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One of Google’s objectives for 2023 is to “deliver durable savings through improved velocity and efficiency”, a recent internal email from company CFO Ruth Porat said.

Joining the doom and gloom this week, Google also announced cuts to employee services and perks will be taking place soon. So, we’ve had a closer look at how the Tech giant – as well as its rivals – are cutting costs this year.

The likes of Meta and Amazon have resorted to making mass layoffs and giving up thousands of square feet of office space since the new year, while social media network Twitter has implemented some strange cost-cutting measures in recent times, including desperately pleading for reduced contractual terms with vendors.

After overstretching during the pandemic while profits were booming, the world’s biggest tech companies have been brought resoundingly back down to earth by the financial hardships rapidly engulfing the global economy in 2023.

As part of this cost-cutting drive, a number of employee perks and services are going to be taken away, reports suggest. For instance, employees used to be able to expense a mobile phone even if there was one internally available – but now, this service is no longer possible.

Staff that would’ve been given MacBooks upon starting will now receive a Chromebook instead, with the more powerful devices reserved for engineering teams. Company cafes are set to close on quieter days such as Mondays and Fridays, while end-of-week yoga classes were identified as another “underutilized” perk at Google that could be scrapped.

“We set a high bar for industry-leading perks, benefits, and office amenities, and we will continue that into the future… however, some programs need to evolve for how Google works today” Ruth Porat, Google CFO.

Other measures include asking employees to share desks, while a facility directive for employees in San Francisco instructed that staplers and tape must now be drip-fed to employees by receptionists.  However, a Google spokesperson told CNBC that “staplers and tape continue to be provided to print stations. Any internal messages that claim otherwise are misinformed.″

These decisions are being implemented alongside the 12,000 layoffs that were announced back in January, representing 6% of Google’s workforce. 

Twitter: We Can’t Pay, but We Could Plead for Help

It’s a wonder why no other company has tried Twitter’s failsafe method of cutting costs that hit the headlines in December of last year: refusing to pay their rent. 

The Financial Times reports that Pablo Mendoza, a managing director at a Dubai-based investment firm that contributed $700m to Musk’s acquisition of the platform, has resorted to pleading with vendors that “his job is on the line”, negotiating 50 – 90% reductions in some cases.

In what seemed like an act of desperation, several items from Twitter’s offices were put up for auction in mid-January, including a pizza oven and the social media network’s famous bird statue.

These sorts of tactics already look like they’re backfiring, however, as the refusal to pay Twitter’s bills has wrapped the social network up in a multi-million dollar legal quagmire, with nine separate lawsuits looming.

To make matters worse, these ‘measures’ are being implemented against a backdrop of almost-constant layoffs, with three-quarters of the company’s pre-acquisition payroll no longer working for the company. Some were made redundant, while others were offered “voluntary separation” from Twitter.

Meta: Fewer Employees, Fewer Costs

At the beginning of February, Mark Zuckerberg announced that 2023 would be Meta’s “year of efficiency” – and he wasn’t wrong. 

In February, a cull of middle managers – referred to internally as the “flattening” – was initiated, with many told to move to an “individual contributor” role or leave the business. 

Then, Meta announced 10,000 layoffs in mid-March, taking the total number of employees made redundant in the last six months to over 21,000. 

Meta is also leaving vacant positions open instead of filling them – with recent reports suggesting that the company is leaving as many as five thousand positions unfilled to bring salary outgoings down.

Apple: Less Travel, More Pay Cuts

Apple has perhaps been the big tech company least affected by the economic downturn, largely due to its $165 billion worth of cash reserves, while Bloomberg says stock is up around 20% this year.

Despite this, the company has still implemented a number of cost-cutting measures, including delaying bonuses, pushing back projects like the HomePod to 2024, and reducing team budgets across the company.

Other tactics include limiting the ability of Apple’s workforce to transfer between locations, reducing employee travel, and simply leaving roles open when employees leave, as Meta has done.

Ever a man of the people, CEO Tim Cook requested that he take a pay cut himself this year, and plans to take home 40% less than he did in 2023 – leaving him with a mere $49 million.

Microsoft: So Long, Office Spaces

Like Apple, Microsoft has been restricting company gatherings and travel since the summer of 2023 – but the company is also going for the multi-pronged cost-cutting approach.

In January 2023, it was revealed that Microsoft was planning to let go of 1.7 million square feet of office space in an attempt to rein in costs and consolidate “to create higher density across our workspaces”.

Its biggest cost-cutting measure of 2023 so far, however, was laying off over 10,000 employees just after the new year, just days after offering staff unlimited paid time off. 

This itself could be a cost-cutting measure, as it helps companies avoid paying out for unspent holidays when staff members leave. 

Amazon: It’s the Little Things That Matter

Amazon has implemented a number of smaller cost-cutting measures over the past few months, with the need to save affecting almost every area of the business.

The company has already sublet and leased office space the company isn’t using, including 65,000 square feet in Bengaluru, India just this week.

A smaller measure has been to allow sellers to store their inventory in Amazon warehouses for longer periods of time.

The ecommerce behemoth also started giving third-party companies access to its logistics network in the name of quicker order fulfilment. Some Amazon Go stores in parts of the US, such as Seattle, have been closed too. 

Of course, the company’s wage budget will be significantly smaller – Amazon announced plans to lay off 18,000 employees in January 2023.

The Cost-Cutting Chaos Will Continue

Unfortunately for everyone working in the tech industry, this won’t be the last we hear of layoffs and other ruthless cost-cutting measures. More perks, pay, and physical office spaces are likely to be given up as the year trundles on.

Uncertain economic times provide new challenges for companies constantly in the spotlight, with heightened scrutiny over every dollar spent. Projects like Meta’s Metaverse, for instance, have been consistently framed as failures in recent weeks as the company flounders financially.

Which decision-makers and key players will come out unscathed remains to be seen – but Mark Zuckerberg and Amazon’s Andy Jassy have certainly seen their personal stock tank and employee unrest increase in the past few months.

Whatever happens, it’s unlikely restricting staplers and tape will be the most leftfield attempt to save a bit of cash we see in 2023.

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Most Of The Web Is Invisible To Google. Here’s What It Contains

Below The Surface

You thought you knew the Internet. But sites such as Facebook, Amazon, and Instagram are just the surface. There’s a whole other world out there: the Deep Web.

It’s a place where online information is password protected, trapped behind paywalls, or requires special software to access—and it’s massive. By some estimates, it is 500 times larger than the surface Web that most people search every day. Yet it’s almost completely out of sight. According to a study published in Nature, Google indexes no more than 16 percent of the surface Web and misses all of the Deep Web. Any given search turns up just 0.03 percent of the information that exists online (one in 3,000 pages). It’s like fishing in the top two feet of the ocean—you miss the virtual Mariana Trench below.

Much of the Deep Web’s unindexed material lies in mundane data­bases such as LexisNexis or the rolls of the U.S. Patent Office. But like a Russian matryoshka doll, the Deep Web contains a further hidden world, a smaller but significant community where malicious actors unite in common purpose for ill. Welcome to the Dark Web, sometimes called the Darknet, a vast digital underground where hackers, gangsters, terrorists, and pedophiles come to ply their trade. What follows is but a cursory sampling of the goods and services available from within the darkest recesses of the Internet.

Things You Can Buy

1. Drugs

Individual or dealer-level quantities of illicit and prescription drugs of every type are available in the digital underground. The Silk Road, the now-shuttered drug superstore, did $200 million of business in 28 months.

2. Counterfeit Currency

Fake money varies widely in quality and cost, but euros, pounds, and yen are all available. Six hundred dollars gets you $2,500 in counterfeit U.S. notes, promised to pass the typical pen and ultraviolet-light tests.

3. Forged Papers

Passports, driver’s licenses, citizenship papers, fake IDs, college diplomas, immigration documents, and even diplomatic ID cards are available on illicit marketplaces such as Onion Identity Services. A U.S. driver’s license costs approximately $200, while passports from the U.S. or U.K. sell for a few thousand bucks.

4. Firearms, Ammunition, and Explosives

Weapons such as handguns and C4 explosives are procurable on the Dark Web. Vendors ship their products in specially shielded packages to avoid x-rays or send weapons components hidden in toys, musical instruments, or electronics.

5. Hitmen

6. Human Organs

In the darker corners of the Dark Web, a vibrant and gruesome black market for live organs thrives. Kidneys may fetch $200,000, hearts $120,000, livers $150,000, and a pair of eyeballs $1,500.

Things That Make Internet Crime Work

1. Cryptocurrency

Digital cash, such as bitcoin and darkcoin, and the payment system Liberty Reserve provide a convenient system for users to spend money online while keeping their real-world identities hidden.

2. Bulletproof Web-hosting Services

Some Web hosts in places such as Russia or Ukraine welcome all content, make no attempts to learn their customers’ true identities, accept anonymous payments in bitcoin, and routinely ignore subpoena requests from law enforcement.

Bitcoins

Cryptocurrencies such as Bitcoin help keep the deep web in business.

3. Cloud Computing

By hosting their criminal malware with reputable firms, hackers are much less likely to see their traffic blocked by security systems. A recent study suggested that 16 percent of the world’s malware and cyberattack distribution channels originated in the Amazon Cloud.

4. Crimeware

Less skilled criminals can buy all the tools they need to identify system vulnerabilities, commit identity theft, compromise servers, and steal data. It was a hacker with just such a tool kit who invaded Target’s point-of-sale system in 2013.

5. Hackers For Hire

Organized cybercrime syndicates outsource hackers-for-hire. China’s Hidden Lynx group boasts up to 100 professional cyberthieves, some of whom are known to have penetrated systems at Google, Adobe, and Lockheed Martin.

6. Multilingual Crime Call Centers

Employees will play any duplicitous role you would like, such as providing job and educational references, initiating wire transfers, and unblocking hacked accounts. Calls cost around $10.

How to Access the Dark Web’s Wares

Anonymizing Browser

Secret Search Engines

Future Crimes

Criminal Wikis

Carefully organized wikis list hidden sites by category, such as Hacks, Markets, Viruses, and Drugs. Descriptions of each link help curious newcomers find their desired illicit items.

Hidden Chatrooms

Just as in the real world, online criminals looking to obtain the most felonious material must be vouched for before they can transact. A network of invitation-only chatrooms and forums, hidden behind unlisted alphanumeric Web addresses, provides access to the most criminal of circles.

This article was adapted from Marc Goodman’s book Future Crimes, which was published in February. It originally appeared in the April 2024 issue of Popular Science, under the title “The Dark Web Revealed.” All text © 2024 Marc Goodman, published by arrangement with Doubleday, an imprint of The Knopf Doubleday Publishing Group, a division of Penguin Random House LLC.

Randon Selects Siemens To Optimize Costs And Streamline Processes

•  Teamcenter connects digital twins with a digital thread to help optimize manufacturing and improve future performance. •  The Teamcenter product costing solution helps predict expected costs for more informed business decisions. •  The Plant Simulation solution in Siemens’ Tecnomatix portfolio provided support for project optimization in addition to investment savings of around 40 percent.

• Teamcenter connects digital twins with a digital thread to help optimize manufacturing and improve future performance. • The Teamcenter product costing solution helps predict expected costs for more informed business decisions. • The Plant Simulation solution in Siemens’ Tecnomatix portfolio provided support for project optimization in addition to investment savings of around 40 percent.

India, September 27, 2023: Siemens announced today that Randon Implementos, the largest manufacturer of trailers and semi-trailers in Latin America, has selected solutions from Siemens’ end-to-end digital innovation platform for product cost management (PCM). Using Siemens’ Teamcenter® portfolio and Tecnomatix® portfolio, Randon can establish a uniform standard for product costing to help achieve higher accuracy in preliminary cost analysis. By using a target costing process, Randon can provide outstanding customer value at the best cost, while maintaining competitiveness and profitability of products and solutions.

“The use of software from Siemens has made the process of value analysis much faster, more accurate, transparent and efficient,” said Sandro Trentin, director of technology and innovation for Randon Implementos. “We can now perform a target costing process to converge, in the conceptual scope, the product and process improvements for the most competitive landscape in five days of work. We expect to see a dramatic reduction in overall costs using this method, which is a critical step in digitalizing our manufacturing processes.”

Product cost management provides a digital twin of a customer’s product and tool costs, which enables an accurate representation of both planned and simulated costs. Using a target costing process and the Teamcenter solution for product costing, Randon can simulate the expected cost of multiple design variants and alternative production scenarios, as well as calculate capital expenditures for upcoming projects. With these simulations, Randon can develop new products in a cost-optimized manner while increasing the number of projects processed. Through early transparency on product cost, Randon can more effectively negotiate with suppliers and make more informed investment decisions.

In January 2023, Randon started development and analysis work supported by an international consultancy that presented Siemens’ PCM software as an essential tool for the evolution of these processes. “The decision to choose Siemens’ software was made easier because the tool was endorsed by consulting and value analysis,” said Trentin.

“Siemens’ solutions digitalize manufacturing and the process of transforming innovative ideas and raw materials into real products,” said Allyson Faria, Latin America marketing director at Siemens PLM Software. “Teamcenter product cost management supports the cost and value engineering approach early and throughout the development process by providing transparency to how engineering and manufacturing decisions affect product cost. With Tecnomatix, Randon can achieve synchronization between product engineering, manufacturing engineering, and production and service operations, helping to maximize their production efficiency, and ultimately helping realize innovation in their development cycles.”

In a scenario of high competitiveness and market retraction, Randon needed a tool that would allow a systemic view of its processes and flows. The company’s portfolio is highly diversified, which results in high production variability. In this context, simulation is a powerful tool for the dynamic analysis of process variables. To meet this need, Randon started using the Plant Simulation solution in the Tecnomatix® portfolio in 2023, seeking a holistic view of its production systems.

“Siemens’ Plant Simulation solution is fully aligned with the company’s strategy of applying Industry 4.0 concepts. The results obtained provided data for the optimization of projects, in addition to investment savings of around 40 percent,” said Trentin.

What It Means To Have ‘Undetectable’ Hiv—And Why You Need To Know

It’s been almost 40 years since the start of the AIDS epidemic, when hundreds of people began contracting deadly infections that doctors had no idea how to combat. It took until 1983 for researchers to identify the virus that was causing their symptoms: human immunodeficiency virus, or HIV. After years of medical testing, protests, and millions of deaths the world still hasn’t emerged from the epidemic. But it’s getting closer: Since their peak in 2004, AIDS-related deaths have shrunk by over half, and new HIV infections have reduced by 40 percent since 1997.

Safe sex practices and pre-exposure prophylaxis (PrEP) medications have prevented many further infections, and the evolution of antiretroviral (ART) treatments have stalled the virus from replicating in people who already have it. Beyond allowing people with HIV to live completely normal lives, these drugs also prevent them from transmitting the virus to others once they reach an undetectable viral load. But in many communities, people living with undetectable HIV statuses still face stigma that marginalizes them as “dirty” and unsafe to have sex with. Here’s how the science disproves that.

To understand why someone who is HIV positive but whose infection is undetectable can’t transmit HIV to a sexual partner, it’s vital to understand both how the virus itself infects the body and how medications work to combat it. Left unchecked, the HIV virus hijacks CD4 immune cells, a type of white blood cell responsible for fighting off infections, to make more copies of itself. As their viral load (number of virus copies per milliliter of blood) skyrockets, an afflicted person’s number of CD4 cells plummets, leaving them vulnerable to opportunistic infections. Once the CD4 count dips below 200, HIV has caused AIDS.

The first antiretroviral drug used to treat HIV was called AZT. Originally developed in the 1960s as a cancer treatment, AZT interfered with DNA replication in a person’s HIV-infected, CD4 immune cells to prevent the virus from taking over their immune system. But it was also incredibly toxic, causing anemia, nausea, insomnia, and weakened immune systems in many patients. Over the past few decades, researchers have developed antiretrovirals that are far more effective and less damaging, says Christopher Hall, vice president of medical affairs for the San Francisco AIDS Foundation.

“The evolution has been to a pill that is extremely well-tolerated, taken only once a day,” Hall says. “That’s just an incredible development.”

ART medication gives the cells a hand in combating HIV, which prevents it from replicating. A patient’s viral load then begins to decline while their CD4 count returns to normal. Originally, scientists thought that no matter how low their viral load was or how healthy they were, someone living with HIV could still give the virus to a sexual partner. But by 2000, studies began showing that below a certain threshold, that risk was incredibly rare.

While each person diagnosed with HIV has their own treatment timeline, almost all providers will have their patients begin taking ART medication as soon as they’re diagnosed. Hall says that’s a shift from how things used to be: Doctors would wait to determine whether their patients were ready and able to take the drugs (the original meds needed to be taken up to four times a day and caused a slew of side effects).

Because modern-day ART medications have so few drawbacks, a patient can start treatment right after their diagnosis and immediately see their viral load drop. Hall says that’s also important for combating the stigma that HIV is a death sentence, because at this point, it isn’t.

“We want to say, ‘Hey, you can get on top of this right away. This is going to be easy for you to manage, relatively speaking. We’re going to help you,’” Hall says.

Depending on the patient’s condition, they’ll return to the doctor after about a month to discuss how they’re tolerating the medication. The provider will run tests on their kidney and liver function and check for anemia. They’ll also run a viral load test, which scans for any genetic material associated with HIV in the bloodstream to determine the number of virus copies per milliliter of blood. Once the medication has done its work and that number reaches 200 copies per milliliter (usually after about 6 months), a person is considered undetectable.

But why do doctors say “undetectable” if the virus can still be detected by the test? Hall says that’s a function of how specific viral load tests have become over the years. When a test that can only measure as low as 200 copies per milliliter arrives at that result, it’s likely that the patient could have an even lower viral load than that. But because the test can’t measure anything lower than 200, they’re deemed undetectable.

Viral load tests get more specific by the day: Hall says some are still in the works that can get as precise as 1 to 5 copies per milliliter range. The tests he uses in his clinic can see down to 20 copies per milliliter, but he says that doesn’t mean his undetectable patients are more undetectable than those who’ve used the 200 copies per milliliter test.

“There’s some nuances to it,” Hall says.

Two hundred is still the golden number for people living with HIV, because that’s the most specific test that was used in the studies that proved an undetectable person can’t transmit the virus. Hall says below that point, an HIV-negative person with a healthy immune system can easily fight off a couple hundred viruses as opposed to the millions contained in a milliliter of blood from a newly diagnosed person. Our skin and mucous membranes do an excellent job protecting us from invaders, even HIV.

“HIV is inefficient enough that, when present in low numbers, infection can be avoided,” Hall says.

Dave Watt, outreach manager for the Southwest Center for HIV/AIDS, fields all kinds of conspiracy-like questions from folks who are uninformed about HIV, down to whether or not mosquitoes can transmit the virus (they can’t, he says, otherwise everybody would have HIV by now). Over a decade ago, he founded the Friendly campaign, which aims to counteract the fear-based messaging that often surrounds the virus. Even after the CDC formally endorsed the “U=U” campaign (which asserts that undetectable HIV is untransmittable) in 2023, Watt says it can be tough to help people understand that medical truth.

“While science can’t say it’s impossible, that’s just not how science works,” Watt says. “We used to say ‘low risk’ or ‘minimal risk.’ And now the studies have shown that there really is no risk.”

In 2024, the groundbreaking PARTNER study, a large, international research initiative that studied 900 serodiscordant couples (i.e. one partner had an undetectable viral load and the other tested negative for HIV), found that even after multiple years of condomless sex, not one person transmitted the virus to their partner. A number of clinical studies have since verified this, and scientists say the risk of an undetectable person transmitting the virus to their HIV-negative partner is effectively zero.

ART can’t cure HIV—with today’s treatment options, an undetectable person will always test “positive” for the virus. And during the antiretroviral onslaught, the virus will retreat into “sanctuary” areas like the rectum or cervix, allowing it to begin replicating again if the person stops taking the drugs. The ART drugs can’t access those “sanctuary” areas very well, so they can’t eliminate every last virus left. But, when taken diligently, the meds keep HIV so well at bay that, effectively, they may have the potential to end the epidemic without scientists finding a definitive cure.

The concept of treatment as prevention (TasP) emphasizes the importance of immediately treating anyone diagnosed with HIV in order to get them to undetectable status as quickly as possible. Once they become undetectable and continue taking the medications, they’ll be unable to transmit the virus any further. If everyone living with HIV gains access to these lifesaving drugs, they can stop the disease in its tracks. But even when communities do have the resources, fear can stop them from seeking treatment.

Hall says when people fear the consequences of getting HIV and don’t realize that it’s no longer a death sentence, they’re less likely to get tested in the first place. This delay makes their conditions more difficult to treat because the virus has had a longer amount of time to take hold on their immune systems. But telling people that, at the end of the treatment, their risk of infecting others is essentially nonexistent can be a powerful tool in lifting that stigma.

Governments also have to catch up with the science. In the U.S., 29 states have laws that criminalize people living with HIV, whether it’s not disclosing their status to a sexual partner or being punished for physically transmitting the virus to their partners. Nine states have measures that enhance prison sentences for sex crimes when a person living with HIV is involved. In some cases, these sentences may be harsher than ones for murder.

“Stigma continues to be the greatest challenge in ending the epidemic,” Hall says.

What’s Google Bard, And How It Works? Here’s The Answer.

Bard is Google’s new conversational AI chatbot that will compete with the Bing experience with ChatGPT integration. Similar to ChatGPT from OpenAI, Bard is an Artificial Intelligence (AI) technology that uses natural language to provide more human conversational answers to complex questions.

The chatbot uses the Language Model for Dialogue Applications (LaMDA) developed by Google and machine learning technology to analyze large text datasets and predicts the word that comes next to the other one, which provides the skills for the AI to produce more human responses, similar to GPT-4.

What’s Google Bard?

Bard is a conversational AI chatbot from Google built using the Language Model for Dialogue Applications (LaMDA) and machine learning that you can use to get answers to complex questions using natural language instead of typing a search query to see a list of results that may or may not include an answer like we’re used to with search engines.

However, the new chatbot from Google is the same as other chatbots, meaning it will not always provide the correct answer. For this and other reasons, the company says that Bard is not a search engine replacement. Instead, it’s a complement to search to brainstorm ideas, create drafts, or play around. As a result, it’s always recommended to check the facts of the information.

Google Bard is available now as a limited preview for users in the United States and the United Kingdom. You can sign up for the waitlist with these instructions, but it’s unclear how long the wait will be since the company notes that this will be a slow rollout.

Furthermore, in addition to search, the company plans to keep bringing AI to many of its products, including Maps, Translate, Lens, and more.

How does Google Bard work?

Also, similar to the Bing Chat AI, Google’s conversational AI offers a minimalist interface with a text box with rounded corners to ask questions on any topic using text or voice.

One difference about Bard is that it doesn’t write down the answer in real-time or show you the process. Instead, you will see Bard thinking with an animated icon, and then you will see the complete response.

Furthermore, the chatbot features a “drafts” option that allows you to choose from different answer variations. For example, this feature will come in handy if you ask a question that displays a paragraph of text, and from the drafts, you can pick to view the answer in bullet points.

Google hasn’t mentioned unwanted behaviors after asking a number of additional questions. However, Bard does come with a “Reset chat” button from the left navigation pane to terminate and start a new chat session.

In the navigation pane on the left, you can also access the “Bard Activity,” which allows seeing a history of your searches that you can delete at any time. However, you cannot view the same response from your previous activities again.

Google Bard uses its knowledge and content from the web to answer questions, but unlike Bing Chat, you usually won’t see citations sourcing the content. In some cases, the experience will show a “Sources” footnote with links to the website containing the information source.

What It Feels Like To Have A Brain Aneurysm

An aneurysm is a ballooning or swelling in a blood vessel in the brain. This condition is also called a cerebral aneurysm or an intracranial aneurysm. A lot of aneurysms look like berries on a stalk.

When a brain aneurysm bursts, it usually happens where the brain meets the thin tissues that cover the brain. Doctors call this kind of brain bleeding called a subarachnoid hemorrhage.

There are a lot of aneurysms in the brain. Still, most brain aneurysms, especially smaller ones, are not dangerous. Most aneurysms in the brain never break open. When they do happen, symptoms and health problems are rare. Aneurysms in the brain are often found accidentally when treating other diseases.

But if an aneurysm bursts, it becomes life-threatening right away and needs to be treated right away.

For some people, a brain aneurysm must be treated even if it hasn’t burst. If a person has a brain aneurysm that hasn’t burst yet, treatment can make it less likely that it will. Ensure you and your doctor have the same ideas about treating your condition.

Possible Causes of Aneurysms in the Brain

“What causes a brain aneurysm?” is a question patients often ask. Many different things can cause an aneurysm, and it is impossible to find a single cause. Still, it is well known that things like your personal and family history, gender, high blood pressure, and smoking all make it more likely that you will get an aneurysm.

Family History − If someone in your family has had a brain aneurysm, you are more likely to get one yourself. People who have had a brain aneurysm before are also more likely to have another one.

Gender − Women are more likely than men to have brain aneurysms and subarachnoid hemorrhages. Brain aneurysms happen to more women than to men.

High Blood Pressure − People with high blood pressure are likelier to have a subarachnoid hemorrhage.

Smoking − Smoking increases the chance of high blood pressure and a brain aneurysm bursting.

Symptoms

People with brain aneurysms that haven’t burst rarely have symptoms. Even more so if they are smaller than average. There is a chance that brain aneurysms will be found during other imaging tests for diagnosing health problems.

On the other hand, a burst aneurysm is a serious condition that often shows up as a strong headache. Aneurysms that haven’t burst can cause pain and other symptoms by putting pressure on nearby nerves or brain structures.

Severe headache

Blurred vision

Feeling nauseated

Throwing up

Seizure

A stiff neck

Sensitivity to light

Double vision

Disorientation

Drooping eyelids

Passing out

Why do Aneurysms in the Brain Burst?

The same things that can cause a brain aneurysm to form can also cause it to burst, which can cause bleeding.

Research shows that high blood pressure is the cause of many ruptures. When blood pressure is high, blood pushes harder against the walls of the arteries. Some reasons for high blood pressure that could cause a brain aneurysm to burst are −

Anxiety that lasts for a while, a fit of rage, or some other strong emotion.

Putting in a lot of labor to move something big, like a big weight or a heavy piece of furniture, can lead to persistent hypertension despite pharmaceutical treatment.

Many things affect how likely it is that an aneurysm will burst.

Size & shape − Aneurysms that are smaller and have a more regular shape may bleed less.

Growth − Aneurysms are more likely to burst if they grow over time.

Location − If an aneurysm is on the posterior or anterior communicating artery, it is more likely to break.

Race − People with Japanese or Finnish roots are more likely to have an aneurysm rupture.

Age − People over the age of 70 have a much higher chance of having an aneurysm burst.

People with multiple brain aneurysms or a history of bleeding from aneurysms are most likely to have one burst.

What Should I do About my Brain Aneurysm That hasn’t Burst yet?

If you don’t have any other risk factors for a rupture, your doctor may tell you not to treat a small, painless brain aneurysm.

Instead, your doctor will probably ask for regular imaging scans to check for changes or growth. They will also tell you to keep your blood pressure in check and to quit smoking if you do.

If symptoms show up or the aneurysm changes on later imaging, you need to see a doctor immediately.

If you have symptoms, risk factors or a big aneurysm, benefits, risks, and alternatives to surgery and/or endovascular therapy will be discussed. Among the many things to think about when making this choice are the following −

Age.

Your physical and mental wellness.

Dimensions, size, and other features of the aneurysm.

A study of the blood vessels.

Relatives’ pasts.

Possible bursting.

When To See A Doctor

Regular doctor visits are recommended for those with unruptured brain aneurysms so that the aneurysm’s growth may be tracked and risk factors like high blood pressure can be controlled.

You’ll need to schedule follow-up appointments with your doctor after a ruptured brain aneurysm so they can watch for complications and prevent further aneurysms from forming.

Conclusion

The goal of treatment for brain aneurysms is to stop, or slow blood flow into the aneurysm. If a brain aneurysm has broken or is leaking, it must be fixed immediately. If you have an unruptured aneurysm, you may or may not need treatment, depending on your situation.

Your healthcare team will determine the best way to treat your aneurysm based on your vascular anatomy, size and location, and other factors. A ruptured aneurysm usually takes longer to heal than one that hasn’t been burst.

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