Daily Archives: October 18, 2020

Photo: Darwin statute at the Natural History Museum, by Alan Perestrello, via Flickr (cropped).

Here is a Darwinist with a fair and clear-headed understanding of the intellectual and spiritual stakes in the evolution debate. Or rather, some of the stakes. Jamie Milton Freestone is a postdoc at the University of Queenslands Institute for Advanced Studies in theHumanities. Writing at Areo, he asks bluntly, Does Darwinism Conflict with Religion?

Hes probably right that many people, including otherwise thoughtful ones, dont give the question any serious thought. And hes right that it all depends on how you understand what evolution means. His comments on intelligent design are remarkably civil, and I was amused by his designation of our colleague Michael Behe as the intelligent design equivalent of [Richard] Dawkins. That might not be too far off.

Freestone concludes that evolution, if you do think about it seriously, probably cant be reconciled with religious belief. He cites the thought of Stephen Jay Gould, Dawkins, Alex Rosenberg, and proponents of the extended evolutionary synthesis as options, along with intelligent design, and asks, So what should be said about Darwinisms implications? His answers:

1. It can only describe the natural world, so keep it separate from human concerns, which you learn about in civics class or Sunday school. (Goulds view.)

2. It explains everything in nature and rules out God, but we can make our own purposes because we evolved to do so. Phew. (Dawkins view.)

3. If Darwinism were true it certainly would destroy all human purpose and meaning, and wed be left with nihilism. Luckily it isnt true and the irreducible complexity of living things is evidence of a designer. Phew. (Intelligent design.)

4. The neo-Darwinian orthodoxy is too harsh. We need to promote a non-supernatural but still more expansive version of Darwinism that allows for lifes creativity and agency. (Some advocates of a scientifically respectable version of vitalism and some peoples take on the extended evolutionary synthesis.)

5. Darwinism appears to be nihilistic because it is. Its baleful implications for politics and morality are an important part of the theory and the sooner we take the bitter pill the better. (Rosenbergs view.)

He rightly dismisses Goulds strategy of reconciliation:

Stephen Jay Gould, a more irenic Darwinian, tried to separate science and religion into non-overlapping magisteria, arguing that they simply answer different questions, so they neednt be in conflict. This is wildly wrong for multiple reasons. First of all, religions clearly pronounce on factual questions all the time. Second, science often pronounces on ought questions. Third, what about all the other domains, like the arts, humanities and social sciences, where do they fit in? Fourth, is it even possible to separate is and ought?

Once Gould is eliminated, it comes down to evolution that indeed forces us to decide between atheism one that is thoroughly nihilistic or cautiously allows for (the illustion of) purpose or intelligent design. I dont see any evidence of Freestones wrestling in detail with arguments for ID. But the candor and, as I said, civility of his writing deserves commendation.

One might add, though, that there are additional stakes in the origins debate. Yes, the coherence of a religious viewpoint is one point balanced on the knifes edge. But theres more. The God hypothesis, as philosopher of science Stephen Meyer calls it in his book that comes out in March (Return of the God Hypothesis: Three Scientific Discoveries that Reveal the Mind Behind the Universe), allows for a divine image imprinted universally upon the human race. As the Bibles language puts it, Gods image is reflected in man much as a mans image is imprinted in his children. What that means exactly is enigmatic, but it demands a recognition of equal human dignity regardless of skin color or ethnicity. What is a human being? That may be a still more profound consequence of the intelligent design controversy than the one that is the focus of Freestones article.

John Wests documentary Human Zoos powerfully summarizes some of the baleful history of how Darwinism has encouraged racial and eugenic horrors from the 19th to the 20th to the 21st century:

Take away the idea of a transcendent image shared by all humans equally, and you are left with a nightmare in which grading humans by race, condemning some and exalting others because of their pigmentation, becomes a definite option. Darwins theory gave a powerful boost to pseudo-scientific racism, as various neo-Nazis and white nationalists down to our day recognize and celebrate. In fact, Ive never heard a good answer to the question: Given the premise of Darwinism, why would you expect humans to be equal?

I would be curious to hear how Darwinists like Dr. Freestone reconcile their evolutionism not just with religion but with their commitment, assuming they are committed, to human equality and human dignity. That would make a fine topic for a further essay at Areo.

Excerpt from:

A Darwinist Recognizes (Some of) the Stakes in the Intelligent Design Debate - Discovery Institute

Its hard to express how angry I am over the latest outburst of leftist violence in Portland. Statues of Theodore Roosevelt and Abraham Lincoln, two of the greatest Republican presidents, were torn down and the Oregon Historical Society was ransacked in a day of rage on Sunday.

The destruction of those statues is all the proof you need that this violence has nothing to do with black lives or racism. This nihilism has nothing to do with making America a better country.

The riot itself was billed as a demonstration for Indigenous Peoples Day. The Biden campaign put out a statement for Indigenous Peoples Day and ignored Columbus Day, the actual federal holiday.

I can say with certainty that none of the thugs participating in Sundays violence are Trump/Pence voters, but a significant percentage are undoubtedly Biden/Harris voters. This is not a fringe movement, but the heart of the Democrat Party.

Why do I say this? Because, among other things, one of the rioters was a former Democrat candidate. Democrat staffers and officials have been arrested at other riots.

I have no doubt that the Portland rioters were inspired by what they have been taught at our institutions of higher learning. They are immersed in a campus culture that mocks patriotism.

They have been taught anti-American history, taught that America was evil from its founding in 1619 and that the American Revolution was fought to preserve slavery, a disgusting lie.

They have been inspired by Nancy Pelosi, who condemned law enforcement officers as Stormtroopers and by other leftists who have denounced America as systemically racist.

The lefts rhetoric and its radicalism created this violent mob, and the Biden/Harris ticket is empowering this mob. Just yesterday the guy were told is a moderate stoked the lefts hatred of America once again. See below.

Who Loves America?

After the shooting of Jacob Blake in Wisconsin, Los Angeles Clippers coach Doc Rivers raised eyebrows for declaring, Its amazing to me why we [black Americans] keep loving this country and this country does not love us back.

Joe Biden quickly embraced Riverss statement and has repeated it during recent campaign events. Monday in Ohio Biden said, Think about what it takes for a black person to love America We hold these truths to be self-evident that all men, weve never met that standard.

What an outrageous statement for Biden to make! He served as the vice president to the first black man ever elected and reelected as our president. And Biden has the audacity to say, Weve never met that standard.

Bidens statement mocks every black man and woman who wore the uniform of our all-volunteer military. It mocks every grave of a patriotic black veteran. It is a poisonous message to every young American.

Once again, we see just how desperate the left is to gain power, even if it has to tear down America in the process.

You Dont Deserve To Know

As you know, the Supreme Court confirmation hearings for Judge Amy Coney Barrett are underway. Predictably, Democrats have condemned the hearings as illegitimate and condemned Barrett as an extremist. Incredibly, one left-wing Democrat suggested that Barrett, a highly successful working mother of seven, would setback womens rights!

First, lets set the record the straight on the question of legitimacy. A Supreme Court vacancy has occurred 15 times during a presidential election year. In all 15 times, the president made a nomination, as is his constitutional right.

In seven of those times, the Senate was controlled by the opposition party and there were only two confirmations. Thats a confirmation rate of just 29% when the White House and the Senate are controlled by different parties.

In eight of those times, the Senate was controlled by the same party as the president. Seven of those nominations were confirmed. Thats a confirmation rate of 88% when the White House and the Senate are controlled by the same parties. And that is the situation we have today.

There was nothing unusual with the Senate refusing to confirm Merrick Garland in 2016. It would have been highly unusual if Garland had been confirmed. And there is nothing unusual about the Senate proceeding with Judge Barretts confirmation now. It would be highly unusual if Judge Barrett were not confirmed.

Moreover, in the course of their remarks, one Democrat after another has revealed their true intentions as they label Barrett a threat to abortion, a threat to Obamacare, a threat to LGBTQ rights.

In other words, they arent interested in the Constitution, but their policy agenda. They want activists making policy from the bench. Thankfully, Judge Barrett rejects that philosophy.

In her opening remarks yesterday, Barrett declared, Courts are not designed to solve every problem The policy decisions and value judgments of government must be made by the political branches elected by and accountable to the People.

But Joe Biden has no interest in being accountable to the people. When asked recently about his views on packing the Supreme Court with more left-wing judges, Biden said, Youll know my position on court-packing the day after the election.

Pressed later by a reporter as to whether voters deserved an answer, Biden doubled down, saying, No, they dont.

Meanwhile, Chuck Schumer isnt being coy. He told MSNBC that Democrats would be right to pack the Supreme Court with left-wing judges. Schumer also said he was plotting ways to block Barretts confirmation.

An Absurd Analysis

Fox News ran a story Monday about Joe Biden calling court packing a boneheaded idea 23 years ago. Some Fox commentators suggested that Biden may have a problem with his left-wing base as a result. I cant believe how absurd that analysis is.

Biden used to be pro-life. We know what his position is today. The Joe Biden of decades ago would have no chance of being nominated by todays Democrat Party. Thats why he has moved so far to the left on every issue.

Meanwhile, the left is claiming that Trump and Senate Republicans are attempting to pack the court with Judge Barrett. Thats not court packing. Thats fulfilling a constitutional obligation to fill a judicial vacancy.

Court packing is not liking the make-up of the court, not waiting for a vacancy and increasing the number of justices by legislation so you can install activist judges who will rubber stamp your radical agenda.

That is the only definition of court packing that has ever existed. It is foolish for analysts at Fox News to defend Biden over some decades-old statement.

The most telling point here is that the left is attempting to redefine court packing in order to justify their efforts to do real court packing in the future, just as Chuck Schumer did.

President Harris

Monday, Joe Biden made several statements that raise serious questions about his mental faculties.

When talking about the 2012 campaign, he couldnt remember Mitt Romneys name.

He told an Ohio audience that he was running for the United States Senate. He last ran for the Senate in 2008, the same year he was elected vice president.

Later in the day, he directed supporters to the wrong website.

Unfortunately, these kinds of memory lapses are not unusual for Biden, and the people who love him the most have to know what is happening to him. The fact that they are not protecting him, and quite frankly the country, from this deterioration is beyond sad.

It almost leads one to conclude that the powers controlling the Democrat Party are convinced Kamala Harris is the real power behind this ticket. And the American people seem convinced as well, as most dont expect Biden to finish his first term.

See the original post here:

Gary Bauer: 'Day Of Rage' The Patriot Post - Patriot Post

Close to the end of Hari Kunzrus new novel, Red Pill, the narrator is telling a Manhattan therapist about his deranged attempts to expose Anton, an alt-right screenwriter who he believes is stirring up dangerous political forces. The therapist scoffs that Antons television shows hardly make him a significant figure: Dragons, that sort of thing. Surely I could see that this was not a field for anyone with serious political ambitions. It would be hard to think of anything more purely escapist. But he demurs: There were underground currents, new modes of propagation. It wasnt even a question of ideas, not straightforwardly, but feelings, atmospheres, yearnings, threats Essentially I was talking about fascism. The therapist dismisses it as anxiety about the presidential election. It is polling day, 8 November 2016.

The narrator is a restless New York intellectual who accepts a fellowship at the Deuter Centre, an interdisciplinary institute at Wannsee, outside Berlin. Alienated by its clinical and rigid atmosphere he takeslong, bleak walks around the lake; encountering the grave of the romantic poet Heinrich von Kleist, the villa where theNazis devised the final solution, and a former East German punk haunted by her past as a Stasi informant. He also lurks in his room, binge-watching footage from war zones and Blue Lives, a trashy cop drama whose nihilism and unacknowledged quotes from an anti-rationalist opponent of the French Revolution beguile him. Meeting Anton, the shows Nordic supremacist writer, in Berlin, he develops an obsession, pursuing Anton to Paris and a Scottish island.

Back in New York, his wife is devastated by his melodramatic self-absorption, friends regard him with pity and detachment and the therapist dismisses his sense of dread about the future. The novel concludes as his wifes fashionable Brooklynite circle gathers to watch the election results coverage, champagne at the ready to toast a Hillary Clinton win and the natural next step on a timeline in which the future is predictable, an extrapolation from the past, a steady progression. Donald Trump triumphs, their world collapses and suddenly the momentum seems to be with Antons people, the alt-right trolls with their memes, in-jokes, sinister Nordic symbology and conspiracy theories; a rival timeline in which all this normality is a paper screen over something bloody and atavistic that is rising up out of history to meet us. It occurs to the narrator: My madness is about to become everyones madness.

A presence looms over Red Pill but is not named in it: Friedrich Nietzsche. He looms thematically, as the supreme theorist to emerge from the mists of German Romanticism. And he looms intellectually, his arguments echoing in the contrast that strikes Kunzrus narrator towards the novels end. The world experienced by the narrator at Wannsee and in Antons oeuvre is not the orderly, rational, linear system of the therapist or the Brooklyn sophisticates, what Nietzsche dubbed the Apollonian. It is revealed disorder, frenzy, urges and appetites, or what the philosopher dubbed the Dionysian. Nietzsche argued that Greek tragedys synthesis of the Apollonian and the Dionysian order forged in the very affirmation of the chaos of reality made it the highest and purest form of art. It is such a tragic synthesis that Anton finds in his fascistic nihilism, and that the narrator, too, finds in his own, doomed quest to stop Anton.

Four years on from the fictional Brooklyn party, the madness seemingly unleashed at the last US presidential election hasindeed become everyones madness to some extent. Established assumptions about the march of progress are not gone, but are less glib and more qualified. The Dionysian forces tribes and masses, mysticism and disorder have announced their presence behind the paper screen. It is now widely accepted that desiccated liberalism, the weightless technocracy of Stronger Together (Clinton 2016) or Stronger, Safer and Better Off (Remain) is vulnerable when up against rival offerings that speak to the human yearning for emotional story-telling, for operatic goodies and baddies, for the recognisable narrative of a Make America Great Again (Trump 2016) or a Take Back Control (Leave). Once more a US presidential election approaches and once more a liberal candidate looks likely to win. But this time few are willing to predict that outcome with confidence.

Even if Joe Biden does triumph on 3 November, this should not be mistaken for a restoration of some temporarily disrupted order. The Dionysian will still lurk below the surface, and with it myriad chances, for those willing to take them, to mould it into forms and stories. Trump will almost certainly decry the result as illegitimate, urging his supporters to agitate against it. Violence may ensue. Disinformation and myths will continue to ripple across social media. More previously apolitical types, isolated by lockdowns and spending too long online, will be drawn into conspiracy theories such as the QAnon claims that Trump is secretly battling an elite, Satan-worshiping paedophile ring; modern-day Quixotes driven mad by reading too many fanciful tales.

None of which is to say that these threats should be overblown in a way that flatters their propagators, or to deny that humans also have an immense capacity for reason and science and individuality. But it is to remind ourselves that there is something universal, eternal and, like it or not, innately human about the atavistic passions that seemed to come out of nowhere four years ago. They existed beforehand and will long outlive any Biden presidency. Feelings, atmospheres, yearnings, threats will stillshape and define experience. History will not be over, nor will it have been proved to be linear. Stories will still matter.

Read this article:

Liberalism will remain vulnerable unless it can speak to our need for emotional storytelling - New Statesman

FEELING GUILTY? From Dante to Freud, guilt is a ripe subject for exploration. More often than not, the sentiment is understood in personal terms, as the responsibility assumed by an individual for a wrongdoing. It is Raskolnikov, not Mother Russia, who splits open the heads of the sisters with an axe at the outset of Fyodor Dostoevskys mid-nineteenth-century novel, Crime and Punishment, and it is his lone task, no one elses, to atone for his crime.

In the twentieth and now the twenty-first century, though, guilt has enjoyed a different connotation. Its become attached to the deeds of nations and even of civilizations. The French writer Pascal Bruckner, for example, took up this theme in The Tyranny of Guilt: An Essay on Western Masochism, published in French (La tyrannie de la pnitence) in 2006 and in translated English in 2010. His subtitle notwithstanding, Bruckner insisted on a crucial distinction between America and Europe. America is a project, Europe is a sorrow, he said: one broods on the past, the other starts over again.

No longer. Today, America is experiencing what is popularly called a reckoninga return to the past with an eye on crimes related to race, the crime of slavery especially, charged not only to particular individuals or institutions but to the nation as a whole. It is a backwards voyage with an avowed forward purpose: to make America a better, more just society. Still, even if intentions are laudable, the question can be posed: What does it profit a nation to embark on what might aptly be called a guilt trip? Is the hoped-for destination likely to be the actual point of landing?

A PLACE to begin to look for an answer to that question is with one of those long, nearly impossible for the English speaker to pronounce, German words: Vergangenheitsaufarbeitung. This word, for which (of course) there is no ready English substitute, can be translated as working-off-the-past, Susan Neiman, director of the Einstein Forum in Potsdam, tells us in her 2019 book, Learning from The Germans: Race and the Memory of Evil. Neiman, a Jewish native of the American South who has lived in Tel Aviv and now lives in Berlin, offers a guide to this territory. In her book, she notes a marked generational dimension to Vergangenheitsaufarbeitung:

Working off Germanys criminal past was not an academic exercise; it was too intimate for that. It meant confronting parents and teachers and calling their authority rotten. The 1960s in Germany were more turbulent than the 60s in Paris or Praguenot to mention Berkeleybecause they were not focused on crimes committed by someone or other in far-off Vietnam, but those considerably closer to home, committed by the people from whom lifes earliest lessons were learned.

And the spirit of Vergangenheitsaufarbeitung, Neiman takes care to remind, was not a one-off of the 1960s, but continued to express itself for decades to come. In Berlin, in the autumn of 1982, she recalls:

those who came of age in the 60s were working-off-the-past with special intensity, for the fiftieth anniversary of Hitlers election was approaching. There seemed no end of books and speeches The arts academy offered workshops on making films about the Third Reich. There were performances of music the Nazis banned and performances of music they promoted, with lectures accompanying each. Neighborhoods competed with each other to explore their own dark history.

That last sentence bears repeating, followed by a question mark: Neighborhoods competed with each other to explore their own dark history? To come to grips with personal guilt, as seen in Raskolnikovs paradigmatic experience, tends to be a wrenching, anguished, deeply private matterin his case the occasion for a conversion from a sort of casual nihilism to hard-won religious belief. The spectacle of neighborhoods in left-tilted Berlin vying with each other to exhume crimes of the past hinted at a cultural or political fashion. To parade guilt, was this to be a public badge of authenticity in the new Germany?

Still, Germans were right to reject the tempting idea, all too tempting, that, somehow, only Hitler was responsible for the evilness of the Nazi period, a point made by the ironically-titled play, It Wasnt Me, Hitler Did It, that opened in Berlin in 1977 and continued on for thirty-five years. Even Bruckner accepts this lesson: in The Tyranny of Guilt, he commends Germany for its exemplary effort to reflect on itself. In his framework, guilt becomes oppressive, an exercise in masochism, in sweeping self-indictments of Europe as essentially a criminal enterprise and no more than that. He may sound like he is exaggerating but there are many such examples. In the 1990s, the Swedish writer, Sven Lindqvist, pronounced that extermination was at the heart of European thought, with the Holocaust properly understood as a culmination of Europes imperial and colonial crimes in places like Africa. This refusal to acknowledge Europes accomplishment as the pioneer of the Enlightenment in the thicket of the obscurantism of the Middle Agesthe trailblazer for what became known as modern Western liberal valueswas more than just warped history. In this original-sin rendering of an entire civilization, here was a past that could never be worked off. Picture this Europe as a character consigned to Dantes eighth circle of hell, head plastered with excrement.

SO, WHAT is it to be for America, circa 2020: A narrowly-cast Vergangenheitsaufarbeitung, in the purposeful and bounded (if not always pristine) German manneror something a good deal messier than that?

An answer is suggested by two defining differences between the German experience with Nazism and the American experience with slavery and racial injustice generally. First, on the dimension of time, the Germans have less pasta lot less pastto work off. The Nazis became a national force on their party capturing nearly twenty percent of the vote in parliamentary elections held in 1930. Just fifteen years later Hitler committed suicide in a Berlin bunker, his ambitions, his regime, the thousand-year-Reich, obliterated for all time. By contrast, slavery in America began with the arrival of a slave ship in the British colony of Virginia in 1619 and was not abolished until 1865, on the passage of the Thirteenth Amendment by the U.S. Congress and ratification by states of the American republic.

Second, the American reckoning of 2020 occurs a century-and-a-half after slavery was formally outlawed. The American South, home of the defeated Confederacy, did not experience, post-Appomattox, a Berlin Sixties type moment, a new generation rising up to confront the sins of the fathers. To the contrary: defiant Southerners established the Ku Klux Klan to terrify freed slaves and perpetuate white supremacy, and they built monuments to honor Confederate leaders as martyrs to the Lost Cause. And even with slavery made illegal, African Americans were kept from fully participating in American society well into the twentieth century by a variety of measures, from the institution of sharecropping to the practice of voter suppression.

For these two fundamental reasonsthe sheer amount of past that America has to process, and the long-delayed nature of the reckoningan American attempt at Vergangenheitsaufarbeitung is bound to be less tidy than the German original. And so it is indeed proving.

Consider The 1619 Project. This major initiative of The New York Times, an ongoing collection of essays and educational materials, is intended, as the magazines editor-in-chief, Jake Silverstein, said on inaugurating the project last year, to reframe American history by considering what it would mean to regard 1619 as our nations birth year. What it would mean requires no strenuous exertion of the mind: it means a reductive, racialized understanding of a dichromatic America, divided into black and white. It is, in short, bunk.

To see race as the one recurrent thread in our history is, well, to see race as the one recurrent thread in our history. That insistent view translates, inevitably, into a flawed understanding of our past, including some of our most important moments. Conveniently left out of our founding mythology is the fact that one of the primary reasons the colonists decided to declare their independence from Britain was because they wanted to protect the institution of slavery, Nikole Hannah-Jones wrote in the first package of Times essays for The 1619 Project. She won a Pulitzer Prize for her essay even though she had her facts wrong. The idea that the Revolution occurred as a means of protecting slaveryI just dont think there is much evidence for it, and in fact the contrary is more true to what happened, the historian Gordon Wood, his career devoted to the study of the American Revolution, has countered. He offered that remark in an interview given to one of the few media outlets in America committed to a rigorous, dogged challenging of the 1619 narrative: a website operated by Trotskyists, a clan wedded to class, not race, as the motive force of history. The Revolution, Wood added, unleashed antislavery sentiments that led to the first abolition movements in the history of the world. In response to this correction of the record, the Times made a modest update to the Hannah-Jones piece.

Read more:

Guilt Trip: What America Should Learn From Germanys Nazi Reckoning - The National Interest

In Hirayama disease patients initially notice difficulty in writing, doing fine work like buttoning the shirt, mixing food and holding objects in the hands due to weakness. Here's everything you need to know about this rare condition.

This neurological condition usually affects young males

Hirayama disease is a rare disease of the nervous system presenting with weakness of one or both hands. This condition was first described by Keizo Hirayama in 1959. It is also called as brachial monomelic atrophy (MMA), juvenile segmental muscular atrophy of distal upper extremity. It is more prevalent in Asia especially Japan, India, China and few south East Asian countries. In India it is commonly seen in West Bengal, Andhra Pradesh and Telangana regions. The disease is mostly seen in males in the adolescent and early adulthood age group (15-25 years).

What causes it?

The cause of this disease is not fully known. Initially it was thought to be a progressive degenerative motor neuron disease; however it may not be so. There may be genetic factors which may predispose to the disease occurrence however no specific gene has been identified with this disorder. Hirayama disease is nonfamilial in most patients.

Symptoms of Hirayama Disease

It is insidious in onset and slowly progressive. Patients initially notice difficulty in writing, doing fine work like buttoning the shirt, mixing food and holding objects in the hands due to weakness. It usually starts in one hand and then may progresses to involve the other. Later in the course of the disease the hands become progressively thin and develop a claw deformity with useless function. Worsening of weakness when exposed to cold environments is another characteristic feature of this disease. There is usually no sensory loss and no difficulty in passing urine or stools. Rarely the disease may involve the arm and shoulder muscles. Atrophy slowly progresses and plateaus typically over the course of several years. By that time the hands are completely wasted and have no functioning capacity.

Diagnosis

Diagnosing this disease can be tricky as it masquerades as other degenerative neurological disorders for which there is no definite treatment yet. Muscle biopsy and nerve conduction studies suggest neuronal cell death without giving clue to the cause. Routine cervical spine MRI may miss the diagnosis. There may be a Loss of normal cervical lordosis (curvature) with straight or hypnotic (reverse curvature) cervical spine alignment, but this is a nonspecific finding. No compression over the cord is evident. However on performing MRI with the neck flexed (bent forward) compression of the cervical spinal cord posteriorly by the dura (a thick protective membrane which comprehensively covers the brain and spinal cord) can be patently identified. In advanced cases there may be localised atrophy of the cervical cord.

Treatment and Prognosis

Till recently this disease was looked at with despondency and nihilism, with no specific treatment. A cervical collar with watchful expectation along with physiotherapy was the treatment option available. It may provide some relief from symptoms, though not satisfactorily. In spite of this, the disease can progress relentlessly, stabilising only after significant weakness has occurred.

Over the last few decades it is becoming clear that surgical intervention may provide some hope to this otherwise hopeless condition. The surgery involves removing an offending cervical disc and fixing the adjacent portions of the cervical spine with a plate and screws. This reduces the extent of neck bending and prevents further damage to the cervical spine. This is a technically challenging surgery done under the microscope. The disc is approached via an anterior neck incision and by displacing the trachea and esophagus to one side. It takes about an hour or two depending on the complexity, to perform the surgery. The patients are discharged on the next day after surgery and are encouraged to return to normal activities in a week or so. Following surgery a cervical collar is to be worn for 3-6 weeks along with regular physiotherapy. In most patients the disease stabilizes after surgery along with many times noticeable improvement in hand bulk and strength.

Hirayama disease is an often under recognized condition, the etiology of which is unknown. It usually affects the young male population leading to incapacitating, helpless situation of hand weakness. If timely, early diagnosis is made surgical intervention can provide a ray of hope in halting the progression and to some extent reversing the weakness in these patients.

Promoted

(Dr. Dhananjaya I Bhat, Senior Consultant, Neurosurgery, Aster RV Hospital)

Disclaimer: The opinions expressed within this article are the personal opinions of the author. NDTV is not responsible for the accuracy, completeness, suitability, or validity of any information on this article. All information is provided on an as-is basis. The information, facts or opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.

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Hirayama Disease: All You Need To Know About This Rare Neurological Disease - NDTV Doctor

Minsk. An archive photo

MINSK, 14 October (BelTA) Protest actions in Belarus represent an attempt to shake loose the society and split it for years to come, BelTA learned from Igor Gedich, a member of the Education, Science, Culture, and Social Development Commission of the Council of the Republic of the National Assembly of Belarus.

The senator said: As of late it is noticeable that the number of people taking part in protest actions has decreased, yet the protests themselves have become more radical. I met an acquaintance of mine the other day. We have different convictions. He told me I might become his personal enemy. I started to think where I had heard it before. It was in the 1940s. Do you remember the leader of Nazism? He also had personal enemies Yuri Levitan, Erich Remarque, Marinesko. This trend has resurfaced now with a tint of aggression. All of us remember history well and know how that man's life ended. I think this radicalism will end the same way. These threats and aggression are not part of the Belarusian character but there are such individuals. We have to fight these manifestations and make certain decisions within the framework of the legislation.

The senator said that there are tools that allow every Belarusian to express his or her opinion. Igor Gedich mentioned political parties and dialogue platforms, which are being opened to discuss proposals on the constitutional reform. There are ways to submit your proposals. Simple law nihilism, which thankfully only a small number of Belarusians embrace, should not spread. We need to convince people. We have to talk to them, which is being done at all the levels of the government structure, he said.

Igor Gedich stressed that tolerance has always been part of the Belarusian character. There is no revolutionary situation in Belarus at present. We all understand it very well. In my opinion, it is simply an attempt to shake loose the society and keep it separated for many years. This is why certain measures need to be taken to prevent the split of our society. It is very important, he added. We can see that the events going on in Kyrgyzstan, in Nagorno-Karabakh at present cannot make people happier. They convert people and the state into an easy prey for certain political forces that exist around us. There are external players that are trying to influence the domestic situation by all means. Declarations of non-interference in internal affairs of the state stay on paper. Unfortunately, it is part of today's political world.

Continued here:

Opinion: Protests in Belarus are an attempt to split the society for years to come - Belarus News (BelTA)

Brandon Cronenberg seems awfully concerned with the human body and what kind of damage can be done to it. His first feature since the highly impressive Antiviral in 2012, Possessor is essentially a cinematic, brutal attack on the senses, a panic-induced look at what makes us human and how that can be manipulated and ultimately, corrupted.

Possessor follows Vos (Andrea Riseborough), an agent who is able to hijack peoples bodies - and to some extent minds - and then uses them to commit murder for the benefit of her employer. Her husband and young son are blissfully unaware of Vos true vocation, but when she ends up stuck in a subjects mind and unable to return to her own body, her identity and sense of self starts to crumble, as does her victims.

Possessor will without a doubt be a divisive film - youll either love or youll hate it, there wont be any middle ground. From a technical perspective, its masterful. Every single frame is perfect and strange, yet intrusive and stimulating in a way that is impossible to resist. This is a violent film, not just in the sense of the gore, of which there is plenty, but in the sense that watching it is an exhausting, consuming task. Cronenberg and his DP Karim Hussain never turn the camera away from the horrid abuse and scenes of murder, instead forcing us to watch it. And why shouldnt we? We have all made the conscious choice to watch Possessor and anything its grim world might entail, so watch we must.

Visually, Possessor is sublime. Cronenbergs film exists in that rare place where something atrocious and ugly meets beautiful. It could be said to be more interested in style than substance, but the film is rich with ideas and themes, especially around ones identity. Some of these dont feel fully developed, but it is so deeply immersive, its hard to remember that after the film is over and youre trying to catch your breath as the credits roll. The biggest issue is that the biggest themes are only communicated visually and while its striking, Cronenberg never quite manages to burrow into them properly.

Andrea Riseborough continues her impressive streak of bold roles with Vos. Possessor looks deep into her humanity, or perhaps the lack of it, and Riseborough opens herself up for us to examine it in detail. Vos is restless, devastated, exhausted and desperate - Riseborough shows all of these on Vos face and body its in the way she carries herself, the way she rehearses greeting her son after returning home and how she gazes at her mysterious employer Girder, played by Jennifer Jason Leigh.

Essentially, Vos wears another human as a mask and adapts to their body and life. Girder calls her a star performer. We are taught to be afraid of people in masks its a sign of danger but if she wears the mask, the meatsuit so to speak, shouldnt we be afraid of her? Cronenberg leans heavily into the body horror elements of the narrative, creating a sick and twisted spectacle of gore, aided greatly by old-school camera tricks and practical effects by Dan Martin.

Equally impressive is Christopher Abbott, whos role isnt quite as flashy but arguably more challenging. In a film that reflects inwards, rather than outwardly stating facts, Abbotts Colin is as close as it gets to an antagonist, except Colin is also Vos victim. He seeks revenge but isnt sure what he is fighting against. His own body has been compromised. Its a fascinating dynamic, one that feels surprisingly engaging for the audience who might otherwise be put off by the films otherwise cold front. Possessor is a film that is endlessly fascinated by humanity, but somehow completely lacks it. It is also cruel in many ways - the ending will potentially enrage many, but you cant fault Cronenberg for lack of ambition and pushing boundaries.

As with Ridley Scotts sci-fi horror masterpiece Alien, Possessors look at our near-future feels mechanic and depressing rather than hi-tech and ultra-cool. Theres an inherent nihilism to its worldview, which only makes it all the more interesting as Cronenberg keeps turning up the ante and the gore. Things lag a little in the middle as Cronenberg struggles to truly dig into the themes he so masterfully sets up in the first act, with the film relying more on heavy-handed dialogue.

Ultimately, Possessor asks more questions than it answers, which is equally delicious as it is frustrating. This is a visually astonishing, utterly compelling and delightfully twisted sci-fi horror about a woman and a man battling it out to rule a single body. It constantly questions what it means to be human and if we are to be scared of ourselves. Love it or hate it, this is a film that will have you thinking about it for weeks to come.

Possessor plays at the London Film Festival.

You can read more of our LFF coverage here

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LFF 2020: Possessor review: Brandon Cronenberg's gory body horror is an attack on the senses - The Digital Fix

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More Cambodians, Laotians and Vietnamese have been killed this year by flooding than from the coronavirus pandemic.

Flooding in Vietnam has killed at least 36 people so far this month, up to October 14, a number that will most likely rise as Tropical Storm Nangka continues to batter the central provinces. Vietnams Central Steering Committee for Natural Disaster Prevention and Control estimates that another 93 people were killed by natural disasters between the start of the year and September 22, many when Tropical Storm Noul struck last month. Thats compared with 35 deaths from COVID-19.

In neighboring Cambodia, at least 11 people have died this month from flooding, in addition to more in previous months, compared with zero fatalities from the coronavirus, according to government statistics.

What are we to make of these figures? That lockdowns and the worst economic recession in decades were needless? Not at all, as coronavirus infection numbers could have been much higher in mainland Southeast Asia if not for serious government measures. Instead, it should retrain the eye onto the regions long-term as well as short-term woes.

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We are informed almost daily of a new normal. More accurate would be to say, never normal again. We may not return to how life was pre-coronavirus, in terms of social norms and economic activity, for several years. But we will certainly never return to the time when flooding and droughts were regular but predictable events, and when hundreds of thousands of people werent periodically washed out of their homes by unexpected storm surges, as has been the case this month in Vietnam

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This isnt an article detailing forecasts of climate change. The literature available on that is voluminous and comprehensive. The witting reader can quickly sink into nihilism about the future of the region after a few, quick searches on Google. Instead, its about how the people and governments of the region can respond.

Environmentalism is growing in the region. Some of the largest protests witnessed in Vietnams recent history came after the toxic oil spill of the Formosa steel plant in 2016, which destroyed waterways across several central provinces. I argued in this column back in 2017 that environmental degradation could be the Vietnamese Communist Partys downfall. In Cambodia, we recently saw the countrys elite take part in a protest against plans to fill in a lake in one of Phnom Penhs gated communities. The filling in of most of lakes and waterways, the natural overflows for the torrents that hit the capital, are a primary reason why flooding has worsened so much in Phnom Penh in recent times. Needless to say, the government advised these well-heeled protestors to quieten their complaints and allow the property developer to get on with its project. It is business, after all, that matters.

Indeed, all of the authoritarian governments of mainland Southeast Asia (that is to say, all five governments of mainland Southeast Asia) owe their legitimacy to providing constant economic growth, a torpid social contract wherein citizens agree to keep their noses out of politics if their governments guarantee their living standards rise ever-so slowly each year. The pandemic-induced economic crisis puts this legitimacy at risk.

Naturally, the response from all governments has been (and will continue to be) a return to rapid economic growth as soon as possible regardless of how its achieved. The GDP growth puritans of Southeast Asia have a point: Economic growth has significantly brought down poverty rates since the 1990s, but now tens of millions of Southeast Asians will be either thrown back into poverty or be prevented from climbing out of it because of COVID-19. The middle-classes will also suffer, as will the apparatchiks, who will pocket less corruption money as business activity slows.

An economic crisis is rarely the opportune moment for campaigning against long-term problems when short-term issues like poverty and unemployment are most glaring. (That is, except if one is glaring at the flooding and droughts inflicting most of Southeast Asia today, a sign the regions climate woes arent looming in five or ten years time but now.) However, economic recovery does provide an opportunity for the regions citizens to demand changes.

The pandemic has caused the regions governments to dig deep into the state coffers. Thailands stimulus packages amount to more than 12 percent of GDP. Vietnams fiscal deficit is forecast to grow by more than 5 percent this year, pushing public debt much higher than last years 53 percent of GDP. Cambodias fiscal deficit could rise to 9 percent of GDP this year, compared to a fiscal surplus of 0.5 percent last year, according to the World Bank. Laos is the closest to default, with its debt servicing payments likely to soon exceed the countrys foreign reserves. In September, the country had to cede majority control of its electricity grid to a Chinese state-owned firm to appease creditors in Beijing. And, no doubt, another tranche of state investment from governments across the region will be needed next year.

Because of all of this, 2021 will be a year when the regions governments fight to recoup their losses. And what better way to fill the depleted treasuries than through more taxation, which has been increasing across the region in recent years anyway? In Cambodia, tax collection rose by almost a third between 2018 and 2019 (excluding customs and excise) and increased by 9.6 percent in the first seven months of this year, compared with the same period in 2019.

Ive argued in the past that the growing need for taxation could be seized on by the regions democrats to demand political reform. (No taxation without representation, as the old revolutionary cry went.) Or, at least, it could lead more ordinary people to take a greater interest into how their hard-earned money is being spent by their governments (oftentimes corruptly and wastefully), which might increase demands for accountability and transparency.

Taxation now also provides an opportunity for environmentalists. When Southeast Asian governments come to demand even greater sums in taxation, a call should go up that this money must be spent sustainably and on green projects: No taxation without climate action. Greater attention needs to be paid to how state finances are going to fund economic recovery: what investments are being made, and do they exacerbate climate change?

Business leaders, who have more influence over the regions autocrats than electorates, must also demands that their corporate taxes are being spent wisely. After all, companies as well as ordinary people stand to be impacted by flooding and climate change. Nithin Coca, writing in Nikkei Asia this month, noted that by 2050, 75 percent of global capital stock at risk from flooding will be in Asia. Unchecked, climate change could shave 11 percent off [Southeast Asias] GDP by the end of the century, the IMF has warned. In the absence of technical breakthroughs, rice yields in Indonesia, the Philippines, Thailand, and Vietnam could drop by as much as 50 percent by 2100 from 1990 levels, it indicated.

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Yes, economies need to recover, but in sustainable ways. Indeed, it cannot be comforting to know that your hard-earned tax money is being spent on industries and projects that will make environmental disasters more common and more deadly. Wouldnt you recoil at the thought of your taxes being spent on projects that increased the odds of another coronavirus-like pandemic? Well, they are going on projects that increase the odds of more fatal floods and droughts.

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