Coaches Voice Stopping College Basketball Season

Stop the season. Stop the games, men’s and women’s college basketball, right now, according to several prominent college basketball coaches.

The college basketball season officially began in late November — yet, 33 men’s teams still have not played one game because of COVID-19 interruptions. A number of prominent voices in the college basketball game are wondering if the season should be stopped or postponed with the COVID-19 crisis anything but under control, especially with the physical, emotional and mental toll it has on college student athletes.

Many states has declared the coronavirus outbreak a public health emergency and have implemented restrictions on travel, business and public gatherings. Additionally, there are approximately 2,000 deaths a day and nearly 300,000 new COVID-19 infection cases daily across the country. Nationally and locally, communities have experienced a spike in positive COVID-19 cases since late November. Local and state governments and public health officials are now predicting COVID-19 cases will continue to spike even higher in January following the Christmas and New Year’s holidays.

The most vocal advocate for stopping (or pausing) the men’s and women’s college basketball season is Duke’s basketball coach Mike Krzyzewski. Coach Krzyzewski wants the NCAA “…for the mental health and safety of our players and staff, to assess where we’re at” with with regards to the college basketball season and in light of more COVID-19 game cancellations.

The Duke men’s basketball program will forgo its remaining nonconference regular-season basketball games. The decision was made out of an abundance of caution due to the COVID-19 pandemic and to allow the Blue Devils’ players time over the holidays to spend with their families, according to a release from the university.


References:

  1. https://www.usatoday.com/story/sports/ncaab/acc/2020/12/09/mike-krzyzewski-wants-ncaa-re-evaluate-playing-during-covid-19/3864481001/
  2. https://www.usatoday.com/story/sports/ncaab/acc/2020/12/10/duke-cancels-remainder-nonconference-basketball-schedule/3889557001/
  3. https://www.usatoday.com/story/sports/christinebrennan/2020/12/09/college-basketball-while-covid-19-raging-makes-no-sense-coaches/3867975001/

Stopping the Exponential Rise in Cases

“Cases are rising. Hospitalizations are increasing, Deaths are increasing. We need to try to bend the curve, stop this exponential increase,” says Dr. Henry Walke, the CDC’s COVID-19 Incident Manager.

As COVID-19 cases continue to soar, it took the U.S. more than eight-and-a-half months to reach 8 million cases but less than two months to double that number.

As a result, hospitals across the U.S. are facing dire shortages of beds for critically ill coronavirus patients as the post-Thanksgiving holiday surge shows no sign of relenting, new data shows from the U.S. Department of Health and Human Services.

About 1 in 8 U.S. hospitals had little or no intensive care unit space available last week the data showed. And for the sixth consecutive day, the US reported a record high number of COVOD-19 patients in US hospitals: more than 108,000 nationwide, according to the Covid Tracking Project.

Public health experts say the number of hospitals struggling with intensive care unit capacity to accommodate the nation’s sickest patients likely will increase following another week of record COVID-19 cases.

As cases continue to soar, it took the U.S. more than eight-and-a-half months to reach 8 million cases but less than two months to double that number.

CDC and many states advise not to travel

As Americans contemplate whether to proceed with their holiday season or New Year’s travel plans, the U.S. Centers for Disease Control and Prevention (CDC) is urging citizens not to travel or to get tested before or is urging Americans who go against its advice to get tested for COVID-19 twice in a bid to make travel safer.

The agency says travelers should get a COVID-19 test one to three days before travel and three to five days after travel, regardless of their destination.

Additionally, some states are reimposing stay-at-home orders for their residents and travel restrictions ahead of the winter holidays.

While other states, such as Hawaii for example, require inbound travelers to show proof of a negative COVID-19 test upon arrival or require those without results before their arrival to quarantine for 14 days.

What to do

This is one time Americans should heed CDC urging to not to travel and stay home as the best way to protect yourself and others this year; or to get tested for COVID-19 twice in a bid to make travel safer.


References:

  1. https://www.jacksonville.com/story/travel/news/2020/12/11/holiday-travel-check-covid-19-travel-restrictions-by-state/3878341001/?
  2. https://www.jacksonville.com/story/news/coronavirus/2020/12/12/coronavirus-florida-what-you-need-know-saturday-dec-12/6511426002/?
  3. https://www.jacksonville.com/story/travel/airline-news/2020/12/09/covid-travel-test-things-to-know-coronavirus-testing-pcr-antigen/3800400001/?

mRNA Vaccine Safe and Its Side Effects

Moderna and Pfizer COVID-19 vaccine trials show that side effects are common in participants and it appears that the more significant symptoms develop following the second dose.

The Pfizer-BioNTech’s mRNA coronavirus vaccine (BNT162b2) is both safe and effective, according to the U.S. Food and Drug Administration (FDA). FDA said results from Pfizer’s large, ongoing study showed the vaccine, which was co-developed with Germany’s BioNTech, demonstrated more than 95% efficacy across people of different ages, races and underlying health conditions, including diabetes and obesity. And partial protection from coronavirus appears to begin 12 days after the first dose, according to Pfizer. Consequently, Pfizer requested and the vaccines are expected to be approved for emergency use authorization (EUA) by the FDA as early as this week.

And this week, a committee of leading U.S. vaccine scientists recommended that the Food and Drug Administration authorize the first COVID-19 vaccine for Americans.

FDA approval of a drug means that the agency will have determined, based on substantial evidence, that the drug is effective for its intended use, and that the benefits of the drug outweigh its risks when used according to the product’s approved labeling. Approval of the he vaccine will help reduce the risk of disease. The vaccine works with the body’s natural defenses to safely develop protection (immunity) to disease, according to the FDA’s website.

How an mRNA vaccine works

Messenger RNA vaccines, called mRNA for short, is a new kind of vaccine technology that has never before been licensed in the U.S. mRNA vaccines contain material from the virus that causes COVID-19 that gives our cells instructions for how to make a harmless protein that is unique to the virus. The objective of a vaccine is to teach your immune systems how to recognize and fight the virus that causes COVID-19, according to the Centers for Disease Control and Prevention.

Messenger RNA vaccines aren’t like past seasonal influenza vaccines. An mRNA vaccine is essentially just a piece of genetic code that contains instructions for our body. The mRNA tells our cells to make a protein — the same protein that is the spike on top of the actual coronavirus. This is what triggers the immune response in these types of vaccines.

In contrast, past seasonal influenza vaccine puts a weakened or inactivated virus into your body to trigger an immune response, which then produces antibodies. Those antibodies are what ultimately protects you from getting infected if you ever encounter the real virus.

It typically takes a few weeks for the body to build immunity against COVID-19 infection after vaccination. And after vaccination, the process of building immunity can cause symptoms or “side effects”. These symptoms are normal and are a sign that the body is building immunity.

Side effects

Sometimes the vaccine process of teaching your immune system how to react to the virus can cause symptoms. These symptoms are normal and are a sign that the body is building immunity. Moreover, no major safety issues were uncovered and common vaccine-related side effects like fever, fatigue and injection site pain were tolerable, according to the FDA.

The most common vaccine side effects were injection site reactions (84.1%), fatigue (62.9%), headache (55.1%), muscle pain (38.3%), chills (31.9%), joint pain (23.6%), and fever (14.2%), acc riding to the report submitted to the FDA.

Severe adverse reactions occurred in 0.0% to 4.6% of participants and appeared were more frequent after the second dose than after the first. The frequency of serious adverse events was low (<0.5%), without meaningful imbalances between study arms.

Although some COVID-19 trial participants reported COVID-like symptoms, it is impossible to contract the coronavirus from the vaccine, because the mRNA vaccines develop by Pfizer and Moderna don’t use the live virus. 

Bottomline

Getting vaccinated is one of many steps you can take to protect yourself and others from COVID-19.  Vaccines work with your immune system so your body will be ready to fight the virus if you are exposed.


References:

  1. https://www.cnbc.com/2020/12/08/pfizer-moderna-covid-vaccine-side-effects-trials.html?__source=iosappshare%7Ccom.microsoft.msedge.EMMXShareExtension
  2. https://www.fda.gov/media/144245/download
  3. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines/how-they-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fvaccines%2Fabout-vaccines%2Fhow-they-work.html
  4. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/vaccine-benefits/facts.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fvaccines%2Fabout-vaccines%2Fvaccine-myths.html

First Home-based COVID-19 Test Kit Approved

FDA authorizes first direct-to-consumer COVID-19 test system for at-home sample collection with laboratory test processing

The U.S. Food and Drug Administration (FDA) authorized LabCorp’s Pixel COVID-19 Test Home Collection Kit for use by any individual 18 years and older without a prescription. This product, which is authorized as the first COVID-19 direct-to-consumer (non-prescription) test system, allows an individual to self-collect a nasal swab sample at home and then send that sample for testing to LabCorp.

Positive or invalid test results are then delivered to the user by phone call from a health care provider. Negative test results are delivered via email or online portal.

This home sample collection kit can be purchased without a prescription. It is intended to enable users to access information about their COVID-19 infection status that could aid with determining if self-isolation (quarantine) is appropriate and to assist with health care decisions after discussion with a health care professional.

“This is the first kit for consumers to self-collect a nasal sample for COVID-19 in their home that does not require a prescription,” said Jeff Shuren, M.D., J.D., director of FDA’s Center for Devices and Radiological Health. “While many home collection kits can be prescribed with a simple online questionnaire, this newly authorized direct-to-consumer collection kit removes that step from the process, allowing anyone to collect their sample and send it to the lab for processing.”


References:

  1. https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-first-direct-consumer-covid-19-test-system

Inflammation and COVID-19

Stay Away From Anything That Causes Inflammation

Medical experts are conveying to avoid anything that causes inflammation during this coronavirus pandemic, but some people have genes that make them more likely to experience inflammation. In 2019, scientists discovered that the coronavirus can trigger an inflammatory response making the symptoms and illness more severe .

From mild stress to chronic health conditions, inflammation can and will wreak havoc on your body and mind. Inflammation is caused by a complex mix of genetic and environmental factors, which can make it very difficult to address – especially while you’re suffering from exhaustion, depression, or any other inflammation-related symptoms.

Excessive immune response related to COVID-19

Every week, more is being learned about the incredible physiological harm that the coronavirus is capable of doing to those infected. This is the critical reason why this virus should not be taken likely.

Some clinicians suspect the driving force in many gravely ill patients’ downhill trajectories is a disastrous overreaction of the immune system known as a “cytokine storm.” Cytokine storm is a hyperinflammatory condition caused by an overactive immune system.  According to scientific research, a cytokine storm is a driving force in COVID-19 mortality rates.

Cytokines are chemical signaling molecules that guide a healthy immune response; but in a cytokine storm, levels of certain cytokines soar far beyond what’s needed, and immune cells start to attack healthy tissues. Blood vessels leak, blood pressure drops, clots form, and catastrophic organ failure can ensue. This can cause inflammation and damage to the lungs and other organs.

Corticosteroids

Doctors have used a class of medicines called corticosteroids – including one called dexamethasone – to help tame that response. These are medications that have been around for a long time and are readily available. “We know this medication very well. It’s been used for many other purposes, and we know the side effects profile and what it can do to the body,” pulmonary and critical care physician Lokesh Venkateshaiah, MD says.

Its use to treat COVID-19 stems from the success of the RECOVERY trial carried out by researchers in the United Kingdom. In the study, hospitalized patients with COVID-19 who received dexamethasone for up to 10 days were less likely to die than those who didn’t. That benefit was only seen in very sick patients – those who had oxygen levels less than 93% or needed supplemental oxygen.

But, doctors have to be careful with dosing. “Overdoing it with this drug ­can potentially put patients at risk for new infections, especially bacterial infections, or even fungal infections,” Dr. Venkateshaiah cautions.

COVID-19 fatigue

Yet after more than ten months, Americans are getting COVID-19 fatigue. Much of the current rise in COVID-19 infections is due to community spread. Taking precautions to prevent the spread of COVID-19 is critical, particularly as the virus continues to evolve.

Your best defense to avoid serious illness and against the physiological harm caused by COVID-19 is to remain vigilant. You must continue to wear a mask, maintain physical distancing and disinfect high-touch surfaces daily. Additionally, you must get vaccinated for the seasonal influenza, wash your hands regularly and stay away from others if you are feeling ill.

COVID-19 vs Seasonal Influenza

COVID-19 symptoms generally appear two to 14 days after exposure. And, with COVID-19, you may experience loss of taste or smell. COVID-19 is more contagious and spread more quickly than the seasonal flu. Severe illnesses, such as lung injury, may be more frequent with COVID-19 than with the flu. The death rate also appears to be higher with COVID-19 than the flu.

Wearing masks

Wearing a cloth mask has been shown to help decrease the spread of COVID-19. Research shows that a significant number of people who have COVID-19 do not have any symptoms and are considered asymptomatic. These people may not know they are transmitting the virus to others when they talk, sneeze or cough, or raise their voice, such as with singing or shouting.

You should wear a cloth mask to reduce the chance of transmitting respiratory droplets to others around you. You wear a mask to protect others, and they wear a mask to protect you.


References:

  1. https://get.selfdecode.com/gene-reports/nm/inflammation/?utm_source=selfhacked&amp;utm_medium=partnerad&amp;utm_campaign=inflammation_report
  2. https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-7-top-covid-19-myths/
  3. https://health.clevelandclinic.org/do-any-drugs-really-work-as-coronavirus-treatments/amp/?__twitter_impression=true

Staying Optimistic

“Staying positive does not mean everything will turn out okay. Rather, it means you will be okay no matter how things turn out.” — Unknown

If there is one key message from this calendar year, it’s to always stay optimistic about your present circumstances and future prospects.  While it has been challenging for everyone in calendar year 2020 and much of the world went into lockdown for a good portion of the year, business and life managed to continue. Americans’ ability to adapt to a new “work-from-home” reality, aided by video conferencing software, made that possible despite the challenges of the pandemic.

“Choose to be optimistic, it feels better.”—Dalai Lama

Thus, it is important to keep a more positive outlook in life and try, as difficult as it may seem, not to focus on the many negative things that surround us.  One simple and effective method regarding tuning out the negative bombardment is to disengage from social media and ignore the entertainment media sensationalize news.

Positive Quotes During Quarantine

Holiday season

During times of stress, it’s especially important to set time aside for self-care.

Although celebrating this holiday season will look and feel different, know that ongoing public health efforts to manage the pandemic eventually will succeed. So, it’s important to stay upbeat and positive that choices made today will help everyone in the future.

Furthermore, this holiday season is a great opportunity to connect (or reconnect) with family and friends, and share some much-needed positivity and hope.  Just because things are dramatically different this year does not mean that it’s a disappointment. It’s just different.

Eventually, everyone will be able to get back together to celebrate the season with the usual traditions, but maybe some new traditions will have been learned along the way, as well.

“To live a fulfilled life, we need to keep creating the ‘what is next’, of our lives. Without dreams and goals there is no living, only merely existing, and that is not why we are here.” —Mark Twain

In that vein, it’s important to never discount human resiliency and American ingenuity. Through every crisis, new successes have emerged. General Electric was launched in 1892 by Thomas Edison as the nation was heading into the Panic of 1893. In 1929, Disney emerged during the Great Depression. Hewlett-Packard was founded in 1939 right after the recession of 1937–1938, when GDP declined by approximately 19%. Fred Smith started FedEx at the end of the 1969-1970 recession, when many companies were hesitant about spending money on new products and services, commented Craig Sawchuk, Ph.D., co-chairs the Division of Integrated Behavioral Health at Mayo Clinic in Rochester. The worst of times is often when the entrepreneurial spirit is most creative.

In his 2005 commencement address at Stanford University, Steve Jobs said, “You can’t connect the dots looking forward; you can only connect them looking backwards. So you have to trust that the dots will somehow connect in your future. You have to trust in something — your gut, destiny, life, karma, whatever. This approach has never let me down, and it has made all the difference in my life.”

People will be reflecting on the year 2020 for decades. However, you need to trust that with a positive outlook, you will become a better person and a more prudent investor because of the challenges you faced over the past year.

Staying optimistic and staying healthy are the very best things you can do during the upcoming holiday season.  Furthermore, keep those who have been affected directly by the pandemic in your thoughts and prayers, and show gratitude to those who are putting themselves and their health at risk to keep this country and world moving forward.


References:

  1. https://communityhealth.mayoclinic.org/featured-stories/navigating-holiday-season/?utm_source=ECHwebsite&amp;utm_medium=web&amp;utm_campaign=navigating-holiday-season&amp;utm_content=Twitter
  2. https://www.kiplinger.com/investing/601852/8-investing-lessons-learned-in-2020

Craig Sawchuk, Ph.D., co-chairs the Division of Integrated Behavioral Health at Mayo Clinic in Rochester. He is a professor of psychology, Mayo Clinic College of Medicine and Science. 

Herd Immunity and the Vaccine

Herd immunity occurs when a large portion of a community ― the herd ― becomes immune to a disease, according to the Mayo Clinic. This makes the spread from person to person unlikely. As a result, the whole community becomes protected — not just those who are immune.

Two paths to herd immunity — vaccines and infection.

Vaccines create immunity without causing illness or resulting complications. Herd immunity makes it possible to protect the population from a disease, including those who can’t be vaccinated, such as those with compromised immune systems.

Herd immunity can also be reached when a sufficient number of people in the population have recovered from a disease and have developed antibodies against future infection.

Experts estimate that 70% of the U.S. population — more than 200 million people — would have to recover from COVID-19 to create herd immunity and halt the epidemic. This amount of infection could lead to serious and potentially long-term complications and millions of deaths.

Since the risk of developing dangerous symptoms from COVID-19 may be greater in people who are older (over 65) or in people of any age who have other serious underlying health problems, such as heart or lung conditions, weakened immune systems, severe obesity, or diabetes. And if many people become seriously ill with COVID-19 simultaneously, the nation’s health care system could quickly become overwhelmed.

Until there is widespread COVID-19 vaccinations, it’s crucial to slow the spread of the COVID-19 virus and protect individuals at increased risk of severe illness, including older adults and people of any age with underlying health conditions. To reduce the risk of infection:

  • Avoid large events and mass gatherings.
  • Avoid close contact (within about 6 feet, or 2 meters) with anyone who is sick or has symptoms.
  • Stay home as much as possible and keep distance between yourself and others (within about 6 feet, or 2 meters) if COVID-19 is spreading in your community, especially if you have a higher risk of serious illness. Keep in mind some people may have the COVID-19 virus and spread it to others, even if they don’t have symptoms or don’t know they have COVID-19.
  • Wash your hands often with soap and water for at least 20 seconds, or use an alcohol-based hand sanitizer that contains at least 60% alcohol.
  • Wear a cloth face covering in public spaces where it’s difficult to avoid close contact with others, especially if you’re in an area with ongoing community spread. for health care providers.
  • Cover your mouth and nose with your elbow or a tissue when you cough or sneeze. Throw away the used tissue.
  • Avoid touching your eyes, nose and mouth.
  • Avoid sharing dishes, glasses, bedding and other household items if you’re sick.
  • Clean and disinfect high-touch surfaces, such as doorknobs, light switches, electronics and counters, daily.
  • Stay home from work, school and public areas if you’re sick, unless you’re going to get medical care. Avoid public transportation, taxis and ride-sharing if you’re sick.

To reduce the spread of COVID-19, everyone needs to continue to use masks, exercise proper hand hygiene, limit travel, avoid congregating, and maintain appropriate social distancing. 


References:

  1. https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/herd-immunity-and-coronavirus/art-20486808

National Pearl Harbor Remembrance Day, 2020

On the morning of December 7, 1941, seventy nine years ago, Imperial Japanese naval and air forces launched an unprovoked and devastating attack on Naval Station Pearl Harbor on the Hawaiian island of Oahu.

Tragically, 2,403 Americans perished were killed during the attack, including 68 civilians.

On this National Pearl Harbor Remembrance Day, America solemnly honors and uphold the memory of the men and women who lost their lives that day — “a date which will live in infamy” — and we reflect on the courage of all those who served our Nation with honor and valor in the Second World War.

On this National Pearl Harbor Remembrance Day, let’s recall the phrase “Remember Pearl Harbor,” which stirred the fighting spirit within the hearts of the more than 16 million Americans who courageously served in World War II. Over 400,000 gave their lives in the global conflict that began, for America, on that fateful Sunday morning of December 7, 1941.


Source: https://www.nps.gov/valr/learn/historyculture/national-pearl-harbor-remembrance-day.htm

Return Kids to In-Person Classroom

Many parents are rightfully concerned that their kids are not receiving the quality of educational services that schools are required, by law, to provide when school districts implement a 100% virtual learning or hybrid classroom model [that ask students to come to school on alternating days] options.

The American Academy of Pediatrics’ (AAP) contends that based on experience and research, remote learning is likely to result in severe learning loss and increased social isolation. Social isolation, in turn, can breed serious social, emotional and health issues: “child and adolescent physical or sexual abuse, substance use, depression, and suicidal ideation. Furthermore, these impacts will be visited more severely on Black and brown children, as well as low-income children and those with learning disabilities.”

Children are safer in their schools. And, there are lots of kids in this country who are, for example, food insecure, who may be experiencing abuse at home — not to mention the obvious academic benefits of simply being in school. We know that remote learning is just not that good.

Nation’s Pediatricians support in-person schooling

The AAP guidance “strongly advocates that all policy considerations for the coming school year should start with a goal of having students physically present in school.” Their guidance says “schools are fundamental to child and adolescent development and well-being.”

The AAP cites “mounting evidence that transmission of the coronavirus by young children is uncommon, partly because they are less likely to contract it in the first place. Tests showed lower coronavirus rates in schools than in their surrounding communities.”

The guidance for in-person schooling includes recommendations to maintain physical distancing, cleaning and disinfection of classrooms, frequent hand-washing, and using outdoor spaces whenever possible.

Largest school system

New York City’s Mayor Bill de Blasio plans to reopen the city’s public elementary schools and return to partial in-person learning. The plan is to reopen schools at the pre-k and K5 levels because “we have so much proof now of how safe schools can be” amid the contagion”, de Blasio remarked.

Yet, concern remains at what is the critical amount of community transmission that is at a safe enough level to open schools.

Parents and schools responsibilities

Schools are requiring parents to attest to the fact that their children are not showing symptoms and that they took their temperature in the morning prior to the student arriving at school.

Additionally, many schools are segregating kids into what they’re calling cohort groups, so that the same small group of 10 or 12 kids will stay together all day. That way, if there is a reported infection from one of those kids, then ideally you’re only contact tracing and quarantining that group instead of every child in the building.

Furthermore, students will be socially distanced and will be wearing masks. The challenge of footprint and the ability to space out desks remains a challenge for most schools. Some schools have put those kids in the gymnasium or had to start holding class outside, but that often requires more teachers.

“There seems to be less transmission from kids to adults than there is adults to adults. Kids don’t seem to be super-spreaders”, said Pediatrician Aaron Carroll of Indiana University. “We don’t have reports of sort of, you know, a kid going somewhere and spreading it to a bunch of other kids or even a bunch of other adults.”

Public health experts and infectious disease experts agree that we all have to do the right thing if we plan to send our kids back to school.


References:

  1. https://www.npr.org/2020/07/15/891598558/is-school-safe-will-districts-test-for-covid-19-answering-back-to-school-questio
  2. https://pediatrics.aappublications.org/content/146/3/e20201440
  3. https://nypost.com/2020/11/29/nyc-elementary-schools-to-reopen-for-in-person-learning-dec-7/
  4. https://www.msn.com/en-us/news/us/american-academy-of-pediatrics-says-benefits-of-in-person-learning-outweigh-coronavirus-risks/ar-BB16b9W9

The importance of bonds

High-quality bonds still serve an important purpose in most investors’ portfolios even in a low interest rate environment. This lesson was reinforced after the market plummeted in March 2020.

Owning high-quality fixed income provided a psychological benefit by minimizing volatility, which helped investors keep their emotions in check. It also gave investors a buffer from which to withdraw money if their income was reduced due to the state of the economy. Since bonds fluctuate much less than equities, they could sell a bond, instead of their stocks at steep losses, to help make ends meet.

Finally, bonds also provide attractive rebalancing opportunities that may improve one’s return over time.

The benefits of own bonds in one’s portfolio can help keep investors on track toward achieving their financial goals despite the tumult in the markets.