“A total of 1.3 million people died from TB in 2022 (including 167 000 people with HIV). Worldwide, TB is the second leading infectious killer after COVID-19 (above HIV and AIDS).

In 2022, an estimated 10.6 million people fell ill with tuberculosis (TB) worldwide, including 5.8 million men, 3.5 million women and 1.3 million children. TB is present in all countries and age groups. TB is curable and preventable.

Multidrug-resistant TB (MDR-TB) remains a public health crisis and a health security threat. Only about 2 in 5 people with drug resistant TB accessed treatment in 2022.”

World Health Organization – WHO  (https://www.who.int/news-room/fact-sheets/detail/tuberculosis)

  TB commonly affects lungs.

Spreads via coughing and talking near someone so in active TB the patient is put in droplet isolation.  A restricted room and anyone who visits the pt in the room wears a mask.

Tuberculosis is an infectious disease usually caused by Mycobacterium tuberculosis bacteria. Tuberculosis generally affects the lungs, but can also affect other parts of the body.

Approximately 8.6 million individuals are diagnosed with tuberculosis (TB), and 1.3 million will die of the disease globally, but it is commonly found in the developing world. TB is a highly contagious but treatable infection that predominantly affects the lungs and throat, but can also spread to the kidney, bones, and brain. So what is tuberculosis exactly? Find out what causes this highly contagious infection, who is most at risk for developing it, and how to treat the different kinds and prevent the spreading of this old world disease.

Tuberculosis, commonly abbreviated to TB, is an infection caused by slow-growing bacteria that festers in areas of the body containing an abundant amount of blood and oxygen, hence why it is commonly found in the lungs. TB found in the lungs is known as pulmonary TB and tuberculosis that spreads to other organs is called extrapulmonary TB. TB is highly contagious, but treatment is often effective and can take between six to nine months to treat, or in severe cases, can take up to two years to treat an infected patient. TB can also be either latent or active. Latent TB is when the immune system is defending the body against TB bacteria and keeping it from becoming active, with no visible symptoms. Active TB is when the TB bacteria are growing inside of the body and symptoms have become noticeable in the patient, and it is easy to spread the disease to others= CONTAGIOUS.

Pulmonary TB is contagious, however extrapulmonary TB does not spread as easily as it is usually contained within another part of the body. TB spreads when an individual has active TB breathes out air that has the TB bacteria in it and another individual breathes in the bacteria from the air. Even more bacteria can become airborne when an infected person coughs or laughs as well.

RISK FACTORS IN DEVELOPING TUBERCULOSIS:

1-Those at risk of developing TB are individuals who have HIV or another illness that weakens the immune system, individuals who have close contact with a patient with active TB such as living in the same house as an infected patient, and those caring for a patient with active TB, such as doctors and nurses.

2-Other risk factors include individuals who live or work in crowded places such as prisons, nursing homes, homeless shelters or wherever individuals may have active TB, as well as individuals who abuse drugs and alcohol.

3- Individuals with poor access to health care, where it is commonly seen in the developing world, as well as homeless individuals and migrant farm workers.

4-As well, traveling to places where untreated TB is common puts an individual at risk, such as Latin America, Africa, Asia, Eastern Europe, and Russia. It is important to note individuals who are at a high risk for developing TB should get tested once or twice a year.

5-As well, traveling to places where untreated TB is common puts an individual at risk, such as Latin America, Africa, Asia, Eastern Europe, and Russia. It is important to note individuals who are at a high risk for developing TB should get tested once or twice a year.  So people who make it in the United States via customs with this disease or left here to another country picking up TB bringing it in America passing customs put many at risk and pick up the TB and continue spreading it till treated and healed.  Just like the others who pick it up in or out of America but spread it in the U.S.  There needs to be closer checking on visitors coming in or citizens that leave home and come back in America to be checked for TB.  This will help decrease the amount of people in America with TB by getting diagnosed immediately with treatment.

“According to the Centers for Disease Control and Prevention, Health Literacy is the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions.

Health literacy is important for everyone because, at some point in our lives, we all need to be able to find, understand, and use health information and services.

Studies consistently show that a significant number of people have problems reading, understanding, and acting on health information.

This is an issue because health information is complex and can be hard to understand, and health providers are not necessarily skilled communicators. When organizations or people create and give others health information that is too difficult for them to understand, or we expect them to figure out health services with many unfamiliar, confusing or even conflicting steps, a health literacy problem is created.

Patients also bring a wide range of learning needs to the healthcare experience.

Basic literacy skills, language, age, disability, cultural context, and emotional responses can all affect the way people receive and process information — and the way people process information, in turn, has a direct impact on health outcomes and cost.”

District Health Department (https://www.dhd10.org/healthy-literacy-month/)

During the month of October, Health Literacy Month encourages everyone working to provide easy access to understandable health information. For more than 20 years, October has been recognized as Health Literacy Month. Health Literacy Month is a time of international observance when hospitals, health centers, literacy programs, libraries, social service agencies, businesses, professional associations, govern­ment agencies, consumer alliances, and many other groups work collaboratively to integrate and expand the mission of health literacy.

Low health literacy is more prevalent among:

• Older adults
• Minority populations
• Those who have low socioeconomic status
• Medically underserved people”

What Are the Consequences of Low Health Literacy? – The two major areas that are impacted by low health literacy are “economic costs to society and the health-care system, and costs in terms of the human burden of disease” (Institute of Medicine, 2004). There is also considerable psychological suffering created by low health suffering. Within those overarching categories, the results of low health literacy (as measured by reading and numeracy skills) can include:

• Shame and stigma, which can create barriers to health and behavioral health care and to improving low health literacy;
• Reduced knowledge and understanding of a person’s own medical conditions and treatment;
• Reduced knowledge and understanding of health-promoting behaviors and preventive care and services;
• Increased rates of hospitalization and use of emergency services;
• Increased rates of poor health status;
• Entry of sicker patients into healthcare systems;
• Increased health care costs and spending (Institute of Medicine, 2004).

During this time, organizations and individuals promote the importance of understandable health information along with bringing awareness to breaking down the barriers of understanding. According to health experts, there is a large gap between the way health care issues are communicated by professionals, and the ability of the average person to understand them. Most people have limited health literacy… Not just those with limited reading or writing skills. If someone struggles to understand health literacy, statistically, they are more likely to skip important medical tests, have a harder time living with conditions, and visit the emergency room more often. This is why understanding health literacy is so important for everyone.

The good news is, that many health care facilities are trying to improve the way they communicate with patients to make sure everything is clear before the patient leaves. They are doing things like simplifying their written materials, using video and photos to teach patients, and more to help doctors clearly get their message across.

There are a few things you can do to improve your own health literacy individually or as a organization:

1. Improve your communication with health professionals. Make a list of your symptoms before you go in, have questions written down, and take a few notes when your doctor is explaining things to you.

2. Make sure you know who to call with any questions when you leave.

3. Attend health education programs at a library, community center, or anywhere you can find them in your community.

4. Talk to local schools and request that kids are taught about health literacy and education so they are prepared as they get older.

5. Hold a staff training to teach staff to use simple language, short sentences, and explain medical terms.   Some useful tools for measuring individual.

6. Update materials for your organization to include similar resources in the primary language for Limited English Proficiency.

“Domestic Violence Awareness Month (DVAM) is a national campaign dedicated to raising awareness about domestic violence. Every October, organizations and individuals unite across the country for a national effort to uplift the needs, voices, and experiences of survivors. Congress declared the month of October to be Domestic Violence Awareness Month in 1989.”

Domestic Violence Awareness Project (https://www.dvawareness.org/HealHoldCenter)

We live in a scary world and for reasons society inflicted on itself; regarding the thought process or how our mind works.  Domestic Violence is violent or aggressive behavior within the home, typically involving the violent abuse of a spouse or partner.

People are often confronted with feelings of disappointment, frustration and anger as they interact with government officials, co-workers, family and even fellow commuters; which is people just in society. Most can control their actions to the extent that relatively few of these interactions end in a radical action like being racist to violence.

What help build a individuals feelings to turn out in a negative result (like bullying someone to protesting to worse rioting to violence or killing) is factors.

Factors being:

• Feel powerless
• Suffer from insecurity
• Need to control others
• Enjoy the rewards they get from bullying
• YOUR CHILDHOOD UPBRINGING. Your childhood builds the foundation of how you turn out as an adult. If you have good upbringing where there are good morals, values, ethics with limitations or rules and regulations in what you can and cannot do with mommy and daddy overlooking from a distance in watching the child’s actions/interests/who they play with/what they’re doing on the computer or watching on T.V or even listening to music will help give direction for their child to be effective in society. Including, as the child shows good choices than more independence in getting older with still guidance and direction as needed. Remember your a young adult at 17 and a full fledged adult at 21 years of age to make all decisions in your life.

1. BEING AN ADULT.   This includes accepting the turn outs of how a situation finally results; before the final result if you did everything you could legally try to reach your hope of a turn out and did reach it great, it makes you a stronger person. Now let’s say you didn’t than acceptance is necessary of what the result turned out as which also makes you a stronger person with being an asset in the community. Than your next step whether it be alone or in society overall move on without being an insult to the community where it effects the society in a negative way (like killing 2 innocent police officers just for wearing the color blue in uniform, prejudice=a radical action).   Being able to allow acceptance in your life which doesn’t always turn out the way you want it to helps you move on in life making you less out to be radical in your behavior. Take the riots (which they call protesting a radical approach from Missouri to New York) and see what their results turned out to be. Stopping people from getting to a destination point who had nothing to do with what the protestors were protesting about, to damage of property of innocent people’s business to the worse DEATH. Like this radical move did anything productive for humans in society. It obviously didn’t.

First let’s look at what turns anger into action?

The answer to this is mostly cognitive control or to use a less technical term, self-control.   University of Michigan professor of social psychology, Richard Nisbett, the world’s greatest authority on intelligence, plainly said that he’d rather have his son being high in self-control than intelligence, one year ago. Self-control is the key to a well-functioning life, because our brain makes us easily [susceptible] to all sorts of influences. Watching a movie showing violent acts predisposes us to act violently. Even just listening to violent rhetoric makes us prone or more inclined to be violent. Ironically, the same mirror neurons that make us empathic make us also very vulnerable to all sorts of influences. This is why control mechanisms are so important. If you think about it, there must be control mechanisms for mirror neurons. Mirror neurons are cells that fire when you grab a cup of coffee (to give you an example) as well as when you see someone else grabbing a cup of coffee. So, how come you don’t imitate all the time? The idea is that there are systems in the brain that help us by imitating only “internally”—they dampen the activity of mirror neurons when we simply watch, so that we can still have the sort of “inner imitation” that allows us to empathize with others, without any overt imitation. The key issue is the balance of power between these control mechanisms that we call top-down—because they are all like executives that control from the top down to the employees—and bottom-up mechanisms, in the opposite direction, like mirror neurons. This is whereby perception—watching somebody making an action—influences decisions—making the same action ourselves.

Neuroscience uncovered why people behave so violently looking into the Virginia Tech Massacre in 2007 with many other like incidents also which were still a small percentage of people. What happens in these individuals is that their cognitive control mechanisms are deranged. Mind you, these individuals are not out-of-control, enraged people. They just use their cognitive control mechanisms in the service of a disturbed goal. There are probably a multitude of factors at play here. The subject is exposed to influences that lead him or her to violent acts—including, unfortunately, not only the violent political rhetoric but also the media coverage of similar acts, as we are doing here. A variety of issues, especially mental health problems that lead to social isolation, lead the subject to a mental state that alters his or her ability to exercise cognitive control in a healthy manner. Again also childhood plays a big role.   The cognitive control capacities of the subject get somewhat redirected—we don’t quite understand how—toward goals and activities that are violent in a very specific way. Not the violent outburst of somebody who has “lost it” in a bar, punching people right and left. The violence is channeled in a very specific plan, with a very specific target—generally fed by the media (like take the protesting that has gone on from Missouri to New York for a month or more with media showing every news flash each day)through some sort of rhetoric, political or otherwise—with very specific tools, in the Giffords case, a 9-millimeter Glock.

Now lets look at what are the signs of a person who is disturbed enough to take some form of action to killing.   The signs are quite visible, although difficult to interpret without a context—and unfortunately they unfold very quickly , and people can rarely witness them before the action is taken (which happened with Brinsley in New York killing officers in Brooklyn on duty just doing their job), . The action itself is a sign, a desperate form of communication from a disturbed individual (Brinsley did put on the internet a warning the day it was going to be done, Sat 12/20/14. Unfortunately, nobody was chatting with the guy when he left his final messages on Internet before getting into action. But I bet that if somebody was communicating with him before the act and saw those signs and read those messages on social network he was using, that person could have done something, could have engaged him in a sort of conversation that might have redirected his deranged plans. Indeed, by connecting with the subject, that person might have redirected some of the activity of mirror neurons toward a truly empathic behavior, rather than in the service of the deranged imitative violence leading to action.

Now we have Ukraine vs Israel War with now Former President Trump having attempted assassinations not once but THREE times because people did not agree to want him as President of the U.S.  What is this world coming to.

My readers I could go on with more examples of people killing but I am sure you listen to the news or read it somehow but I tell you this information not to persecute a person, not even a race or politician but to LEARN HOW THE BRAIN WORKS.   Most importantly to PARENTS bring your children up AS A CHILD not as an adult until they reach adulthood with giving good direction and guidance as their primary mentor. You the parents make our next generation who are now children and even for future parents learn so they will have a more productive working society. For now the society in America works as a   nonproductive unit of people to all races, creeds, genders, sex preferences, & nationalities of all kinds. Especially in being compared to the 1980’s; yes they had their problems but not like today’s with people treating each other with more respect even if things didn’t go their way. Our nation didn’t go off the deep end  where  it was allowing us to have freedom of everything without limitations or better rules/regulations legally in place not followed which we are paying a good price for today for allowing this behaviour and will take a very long time to fix. Remember when someone or now a group of people get hurt you can forgive but healing is like a wound it takes time to heal. Example: Look at Hitler, people who haven’t forgiven him, those that did have not forgotten it and they shouldn’t since he caused such a disaster to the human race. Protesting can be effective where its peaceful, quiet, and not bothering other people in the area who aren’t involved. Look at Missouri and New York City this past 15  years, MUCH DAMAGE due to not thinking first but acting out first.

Take A Stand is a call to action meant to bring attention to the issue of domestic violence for Domestic Violence Awareness Month (DVAM) and throughout the year.  By taking a stand we intend to remind the nation that there are still countless people–victims and survivors, their children and families, their friends and family, their communities–impacted by domestic violence.  We, all of us, should not stop until society has zero tolerance for domestic violence and until all victims and survivors can be heard.

Take A Stand is a call to action meant to bring attention to the issue of domestic violence for Domestic Violence Awareness Month (DVAM) and throughout the year.  By taking a stand we intend to remind the nation that there are still countless people–victims and survivors, their children and families, their friends and family, their communities–impacted by domestic violence.  We, all of us, should not stop until society has zero tolerance for domestic violence and until all victims and survivors can be heard.

Taking a stand against domestic violence means speaking up when we see or hear behaviors that contribute to a culture where violence lives. This could mean trying to stop violence before it starts by promoting healthy relationships and attitudes, supporting survivors of violence when they come forward, or intervening if you see someone acting violently toward another person. Before you intervene in a situation, think about your personal safety, the safety of others, your relationship with the people involved, and what your options are for intervening.

Strategies on how to take a stand:

1) Refocus the Conversation

This is the least direct approach to intervening as a bystander, by refocusing the conversation away from the offensive comment or person.  The goal is to not give an audience to the comment or person by changing the situation.  This approach can work especially well if you are uncomfortable confronting the offender directly for any reason, like someone in a position of power.  You could ask for the time, ask for directions, make a joke, tell a story, or even spill your drink.  If the comment is toward a specific person, you could take a more direct approach and verbally support the target without addressing the offender.

2) Engage Others in Intervention

In this approach, the goal is to use the situation to promote a new positive perspective for all the bystanders. You can do this by asking the group a question that challenges the idea you think is problematic without directly refuting it.  For example, if a friend or family member makes a victim blaming comment about someone returning to a relationship where there is domestic violence, you could say, “I know it’s easy to ask why victims go back when we hear about domestic violence, but maybe a better question would be why someone would think it’s okay to harm or control someone they love.”

3) A Direct Confrontation

In this case, the bystander approaches the person who made the offending comment and explains why what they said is a problem, or how the comment made the bystander feel. You could choose to confront the situation right away or wait for a moment of privacy with this person. It could also be good to seek the support of another friend, especially if you worry that your approach will not be taken seriously.

Your goal is to make whoever you’re approaching consider, even briefly, why their behavior is problematic with the hope of influencing future behavior.

“During hip replacement, a surgeon removes the damaged sections of the hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. This artificial joint (prosthesis) helps reduce pain and improve function.

Also called total hip arthroplasty, hip replacement surgery might be an option if hip pain interferes with daily activities and nonsurgical treatments haven’t helped or are no longer effective. Arthritis damage is the most common reason to need hip replacement.”

MAYO CLINIC (https://www.mayoclinic.org/tests-procedures/hip-replacement/about/pac-20385042)

“October was first designated as National Down Syndrome Awareness Month in the 1980s and has been recognized every October since. It is a time to celebrate people with Down syndrome and make others aware of their abilities and accomplishments.

People with Down syndrome are just like everyone else. They have similar dreams and goals, and they want to have successful careers and families. They can drive, go to work, go to college, go on dates, get married, and contribute to society.”

Special Oympics (ttps://www.specialolympics.org/stories/news/national-down-syndrome-awareness-month#:~:text=October was first designated as,are just like everyone else.)

What is Down Syndrome?

October was first designated as Down Syndrome Awareness Month in the 1980s and has been recognized every October since. It is a time to celebrate people with Down syndrome and make others aware of their abilities and accomplishments.

Down syndrome is a condition in which a person has an extra chromosome. Chromosomes are small “packages” of genes in the body. They determine how a baby’s body forms during pregnancy and how the baby’s body functions as it grows in the womb and after birth. Typically, a baby is born with 46 chromosomes. Babies with Down syndrome have an extra copy of one of these chromosomes, chromosome 21. A medical term for having an extra copy of a chromosome is ‘trisomy.’ Down syndrome is also referred to as Trisomy 21. This extra copy changes how the baby’s body and brain develop, which can cause both mental and physical challenges for the baby.

Even though people with Down syndrome might act and look similar, each person has different abilities. People with Down syndrome usually have an IQ (a measure of intelligence) in the mildly-to-moderately low range and are slower to speak than other children.

Some common physical features of Down syndrome include:

• A flattened face, especially the bridge of the nose
• Almond-shaped eyes that slant up
• A short neck
• Small ears
• A tongue that tends to stick out of the mouth
• Tiny white spots on the iris (colored part) of the eye
• Small hands and feet
• A single line across the palm of the hand (palmar crease)
• Small pinky fingers that sometimes curve toward the thumb
• Poor muscle tone or loose joints
• Shorter in height as children and adults

How Many Babies are Born with Down Syndrome?

Down syndrome remains the most common chromosomal condition diagnosed in the United States. Each year, about 6,000 babies born in the United States have Down syndrome. This means that Down syndrome occurs in about 1 in every 700 babies.¹

Types of Down Syndrome

There are three types of Down syndrome. People often can’t tell the difference between each type without looking at the chromosomes because the physical features and behaviors are similar.

• Trisomy 21: About 95% of people with Down syndrome have Trisomy 21.² With this type of Down syndrome, each cell in the body has 3 separate copies of chromosome 21 instead of the usual 2 copies.
• Translocation Down syndrome: This type accounts for a small percentage of people with Down syndrome (about 3%).² This occurs when an extra part or a whole extra chromosome 21 is present, but it is attached or “trans-located” to a different chromosome rather than being a separate chromosome 21.
• Mosaic Down syndrome: This type affects about 2% of the people with Down syndrome.² Mosaic means mixture or combination. For children with mosaic Down syndrome, some of their cells have 3 copies of chromosome 21, but other cells have the typical two copies of chromosome 21. Children with mosaic Down syndrome may have the same features as other children with Down syndrome. However, they may have fewer features of the condition due to the presence of some (or many) cells with a typical number of chromosomes.

Causes and Risk Factors

• The extra chromosome 21 leads to the physical features and developmental challenges that can occur among people with Down syndrome. Researchers know that Down syndrome is caused by an extra chromosome, but no one knows for sure why Down syndrome occurs or how many different factors play a role.
• One factor that increases the risk for having a baby with Down syndrome is the mother’s age. Women who are 35 years or older when they become pregnant are more likely to have a pregnancy affected by Down syndrome than women who become pregnant at a younger age.^3-5However, the majority of babies with Down syndrome are born to mothers less than 35 years old, because there are many more births among younger women.^6,7

Diagnosis

There are two basic types of tests available to detect Down syndrome during pregnancy: screening tests and diagnostic tests. A screening test can tell a woman and her healthcare provider whether her pregnancy has a lower or higher chance of having Down syndrome. Screening tests do not provide an absolute diagnosis, but they are safer for the mother and the developing baby. Diagnostic tests can typically detect whether or not a baby will have Down syndrome, but they can be more risky for the mother and developing baby. Neither screening nor diagnostic tests can predict the full impact of Down syndrome on a baby; no one can predict this.

Screening Tests

Screening tests often include a combination of a blood test, which measures the amount of various substances in the mother’s blood (e.g., MS-AFP, Triple Screen, Quad-screen), and an ultrasound, which creates a picture of the baby. During an ultrasound, one of the things the technician looks at is the fluid behind the baby’s neck. Extra fluid in this region could indicate a genetic problem. These screening tests can help determine the baby’s risk of Down syndrome. Rarely, screening tests can give an abnormal result even when there is nothing wrong with the baby. Sometimes, the test results are normal and yet they miss a problem that does exist.

Diagnostic Tests

Diagnostic tests are usually performed after a positive screening test in order to confirm a Down syndrome diagnosis. Types of diagnostic tests include:

• Chorionic villus sampling (CVS)—examines material from the placenta
• Amniocentesis—examines the amniotic fluid (the fluid from the sac surrounding the baby)
• Percutaneous umbilical blood sampling (PUBS)—examines blood from the umbilical cord

These tests look for changes in the chromosomes that would indicate a Down syndrome diagnosis.

Other Health Problems

Many people with Down syndrome have the common facial features and no other major birth defects. However, some people with Down syndrome might have one or more major birth defects or other medical problems. Some of the more common health problems among children with Down syndrome are listed below.⁸

• Hearing loss
• Obstructive sleep apnea, which is a condition where the person’s breathing temporarily stops while asleep
• Ear infections
• Eye diseases
• Heart defects present at birth

Health care providers routinely monitor children with Down syndrome for these conditions.

Treatments

Down syndrome is a lifelong condition. Services early in life will often help babies and children with Down syndrome to improve their physical and intellectual abilities. Most of these services focus on helping children with Down syndrome develop to their full potential. These services include speech, occupational, and physical therapy, and they are typically offered through early intervention programs in each state. Children with Down syndrome may also need extra help or attention in school, although many children are included in regular classes.