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Among people with Medicare, Black beneficiaries are more likely to have cost-related problems with their health care than White beneficiaries, finds a new KFF analysis, with the racial disparity persisting among beneficiaries in both traditional Medicare and Medicare Advantage plans.While 17 percent of all Medicare beneficiaries, or about 1 in 6, reported health care cost-related problems in 2018, the rate among buy renova zero Black beneficiaries was double that among White http://ariconference.com/buy-renova-0.025-cream/ beneficiaries (28% vs. 14%), according to the analysis of data buy renova zero from the 2018 Medicare Current Beneficiary Survey (MCBS).Among Medicare Advantage enrollees, the rate of cost-related problems among Black beneficiaries was also higher than among White beneficiaries (32% vs. 16%), the analysis finds.Among Black beneficiaries specifically, a larger share of buy renova zero those in Medicare Advantage reported cost-related problems than those in traditional Medicare (32% vs.

24%). The rate of cost-related problems was lower still among the subset of Black beneficiaries in traditional Medicare who had Medicaid or other sources of supplemental insurance (20%).Cost-related problems were defined in the analysis as trouble getting care due to cost, a delay in care due to cost, or problems paying medical bills.Across all Medicare beneficiaries, a somewhat smaller share of those in traditional Medicare than in Medicare Advantage reported cost-related problems buy renova zero (15% vs. 19%), with a lower rate among beneficiaries in traditional Medicare with buy renova zero supplemental coverage (12%).

The analysis also shows that, overall and across racial and ethnic groups, the Medicare beneficiaries who are most likely to experience cost-related problems are those in traditional Medicare without supplemental coverage – 30 percent of whom reported cost-related problems in 2018.Rates of cost-related problems were even higher among Black beneficiaries in fair or poor self-reported health, where half (50%) of those in Medicare Advantage experienced cost-related problems and one-third (34%) of those in traditional Medicare.The analysis finds that enrollees in Medicare Advantage, who now account for more than 4 in 10 beneficiaries overall, do not generally receive greater protection against cost-related problems than beneficiaries in traditional Medicare with supplemental coverage, despite requirements for Medicare Advantage plans to have out-of-pocket limits. Differences in cost-related problems between Medicare Advantage and traditional Medicare with supplemental coverage are not fully explained by differences buy renova zero in the characteristics of beneficiaries, such as income and health status.The new findings are noteworthy in that half of all Black beneficiaries are enrolled in Medicare Advantage (compared to just over one third of White beneficiaries).However, the analysis does not estimate actual differences in average out-of-pocket spending among these groups, because it is not possible to derive comparable and accurate estimates of spending for Medicare Advantage enrollees using the Medicare Current Beneficiary Survey, as can be done for traditional Medicare beneficiaries.For more data and analyses about Medicare and racial equity and health policy, visit kff.orgAbout This TrackerThis tracker provides the number of confirmed cases and deaths from novel skin care by country, the trend in confirmed case and death counts by country, and a global map showing which countries have confirmed cases and deaths. The data are drawn from the Johns Hopkins University (JHU) skin care Resource Center’s skin care products Map and the World Health Organization’s (WHO) skin care Disease (skin care products-2019) situation reports.This tracker will be buy renova zero updated regularly, as new data are released.Related Content.

About skin care products skin careIn late 2019, a new skin care emerged in central China to cause disease in humans. Cases of buy renova zero this disease, known as skin care products, have since been reported across around the globe. On January 30, 2020, the World Health Organization (WHO) declared the renova represents a public health buy renova zero emergency of international concern, and on January 31, 2020, the U.S.

Department of Health and Human Services declared it to be a health emergency for the United States..

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No cases of locally acquired skin care products were diagnosed in the 24 hours to 8pm last night.Seven cases were renova spa cabo reported in overseas travellers in hotel quarantine, bringing the total number of cases in NSW to 4,280 since the start of the renova.Confirmed cases (including interstate residents in NSW health care facilities)4,280Deaths (including NSW from confirmed cases)55Total tests carried out3,176,816There were 9,499 tests reported to 8pm last night, compared with 13,721 in the previous 24 hours. NSW Health is treating 63 skin care products renova spa cabo cases. One patient is in intensive care and does not require ventilation. Ninety-five per cent of cases being treated by NSW Health are in non-acute, out-of-hospital care.NSW Health would like to thank recent cases in the Moss Vale area, in the Southern Highlands, for coming forward for testing, which helps protect other members of the community.As the original source of s has not yet been found, we are concerned that other people renova spa cabo in the broader Southern Highlands area may have unrecognised .

NSW Health is calling on people in this area to come forward for testing if they have even the mildest skin care products symptoms. The new walk-in skin care products clinic at Moss Vale Showground, 16 renova spa cabo Illawarra Highway, Moss Vale remains open from 9am to 5pm.Testing allows us to prevent onward transmission by helping us identify as many cases in the community as quickly as possible. Every person who comes forward for testing is playing an important role in helping to contain the spread of skin care products.NSW Health is also calling on people in the Rouse Hill area to get tested if they have even the mildest skin care products symptoms after the state’s sewage surveillance program detected traces of the renova in the area. The catchment takes sewage from approximately 120,000 people.Fragments of the renova that causes skin care products have been detected in samples taken on Thursday 5 November from the sewerage system that drains parts of Quakers Hill, Castle Hill, Annangrove, Kellyville, Box Hill, Kenthurst, Glenhaven, The Ponds, Rouse Hill, North Kellyville, Kellyville renova spa cabo Ridge, Beaumont Hills, Stanhope Gardens, Baulkham Hills, Glenwood, Bella Vista, Parklea, Acacia Gardens and Norwest.The positive sewage result can be due to shedding of the renova by someone who may have previously had the illness, with the renova ‘shedding’ through their system for up to six to eight weeks later.

The last locally acquired case who lives in this area was reported on Tuesday 8 September so there are concerns that other people living or working in the area may have the without knowing it. If this is the case, we need the community’s support to find any cases by getting tested.To help stop the spread of skin care products:If you are unwell, get tested and isolate right away – don’t delay.Wash your renova spa cabo hands regularly. Take hand sanitiser with you when you go out.Keep your distance. Leave 1.5 renova spa cabo metres between yourself and others.Wear a mask when using public transport, rideshares and taxis, and in shops, places of worship and other places where you can’t physically distance.

When taking taxis or rideshares, commuters should also sit in the back.There are more than 300 skin care products testing locations across NSW. To find your renova spa cabo nearest clinic visit skin care products testing clinics or contact your GP. Most people receive their test results within 24 hours.Likely source of confirmed skin care products cases in NSWOverseas7292,319Interstate0090Locally acquired – contact of a confirmed case and/or in a known cluster081,474Locally acquired – source not identified01397Note. Case counts reported for a particular day may vary over renova spa cabo time due to ongoing investigations and case review.

*notified from 8pm on 7 November 2020 to 8pm 8 November 2020**from 8pm 2 November 2020 to 8pm 8 November 2020 Returned travellers in hotel quarantine to dateSymptomatic travellers tested6,615Found positive150Asymptomatic travellers screened at day 244,088Found positive241Asymptomatic travellers screened at day 1056,155Found positive139NSW has reported no new cases of locally transmitted skin care products in the 24 hours to 8pm last night.Three cases were reported in overseas travellers in hotel quarantine, bringing the total number of cases in NSW to 4,273. Confirmed cases (including interstate residents in NSW health care facilities) 4,273 Deaths (in NSW from confirmed cases) 55 renova spa cabo Total tests carried out 3,167,317 There were 13,721 tests reported to 8pm last night, compared with 14,697 in the previous 24 hours. Of the three new cases to 8pm last night, all were acquired overseas and are now in hotel quarantine.NSW Health is treating 63 skin care products cases. One patient is in intensive care and does renova spa cabo not require ventilation.

Ninety-five per cent of cases being treated renova spa cabo by NSW Health are in non-acute, out-of-hospital care.NSW Health thanks the community for coming forward to get tested. We continue to urge anyone with even the mildest of symptoms to seek testing immediately, then remain in isolation until a negative result is received. The source of the recent cases in Moss Vale remains renova spa cabo under investigation. Due to these and other recent cases, in line with previous advice the call for testing continues to apply particularly to people in South Western Sydney, including in and around the communities of Leppington, Hoxton Park and Prestons.

And to people in renova spa cabo the Southern Highlands region, including the communities in and around Moss Vale, Mittagong and Bowral. Extra testing capacity has been made available in these regions. The process renova spa cabo of becoming infected and infecting others often occurs silently, invisibly, and inadvertently. It is evident that the renova has an ability to readily spread from person to person.

Some who are renova spa cabo infected with the renova may not be aware that they have the , where symptoms are mild or not present at all. To ensure we can continue to control the spread of the renova, it is most important to step forward for testing if there is any concern at all that you may have been exposed or may have symptoms. Social and community gatherings are expected to increase during the upcoming holiday period and it is very likely skin care products will continue to circulate in the community, including among people with mild or no symptoms.It is important we all continue to take advantage of outdoor venues and maintain the skin care products-safe practices we have become used to, such as physical distancing, wearing a mask in places where you can’t distance from others, renova spa cabo and practising good hand hygiene.Contact tracing to contain the transmission of the renova depends on businesses having effective skin care products Safety plans and customer sign-in processes. The recent cluster in south western Sydney highlights the importance of these measures, and we urge businesses and patrons to do their part.To help stop the spread of skin care products.

If you are unwell, get tested and isolate right away renova spa cabo – don’t delay.Wash your hands regularly. Take hand sanitiser with you when you go out.Keep your distance. Leave 1.5 renova spa cabo metres between yourself and others. Wear a mask when using public transport, rideshares and taxis, and in shops, places of worship and other places where you can’t physically distance.

When taking taxis or rideshares, commuters should also sit in the back.There are more than 300 skin care products testing locations across NSW renova spa cabo. To find your nearest clinic visit skin care products testing clinics or contact your GP. Most people receive their test results within 24 hours.Likely source of confirmed skin care products cases in NSWOverseas renova spa cabo 3262,312Interstate 0090Locally acquired – contact of a confirmed case and/or in a known cluster 091,474Locally acquired – source not identified 01397Note. Case counts reported for a particular day may vary over time due to ongoing investigations and case review.*notified from 8pm on 6 November 2020 to 8pm 7 November 2020**from 8pm 1 November 2020 to 8pm 7 November 2020Returned travellers in hotel quarantine to dateSymptomatic travellers tested 6,591Found positive 150Asymptomatic travellers screened at day 2 43,675Found positive239Asymptomatic travellers screened at day 1055,753Found positive139Video update.

No cases of locally acquired skin care products were diagnosed buy renova zero in the 24 hours to 8pm last night.Seven cases can you get renova without a prescription were reported in overseas travellers in hotel quarantine, bringing the total number of cases in NSW to 4,280 since the start of the renova.Confirmed cases (including interstate residents in NSW health care facilities)4,280Deaths (including NSW from confirmed cases)55Total tests carried out3,176,816There were 9,499 tests reported to 8pm last night, compared with 13,721 in the previous 24 hours. NSW Health is treating 63 skin care products cases buy renova zero. One patient is in intensive care and does not require ventilation. Ninety-five per cent of cases being treated by NSW Health are in non-acute, out-of-hospital care.NSW Health would like to thank recent cases in the Moss Vale area, in the Southern Highlands, for coming forward for testing, which helps protect other members of the community.As the original source of s has not yet been found, we buy renova zero are concerned that other people in the broader Southern Highlands area may have unrecognised . NSW Health is calling on people in this area to come forward for testing if they have even the mildest skin care products symptoms.

The new walk-in skin care products clinic at Moss Vale Showground, 16 Illawarra Highway, Moss Vale remains open from 9am to 5pm.Testing allows us to prevent onward transmission buy renova zero by helping us identify as many cases in the community as quickly as possible. Every person who comes forward for testing is playing an important role in helping to contain the spread of skin care products.NSW Health is also calling on people in the Rouse Hill area to get tested if they have even the mildest skin care products symptoms after the state’s sewage surveillance program detected traces of the renova in the area. The catchment takes sewage from approximately 120,000 people.Fragments of the renova that causes skin care products have been detected in samples taken on Thursday 5 November from the sewerage system that drains parts of Quakers Hill, Castle Hill, Annangrove, Kellyville, Box Hill, Kenthurst, Glenhaven, The Ponds, Rouse Hill, North Kellyville, Kellyville Ridge, Beaumont Hills, Stanhope Gardens, Baulkham Hills, Glenwood, Bella Vista, Parklea, Acacia Gardens and Norwest.The buy renova zero positive sewage result can be due to shedding of the renova by someone who may have previously had the illness, with the renova ‘shedding’ through their system for up to six to eight weeks later. The last locally acquired case who lives in this area was reported on Tuesday 8 September so there are concerns that other people living or working in the area may have the without knowing it. If this is the case, we need the community’s support to find any cases by getting tested.To help stop the spread of skin care products:If you are unwell, get tested and isolate right away – don’t delay.Wash your hands regularly buy renova zero.

Take hand sanitiser with you when you go out.Keep your distance. Leave 1.5 metres between yourself and others.Wear buy renova zero a mask when using public transport, rideshares and taxis, and in shops, places of worship and other places where you can’t physically distance. When taking taxis or rideshares, commuters should also sit in the back.There are more than 300 skin care products testing locations across NSW. To find your nearest clinic visit skin care products testing clinics buy renova zero or contact your GP. Most people receive their test results within 24 hours.Likely source of confirmed skin care products cases in NSWOverseas7292,319Interstate0090Locally acquired – contact of a confirmed case and/or in a known cluster081,474Locally acquired – source not identified01397Note.

Case counts reported for a particular day may vary over time due to ongoing investigations and case review buy renova zero. *notified from 8pm on 7 November 2020 to 8pm 8 November 2020**from 8pm 2 November 2020 to 8pm 8 November 2020 Returned travellers in hotel quarantine to dateSymptomatic travellers tested6,615Found positive150Asymptomatic travellers screened at day 244,088Found positive241Asymptomatic travellers screened at day 1056,155Found positive139NSW has reported no new cases of locally transmitted skin care products in the 24 hours to 8pm last night.Three cases were reported in overseas travellers in hotel quarantine, bringing the total number of cases in NSW to 4,273. Confirmed cases (including interstate residents in NSW health care facilities) 4,273 Deaths (in NSW from confirmed cases) 55 Total tests carried out 3,167,317 There were 13,721 tests reported to buy renova zero 8pm last night, compared with 14,697 in the previous 24 hours. Of the three new cases to 8pm last night, all were acquired overseas and are now in hotel quarantine.NSW Health is treating 63 skin care products cases. One patient is in intensive buy renova zero care and does not require ventilation.

Ninety-five per cent of cases being treated buy renova zero by NSW Health are in non-acute, out-of-hospital care.NSW Health thanks the community for coming forward to get tested. We continue to urge anyone with even the mildest of symptoms to seek testing immediately, then remain in isolation until a negative result is received. The source of the recent cases in Moss Vale remains under investigation buy renova zero. Due to these and other recent cases, in line with previous advice the call for testing continues to apply particularly to people in South Western Sydney, including in and around the communities of Leppington, Hoxton Park and Prestons. And to buy renova zero people in the Southern Highlands region, including the communities in and around Moss Vale, Mittagong and Bowral.

Extra testing capacity has been made available in these regions. The process of buy renova zero becoming infected and infecting others often occurs silently, invisibly, and inadvertently. It is evident that the renova has an ability to readily spread from person to person. Some who are infected with the renova may not be aware that they have the , where symptoms are mild or buy renova zero not present at all. To ensure we can continue to control the spread of the renova, it is most important to step forward for testing if there is any concern at all that you may have been exposed or may have symptoms.

Social and community gatherings are expected to increase during the upcoming holiday period and it is very likely skin care products will continue to circulate in the community, including among people with mild or no symptoms.It is important we all continue to take advantage of outdoor venues and maintain the skin care products-safe practices we have become used to, such as physical distancing, wearing a mask in buy renova zero places where you can’t distance from others, and practising good hand hygiene.Contact tracing to contain the transmission of the renova depends on businesses having effective skin care products Safety plans and customer sign-in processes. The recent cluster in south western Sydney highlights the importance of these measures, and we urge businesses and patrons to do their part.To help stop the spread of skin care products. If you are unwell, get tested and isolate right away – don’t delay.Wash your hands buy renova zero regularly. Take hand sanitiser with you when you go out.Keep your distance. Leave 1.5 buy renova zero metres between yourself and others.

Wear a mask when using public transport, rideshares and taxis, and in shops, places of worship and other places where you can’t physically distance. When taking taxis or rideshares, commuters should also sit in the back.There are more than 300 buy renova zero skin care products testing locations across NSW. To find your nearest clinic visit skin care products testing clinics or contact your GP. Most people receive their test results within 24 hours.Likely source of confirmed skin care products cases in NSWOverseas 3262,312Interstate 0090Locally acquired – contact of a confirmed case and/or in a known cluster 091,474Locally acquired – source buy renova zero not identified 01397Note. Case counts reported for a particular day may vary over time due to ongoing investigations and case review.*notified from 8pm on 6 November 2020 to 8pm 7 November 2020**from 8pm 1 November 2020 to 8pm 7 November 2020Returned travellers in hotel quarantine to dateSymptomatic travellers tested 6,591Found positive 150Asymptomatic travellers screened at day 2 43,675Found positive239Asymptomatic travellers screened at day 1055,753Found positive139Video update.

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The team of Deputy and Associate Editors Heribert Schunkert, Sharlene Day and Peter SchwartzThe European Heart Journal (EHJ) wants to attract high-class submissions dealing with genetic findings that help to improve renova air conditioner the mechanistic understanding http://www.circ-ien-eurometropole-sud-ouest.ac-strasbourg.fr/ressources-pedagogiques/mathematiques/calcul-mental/ and the therapy of cardiovascular diseases. In charge of identifying such articles is a mini-team of experts on genetics, Heribert Schunkert, Sharlene Day, and Peter Schwartz.Genetic findings have contributed enormously to the molecular understanding of cardiovascular diseases. A number of diseases including various channelopathies, cardiomyopathies, and metabolic disorders have been elucidated based on a monogenic inheritance and the detection of disease-causing mutations in renova air conditioner large families. More recently, the complex genetic architecture of common cardiovascular diseases such as atrial fibrillation or coronary artery disease has become increasingly clear.

Moreover, genetics became a sensitive tool to characterize the renova air conditioner role of traditional cardiovascular risk factors in the form of Mendelian randomized studies. However, the real challenge is still ahead, i.e., to bridge genetic findings into novel therapies for the prevention and treatment of cardiac diseases. The full cycle from identification of a family with hypercholesterolaemia due to a proprotein convertase subtilisin/kexin type 9 (PCSK-9) mutation to successful risk lowering by PCSK-9 antibodies illustrates the power of genetics in this regard.With its broad expertise, the new EHJ editorial team on genetics aims to renova air conditioner cover manuscripts from all areas in which genetics may contribute to the understanding of cardiovascular diseases. Prof.

Peter Schwartz is a world-class expert on channelopathies and pioneered the field of long QT syndrome. He is an experienced clinical specialist on cardiac arrhythmias of renova air conditioner genetic origins and a pioneer in the electrophysiology of the myocardium. He studied in Milan, worked at the University of Texas for 3 years and, as Associate Professor, at the University of Oklahoma 4 months/year for 12 years. He has been renova air conditioner Chairman of Cardiology at the University of Pavia for 20 years and since 1999 acts as an extraordinary professor at the Universities of Stellenbosch and Cape Town for 3 months/year.Prof.

Sharlene M. Day is Director of Translational Research in the renova air conditioner Division of Cardiovascular Medicine and Cardiovascular Institute at the University of Pennsylvania. She trained at the University of Michigan and stayed on as faculty as the founding Director of the Inherited Cardiomyopathy and Arrhythmia Program before moving to the University of Pennsylvania in 2019. Like Prof.

Schwartz, her research renova air conditioner programme covers the full spectrum from clinical medicine to basic research with a focus on hypertrophic cardiomyopathy. Both she and Prof. Schwartz have developed inducible pluripotent stem cell models of human monogenic cardiac disorders as a platform to study the underlying biological mechanisms of disease.Heribert Schunkert is Director of the Cardiology Department in the German Heart Center Munich renova air conditioner. He trained in the Universities of Aachen and Regensburg, Germany and for 4 years in various teaching hospitals in Boston.

Before moving to Munich, he was Director of the Department for Internal Medicine at the University Hospital in Lübeck renova air conditioner. His research interest shifted from the molecular biology of the renin–angiotensin system to complex genetics of atherosclerosis. He was amongst the first to conduct genome-wide association meta-analyses, which allowed the identification of numerous genetic variants that contribute to coronary artery disease, peripheral arterial disease, or aortic stenosis.The editorial team on cardiovascular genetics aims to facilitate the publication of strong translational research that illustrates to clinicians and cardiovascular scientists how genetic and epigenetic variation influences the development of heart diseases. The future perspective is to communicate genetically driven therapeutic targets as has become evident renova air conditioner already with the utilization of interfering antibodies, RNAs, or even genome-editing instruments.In this respect, the team encourages submission of world-class genetic research on the cardiovascular system to the EHJ.

The team is also pleased to cooperate with the novel Council on Cardiovascular Genomics which was inaugurated by the ESC in 2020.Conflict of interest. None declared.Andros TofieldMerlischachen, Switzerland Published on behalf of the European Society of Cardiology renova air conditioner. All rights reserved. © The Author(s) 2020 renova air conditioner.

For permissions, please email. [email protected]..

The team of Deputy and Associate Editors Heribert Schunkert, Sharlene Day buy renova zero and Peter SchwartzThe European Heart Journal (EHJ) wants to attract high-class submissions dealing with genetic findings that help to improve the mechanistic understanding and the therapy of http://www.warehousesorlando.com/mackin-commerce-center-ltd cardiovascular diseases. In charge of identifying such articles is a mini-team of experts on genetics, Heribert Schunkert, Sharlene Day, and Peter Schwartz.Genetic findings have contributed enormously to the molecular understanding of cardiovascular diseases. A number of diseases including various channelopathies, cardiomyopathies, and metabolic disorders have buy renova zero been elucidated based on a monogenic inheritance and the detection of disease-causing mutations in large families. More recently, the complex genetic architecture of common cardiovascular diseases such as atrial fibrillation or coronary artery disease has become increasingly clear.

Moreover, genetics became a sensitive tool to characterize buy renova zero the role of traditional cardiovascular risk factors in the form of Mendelian randomized studies. However, the real challenge is still ahead, i.e., to bridge genetic findings into novel therapies for the prevention and treatment of cardiac diseases. The full cycle from identification of a family with hypercholesterolaemia due to a proprotein convertase buy renova zero subtilisin/kexin type 9 (PCSK-9) mutation to successful risk lowering by PCSK-9 antibodies illustrates the power of genetics in this regard.With its broad expertise, the new EHJ editorial team on genetics aims to cover manuscripts from all areas in which genetics may contribute to the understanding of cardiovascular diseases. Prof.

Peter Schwartz is a world-class expert on channelopathies and pioneered the field of long QT syndrome. He is an experienced buy renova zero clinical specialist on cardiac arrhythmias of genetic origins and a pioneer in the electrophysiology of the myocardium. He studied in Milan, worked at the University of Texas for 3 years and, as Associate Professor, at the University of Oklahoma 4 months/year for 12 years. He has been Chairman of Cardiology at the University of Pavia for buy renova zero 20 years and since 1999 acts as an extraordinary professor at the Universities of Stellenbosch and Cape Town for 3 months/year.Prof.

Sharlene M. Day is Director buy renova zero of Translational Research in the Division of Cardiovascular Medicine and Cardiovascular Institute at the University of Pennsylvania. She trained at the University of Michigan and stayed on as faculty as the founding Director of the Inherited Cardiomyopathy and Arrhythmia Program before moving to the University of Pennsylvania in 2019. Like Prof.

Schwartz, her research programme covers the full spectrum from clinical medicine to basic research with a focus on hypertrophic buy renova zero cardiomyopathy. Both she and Prof. Schwartz have developed inducible pluripotent buy renova zero stem cell models of human monogenic cardiac disorders as a platform to study the underlying biological mechanisms of disease.Heribert Schunkert is Director of the Cardiology Department in the German Heart Center Munich. He trained in the Universities of Aachen and Regensburg, Germany and for 4 years in various teaching hospitals in Boston.

Before moving to Munich, he was Director of the Department for Internal Medicine buy renova zero at the University Hospital in Lübeck. His research interest shifted from the molecular biology of the renin–angiotensin system to complex genetics of atherosclerosis. He was amongst the first to conduct genome-wide association meta-analyses, which allowed the identification of numerous genetic variants that contribute to coronary artery disease, peripheral arterial disease, or aortic stenosis.The editorial team on cardiovascular genetics aims to facilitate the publication of strong translational research that illustrates to clinicians and cardiovascular scientists how genetic and epigenetic variation influences the development of heart diseases. The future perspective is to communicate genetically driven therapeutic targets as has become evident already with the utilization of interfering antibodies, RNAs, or even genome-editing instruments.In this respect, the team buy renova zero encourages submission of world-class genetic research on the cardiovascular system to the EHJ.

The team is also pleased to cooperate with the novel Council on Cardiovascular Genomics which was inaugurated by the ESC in 2020.Conflict of interest. None declared.Andros TofieldMerlischachen, buy renova zero Switzerland Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020 buy renova zero.

For permissions, please email. [email protected]..

Renova zero by vaporesso

How to cite renova zero by vaporesso this article:Singh OP. The need for routine psychiatric assessment of skin care products survivors. Indian J Psychiatry 2020;62:457-8skin care products renova is expected renova zero by vaporesso to bring a Tsunami of mental health issues. Public health emergencies may affect the well-being, safety, and security of both individuals and communities, which lead to a range of emotional reactions, unhealthy behavior, and noncompliance, with public health directives (such as home confinement and vaccination) in people who contact the disease as well as in the general population.[1] Thus far, there has been an increased emphasis on psychosocial factors such as loneliness, effect of quarantine, uncertainty, vulnerability to skin care products , economic factors, and career difficulties, which may lead to increased psychiatric morbidity.Time has now come to pay attention to the direct effect of the renova on brain and psychiatric adverse symptoms, resulting from the treatment provided. Viral s are known to be renova zero by vaporesso associated with psychiatric disorders such as depression, bipolar disorder, obsessive–compulsive disorder (OCD), or schizophrenia.

There was an increased incidence of psychiatric disorders following the Influenza renova. Karl Menninger described 100 cases of influenza presenting with psychiatric sequelae, which could renova zero by vaporesso mainly be categorized as dementia praecox, delirium, other psychoses, and unclassified subtypes. Dementia praecox constituted the largest number among all these cases.[2] Neuroinflammation is now known as the key factor in genesis and exacerbation of psychiatric disorders, particularly depression and bipolar disorders.Emerging evidence points toward the neurotropic properties of the skin care renova. Loss of smell and taste as an initial symptom points toward early renova zero by vaporesso involvement of olfactory bulb. The rapid spread to brain has been demonstrated through retrograde axonal transport.[3] The renova can enter the brain through endothelial cells lining the blood–brain barrier and also through other nerves such as the vagus nerve.[4] Cytokine storm, a serious immune reaction to the renova, can activate brain glial cells, leading to delirium, depression, bipolar disorder, and OCD.Studies examining psychiatric disorders in acute patients suffering from skin care products found almost 40% of such patients suffering from anxiety, depression, and posttraumatic stress disorder.[5] The data on long-term psychiatric sequelae in patients who have recovered from acute illness are limited.

There are anecdotal reports of psychosis and mania occurring in patients of skin care products following discharge from hospital. This may be either due to the direct effect of the renova renova zero by vaporesso on the brain or due to the neuropsychiatric effects of drugs used to treat the or its complications. For example, behavioral toxicity of high-dose corticosteroids which are frequently used during the treatment of severe cases to prevent and manage cytokine storm.The patients with skin care products can present with many neuropsychiatric disorders, which may be caused by direct inflammation, central nervous system effects of cytokine storm, aberrant epigenetic modifications of stress-related genes, glial activation, or treatment emergent effects.[6] To assess and manage various neuropsychiatric complications of skin care products, the psychiatric community at large should equip itself with appropriate assessment tools and management guidelines to effectively tackle this unprecedented wave of psychiatric ailments. References 1.Pfefferbaum B, North renova zero by vaporesso CS. Mental health and the skin care products renova.

N Engl J Med 2020;383:510-2 renova zero by vaporesso. 2.Lu H, Stratton CW, Tang YW. Outbreak of pneumonia renova zero by vaporesso of unknown etiology in Wuhan, China. The mystery and the miracle. J Med Virol 2020;92:401-2.

3.Fodoulian L, Tuberosa J, Rossier D, Landis BN, Carleton A, renova zero by vaporesso Rodriguez I. skin care receptor and entry genes are expressed by sustentacular cells in the human olfactory neuroepithelium. BioRxiv 2020.03.31.013268 renova zero by vaporesso. Doi. Https://doi.org/10.1101/2020.03.31.013268.

4.Lochhead JJ, Thorne RG. Intranasal delivery of biologics to the central nervous system. Adv Drug Deliv Rev 2012;64:614-28. 5.Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe skin care s.

A systematic review and meta-analysis with comparison to the skin care products renova. Lancet Psychiatry 2020;7:611-27. 6.Steardo L Jr., Steardo L, Verkhratsky A. Psychiatric face of skin care products. Transl Psychiatry 2020;10:261.

Correspondence Address:Om Prakash SinghAA 304, Ashabari Apartments, O/31, Baishnabghata, Patuli Township, Kolkata - 700 094, West Bengal IndiaSource of Support. None, Conflict of Interest. NoneDOI. 10.4103/indianjpsychiatry.indianjpsychiatry_1169_2Abstract The skin care products renova has emerged as a major stressor of a global scale, affecting all aspects of our lives, and is likely to contribute to a surge of mental ill health. Ancient Hindu scriptures, notably the Bhagavad Gita, have a wealth of insights that can help approaches to build psychological resilience for individuals at risk, those affected, as well as for caregivers.

The path of knowledge (Jnana yoga) promotes accurate awareness of nature of the self, and can help reframe our thinking from an “I” to a “we mode,” much needed for collectively mitigating the spread of the skin care. The path of action (Karma yoga) teaches the art of selfless action, providing caregivers and frontline health-care providers a framework to continue efforts in the face of uncertain consequences. Finally, the path of meditation (Raja yoga) offers a multipronged approach to healthy lifestyle and mindful meditation, which may improve resilience to the illness and its severe consequences. While more work is needed to empirically examine the potential value of each of these approaches in modern psychotherapy, the principles herein may already help individuals facing and providing care for the skin care products renova.Keywords. Bhagavad Gita, skin care products, YogaHow to cite this article:Keshavan MS.

Building resilience in the skin care products era. Three paths in the Bhagavad Gita. Indian J Psychiatry 2020;62:459-61The skin care products crisis has changed our world in just a matter of months, thrusting us into danger, uncertainty, fear, and of course social isolation. At the time of this writing, over 11 million individuals have been affected worldwide (India is fourth among all countries, 674,515) and over half a million people have died. The skin care products renova has been an unprecedented global stressor, not only because of the disease burden and mortality but also because of economic upheaval.

The very fabric of the society is disrupted, affecting housing, personal relationships, travel, and all aspects of lifestyle. The overwhelmed health-care system is among the most major stressors, leading to a heightened sense of vulnerability. No definitive treatments or treatment is on the horizon yet. Psychiatry has to brace up to an expected mental health crisis resulting from this global stressor, not only with regard to treating neuropsychiatric consequences but also with regard to developing preventive approaches and building resilience.Thankfully, there is a wealth of wisdom to help us in our ancient scriptures such as the Bhagavad Gita[1] for building psychological resilience. The Bhagavad Gita is a dialog between the Pandava prince Arjuna and his charioteer Krishna in the epic Mahabharata, the great tale of the Bharata Dynasty, authored by Sage Vyasa (c.

4–5 B.C.E.). The dialog occurs in the 6th chapter of the epic and has over 700 verses. In this epic story, Arjuna, the righteous Pandava hero was faced with the dilemma of waging a war against his cousins, the Kauravas, for territory. Arjuna is confused and has no will to initiate the war. In this context, Krishna, his charioteer and spiritual mentor, counsels him.

The key principles of this spiritual discourse in the Gita are embodied in the broad concept of yoga, which literally means “Yog” or “to unite.” Applying three tenets of yoga can greatly help developing resilience at individual, group, and societal levels. A fourth path, Bhakti yoga, is a spiritual approach in the Gita which emphasizes loving devotion toward a higher power or principle, which may or may not involve a personal god. In this editorial, I focus on three paths that have considerable relevance to modern approaches to reliance-focused psychotherapy that may be especially relevant in the skin care products era. Path of Knowledge The first concept in the Gita is the path of knowledge (Jnana Yoga, chapter 2). The fundamental goal of Jnana yoga is to liberate oneself from the limited view of the individual ego, and to develop the awareness of one's self as part of a larger, universal self.

Hindu philosophers were among the earliest to ask the question of “who am I” and concluded that the self is not what it seems. The self as we all know is a collection of our physical, mental, and social attributes that we create for ourselves with input from our perceptions, and input by our families and society. Such a world view leads to a tendency to crave for the “I” and for what is mine, and not consider the “We.” As Krishna in the Bhagavad Gita points out, the person who sees oneself in others, and others in oneself, really “sees.” Such awareness, which guides action in service of self as well as others, is critically important in our goals of collectively preventing the spread of the skin care. A glaring example is the use of face masks, known to effectively slow the viral . Using the mask is as important to protecting oneself from the renova as well as protecting others from oneself.

Nations such as the USA (and their leaders), who have given mixed messages to the public about the need to wear masks, have been showing a strikingly high number of cases as well as mortality. Unfortunately, such reluctance to wear masks (and thus model protective hygiene for the population), as in the case of the US leader, has stemmed from ego or vanity-related issues (i.e., how he would appear to other leaders!. ). This factor may at least partly underlie the worse skin care products outcome in the USA. The simple lesson here is that it is important to first flatten the ego if one wants to flatten the renova curve!.

Path of Action The second key concept is the path of action (Karma yoga, chapter 3). Karma yoga is all about taking action without thinking, “what's in it for me.” As such, it seeks to mainly let go of one's ego. In the Bhagavad Gita, Arjuna is ambivalent about fighting because of the conflict regarding the outcome brought on by waging the war, i.e., having to kill some of his own kith and kin. Krishna reminds him that he should not hesitate, because it is his nature and duty (or Dharma), as a warrior, to protect the larger good, though it will have some downside consequences. The frontline health-care worker caring for severely ill patients with skin care products is likely to have a similar emotional reaction as Arjuna, facing a lack of adequate treatments, high likelihood of mortality and of unpredictable negative outcomes, and risk to him/herself.

Compounding this, especially when resources such as ventilators are limited, the doctor may have to make tough decisions of whose life to save and whose not. Adding to this are personal emotions when facing with the death of patients, having to deliver bad news, and dealing with grieving relatives.[2] All these are likely to result in emotional anguish and guilt, leading to burnout and a war “neurosis.”So, what should the frontline health-care provider should do?. Krishna's counsel would be that the doctor should continue to perform his/her own dharma, but do so without desire or attachment, thereby performing action in the spirit of Karma yoga. Such action would be with detachment, without a desire for personal gain and being unperturbed by success or failure. Such “Nishkaama Karma” (or selfless action) may help doctors working today in the skin care products outbreak to carry forward their work with compassion, and accept the results of their actions with equanimity and without guilt.

Krishna points out that training one's mind to engage in selfless action is not easy but requires practice (Abhyasa). Krishna is also emphatic about the need to protect oneself, in order to be able to effectively carry out one's duties. Path of Meditation The third core concept in the Gita is the path of meditation and self-reflection (Raja yoga, or Dhyana yoga, chapter 6). It is considered the royal path (Raja means royal) for attaining self-realization, and often considered the 8-fold path of yoga (Ashtanga yoga) designed to discipline lifestyle, the body and mind toward realizing mindfulness and self-reflection. These techniques, which originated in India over two millennia ago, have evolved over recent decades and anticipate several approaches to contemplative psychotherapy, including dialectical behavior therapy, acceptance and commitment therapy, and mindfulness-based stress reduction.[3] These approaches are of particular relevance for stress reduction and resilience building in individuals faced by skin care products-related emotional difficulties as well as health-care providers.[4]The majority of people affected by the skin care products renova recover, but about 20% have severe disease, and the mortality is around 5%.

Older individuals, those with obesity and comorbid medical illnesses such as diabetes and lung disease, are particularly prone to developing severe disease. It is possible that a state of chronic low-grade inflammation which underlies each of these conditions may increase the risk of disproportionate host immune reactions (with excessive release of cytokines), characterizing severe disease in those with skin care products.[4] With this in mind, it is important to note that exercise, some forms of meditation, anti-inflammatory and antioxidant diet (such as turmeric and melatonin), and yoga have known benefits in reducing inflammation.[5],[6],[7],[8],[9] Sleep loss also elevates inflammatory cytokines. Healthy sleep may reduce inflammation.[10] Clearly, a healthy lifestyle, including healthy sleep, exercise, and diet, may be protective against developing skin care products-related severe complications. These principles of healthy living are beautifully summarized in the Bhagavad Gita.Yuktahara-viharasya yukta-cestasya karmasuYukta-svapnavabodhasya yogo bhavati duhkha-haHe who is temperate in his habits of eating, sleeping, working and recreation can mitigate all sorrows by practicing the yoga system.–Bhagavad Gita, Chapter 6, verse 17.The relevance of the Bhagavad Gita for modern psychotherapy has been widely reviewed.[11],[12] However, relatively little empirical literature exists on the effectiveness of versus spiritually integrated psychotherapy incorporating Hindu psychotherapeutic insights. Clearly, more work is needed, and skin care products may provide an opportunity for conducting further empirical research.[13] In the meantime, using the principles outlined here may already be of benefit in helping those in need, and may be rapidly enabled in the emerging era of telehealth and digital health.[14]Financial support and sponsorshipNil.Conflicts of interestThere are no conflicts of interest.

References 1.Pandurangi AK, Shenoy S, Keshavan MS. Psychotherapy in the Bhagavad Gita, the Hindu scriptural text. Am J Psychiatry 2014;171:827-8. 2.Arango C. Lessons learned from the skin care health crisis in Madrid, Spain.

How skin care products has changed our lives in the last 2 weeks [published online ahead of print, 2020 Apr 8]. Biol Psychiatry 2020;26:S0006-3223 (20) 31493-1. [doi. 10.1016/j.biopsych. 2020.04.003].

3.Keshavan MS, Gangadhar GN, Hinduism PA. In. Spirituality and Mental Health Across Cultures, Evidence-Based Implications for Clinical Practice. Oxford, England. Oxford University Press.

In Press. 4.Habersaat KB, Betsch C, Danchin M, Sunstein CR, Böhm R, Falk A, et al. Ten considerations for effectively managing the skin care products transition. Nat Hum Behav 2020;4:677-87. Doi.

10.1038/s41562-020-0906-x. Epub 2020 Jun 24. 5.Kumar K. Building resilience to skin care products disease severity. J Med Res Pract 2020;9:1-7.

6.Bushell W, Castle R, Williams MA, Brouwer KC, Tanzi RE, Chopra D, et al. Meditation and Yoga practices as potential adjunctive treatment of skin care and skin care products. A brief overview of key subjects [published online ahead of print, 2020 Jun 22]. J Altern Complement Med 2020;26:10.1089/acm. 2020.0177.

[doi. 10.1089/acm. 2020.0177]. 7.Gupta H, Gupta M, Bhargava S. Potential use of turmeric in skin care products [published online ahead of print, 2020 Jul 1].

Clin Exp Dermatol. 2020;10.1111/ced.14357. Doi:10.1111/ced.14357. 8.Damiot A, Pinto AJ, Turner JE, Gualano B. Immunological implications of physical inactivity among older adults during the skin care products renova [published online ahead of print, 2020 Jun 25].

Gerontology 2020:26;1-8. [doi. 10.1159/000509216]. 9.El-Missiry MA, El-Missiry ZM, Othman AI. Melatonin is a potential adjuvant to improve clinical outcomes in individuals with obesity and diabetes with coexistence of skin care products [published online ahead of print, 2020 Jun 29].

Eur J Pharmacol 2020;882:173329. 10.Mullington JM, Simpson NS, Meier-Ewert HK, Haack M. Sleep loss and inflammation. Best Pract Res Clin Endocrinol Metab 2010;24:775-84. 11.Balodhi JP, Keshavan MS.

Bhagavad Gita and psychotherapy. Asian J Psychiatr 2011;4:300-2. 12.Bhatia SC, Madabushi J, Kolli V, Bhatia SK, Madaan V. The Bhagavad Gita and contemporary psychotherapies. Indian J Psychiatry 2013;55:S315-21.

13.Keshavan MS. renovas and psychiatry. Repositioning research in context of skin care products [published online ahead of print, 2020 May 7]. Asian J Psychiatr 2020;51:102159. [doi.

10.1016/j.ajp. 2020.102159]. 14.Torous J, Keshavan M. skin care products, mobile health and serious mental illness. Schizophr Res 2020;218:36-7.

Correspondence Address:Matcheri S KeshavanRoom 542, Massachusetts Mental Health Center, 75 Fenwood Road, Boston, MA 02115 USASource of Support. None, Conflict of Interest. NoneDOI. 10.4103/psychiatry.IndianJPsychiatry_829_20.

How to why not try here cite this article:Singh OP buy renova zero. The need for routine psychiatric assessment of skin care products survivors. Indian J Psychiatry 2020;62:457-8skin care products renova is expected to bring a Tsunami of mental health issues buy renova zero. Public health emergencies may affect the well-being, safety, and security of both individuals and communities, which lead to a range of emotional reactions, unhealthy behavior, and noncompliance, with public health directives (such as home confinement and vaccination) in people who contact the disease as well as in the general population.[1] Thus far, there has been an increased emphasis on psychosocial factors such as loneliness, effect of quarantine, uncertainty, vulnerability to skin care products , economic factors, and career difficulties, which may lead to increased psychiatric morbidity.Time has now come to pay attention to the direct effect of the renova on brain and psychiatric adverse symptoms, resulting from the treatment provided. Viral s are known to be associated with psychiatric disorders such as depression, bipolar disorder, obsessive–compulsive disorder (OCD), buy renova zero or schizophrenia.

There was an increased incidence of psychiatric disorders following the Influenza renova. Karl Menninger described 100 cases of influenza presenting with psychiatric sequelae, which could mainly be categorized as dementia praecox, delirium, other buy renova zero psychoses, and unclassified subtypes. Dementia praecox constituted the largest number among all these cases.[2] Neuroinflammation is now known as the key factor in genesis and exacerbation of psychiatric disorders, particularly depression and bipolar disorders.Emerging evidence points toward the neurotropic properties of the skin care renova. Loss of smell and taste as an initial symptom points toward early buy renova zero involvement of olfactory bulb. The rapid spread to brain has been demonstrated through retrograde axonal transport.[3] The renova can enter the brain through endothelial cells lining the blood–brain barrier and also through other nerves such as the vagus nerve.[4] Cytokine storm, a serious immune reaction to the renova, can activate brain glial cells, leading to delirium, depression, bipolar disorder, and OCD.Studies examining psychiatric disorders in acute patients suffering from skin care products found almost 40% of such patients suffering from anxiety, depression, and posttraumatic stress disorder.[5] The data on long-term psychiatric sequelae in patients who have recovered from acute illness are limited.

There are anecdotal reports of psychosis and mania occurring in patients of skin care products following discharge from hospital. This may be either due to the direct effect of the renova buy renova zero on the brain or due to the neuropsychiatric effects of drugs used to treat the or its complications. For example, behavioral toxicity of high-dose corticosteroids which are frequently used during the treatment of severe cases to prevent and manage cytokine storm.The patients with skin care products can present with many neuropsychiatric disorders, which may be caused by direct inflammation, central nervous system effects of cytokine storm, aberrant epigenetic modifications of stress-related genes, glial activation, or treatment emergent effects.[6] To assess and manage various neuropsychiatric complications of skin care products, the psychiatric community at large should equip itself with appropriate assessment tools and management guidelines to effectively tackle this unprecedented wave of psychiatric ailments. References 1.Pfefferbaum buy renova zero B, North CS. Mental health and the skin care products renova.

N Engl J Med 2020;383:510-2 buy renova zero. 2.Lu H, Stratton CW, Tang YW. Outbreak of buy renova zero pneumonia of unknown etiology in Wuhan, China. The mystery and the miracle. J Med Virol 2020;92:401-2.

3.Fodoulian L, buy renova zero Tuberosa J, Rossier D, Landis BN, Carleton A, Rodriguez I. skin care receptor and entry genes are expressed by sustentacular cells in the human olfactory neuroepithelium. BioRxiv 2020.03.31.013268 buy renova zero. Doi. Https://doi.org/10.1101/2020.03.31.013268.

4.Lochhead JJ, Thorne RG. Intranasal delivery of biologics to the central nervous system. Adv Drug Deliv Rev 2012;64:614-28. 5.Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe skin care s.

A systematic review and meta-analysis with comparison to the skin care products renova. Lancet Psychiatry 2020;7:611-27. 6.Steardo L Jr., Steardo L, Verkhratsky A. Psychiatric face of skin care products. Transl Psychiatry 2020;10:261.

Correspondence Address:Om Prakash SinghAA 304, Ashabari Apartments, O/31, Baishnabghata, Patuli Township, Kolkata - 700 094, West Bengal IndiaSource of Support. None, Conflict of Interest. NoneDOI. 10.4103/indianjpsychiatry.indianjpsychiatry_1169_2Abstract The skin care products renova has emerged as a major stressor of a global scale, affecting all aspects of our lives, and is likely to contribute to a surge of mental ill health. Ancient Hindu scriptures, notably the Bhagavad Gita, have a wealth of insights that can help approaches to build psychological resilience for individuals at risk, those affected, as well as for caregivers.

The path of knowledge (Jnana yoga) promotes accurate awareness of nature of the self, and can help reframe our thinking from an “I” to a “we mode,” much needed for collectively mitigating the spread of the skin care. The path of action (Karma yoga) teaches the art of selfless action, providing caregivers and frontline health-care providers a framework to continue efforts in the face of uncertain consequences. Finally, the path of meditation (Raja yoga) offers a multipronged approach to healthy lifestyle and mindful meditation, which may improve resilience to the illness and its severe consequences. While more work is needed to empirically examine the potential value of each of these approaches in modern psychotherapy, the principles herein may already help individuals facing and providing care for the skin care products renova.Keywords. Bhagavad Gita, skin care products, YogaHow to cite this article:Keshavan MS.

Building resilience in the skin care products era. Three paths in the Bhagavad Gita. Indian J Psychiatry 2020;62:459-61The skin care products crisis has changed our world in just a matter of months, thrusting us into danger, uncertainty, fear, and of course social isolation. At the time of this writing, over 11 million individuals have been affected worldwide (India is fourth among all countries, 674,515) and over half a million people have died. The skin care products renova has been an unprecedented global stressor, not only because of the disease burden and mortality but also because of economic upheaval.

The very fabric of the society is disrupted, affecting housing, personal relationships, travel, and all aspects of lifestyle. The overwhelmed health-care system is among the most major stressors, leading to a heightened sense of vulnerability. No definitive treatments or treatment is on the horizon yet. Psychiatry has to brace up to an expected mental health crisis resulting from this global stressor, not only with regard to treating neuropsychiatric consequences but also with regard to developing preventive approaches and building resilience.Thankfully, there is a wealth of wisdom to help us in our ancient scriptures such as the Bhagavad Gita[1] for building psychological resilience. The Bhagavad Gita is a dialog between the Pandava prince Arjuna and his charioteer Krishna in the epic Mahabharata, the great tale of the Bharata Dynasty, authored by Sage Vyasa (c.

4–5 B.C.E.). The dialog occurs in the 6th chapter of the epic and has over 700 verses. In this epic story, Arjuna, the righteous Pandava hero was faced with the dilemma of waging a war against his cousins, the Kauravas, for territory. Arjuna is confused and has no will to initiate the war. In this context, Krishna, his charioteer and spiritual mentor, counsels him.

The key principles of this spiritual discourse in the Gita are embodied in the broad concept of yoga, which literally means “Yog” or “to unite.” Applying three tenets of yoga can greatly help developing resilience at individual, group, and societal levels. A fourth path, Bhakti yoga, is a spiritual approach in the Gita which emphasizes loving devotion toward a higher power or principle, which may or may not involve a personal god. In this editorial, I focus on three paths that have considerable relevance to modern approaches to reliance-focused psychotherapy that may be especially relevant in the skin care products era. Path of Knowledge The first concept in the Gita is the path of knowledge (Jnana Yoga, chapter 2). The fundamental goal of Jnana yoga is to liberate oneself from the limited view of the individual ego, and to develop the awareness of one's self as part of a larger, universal self.

Hindu philosophers were among the earliest to ask the question of “who am I” and concluded that the self is not what it seems. The self as we all know is a collection of our physical, mental, and social attributes that we create for ourselves with input from our perceptions, and input by our families and society. Such a world view leads to a tendency to crave for the “I” and for what is mine, and not consider the “We.” As Krishna in the Bhagavad Gita points out, the person who sees oneself in others, and others in oneself, really “sees.” Such awareness, which guides action in service of self as well as others, is critically important in our goals of collectively preventing the spread of the skin care. A glaring example is the use of face masks, known to effectively slow the viral . Using the mask is as important to protecting oneself from the renova as well as protecting others from oneself.

Nations such as the USA (and their leaders), who have given mixed messages to the public about the need to wear masks, have been showing a strikingly high number of cases as well as mortality. Unfortunately, such reluctance to wear masks (and thus model protective hygiene for the population), as in the case of the US leader, has stemmed from ego or vanity-related issues (i.e., how he would appear to other leaders!. ). This factor may at least partly underlie the worse skin care products outcome in the USA. The simple lesson here is that it is important to first flatten the ego if one wants to flatten the renova curve!.

Path of Action The second key concept is the path of action (Karma yoga, chapter 3). Karma yoga is all about taking action without thinking, “what's in it for me.” As such, it seeks to mainly let go of one's ego. In the Bhagavad Gita, Arjuna is ambivalent about fighting because of the conflict regarding the outcome brought on by waging the war, i.e., having to kill some of his own kith and kin. Krishna reminds him that he should not hesitate, because it is his nature and duty (or Dharma), as a warrior, to protect the larger good, though it will have some downside consequences. The frontline health-care worker caring for severely ill patients with skin care products is likely to have a similar emotional reaction as Arjuna, facing a lack of adequate treatments, high likelihood of mortality and of unpredictable negative outcomes, and risk to him/herself.

Compounding this, especially when resources such as ventilators are limited, the doctor may have to make tough decisions of whose life to save and whose not. Adding to this are personal emotions when facing with the death of patients, having to deliver bad news, and dealing with grieving relatives.[2] All these are likely to result in emotional anguish and guilt, leading to burnout and a war “neurosis.”So, what should the frontline health-care provider should do?. Krishna's counsel would be that the doctor should continue to perform his/her own dharma, but do so without desire or attachment, thereby performing action in the spirit of Karma yoga. Such action would be with detachment, without a desire for personal gain and being unperturbed by success or failure. Such “Nishkaama Karma” (or selfless action) may help doctors working today in the skin care products outbreak to carry forward their work with compassion, and accept the results of their actions with equanimity and without guilt.

Krishna points out that training one's mind to engage in selfless action is not easy but requires practice (Abhyasa). Krishna is also emphatic about the need to protect oneself, in order to be able to effectively carry out one's duties. Path of Meditation The third core concept in the Gita is the path of meditation and self-reflection (Raja yoga, or Dhyana yoga, chapter 6). It is considered the royal path (Raja means royal) for attaining self-realization, and often considered the 8-fold path of yoga (Ashtanga yoga) designed to discipline lifestyle, the body and mind toward realizing mindfulness and self-reflection. These techniques, which originated in India over two millennia ago, have evolved over recent decades and anticipate several approaches to contemplative psychotherapy, including dialectical behavior therapy, acceptance and commitment therapy, and mindfulness-based stress reduction.[3] These approaches are of particular relevance for stress reduction and resilience building in individuals faced by skin care products-related emotional difficulties as well as health-care providers.[4]The majority of people affected by the skin care products renova recover, but about 20% have severe disease, and the mortality is around 5%.

Older individuals, those with obesity and comorbid medical illnesses such as diabetes and lung disease, are particularly prone to developing severe disease. It is possible that a state of chronic low-grade inflammation which underlies each of these conditions may increase the risk of disproportionate host immune reactions (with excessive release of cytokines), characterizing severe disease in those with skin care products.[4] With this in mind, it is important to note that exercise, some forms of meditation, anti-inflammatory and antioxidant diet (such as turmeric and melatonin), and yoga have known benefits in reducing inflammation.[5],[6],[7],[8],[9] Sleep loss also elevates inflammatory cytokines. Healthy sleep may reduce inflammation.[10] Clearly, a healthy lifestyle, including healthy sleep, exercise, and diet, may be protective against developing skin care products-related severe complications. These principles of healthy living are beautifully summarized in the Bhagavad Gita.Yuktahara-viharasya yukta-cestasya karmasuYukta-svapnavabodhasya yogo bhavati duhkha-haHe who is temperate in his habits of eating, sleeping, working and recreation can mitigate all sorrows by practicing the yoga system.–Bhagavad Gita, Chapter 6, verse 17.The relevance of the Bhagavad Gita for modern psychotherapy has been widely reviewed.[11],[12] However, relatively little empirical literature exists on the effectiveness of versus spiritually integrated psychotherapy incorporating Hindu psychotherapeutic insights. Clearly, more work is needed, and skin care products may provide an opportunity for conducting further empirical research.[13] In the meantime, using the principles outlined here may already be of benefit in helping those in need, and may be rapidly enabled in the emerging era of telehealth and digital health.[14]Financial support and sponsorshipNil.Conflicts of interestThere are no conflicts of interest.

References 1.Pandurangi AK, Shenoy S, Keshavan MS. Psychotherapy in the Bhagavad Gita, the Hindu scriptural text. Am J Psychiatry 2014;171:827-8. 2.Arango C. Lessons learned from the skin care health crisis in Madrid, Spain.

How skin care products has changed our lives in the last 2 weeks [published online ahead of print, 2020 Apr 8]. Biol Psychiatry 2020;26:S0006-3223 (20) 31493-1. [doi. 10.1016/j.biopsych. 2020.04.003].

3.Keshavan MS, Gangadhar GN, Hinduism PA. In. Spirituality and Mental Health Across Cultures, Evidence-Based Implications for Clinical Practice. Oxford, England. Oxford University Press.

In Press. 4.Habersaat KB, Betsch C, Danchin M, Sunstein CR, Böhm R, Falk A, et al. Ten considerations for effectively managing the skin care products transition. Nat Hum Behav 2020;4:677-87. Doi.

10.1038/s41562-020-0906-x. Epub 2020 Jun 24. 5.Kumar K. Building resilience to skin care products disease severity. J Med Res Pract 2020;9:1-7.

6.Bushell W, Castle R, Williams MA, Brouwer KC, Tanzi RE, Chopra D, et al. Meditation and Yoga practices as potential adjunctive treatment of skin care and skin care products. A brief overview of key subjects [published online ahead of print, 2020 Jun 22]. J Altern Complement Med 2020;26:10.1089/acm. 2020.0177.

[doi. 10.1089/acm. 2020.0177]. 7.Gupta H, Gupta M, Bhargava S. Potential use of turmeric in skin care products [published online ahead of print, 2020 Jul 1].

Clin Exp Dermatol. 2020;10.1111/ced.14357. Doi:10.1111/ced.14357. 8.Damiot A, Pinto AJ, Turner JE, Gualano B. Immunological implications of physical inactivity among older adults during the skin care products renova [published online ahead of print, 2020 Jun 25].

Gerontology 2020:26;1-8. [doi. 10.1159/000509216]. 9.El-Missiry MA, El-Missiry ZM, Othman AI. Melatonin is a potential adjuvant to improve clinical outcomes in individuals with obesity and diabetes with coexistence of skin care products [published online ahead of print, 2020 Jun 29].

Eur J Pharmacol 2020;882:173329. 10.Mullington JM, Simpson NS, Meier-Ewert HK, Haack M. Sleep loss and inflammation. Best Pract Res Clin Endocrinol Metab 2010;24:775-84. 11.Balodhi JP, Keshavan MS.

Bhagavad Gita and psychotherapy. Asian J Psychiatr 2011;4:300-2. 12.Bhatia SC, Madabushi J, Kolli V, Bhatia SK, Madaan V. The Bhagavad Gita and contemporary psychotherapies. Indian J Psychiatry 2013;55:S315-21.

13.Keshavan MS. renovas and psychiatry. Repositioning research in context of skin care products [published online ahead of print, 2020 May 7]. Asian J Psychiatr 2020;51:102159. [doi.

10.1016/j.ajp. 2020.102159]. 14.Torous J, Keshavan M. skin care products, mobile health and serious mental illness. Schizophr Res 2020;218:36-7.

Correspondence Address:Matcheri S KeshavanRoom 542, Massachusetts Mental Health Center, 75 Fenwood Road, Boston, MA 02115 USASource of Support. None, Conflict of Interest. NoneDOI. 10.4103/psychiatry.IndianJPsychiatry_829_20.