a piece of the general public. That is the reason at whatever point we build up another innovation we should be mindful so as to keep the human presence flawless and not remove ones possess capacity to be imaginative or to act naturally dependent.

For a really long time, Americans have permitted, those they choose, to serve and speak to them, organize these government officials individual/political plan, and self - enthusiasm, rather than what's ideal, for the country, and, its residents, in a pertinent, economical way! I'm debilitated, and tired, and not going to take it any longer! These, celebrated words, from the motion picture, Network, ought to be considered, truly, in light of the fact that, in the event that we don't, we hazard, noteworthy implications! Rather than tolerating, nonstop, void talk and guarantees, and utilizing a trademark, Make America Great Again, we merit much better, from open authorities! In view of that, this article will endeavor to, quickly, consider, look at, survey, and talk about, 5 things, America needs, as opposed to, only, tolerating what, we have been getting.

Wouldn't you like, a more noteworthy level of veritable, supreme trustworthiness, from those, we choose, than we are acclimated with getting from these government officials. At the point when spokespersons, for President Trump, pronounce, there are realities, and elective realities, it obviously illustrates, potential difficulty! At the point when political certainty - checkers, express, this President has lied, more than 16, 000 times, since he was chosen (and is lying, at a quicker pace, in the most recent year, than the past 2), it ought to be a wake - up, call, to the American open! Request open authorities articulate genuine realities, rather than the phony ones, they appear, to frequently, like. Albeit, many accept, the blend, of activities, guarantees, talk, and evident aims, we have seen, these previous three years, are, from numerous points of view, counter - to what is regularly alluded to, as the American lifestyle, it might be much progressively fundamental, than any time in recent memory, to guarantee, the individual, chosen President, just as other national open authorities, obviously has an alternate vision, and emphatically puts stock in our Constitutional assurances, including the ideas of opportunities, freedom, and equity, for all! In the event that you are somebody, who feels awkward, with, what the present pattern and conduct, speaks to, you should center, on a strategy, which will roll out a quality improvement, for what's to come! In light of that, this article will endeavor to, quickly, consider, inspect, survey, and examine, 5 fundamental needs, we should search for, and request, from those, we choose, to serve and speak to us, in 2020.

We just have one planet, and, on the off chance that we don't ensure and safeguard it, the maintainability of people in the future, will be compromised! The present organization, under, President Donald Trump, has endeavored to harshly, lessen ecological assurances, particularly in the territories of clean air and water, gas mileage gauges, and diminishing carbon emanations, and so on. Mr. Trump has demonstrated, he is additionally a Climate Change, denier, and, has, on a few events, alluded to, this idea, as a deception! Since, our country, is currently, the one and only one, which has pulled back from, and, wouldn't like to comply with The Paris Accords, we should choose, pioneers, who remember, they should have a well - thought about arrangement, for the future, to guarantee, a feasible arrangement, to improve things, and turns around, this unsafe methodology!

Shouldn't quality social insurance be a right, and, not, just, accessible, to those, with the accounts, to manage the cost of it? For what reason are professionally prescribed medication costs, as a rule, so a lot higher, than, in a large portion of the remainder of the world? Isn't it an ethical need, to guarantee, those with pre - existing conditions, despite everything get wellbeing inclusion? We have watched, in these previous 3 years, an expansion in uninsured and under - guaranteed, to a great extent, because of a political choice, and so on! Be that as it may, basically on the grounds that the Affordable Care Act, had defects, and so forth, it doesn't mean, we should reevaluate - the - wheel, or, toss the child - out, with the shower water! Since, the pie - in - the - sky, populist talk, which is regularly alluded to, as, Medicare For All, has nearly nothing, to no possibility of being established, and is monetarily testing, wouldn't it bode well, to fix the defects, and include a Public Option, too?
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Friday, February 14, 2020

Keep the Muscles Healthy and stronger

When we talk about bones and muscles, we are actually discussing the musculoskeletal system of the body. On certain occasions, we divide it into 2 separate systems, namely the muscular system and the skeletal system. The former pertains to the body’s muscles including the heart, and the latter refers to the bones, joints, and connective tissues such as the ligaments and tendons; it also includes the tiny and soft bones of the ears inside and out. These 2 body systems are intrinsically connected that their growth and development in the human body, from childhood to adulthood, are synchronized and tied with each other. That is why it is a good practice for parents to bring their children for assessment and treatment with an osteopathic specialist. Osteopathy is the medical practice that deals with the assessment and treatment of conditions related to the musculoskeletal system of the body; treatment includes massaging and manipulation of the body’s muscles, joints, bones, tendons, and ligaments. The person who specializes in osteopathy is called an Osteopath.

Few, if any, people in contemporary industrialized societies are truly healthy. If you ask a dozen people on the street to answer honestly about their current health condition, the majority will probably tell you that they are struggling with one or more chronic health problems, whether it’s lower back pain, irritable bowel syndrome, eczema, acne vulgaris, fatigue, overweight, or disorders that are generally considered more serious, such as type-2 diabetes, breast cancer, or cardiovascular disease. Some may say that they’ve tried what feels like every diet, drug, and supplement under the sun in an attempt to overcome their problems – but with little to no success.
A common belief is that the so-called diseases of civilization that plague us in the modern world emerge because the human body is inherently flawed, and that to find solutions to these problems, we have to look at each disorder individually, establish which pathways, receptors, and hormones that are involved. and develop drugs, supplements, and other similar therapies. The problem with this approach is that it doesn’t take evolutionary theory and ancestral health principles into account – and it typically fails at addressing the underlying causes of the diseases.

From birth to its growth, the infant will encounter stresses and trauma that can cause problems and interfere with its normal musculoskeletal development. The trauma of being drawn out of the mother during birth, falls and accidents, and even the rapid growth of the child’s body can all contribute to problems that may hamper the normal development of its bones, joints, tendons, ligaments, and the muscles covering them. In some random situations, the child may incur inflammations and injuries resulting from sports and playing games. Sometimes, musculoskeletal conditions manifest themselves through the child’s bad postural habits. Children normally have “flexible” bodies. Unlike adults, their bones and joints do not easily break or get misaligned with slight twists and turns. The thing is, and as mentioned above, they are not exempt from encountering traumas and stresses that can cause problematic conditions to their musculoskeletal system. This is where a paediatric osteopath (or an osteopath that has a specialisation with children) can provide assistance and care. The osteopath will work along with the child’s paediatrician and other medical specialists that provides health care to the child.

It is advisable to bring in the child for a general checkup right after a long birthing process, which will include an assessment on the baby’s spine, shoulders and head (the use of forceps and ventouse when the infant is being extracted from the mother can affect the figure and form of the head *). The osteopath can also check if there are restrictions that can prevent the symmetrical development of the bones, joints, and muscles allowing (or disallowing) the baby to perform their initial “milestones” such as crawling, rolling, standing, and eventually walking. In coordination with the parent[s] and the child’s paediatrician, the osteopath will plan what is best to move forward after the assessment, which includes asking the parent[s] questions, checking of medical history, and physical examinations. The osteopath will know what appropriate treatment the child needs, which may involve cooperation and referral to other health care specialists.

Conditions that have been present right after birth and developmental abnormalities can often still be worked on, and the osteopath can assist on the improvements as the child grows older. As the rest of the body compensates and cooperates with the treatment, the effect on specific areas and body mechanics can be long lasting. Osteopathic treatment can help with the management of the baby’s feeding and digestion; it can assist in the relief of constipation, reflux, indigestion, and perturbed sleeping patterns. Other conditions wherein the osteopath can help with are the following:
Osteopathic treatments often includes prescription for parents to apply gentle massage to the areas of the child’s body where they can safely work on. The osteopath will also advise parents about nutrition, good postural positioning and exercises that will aid the effects of the treatment.
Medical practice was relatively primitive in the late 1800's when Dr. Andrew Taylor Still discovered what is now known as Osteopathy. Few drugs were then available. Morphia and quinine were commonly overused with disastrous results. The relationship of germs to disease was not established. The cellular structure of the body was not accepted. The nature of the immune system was unknown. Antibiotics were not yet available as such. What did Dr. Still discover that became known as Osteopathy? Simply stated, the Osteopathic Doctor treats the faulty functioning of body structures such as joints, muscles and tendons. First, he determines where the fault is, then by means of proper manual manipulation releases the body’s own healing powers which then are able to restore the joints or tissue being treated to normal functioning. In the traditional practice of osteopathy the skilled Doctor uses therapeutic touch alone to locate the malfunctioning body part, then gently manipulates that body part using the right amount of pressure in the right place at the right time in the right way. In addition to the treatment of joint or tissue abnormalities, Osteopathic treatment may include advice about posture, work positions, inappropriate activity, nutrition and exercise, or discussion about emotional upsets. Dr. Still, the founder of Osteopathy, insisted that any Doctor practicing Osteopathy must have a thorough knowledge of anatomy and a keen understanding of the difference between normal and abnormal. He theorized that a healthy heart and lungs are essential for general good health and that the Osteopath’s job is to help the patient achieve a healthy blood and nerve supply. Dr. Still placed great importance on the lymphatic system, which is needed to flush away impurities as they accumulate in our tissues.

While both Chiropractic and Osteopathy include techniques for correcting abnormal spinal conditions through manipulating the joints, Osteopathy goes a step further. In addition to treatment of the joints, it includes the adjacent muscles, fascia and ligaments making up each spinal vertebra. Osteopathic Doctors claim that their practice is more concerned with the pelvic rather than the neck region. Traditionally, the Osteopath relies more on the sense of touch than x-ray evidence for diagnosing spinal derangement. Finally, Osteopathic treatment is more rhythmical and gentle than Chiropractic.
Only Osteopathy specializes in the manipulation of the fascia. The fascia sheath, a thin fibrous sleeve, permeates, divides and subdivides all parts of the body surrounding muscles, arteries, veins and lymphatics, and supports a network of nerves around those body tissues. Pain and other symptoms will arise in the organ or part of the body next to the affected fascia, whenever fascia become trapped, bruised, overstretched or lack nutrition,. Manipulation of the fascia can often bring about great cures.
What health problems are amenable to Osteopathic treatment? The complaints most commonly helped by Osteopathic treatment are low back pain and sciatica. The treatment is to improve blood flow, relax muscles, free any joints that are not moving properly, thereby restoring normal nerve activity. Osteopathic treatment has been particularly effective for so-called "slipped discs," arthritis in the low back or hip, and pain down the leg, commonly known as sciatica. Many conditions respond favorably to Osteopathic treatment, such as neck, upper back pain, pain in the upper limbs (including shoulder, elbow, wrist and hand), migraine and headaches. Osteopathic treatment can help patients in the early stages of osteoarthritis of the hip, and can often restore movement or at least, in the case of the more advanced stages of osteoarthritis, reduce pain and swelling in arthritic patients awaiting surgery.

There are several medical conditions where Osteopathic treatment should not be used, or should be used in limited circumstances, or in conjunction with other treatments, such as active infections, fractures, bone disease, cancer, gross structural deformities, and severe general medical conditions such as gross high blood pressure or heart attack, vascular disease like thrombosis, neurological conditions with nerve damage, spinal cord damage, and severe prolapse of an intervertebral disc.
Osteopathic Doctors are taught to recognize the importance of exercise and posture for health. Exercise needs to be relevant to the patient’s age, state of health and aims in life. As we age, body tissues are less flexible. It is best to begin exercising gradually, increasing to a level that does not overstrain the heart and lungs. It is wise for middle-aged or older persons to see a Medical Doctor or Osteopath before starting an exercise program.

Poor posture can result in poor circulation and weak muscles, backache, headache and many other distressful symptoms. Good posture includes knowing the best way to stand, walk, sit and rise from a chair, how to lift heavy objects, the best work positions for different jobs, and how to relax. For instance, the most relaxed and least pressured position for the spine, known is the semi-Fowler position, that is, lying down on your back with feet raised on a cushion or stool with the knees at 90 degrees. Do this for ten minutes every day or after strenuous activity or when you feel stiff and sore.
One of the best posture training programs is the Alexander Technique. Many actors, actresses, dancers and musicians take this training to enable them to maintain more relaxed control of their bodies while performing what is very demanding work. Learning the Alexander techniques involves one-to-one teaching. Courses are available in most large cities. Posture training is also available as part of Yoga training, Tai Chi, and Feldenkrais.

Cranial Osteopathy has more recently become a specialization within the practice of Osteopathy. It is the name given to the Osteopathic manipulation of the skull bones. Problems such as headaches, high blood pressure, skin rashes, pain in the face, problems with the teeth, heart complaints, stomach ulcer and irritable bowel syndrome can have their origin in slight pressure on nerves originating in the skull. This kind of treatment should be performed only by highly skilled and specially trained operators, and then only after careful assessment. Be aware that some Osteopaths are also MD’s. In addition to specialized training in Osteopathy, they receive the regular training of a medical doctor and would be eligible for licensing to practice as such. This would permit them to prescribe medication and perform surgery in addition to the manual manipulation of a more traditional osteopath. Osteopaths who also practice "conventional" medicine are more common in the United States. I have myself been successfully treated for sciatica by an osteopath practicing what I call traditional or classical osteopathy.

Touch of Life, by Dr. Robert C. Fulford, is an excellent introduction to the practice of Osteopathy. Ninety-one-year-old Dr. Fulford has spent more than fifty years successfully treating patients whom conventional medical treatment failed to help. This is a delightful book to read, containing Dr. Fulford’s many observations on life, health and healing gleaned from his many years of practice. The book is written in plain, readable language. Dr. Fulford presents surprising insights on herbs, homeopathy, vitamins, and diet, concluding his book with some basic stretching and breathing exercises designed to enhance our own healing powers. It’s a book you will want to read, reread and share with your family and friends. Dr. Fulford’s book, Touch of Life, is published by Pocket Books of New York City, 1997. Osteopathic manipulation helps children who have had multiple ear infections by reducing the frequency of infections and preventing the need for surgery, according to a new study published in the Archives of Pediatric and Adolescent Medicine (2003;157:861–6).

Acute otitis media (AOM, inflammation of the middle ear) is one of the leading causes of physician visits for children. Research has shown that antibiotic therapy has limited effectiveness and poses a potential danger by contributing to the development of antibiotic-resistant bacterial strains. Current recommendations discourage the use of antibiotics but offer few alternatives. Surgery is often used to treat children who have recurrent episodes of AOM. This surgery involves rupturing the eardrum and inserting a tube to allow better drainage and possibly to prevent the growth of colonies of infectious bacteria. Some osteopathic physicians have suggested that manipulative techniques might be effective in correcting structural causes of restricted drainage, thereby reducing the infection rate and the need for surgery. Preliminary studies have suggested that osteopathic manipulation might improve functioning of the eardrum in children with a history of recurrent AOM.

Fifty-seven children, ranging in age from six months to six years, participated in the current study. All of the children had experienced at least three acute ear infections in the previous six months, or at least four in the previous year. They were randomly divided into two groups: one group received routine pediatric care and the other received routine care plus nine osteopathic manipulation treatments over the study period of six months.

The treatments used were gentle techniques to open areas of restriction identified by the osteopathic physicians. These included applying pressure to joints, ligaments, tendons, and muscles in any areas of restriction in the body, with special attention to the head and neck. No high-velocity "popping" techniques were used. The children receiving osteopathic manipulation treatments had significantly fewer episodes of AOM and fewer surgeries during the study period than the children receiving standard care. Furthermore, scores on eardrum function testing improved in significantly more children in the group receiving osteopathic manipulation than in the group receiving standard care.

The results of this study demonstrate that osteopathic manipulation may be beneficial as part of a treatment program for children with recurrent AOM. Including osteopathic manipulation in the treatment of recurrent AOM, as well as other complementary approaches such as identifying and eliminating reactive foods and using herbal eardrops for pain relief, may prevent antibiotic overuse and reduce the need for ear surgery. Further studies are needed to confirm the findings of this study and to determine the optimal number and frequency of treatment sessions.

Osteopathy and physiotherapy are two of the medical modalities popular among senior citizens, patients recuperating from injury, and people seeking relief from body pains caused by certain disorders. Albeit their main objective is the same (mainly to help the patient in pain relief, recovery from injury, and improvement of bodily functions) and their techniques are overlapping, their respective approach and treatment concept are practically different.

Practitioners of osteopathy are known for their knowledge and expertise on manual techniques. They apply them on their treatments with the aim of restoring balance on the patient’s body framework (particularly the musculoskeletal system) – the balance which may have been lost due to an injury or an improper lifestyle. Eventually, once the balance is seen to have been recovered, the aim shifts from restoration to maintenance if the patient chooses to continue the osteopathic treatments. Osteopathy bases its assessments and treatments on natural principles (without the intervention of invasive medications), acknowledging the power of the human body for self-recuperation, in the journey towards optimal health and wellness.


Physiotherapists are experts on rehabilitative science and methods. Their speciality is to rehabilitate a patient and help recover his/her mobility which may have been damage by an injury, sickness, or (even) congenital disorder. In order to achieve this, physiotherapists make use of a variety of methods which include (but not limited to) therapeutic exercises, guided physical movements, and manual adjustments of bones, joints, and muscles. Sometimes, the aid of tools are utilised to assist in the rehabilitative process; they may include water, mild electrical pulses, temperature (cold and heat), and lighting combinations. Physiotherapy also aims to help patients in relieving pain, preventing some disorders, and improving blood circulation. Better blood circulation eventually results in improved distribution of nutrients and oxygen among the different cells and tissues, smoother cleansing of toxic substances in the body, and faster healing and recuperation making the patient able to achieve the best health possible. Today, not a few people mistakenly identify the practitioners of these 2 medical branches as one and the same. This is not surprising because, when they come to a physical therapy clinic, they often find that the medical specialist in attendance has the expertise of both modalities. Note that both practices require formal learning, normally a Bachelor’s degree; some practitioners even go the extra-mile of pursuing a Master’s degree.

Although physical therapy or physiotherapy is the more accepted modality in mainstream medicine, many physiotherapists are learning osteopathy and are applying osteopathic techniques in both their diagnoses and treatments. This is mainly because of the involvement of manual manipulation or massage in the practice of physical therapy, which is the core method of treatment in osteopathy. Every physician and medical practitioner wants his or her patient to be well and healthy. Whatever bodily disorder is ailing the patient, the medical professional is ever willing to provide assistance in bringing about remedy and, whenever necessary, ask the aid of specialists from other modalities. His/her concern and mission is to help people get rid of their pains and eventually achieve health and wellness. So it is with osteopaths. In the previous issues of MedicalWebsite Infomagazine, we have discussed how osteopaths are able to help mothers recover from post-natal conditions and how babies can benefit from osteopathic treatments. In this article, we encourage you to read on as we provide you with the top reasons why normal adults like you need to visit an osteopath for a regular check and treatment.
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Friday, February 7, 2020

Cleaner living: Plant-friendly is planet-friendly

Our audit of the Fitbit Ionic is critical. Not just in light of the fact that it's Fitbit's first self-announced smartwatch, but since it feels like the initial every minute of every day smartwatch. A corner has been turned.
Fitbit Ionic

You wake up, get in the shower, go to work, go for a run or swim, rest. At no time do you have to expel it from your wrist; notices buzz in for the duration of the day, and with a four-day-in addition to battery life, you can wear it to bed where it can track rest – and fortunately, it's sufficiently agreeable to do as such. The aftereffect of this is a more adjusted photo of your day.

Neither the Apple Watch, nor any individual from the Android Wear watch gathering can profess to do this to a similar degree at the present time. It might be said, the Ionic is the prime example of a pattern we're finding in which wellness trackers and smartwatches obscure together. All things considered, many would call the Fitbit Blaze a smartwatch, and truly you wouldn't not be right. In any case, such as saying Voldemort's name, Fitbit declines to utilize the word smartwatch when discussing the Blaze, probably for expect that market investigators would then think about shipments against the Apple Watch.

Be that as it may, now, it's amusement on. The Fitbit Ionic – and its sportier cousin the Fitbit Ionic Adidas Edition – is clashing with the Apple Watch Series 3, and keeping in mind that it doesn't have LTE to offer, it has the high ground in some different territories. We've been dragging the Ionic through hell for some time now, and since jump start Fitbit revealed two or three noteworthy updates, including an application store. Read on to get our musings on the present condition of the Ionic.

Fitbit Ionic: Design and specs

Fitbit Ionic smartwatch survey

1.42-inch LCD touchscreen

348 x 250, 1,000 nit show

GPS, altimeter, advanced compass

day in and day out pulse screen

5ATM water obstruction (50m)

10 hours GPS battery life

5 days battery life general utilize

The Ionic may trump any number of smartwatches out there on a few classes, however looks isn't one of them. A considerable measure of work has gone into keeping the Ionic thin and light while packing in GPS, long battery life, a tri-wavelength sensor and a 1,000 nit show, however it appears to have come to the detriment of plan. The Ionic still resembles a wellness tracker, with a rakish plan taking after the Blaze before it, and an inclined aluminum case worked by a nano-shaping procedure we've seen in cell phones, yet not wearables.

Read this: Best wellness trackers to purchase

We don't think the Ionic is as terrible as a few people have guaranteed, yet it is difficult to pull this off with extravagant formal wear. Maybe that is the one break in the throughout the day chain. You do have the choice of different groups, including some snazzier calfskin ties, however the exclusive band framework implies you need to run with whatever Fitbit has on offer.

Fitbit Ionic smartwatch survey

The Ionic comes in three essential flavors: a blue-dim band with silver watch case; a charcoal band with graphite dark case; and a slate-blue band with a blue-orange case. These, Fitbit let us know, were approximately propelled by science fiction films – orange from The Martian, an Interstellar dark, and so forth. Not that this will probably enter your thoughts when wearing it, however it's a little tidbit you can whip out should somebody compliment your new smartwatch.

The catch format is the same as the Blaze – two on the correct side and one on the left – but on the other hand you're ready to tap and swipe that screen to travel through applications and exercises. Having a more material alternative is decent amid exercises, particularly in case you will take this in the pool.

Fitbit Ionic: Screen

So Fitbit ran with a blocky, square shape show and as the organization's head of configuration disclosed to us it had its purposes behind not running with a round screen. Eminently that it appeared well and good to display warnings and its FitStar instructing exercises. The 1.42-inch LCD touchscreen show is littler than the one included on the Fitbit Blaze (1.66-inch), however the 348 x 250 goals implies there is a knock up in quality.

Fitbit Ionic smartwatch survey

With those pixels packed into a significantly littler space, you get a more keen, more dynamic picture thus. It's a splendid screen also, regardless of whether you have it wrenched up to the maximum setting or in auto mode, and perceivability is solid in all conditions too.

It's not the best smartwatch show out there - Apple Samsung still reign in that office. It's as yet a strong touchscreen show however and we have couple of grumblings, regardless of whether it offers less screen domain than its rivals.

Fitbit Ionic: Activity following

Fitbit Ionic smartwatch audit

At this point, Fitbit has the essential movement following secured. Regardless of whether you're not here for the exercises, the Ionic might be sufficient to charm individuals who need to track their means and have the advantages of a smartwatch. You will obviously get your essential calorie following and stairs climbed as well, alongside your resting pulse for the duration of the day. Actually there are a few watch faces that show your resting pulse constantly, should you need to watch out for it.

Check out these: Best Fitbit Ionic watch faces

Look along to the 'Today' application and you can get an outline of everything from ventures to miles secured, yet regardless you'll get further bits of knowledge, including a pulse chart, by opening the cell phone application.

Fitbit has been buckling down on its rest following in the course of recent months, and the Ionic arrives all the more grounded for it. Appropriate out the case you'll approach Sleep Stages, which separates your stay asleep for the entire evening by breaking down accelerometer and pulse information, and Sleep Insights, which offers tips to enhance your close eye.

Fitbit Ionic smartwatch survey

Regarding precision, we observed it to be keeping pace with the Alta HR, which is nothing unexpected as Fitbit says the innovation is only the same. Which is to state it's great; set up against the Beddit 3, which despite everything we observe to be the most precise rest tracker around, its outcomes were equivalent.

How the Fitbit Ionic thinks about

Where it once in a while unhinges, similar to the Alta HR, is in recognizing when we're conscious. On one event it revealed to us that we'd woken up 20 minutes after the fact than we had, yet that was the most curious outcome we've had with it. For the most part, it's been great.

In this office not much has changed, but rather it's what's to come that is substantially more energizing. That tri-wavelength sensor we said will give Fitbit a chance to track relative SpO2, a proportion of oxygen in the blood, that will have the capacity to tell Fitbit in the event that you have rest apnea. The organization additionally reported it's collaborating with Dexcom so diabetics who track their glucose with one of Dexcom's consistent screens will before long understand that information transmitted straight to the Ionic.

The advantage of that ought not be thought little of, but rather urgently, none of these highlights are yet live, and they've not been tried. They're guarantees, and how much confidence you surrender them is to you to choose.

Fitbit Ionic: Sports following

Fitbit Ionic smartwatch survey

When you need to go past checking steps, it's an ideal opportunity to venture up to Exercise mode. It's here where the altimeter, accelerometer, compass, GPS and pulse screen are brought into play. Alongside Fitbit's SmartTrack tech to consequently perceive a large group of various activities, there are committed modes for following running, cycling, swimming and treadmill running.

There are likewise devoted modes for weights and general exercises, however don't hope to get the extra measurements conveyed with the Ionic's center games following modes. This is what we made of what the Ionic brings to the table in the games following office up until this point.

Fitbit Ionic: Running

Fitbit Ionic smartwatch survey

Fitbit disclosed to us that the vast majority utilize its gadgets for strolling and running, and with the Ionic basically supplanting the resigned Surge as Fitbit's solitary gadget with GPS worked in, we were seeking after great things from the Ionic.

Before you get up and running, there's a little bunch of choices to investigate. You can set up signals that will send a vibrating bump when you hit a specific separation and can redo details (remove, pace, normal pace, pulse, calories consumed, steps and time). You're not going to see data on things like rhythm, however then the Ionic never attempts to be a top of the line Garmin or a Polar running watch with those extra running measurements. It's tied in with keeping things basic here and that is precisely what it accomplishes. The main other extra modes are turning on auto-delay and run recognition so you don't have to experience this procedure at all to track.

Nobody likes sticking around for GPS to kick in and fortunately the radio wire stuffed into the Ionic ordinarily takes no longer than a moment or so to hop enthusiastically. When you go ahead, you can swipe through the center of the show or hit the physical catch on the left hand side to change information fields, with the physical catches on the privilege doled out to delaying and completion exercises. The touchscreen is really responsive, despite the fact that when things get wet and stormy you'll be depending on those physical catches for route.

Fitbit Ionic smartwatch audit

GPS following: Fitbit (left and focus) and Polar Beat iPhone application (right)

At the point when a run is done and spared you can see a synopsis on the watch, yet you have to match up the action with the telephone to see maps and pulse charts. Above you can see an example run demonstrating the sort of information you can hope to see, in contrast with what we recorded with the Polar Beat iPhone application. There weren't any precision dramatizations and normal pace information was for the most part on the cash.

Running action, similar to every single other action, adds to your general advances, calorie consume and dynamic moment aggregates for the day, and with a devoted application for Strava and ideally more to come, that information doesn't need to simply live inside Fitbit's application.

Treadmill running is additionally upheld on the Ionic, following separation, normal pace and pulse information. Without GPS you're depending on the accelerometer to track execution, which dependably observes a drop in precision, yet we really felt the Ionic completed a great job here as well.

Fitbit Ionic: Cycling

For cycling, you can hope to get comparable settings available to you including turning on auto delay, setting up information signals and redid details that can be shown amid a ride. Once more, you'll get a preview of your exercise outline, however you'll have to wander into the application to see your ride in detail with mapped courses, speed, pulse zones and calories consumed.

Fitbit Ionic smartwatch survey

Cycling following: Fitbit (left and focus) and Suunto Movescount application (right)

We showed it a good time with the Suunto Spartan Trainer Wrist HR and separation and speed were for the most part in the correct ball stop, however we'll be investing significantly more energy in the coming months dragging the Ionic through hellfire out on a bicycle.

Fitbit Ionic: Swimming

Fitbit Ionic smartwatch audit

We had truly positive things to say in regards to the Fitbit Flex 2's swim following aptitudes, however what was extremely missing from the experience was really recognizing what advance you were setting aside a few minutes. That has been tended to with the Ionic where you would now be able to monitor lengths, separate secured and exercise span on the touchscreen show. It doesn't show the kind of strokes and there's no SWOLF information accessible, so information hungry swimmers may discover the experience a touch of disappointing. Yet, there's sufficiently still here to improve feeling of your execution in the pool.

The waterproof outline additionally reaches out to vast water swimming, yet there's somewhat of a clanger: dissimilar to the Apple Watch Series 2 or a Garmin Fenix 5, there is no appropriate untamed water swimming, where you can take it for a dunk in the ocean and utilize the signals to quantify how much separation you've secured.

Fitbit Ionic smartwatch audit

Swim following: Fitbit (left and focus) and Suunto Movescount application (right)

In the pool, it's a strong entertainer. You won't have much motivation to tinker with the screen as there are no extra measurements to audit and up against the Suunto Spartan Trainer Wrist HR information there was just a distinction of one length.

Inside the application you can likewise observe calories torched and a break of pulse information, in spite of the fact that we wouldn't read excessively into that. Water and optical sensors simply don't blend.

Fundamental perusing: The lowdown on swimming with HR wearables

Up against the Apple Watch Series 2 more than 20 lengths, the Fitbit Ionic checked one length too much, while the Apple Watch got it spot on. There was certainly some post-swim amending done in the application, and curiously the Ionic got the yard separate as dead on 500 – right and same as the Apple Watch – despite the fact that it represented that one additional length.

It's significant that the Apple Watch got our strokes wrong generally, so it's not done consistently somewhere else.

Fitbit Ionic: Strength preparing

Fitbit Ionic audit

In case you're more inspired by utilizing the Ionic for weights in the rec center, instead of out and about, at that point it merits remembering that you're not getting indistinguishable help from you would with different gadgets. While a developing number of wellness trackers and smartwatches are naturally distinguishing activities and checking reps from the wrist, you don't get that with the Ionic. When you select the committed Weights mode, just the time, your pulse and calories consumed are appeared.

This can be endured in case you're not a power client and just plunge into the odd quality instructional course, however in the event that you're searching for a gadget that can essentially enable you to track the advancement of particular activities, it's most likely best to avoid the Fitbit smartwatch.

Tried: Fitbit Ionic quality preparing

As we noted in the wake of spending two or three weeks utilizing the Ionic for quality preparing, the main way this turns into a practical choice is if Fitbit in the long run chooses to bring a similar sort of instructional take after alongs found in Coach to the Weights mode.

Fitbit Ionic: Heart rate exactness

Fitbit Ionic smartwatch audit

So this is a major one. Does the Fitbit Ionic convey exact pulse information? We've composed numerous a word on the unwavering quality of wrist-based pulse screens and the various components that can influence readings. From the Charge HR the distance to the Alta HR, our own particular testing demonstrates that Fitbit's PurePulse tech isn't immaculate, however a similar feedback has been leveled at Apple's sensor setup or Garmin's Elevate pulse innovation. So how does the Ionic charge? Like a Facebook relationship status, allows simply say it's entangled.

As far as the pulse information the Ionic can convey, you'll have the capacity to see resting pulse data for the duration of the day, ongoing bpm readings through all exercise modes and set up pulse zones for interim preparing. In the event that we manage resting pulse information first, we have no issues on the precision front – and that is maybe not too astounding when those readings are taken when you are stationary. We contrasted it with Polar's H10 chest tie and readings were indistinguishable on each event.

When we move onto practice mode, that is the place things get intriguing. By and by, we utilized the H10 chest tie as the benchmark for our testing. We went out running, experimented with a portion of the Coach exercises, bounced on the paddling machine and put it to the rec center test. What we found is two or three things. The first is that those mentor exercises gave really dependable readings yet when it's a great opportunity to swing to accomplish something more serious like running, things change.

A look down at our Ionic and at the Polar Beat iPhone application now and again indicated readings that had a distinction of as much as 10 bpm. It was a comparable story when we bounced on the treadmill, giving us exceptionally implausible readouts for time spent in pulse zones. With regards to exploring that information in the application, the charts don't generally recommend that readings have been uncontrollably off amid a session however normal and max bpm readings had a tendency to be 4-5 beats off by and large.

Fitbit Ionic smartwatch survey

In a word, it's uneven. On another run, it completed a great job of staying aware of the Polar H10 as we kept up the higher power in the second 50% of the run. Toward the end the Ionic read a high of 182 against the Polar's 183, with midpoints of 166 bpm and 167 bpm individually. Additional concerning was the following run, where readings went absolutely AWOL. To begin, pulse was spiking on the Ionic even before we started running, 20-30 ppm higher than what the chest lash read, and that proceeded for some time toward the beginning of the keep running before night out.

En route, we additionally saw the readings were off by around 10 bpm on occasion, however then the entire thing appeared to crash with no notice. For some odd reason, later on that day the application enlisted the exercise… yet said it had endured three hours (I'd really kept running for around 45 minutes). It appears as, in spite of slamming, it was all the while enlisting a running exercise out of sight, notwithstanding amid the pool testing I did a short time later. This was on the survey prepared programming, so I trust this is something Fitbit can settle before dispatch. As we say, it just happened once in our testing.

Main concern: we have fluctuating outcomes with pulse observing on the Ionic. Here and there it's right on the money, different occasions it most unquestionably isn't. While this most recent form of Fitbit's PurePulse tech is gathered be a change on past adaptations, in light of our experience it's still hit and miss contingent upon the sort of movement you're doing and the force of the exercise.
Fitbit Ionic: Coach

Fitbit Ionic smartwatch survey

The implicit Coach application is Fitbit's own preparation application, fueled by FitStar. It's tied in with offering exercises of fluctuating challenges and length, on the off chance that you need to go up against a more organized exercise.

The experience is part between the watch and the Fitbit application, so you can take after a few exercises from the Ionic's screen like you could on the Fitbit Blaze, however different exercises are as of now just open through the Fitbit application.

The thought is that these exercises adjust in light of your advancement to influence them to feel more one of a kind and individual. So when it saw that we had been swimming, for example, it prescribed fit figure and cardio exercises to experiment with straightaway.

From the watch you can right now get to three exercises. That is 10 minute abs, 7-minute exercise and Treasure Chest. We're trusting that dissimilar to the Blaze, there'll be in excess of three exercises accessible at dispatch, yet that is our part at this moment. Fitbit is including guided way of life training designs into the application, including Beginner Runner (lounge chair to 5k) and Beat That Sugar Habit, yet these aren't yet live.

As the names propose, the exercises run in term and spotlight on various parts of the body. Once you've enrolled as a Fitstar client through the application and picked your mentor you can begin getting to the exercises. When you hit begin, you'll get a little activity of the activity and after that it's dependent upon you to get working out. In case you're moderately fit, you may discover a portion of the shorter exercises not too requesting but rather they will push you with boards, squats and the sky is the limit from there.

The FitStar reconciliation is one of Fitbit's awesome qualities as a stage, and on the off chance that it keeps on developing and conveys on those customized proposals it ought to be one reason you'd need an Ionic in your life. Be that as it may, Fitbit intends to put a noteworthy bit of its Coach exercises behind a paywall, and we'd need more than the three exercises right now live to truly prescribe this component.

Tragically, there were a few highlights that we were not able test, similar to the sound instructing and Fitbit Radio. It's an example rising by and by that we are not getting the full Ionic bundle at this time.

Fitbit Ionic: Fitbit Pay

Fitbit Ionic smartwatch audit

At the point when Fitbit purchased installment startup Coin, it was a certain indication of what was at the forefront of its thoughts. What's more, with Ionic it's appearing its wearable installments stage named – prepared for it? – Fitbit Pay.

Fitbit Pay joins Android Pay, Apple Pay, Samsung Pay and Garmin Pay in giving you a chance to buy things with a tap of the wrist. Through the application you simply need to enlist your card, and Fitbit guarantees to help an extensive variety of issuing banks out the entryway, however it stays to be perceived how great that help will be. As we saw with Apple and Android Pay, it can take a while for banks to get on board, however we know HSBC, Capital One and Royal Bank are among early names, with additional to be included soon.

Basic reading:Apple Pay v Samsung Pay v Android Pay

You likewise need to set up a password on the Ionic itself, and this is the fiddly bit, as it is difficult to hit the modest number cushion with pinpoint exactness. Be that as it may, it's a cost to pay to not chance somebody swiping your Ionic for a shopping binge on your dime. From that point, to make an installment you simply need to hold the left hand catch and a modest bank card will appear on the screen.

The last part you require, obviously, is a remote installment terminal, which few out of every odd store will have. That is particularly the case in the US, which keeps on hauling behind. Samsung Pay still has the high ground with its help for attractive strip installments, however anyplace that can acknowledge NFC installments will have the capacity to work with Fitbit Pay. Overlook any individual who discloses to you generally.

Fitbit Ionic: Apps

Fitbit Ionic smartwatch audit

When we asked CEO James Park where the refinement between wellness tracker and smartwatch lay, applications was one of his cases. What's more, this will be a genuine proving ground for the Ionic, which is going up against two biological communities specifically, Android Wear and watchOS, which have had significantly more opportunity to get applications and engineers added to their repertoire.

Read this: Fitbit Ionic v Apple Watch

Out the door, the Ionic propelled with a bunch of first-party applications however just four outsider contributions: Strava, AccuWeather, Starbucks and Pandora. That last one won't have any significant bearing to you in case you're in Europe, however Deezer is coming one year from now. Fortunately you can put music on the watch with Fitbit's own music application. To do this, you have to experience the work area Fitbit Connect application and select the records you need to match up. Once on there, it's an instance of matching your Bluetooth earphones with the watch and you're away. We've had no issues blending numerous earphones, including Apple's AirPods and the Fitbit Flyer, the organization's own particular Bluetooth earphones.

Fitbit Ionic smartwatch survey

Fitbit has now opened the way to its application store, called Fitbit Gallery. The store propelled with a little gathering including applications for The New York Times, Flipboard, Switchr and Yelp. It's still early days and Fitbit has guaranteed a pack more before the finish of 2017 including Nest, TripAdvisor, Lyft and British Airways. There's likewise now an expansive inventory of watch countenances to browse, which will keep on growing after some time.

A considerable measure of the applications feels very constrained right now however we're happy the ball is rolling and we hope to see the store swell moderately rapidly; a great deal of Pebble application designers are presently working for the stage.

Download these: Best Fitbit Ionic applications

The inquiry currently is whether Fitbit can gather as much eagerness as Pebble oversaw. Its SDK is one that Pebble was chipping away at before Fitbit snapped it up and utilizes JavaScript, CSS and SVG, making it simple for devs to expand on. We additionally like that Fitbit is giving individuals a chance to share applications without needing them directed, in spite of the fact that on the off chance that you need them exhibited on Fitbit's application store you should submit them for endorsement.

Fitbit Ionic: Notifications

Warning help is a smartwatch staple and for some, really a greater need than independent applications. So how can it passage on the Ionic? All things considered, allows simply say it's truly essential at this moment. From the application, you can take control of the local and outsider warnings that show up on the watch.

Calls, instant messages and schedule occasions are upheld, in addition to it'll additionally work with any semblance of WhatsApp, Twitter and Strava. Notices will show up on the screen or you can swipe up to see a feed of read and new warnings. From that point you can grow messages and swipe away to expel, yet separated from replying/dismissing calls you can't react to the dominant part of warnings.

Contrast that with what Apple, Samsung and Google bring to the table in this office and the Ionic comes up truly short. It's basically a similar sort of approach that games watches embrace with keen notices, however even Garmin is starting to acquaint the capacity with react to notices, so there's certainly opportunity to get better here and some may be let around the oversimplified setup.

Fitbit Ionic: Battery life

Fitbit initially said battery life would keep running for more than four days, yet has now changed the message: it will go for five. While the Apple Watch will endure multi day, the Ionic has done the unbelievable and can continue going any longer. With some really concentrated utilize, that is with the screen wrenched up to full splendor, notices separating through and different following sessions, we easily endured three days, four days with somewhat more adjusted utilize. We didn't exactly make it to the five Fitbit is citing, yet in a more practical situation where you're doing less exercise following, there's each probability the Ionic could make it to give days. That will be music to the ears of incessant explorers who can leave the charger at home.

Fitbit Ionic

Fitbit Ionic

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GPS battery life is professed to associate with 10 hours and we'd be slanted to concur with that in light of our opportunity with the Ionic. No, it's not best in class, but rather it's as yet a decent appearing, and the GPS doesn't detrimentally affect battery life, knocking off under 10% from a 40-50 minute run. How Fitbit has done it, we're not exactly beyond any doubt, but rather it abandons us feeling idealistic that things could show signs of improvement later on.

Fitbit Ionic: Price

So how does the Fitbit Ionic stack up regarding cost? At $299 it's moderately inline with the Apple Watch, and sharp customers ought to have the capacity to get an Apple Watch Series 2 (with GPS and pulse), for less cash.

It's additionally generously more than the Fitbit Blaze and Charge 2, which are likewise respectable choices, in case you're more into the wellness following components.

It's imperative to consider the potential that the Ionic needs to create after some time – however in the event that you were holding off purchasing an Apple Watch since it's excessively costly, there's no sparing, making it impossible to be made here.

Fitbit Ionic

By Fitbit

There's a great deal that we extremely like about Fitbit's first smartwatch, in any case the product niggles make it hard to place it in indistinguishable section from the Apple Watch, the best that Android Wear brings to the table and Samsung's Gear smartwatches at the present time. At the point when those issues are settled – and we are trusting that they are when it's prepared to dispatch in October – then it will be distinctive story out and out. Indeed, the outline will separate, yet it's one that we've developed to acknowledge, just not adore. Wellness and games following including the Coach stage establish a great connection and smartwatch highlights like notices, music player support and Fitbit Pay work without issue. At that point there's the battery life, which wipes the floor with the opposition. The Ionic speaks to the best of Fitbit, it's only a disgrace we're being made to sit tight for the total smartwatch encounter.
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Interesting Animals That Roamed The Earth Before Humans

The first undisputed signs of life began nearly 3.4 billion years ago, and ever since then, life has drastically evolved in forms and factors that are unlike anything we see on earth today. From giant land scorpions to extinct crocodiles the length of a school bus, explore interesting animals that walked (or swam) the earth long before humans.

Usually, most modern species of scorpions are smaller than the size of an average human hand. It is also relatively harmless, (save for a few species, which has very toxic and potentially lethal venom).

However, if you were to travel back in time to the Carboniferous Period, roughly 360 million years ago, you might just be unlucky enough to stumble upon Pulmonoscorpius kirktonensis - a giant land scorpion that was almost half as long as an adult human. Measuring in at over 2.5 feet, it probably killed its prey by ambushing it and then repeatedly stabbing it with its stinger. And just like its modern-day relatives, Pulmonoscorpius was probably venomous. Palaeontologists also estimated that it had relatively good eyesight thanks to its abnormally large eyes.

Primitive earth had an abundant plant life. The very first gymnosperms such as primitive cycads, horse-tails and club mosses thrived in the humid atmosphere of primitive earth. As a result, the oxygen concentration in the atmosphere was higher than today's estimates, which in turn directly affected the size of prehistoric insects. Like Pulmonoscorpius, other prehistoric insects such as Meganeura (ancient dragonflies) and Arthropleura (ancient millipedes) also grew to gargantuan sizes due to the higher concentration of oxygen in the atmosphere.

In 1977, Simon Conway-Morris, a British Paleontologist stumbled upon a very odd, thumb-sized fossil collected from the Canadian Rockies. Initially, Morris speculated the fossil to be an annelid worm, similar to leeches and earthworms. It had seven spikes that would have been used as its "feet" and seven tentacles that waved around on its back. He named the creature Hallucigenia, due to its bizarre, and almost dream-like appearance.

Conway-Morris's model of the creature was very controversial, however, it managed to be relevant up until the year 1991. By then, Chinese researchers had stumbled upon a similar fossil, named Microdictyon, which had plate-like scales instead of the seven spikes which Hallucigenia had. The researchers were able to deduce that the tentacle-like structures on the back of Hallucigenia were actually feet. So, for more than a decade, the scientific community was looking at Hallucigenia's fossil upside down.

Even today, nearly 50 years after the discovery of this fossil, new discoveries are being made. Just recently, scientists have found the location of its head after examining its fossil in an electron microscope. Hallucigenia wears its name appropriately - it is still one of the weirdest creatures to be found till date.

Saber-Toothed Tiger
Today, big cats such as lions and tigers are the apex predators in almost all known terrestrial food chains. But 10,000 years ago, the plains of North and South America were home to the Smilodon or the saber-toothed tiger. S. populator was the largest of the species, weighing in at over 400 kgs. Also, they are much more burly than most other extant big cats such as the Bengal Tiger.

One of smilodon's characteristic feature is the very long, dagger-like canines. Its teeth were so long that it protruded out of its mouth by a significant margin. It even had an incredibly wide gape to accommodate those fangs - opening its mouth up to 120 degrees, which would have been quite an impressive and menacing sight if it was alive today.

However, its canines were slender, blade-like, and rather fragile. So, it was more adapted for precision movement such as slicing, slashing and stabbing. Moreover, an extremely wide gape meant that the animal had a lower bite-force, this meant that its bite force was not proportional to its body size. Consequently, the bodies of these animals became more stocky and robust for immobilizing prey.

These big cats were specialized in taking down large mammals such as extinct bison, giant ground sloths and even juvenile mammoths. However, their prey started to die out and was replaced by smaller and more agile prey such as the ancestors of deer. As these apex predators were unable to adapt to these new prey, the population started to decline and eventually became extinct.

Humans belong to the family Hominidae, (also called as the great apes) and we are the only surviving member of this species today. But nearly nine million years ago, Asia was home to one of the biggest primates to ever walk the earth - Gigantopithecus blacki.

This gigantic great ape towered over 10 feet in height and weighed between 550-600 kgs, which makes it almost 3-4 times heavier than modern gorillas. However, scientists have theorized that it is more closely related to modern orangutans after analyzing its morphology. But not much else is known about this great ape as fossil evidence is limited to just a few teeth and fragments of a jaw bone.

When it was alive, its habitat consisted of a mosaic of savannah and forested areas. Analysis of its teeth implied that it subsisted purely on a diet of fruits and bamboo shoots, just like modern day gorillas. However, its habitat shrunk due to climate change and it was unable to adapt itself due to its huge size and strict selection of diet. The last of Gigantopithecus died out roughly 100,000 years ago.

Explore more interesting topics on BYJU's. From cell organelles and centrosomes to endangered species and mass extinctions, BYJU's is your best resource for education and learning. Explore in-depth articles and fascinating videos about all your favourite science topics by registering today. Banking is one of those rapidly growing industries that have their reach from the public sector to the private sector. It is an integral part of the basic economy of any country and serves as a backbone to the masses. Finding a suitable job in this sector is always considered to be a good hunt. If you see, there are only a few jobs these days that can pay you as good as a banking job, and this particularly holds true for the managerial ranks. Investing your time to prepare yourself for a lucrative position in the banking industry is hence a smart choice without any doubt. But what is it that makes a managerial job in the banking sector one among the most longed for career profiles? Yes, there are loads of plusses associated with the managerial position in the banking industry; however, one aspect that tops all the others is the salary prospects that the baking jobs offer. In this article, we will discuss the widening opportunities in the banking sector and will also look upon the earning potential of a banking manager.

The Upward Trend of the Banking Sector in India

With the milestone decisions taken by the Government of India, the banking sector has emerged as one of the strongest parts of the economy that is far more reachable to the general public. The industry has recorded an upward trend within the last few years. Under such a promising scenario, it is evident that the banking sector would be one of the best choices when it comes to making a career. With rising trends in growth, the banking industry has taken over as one of the sectors offering best-paid jobs with minimum risk. During the financial year 2017-2018, the compound annual growth rate in lending has gone up by 10.94% whereas the same for deposits has increased by 11.66%. This directly reflects the strength of the asset holding of banking sector making it even steadier for any job seeker. Registering a steep growth of US $100 billion in the retail credit market, India is now the fourth largest market in the emerging countries.

Banking Sector Registering a Steady Growth in the Hiring Pattern

The government has recently introduced a lot many banking policies keeping the general populace in mind. These policies have brought people closer to banking transactions. Even the remotest villages of the country can now access banking facilities, which has increased the involvement of farmers and marginalized people in banking activities. Such large-scale operation undoubtedly calls for more employees to get engaged in serving to the masses. This has given a major boost the employment opportunities in the banking and financial services industry.

Moreover, the technological advancements have served to integrate the banking operations with artificial intelligence, which has paved the way for this sector to evolve as a part of the modern-day corporate world. As far as the white-collar jobs are concerned, the statistics clearly show that the IT sector has been facing constant competition with respect to the annual payout from the Banking sector. Speculations confirm that within a span of two financial years, the banking pay-out bar would exceed that of the IT sector with the later losing its past prosperity over time. With a market share of 31% of the total payout in the industry, the financial sector in general and banking specifically remain the undisputed leader. A general salary research on the earning potential of banking managers reveals that the salary component of these professionals has two dimensions. The fixed pay varies from INR 36000 to INR 64000 on a monthly scale whereas the average additional pay ranges from INR 15000 to INR 93000 depending on the profits scored by the organization. The annual package for a bank manager may range from 6.5 lakhs to 10 lakhs pa based on a number of factors.

The Egalitarian Distribution of Pay Structure

There are more elements to the payout cycles than just the total overhead cost. The average pay structure of the banking sector shows fewer deviations than that of its closest rival, the IT industry. With entry-level payouts varying largely with that of the experienced ones, the Banking sector has been successful in rendering a much neutral platform to all securing an inflation-adjusted payout. Adding to the advantage that the overall performance of the sector puts on employee pay-outs, the banking sector seldom comes with the risk of retrenchment that invariably makes the average pay-out higher than any sector even close to it. This is why a job in the banking industry is often recommended as a secure, steady, and a well-paid career with a no risk element.

TimesPro - Your Pathway to the Best Paid Jobs in the BFSI Sector

Career is something that not only refers to the salary you draw but also entails elements of growth opportunity and security in it. The banking sector is surely a cohesive harmony of all the three and can be a smart selection for any job aspirant. With promises kept high with government projects like IPPB, rising microfinance investments, and more, the banking sector is sure to maintain its prosperity in the near future. This is hence the right time to put your best foot forward and take the initiative towards joining the banking and finance sector. We, at TimesPro, with our Post Graduate Diploma in Banking and Financial Services Management (PGDBM XL) Program, have helped several ambitious aspirants to make their mark in the banking industry. Our PGDBM XL program is a banking and finance course that serves as your roadmap to attaining hierarchical success in the BFSI sector and opens up a whole new dimension of job opportunities.
Education by no means can be defined by a compulsive approach. Every student is unique in his/her own way, and it won't be even wise to expect them to have the same expertise as the other. The education process should always refer to and take care of the varied talents of the young minds. For instance, there are a few students keen on knowing history, while there are others who enjoy endeavoring the corners of chemistry. Each student finds one or more subjects interesting depending on their psychological orientations. The real purpose of education should be to encourage the students to take up and show progress in the traits that they feel the most comfortable in, instead of compelling them to study a subject that seems to be less appealing or uninteresting. If a student develops a natural affinity towards any particular subject, it is obvious that the student will do well in future if he or she pursues that very subject for further studies. Keeping this general behavioral trend in mind, the Central Board of Secondary Education (CBSE) has come up with an approach that is progressive and dynamic in true sense. We, at the Lotus Valley International School, a top ranked school in Noida, appreciate the decision and hope that it will surely help the students march the roads of progress towards a brighter future.

The Need for the Reform in the Examination Structure

As we all know, after the 10th level CBSE board examinations, the subject layout becomes precise, and students are given a choice to opt for a stream that best suits them. Hence, from 11th standard onwards, students are free to select either, science, humanities, or business commerce. The motto is to serve the basic knowledge on every subject to every student till the 10th standard, post which, specialization in a specific field of studies would be available.

Now, the reform that has been put forward by CBSE is based on the fact that not all students have similar levels of interest in difficult subjects like Mathematics and that's why posing a similar difficulty level in mathematics in 10th exams to even those who have no intentions of taking the subject ahead is kind of unfair to them. The data shows that many students suffer a low aggregate in their 10th board exams owing to their bad scores in mathematics. Hence, students who are not willing to take up mathematics as a major subject in their senior secondary should be ideally exempted from the hardship of the tough math questions. Judging every student on the same scale fails to justify their unique abilities correctly, and the reflection turns misleading.

The New and Revived Framework

The CBSE Board has declared that there would be two separate question papers set for the 10th board examination for mathematics. One of them would be 'Mathematics-Standard' demanding more aptitude in the subject, whereas the other would be 'Mathematics-Basic' that would be comparatively easier and justify the basic skills in mathematics. It is to be noted that even though there would be visible changes in the question paper structure in the boards for mathematics, the syllabus would remain same throughout the academic session for all. The class assessments would also remain unaltered, and there would be no separate provision for aptitude-based question papers until the pre-boards.

The students would be completely responsible for choosing the level/type of math question paper that they would prefer to take up for the final board examination, keeping the syllabus and the internal assessments in mind. The Standard level will be meant for those who wish to pursue mathematics for further studies, whereas the Basic level would be for those who have the fear for the subject and do not intend to take mathematics in their senior secondary classes. The reforms will be applicable from the next year onwards, which means that the students appearing for their 10th board exams in the year 2020 will have the option to opt among the two levels of mathematics based on their interests.

A Laudable Decision

The methodology involved in the CBSE has always been considered as the most relevant and scientific one. The student-friendly approach of the board has always been its forte and has encouraged students to delve deeper into the subjects. This decision of segregating the assessment process is expected to help relieve the students of any stress of coping with the subject that might not be of any use to them in their further studies. It is always worth to invest time and energy into something that will bear fruit in the future rather than beating the bushes. Hence, this decision of layering the examination process based on academic necessity is surely a commendable step taken by the CBSE board, ensuring the learners of an effective and result-driven education system. With such praiseworthy reforms incorporated in the education framework, we, at Lotus Valley, are positive that the students will certainly find a more secure way ahead.
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Thursday, January 30, 2020

Health Tips on Fatigue

Nowhere is the truth that mind and body are one more clearly exhibited than in the case of chronic fatigue. Temporary fatigue is easily traced to a lost night's sleep, an unusual amount of physical labour, etc. Chronic fatigue, however, is not merely a matter of bodily wear and exertion. How many people do you know who constantly complain of fatigue though their regular day's labour is not at all excessive? How many times have you found yourself suffering from exhaustion at a time when you were even less physically active than usual? Mind and body demand activity, and attention to one without exercise of the other may lead to exhaustion of both. I have known few people who maintain a well-balanced daily programme of mental and physical activity who suffered chronic fatigue.

As in all other cases, fatigue was treated at sanatorium first with a programme for natural living. Air, sun, water and earth can never be omitted from a natural programme for health. Fatigue occurs more frequently among people who oversleep. Late risers are common victims of chronic tiredness. Indoor workers and livers complain of a constant lack of energy. And starchy diets tend to support this condition. The sanatorium course for fatigue eliminated all of these, stressing early bed habits, both retiring and rising. The lights at sanatorium rarely burned past ten at night and few slept beyond six. Balanced diets with particular emphasis on nerve and energy foods were prescribed for this condition, with increased consumption of Vitamin B complex, iron, and particularly in hot weather, mineral salts.

Boredom was avoided like the plague. Patients were urged and assisted in busying themselves most of the day with physical and mental activity that kept them in full tone. But such activities were always productive, not senseless motion for the sake of motion. How much better it is to gain your exercise from planting, weeding and harvesting a vegetable garden than from repetitious knee-bending and toe-touching exercises. Motion-towards-creation is an underlying law of nature.

The natural programme to alleviate chronic fatigue also involves daily cold (6o°) baths and chest and back affusions. The affusions proved particularly successful and were used to alleviate the aches and pains of unused muscles even while increased activity was provided for those muscles. Compresses brought quick relief when applied nightly to the sore and weary portions of the body. Fountain of Youth Cocktail was prescribed daily.

Most important of all natural methods in alleviating fatigue is the use of air- and earth-contact. Barefoot walks in shorts or sun suits when weather permits and outdoor activity all the year round proved the surest course of satisfying the body needs that induce fatigue.

You can actually unlock the keys to vitality, wellness and happiness if you are able to naturally control fatigue which is more of an emotional state than a physical one. Exhaustion is a feeling and if you are not very careful with the way you handle it, it may be very difficult to overcome. However, since you are capable of reading this piece right now, the solution is far-fetched if only you can read on.

It is very important for you to take note of what you feed your mind. Just like the popular computer phrase, garbage in garbage out, your mind works exactly in that format. If you feed your mind with positive things, you will get positive results and if you feed it with negative things you will get negative results. Whenever any negative thought enters your mind, the first thing you need to do is to acknowledge it and then take steps to stop it or the emotions it creates. Then, you need to replace the bad thoughts with good ones that are actually in line with your true needs.

Secondly, you must know how to keep your emotions in control because if you don't work on them, they can make you feel tired and exhausted. Emotions come from deeper areas of consciousness that you may not be aware of and the truth of the matter is that they cannot be banished. They can lift you to amazing heights sometimes and can keep you in pain, unhappiness as well as misery some other times. Since it is not possible to banish them, it is very important for you to manage them properly.

Furthermore, you should be more connected to your inner self in order to get revitalized frequently. Your inner self is directly connected to your true source of energy and has access to information related to your overall development. When you are connected, you will have the opportunity of aligning with the energy required for a happy and fulfilled life. Daily meditation is one of the ways of maintaining a healthy connection with your inner self and if this is properly done, it will go a long way to boost your energy and fight fatigue.

Besides, your body should be properly used in order to avoid exhaustion. You should set reasonable goals for yourself and avoid playing to the gallery. You should not try to please others at your own expense and eating what is not good for your body just to please someone is very detrimental to your overall well-being. You should eat organic foods as much as possible and taking food supplements will ensure that your body gets all the nutrients required for a healthy living.

If there is one thing frustrating to just about everyone, it is ongoing fatigue. You feel tired, daily, and nothing you are doing seems to be fixing it. You may have tried medications at this point, only to see no results at all. What gives?

Sometimes, the problem with managing ongoing tiredness is we dial in too much on the fatigue and don't look at the bigger picture. Let us take a look at some of the reasons you may be suffering from exhaustion and what can be done to help. Keep in mind everyone is unique, so you need to learn about your body and look at your lifestyle as a whole...

1. Stress. Perhaps the main reason for fatigue, apart from the lack of sleep, is a high level of stress. The thing with anxiety is unless you are hyper-aware of your body and thoughts, you might not realize you are stressed. You are going about your day, minding your own business, thinking things are fabulous. You don't feel stressed?

However, stress could be lingering. Ask yourself, is there anything you are worried about? Once you start thinking about it, you might find there is. While you may forget about the problem during the day as you become busy, the problem is still there in the background.

Being busy is a cause of stress for many people. When was the last time you had a day with nothing on the agenda? Where could you go around, doing whatever you pleased at that very moment? Can't remember? You are not alone. Being too busy can lead to stress. It is not the same form of pressure you would feel if you lost your job unexpectedly, but it is stress nonetheless.

2. Thyroid Disorder. When was the last time you had your thyroid checked? If it has been a while since you have had blood tests, this is one of the first areas to have checked.

If you have hypothyroidism, this will lead to tiredness and stress. Usually, if you see your doctor complaining of fatigue, they will check your thyroid. However, if your doctor doesn't suggest this, be sure you request your thyroid levels are monitored.

3. Too Much Exercise. Are you someone excited about your workout program? Despite feeling tired, you push yourself daily because you know it is "good for you?"

Your workout could be causing your extreme tiredness. It is easy to overlook this because exercise does energize you and even in your state of exhaustion, you may feel better after a workout. However, this is the endorphins: once they wear off, you will be left more tired.

Rest days are crucial in any workout program. If you are not taking enough rest days, fatigue will be the price you pay. Please have a good look at your plan and make sure rest days are scheduled.

4. Lack Of B Vitamins. Finally, also consider B vitamins. B vitamins are essential for helping turn the food you eat into usable energy, so you don't want to fall low on these. B vitamins are water-soluble, meaning you need to take them daily otherwise they will be excreted from your body leaving your levels low and ineffective.

If you are not eating a varied diet which is found in fresh produce and meat, then consider a vitamin C complex supplement. It may just make a difference to how you feel.

Keep these points in mind and use them as you evaluate what could be happening in your life causing you to feel fatigued. The sooner you can get it straightened out, the quicker you will be leading the life you want.

Although managing Type 2 diabetes can be very challenging, it is not a condition you must just live with. Make simple changes to your daily routine - include exercise to help lower both your blood sugar levels and your weight.

Nurses are particularly vulnerable to compassion fatigue in the specialty areas of intensive care, mental health, pediatrics, and oncology because they enter lives of others during times of critical illness becoming partners as opposed to observers in their patient's health. It is essential that nurses are aware of work stressors and warning signs of compassion fatigue so that work-life balance can be maintained.

Compassion fatigue is not the same as burnout, although they are related. Compassion fatigue is the profound emotional and physical exhaustion that develops over a course of time. It is the gradual erosion of all the things that keep us connected to each other as caregivers. When compassion fatigue begins to set in, we see changes in our personal and professional lives. We can become bitter at work; we may add to the toxic work environment; we are more prone to medical errors; and we may violate client boundaries. At home, we may become short-tempered with out loved ones and feel a sense of guilt or resentment at the ongoing demands on our personal time. This is the "cost of caring".

Burnout is the physical and emotional exhaustion that you experience when you have low job satisfaction and feel powerless and overwhelmed at work. Burnout does not mean that our view of the world has been damaged or that we have lost the ability to feel compassion for others. Individuals who are non-helping professionals experience work-related burnout. Burnout can be easily resolved by changing jobs that provides immediate relief. This is not the case for compassion fatigue.

Nearly all of us have felt it- the insistent pain resulting from long days of working and standing. It is one of the common causes of physical fatigue in the workplace. Now if considered, apart from headaches, low back pain is another largest cause of the pain and physician contact in the States. Now what are solutions to this problem?

Physical fatigue can occur when the muscles are usually constricted and the blood flow is accordingly reduced. As a result, the heart is forced to work harder to pump blood through the areas which are constricted. The mats with anti-fatigue quality works effectively by encouraging subtle movement of leg and calf muscles promoting an easier flow of blood right back to the heart. This is called "Dynamic Ergonomics" - sometimes referred to as the study of making sure that standing workers comforts with means of excellent muscle activity.

Reasons for the cause of fatigue at workplace

As per research and study, there can be two broad causes of physical fatigue- 'Cinderella' fibres and imbalance.

Cinderella Fibres

When standing, we use the same muscles which are required for efficiently performing the duties. Being in prolonged position in an upright way, we need to train the muscles effectively converting the whole process into a different automatic system- the muscular functioning which is being recorded by brain and applied.

These muscular fibres are known as 'Cinderella Fibres' as of their ability to do any job even after they are exhausted.


Our balance is harmed when we are standing for long period of time; the reason behind this being weight is not equally distributed and there is increased pressure accordingly on our spine and back leading to joint pains.

Concerns To Look For While You Are Looking For Anti-Fatigue Matting Solutions

There are certain categories which one should look for while looking for these matting solutions.

Size- Size is an important concern while one is looking for the matting solutions. There should be enough surfaces right for the workspace. Make sure you find out the areas where there is maximum movement throughout the day for ensuring that they will be standing on the mat as much as required.

Surface- Make sure to consider the wear and tear the mat will get everyday and right over time. Keep in mind, the fact that whether the equipment, machinery, forklifts and employees are constantly on or off. If that is the case, then check out the mats with extra durable surface mats.

Thickness- Based on the thickness of the mat, it depends how comfortable the mat are. One must take into account the base and plate accordingly.

Application- There are various types of mats with anti-fatigue solutions which are resistant to moisture and chemicals. But there are lots of elements, these mats will be exposed to like water and rough weather. Choose one which can sustain different types of weather in the apt way possible.

Chronic fatigue syndrome and a nervous breakdown are often thought of as a condition that is one and the same. However, these two are entirely different from each other. Here we differentiate the two by looking into their definitions, signs and symptoms and other pertinent information.

Chronic fatigue syndrome is a disorder that affects a lot of people, a condition wherein the fatigue does not have a known cause and it occurs for a long period of time, for six months or even longer. This is more common in females, especially those who are at the young and middle adulthood stage of life. The exact cause for CFS is not known but studies have found out that it is often associated with infections and chronic diseases.

Chronic fatigue syndrome symptoms include fatigue for six months or more, cognitive difficulties such as short-term memory problems and inability to concentrate, headaches, joint pain that is accompanied by redness and swelling. There can also be tenderness at the lymph nodes, sore throat and muscle pains. Other chronic fatigue syndrome symptoms are feeling tired even after sleeping and being extremely tired that lasts for more than a day after you have been doing some physical activities.

Treatment for CFS will depend on the chronic fatigue syndrome symptoms that are being manifested. Medications will be prescribed if the muscle and joint pain are intolerable, also for sleep disturbances and psychological problems. Diet and nutrition can play a significant role in the improvement of CFS, and it is recommended that you should have an increase in the intake of Vitamin B6, B12 and D. Stress reduction therapies are also recommended as well as avoiding strenuous activities. Other treatment methods are cognitive behavioral therapy, graded exercise therapy and pacing.

Meanwhile, a nervous breakdown is used to describe a mental disorder experienced by a person wherein anxiety or depression is usually present. This disorder has various causes such as stress, problems with relationships, work and school or with finances. It can also happen in those who have health problems such as chronic diseases like cancer. A nervous breakdown can cause significant changes in a person's life such as decrease in concentration, sudden mood changes, loss of appetite and sleep disturbances. Other nervous breakdown symptoms are dizziness, insomnia, palpitations, having frequent nightmares and some may even have amnesia.

For a nervous breakdown to be treated, you must first acknowledge that you have a problem. Once you do that, you will be able to seek help and talk about the certain cause of your problem. You and your health practitioner will then be able to formulate a treatment plan based on the causes of your nervous breakdown. Aside from facing the problem, you will also need to do other therapies to treat a nervous breakdown and to prevent further episodes. Exercise, having a healthy diet, getting adequate rest, meditation, aromatherapy and avoiding smoking, alcohol and drugs are also helpful in treating a nervous breakdown.

If you're someone that is currently battling Chronic Fatigue Syndrome or Fibromyalgia then it is absolutely paramount that you practice positive thinking and affirmations on a daily basis. You see, our thoughts are innately connected to our bodies and health so if you constantly think negative thoughts about yourself and your illness then you'll experience a surge of negative symptoms and your condition will not improve. However, if you practice positive thinking then you can influence your healing and take control of your medical condition once and for all.
If you're still not convinced about the importance of positive thinking, let's discuss two Chronic Fatigue Syndrome and Fibromyalgia patients that I know. Mary has been suffering from Chronic Fatigue Syndrome for over 5 years. Every single day, Mary moans and complains about her illness. She tells everyone she knows about her unrelenting fatigue, headaches and body aches. In her opinion, Mary is unable to control or handle her Chronic Fatigue symptoms and for her life is unbearable. As such, the quality of Mary's life is significantly impaired and she doesn't feel better or experience any symptom free days. Although Mary has many friends and family who care about her, many people stay away from her, because they don't want to hear such negativity. On the other hand, let's talk about Jane. Like Mary, Jane has been battling with Chronic Fatigue Syndrome for over 5 years too. She too experiences unrelenting fatigue, headaches, muscle aches and other symptoms. However, Jane does not discuss her symptoms or illness with anyone except her spouse and her physician. And, when she discusses her condition, she only speaks of it in a positive manner. In fact, no one even knows that Jane has chronic Fatigue Syndrome because she does not dwell upon her symptoms.
In addition, Jane practices daily affirmations every single day and refuses to allow her illness to control her but controls it instead. As such, Jane has seen some true and remarkable progress over the past five years. For instance, at the beginning of Jane's illness, she was unable to get out of bed and was tempted to alienate herself from the world. However, she quickly changed her perspective. Now, Jane experiences many symptom free days and feels in control of her condition. Basically, Jane refused to accept her diagnosis as a lifelong sentence and remains committed and optimistic about her complete healing.

Article Source: http://EzineArticles.com/521529
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The “thinking” benefits of doodling

Vertigo isn’t just a catchy song by the band U2, but is also a common symptom that has multiple potential causes. Although most people think that vertigo has to involve a spinning sensation, vertigo is actually the sensation that one is moving or that one’s surroundings are moving in the absence of any actual movement. To understand vertigo, one must understand that our sense of balance comes from multiple different systems in the body.
A balancing act: processing system inputs

There is your visual system, which tells you where your body is in space and time in relation to your surroundings. There is the sensory system, which allows your feet to send information to your brain about the terrain you are walking on. A third system, the vestibular system, often goes unappreciated in day-to-day life, but can cause havoc when not working properly. The vestibular system is composed of structures in your inner ear that function like a carpenter’s level.

Like a level, when the device is tilted in one direction or another, the bubble moves indicating imbalance. Similarly, during head and body movements, the inner ear transmits information regarding movement or balance to the brain. When there is a mismatch between the visual, sensory, or vestibular systems, people can at times have balance issues. Those balance issues can include vertigo.

Medications for the treatment of vertigo are used to target structures in the brain that process these at times conflicting signals. Antihistamines like dimenhydrinate (Dramamine), diphenhydramine (Benadryl), and meclizine (Antivert) can be useful treatments for vertigo. Anticholinergic medications like scopolamine can be particularly useful, as it comes in a patch form, which can be applied just prior to entering a situation where motion sickness can be anticipated.

One of the most common manifestations of vertigo occurs when someone travels on a boat. While on a boat, particularly when not standing on the deck, your visual system indicates that there is not much movement, and your surroundings appear still. The vestibular system (inner ear), on the other hand, is telling your brain that there is back and forth rocking movement, which naturally occurs with sea travel. The result is that one part of the brain is registering movement while the other part of the brain is registering no movement. This mismatch leads to vertigo, nausea, and at times vomiting, which is commonly known as seasickness.

Unfortunately, when people feel seasick many go below deck to lie down, which makes the problem worse. The best remedy for seasickness is actually to go above the deck, and look at the motion of the water or off at the horizon. By doing this, the visual system perceives the motion that the vestibular system perceives, which can alleviate the sense of imbalance. For many who have experienced seasickness, the symptoms can persist for hours to days after getting off the boat. Another place where such balance mismatches frequently occur is when transitioning onto or off of an escalator.

I explained this concept to one of my patients who is an avid fisherman as he complained about his wife, who frequently gets seasick. After providing the advice, he said, “Dr. Mathew, your care has been life-changing. As a thank you, you must join me on my boat some day.” I replied, “Thank you for the offer, but I am horrible at fishing.” He said, “Oh really, why is that?” I replied, ‘’Because it is difficult to catch any fish when you are holding two cocktails.” He chuckled, and proceeded to tell me about how he often catches mackerel, which other fishermen call inedible, advising him to throw it back in the water. He ignores their advice and keeps the mackerel, noting, “My wife loves that greasy fish.” I then asked him, “Is fishing a religious experience for you?” He said, “No doctor, why do you ask?” I then shrugged my shoulders and said, “Holy mackerel?” As he tried to hide a smile, he indicated that he was not amused. I then said, “Like the mackerel, I guess I should have thrown that bad joke overboard”, which caused him to laugh out loud. Apparently, the post-punch line was a bigger hit than the actual punch line. Who hasn’t eaten something that did not agree with them? But when your stomach issues become more frequent and severe, you might have a bigger digestion problem called food intolerance. Food intolerances occur more often as you age since your digestion naturally becomes slower and your body produces fewer enzymes needed to break down food. “This allows more time for bacteria to ferment in the GI tract and lead to digestive distress,” says Evagelia Georgakilas, a registered dietitian and nutritionist with Harvard-affiliated Beth Israel Deaconess Medical Center.

Over time, you also may become more sensitive to particular foods, chemicals, or additives.  Some examples include sulfites found in wine, dried fruits, and canned goods, or foods flavored with monosodium glutamate (MSG). However, the most common food sensitivities are lactose and gluten. With lactose intolerance, your body can’t break down the sugar lactose in dairy products because your gut contains reduced levels of the intestinal enzyme lactase.

People with gluten sensitivity have trouble digesting gluten, a protein found in wheat, rye, and barley. (This is different than Celiac disease, an immune disease in which consuming gluten damages the lining of the small intestine.)
Track possible food intolerance with a food diary

Common symptoms of food intolerance include nausea, diarrhea, cramps, and stomach pain, but also may involve other issues like vomiting, heartburn, headaches, and irritability or nervousness.

Food intolerance is often tricky to pinpoint because you may be able to eat small amounts of a problem food without having any reaction. Instead, symptoms may only appear after you eat a large portion of the food, or eat it frequently.

The best way to identify problem foods is with a food diary. Write down what you eat for every meal, including individual foods and portions. Then list any symptoms that occur afterwards and rate their level of intensity on a scale of one to 10, with one being no reaction to 10 being the most severe.

Maintain your diary for two weeks to a month, and then review. “You should be able to find a connection between foods and common symptoms,” says Georgakilas.
How to ease the discomfort of food intolerance

Once you pinpoint one, or several, potential problem foods, eliminate them from your diet. After a few days, add only one food back into your diet and monitor your reaction. “If your symptoms return, you’ve found the offending food,” says Georgakilas.

Eliminating the problem food from your diet is the easiest move, but here are some other strategies to consider:

Reduce serving sizes. Sometimes you can still enjoy your favorite foods by reducing the amount, says Georgakilas. “For instance, if you have an intolerance of excessive fructose, you may discover that a half-cup of fruit may not cause any problems,” she says.

Make adjustments. Your food intolerance may be a cumulative effect. For instance, pizza might cause you problems, but it may be the result of certain ingredients, or combinations. “You may be able to tolerate the cheese and tomatoes on their own, but together they create the perfect storm,” says Georgakilas. Try to eliminate specific ingredients one at a time, and then experiment with eliminating certain combinations until you find the right balance.

Also, if the problem food is a source of vital nutrients, make sure you find an adequate replacement. “Cutting out gluten foods like wheat can rob your diet of fiber and B vitamins,” says Georgakilas. Switch to gluten-free bread, or increase your intake of gluten-free grains like quinoa, sorghum, teff, millet, and buckwheat. For lactose intolerance, drink almond or coconut milk to ensure you get enough calcium and protein. If getting in shape tops your list of New Year’s resolutions, you’re in good company. During the first few months of the year, signups at fitness centers and health clubs tend to trend upward. While these memberships can be costly, you may be able to find more affordable options or take advantage of certain discounts. But no matter what you pay, shelling out a monthly fee may be an incentive to use the gym regularly to get your money’s worth.
Gyms offer a variety of options

If you do, your heart (and the rest of your body) will likely reap the rewards. “The main advantage to joining a gym is to have access to a wide variety of exercise equipment,” says Alex Petruska, a senior physical therapist at the Sports Medicine Center of Harvard-affiliated Massachusetts General Hospital. That includes machines for a cardiovascular workout, such as treadmills, elliptical trainers, stationary bikes, and stair-steppers, as well as a range of different weight machines.

Access to all these diverse choices means you’re less likely to get bored, since you can try different machines and routines. In addition, you’ll likely find it easier to meet the recommended physical activity guidelines, which include aerobic exercise as well as strength training.

If you’re among the many people with ankle, knee, hip, or back problems, exercising on an elliptical machine or stationary bike is a better choice than walking because it’s much easier on your joints. Likewise, using weight machines rather than free weights (dumbbells) offers greater control and is less likely to lead to injuries.

If these advantages resonate for you, a gym membership may be a worthwhile investment. To find the right one, pay attention to safety, and consider your specific needs and budget.
Your gym should have well-trained staff

Make sure the gym you choose has staff with expertise in teaching people how to use all the available equipment. Many gyms have personal trainers — exercise professionals who can teach you to work out safely and maintain good form, introduce you to new equipment, and design and update an exercise program to keep you motivated. For an additional fee, you can hire them for a series of one-on-one appointments or short-term overhauls of your routine.

Always ask about credentials and experience. Certification from the American College of Sports Medicine is a good sign. Find out how often the person works with people of your age, abilities, and overall health. Also, ask whether staff members can perform cardiopulmonary resuscitation (CPR) if necessary. Is a defibrillator available, and do staff members know how to use it?
Make sure the membership meets your needs and budget

At least one nationwide fitness center chain offers monthly memberships as low as $10 per month. More pricey clubs typically offer more amenities, such as group classes, swimming pools, sports courts, and even indoor running tracks. Other possible perks include saunas, steam rooms, and whirlpools that can serve as a nice post-workout reward.

Take advantage of the fact that many commercial gyms will let you try their facilities for a few days or a week before making a commitment. Look for a gym in a convenient location and make sure you feel comfortable exercising there during the hours you would normally go. Some facilities offer discounts if you work out only during non-peak hours (usually during the middle of the day). Also, some health insurance plans offer members discounted rates at specific gyms. Imagine that after years of painstaking research, scientists announced the development of a breakthrough treatment that costs pennies a pill, saves lives, and could reduce healthcare spending by nearly $700 billion in the coming years. And you wouldn’t even need a prescription to get it. Perhaps this all sounds too good to be true. But, according to a new study, we already have such a drug: it’s called aspirin.
An analysis of aspirin use

Based on current recommendations, only about 40% of people who should be taking aspirin are doing so. In this new report, researchers asked: what might happen to population health, longevity, and healthcare costs if aspirin use were more widespread? To answer this, they analyzed reams of health data from thousands of patients and estimated the impact of more widespread aspirin use on their health and survival.

Their findings were striking. For people in the U.S. ages 51 to 79, routine aspirin use could, over a 20-year period:

    prevent 11 cases of heart disease for every 1,000 persons
    prevent four cases of cancer for every 1,000 persons
    lengthen national life expectancy by about four months, allowing an extra 900,000 people to be alive in 2036
    save $692 billion.

Is there a downside to aspirin?

As is true for all medications, aspirin has its downsides. Among other side effects, allergic reactions may occur. And, aspirin is a blood thinner and can irritate the stomach. Episodes of bleeding and stomach ulcers can be serious. So, the researchers took these into account; the estimates above include these side effects of taking aspirin.

It’s important to emphasize that this study assessed the impact of low-dose aspirin, such as the 85 mg daily dose often found in baby aspirin; higher doses may be recommended for other conditions (and come with added risk). In addition, aspirin can interact with other medications. For example, if you take low-dose aspirin for your heart and ibuprofen for arthritis, it’s important that the ibuprofen be taken at least 30 minutes after or more than eight hours before the aspirin; otherwise, the benefit of the aspirin may be lost.
Who should take aspirin?

For those at highest risk of future cardiovascular problems, including those who have had a prior heart attack or stroke, aspirin is routinely recommended to reduce recurrence.

For everyone else, recommendations vary. Some experts recommend low-dose aspirin for everyone over age 50. Other guidelines make a more conservative recommendation based on age (e.g., 50–79 years old) and cardiovascular risk factors that predict a heart attack or stroke occurring in the next 10 years. Well-studied risk calculators, such as the one developed by the Framingham Heart Study, are available to estimate 10-year risk.

In addition, aspirin is routinely recommended to lower cancer risk in people with certain genetic conditions, including hereditary nonpolyposis colorectal cancer.
Why don’t more people take aspirin?

It’s not entirely clear why many people forego aspirin use. My guess is that it’s a combination of factors, including:

    a lack of awareness that aspirin is recommended
    it wasn’t specifically recommended by their doctor
    a greater concern about side effects from aspirin than its potential benefits
    a previous bad experience with aspirin use, such as an allergic reaction
    an aversion to medications in general.

It’s worth emphasizing that when it comes to any treatment — and especially preventive treatments — individual preferences matter a lot. As a result, many reasonable people who would be good candidates to benefit from aspirin will choose not to take it.
What does this mean for you?

For all the effort to identify new and better drugs, it’s remarkable that we aren’t taking full advantage of what we already have. This new study suggests that large health benefits are not being realized simply because not enough people are taking aspirin. But each person has his or her own set of circumstances that can affect the both the risks and the benefits of aspirin treatment, as well as his or her own preferences. The decision to take or forego aspirin is a big one — so add this to your list of things to discuss at your next appointment with your doctor. My sister texted me recently about my nine-year-old niece. She’d been experiencing joint pain so saw her pediatrician for a check-up. They did some blood tests, which were all normal except one.

“Should we be worried?” my sister asked.

“I’m no pediatrician, but I’d let it go,” I said. “It’s like seeing a cloud in the sky and asking me if I’m concerned about a hurricane.” Should we worry about and investigate every cloud when most don’t end up being a passing storm, let alone a hurricane?

Many patients are like my sister, looking for certainty that everything is normal, and if not, a concrete diagnosis. “Part of the reason why the culture of medicine prizes [certainty] is people come to expect it in us,” Steven Hatch, the author of Snowball in a Blizzard: A Physician’s Notes on Uncertainty in Medicine, said in an interview.
Most doctors, and many patients, have a low tolerance for uncertainty

Yet while most doctors agree that medical uncertainty is ubiquitous and inevitable, it might not initially seem that way when you go to the doctor. Physicians are often happy to oblige a patient’s quest for certainty. Some negative tests might reassure them, and sometimes they might reassure us. We’ve all heard stories about the doctor who didn’t test for something and cancer was later discovered.

That’s because physicians don’t tolerate uncertainty well. “The culture of medicine evinces a deep-rooted unwillingness to acknowledge and embrace it,” according to authors of a recent opinion piece in the New England Journal of Medicine. Our tests and teaching from medical school and beyond push us to think a right answer exists for every clinical conundrum, says Hatch.

Medical uncertainty is frustrating for patients and doctors; it’s also challenging to try and understand it. For any decision we make — to do more tests, or not to test —we have to weigh two risks against each other: the risks of being harmed by the side effects of the test itself versus the risk of missing a serious diagnosis by not testing. It’s the preoccupation of monitoring every cloud to ensure not missing a hurricane.

Those risks are never certain, but abstract numbers based on statistics and probabilities help us weigh decisions. The closest we get to medical certainty is when a probability approaches 100%.
Making decisions about your health in the face of uncertainty

But that rarely happens. For most real-world scenarios, every doctor and every patient has their own threshold for uncertainty versus the risks of further tests. Some lean toward testing, minimizing the potential harms of further testing; others assume everything will be okay and that multiple doctor visits and testing pose the greater inconvenience. You have to know yourself and your values to guide which risks you’d prefer to tolerate to get closer to certainty.

I take that approach with my patients. As a patient, it’s important to understand that your doctor doesn’t have all the answers and that medical textbooks often don’t either. There. When I don’t know something, I try to be clear about what I know versus what is not known, by anyone. I explain the limits of medicine, that most of our studies shed light on things that kill you, so, in a backwards way, the fact that we don’t know very much about your illness is reassuring. It means it is very unlikely to kill you.

That’s not always the most reassuring statement. Patients suffering from pilonidal cysts, irritable bowel syndrome, or lactose intolerance, to name just a few examples, can be debilitated by painful and even dangerous conditions. In those cases, we have a discussion about values —which feels riskier to you: getting hurt by the side effects of more testing to rule out the most dangerous diagnoses, or missing a diagnosis like that because we didn’t test for it?

One patient I know has been devastated by the countless numbers of her relatives who died from cancer. When I asked what risks she might be willing to take to screen for cancer, she told me she would accept all of them. Whatever mammograms, breast biopsies, Pap smears, colonoscopies, or blood tests were necessary, she wanted them. When it came to cancer, her threshold for uncertainty was very low.

Another patient of mine was an elderly man who took no medications. Based on his age, blood pressure, and cholesterol level, we used an online calculator to estimate that he had about a 15% chance of having a heart attack in the next decade. This is a clear indication to start a medication that helps reduce the risk of heart attacks — the chance that the benefits outweigh the risk is very high. We were approaching certainty in our medical recommendation, but he didn’t want to follow it. He likes living without medications, telling me unless the risk of a heart attack in ten years was 50% he wouldn’t consider changing. We were dealing with hypothetical situations based on statistics, but it gave us a mechanism to figure out where his thresholds rested.

My sister texted me her concerns that the blood test might be a harbinger of an obscure diagnosis — the worst-case scenario, the hurricane. She was worried. I said the most important thing was communicating with her doctor just how much the uncertainty worried her. Only then could they partner on a way to balance the need to reduce the uncertainty without exposing my niece to an array of risky tests. Many of my patients who come into the office for their physical exams ask to have their vitamin D levels checked. They may have a family member with osteoporosis, or perhaps they have had bone thinning themselves. Mostly, they want to know that they’re doing everything they can to keep their bones strong. Vitamin D is critical for healthy bones. But when we check that blood level, how to act on the result is the subject of great controversy in medical-research land.
Pinpointing a “healthy” vitamin D level is tricky

So, what is the current cutoff value at which people are considered “low,” and thus at risk for developing bone thinning and having fractures? (We are talking about the blood level of 25-hydroxy-vitamin D, which is usually measured in nanograms per milliliter.) Ah. This is where there is a lot of argument.

In 2010, the venerable Institute of Medicine (IOM) issued a report based on lengthy examination of data by a group of experts. To sum up, they estimated that a vitamin D level of 20 ng/mL or higher was adequate for good bone health, and subsequently a level below 20 was considered a vitamin D deficiency.

In my practice, and in most, it is not uncommon to see a vitamin D level less than 20. When that happens, we tell the patient that they are deficient and recommend fairly aggressive replenishment, as well as ongoing supplementation. The majority of folks have a level between 20 and 40, in my experience, and this is corroborated by the IOM’s findings in that 2010 report.

But in 2011, the respected Endocrine Society issued a report urging a much, much higher minimum blood level of vitamin D. At that time, their experts concluded: “Based on all the evidence, at a minimum, we recommend vitamin D levels of 30 ng/mL, and because of the vagaries of some of the assays, to guarantee sufficiency, we recommend between 40 and 60 ng/mL for both children and adults.”
But wait, there’s more…

A more recent opinion on the right target level of vitamin D is presented in an article titled “Vitamin D Deficiency: Is There Really a Pandemic?” published in the New England Journal of Medicine. In this piece, several of the leading epidemiologists and endocrinologists who were on the original IOM committee argue for a lowering of the currently accepted cutoff level of 20, stating that the level they estimated as acceptable was never intended to be used to define vitamin D deficiency. They feel that we are over-screening for vitamin D deficiency, and unnecessarily treating individuals who are perfectly fine.

Based on their analysis, a more appropriate cutoff for vitamin D deficiency would be much lower, 12.5 ng/mL. They examined a massive amount of data from the National Health and Nutrition Examination Survey (NHANES) for 2007 through 2010, and found that less than 6% of Americans had vitamin D levels less than 12.5. A cutoff of 12.5 ng/mL would most certainly eliminate the “pandemic” of vitamin D deficiency.

And the controversy boils on, with many articles and statements made to support one or the other guideline.
Some perspective on what is, and isn’t, vitamin D deficiency

I spoke with osteoporosis expert Dr. Joel Finkelstein, associate director of the Bone Density Center at Massachusetts General Hospital, whose research in this field spans over three decades. He agreed with the authors of the NEJM article that we are currently over-screening for vitamin D deficiency, and overtreating people who are getting enough vitamin D through diet and sun exposure. “Vitamin D has been hyped massively,” he states. “We do not need to be checking the vitamin D levels of most healthy individuals.”

He points out that from an evolutionary standpoint, it doesn’t make sense that higher vitamin D levels would be beneficial to humans. “Vitamin D is actually quite hard to find in naturally occurring food sources,” he points out. “Yes, we can get vitamin D from the sun, but our bodies evolved to create darker skin in the parts of the world that get the most sun. If vitamin D is so critical to humans, why would we evolve in this way, to require something that is hard to come by, and then evolve in such a way as to make it harder to absorb?”
So who should be screened for vitamin D deficiency?

Dr. Finkelstein and his colleagues published a study of over 2,000 perimenopausal women who had been followed for almost 10 years, and they found that vitamin D levels less than 20 were associated with a slightly increased risk of nontraumatic fractures. They concluded that because few foods contain vitamin D, vitamin D supplementation is warranted in women at midlife with levels less than 20 ng/mL. “For perimenopausal women or other groups of people with higher fracture risk, certainly a level of 20 or above is ideal,” and he adds: “For the vast majority of healthy individuals, levels much lower, 15, maybe 10, are probably perfectly fine, and so I would say I agree with what the authors of the New England Journal perspective article are saying.”

All that said, most experts, including Dr. Finkelstein, agree we should be checking vitamin D levels in high-risk people — those most at risk for a true deficiency. These include people with anorexia nervosa, people who have had gastric bypass surgeries, who suffer from other malabsorption syndromes like celiac sprue, or who have dark skin, or wear total skin covering (and thus absorb less sunlight). In addition, certain populations will require that vitamin D level of 20 ng/ml or higher. This can include perimenopausal women, people diagnosed with osteopenia (reduced bone density, but not osteoporosis) and osteoporosis or other skeletal disorders, as well as pregnant and lactating women. All of these groups should be screened and treated as appropriate.

The saying “if it seems too good to be true, it likely is” applies to so many things in life. As the director of the Clinical Pharmacogenomics Service at Boston Children’s Hospital, I spend a significant amount of time discussing what pharmacogenomics testing cannot tell us. I am sure you are wondering why I would take a negative approach instead of touting the miracles of pharmacogenomics testing, since after all, that is my job. Well, as with many things, it is complicated.
Pharmacogenomics can potentially guide drug choices

Pharmacogenomics is the study of gene expression on the ability to metabolize or break down medications. The term “gene expression” is important because we’re talking about how much your genes influence your response to a medication. Much like the director of a play or movie, your genes give instructions to other parts of your body. One of the things your genes direct is the production of enzymes required to break down (or “metabolize”) the drugs you take. These enzymes influence how effective a drug might be for you and how likely you are to experience negative side effects. Your unique combination of genes is called your genotype. Your genotype can tell us if you will make more or significantly less enzyme than other people. These enzymes help break down the medications into substances that can be more easily excreted by the body. However, in some cases these substances can be active and some are even harmful before they are excreted. This partially explains why some people will get no effect at all while others end up in the hospital with severe side effects from the same medication at the same dose.

Many factors affect how you metabolize medications, including your age, gender, diet, whether or not you smoke, whether or not you are pregnant, your other medical problems, and very importantly, the other medications you are taking (including over-the-counter medications and herbal supplements). I often use the analogy of a pie to describe the effect of genetics on a medication’s metabolism. In some cases, your genetics makes up a very large part of the pie — up to 90% for some medications. In other cases, your genetics are only a tiny sliver of the pie and the other factors make up the largest amount.
Using pharmacogenomics wisely is key to its usefulness

The key to applying pharmacogenomics is knowing when to test and how to apply the results. There are several situations where genetic testing before starting a medication is standard of care today. When there is a well-understood drug-gene interaction, knowing the genotype before starting treatment can avoid dangerous side effects. An example of this is a medication for the treatment of inflammatory bowel disease that, if metabolized slowly, can lead to a severely depressed immune system and life-threatening infections. In other cases, knowing that a patient will not respond to a therapy can save precious time and protect quality of life, such as for certain cystic fibrosis and cancer medications. As always, the goal is to match the right drug to the right patient to achieve the greatest benefit with minimal side effects.

Pharmacogenomic testing can be informative and can help caregivers and patients make safer decisions when choosing medications. However, promoting pharmacogenomic testing with application to only one disease state or with questionable testing practices can cause more harm than good. Most genes influence how the body metabolizes not just one class of medications, but can influence many other drug classes as well, and to different degrees. Focusing only on one condition, such as ADHD, and ignoring the influence that genotype may have on other drug classes, such as medications for heart disease, can actually result in patient harm. Overstating the impact of the genotype on the person’s ability to metabolize medications can also cause serious anxiety. Patients have reported feeling scared to take any medications, even when they know that their condition will not likely get better without treatment.

And this is why during each visit, we spend a significant amount of time discussing what pharmacogenomics cannot tell us. And then we talk about whether testing might make sense. For patients who have had a long history of serious side effects from various medications or failure to respond to medication, testing can help explain what has gone on in the past as well as help guide future decisions. In one memorable case, the patient was extremely grateful for results that explained why she had experienced debilitating insomnia while on fluoxetine. She told us that previous healthcare providers had told her it was “all in her head” when actually it was her inability to metabolize the drug at standard doses. For others, results predicting and thus avoiding life-threatening reactions to anti-epileptic drugs help design a more appropriate regimen for seizure control.

While the science of pharmacogenomics has been around for a hundred years, we are still at just the tip of the iceberg in understanding that information and using it to improve the lives of patients. There has been an explosion of knowledge over the past 10 years and we learn new things every day. It is an exciting time to be studying pharmacogenomics!
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