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1- Disease classification: a kind of psychosomatic disease (review disease classification here).
2- Disease description:
– Type of patient: young adults and middle age, male > female
– Symptoms and signs
The person may c/o usually unrelated symptoms that my include
– unjustified mood change, e.g. depression
– laziness, fatigue, drowsiness, malaise
– defective concentration, haziness
– muscle cramps, pain, heaviness
– intolerance to drink enough water, waterphobia
– intolerance to cold or hot weather
– emotional instability
– maybe some degree of lack of judgment, hesitation
– Vital signs
body temperature: may be slightly decreased
pulse: can be slightly increased, high normal
blood pressure: tends to be lower average range
– Disease onset: gradual or insidious
– Disease course: intermittent or chronic
– Prognosis: variable, according to person’s attitude
– Investigations: usually normal
– Treatment and prevention: according to disease chart
3- Disease chart
Movement —> 50%
Emotion —> 50%
Agent —> 0%
Work engagement —> 33%
Food and drink —> 33%
Hygiene —> 33%
The person would be of the melancholic type of personality (see the four human temperaments: https://en.wikipedia.org/wiki/Four_temperaments). The factor 10 disease may be rationalized as a perturbed equilibrium of the body energy balance (see the four-element view of body components: https://en.wikipedia.org/wiki/Classical_element).
The physician works in a large frame of 3 pillars: the preventive medicine, the diagnostic medicine and the curative medicine. From a broad practical view the physician’s job is mainly in the curative medicine pillar.
The clinical (curative) medicine logics may be thought of as:
1- Adjunctive medicine
– analgesic, sedative, anxiolytic
– Mood modifiers
– Psychoactive agents
2- Casual medicine
– invasive diagnostic and therapeutic interventions
3- Regular medicine
– common nonspecific agents: laxative, purgative, emollient, carminative
– specific medical agents
– antibiotics and antimicrobials
– anticancer agents
The blood pressure is the force exerted by the blood on the wall of the blood vessel;
P = F/A
Where P is the pressure; F is the force and A is the area
Figure 1: The blood pressure is the force exerted by the blood on the wall of the blood vessel.
In other words:
The blood inside the blood vessel exerts a force that tends to keep the blood vessel open, i.e. not collapsed.
Therefore, the blood vessel itself plays an important role in determining the blood pressure, because when the blood vessel is more malleable, i.e. it does not much resist the force exerted by the blood, the resulting blood pressure is less for the same amount of force ‘F’ as compared to the situation when the blood vessel is stiff.
To sum up, the blood pressure is the outcome of two main and interacting parameters:
1- the force exerted by the blood on the vessel wall to keep it open and
2- the blood vessel malleability or distensibility, i.e. malleable or stiff.
The blood pressure is an important parameter of the blood circulation condition and is measured conveniently by an indirect method using an apparatus called sphygmomanometer.
This method relies on detecting sounds caused by blood flow turbulence during blood vessel compression, where the first appearance of sound denotes the highest level of blood pressure, i.e. systolic blood pressure, and the disappearance of sound denotes the lowest level, i.e. diastolic blood pressure.
The following diagram shows this indirect measurement of blood pressure.
Figure 2: The indirect measurement of blood pressure using a sphygmomanometer.
The blood pressure alternates between a maximum level (systolic) and a minimum level (diastolic) with a gradient slope in between!
Can the behaviour of blood pressure be approximated to the behaviour of regular wave?
Figure 3: Can the behaviour of blood pressure be approximated to the behaviour of regular wave?
Critique/ evaluation of the blood pressure as a conventional parameter for assessing blood circulation condition.
The blood pressure is dynamic. It changes continuously to reflect many physiological processes and conditions.
However, such changes in blood pressure are kept within certain range that can vary (significantly) from one person to another; and still considered normal or physiological.
The human body may be described in three different conditions of activity or stress; considering both physical and emotional aspects:
2- Working or exercising
3- Demanding stress
Because the blood vessel is living and viable, it can respond to dozen(s) of signals and/or signal combinations.
Examples of signals/ conditions:
1- Circulating chemical/ biological molecules.
2- Cold/ hot
3- Full stomach; full rectum
4- Thirst; hunger; smells; oxygen
5- Mood condition; accept/refuse feeling
And as such the blood pressure changes over time and condition-wise to meet the body’s need of sufficient and effective tissue supply of nutrients and oxygen and to eliminate waste products and CO2.
Why should the blood pressure be changing or dynamic?
The gross changes and sensible phenomena can find their origin in basically working subtle changes.
There could be subtle, i.e. very fine, changes in blood pressure that are needed for proper and smooth blood flow within the blood vessel.
These may be due to the continuous (breathing-like) changes in vessel wall diameter (mainly small blood vessels) that would help stirring of blood into a largely homogenous mixture. Otherwise, the blood in the vessels would be quite randomly fractionable.
Figure 4: Subtle changes in small blood vessel diameter (wall contraction) that would help blood mixture stirring or mixing. The figure shows one cycle (intrinsic mini-hearts).
Here, we may appreciate the condition of the blood vessel lining being smooth to hep both quiet blood flow and blood mixing.
The blood pressure is dynamic and changes to meet the needs of the body according to each situation.
The blood pressure changes are kept within a range that may differ significantly from one person to another and would be considered normal or physiological for that person.
The blood pressure is the outcome of a few other parameters, e.g.:
1- blood kinetic energy
2- blood vessel condition; malleable: health =/ stiff; relaxed =/ contracted and
3- blood volume
which in turn are influenced by body condition.
Interpretation and handling of blood pressure.
General concept (s):
1. The blood pressure knows what to do. It corrects itself by itself. However, it may need some help.
2. Gross changes in blood pressure can be understood and are in the most part temporary and harmless.
3. Low blood pressure and high blood pressure could be considered two faces of one coin as they share much in their conservative handling.
4. In the handling and evaluation of blood pressure, every person should know his/her unique normal.
5. The blood pressure reading should be interpreted context-wise, and not for its own.
6. Gross blood pressure changes may be
1) constitutional and need only conservative handling;
2) constitutional and need both conservative and medical handling;
3) causal and need to know and handle the cause.
Conservative handing of blood pressure.
There could be a paradigm for both low and high blood pressure.
Conservatively, low and high blood pressure are handled in the same way, because this would aim to help the body itself to correct itself through only filling the gaps.
First: enumerate the gaps that would be relevant and then order them according to their weight/influence/contribution to the present condition.
Figure 5: Example of factor chart analysis.
Second: choose the gap filling order in/according to your accurate intuition, e.g. incremental correction model that is body energy-wise correct. For the above factor chart analysis, the filling order could be:
To sit on toilet (3) — to rest for a while/walk for a while (1) — to drink sugary water or sugary juice (2) — to do gentle exercise (4) — to rest/lie down for some time if you think so (3’).
This could be a matter of trial and error, i.e. learning process. And one can know how things would be accurate and correct for him/her personally.
Incremental and logic correction is needed to achieve a smooth and satisfactory result.
Medical handling of blood pressure.
Figure 6: Blood pressure fluctuates normally according to body activity and/or day time.
Figure 7: Arbitrary blood pressure value (line) without antihypertensive drug (a) and with drug (b). A model suggested for drug monotherapy, i.e. one drug taken once daily. Notice, the dipping in blood pressure after the drug dose (arrow).
Figure 8: Arbitrary blood pressure value (line) without medication (a), or with only one medication (b), and with another medication (c). in the double or more (multi-)therapy model, one medication is suggested to produce a background blood pressure lowering (here drug b; e.g.) which seems to be more durable and more effective, while other drug(s) produce more lowering of blood pressure for shorter time; i.e. the B.p. lowering effect of the helping drug(s) may not be fully justified without considering the effect of the principal drug that produces the background BP lowering, i.e. new B.p. base line.
For further discussion and perspectives:
1- role of each B.P. variable on either systolic or diastolic blood pressure.
B.P variable Systolic B.P. Diastolic B.P.
Blood vessel wall ↑↑ ? ↑?
Blood kinetic energy ↑↑ ? ↑↑ ?
Blood volume ↑? ↑↑ ?
Heart rate ↑↑ ? ↑↑ ?
2- what are the considerations needed when assessing blood circulation condition using the blood pressure?
3- what could be the original parameter of blood circulation (Ɛ) that the blood pressure serve to shadow?
4- could be there measurable parameters/variables other than blood pressure that can serve to assess blood circulation condition?
5- molecular markers for assessing blood circulation; perspective of blood circulation assessment.
In analogy to the computer error messages human common (innocent) conduct errors may be coded. This may help one to note his/her conduct errors so that it may help avoid them by time. It is to be noted that the mentioned errors don’t explicitly include faults like some bad morals or habits, e.g. egoism or selfishness, as those may need other tools for their cure.
|1 Sleep and work (6)||100||Sleep time and place||
This category concerns physical health and productivity. Work charity means helping colleagues and others in their needs.
|110||Work time plan|
|111||Physical activity time plan|
|112||Less tolerated work/activity|
|113||Work reward balance|
|2 Budget (5)||200||Global budget scheme||
Here the financial status is analyzed. One should also care about help from others (external reserve). Money charity is to help others too.
|210||Global order; Note stuff (paper shreds)|
|220||money/time internal reserve|
|3 Food and drink (2)||300||Food and drink||This is about healthy eating and toilet habits.|
|310||Toilet and humanitarian needs|
|4 Hygiene and outlook (3)||400||Internal hygiene||Physical hygiene: personal, look and objects.|
|5 Taking notes (1)||500||Taking notes||A written note/registry.|
|6 Thinking and views (8)||600||Age concept||
Here are 8 points in one’s way of thinking and self-management.
|610||Negative memories (past)|
|7 Morals (4)||700||Patience||Reaction-ability means to take an appropriate and adequate response in time.|
|8 People (7)||800||Tolerance||Be tolerant as much as you can. Don’t judge anybody. Keep your expectations law. Don’t idealize. Learn to appreciate and express yourself unambiguously. Let others know your good sounding, e.g. smile.|
|820||Awaiting of good|
|830||Idealization (persons, acts)|
|831||Appreciation (persons, acts)|
Do you like dates or mathematics? We know what dates and mathematics are, but we do not know yet how and when they could be done in one recipe? In this text I shall answer this question and, so, bringing into light one of the most beautiful work pieces in mathematics and natural sciences. The revelation came to me about one year ago when I started again to reflect on numbers that are very common in the Islamic realm. I wrote then down a few lines and left it to time. At the closure of 2016 and the beginning of 2017 I thought it was necessary to go ahead with that (idea) as it may help in my career as a scientist and academic researcher. The courage I had in this work was due to my engagement in basic research since 2000 as ESKAS-scholarship holder at the University of Basel and more recently (2015) in school mathematics for one year with my niece.
In this mathematics discovery I intuited that numbers could be ordered according to their value and, thus, could be handled mathematically with such order note rather than their true value or amount note. On doing so, elegant equations, beautiful patterns and new applications might be possible. The commencement was truly thrilling and exciting. It threw green light that everything should be all right.
1- The ordinal numbering system
The numbers in the ordinal numbering system can be written as such:
…., I9-, I8-, I7-, I6-, I5-, I4-, I3-, I2-, I1, I2, I3, I4, I5, I6, I7, I8, I9, ….
These ordinal numbers match the following numbers in the common mathematics:
…., – 8, – 7, – 6, – 5, – 4, – 3, – 2, – 1, 0, 1, 2, 3, 4, 5, 6, 7, 8, ….
2- Equations to derive ordinal numbers
Ix = x – 1 ………………………………… (1); when x is positive
Ix- = – (x – 1) ………………………….. (1-1); when x is negative
Ix/y = (x/y) – 1 ………………………. (2); when x/y is positive, and x/y > 1
Ix/y- = – ((x/y) – 1) ……………………. (2-1); when x/y is negative and |x/y| > 1
3- Simple mathematical operations with ordinal whole numbers (In)
3.1: Additions and subtractions
Ix + Iy = Ix+y-1 ……………… (3); when x and y are positive
Ix- + Iy- = I(x+y-1)- ……………… (3); when x and y are negative
Ix + Iy- = I(x-y+1) ………… (3-1); when x > |y| or x = |y|
Ix- + Iy = I(-x+y-1) ………… (3-2); when |x|> y
Ix – Iy = Ix + Iy- ………………. Use either (3-1) or (3-2)
I(x-) – Iy- = Ix- + Iy ………… Use either (3-1) or (3-2)
3.2: Multiplication and division
Ix . Iy = I(x.y) – (x+y-2) ………………. (4); when x and y are positive
Ix- . Iy- = I(-x.-y) – (x+y-2) ………………. (4-1); when x and y are negative
Ix- . Iy = I((x.y) – (x+y-2))- ………………. (4-2); when either x or y is negative
Iz/Ix = I(z+x-2)/x-1 ………………….. (5), when x and y are both positive or both negative
Iz-/Ix = I((z+x-2)/x-1))- ………………….. (5-1), when either x or y is negative
1) I1 = 1 – 1 = 0
2) I2 = 2 – 1 = 1
3) I2- = – (2 – 1) = – 1
4) I1 + I2 = I1+2-1 = I2 = 1
5) I2 + I2- = I2-2+1 = I1 = 0
6) I3 – I2- = I3 + I2 = I3+2-1 = I4 = 3
7) I2 . I2 = I4-4+2 = I2 = 1
8) I2/I2 = I(2+2-2)/2-1 = I2/1 = I2 = 1
9) I1/I1 = I(1+1-2)/1-1 = I0/0 (not known)
10) I2/I3 = I(2+3-2)/3-1 = I3/2 = 3/2 -1 = 1/2
N.B. Intellectual and perpetuations rights of this material are protected property for the author. Please, in case of any questions or interest in this material refer to the author. Author’s e-mail address: email@example.com
Interviewer: Hallo, everybody! Welcome to this episode of “medical views”. We have today an interesting topic that should deserve our attention. Let’s welcome our guest. Welcome back, Mr. Physician21, to our program.
Physician21: Thank you very much for this nice introduction. It is my pleasure to be here.
Interviewer: I think the topic of today have special importance as its name implies, ‘the foul entity’. How could you imagine it?
Physician 21: ‘The foul entity’ as I could imagine is a natural component of our world that can turn our life to a true hell. We people do not like to have problems but our life does need them, anyhow.
Interviewer: So, ‘the foul entity’ is the site or station where all devil would be knitted.
Physician21: Yes. That’s it.
Interviewer: You mean it implicitly that the problems we have in our lives would have similar patterns that can be foreseen in definite paths and models.
Physician21: You are right.
Interviewer: So, what is the significance of your view in attributing the entire devil to one thing, one station or one entity?
Physician21: The advantage is quadruple. First, you won’t handle people in some unpleasant situation but you consider a divinely present ‘foul entity’ that knit problems – by dimension – for our satisfaction. Second, here, people are only objectified in the course of ‘the foul entity’. Then, you ultimately do not condemn people who may or may not resolve any time. Third, according to that view problems – both from outside and from inside one’s self – can be better foreseen, received, interpreted and handled. Fourth, the existence of a ‘foul entity’ should lead to the belief in a much larger good ‘all’ that contains and maintains all good meanings and things. Of course, the attachment and belonging to such great good all would bring a great joy and relief every time one is aware of and protected from the bad effects of ‘the foul entity’.
Interviewer: This imagination sounds very beautiful when people do not condemn one another but only condemn the bad deeds and be aware of their divine source according to your view. How could ‘the foul entity’ affect someone in a bad way? And where would be the protection sought for?
Physician21: ‘The foul entity’ may work in different ways or models, for example, through the “bad chance” like when somebody calls you by mistake at midnight. In this case you should know it was not meant to bother you. The protection shields against the foul entity include, therefore, positive thinking, forgiveness, generosity, innocence, reflection, and good spirituality.
Interviewer: To summarize, ‘the foul entity’ as imagined by our guest is a natural component of our moral world that is needed to refine people’s ability and willingness to do well. So, it ultimately works for our benefit on the condition that we are able to divert its seemingly bad tricks and plots to the flourishing of our really good. Thank you very much, Mr. Physician 21, for this great idea.
Physician21: Thank you, Sir, for your extraordinary presentation.