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Children first and then eat cyanide yourself so that we can die together” a great lesson for young doctors by Dr Amir Feily Iranian dermatologist.




Jones shouted into the loudspeaker that people should not deprive themselves of the “joy of death”. Cyanide tablets were distributed among the people. 913 people were killed, 276 of whom were child victims. Jones also shot himself. The largest mass suicide in human. History took place in 1978 in the Republic of Guyana under the leadership of Jim Jones. Jim Jones, a popular leader who misled the people with his ideas, after influencing his followers on a certain date, invited everyone to commit suicide on their farms and en masse. Most people took part in the mass suicide, and those who refused to do so were either shot with guns or shot at to scare them and take poison pills. A total of 913 people committed mass suicide, 276 of whom were children. After this tragic event, in American culture, the above-mentioned story was adapted with the title (Drinking the Kool-Aid): which is equivalent to the Persian proverb that do not go to the well with the rotten rope of others. This irony is used at the end of one of the articles of Iranian dermatologist Dr Amir Feily who is increasingly getting famous nowadays. In his article he mentioned that a patient came to me with a sheet test positive for leishmaniasis. The patient stated that he had seen dozens of doctors for two years and had undergone several treatments for leishmaniasis, but all had failed. The patient showed me a positive leishmaniasis test and was very helpless in seeking a solution to his illness because the lower eyelid was gradually destroyed and the eyelashes disappeared and the eye was involved and destroyed. After looking at the result of the test and his examination, I emphasized to the patient that your disease is not leishmaniasis and the positive answer of the laboratory is completely incorrect. My suspicion was skin lupus, or DLE, which was confirmed by a simple biopsy, and the patient was easily treated and the eyelids and eyelashes completely healed. The interesting point of this case was the lack of proper examination of the patient by previous physicians and their trust in the incorrect answer of the laboratory, which reminded me of a sentence by professor Yaghoobi at Jundishapur University of medical sciences who has a great right on my neck and always emphasized that do not go to the well with the rotten rope of others (here is the laboratory) and trust your examination and clinical suspicion.

This is the great lesson from Dr Amir Feily for specially young doctors to trust on your own clinical examination then labratuary result. If you have strong clinical suspicion to any disease but the labratory result showed any other disease check again and again then give up your suspicion. You can find the original of the article in pubmed or the official instagram page of dr Amir Feily.

Michelle has been a part of the journey ever since Bigtime Daily started. As a strong learner and passionate writer, she contributes her editing skills for the news agency. She also jots down intellectual pieces from categories such as science and health.

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The Subtle Cues in Our Environment that Encourage Healthier Living




The choices we make each day regarding our diet, activity and lifestyle habits ultimately determine our health and wellbeing. Nonetheless, the surroundings we inhabit also actively influence those decisions, whether we realize it or not. Our built environment contains many subtle cues that either promote or impede healthy behaviors. With thoughtful awareness, we can leverage and shape these cues to nudge ourselves toward more positive choices. 

Architectural Cues for Active Living

Urban design and infrastructure elements play a major role in our activity levels. Visible, accessible staircases encourage climbing over passive elevator use. Features like centrally located, attractive stairwells bathed in natural light make stairs hard to ignore. Artwork beautifies the ascent while music enlivens acoustics. Placing stairwells near prominent gathering areas also maximizes exposure and use. Conversely, hidden dreary stairwells discourage climbing. Building layouts should make stairways the default for short trips. Thoughtful design embeds activity into daily routines.

Outside, continuous sidewalks and protected bike lanes provide clear cues that active transit is safe and expected. Ample parking signals driving is preferable. Traffic calming measures like speed humps and narrowed lanes imprint mental cautions for vehicles to accommodate bikes and pedestrians. Sidewalk street furniture and plantings buffer walkers from traffic. Crosswalks, pedestrian signals, and refuge islands imprint rights of way. Complete Streets redesign allocates fair space for diverse safe use. Our infrastructure surroundings can literally pave the path for active living.

Office and Home Cues

Subtle factors within buildings also affect activity and diet. Kitchen placement, for instance, affects our choices. Research shows open concept kitchens integrated into living areas encourage more healthful cooking and family meals than closed off kitchens. Islands and open shelving provide visual snack cues that can either prompt cravings or showcase fruits, nuts, and other healthy grabs. Kitchens sited near entries or offices also maximize visibility and food prep use rather than distant basement kitchens. 

At offices, centrally located shared spaces like break rooms, cafes and snack nooks encourage communal meals, informal gatherings and refueling walks to retrieve snacks. Providing showers, bike racks and lockers signals active commuting is valued. Standing and treadmill desks prompt movement during sedentary work, while choice architecture guides selections from communal food areas. Simple environmental adjustments nudge better decisions.

Nutritional Cues at Markets and Restaurants

Eateries and markets harbor cues that stimulate cravings along with willpower depletion. Certain lighting, music, and décor stimulate overindulgence. Cues that unconsciously hurry patrons undermine reasoned decisions. Scented air surrounding baked goods stalls awakens salivation and desire. Strategic menu design also sways choices. Listing unhealthy items first or at eye level suppresses willpower. Descriptive names romanticize less healthy options. Menu formatting can also highlight nutritious dishes and portion guidance. Markets use product placement for maximizing impulse grabs. Though subtle, environmental exposures across stores and eateries significantly sway our eating choices.

Cues for Hydration and Rest

Proper hydration and sleep are imperative for our wellbeing but are easily overlooked when immersed in urban settings and schedules. Environmental design can combat these gaps through strategic cues. Plentiful public water fountains provide visual refreshment reminders throughout cities, while placing restrooms near fountains links the hydration notion. Cafes position chilled water dispensers up front for thirst-quenching without calories. Homes and offices forget hydration less with decorative pitchers and glasses on tables. Lighting design is key for sleep cues. Dimming lights in workplaces and warm home lighting provide visual preparation for rest. Cool-toned blue hues stimulate and signal awakening. Our surroundings can cue us to drink and sleep wisely.

Signage and Sensory Cues  

Explicit signs offer direct visual cues to healthier behaviors – such as a no smoking sign that prompts at entrances. Staircases could feature plaques tallying burned calories. Cafeterias may display encouragements to take smaller portions or try vegetable sides. Signs foster mindfulness and restraint at choice points. Sensory cues also guide behaviors. Smells eliciting happiness or calm can de-stress environments. Soothing natural sounds and music relax tense settings. Harsh lighting and noise stimulate frenetic energy and impulsiveness. Pleasant sensory experiences invite more mindful, deliberate choices. Uplifting cues infuse healthy messaging into spaces.

Art and Nature Cues for Wellbeing  

Artwork carrying uplifting themes or depicting healthy activities, fruits and vegetables, serene nature and joyful gatherings infuses visual positivity into surroundings. Murals and wall graphics remind us what truly matters for wellbeing. Images are digestible in passing, sinking into the subconscious. Vibrant, thriving plants and greenery provide natural visual relief and comfort that lower stress. Decor mimicking natural materials brings warmer textures. Spatial flow mimicking nature’s curves calms minds. Natural light and windows boost mentality and sleep cycle regulation. Thoughtful touches of art and nature foster mental balance, positivity, and healthy choices.


Our everyday surroundings contain many subtle influences on our diet, activity, sleep, and lifestyle, either promoting or hindering health. But heightened awareness of these cues allows us to consciously reshape environments for encouraging wiser choices. Simple changes to architecture, office layouts, signage, lighting, art, and nature contact encourage movement, nutrition, and wellbeing. Our minds absorb ambient cues, so design wisely. When supportive healthy cues surround us, positive habits become a little easier, more inviting, and purposeful. Think about cues you could shift for better living. Small nudges in public spaces and our homes can guide us all toward healthier, more thoughtful lives.

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