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Shaking: Essential tremor or Parkinson’s disease?

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BY W. GIFFORD- JONES MD & DIANA GIFFORD-JONES

It’s fair to say, these are shaky times!  In keeping with the rocky ride of 2020, have you noticed your hands shaking lately? Are you having trouble tying your shoes, signing your name, or embarrassed that the glass you’re holding is shaking?

Parents may also have concerns if their child has shaky hand movements. A report from the University of California says that a condition called essential tremor can occur in young children and young adults. This problem increases with age. At around age 60, about 5% of people notice a slight tremor. Another study states that about 1% of the population suffers from tremor.

Essential tremor is the most common form and usually involves the hands and arms, less often other parts of the body. It occurs with movement, not at rest.

This slight shaking can also affect the head, with movement from side to side, or up and down. On rare occasions, it involves the vocal cords, and the voice becomes halting. It may also be associated with poor balance.

No one is certain of the cause. Researchers are studying a part of the brain called the cerebellum which plays a role in movement and muscle control.

Doctors can usually make the diagnosis when symptoms have been present for at least three years, and no other signs of neurological disease are evident. But there are differences between essential tremor and Parkinson’s disease that help doctors to distinguish one from the other.

For instance, considering statistical chances is helpful. Essential tremor is approximately eight times more common than Parkinson’s disease.

Essential tremor normally occurs during action, such as writing, eating or extending an arm to shake hands. But in Parkinson’s disease, the tremor occurs when the arm is not being moved. This is a “resting tremor”.

There’s a difference in the tremor’s frequency and the magnitude. For essential tremor, it’s usually of higher frequency, with more repetitions over a length of time. In Parkinson’s disease, the frequency of movement is slower.

A look to relatives may provide clues. A family history of essential tremor exists in more than 50% of cases; whereas in Parkinson’s disease, only 10-20%.

In terms of symptoms, in essential tremor, the primary issue is anxiety regarding the shakiness. In Parkinson’s, other symptoms appear apart from the tremor, such as rigidity, slowed movements and balance issues.

Treatment of the two is different as well. The majority of people who have essential tremor do not require treatment. In fact, researchers report that those with this condition rarely bother to seek treatment. Or, they wait for many years before seeing a doctor.

A change in lifestyle may ease mild tremors. Since sleep deprivation aggravates tremors, the answer is to get more shut-eye.

There is little doubt that anxiety plays a major role with tremor. Sufferers indicate they try to avoid stressful activities such as public speaking due to the visibility of hand tremors. Yoga, stretching and relaxation exercises can be beneficial. Alcohol also has a moderating effect on tremor as long as used in moderation. Smoking must be eliminated as nicotine aggravates tremor.

For patients with Parkinson’s disease, alcohol has no effect on the disease. But drugs such as levodopa usually provide some improvement of symptoms.

And for parents who notice a child with shaky hands, have a doctor follow the case and keep a journal of what you see. As the child grows and becomes self-conscious of tremors, help them gain confidence through understanding of essential tremor.

Dr. W. Gifford-Jones, MD is a graduate of the University of Toronto and the Harvard Medical School. He trained in general surgery at Strong Memorial Hospital, University of Rochester, Montreal General Hospital, McGill University and in Gynecology at Harvard. His storied medical career began as a general practitioner, ship’s surgeon, and hotel doctor. For more than 40 years, he specialized in gynecology, devoting his practice to the formative issues of women’s health. In 1975, he launched his weekly medical column that has been published by national and local Canadian and U.S. newspapers. Today, the readership remains over seven million. His advice contains a solid dose of common sense and he never sits on the fence with controversial issues. He is the author of nine books including, “The Healthy Barmaid”, his autobiography “You’re Going To Do What?”, “What I Learned as a Medical Journalist”, and “90+ How I Got There!” Many years ago, he was successful in a fight to legalize heroin to help ease the pain of terminal cancer patients. His foundation at that time donated $500,000 to establish the Gifford-Jones Professorship in Pain Control and Palliative Care at the University of Toronto Medical School. At 93 years of age he rappelled from the top of Toronto’s City Hall (30 stories) to raise funds for children with a life-threatening disease through the Make-a-Wish Foundation.  Diana Gifford-Jones, the daughter of W. Gifford-Jones, MD, Diana has extensive global experience in health and healthcare policy.  Diana is Special Advisor with The Aga Khan University, which operates 2 quaternary care hospitals and numerous secondary hospitals, medical centres, pharmacies, and laboratories in South Asia and Africa.  She worked for ten years in the Human Development sectors at the World Bank, including health policy and economics, nutrition, and population health. For over a decade at The Conference Board of Canada, she managed four health-related executive networks, including the Roundtable on Socio-Economic Determinants of Health, the Centre for Chronic Disease Prevention and Management, the Canadian Centre for Environmental Health, and the Centre for Health System Design and Management. Her master’s degree in public policy at Harvard University’s Kennedy School of Government included coursework at Harvard Medical School.  She is also a graduate of Wellesley College.  She has extensive experience with Canadian universities, including at Carleton University, where she was the Executive Director of the Global Academy. She lived and worked in Japan for four years and speaks Japanese fluently. Diana has the designation as a certified Chartered Director from The Directors College, a joint venture of The Conference Board of Canada and McMaster University.  She has recently published a book on the natural health philosophy of W. Gifford-Jones, called No Nonsense Health – Naturally!

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2 Comments

2 Comments

  1. maclean makon

    December 26, 2020 at 11:30 am

    Visit  Tree of life Health  Clinic website http://www.treeoflifehealthclinics.com my wife parkinson’s disease is totally gone and She is strong again and able to go about daily activities.

  2. Isabella Amalia

    February 6, 2021 at 7:09 am

    my husband was disgnosed with parkinsons disease at 67,his symptoms were shuffling of feet,slurred speech,low volume speech,degradation of hand writing,horrible driving skills,right arm held at 45 degress angle,things were tough for me,i too was diagnosed of COPD but now we both finally free from those diseases with help of total cure from ultimatehealthhome,he now walks properly and all the symptoms has reversed,he had trouble with balance especially at night,getting into the shower exiting it is difficult,getting into bed is is also another thing finds impossiable,we had to find a better solution for his condition which has really helped him alot,the biggest helped we had was this ultimatehealthhome@gmail.com, they walked us through the proper steps,am highly recommended this to every one who needs help should contact them on ultimatehealthhome@gmail.com

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Three children’s toothpaste that you should avoid giving your children

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BY SIMONE J. SMITH

Crest, Colgate/Tom’s of Maine, and Hello; I want you to take a look in your medicine cabinet or on top of your bathroom sink and tell me if you see these products. More importantly, I want you to look at them, especially if you are allowing your children to use these products. I have some news for you that is not going to be exciting to read.

On Monday January 13th, 2025, six class action lawsuits were filed accusing major dental product manufacturers of deceptively marketing products containing fluoride to young children, and misleading parents to believe the products are safe for toddlers. The lawsuits also allege the companies fail to adequately flag instructions for proper use, as mandated by the U.S. Food and Drug Administration (FDA).

Well, this news would make sense for a parent living in the United States, but why does that concern a parent living here in Canada. By and large, Crest manufactures most of its toothpaste at its plant in Greensboro. However, they do manufacture some of the toothpaste in Naucalpan, Mexico. To be more specific, Kid’s Crest Cavity Prevention is manufactured in Mexico. (For anyone concerned, check the packaging ahead of time to see that it says, “Made in the USA.”).

Colgate toothpaste is made in the United States, Mexico, and other countries around the world. The Colgate Total line is manufactured in Morristown, Tennessee. (Their toothpaste that is made in the USA is usually clearly marked with “made in the USA” or “proudly made by American workers). Hello company is a natural oral care brand that was founded in 2015. The company is based in San Francisco, California, and is committed to making oral care products that are both effective and good for the environment.

According to the parents who came forward, the companies design their product labels with candy and fruit juice flavors and images and cartoon characters to appeal to young children, often misleading them to think the products are meant to be consumed as food. The complaints highlight the serious risks to children’s health from ingesting excess fluoride. These include flu-like symptoms from: acute toxicity, dental fluorosis, neurotoxicity, endocrine disruption and even death.

Colgate Kids natural product, marketed as “Silly Strawberry” by Tom’s of Maine, also features the word “natural,” implying that the product is free from toxic ingredients — which it isn’t — and that there is no need to limit how much paste goes on the brush. Crest offers flavors like “Bubblegum” and “Sparkle Fun” with cartoon animals on the box. Candy flavors and cartoons make it tempting for children to eat toothpaste, plus ask a child how good it tastes, and they will tell you.  Children under age six lack the developed swallowing reflexes that allow them to control how much they ingest, increasing the likelihood they will swallow the products.

Research details that excessive fluoride intake can lead to dental fluorosis, a tooth discoloration caused by overexposure during childhood. Since the introduction of candy-like fluoride products in the 1980s, the rate of dental fluorosis among U.S. schoolchildren has skyrocketed. Rates rose from 23% of children in 1986-87 to “a staggering 68%” of children by 2015-16, the complaint alleges.

Each year, Poison Control receives between 10,000 and 15,000 calls due to excess consumption of fluoride toothpaste, and there are also thousands of calls related to the ingestion of mouth rinse most of which involve young children and hundreds of which result in hospitalization.

Ingesting too much fluoride can also cause acute toxicity, with flu-like symptoms such as nausea, stomach upset and vomiting — symptoms that parents may not recognize as being related to fluoride. The complaints note that swallowing just one full strip of toothpaste can cause these effects in toddlers.

Disturbingly, the evidence supporting these claims is growing. Scientists at the National Toxicology Program last week published a meta-analysis in the JAMA Pediatrics linking fluoridated water and IQ loss in children. It “found significant inverse associations between fluoride exposure and children’s IQ scores.”

Attorney Michael Connett, partner at Siri & Glimstad, is representing the plaintiffs. Connett successfully represented plaintiffs in the landmark lawsuit against the Environmental Protection Agency (EPA) over water fluoridation. In that case, a federal judge ruled in September 2024 that water fluoridation at current U.S. levels poses an unreasonable risk of reduced IQ in children and ordered the EPA to take regulatory action.

The lawsuits seek to hold the companies accountable for including packaging elements on their products that allegedly mislead consumers and violate the act. Plaintiffs seek statutory damages to compensate for their financial loss incurred by purchasing more of the products than they needed because they were misled to overuse them. They also seek punitive damages.

REFERENCES:

https://jamanetwork.com/journals/jamapediatrics/fullarticle/2828425

Public Opinion on Water Fluoridation Is Changing, Expert Says

Breaking: New Study Linking Fluoride to Lower IQ in Children Sparks Renewed Calls to End Water Fluoridation

CDC Stands by Water Fluoridation After Report Linking Fluoride to Lower IQs in Kids Finally Published

 

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Are you really sick? Ontario School Boards hire private investigators to deal with rising rates of absenteeism

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Photo credit - Stockking

BY PAUL JUNOR

The announcement that school boards have resorted to hiring private investigators to deal with rising rates of teachers’ absenteeism came as a surprise. It was revealed that a memo was sent out to the over 4,000 teachers of the Toronto Elementary Catholic Teachers union alerting them of what the TCDSB is doing. The memo states, “It is essential to use sick days only as intended under the collective agreement. The board has hired private investigators to observe members, attempting to identify what they deem as misuse of sick days. This has led to disciplinary actions, up to and including termination. Protect yourself by adhering to the (collective agreement) guidelines.”

The TCDSB hired two investigators who were part of an investigation that resulted in five teachers from one school being fired. The teachers took time off for sick days but went to the Niagara casino instead. In addition, the teachers and the vice-principal were also fired as he had prior knowledge of the trip. There is an investigation unit that is a part of the board as well as outside investigators that are often used. They investigate sick leave abuse as well as claims of misconduct.

In June 2023, the Ministry of Education informed school boards across Ontario that they should implement attendance support programs in light of chronic shortage of teachers. The memo notes that “Absenteeism not only creates operational priorities, but it also adds financial pressure on school boards.”

In an article titled, “The Party’s Over: Toronto School Boards Cut Down On Sick Leave Abuse,” Deborah Karam, President of Toronto Elementary Catholic Teacher states, “If the (board) truly cared about the quality of student education and the welfare of school staff, it would focus on understanding and addressing why teachers are reporting higher levels of stress burnout than ever.”

“There have been several teachers who have received letters from the board requesting that they justify sick days that they have taken,” according to Antonella Di Carlo, President of the Toronto Catholic Teachers’ Secondary Unit. She states, “You’re terrorizing a profession right…now. For the minority.”

The TCDSB is facing a $66 million deficit and with sick leave costs representing about $44 million of it the board is trying to be fiscally responsible. Chair Markus de Domenico notes, “We just have to ensure that the system is being used for what it’s designed-to assist people that are ill or have reason to be off. There are, as there are in any large organizations, occasionally people that choose to abuse that, but they don’t represent the very vast majority of our staff.”

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Seven new technologies to look out for in 2025; The Consumer Electronics Show 2025

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BY SIMONE J. SMITH

The future is beckoning, calling for us as evolving entities to grasp, and understand the power of technology. We are the lucky generation that will witness the birth of tomorrow’s technologies. From artificial intelligence that redefines reality to sustainable solutions that heal our planet, we are experiencing the power of human ingenuity. The Consumer Electronics show (CES) 2025 hosted hundreds of: innovators, engineers and manufacturers in Las Vegas showcasing their cutting-edge and exciting technologies. There were plenty of new technologies on show, with a significant number leaning on artificial intelligence (AI).

For those who attend CES, they are immersing themselves in the heart of the tech ecosystem, where innovation thrives, and the future takes shape. They had an opportunity to experience the future firsthand, explore cutting-edge AI, sustainable technologies, smart cities, and wearable marvels.

Although there are plenty of other technologies worth highlighting, The Toronto Caribbean Newspaper has selected seven innovations that have caught our eye so far, and that we want to share these technologies with the community.

 An ai-powered reader for children’s books

Winner of a CES 2025 Innovation Award, Woongjin ThinkBig’s Booxtory is an AI-powered reading device that uses technology to outsource the effort of parents reading to their children. You can place a book down in front of the device and the onboard camera uses optical character recognition (OCR) technology to take in the words — with an in-house generative AI system reading out the words through a connected speaker. Its plethora of features includes switching between different preset voices, or even training the AI with a sample of your own voice.

The paper like digital art display with a year-long battery life

For my art lovers, InkPoster is the world’s first low-power and high-resolution display that lets you upload and display full-color pieces of artwork on your walls using e-paper technology. The battery life lasts for up to a year on a single charge. The largest model has a 31.5-inch (80 centimeter) 2,560 x 1,440-pixel rectangular display — all featured in an aluminum frame with a matte finish. Each one is also Wi-Fi compatible and only needs a power supply when new images are being uploaded.

The headset that puts you in a “sound bubble”

This one is for the person who knows a person who talks way too loud on their phone. The Skyted 320 is a headset unlike any other — not only does the microphone isolate your voice, but the device itself creates an invisible sound bubble around you that makes sure nobody 2 feet (0.6 meters) away from you can hear your voice. The technology relies on lowering the sound threshold at which your voice can be picked up by the microphones, representatives said. The minimum voice level activation is 40 decibels, whereas most devices need you to speak at a volume of at least 90 dB — the microphones will also isolate your voice and dampen any background noise for the person you’re speaking with.

A fridge that can cook

Figo is a refrigerator that fits on your countertops that can cook and store food until it is ready to be prepared with sous-vide cooking — a method of cooking that involves sealing food in a bag and submerging it in water heated to the precise temperatures required. This device lets people effortlessly schedule meals that they prepped a couple of days previously. The idea is to promote better food consumption habits, according to EatFigo representatives. In our busy lives, this would be extremely helpful.

The first transparent and wireless tv

First debuting at CES 2024, LG’s wireless and transparent 4K OLED TV, dubbed “Signature OLED T” is now commercially available — if you have at least $60,000 to spend. The “true wireless” technology that LG has given this device is a misnomer, given there are two standard power cables with the set-up that powers the display itself and a companion box. You can plug in any cabling, like HDMI, into the companion box, and set this anywhere in your home up to 30 feet (9 meters) away — ideally with a clear line of sight. The box then transmits the data to the panel itself via Wi-Fi.

A desk chair with inbuilt cooling and heating

I can feel my back thanking me for this one.RAZER debuted a desk chair concept that incorporates a fan system that blows either warm, or cool air at the push of a button. The integrated fan system sucks in air from the unit at the bottom and pipes it through the chair’s skeleton, blowing the air out through grills where your neck would normally rest. The temperature of the air delivered can reach as high as 86 degrees Fahrenheit (30 degrees Celsius) while it reduces the perceived temperature by 35 to 41 F (19 to 22 C) versus room temperature.

A battery-free wireless keyboard

HP has created a wireless keyboard and mouse that don’t rely on batteries — instead, the devices contain a supercapacitor, which has a much higher power density and faster charging time than batteries. Just three minutes of charging with a USB-C port can give the keyboard two months of life before running out of charge and one month for the mouse

The future, whether we embrace it or not, is technology. Its influence is in every facet of our lives, from the mundane to the extraordinary. To ignore this reality is to risk becoming obsolete, spectators in a world shaped by forces we do not understand. The time for passive observation is over. We are going to help our community become active participants, eager learners, and critical thinkers in the technological revolution. Our future depends on it

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