The compensated state of the central nervous system is

The essence of compensation

Compensated diabetes mellitus is accompanied by normal blood glucose parameters. Correcting the diet and following a special regime helps to achieve this state. Dosed exercises are of no small importance.

In some situations, these measures may not be enough to maintain normal glucose levels.

Expert opinion

Shalaeva Svetlana Sergeevna

endocrinologist, highest category, 18 years of experience

To optimize performance, the patient must inject insulin or use medications to lower blood sugar.

Why is CTG done during pregnancy - norms and what it shows

CTG or cardiotocography is one of the methods of prenatal diagnosis and is widely used in modern obstetrics due to the simplicity of the study, the absence of negative effects on the mother and fetus, accessibility and obtaining reliable and informative results.
The study is based on recording the fetal heart rate (HR) and its motor activity, as well as uterine contractions. After recording the listed indicators on a calibration tape, a paper version of the CTG results is obtained, which is assessed by an obstetrician-gynecologist and makes a conclusion.

Based on the conclusion obtained, the condition of the fetus is judged, and according to the indications, the issue of urgent or emergency delivery or treatment is decided.

The fetal heart rate is assessed at rest, during movements, and against the background of uterine contractions. Also, the child’s heart rate and motor activity are assessed under the influence of external factors. Thus, a distinction is made between non-stress CTG and CTG using external stimuli or functional tests - stress cardiotocography. The following functional tests are used:

• oxytocin test - intravenous administration of a minimum dose of oxytocin;
• mammary test - mechanical irritation of the nipples;
• atropine test - intravenous administration of a small dose of atropine;
• acoustic test - exposure to a sound stimulus;
• palpation test - an attempt to displace the pelvic end or head through the anterior wall of the abdomen.

When recording indicators on a paper tape, three graphs are displayed - one shows uterine contractions, the second shows fetal heartbeats, and the third shows fetal movements.

Cardiotocographic examination is based on the Doppler effect - the reflection of ultrasonic waves from contracting parts of the fetus and the walls of the uterus.

The sensor that detects the baby's heartbeat is ultrasonic, and the sensor that records uterine contractions is strain gauge.

Dates and time of CTG

Cardiotocographic examination is prescribed from 30 to 32 weeks of pregnancy. This is due to the formation of a clear connection between the movements of the fetus and its cardiac activity and the appearance of periods of sleep and wakefulness of the baby. Therefore, favorable times for research are considered to be between 9 am and 2 pm and from 7 pm to midnight.

According to indications (pathological course of gestation), CTG is performed earlier, from 28 weeks. Before reaching 28 weeks, the study is not carried out, since it is impossible to obtain clear and reliable results.

During a normal pregnancy, cardiotocography is performed every 10 days. The presence of gestational complications and obtaining satisfactory results from previous studies requires repeating CTG after 5 - 7 days.

If oxygen starvation of the fetus is detected, CTG is performed daily or every other day until the fetal condition normalizes during treatment or to make a decision on an urgent/emergency caesarean section.

Cardiotocography is also carried out during labor, approximately every 3 hours, although it is advisable to conduct the entire first period under CTG control.

How to prepare for research

There is no special preparation before performing cardiotocography. But the pregnant woman is introduced to the rules that she must follow on the eve of the study:

• have breakfast or dinner 1.5 - 2 hours before CTG is taken (the study is not carried out on an empty stomach or immediately after eating);
• empty your bladder before the procedure (duration of the study is 20 - 40 - 90 minutes);
• stop smoking 2 hours before CTG (if you have a bad habit);
• get enough sleep the night before the test;
• do not make any movements during the procedure;
• sign a written consent to conduct the study.

What is the purpose of cardiotocography?

According to the order of the Ministry of Health of the Russian Federation (No. 572, November 1, 2012), fetal cardiotocography is performed on every expectant mother at least three times from 32 to 40 weeks (in the absence of pregnancy complications) and without fail during labor. The goals of conducting CTG in the last trimester and during labor:

• fetal heart rate calculation;
• counting uterine contractions;
• diagnosing fetal distress and deciding whether to terminate pregnancy or childbirth.

Indications for more frequent examinations during pregnancy and/or childbirth:

• complicated obstetric history (abortions, miscarriages, premature births, stillbirths, etc.);
• gestosis;
• increased blood pressure;
• lack of red blood cells and hemoglobin in a woman;
• immunological incompatibility of the blood of mother and fetus according to the Rh factor or blood group;
• post-term pregnancy (42 weeks or more);
• lack or excess of amniotic fluid;
• threatened premature birth;
• control of treatment for FPN and intrauterine fetal hypoxia;
• intrauterine growth retardation, low expected fetal weight;
• multiple pregnancy;
• control study after receiving unsatisfactory results of previous CTG;
• extragenital diseases of women (diabetes mellitus, pathology of the kidneys, thyroid gland, etc.);
• decrease/disappearance of fetal movements or vigorous motor activity;
• diagnosed intrauterine fetal anomalies;
• large fetal weight;
• abdominal trauma;
• entanglement of the fetal neck with the umbilical cord, detected on ultrasound;
• scar on the uterus;
• low placentation or placenta previa;
• bad habits of a pregnant woman (alcohol abuse, smoking, drug use).

How the research is carried out

The patient is positioned on the couch in a position lying on the left side or half-sitting. This position prevents compression of the inferior vena cava, which negatively affects the condition of the fetus (increased heart rate, increased motor activity).

The doctor puts a special belt on the woman’s stomach, on which a strain gauge is placed so that it is on the side of the right corner of the uterus. After finding the best place to listen to the fetal heartbeat, the skin of the pregnant woman’s abdomen is lubricated with gel and an ultrasound sensor is attached to this area.

A remote control with a button is placed in the expectant mother's hand, by pressing which she will note the movements of the fetus during the study. The duration of CTG is 20 - 40 minutes, which is determined by the child’s sleep and wake cycles (usually the state of rest and activity of the fetus changes every 30 minutes).

Registration of the basal rhythm of the fetal heart rate is carried out for at least 20 minutes until 2 movements of the baby lasting 15 seconds or more are noted, which provoke an increase in heart rate by 15 contractions in 60 seconds. The described study is called external cardiotocography.

Internal cardiotocography is performed only during labor if the following conditions are present:

• broken amniotic fluid;
• dilation of the uterine pharynx by 2 cm or more.

When performing internal CTG, a special spiral electrode is attached to the skin of the baby's presenting part, and uterine contractions are recorded through a strain gauge attached to the abdomen or through a catheter inserted into the amniotic cavity. Internal CTG is performed according to strict obstetric indications and is rarely used.

Interpretation of the cardiotocogram

The analysis of the obtained cardiotocogram includes the study of the following indicators:

• Basal rhythm. Reflects the fetal heart rate. To determine it, the average heart rate value for 10 minutes is calculated. Normally, the fetal heart rate at rest is 110 - 160 beats per minute, with movement 130 - 190. The normal basal rhythm does not go beyond the boundaries of these indicators.
• Rhythm variability. An indicator reflecting the average deviation from the basal rhythm. Normally it is in the range of 5 - 25 heartbeats per minute. Deviations from the basal rhythm are called oscillations. There are fast and slow oscillations. Fast vibrations are those that occur with each fetal heartbeat, for example: 138, 145, 157, 139 and so on. Slow oscillations are observed per minute of heartbeat. When the rhythm changes by less than 3 beats per minute (example: from 138 to 140) they speak of low basal rhythm variability. A change in heart rate in 1 minute by 3 to 6 beats (example: from 138 to 142) indicates average variability. If the fetal heart rate changes by 7 or more beats in 1 minute (example: from 138 to 146), this indicates high rhythm variability. Normally, rhythm variability is high with instantaneous oscillations.
• Accelerations, decelerations. Accelerations are peaks or teeth that point upward on a chart. That is, accelerations are an increase in the fetal heart rate by 15 - 25 beats per minute, occurring in response to one’s own movements, uterine contractions or functional tests. They indicate the baby’s satisfactory condition (2 or more accelerations for 10 minutes). Decelerations, on the contrary, are peaks directed downward on the graph and are characterized by a decrease in fetal heart rate by 30 beats per minute and lasting 30 seconds or more. In normal CTG, decelerations are not observed or there are few of them, and the depth does not exceed 15 beats in 15 seconds.
• Periodic changes. Fluctuations in fetal heart rate that occur during uterine contractions.
• Amplitude. The indicator marks the difference between the basal rhythm of the fetal heart rate and periodic changes.
• Movements. Their number is determined by the state of rest and activity of the fetus. Normally, the baby should move 6 to 8 times in an hour. But the number of movements decreases during his sleep or during oxygen starvation, so the indicator is assessed in conjunction with others.

CTG interpretation results:

• Normal cardiotocogram. The basal rhythm is within the range of 120 - 160 heart beats per minute, the amplitude of rhythm variability is from 10 to 25 in 60 seconds, there are no decelerations, 2 or more accelerations are recorded in 10 minutes.
• Questionable cardiotocogram. The basal rhythm is either in the range of 100 - 120 heart rate per minute, or is 160 - 180 heart beats in 60 seconds. The amplitude of rhythm variability is less than 10 or more than 25. Accelerations are not recorded, shallow and short decelerations are recorded.
• Pathological cardiotocogram. The basal rhythm is 100 or less beats per minute or exceeds 180. There is a monotonous rhythm with an amplitude of variability of less than 5 beats per 60 seconds. Pronounced and variable (with different forms) decelerations were recorded. Late decelerations appear (30 seconds after the onset of uterine contractions). The rhythm is sinusoidal.

Fisher fetal assessment

The final conclusion on the cardiotocogram is issued after calculating the points described in his Fisher scale. The number of points is determined by the fetal heart rate, rhythm variability, absence or presence of decelerations and accelerations.

Fisher scale modified by Krebs:

Scoring allows the doctor to give the following conclusion:

• CTG indicates a satisfactory condition of the fetus with a total score of 8 - 10;
• CTG indicates the initial signs of oxygen starvation of the fetus with a score of 5 - 7 points (additional examination is required: ultrasound with Doppler, assessment of the biophysical profile of the fetus);
• CTG indicates a threatening condition of the fetus, which requires immediate hospitalization of the pregnant woman and a decision on delivery (usually an emergency caesarean section).

Factors distorting the results of the study

Obtaining unreliable cardiotocogram results may be due to:

• overeating or testing on an empty stomach;
• taking sedatives;
• pregnancy stress;
• physical activity of the woman before the study (climbing stairs, brisk walking);
• excessive weight of the pregnant woman (it is difficult for the sensor to recognize the fetal heartbeat);
• drinking alcohol and smoking on the eve of CTG;
• improper installation of the ultrasonic sensor or drying out of the sound-conducting gel;
• multiple pregnancy;
• state of rest of the fetus (it is necessary to extend the time of CTG reading).

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Source: https://ginekologi-msk.ru/info/articles/ktg-pri-beremennosti-rasshifrovka-i-norma/

Stages of compensation

Depending on the patient’s condition, there are several types of pathology. Doctors distinguish the following stages of compensation for diabetes mellitus:

1. Compensated – in this state it is possible to maintain normal glucose parameters. The threat of complications in such a situation is minimal. To compensate for the pathology, tablet medications, insulin administration, diet correction and sports activities are used.
2. Subcompensated - it is characterized by an intermediate state in which glucose parameters are between the compensated and decompensated stages. The threat of negative consequences is present. But it takes longer for symptoms of negative consequences to appear than at the decompensation stage.
3. Decompensated – accompanied by an increased amount of glucose. The condition is characterized by a high risk of complications.

PSYCHOLOGICAL TESTS USED IN THE METHOD

LUSCHER COLOR TEST

The Luscher test (Appendix 18), due to its popularity among practical psychologists, does not need a detailed description. Here are some main points that are interesting and important from the point of view of express diagnostics.

We present interpretations of color choices and color associations, the reliability of which is confirmed by the observations of teachers, psychologists, parents, as well as information about the child’s health status (according to L.A. Yasyukova).

So, depending on which color the child chooses first, the possible traits of his character will be the following:

Red. Active, energetic, assertive, active (sometimes too much). Usually optimistic, cheerful, often unrestrained.

Crimson. He loves communication and praise; when difficulties arise, he can become capricious.

Yellow. Dreamy, imaginative, full of hope, but not ready to actively act and inclined to take a wait-and-see attitude. Tends to play out various life situations in fantasies. Lives more in the future. Likes to make plans, but does not always bring them to fruition.

Grey. Lack of emotional involvement from adults.

Black. A negative mood towards yourself and everything around you, a protest that is perhaps more demonstrative.

Green. High level of aspirations, concern about one’s own status and position in the team. Feels a need for praise, wants to be better than others. Activation of the need for self-affirmation.

Blue. Sensitive, impressionable. It is distinguished by sophistication and good aesthetic development, and has a need for deep personal, rather than superficial, playful communication.

Brown. An anxious child who often experiences emotional or physical discomfort, unpleasant painful sensations, and fear. Perhaps this condition is influenced by the presence of chronic diseases.

The procedure for ranking color cards (from the most pleasant color to the most unpleasant) allows you to calculate the total deviation from the autogenic norm (SD) and the vegetative coefficient (VC). The calculation of CO and VC values ​​is carried out according to the formulas of A. I. Yuryev and K. Shiposh, given in the methodological manual “M. Luscher Color Test” by V. I. Timofeev and Yu. I. Filimonenko (St. Petersburg, IMATON).

Based on the works of Wallneffer, a certain order of color selection (34251607) was adopted as an autogenic norm, an indicator of Psychological well-being. To calculate the total deviation from the autogenic norm (SD), it is necessary to compare the order of places that colors occupy in the child’s choice with their “ideal” arrangement (34251607). First, the difference between the actual occupied space and the standard position of the color is calculated, then these differences (their absolute values, without taking into account the sign) are summed up. The CO value varies from 0 to 32 and can only be even.

The table shows an example of calculating the total deviation for choosing 14627503. The total deviation in this case is 20. CO = 7+0+1+2+4+3+0+3 = 20

The table for automatic calculation of results is given in Appendix 19.

The CO value reflects a stable emotional background, that is, the prevailing mood of the child. In the “Psychological” characteristic this indicator is designated as “Mood”. It has only three levels of severity.

Zone II - Predominance of negative emotions. Bad mood and unpleasant experiences dominate, the cause of which must be found out. A bad mood indicates a violation of the adaptation process, the presence of problems that the child cannot overcome on his own.

Zone III - The emotional state is normal. The child can be happy and sad, there is no reason to worry, adaptation proceeds normally.

Zone IV - Predominance of positive emotions. The child is cheerful, happy, and optimistic.

The predominance of a bad mood (zone II) is not a contraindication for a child’s education at school, but indicates that he is in dire need of psychological (psychotherapeutic) help. It is necessary to understand the causes of the identified condition and try to change the environment that negatively affects the child and contributes to his neuroticism.

The vegetative coefficient (VC) characterizes the energy balance of the body: the ability to consume energy or the attitude towards saving energy. Calculation of VC is carried out according to the formula proposed by K. Shiposh:

VK = 18 - place of red - place of yellow

18th place of blue - place of green

The coefficient value varies from 0.2 to 5 points. For the above choices made by the child, the calculation is as follows:

VK= 18—2—8 =0.62

18—1—4

The energy indicator is interpreted as follows:

Zone II - Chronic fatigue, exhaustion, low performance. The loads are unbearable for the child; their significant reduction is required. Usually, constant overwork is associated with the presence (and exacerbation) of chronic diseases (renal, heart, pulmonary failure, etc.). The general weakening of the body usually manifests itself in its low resistance to infections, which leads to frequent colds.

Zone III - Compensable state of fatigue . Self-restoration of optimal performance occurs due to periodic reduction in activity. It is necessary to optimize the working rhythm, the child’s work and rest schedule.

Zone IV - Optimal performance. The child is cheerful, lacks fatigue, is healthy, and is ready to expend energy. The loads correspond to its capabilities. The child’s lifestyle allows him to fully restore the energy expended.

Zone V - Overexcitement. Most often, it is the result of a child working at the limit of his capabilities, and not in the optimal mode for him, which leads to rapid exhaustion. It is necessary to normalize the pace of activity, the regime of work and rest, and sometimes it is necessary to reduce the load.

It is known that in a state of chronic overfatigue, memory, attention, and thinking cannot fully function. The adequacy of the response is impaired, and the ability to self-government is reduced. All this, naturally, negatively affects school success. But the more time a child begins to devote to lessons and less time to rest, the more disastrous the overall results are: poor academic performance is accompanied by loss of health. In case of chronic fatigue, the first step is to reduce the load.

To correctly understand the causes of chronic overfatigue in a child (zone II), it is also necessary to take into account the relative position of red (3) and yellow (4) colors. Research by L. A. Kitaev-Smyk showed that neuropsychic exhaustion leads to global changes in the functioning of all body systems. Overwork and a drop in energy lead to the fact that strong external stimuli become intolerable, and those stimuli that were previously perceived as normal also become “strong”. The emotional perception of color changes. Blue-blue shades seem more attractive, while yellow-red ones seem sharply unpleasant. Yellow color becomes especially intolerable. When this color appears before the eyes of an overtired person, it can cause an attack of nausea or headache, even lead to loss of consciousness.

Research confirms that we can talk about neuropsychic exhaustion and chronic fatigue when not only the VC value corresponds to zone II, but also in the color choice itself the yellow color is to the right of the red and closer to the end of the row. If the color red is closer to the end of the row, and yellow is to the left, closer to the beginning of the row, then the child’s condition can be characterized as ordinary fatigue, but as an additional factor, as a rule, there is “external” suppression of the child’s activity (authoritarian pressure from parents , excessive protective inhibitions or preventive concerns). In this case, the child’s health may be fine. We are not faced with physiological exhaustion, but have the total result of compensated fatigue and a forced (due to external control and pressure) decrease in activity. It is possible to optimize a child’s condition and performance by normalizing the attitude of adults toward him (correcting his parenting style) and the general regime of his life without reducing workload.

TREE TEST

(projective drawing test)

Projective drawing tests, in particular the “Tree” test, are traditionally used by practical psychologists in working with children. These techniques are well described in the literature and do not require detailed presentation. But, in order for the methodology to be complete, we present a standard description according to Yasyukova.

A drawing of a tree is traditionally considered in projective psychodiagnostics as a self-portrait, which holistically reflects the child’s attitude towards himself, self-esteem, the nature of the child’s relationships with others, as well as his problems. To understand the personal characteristics of a child, the following drawing parameters are quite reliable.

Overall tree size.

Reflects an emotionally charged sense of self-worth and importance. A tree size of 1/2-2/3 leaves is the most typical.

Large (more than 2/3 of the sheet) - self-confidence, fullness of life, energy wealth. A tree in full leaf, so that the trunk and crown do not even fit completely on it (their continuation is implied beyond the upper edge of the leaf) indicates excessive activity of the child. A decrease in the size of the tree (to 1/3 of a leaf or less) indicates a lack of self-confidence, a child’s feeling of his own insignificance, uselessness, and decreased overall energy.

Color.

The use of pure bright colors for coloring characterizes a normal emotional state. The use of black, dirty blue, dirty brown colors indicates the predominance of negative emotions, the presence of anxiety, and neurotic fears. The absence of color is not interpreted in any way.

Compensation Options

In order for diabetes compensation to be successful, you need to undergo certain tests regularly. Compensation criteria for diabetes mellitus include:

• The volume of glucose is determined in the blood and urine;
• Glycated hemoglobin;
• Acetone in urine;
• Fructosamine;
• Lipidogram.

Glycated hemoglobin

Hemoglobin is a protein present in the blood. This element is responsible for the distribution of oxygen throughout the body. A characteristic feature of this element is the ability to capture an oxygen molecule and ensure its further movement.

However, hemoglobin can also transport glucose molecules. As a result, glycated hemoglobin is formed, which is a high-strength compound. It is this indicator that allows you to estimate the average glucose level over the past 2 months.

Therefore, this criterion is of great value for identifying the severity of the disease and the effectiveness of treatment. It helps determine the form of compensation for the disease.

To assess the level of such hemoglobin, an immunochemical technique or ion exchange chromatography is used. Normally, after the first study, this figure is 4.5-7.5%, after the second - 4.5-5.7%.

Compensated diabetes is accompanied by a parameter of 6-9%. If a higher percentage is detected, this confirms the ineffectiveness of therapy and a significant excess of glucose volume.

Fructosamine

This parameter is in second place in terms of information content. Fructosamine is synthesized by binding plasma protein elements and glucose. An increase in the volume of this substance indicates an excess of glucose for 2-3 weeks.

Expert opinion

Shalaeva Svetlana Sergeevna

endocrinologist, highest category, 18 years of experience

Normally, the volume of this substance should be 285 µmol/l.

If the level of fructosamine is higher, this indicates the development of subcompensation or decompensated stage of diabetes. The risk of dangerous consequences for the heart and blood vessels increases significantly.

Lipidogram

This comprehensive diagnostic procedure helps determine the lipid content in blood structures.

To carry out a lipid profile, a colorometric photometric method is used. To do this, you need to donate blood from a vein.

To get a reliable result, you must follow these recommendations:

• Stop smoking 30 minutes before the test;
• Avoid stress;
• Do not eat 12 hours before the test.

Thanks to the procedure, it is possible to determine total cholesterol, an indicator of atherogenicity, triglyceride levels, and lipids of different densities. Full compensation of type 2 diabetes is characterized by the following indicators:

• Triglycerides – 0-2.25 mmol/l;
• Atherogenicity – 2.2-3.5;
• Cholesterol – 0-5.2 mmol/l;
• Very low density lipoproteins – 0.13-1.63 mmol/l;
• Low density lipoproteins – 0-3.3 mmol/l;
• High density lipoproteins – 1.03-1.55 mmol/l.

Subcompensation and decompensation of pathology are characterized by higher rates. This confirms the impressive risk of atherosclerosis, stroke, kidney disease, and heart attack.

Sugar volume

Glucose parameters need to be assessed up to 5 times a day. But not every patient can conduct so many tests. Therefore, the minimum number of procedures is 2 times - in the morning and at night. To carry out this study, a glucometer is used.

Well-controlled type 2 diabetes requires monthly testing. If the level of glucose in the urine is 12-15 mmol/l, the procedure should be performed more often. Normally, sugar should not be present in urine. If it is present, an additional study on the content of acetone in urine is indicated.

To evaluate the criteria for compensation for type 2 diabetes mellitus, test strips are used that change their color upon contact with urine. If the color is sufficiently saturated, this indicates an excess of acetone in the urine. A not so bright shade indicates a low indicator.

Expert opinion

Shalaeva Svetlana Sergeevna

endocrinologist, highest category, 18 years of experience

The appearance of acetone and glucose indicates decompensation of the pathology. It requires dietary adjustments and drug therapy.

The compensated state of the central nervous system is

At first the mind deals with unpolarized objects. Non-polarized means that objects have no polar states relative to each other. Objects may differ, but are not interrelated with each other.

Observing objects with identical properties, we can only count the number of such objects.

The magnification of non-polarized objects of observation can be expressed by the formula.

We saw two objects. KK=2K, 2 cows.

Three objects were seen KKK=3K, 3 cows.

The linear bipolar mind begins its formation with the properties of attraction or repulsion.

“+” refers to everything that adds life.

“-” refers to everything that worsens living conditions.

The yardstick is the mind, which measures whether a given event is suitable for me, then “+” or not suitable, then “-“. Measures the mind on the properties of the human body, likes the taste of an apple “+”, does not like the taste of sour milk “-“.

The properties of the mind appear.

+3K-1K=+. The transition of quantity into quality, if there is more “good” quantity, then it turns into the positive quality of joy, luck, etc. The more “good” quantity there is, the stronger the positive quality it will throw us into.

As a result, “+” is indicated without quantity; there is no clear correspondence here that +4K-1K=+3. The mind turns from “good” quantity to quality. Quality is already a different area, these are not cows or objects of the physical world, so there will be no direct correspondence in quantity as a result, we cannot say that 4 equivalent events happened to me, one bad event and 3 good ones and as a result I I got 2 joys.

+1K - 3K=-, formula for negative quality.

+3K — 3K=0. When our mind balances bad and good events, then we will have a kind of neutral state. But this is not that neutral state when everything remains the same. There were events, both good and bad, they affected not only us. We have the experience of experiencing these events, the experience of the mind, which compensated for these events, i.e. the mind has reduced real events, as it were, to a neutral state for us.

It’s another matter when (+-)0 (+-)0 =0.

That is, we take nothing, emptiness, add or subtract it with another “nothing” and get “nothing”. In this case, zero is empty, there is no compensated state, because there were no real events in the initial conditions. In our minds, we took a zero, put it into interaction with another zero and got a zero; there were no real events in the physical world. We just trained our minds.

There is a big difference between the case of the compensated state +3K - 3K=0, when events led to zero as compensation, and the case of the empty state of zero (+-)0 (+-)0 =0.

There were real events, they were reduced and compensated to zero by the mind. You started some business, two situations turned out negative for you, two positively. Note that two by two balancing is already conditional, because maybe one bad situation outweighs 10 good ones. The mind may think that zero is nothing, it is emptiness. I did, did something, and nothing worked out for me, which means I did everything wrong. And the person will throw out part of his life from his life when these events occurred.

After all, even assessing events as good or bad is relative. The same event can be bad for one person and good for another. The same person can initially evaluate the same event as bad, and after some time as good.

On the one hand, it turns out that the line between good and bad events and actions is blurring. It may turn out that do as you want, complete anarchy, since any event can be explained to another person as good or bad. Here it is important to distinguish the world of actual perceptions from the world of the mind. The world of the mind always explains and evaluates; this is not given to other organs. Only the mind can say that since nothing happened as a result of actions, then the actions themselves are also empty nothing.

In this case, the mind first uses the law of compensation +3K - 3K=0, there is the real world, expressed by +3K and -3K, and the world of the mind, which led to compensation and zero. Then the person finally moves to the world of the mind, looks at the final 0, in the world of the mind there is a law (+-)0 (+-)0 = 0, where the emptiness was initially taken (+-)0 and according to this law he says that once in at the end there is zero, emptiness, nothing, then even at the very beginning it was clear that nothing would work out. The initial state, the initial conditions are equal to the empty zero +3K = (+-)0 and -3K = (+-)0. This is where paradoxes, misunderstandings of life, cynicism, and rudeness arise.