#Malnutrition Prevention

[calhouncongragateinc]

Proper dietary management is crucial for maintaining overall health and well-being, especially for individuals receiving acute & chronic respiratory care in Panorama City, California.

[servant-homecare]

As our loved ones age, the significance of proper nutrition becomes increasingly crucial for maintaining optimal health and well-being. In the context of home health care for seniors, the intersection of food and personalized care takes center stage.

[elderschoiceofpa]

Eating healthy is an obvious need that people across all age groups can benefit from. It is even more important for vulnerable groups like infants, older adults, and those with medical conditions and disabilities. A home health aide plays a large role in the eating habits of an elderly client. Here are ways they can help seniors.

[coochiequeens]

'A woman who falls through the cracks is falling with her children'   

Away from threat of Islamist violence or floods, health risks for pregnant women in Nigeria's refugee camps remain high 

By Adie Vanessa Offiong, CNN Photographs by Taibat Ajiboye for CNN

Editor’s note: This story is part of As Equals, CNN's ongoing series on gender inequality. For information about how the series is funded and more, check out our FAQs.

Abuja, Nigeria (CNN)Aisha Aliyu is eight-months pregnant and sprawled out on a mat in front of her house with four of her children spread around her feet. Two-year-old Hauwa and five-year-old Abba are both crying and tugging at their mother's coffee-colored hijab. She, in response, rolls her eyes and clicks her tongue at them. She looks tired. 

The child Aliyu is carrying is her tenth. The last four were delivered in the Durumi Camp, a place in Nigeria's capital city, Abuja, that she and an estimated more than 3,000 other internally displaced people call home. 

In 2013, Aliyu fled her home in the village of Wala in Nigeria's northeastern Borno State to its capital, Maiduguri. She said her village was attacked and much of it burned down by armed Islamist group, Boko Haram. Two years later, the militant group attacked Maiduguri, forcing Aliyu to again migrate, this time travelling over 856km south to Abuja with her husband and five children.

The now 39-year-old saw having many children as a way of replacing her relatives killed by the insurgents, but reveals she was done after her last pregnancy in 2021 and began using contraceptives. However, she became pregnant again this year. 

Having already borne children in Durumi camp (one of 264 communities for internally dispaced people (IDPs) known to exist across Nigeria as of September 2021), Aliyu was fearful, knowing of the limited resources she would have access to. The farmer's wife had been unable to afford the food and medication she needed to stay healthy, and antenatal services were limited.   

Aisha with five of her children

The space initially set up as a birthing suite at the camp was rudimentary and barely hygienic, explains Liyatu Ayuba, appointed the camp 's Women's Leader by the site's Chairman when she arrived in 2014. She has since handled issues regarding health, food or children on behalf the IDPs.  

"It was a tent that we swept, and I would put a mat or wrapper on the floor for the women to lie down on to give birth," says Ayuba, who for much of the camp's history has been its only birth attendant. Many of the displaced women refer to her as Mama. 

 Ayuba says the tent was a shanty built with corrugated roofing sheets and a sandy floor. If gloves were available, the birth attendant used them and if not, she explains that she covered her hands with polythene bags and cut umbilical cords with a razor blade. 

"I gave birth to three of [my children] with Mama's help on a mat under the shelter," Aliyu tells CNN, referring to the birthing tent. "Mama cut the umbilical cord and bathed the baby."  

In 2019, a non-governmental organization set up the camp's health post where Aliyu's ninth child, Hauwa, was delivered in 2021. The post is a small clinic located inside a repurposed 20ft shipping container, where wooden boards partition the space to create a delivery suite which looks more like a storage space and just about holds a bed, a baby cot, a drip stand, a broken chair, a trolley and empty containers that should contain water. The other half is the consultation room with a table, two chairs, a bed, and a cupboard where medicines and devices are kept.    

Though basic, the clinic at least provides a consultation space that women previously had to make do without and Ayuba is proud to say the camp has not recorded any deaths among mothers or babies under her watch. 

The makeshift delivery room partitioned in the shipping container used as the camp's health post

'No 'special arrangement' for those who are pregnant in Nigeria's camps

Aliyu is one of many internally displaced women bearing children in Nigeria's camps, with some grounds not even housing a health post or shelter for birth, instead needing women to go into labour in their own shelters or that of their birth attendant. 

A 2021 PhD thesis by Fatima Mahmood Jibirilla at Walden University, states that women living in IDP camps in Nigeria "have a higher risk of maternal death than women living in their homes." The author cited a range of factors increasing the risk of maternal and neonatal deaths in these settings, including inadequate prenatal care services and limited family planning programs.  

"There are no special arrangements for pregnant women in IDP and refugee camps [in Nigeria]. There are poor antenatal services that are inadequate to detect and address likely pregnancy-related complications and other signs of poor pregnancy outcomes," the author writes. While there have been no maternal or infant deaths at Durumi on her watch, according to Ayuba, multiple doctors volunteering there and across camps in Abuja corroborated the concerns highlighted in the study to CNN.  

In a country that has long had among the highest maternal mortality rates in the world and has the third highest number of internally displaced people (IDPs) in Africa as of the end of 2022, according to the Internal Displacement Monitoring Centre (IDMC), the lack of adequate maternal healthcare provision in these camps is a significant concern, one of the doctors told CNN.

The 2022 IDMC figures also show that 4.5m Nigerians were classed as "internally displaced people" as a result of both conflict and natural disasters, with flooding outstripping protracted violence as the main source of displacement. 

The camp nurse, Isa Umar examines a pregnant woman during antenatal session

While there is no national breakdown of IDPs by sex or age, a 2023 report by the Camp Coordination and Camp Management (CCCM) Sector says there are 1,575,741 women and children in the Nigerian states of Borno, Adamawa, and Yobe alone, making up 74% of the 2,124,053 IDPs in those states. 

Nigeria's total IDP population relies largely on the graces of charitable organizations for its health care, Ayuba and the camp's nurse Isa Umar told CNN. 

'If it happens, I am dead.' The prohibitive costs of care   

Wednesdays are antenatal day in Durumi. When CNN visits, camp nurse Isa Umar, who himself was forced to leave his home due to the insurgency, is in the consultation room using a handheld ultrasound scanner to monitor a baby's growth and a fetoscope to monitor the heartbeat among the expectant mothers coming in. 

Umar measures each pregnant woman's stomach followed by her weight. After they've been seen, women compare notes while sitting on the clinic's veranda, discussing how any of the medicines Umar has prescribed will be paid for.   

The set up is far from adequate. Umar tells CNN: "We don't even have folic acid or anti-malarial medicine to give them. I have to write these for them to go and buy." Malaria is endemic in Nigeria and infections pose various risks during pregnancy, such as premature labour and miscarriage, and folic acid is recommended for those who are pregnant or planning to become pregnant, to reduce the risk of certain birth defects. 

But for most of the 64 women recorded in the camp's birth register this year, these costs are prohibitive. Folic acid, for example, costs ₦3,000 ($3.74) for 100 tablets and Aliyu tells CNN she could not possibly have afforded that cost for the duration of her pregnancy. She says she's only been able to take this vital supplement when NGOs have donated them free of charge. Back home in Wala, her N100 ($0.11) hospital card had entitled her to free folic acid as well as other resources while pregnant. 

Getting clean water at the camp is also a challenge, Aliyu shares, explaining that it's a time-consuming, strenuous task requiring her to make several trips daily and is one she can no longer do in the final weeks of her pregnancy. Instead, she now pays for it to be delivered. At its cheapest, enough water to make the family's breakfast of pap (porridge made from ground corn) and other domestic chores for a month costs ₦24,000 ($28.43). Costs can rise by 25% on days when there is no electricity and a generator is needed to work the pumps, or when water sellers must go farther to fetch it.  

With Aisha almost full term, she is no longer able to go to fetch water and now has to pay up to N500 daily for it to be delivered to her home

There are also the costs of giving birth in Abuja that Aliyu didn't have back home.   

To immunize her babies at the camp, the mother of nine has to take them to the nearest government hospital where nurses have certain expectations that fall to the mother, she tells CNN. These include making sure the baby is wearing diapers and bringing various items including cotton wool and baby lotion, which would cost money Aliyu says she doesn't have.  

"In Borno, it was not compulsory to use [diapers] when going to the hospital. We just used our wrappers (a piece of fabric women tied around their waist). But here, the nurses insist that (the babies) must wear diapers and (we must) have an extra one in our bag," Aliyu says. Multiple mothers shared similar concerns with CNN. 

Dr Charles Nzelu, Head of Special Duties at Nigeria's Federal Ministry of Health tells CNN he believes health workers are simply acting in the overall interests of the baby and that a lack of medical skill, experience, and communication is resulting in a lack of understanding about the women living in the IDP camps. "When you come to me as a doctor, I will give you medical advice the way it's supposed to be," he explains. "When you are more experienced, you are flexible (with) the way you relate with patients." He adds that this government, which came into power in May, will work to address issues like these.

"I can't afford treatment. If it happens, I'm dead"Pregnant resident of Durumi Camp in Abuja, Aisha Aliyu

In the meantime, Aliyu says she is struggling to meet all her needs and those of her children. To afford what she can, Aliyu makes and sells wigs and traditional caps worn by men, earning on average ₦10,000 ($12.49) a month.

Money is not her only concern. Aliyu worries about catching malaria and about not being able to produce enough breastmilk because of the poor quality of her diet. Her family survives on staples such as pasta and maize in different forms. 

"I can't afford the treatment" for malaria, says Aliyu. "If it happens, I am dead."

Difficulty fulfilling promises

The National Commission for Refugees, Migrants and Internally Displaced Persons (NCFRMI) is responsible for Nigeria's growing number of displaced people. Its commissioner tells CNN that the organization, which was set up in 1989 and has a health budget of N250 million for 2024, has paid for midwives to visit IDP camps to assist in deliveries of babies as frequently as funds allow and has, in some instances, also paid off people's hospital bills. CNN was unable to verify this budget figure provided by the Commission which it said is not yet public.

However, some of the IDPs who have been in Durumi since the informal settlement formed in 2014, say that no midwives sent by the Commission have visited the camp during their time here and that in the past, it has been difficult to get it to fulfil promises they say the Commission made to the camp, such as furnishing the health post with an additional bed, scanning machine, gloves and other health equipment. 

CNN asked the NCFRMI about the services it provides to those in Durumi but did not receive a response prior to publication.

The nurse takes the weight of the pregnant women during antenatal

Within the Federal Capital Territory (FCT), where Abuja is located, the Territory's Health and Environmental Services is responsible for all health matters including services provided to people in IDP camps, including reproductive care and sexual health services, such as birth control. Dr. Dolapo Fasawe, Mandate Secretary of the FCT Health and Environmental Services, tells CNN that IDP camps in the area have functional clinics supported by area council staff and partners from outside, explaining that they cannot build permanent structures because the camps are meant to be temporary. She adds her belief that "the issue with maternal care in such places is child spacing, not maternal mortality." Birth spacing helps to improve maternal health outcomes as becoming pregnant too soon after giving birth increases the risk of complications. Doctors CNN spoke to also highlighted this as a concern in the camps, and Nigeria more widely.

But many residents of the camp told CNN they had not heard of the FCT Health Services or seen them at the camp and explain that the provision of birth control is again handled by non-profits working in the camps. When Fasawe was informed of this by CNN, she said it was a wakeup call for her department to act promptly. This "has opened our eyes to the need to focus on them," Fasawe says. "We need to (conduct some) outreach asap."

Nigeria's Federal Ministry of Health oversees health for the country (including provisions provided by the Commission). In response to the concerns, the Ministry of Health's Nzelu tells CNN that maternal and child health is a very high priority for government but explains that the Ministry primarily provides policies and guidelines for states, local governments and government agencies to follow and does not typically intervene directly. He said: "As a government, we are still working to make sure that both the state and all these agencies of government that are charged with the direct implementation, do their best to make sure that those inhabitants of IDP camps are well taken care of."

A volunteer doctor brought his own kit to do blood tests at the Durumi camp

'A woman who falls through the cracks is falling with her children'   

African NGO, Pro Health International, has been sending volunteer medical professionals to provide free healthcare services for IDPs across Nigeria for over 12 years. They were last in Durumi in June and describe it as one of the most impoverished IDP camps within the Federal Capital Territory (FCT), where Abuja is located. 

Pro Health International Founder and Executive Director Dr. Iko Ibanga shared that his team raised the issue of health challenges within IDP camps two years ago with the Minister of Health at the time, Dr. Osagie Ehanire. "We were told it would be looked into, but nothing was done," he says.

Ehanire did not directly respond to CNN about whether Pro Health International raised the issue of health challenges among internally displaced people with him, but the former health minister highlighted the NGO's work as a useful implementer of maternal health services in more recent years, and shared emergency response plans for IDPs that were put in place in the north-east of the country (where Boko Haram is most active) and go back to 2016. He tells CNN: "Women's Health services were prioritized and featured strongly in the programs designed to the needs of internally displaced women." This region does not include Abuja, however, where the Durumi camp is located.

Women at the Durumi IDP camp, sitting on the veranda of the makeshift health post

The 2023 health budget is ₦1.17 trillion ($2.2bn), which is a 42.6% increase since 2022 and the highest percent of the total budget allocated for health. But In Africa's largest economy, this is only 5.7% of the annual budget of ₦20.5 trillion, and is much lower than the 15% of annual budgets all African Union member nations, including Nigeria, pledged in 2001 to spend on "improvement of the health sector".    

According to the National Primary Health Care Development Agency, a health post, which is the most basic health care facility, should be able to cater to a population of 500 and have 34 items always available to serve that population. Durumi's health post serves more than 3000 people and has just 10 of these items: a waste bin, scissors, fetoscope, weighing scale, chair, tables, two beds, kidney dishes, and a cupboard, all provided by NGOs according to Ayuba and Umar who say they both manage the facility without a salary.

Nzelu shares that the Ministry of Health is currently conducting a health needs assessment in most of the IDP camps to learn what is and is not lacking to ensure adequate health care services. He tells CNN: "With the budget cycle currently on, it can inform some of the things we are able to get into the budget and hope that the National Assembly gives approval so that we can implement."

Pro-Health International's Ibanga is emphatic about the risks displaced people face during the perinatal period and beyond. "When [a woman] is ill, it affects everything tied to her and her children are the most important things tied to her," he says. "A woman who falls through the cracks is not falling by herself. She is falling with her children." 

This story was edited by Eliza Anyangwe and Meera Senthilingam

[ihatebiden]

my parents keep asking me to get a job 😔

[health-and-fitness-care]

Eating Disorders and Hair Loss

Eating Disorders and Hair Loss The symptoms of anorexia and the disorder of binge eating are among the eating disorders that frequently cause hair loss as a side effect. In addition to having an impact on a person’s emotional and physical well-being, these conditions can also cause a variety of physical symptoms, such as hair loss. We will examine how eating disorders can cause hair loss as well…

[sakuravalelp]

Don't eat anything else - DC X DP

Using this prompt

Next part

Masterpost

Danny is sure that if it wasn't for his ghost side, he would have already died from malnutrition. Vlad, the monster he is, doesn't allow him to eat any meal without human meat. It's not that he isn't allowed vegetables, fruits, and animal byproducts, but every meal has human meat somehow. Vlad watches him with piercing eyes while he eats, making sure he doesn't avoid the meat.

He's gone days without eating just to avoid it, but eventually, he does have to eat. He has eaten human meat! He wonders if this is why Dan decided to renounce his human side.

Future Vlad had told him that Dan wanted to get rid of his ghost side due to his grief, but maybe Dan thought he would feel better about eating humans if he were a complete ghost. Danny could understand that, but he now knows it wouldn't work...

The Infinite Realms are full of different species, and the act of eating another species that's able to coexist with you in a society feels just as horrendous as cannibalism. Was finding this out what drove Dan mad?

He isn't getting much nutrition when he does eat either, not with him vomiting at least half the times he does. Not that Vlad cares about that;

"Ectoplasm will take care of your body while you stubbornness dies. I do think it would be easier for you if you just stopped being ridiculous and eat."

Ectoplasm and water are the only things he has free access too, and Danny hates how grateful he is for at least having that.

As if things couldn't be worse, he's also been forced to cook the meat. When he started learning how to cook with Tucker's mom, he never, never, would have imagined he would be using his abilities for this. He has grown numb to butchering human corpses…

Corpses are a frequent view in the kitchen. He's scared one day he'll recognize the face of one of them. Vlad knows it and uses to control him, telling him that if he doesn't behave, their next meal might be Tucker or Sam. He hates to admit how docile he's grown.

He hasn't seen Tucker, Sam, or anyone since the explosion in the lab took his family. Vlad doesn't allow him to leave the mansion for anything besides galas. He has him collared like a dog to prevent him from leaving. Except, his collar is a shock bracelet charged with blood blossoms that would inject into his wrist if he tries to escape.

He thought Vlad was bluffing and tried escaping once. His whole body felt like it was burning up in flames, and he wasn't able to move for a week. Vlad told him that next time, the dose would keep him in bed for a month. He hasn't tried escaping since.

He's still talking with them through chat. He doesn't know if Vlad knows, but he doesn't think he does; he told him his phone exploded with the lab. But he can't tell them anything. How could he? How is he supposed to tell them he has cooked humans? That he has eaten humans? That he has grown somewhat numb to it? He can't, and then he feels like he can't talk about anything else that is happening.

Today, as he serves the entrance dish to the first guests Vlad has had since he took Danny in, he forces a fake smile on his face. Inside, he feels a wave of nausea and dread as intense as the first time he was forced to eat human meat. The grotesque irony of presenting this dish, knowing what it contains, twists his stomach and makes his hands tremble ever so slightly.

They don't know. They have no idea that they're being served their own species. They don't know, and Danny is the one forced to make them eat their own kind.

The appetizer is a vegetable-based soup with barely any traces of meat, but the main dish features a full human fillet. The guilt and revulsion claw at his insides, nearly choking him. He has to at least stop them from eating that. He needs to get them out of here somehow. And maybe, just maybe, it’s time to try and put a stop to everything else. He can’t let this atrocity continue.

-_-_-_-_-_-_-_-

Tim didn't feel comfortable listening to Masters talk about how good the food would be, while Masters' heir served the appetizer with the fakest smile Tim had ever seen. The teen looked so clearly uncomfortable and scared around his guardian that it was hard to resist the urge to grab the boy and leave.

Masters had praised his godson’s cooking during the gala last week, all the while keeping a hand possessively on the teen’s shoulder. Tim didn't like how controlling it seemed, nor how the grip tightened when the teen mumbled quietly about his name being Danny. It was difficult to witness the entire interaction, especially as the teen appeared to fall into a state of complete dissociation afterward.

They were already planning to investigate Masters due to the suspicious nature of all his contracts, but after the gala, they had to shift their focus to helping the teen. They were fortunate that Masters had granted them easy access to his mansion with the invitation to try Danny's cooking.

They couldn't all go to Masters's and leave Gotham behind, so at the dinner, it was just Bruce, Cass, and Tim. Jason was also in the city because he refused to stay away from an obvious abuse case, but he wasn't allowed at the dinner. He would have attacked Masters just from seeing Danny’s uncomfortable stance under his hand during their greeting.

Masters had insisted that Danny serve the food since he had made it, and now Danny stood beside him, serving him the last plate of soup. Danny stumbled for a moment, and before Tim knew it, he was bathed in soup. Tim blinked, surprised at how the soup wasn’t as hot as he had expected, given the steam rising from the other plates.

"Daniel! What the hell are you doing!?"

Vlad exclaimed, standing up from his place, and the teen beside Tim paled.

“I—I am so sorry!” Danny apologized, using napkins to help clean off the soup, his hands slightly trembling. “Did you get burned?”

"No, no, don't worry about it. I'm okay."

"It isn't okay. Daniel, you ruined Mr. Drake's clothes!"

"Sorry... Let's- I think I have clothes that could fit you... So you could change?"

Oh, so that was why his soup wasn’t hot. Danny had poured it on him deliberately; he was trying to get him alone. Despite how scared Danny looked, it seems he still clung to the hope of escaping. Tim felt a surge of relief and determination. He was glad to see that Danny was looking for a way out, and this chance could be their opportunity to devise a plan.

"Thanks, I would appreciate that." he said as he stood from his sit. He saw how Masters was opening his mouth to say something, but Tim didn't want to risk loosing the opportunity. "Please, don't worry about it Mr. Masters, accidents happen, we'll be back in a moment."

Tim locked eyes with Bruce for just a second, a barely noticeable nod telling him Bruce trusted him to do this right. He then followed Danny through the mansion’s halls and up the stairs, noting that Danny’s bedroom was on the top floor. Danny kept his arms crossed, trying to make himself appear smaller.

"I'm really sorry Mr. Drake. I should have been more careful."

"It's okay really, and please, just call me Tim."

"Oh, um, thanks, but Vlad doesn't like nicknames... would- would it be okay to use Timothy instead?"

“… Yeah, sure.” It seemed Vlad controlled the way Danny was allowed to speak. “Would you mind if I call you Danny then?” Tim asked. He had been mentally referring to him as Danny since the gala and wanted to match that with his spoken words.

Danny shrank farther into himself, and Tim was about to retract his suggestion, but then a small smile appeared on Danny's face and he turned to look at Tim.

"Yeah, I would like that." Danny said in a hushed toned, and a hint of fears in his eyes. Like he was afraid to accept the suggestion.

Tim wondered if Masters had punished Danny for mumbling his preferred name at the gala. However, before he could dwell further on the types of punishments Masters might have used, Danny's eyes widened.

"Ancients, you even have soup on your hair-"

Despite Tim’s attempts to reassure him that everything was okay, Danny continued to apologize throughout the journey to his bedroom. Lamenting how foolish it had been to let the plate slip, and how he should have known better.

Danny’s constant self-reproach made Tim question whether he had misjudged the situation. Maybe it had been a genuine mistake. In theory, it wouldn't matter, because he got to talk alone with Danny either way, but he liked thinking that Danny was reaching out for their help.

Once in Danny's bedroom, Danny beelined to his closet to give Tim a change of clothes. Tim took the opportunity to look around. Danny's room was… impersonal. It was sophisticated and extravagant, like a room that would be featured in a magazine. Tim was sure Danny hadn't decided on the decor. He was surprised to see the bedroom had a large balcony connected to it. Maybe Masters trusted it was high enough for Danny not to attempt escaping through it?

"Would this outfit work for you?"

Danny was holding a suit similar to the one Masters had worn at a previous gala. Now that Tim paid attention to Danny's outfit, he noticed that Danny's clothes today were almost a smaller version of what Masters was wearing, with just enough differences to not be immediately recognized as the same. Thinking back to last weeks gala, their outfits were also similar. To what extent was Masters controlling Danny's life?

"Um... if you don't like it I can grab another one..."

Tim blinked, realizing he had just stared silently at Danny while he offered him the clothes.

"No, sorry, got lost in thoughts, I'm okay using those."

"Okay, I'm glad. Again, sorry for..." Danny motioned to Tims clothes "You can change in my bathroom over there." He pointed to a door beside the bed. "Maybe also take a shower?" Danny got a towel from his closet and offered it to Tim.

"Yeah a shower would be good." Tim said, taking clothes and the towel and entering the bathroom.

He'll talk with Danny once he was changed into clean clothes. If only to calm Danny's guilt about the incident.

Danny's bathroom was spacious, with a jacuzzi bathtub, a separate shower, and one of those popular bidet toilets. From an outside perspective it must look like Danny has anything he could want, but Tim knows better than anyone that money doesn't guaranty a good household. It's sad knowing that any CPS agent that did decide to look into this, would be easily push away by Masters money.

Once Tim had showered and changed clothes, he prepared to go back to the bedroom to talk to Danny, but before he did, a green glow from the corner of his eye caught his attention. Tim sucked a breath when he saw what it was. A syringe with traces of Lazarus waters and blood sat beside the sink.

"Timothy? Everything okay in there? Did the clothes don't fit?"

Tim took a photo of the syringe and sent it to the group chat with the caption, "We may have to add experimentation to Danny's abuse." After taking a sample, he decided to leave the syringe behind, considering the possibility that Masters might use the same syringe more than once and notice its disappearance. He really hoped to get Danny out of there that same day, but if they couldn't, he didn't want to make things more difficult for him.

"Everything is okay! I'll be out in a second."

Tim took one last look around while picking up his dirty clothes, just in case he found anything else. When he left the bathroom, Danny was waiting for him, shifting nervously from side to side. It was time to talk to him.

"Danny, look, I wanted to talk-"

"Ah, let me take your clothes! I'll make sure to clean them and get them back to you!" Danny interrupted him, grabbing his arm and shaking his head with a pleading look.

Tim looked incredulous at Danny for a second, before he realized what was happening and mouthed. "Your bedroom is bugged." He hadn't meant it as a question but Danny had nodded anyway. It was fucked up, Danny couldn't even talk confidently in his own bedroom?

"Right, thank you Danny. I would appreciate that. Perhaps we could take the opportunity to meet again in the future."

Danny gave him the look an adult might give a naive child when talking about an unreachable fantasy, and Tim couldn't help but frown at it. Did Danny believe that even seeing them again was too out of reach?

"That would be great, I'll talk with Vlad about the possibility."

Tim was going to say something else to try to reassure Danny that they would be able to meet, but Danny just handed him two pieces of paper. One was unfolded with text on it, and the other was folded into a small square, smaller than his pinky. He read the unfolded paper first.

- Don't eat anymore of the food. Pretend to have some sort of family emergency and leave, please. Read the other paper when you're far away. -

Tim looked at Danny with questioning wide eyes, but Danny just gave him another pleading look. Tim took a deep breath and took a photo to the paper and sent it to the group chat.

"Oh common, aren't you a little old to ask your guardian about every little meet up you have?" (Would you leave with us?)

Danny gives a nervous chuckle.

"Maybe, but after my family, Vlad tends to be really protective, you know?" He said while pointing to his bracelet.

Tim hadn't noticed how tick the bracelet was before. It was metallic, with a red liquid line in the middle.

"Shock bracelet?" He mouthed.

Danny nodded and then mouthed, "if I scape, it poisons me."

Tim pales a bit at that. They had underestimated how dangerous Masters was.

He motioned to his phone and took a photo of the bracelet after Danny nodded and sent to the group chat with the caption: "Shock bracelet with the capacity of poisoning Danny. We won't be able to get him out right now."

"We should probably go back with the others now."

-/-/-/-/-/-/-/-/-/-/-

Group chat

Coffee is my life: *Photo of the syringe*

Coffee is my life: We may have to add experimentation to Danny's abuse.

Death boy walking: Fuck!

Death boy walking: @ Adoption addict, we have to get the kid out of there now!

Bones? What bones?: Bruce is entertaining Masters with Cass at the moment little wing.

Bones? What bones?: I doubt he'll read this.

The blood son: There's no way that buffoon has any relation with grandfather. He's company does not follow any of the leagues morals.

Light & shadow: Maybe he found another Lazarus pit?

Light & shadow: They're supposedly naturally formed right? It shouldn't be that crazy for someone out of the league to have one.

Computer genius: It might not even be Lazarus waters. The tone is slightly off.

The blood son: It is possible that it is a different variation of dionesium.

Death boy walking: Who cares? He's injecting the kid with that thing!

Not Bruces kid: Hate to say it but the zombie is right, we can find what exactly when Danny is safe.

Coffee is my life: *Photo of paper with text*

Light & shadow: ????

Light & shadow: Is the food poisoned!?

Computer genius: Already told them through comms to not eat anymore food.

Computer genius: If the food is poison it hasn't affected them yet.

Light & shadow: Do you guys have a way to deal with the poison there?

Bones? What bones?: Don't worry Bruce doesn't go anywhere without the poison antidote kit.

Death boy walking: Of course he doesn't. The paranoid bastard.

The blood son: It isn't paranoia if the danger is real Todd.

Computer genius: I'll call Bruce in 10 to pretend a family emergency.

Death boy walking: You are NOT going without Danny!

Bones? What bones?: Any possibility on taking Danny with you @ Coffee is my life?

Coffee is my life: *Photo of bracelet*

Coffee is my life: Shock bracelet with the capacity of poisoning Danny. We won't be able to get him out right now.

Not Bruces kid: WTFWTFWTFWTFWTFWTFWTF

Not Bruces kid: Wasn't this a low stakes rescue???

Not Bruces kid: Why is this man coming up with plans in the big villain category?

Light & shadow: I'm scared of whatever "the other paper" that Danny gave Tim says.

Light & shadow: Wouldn't be surprised if Masters was connected with a trafficking ring.

Bones? What bones?: @ Death boy walking?

Bones? What bones?: You're too silent...

Bones? What bones?: Remember you won't be able to barge in without putting Danny in danger.

Death boy walking: I ALREADY KNOW THAT DICKFACE.

The blood son: Tt, don't be so surprise by the warning Todd.

The blood son: Your past actions have prove it necessary.

Death boy walking: Shut the fuck up demon brat. You're not one to talk.

... The blood son is writing ...

Light & shadow: Everyone have had their outburst of bad decisions.

Light & shadow: Can we go back to Danny?

Light & shadow: How likely do you think it is that he's a meta?

Light & shadow: Because, I think it's pretty high.

Not Bruces kid: Did you see something strange in him on the gala?

Light & shadow: No, but the bracelet are pretty similar to the meta-suppressors collars I've seen in the past.

Computer genius: I'm calling Bruce right now.

-/-/-/-/-/-/-/-/-/-/-

next part

[finsterhund]

The first convention I'll be able to go to since the covid and the first real event since losing Cazza is going to happen around when the surgeon says I'll probably finally go in for surgery so I probably won't be able to cosplay as Andy if I end up deciding to go at all (was told I'd probably need to wear button up shirts and easy on off shoes and so on so forth so I don't rip stitches open lmaoooo) and since getting full on Jedi robes like my original plan to be phantom menace Obi-Wan or attack of the clones Anakin would be expensive and a bit of a hassle and so forth I put that idea on ice but when I was out today I had the idea that I could fucking cosplay Kevin from Skinamarink instead and bring a fake blood Halloween knife and a fisher price chatter phone around. He wears like, two piece footie pajamas or something I think (more mature than Andy's one piece footie pajamas and he's only four lmfaooo) so that's relatively easy for a post-op cosplay I think. And the film is so blurry and dark and grainy that I doubt anybody would be too annoyed if I didn't have the most accurate of pajama choice.

Probably wouldn't be recognized. Or maybe I would I have no idea. People have been talking about the movie a fair bit. But it's more so that I'm getting back into something I love that was both taken from me by the pandemic and doesn't feel I'm allowed to do because I'm in mourning. Cazza would want me to be happy though. I keep trying to tell myself that.

I'm currently in the process of cleaning up a vintage (90s era, like in the movie) chatter phone. And boy are they fucking hard to take apart. Jesus. I was planning on customizing it but I might just try to restore it as best I can and use that one. It bothers me when people use the reproduction chatter phone for Skinamarink stuff (the pull string and wheels are noticably different) so I'd want to use a vintage one.

[sayruq]

The Occupied Palestinian Territory is enveloped in a spiral of unstoppable violence, with stories Palestinians and other witnesses relay adding new depths to atrocities the world has witnessed since the beginning of Israel’s assault on Gaza over six months ago, the UN Special Rapporteur on the Occupied Palestinian Territory, Francesca Albanese said today. “The pace and intensity with which this violence has spread to the rest of the occupied territory confirms that no Palestinian is safe under Israel’s unfettered control,” Albanese said, concluding a visit to Egypt and Jordan. The Special Rapporteur said Israel had once again arbitrarily denied her access to the Occupied Palestinian Territory, compelling her to report on the situation of Palestinians under occupation from neighbouring states. Albanese said her visit demonstrated that the situation in Gaza is worse than previously assessed, with serious and multi-layered long-term implications. Most victims she met had endured catastrophic injuries, witnessed family members killed and experienced the effects of Israel’s destruction of Gaza’s health infrastructure, even after 26 January 2024, when the International Court of Justice (ICJ) issued a ruling ordering Israel to prevent genocide in Gaza. Patients that previously arrived in Egypt primarily with explosive and war injury-related symptoms are now joined by patients with chronic diseases and/or malnutrition, especially children, arising from Israel’s intentional humanitarian catastrophe in Gaza. “Photos from a mere eight months ago show a chubby-cheeked 8-year-old Hamid, now rake thin and spending his days in excruciating pain due to pancreatitis developed through the harsh conditions of the siege,” the Special Rapporteur said. “Those who have left Gaza come out fractured and wracked by ‘survivors’ guilt’ and severe trauma,” Albanese said. “Just 50 kilometers away from the Gaza Strip, crucial, life-sustaining aid and goods, including water desalination equipment, first aid kits, oxygen cylinders and portable toilets – paid for by taxpayers across the world – languish in warehouses, barred entry into Gaza on the pretext of use by combatants.” “Humanitarian measures implemented so far – airdrops and maritime corridors – are a mere palliative for what is desperately needed and legally due,” the expert said. “These measures are grossly inadequate to alleviate the humanitarian catastrophe that Israel’s assault has created.” “At this point, Israel has reneged on its international obligations to a degree that warrants a call for sanctions,” Albanese said.

[ana-bananya]

Sudan is experiencing a severe famine due to the destruction of crops, inflation, and the blockage of aid routes by the SAF and the RSF.

The Clingendael Institute estimates that 2.5 million people in Sudan will die from malnutrition by September 2024 if action is not taken to provide urgent relief (X). That is less than 3 months away.

You can use the email template titled "Urgent Action Needed: Preventing a Famine in Sudan" created by @/londonforsudan to urge the FCDO to provide aid and intensify diplomatic efforts. It should be the first link in their link tree I've linked below.

You do not have to be from the UK to contact the FCDO!

In addition, if you have the capacity to donate, consider supporting one (or more, if you're able) of these efforts working to combat malnutrition in Sudan

Food Baskets in Sudan

For Sudan: Help us support families impacted by war (supporting the Basmat Wasal, Sameh Makki kitchen appeal, and medical supplies for Northern State hospital initiatives)

Doctors Without Borders (MSF)

Sudanese American Physicians Association

Sudanese American Medical Association

Sudanese Red Cresent

Sudan Solidarity Collective

Sudan Benefit Fundraiser

Darfur Women Action Group

Fight Hunger in Sudan: The Khartoum Kitchen appeal

Support emergency response rooms in Sudan

Save El Geneina initiative

Sudan Relief fund

Takaful

Sudan Emergency Appeal

For Sudan: Help support families in Kassab IDP camp

Save the Children Sudan Emergency Aid

[pleaseeeimjustagirl]

Improving Your Relationship With Food And Movement

Hey babesss I have improved my relationship with food and exercise these past few months. It was hard because I had to break down a lot of negative feelings and thoughts I had built around certain foods. I started yo-yo dieting and restrictive eating when I was 10 years old and it has had a lot of negative effects on my body not just physically, and mentally, but socially as well. These tips have changed my life and I hope they help you as well<3333

Signs you have a negative relationship with food.

♡ You think of food all the time. You think about what you're going to eat next and overthink your meals, and the calorie counts.

♡ Feeling guilt over your food choices. Whenever you eat something that might not fit into your “diet” you feel guilty and say negative things about yourself or “punish” yourself by excessive exercise or extreme restrictive eating. 

♡ You must earn your meals. This ties into the previous sign, you feel like you have to earn your meals through exercise and restrictions.

♡ You binge eat. Binge eating is having a large amount of food in a short period, accompanied by feelings of loss of control.

♡ You ignore hunger cues. You feel the urge to eat but don't allow yourself to because of a certain diet or restrictive eating.

♡ You can’t keep your favorite foods in the house. You can’t control yourself around your favorite foods due to going a long time without them because of restrictions.

♡ You emotionally eat. Using food to comfort you is okay sometimes BUT it becomes a problem when you turn to food constantly whenever something bad happens and causes negative emotions.

♡ It is stressful going out to eat. You can’t enjoy yourself at restaurants or turn down invites to restaurants or events because you are overwhelmed by the idea of food and calories.

♡ You’re stuck in a diet culture mentality. It is okay to want to lose or gain weight and get into a healthier body but you can do this without restrictive eating. 

♡ Your body dictates your food intake. If you are bloated you eat little or skip a meal altogether.

Signs you have a negative relationship with exercise.

♡ You use exercise as a punishment. Whenever you overeat or feel like you have you make yourself exercise for long periods.

♡ You feel guilty when you miss a workout. As women sometimes we can’t work out the way we want to because of our menstrual cycle and you need a break and it is okay to take a break.

♡ You exercise even if you're injured. Rest days are okay working out through injuries only makes injuries worse.

♡ You do workouts you don't like. You're focused on burning calories and not the enjoyment you feel when working out.

♡ Affecting your social life. You might excessively work out to the point you're missing events and invites to work out.

Tips to improve your relationship with food. 

♡ Learn about nutrition. A lot of us are uneducated on nutrition and how we should be eating to prevent excessive weight gain and malnutrition I will recommend a lot of books below to start your education on nutrition.

♡ Practice mindful eating. Slow down and become aware of what is happening to your body when you eat certain foods, and your hunger cues, and don’t make any judgments. Eat foods without distractions such as TV, books, and phones. Take your time to chew and taste your foods. Mindless eating is eating without control or out of boredom.

♡ Stop labeling foods. We tend to use the words “good” and “bad” when talking about foods. However, labeling foods can harm your relationship with foods. Welcome all food groups into your diet. Making food decisions shouldn't make you feel like a bad person or a good person. 

♡ Find enjoyment in food. Focus on enjoying food and the pleasures that come with preparing and enjoying food with others.

♡ Allow yourself to eat the foods you enjoy. It is okay to eat foods you enjoy in moderation, 

♡ Challenge negative self-talk. The way we speak to ourselves regarding food and diet can affect the way we view foods challenge those thoughts with positive thoughts when they come I recommend reading this blog post about your mental diet by @arielsreality

Tips to improve your relationship with exercise.

♡ Create your own vision of fitness. Everyone has different body goals and what they want to look like the media pushes an image not all of us want to fit into. So create a vision for what you want to look like.

♡ Try different forms of exercise. Try different types of exercise. If you don't like cardio, try weight lifting. If you don't like weightlifting, try pilates. There are many options to choose from, so give them a try. Do what feels right and brings you joy.

♡ Listen to your body. If your body is sore, skip a day and walk instead of lifting weights. Listening to our bodies is super important ignoring pain cues is very harmful.

♡ Embrace rest. Sleep is our best friend getting the right amount of sleep every night is what helps our glow-up journey over all. Taking rest days is super important as well.

♡ Understand your body changes. Your body at 12 is not your body now and that is a beautiful thing. We especially as women go through a lot of bodily changes so we have to let go of society's expectations of how our bodies should be and look like what do you want your body to look like? And how can you get there? 

♡ Follow women who look like you. Follow women with similar body types like yours. I have a Pinterest of women who have similar body types to mine labeled “Your body is beautiful” I look at it if I need reminders when feeling insecure. I follow a lot of black women on many platforms as a black woman because I like to see women who look like me in positions of success and wealth it motivates me. 

♡ Celebrate non-scale victories. Maybe instead of being stuck on the number on the scale, you tried those jeans that couldn’t fit before but now they are so comfortable. That is something to celebrate!

Book Recommendations 

♡ The Binge Code by Alison C Kerr

♡ Women Food And Hormones by Sara Gottfried

♡ The Food Therapist by Shira Lenchewski MS RD

♡ The Good Gut by Justin Sonnenburg

♡ Feed Yourself by Leslie Schilling 

♡ Reclaiming Body Trust by Hilary Kinavey MS LPC 

♡ The Food Mood Connection by Dr Uma Naidoo

[walaamohamed1988]

Hello 💫✋

My name is Mohammed from Gaza,🍉 I am 34 years old, married to Walaa, 31 years old.. Father of four children.. Zeina 12 years old, Salma 11 years old, Omar 6 years old, Batoul 1 year old..😭😭

We are living very difficult days because of the ongoing conflict in the country.. We can barely manage our daily expenses because of the ongoing conflict in the country here..🙏

Zeina,Salma and Omar were deprived of their most basic rights, which is education, because of the destruction of all aspects of life, including schools, and they are now panting after water queues and food queues instead of their right to luxury as their most basic rights as children..💫❤️

As for Batoul, she was born in this war, so she saw or heard nothing but bombing and terror, and she was raised on malnutrition because food and baby milk were prevented from entering the northern Gaza Strip..💔🍉

All of this, while the four children suffer from serious skin diseases that have no treatment here.. Because most hospitals and clinics have stopped and treatment is not available for them..

Also, because of the war, our house was destroyed, even if partially, and is currently uninhabitable, and we cannot It was impossible to reach him because he is in a combat zone.

My private car was severely damaged due to the continuous and ongoing shelling. 🍉

My source of income was almost completely damaged, and I used to work in a grocery store. 🍉💔

We cannot even afford to travel outside the country because of the high price of travel, which costs an adult $5,000 and a minor $2,500. This is a huge amount that I cannot afford on my own. So I ask you to help me get out of this difficult ordeal and overcome this devastating war. 💔💔

Thank you very much.👋🙏

[sizzlingsandwichperfection-blog]

Hi. I've started writing a semi-weekly TB Newsletter, if you're interested in that kind of thing. Here's the second letter--about public-private partnerships, leprosy, and my forthcoming big announcement about expanding access to tuberculosis care. You'll hear more about that on Thursday. Anyway, here's the newsletter. You can sign up here.

---

In advance of the Big Announcement this Thursday, I made a vlogbrothers video today on how we end TB–with the comprehensive care plan often known as S-T-P, which is short for “Search, Treat, and Prevent.” But one thing I didn’t discuss in that video is the downstream benefits of comprehensive TB care.

Once you’ve hired community health workers to screen for TB, it becomes much easier to screen for other illnesses like diabetes, high blood pressure, and non-TB lung issues (especially lung cancer). TB is notoriously a disease of vicious cycles–a disease of malnutrition that makes malnutrition worse, a disease of poverty that makes poverty worse, and so on–but addressing TB can be a story of virtuous cycles: TB survivors become TB advocates, as I’ve seen with my friend Henry in Sierra Leone. More effective TB treatment leads to less stigmatization of the disease, as communities come to see the disease as curable and survivable rather than terrifying and deadly. And better access to TB care leads to a stronger overall healthcare system, because more community health workers are better connected to more primary healthcare clinics, which allows communities to better address all kinds of health problems.

—

Mycobacterium tuberculosis is not the only bacteria of its family that causes a lot of human suffering; there is a closely related species called mycobacterium leprae that causes the disease known as Hansen's Disease, or more commonly leprosy. There are still around 200,000 cases of leprosy diagnosed each year around the world, and while the disease is curable, it also remains–especially if not caught and treated early–a significant driver of suffering and disability in our world. 

There are many connections between TB and leprosy: Not only are the bacteria that cause these illnesses very similar, but patients have often expressed similarities in experience. TB patients who were encouraged or forced to live in sanitariums often compared themselves to lepers. One disheartening parallel between the diseases is that in both cases, those living with these illnesses are often abandoned by their families and must make new social connections within the new community of “leper” or “consumptive.” Also, both Hansen’s Disease and TB continue to exist largely because of systemic failures rather than due to a lack of knowledge or technology.

—

I really recommend Dr. Salmaan Keshavjee’s TED talk about how we ended TB in the U.S., and how we can end it using the same strategy around the world.

—

Last link from me today: I’ve been thinking a lot about the complex intersection between public and private investment (for reasons that will be clear on Thursday!) and I keep coming back to one infographic in an excellent paper (https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0256883) about the public money that was poured into the creation of the GeneXpert Machine, which can quickly and accurately test for TB. The GeneXpert machine has created a lot of profit for Danaher’s shareholders, and it has also created some societal benefit, but it could create a lot more societal benefit if it created less profit for Danaher’s shareholders. This tension seems to me one of the defining features of 21st century life. Anyway, here is the infographic:

That’s the money–over $250,000,000 of it–that came from taxpayers (mostly in the U.S. and Europe) to fund the creation of the GeneXpert Machine. And yet, this tech largely funded by the public is controlled entirely by private enterprise. I’m troubled by that model of value allocation, even if I still believe that private money and private enterprise have important roles to play in fueling innovation. But taking a quarter billion dollars of public money and then claiming total ownership over a technology, and using that ownership to deny the technology to the world’s poorest people, seems like a deeply flawed system of resource distribution to me.

I’ll see you on Thursday. I’m nervous and excited.

DFTBA,

John

[morbidology]

For 25 years, Blanche Monnier remained confined to this room, cut off from the world. Her existence was a living nightmare. The room was described as a "filthy, vermin-infested dungeon," with Blanche lying naked on a straw mattress, emaciated and surrounded by her own waste. The windows were shuttered, preventing any light from entering the room, and Blanche was left to endure her imprisonment in complete darkness.

The Monnier family maintained an outward appearance of normalcy, going about their lives as respected members of the community. Louise Monnier, known for her philanthropy, managed to conceal the dark secret of her daughter's confinement from friends, neighbors, and even the domestic servants.

The reason for the confinement was because Blanche wanted to marry a man her mother didn't approve of. He was a lawyer, and her mother thought of him as "penniless" and not worthy of her socialite daughter.

Blanche's grim ordeal came to an end on May 23, 1901, when the Paris Attorney General's office received an anonymous letter detailing her imprisonment. The police were skeptical at first but decided to investigate. Upon arrival at the Monnier residence, they were confronted by a foul stench emanating from the attic. Breaking down the door, they found Blanche in a state of extreme malnutrition, weighing a mere 55 pounds (25 kg).

The sight that greeted the officers was nothing short of horrific. Blanche, now 52 years old, was covered in filth, her hair matted, and her body skeletal from years of neglect. She was immediately taken to a hospital, where she received medical treatment and began her slow recovery.

The discovery of Blanche Monnier's imprisonment shocked France and the rest of the world. Her mother, Louise Monnier, was arrested but died 15 days later, possibly from a heart attack. Her brother, Marcel Monnier, was tried and initially found guilty, sentenced to 15 months in prison. However, he was later acquitted on appeal, as the court deemed he had been mentally incapacitated by his domineering mother and not fully responsible for his actions.

Blanche Monnier spent the rest of her life in a psychiatric hospital, never fully recovering from the trauma of her confinement.

[ana-angels-blog]

My vitamins to look more human while on my weightloss journey🥰🥰

- B complex (everything)

- collagen (hair/nail growth)

- biotin (keeps hair from falling out)

- magnesium citrate (digestion/mood/ brain fog)

- iron (dizziness)

- iodine/zinc (helps prevent malnutrition)

- calcium/vitamin D (bone health)

[palestinianhadeel]

Please help me by donating and reblogging👇🏻🚨🙏🏻

Hello, my name is Hadeel Abu Jiab, mother of a three-year-old girl. We were living in a beautiful house full of happiness until this war of extermination came. The house was stormed by enemy forces, my husband was killed in front of our daughter, and I was threatened with rape. Then my daughter and I were forcibly displaced to the south after she was exposed to a shock that affected her terribly. She could no longer speak or move and urinated on herself. Then I heard the news of the bombing of our house a few days after I was displaced to the south (I was trembling with fear and was prevented from taking anything with me). Our house, car, and life were destroyed. I became a widow at the age of 26.

My father-in-law and my husband's sister were martyred, and we lost our source of income. We were displaced from one place to another more than once. I suffered from severe malnutrition due to the lack of bread. I went to my father's house. After a few days, the house was bombed and my middle brother's wife and his wife were martyred, as well as my older brother's wife and their orphaned children, Samira and Najwa. My mother was injured. My father was martyred and we had no shelter left, and I had no choice but to take care of my orphaned nieces because they had no one left but me. However, I had no source of income since the beginning of the war to provide for their needs. I did not have a warm bed or even clothes to protect the young children from the cold of winter. It was December, and everything became difficult without medical care for my mother, food, water, or shelter. We were displaced many times from the north to the south, from the south to the center, and from schools to tents, all of which were worse than each other. We were displaced 14 times and ended up in that damned tent in Khan Yunis that was eating away at our bodies from the severity of the cold. My children did not have warm clothes to relieve the bitter cold. Suddenly, we saw death with our own eyes from the occupation tanks, so we were forced to move again to Rafah. Despite the difficulty of displacement, it was very expensive, in addition to the insane rise in the prices of all goods. We had no source of income, which made my children suffer from severe malnutrition. Then in May we were forced to leave Khan Younis and go to a shelter school in Nuseirat where we lived with several families in one classroom and suddenly the school was bombed and special forces entered and killed hundreds of children in front of us and we escaped certain death so we were forced to move to a tent in the sea area in Az-Zawaida where the sun's rays began to burn our skin and melt our bodies and my children suffered from skin diseases and amoebiasis due to the scarcity of water and the difficulty of bringing and carrying it from long distances under the scorching sun and here we are suffering daily inside this hateful tent that does not protect from the heat of the sun or the cold of winter and I ask you to help me save my children by evacuating them out of Gaza before it is too late.

@genderqueer-karma @90-ghost @wizardhugs @guccifloralsuits @nabulsi @el-shab-hussein @ibtisams @freepalestinneee @vampsprite @theartofanimation @lunar-years @queenpinkireellylikethisname @zoopalkin @zeiphyramon @blackfashion