James Cameron is excited about Avatar: The Way of Water

James Cameron, the veteran film director is known in the film business for getting what he wants. His old school approach, labelled by many as a ruthless style of directing films since his breakthrough days of The Terminator (1984), Aliens (1986) and Terminator 2: Judgement Day (1991) has not gone down well with many, including his own children, as he revealed in a candid interview to Hollywood Reporter. Cameron admits that at times he thought of himself as almost another version of the bully-esque father played by Robert Duvall in the 1979 film, The Great Santini.

Cameron said to Hollywood Reporter, “I’m in a rules-based universe, and the kids weren’t into it. They said, ‘You’re never around half the time. And, then, when you come home, you try to make up for it by telling us all what to do.”

Cameron’s first film in over 13 years, Avatar: The Way of Water, promises to be a grand spectacle of breathtaking visuals, cutting edge visual effects and immersive storytelling along with well-rounded and complex characters. The original Avatar became the highest grossing movie of all time netting $2.92 billion worldwide, collected nine Oscar nominations, including winning best director and best picture, while introducing pioneering filmmaking techniques. Avatar: The Way of Water is scheduled to be released in India on December 16, 2022. Being made on an estimated budget of $350–400 million, it is one of the most expensive films of all time.

source by: https://timesofindia.indiatimes.com/entertainment/english/hollywood/news/james-cameron-is-excited-about-avatar-the-way-of-water/articleshow/95917762.cms

Lebanese Biographical Drama, Heritages.

Multiple award-winning director and producer, Philippe
Aractingi tells the story of exile in the powerful, biographical drama,
Heritages, as seen on Netflix. Aractingi plays with experimental film
techniques by combining directed scenes and archival images with video
filmed diaries, family photos, and super 8 reels to create an experience
that places you in the world of war torn Lebanon of the past and
present. Starring himself, his wife, Diane Aractingi and their three
children, they tell the true story of not only their lives, but the
lives of much of the Middle East.

After having been forced to leave his homeland for the third time,
Aractingi reflects on the repeated history of his ancestors having fled
war for generations and how the weight of such tragedies have left them
scarred, and lacking in identity. One of the consequences of exile is
the loss of your mother tongue. We get to see this first hand when his
youngest child forgot her native language after the family settled in
France. This is how culture gets forgotten and identity becomes lost.
When describing why he decided to document his life and the Lebanese
experience on film, he very poignantly said, “If I don’t film it now,
there will be no trace of it left. They’ll have erased it all”. It is
for reasons as such, that we must protect Intangible Cultural Heritage.
This is how those affected by globalization begin to heal and survive.

Aractingi ends the film with a quote in regards to carrying generational
weight, “Knowing your history means going through your bags and only
taking what belongs to you. Then you can travel light, without wasting
any more energy”. Through the safeguarding of Intangible Cultural
Heritage, the WMA’s aims to alleviate some of this weight, and recognize
the value in the lives of those impacted.

Source By: https://worldmovieawards.org/heritages-worldmovieawards-cultural-heritage-movie-review/

Ankylosing spondylitis: Symptoms, diagnosis and treatment

Ankylosing spondylitis (AS) is a common type of spondyloarthropathy (Spondyloarthropathy refers to a group of rheumatic diseases that present common clinical and genetic features). Ankylosing spondylitis is a chronic inflammatory autoimmune disease that mainly affects spine joints and in advanced cases causes spine fusion too.

Ankylosing spondylitis is first described over 2 centuries ago, typically develops in Male around the age of 30-40 with the involvement of spine joints, sacroiliac joints, and their adjacent soft tissues such as tendons and ligaments and in advanced cases, inflammation can lead to fibrosis and calcification.

Ankylosing spondylitis is an autoimmune disease that develops through complex interactions between genetic background and environmental factors. The immune cells and innate cytokines are suggested to be crucial in the pathogenesis of ankylosing spondylitis, especially human leukocyte antigen (HLA)-B27 and interleukin-23/17 axis. Etiology is not clear, still, 90% of cases are found to be genetic.

AS typically exhibits either at least one of the following; 1. Alternating buttock pain, 2. Sacrolitis, 3. Heel pain (enthesitis, insertion of a muscle is inflamed with possible fibrosis and calcification), 4. Psoriasis, 5. Intestinal bowel disease, 6. urethritis/acute diarrhoea in preceding 4 weeks or at least 4 of the following 5 characteristics; 1. age of onset is less than 40, 2. Insidious onset, 3. Improvement with exercise, 4. Rest gives no improvement & 5. Pain increases at night.

The other symptoms are as follows:

  • Back pain, tenderness, stiffness with alternating buttock pain which worsens at night or in the morning and is eased by physical activity and is present for more than 3 months.
  • Fatigue
  • Muscle spasm
  • Impaired spinal mobility
  • Postural abnormalities like increase thoracic kyphosis and decrease lumbar lordosis.
  • Progressive spinal rigidity
  • Inflammation of hips, shoulders, peripheral joint and fingers/toes.
  • Acute anterior uveitis (painful unilateral eye with photophobia, increased tear production, blurred vision).
  • Psoriasis
  • Increased risk of cardiovascular diseases
  • Inflammatory bowel disease
  • The ability to exercise every day diminishes, pain increases in the evening time and improves with physical movement.
  • Cauda equina syndrome: a very rare complication of long-standing ankylosing spondylitis.
  • Eye irritation
  • Lungs: dynamic fibrosis of the upper bit of the lung
  • Cardiovascular inclusion incorporates irritation of the aorta, aortic valve deficiency, or aggravation of the heart’s electrical conduction framework.

Complications

  • Cardiovascular: a. Aorta involvement, b. Conduction abnormalities, c. Hypertension, d. Reduced physical activity and e. Smoking can be seen. 10-30% of cases are affected and younger are at more risk. This remains undiagnosed until the patient is symptomatic.
  • Bone involvement: a. osteoporosis- diffuse osteoporosis is a well-known feature found during the complication of ankylosing spondylitis. 63% of cases of AS are either osteopenic or osteoporotic and are often found in the early stage.
  • Eye: Uveitis is most common and found in 20-30% of cases.
  • Lung: pathophysiology is not clear but apical fibrosis, chest wall restriction, and ventilatory abnormalities are found in a few cases among which apical fibrosis is seen in approximately 1.3-30% of cases depending upon the duration of the disease.
  • Cachexia is an accelerated loss of skeletal muscle in the context of a chronic inflammatory response.
  • Skin: psoriasis is found in 10-25% of cases of AS.
  • Gastrointestinal: AS with Crohn’s disease in 5-10% cases and AS with Ulcerative colitis in 25-49% cases.
  • Renal: 10-25% of cases of AS come with renal involvement; glomerulonephritis, deposition of renal amyloid, microscopic haematuria, microalbuminuria and decrease renal function.
  • Neurological: Cauda equina syndrome is very rare.

Diagnosis

  • Lower back pain and solidness are present for more than 3 months which improves with exercise but do not diminish or decrease by rest. Fibrosis and ossification of the tendon, ligament, and capsule insertion at the area of intervertebral and sacroiliac discs are the main characteristics of ankylosing spondylitis.
  • In 70% of cases in blood test; increased Erythrocyte sedimentation rate (ESR) & elevated C-reactive protein is seen.
  • X-Ray or MRI is also done for the diagnosis and confirmation.
  • A genetic test is done to determine the gene HLA-B27.

Treatment

  • Excellent prognosis by physical and medical management. There is no effective disease-modifying treatment due to unclear pathogenesis. Treatment aims to improve & maintain spinal flexibility, normal posture, relieve symptoms, decrease functional limitations, and reduce complications.
  • Pharmacologically NSAIDs & TNF-alpha inhibitors are anti-inflammatory drugs. Local injection of glucocorticoids for immediate symptom relief.
  • Physiotherapy is an important approach for the long-term management of the disease. Physiotherapy must be done under proper monitoring. The disease is either active or stable, physical therapy is a universal advice along with regular exercise and quitting smoking.
  • Surgical treatment if there is a long-term severe deformity and which cannot be treated by any other intervention.

Alternative treatments are also done like:

  • Climatotherapy is an alternative line of treatment, treatment of disease is done in an area with a favorable climate; results are very beneficial.
  • Hydrotherapy is an alternative line of treatment in which water is been used. The warmth and buoyancy of the water allow for muscle relaxation and reduction in weight-bearing load on the trunk and lower extremities.
  • Mud packs
  • Tai chi is an ancient Chinese philosophy where physical exercise and relaxation techniques are merged.

Regular short breaks

Ankylosis spondylitis is the most common of all spondylitis and is usually found in the third decade of life. Due to unclear pathology, treatment is done symptomatically. Regular exercise and taking regular short breaks throughout the day help in reducing pain. Maintaining a habit of physical activity decreases the possibility of spondylitis. Even if a person is diagnosed with the same can be cured with medicine and physiotherapy.

Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6804882/

https://www.statpearls.com/ArticleLibrary/viewarticle/17609

https://www.researchgate.net/publication/338421533_Ankylosing_spondylitis_-A_review_article

https://www.physio-pedia.com/images/a/a4/Ankylosing_Spondylitis.pdf

Author

Dr. Aparna Mishra

Dr. Aparna Mishra is a practicing dentist with over 11 years of experience. Her interests include writing especially literature writing.

Why daylight saving time just isn’t healthy, according to science

Daylight saving time has ended, and most Americans have turned their clocks back an hour. My sixth-grader is in heaven.

At 6:50 a.m. these days, our once testy tween zombie is now … moderately awake and relatively lucid.

Instead of rising to gauzy predawn light, she’s got glowy morning sunshine beaming around her curtains. When she sets off for school, the sun has been up nearly a full hour. Just a 60-minute change has lightened both the morning and her mood. At breakfast today, I think I even spied a smile.

On November 6, every state in the United States except Hawaii and most of Arizona switched from daylight saving time, or DST, to standard time (those two states don’t observe DST). That switch shifted an hour of light from the evening to the morning. In March, we’ll move in the other direction when we “spring forward,” trading morning light for brighter evenings.

The United States’ biannual time change has been lighting up headlines since the U.S. Senate’s unanimous vote in March to make daylight saving time permanent. The Sunshine Protection Act would forgo turning clocks to and fro, repeating an unpopular experiment Congress tried in the 1970s and prioritizing evening light throughout the year. But the health case for staying on daylight saving time is pretty dim. And what such a shift could mean for adolescents is especially gloomy.

Even the name “daylight saving time” isn’t quite right, says Kenneth Wright, a sleep and circadian expert at the University of Colorado Boulder. There’s no change in the amount of daylight, he says. “What we’re doing is changing how we live relative to the sun.” When we move our clocks forward an hour, noon no longer represents when the sun is near its highest point in the sky. Suddenly, people’s schedules are solarly out of sync (SN: 10/17/16).

That’s a big deal biologically, Wright says. Humans evolved with a daily cycle of light and dark. That sets the rhythms of our bodies, from when we sleep and wake to when hormones are released. Morning light, in particular, is a key wake-up signal. When we tinker with time, he says, “we’re essentially making the choice: Do we want to go with what we’ve evolved with, or do we want to alter that?”

From a health perspective, if he had to rank permanent daylight saving time, permanent standard time or our current practice of biannual clock changing, Wright says, “I think the answer is incredibly clear.” Permanent standard time is healthiest for humans, he says. In his view, permanent daylight saving time ranks last.

Wright is not alone. As daylight saving time ticked toward its yearly end, sleep experts across the country stepped out in favor of standard time.

Scientists have linked sleep loss, heart attacks and an increased risk of dying in the hospital after a stroke to the transition to daylight saving time, neurologist Beth Malow wrote in Sleep in September. She testified to that this year before a U.S. House of Representatives subcommittee.

“My overall message was that permanent standard time was a healthier choice,” says Malow, of Vanderbilt University Medical Center in Nashville.

For both Malow and Wright, some of the most compelling studies examine U.S. time zone borders. Living on the late sunset side of a border takes a toll on people’s health and sleep compared with those living on the early sunset side, scientists suggested in 2019. A similar study in 2018 also found an increased risk of liver cancer the farther west people lived within a time zone, where the sun rises and sets later in the day.

But the downsides of nighttime light are not always crystal clear. A November study, for example, suggested that year-round daylight saving time would reduce deer-vehicle collisions (SN: 11/2/22). But studies like these can be hard to interpret, Malow says. Other factors may come into play, like deer’s seasonal activity and changing roadway conditions. “The car-crash literature has been so mixed,” she says. “I’ve seen stuff come out on both sides.”

She points to a study in Time & Society in June which found that people on the western edge of a time zone had more automobile fatalities than their easterly neighbors.

Dark mornings and light evenings mean people’s body clocks don’t line up with the sun. That mismatch can hamper sleep, making for drowsy drivers, which may factor into collisions, Malow says. In the evenings, if “there’s still light in the sky, it messes with our brains.”

Morning light wakes up the brain

The brains of teens and tweens are even more vulnerable, Malow says. When kids go through puberty, the brain waits an hour or two longer to release melatonin, the “hormone of darkness,” which tells the bodies of kids and adults alike that it’s time to go to sleep.

Bedtime can be tough for older kids because, physiologically, they’re just not as sleepy as they used to be. And as I’ve learned with my daughter, if you throw early school start times in the mix, rising and shining can be even harder.

“I have a middle schooler, too. It’s brutal,” says Lisa Meltzer, a pediatric sleep psychologist at National Jewish Health in Denver. Some U.S. school districts are making changes that might make mornings easier. This year, most high schools and middle schools in California debuted later start times. Five years ago, Meltzer’s school district embarked on a similar experiment. What they learned can teach us how older kids might fare if daylight saving time were to stay put year-round, Meltzer says.

In 2017, the Cherry Creek School District in suburban Denver flipped middle and high schools’ early start times with elementary schools’ later ones. The change didn’t much affect younger kids, who still started class well after sunrise, at 8 a.m., says Meltzer, who presented the science behind changing school start times to her school board. But older kids, who started school at 8:20 a.m. or 8:50 a.m., noticed a big difference. They slept more at night and tended to function better during the day, Meltzer’s team reported most recently in the February Sleep Medicine.

“The number one thing [high-schoolers] said was how much they liked going to school when it was light out,” she says.

And it wasn’t just the students. Their teachers, too, felt the benefits of later start times, Meltzer and colleagues report November 6 in the Journal of School Health.

Morning light is crucial for keeping people’s bodies on schedule, Meltzer says. With permanent daylight saving time, kids will not have the same eye-opening, brain-wakening, a.m. sunshine. “We need morning sunlight to keep our internal clocks on track,” she says. “I cannot emphasize this enough.”

So far, the Senate’s plan for year-round daylight saving time has seemed to stall, so the prospect of an everlasting shift toward evening light doesn’t look bright. But come March, when daylight saving time begins anew, we’ll have to adjust again.

For kids struggling with sleep, Sonal Malhotra, a pediatric pulmonologist and sleep doctor at Baylor College of Medicine in Houston, has some tips. Consistency is key, she says: regular sleep, meal and exercise schedules. And when waking up, she adds, “make sure you have bright light.” Malhotra also recommends avoiding afternoon naps and caffeine.

I don’t know if my daughter will ever be bright-eyed and bushy-tailed in the mornings (I’m not), but when mornings eventually get darker, Malhotra’s advice may give us something to fall back on.

Source by : https://www.sciencenews.org/article/daylight-saving-time-sleep-health-science

scroll to top