GNGHS KHN AND CO KLLD 40 MN PPL

pragmatic view of starting antibiotics if you have respiratory signs. Antibiotics can be stopped within 24 to 36hrs to 48 hrs if inflammatory markers normal and culture negative. That's what I'll do. TTN is usually a diagnosis of exclusion.

EONNS=EOS cultures are almost always positive by 24 hours or not at all.

CULTRL NSLMS SLNT MJRTY

MINOANS, BRONZE AGE AND DAY OFF

////////////COPPER, TIN FROM VOLCANIC ERUPN


///////////TIN ISLAND- BRTN


//////////////////CRETE, TIN TRADE BY MINOANS


/////////////////////MINOAN, WORLDS FIRST MARITIME SUPERPOWER


/////////////////SANTORINI, MED ISLAND


///////////////////3500 YA


//////////////////////VOLCANO ERUPTED-- TSUNAMI DROWNED MINOANS


///////////////////////

SAHARAN GARAMANTIAN CIVILISN- UNDERGROUND WATER IN SAHARA- 2500YA

EARLY CICILISNS - NILE, TIGRIS, EUPHRTS, INDUS , YELLOW RVR

NILE SILT FROM ETHIOPIAT MADE THE PHARAOHS RICH

NILOMETER , WATER LEVEL, SILT, YIELD, OUTCOME, TAX

GRVTY- NO ALIEN JUST DEBRIS

Kimmetto. Marathon world record. Ex farmer

That issue is getting traction

Binary choice

Taty paul. Frnd. We prplgic by axdnt. Tragedy

Suffering. Biology. Natural selection

Suffering. Sentience. Compassion.

John Orr claims that `the essential tragic experience is that of irreparable sentient loss',

Paul Allen's definition of tragedy as `a story with an unhappy ending that is memorably and upliftingly moving rather than simply sad'

Cosmology. Mngl. And deli. Cyrs

VK= 1IN 6 ON BNFTS?

INTL COFFEE DAY 2909

?intention like a tuning fork

Observer. Which is consciouness causes the ante reality jelly to set

Once there is an observer subatomic anti entity collapsed into 1 state

Quantum reality as unset jelly

1687. Classical Newtonian mechanics

Fruit burst hour

The intention expt. Rd bk. ?consciousness is a substance outside the confines of our bodies -- a highly ordered energy with the capacity to change physical matter. D

Sunyata bosh hoy?

Andul durga pandal lightning wonder epiphany experience 1979

WHEN BUYING STOPS KILLING ANMLS STOPS

Surplus food is prerequisite for empire

Rain shadow Gobi desert

Status ep. Intravenous lorazepam is better than intravenous diazepam or intravenous phenytoin alone for cessation of seizures. Intravenous lorazepam also carries a lower risk of continuation of status epilepticus requiring a different drug or general anaesthesia compared with intravenous diazepam. Both intravenous lorazepam and diazepam are better than placebo for the same outcomes. For pre hospital management, midazolam IM seemed more effective than lorazepam IV for cessation of seizures, frequency of hospitalisation and ICU admissions however,it was unclear whether the risk of recurrence of seizures differed between treatments.

aking elevated mean body temperature as a marker for putative bacteremia we suggest that an antibiotic prophylaxis is indicated in all pediatric patients after PEG-placement.

BEING A CMPLT GOOL

UNTD FRKNG NTNS

Filling the void. Mouth. Mind and stomach

Low diet. Is pc diet. Your stomach gets full more quickly than your mouth and mind, so being mindful of portion sizes is key

Outer agitation. Inner temptation

First do no harm. Thence take no action? Any action will have risk of harm

Any saving will get interest for your great grandchildren until the sun burns out. Golden rule of economics

Career ,social contributions hence pay

Consequentialism vs deontology philosophy

Causality vs correlation

Afterlife. If u DTH on Sunday will ur consciouness still be there on Monday?

Instinct to believe in gon

Color is a biological phenomenon while light is physics

Maths is the law of the univ

Econ is a disciplined art

Chemistry draws artificial boundaries around physics to produce molecules and metals and noble gases. Erase them and there is only physics

Univ governed by quantum physics classical physics and natural selection

6 MILE KT ASTEROID WIPED OFF DINOS- WHAT FOR HUMNS?

SLOW PNFL DTH IN NATR- LA COAL TARS/// AT BST OD THEN DTH BY WHTEVER

Palpation of pulse by healthcare providers to diagnose cardiac arrest in infants and children is both time-wasteful and unreliable!” (Tibballs, 2010).

MAMMOTHS EVOLVED IN AFRICA THEN LAND BRIDGE TO ASIA TO N AM

hydrocortisone (after further trials) has potential as prophylactic therapy after trauma to prevent PTSD.

All you have to do is act extraverted and you can get a happiness boost.

HPPST CNTRY- DNMRK

LF SATISFACTION- 9.5/10

//////////HPPNSS>> TRUST


////////33 HRS/WEEK WORK


///////////////SOCIAL SUPPORT



///////////////////MNEY AND STATUS NOT PRIORITY


//////////////////TO WALK TO PARK IN MAX 15 MIN


////////////////BIKE OVER CARS


///////////////////SEROTONIN, DOPAMINE UP IN 20 MINS EX


//////////////////LAUGHING, FMLY, BUILDING MEMORIES



//////////////////////SOCIAL SECURITY FROM HIGH TAXATION



/////////////////////FAIRNESS AND SOCIAL EQUALITY


////////////////////////LAUGHING >> HPPY >>COMEDY CHNNL


/////////////////////LAUGH>> ENDORPHINS


/////////////////////

Refeeding Syndrome Hypophosphatemia leading to low ATP levels. This impairs muscle contractions in the heart and diaphragm –> arrest. Low magnesium and low potassium also can be altered with refeeding syndrome and cause arrhythmias.-EPM

AN PREDISPOSED BY HI CONCERN PRNTING

Anorexia Nervous is the third most common chronic condition in adolescent girls – behind obesity and asthma.PEMM

CROUP= NO DISCHARGE WITH STRIDOR AT REST-DFTB

The Westley croup score was first described in 1978 for a trial comparing nebulized adrenaline vs saline for croup. DFTB

CROUP DDX ETFA BIG 4- DFTB= EPIGLOTTTS TRCHTS FB ANPHLXS

The most common cause of croup is Parainfluenza virus type 1 (PIV1), which peaks in infection rates every two years.

PB LEEN - AIR WATER EARTH FIRE SKY

Compassion fatigue ….is a condition characterised by a gradual lessening of compassion over time. …. It was first diagnosed in nurses in the 1950s.WIKIP

There are almost no reported cases of anaphylaxis, angioedema, or cutaneous allergy due to haloperidol. Severe allergic reactions to haloperidol are either nonexistent or extraordinarily rare. A patient who develops dyspnea and stridor following haloperidol is probably experiencing laryngeal dystonia.

DRAMATIC STRENGTH WITH MUSIC

COGNTV RESILIENCE IN ED

TELEY JOLEY MISH KHAI- TORKARITEY KHAI

DNAR OR AND ALLOW NTRL DTH

LV AT FIRST FIGHT

Baat ban jaye song- D SEN HM 1980

Even if the hopes you started out with are dashed, hope has to be maintained. Seamus Heaney

Got back I'd badge from blue Johore

Prenatal exposure to SSRIs during late pregnancy is associated with increased risk for persistent pulmonary hypertension of the newborn, according to a BMJ meta-analysis.

Parenteral nutrition may cause immediate metabolic disturbances including hyperglycaemia, electrolyte imbalance and hypertriglyceridemia.

Too much PN glucose in nicu

When glucose is delivered in excess amounts, the excess is directed to lipogenesis, which actually increases energy expenditure. An increase in lipogenesis leads to an excess of CO2 production relative to O2 consumption. Patients usually compensate by increasing their respiratory rate but problems may rise in cases of respiratory compromise. In addition, hyperglycaemia has been shown to be a risk factor for infection.

A preterm baby weighing 1kg has sufficient reserve for just 4 days of starvation. A larger preterm baby will have enough for 12 days

CRSS- CALM, FREEZE OR MELTDOWN

Each day, 8.3 million people around the globe step aboard some 93,500 flights.-138 CRASHES LAST DECADE

Adults in households with children who had received rotavirus vaccine demonstrated lower rates of gastroenteritis-related hospitalizations,

"Walking" children – actually getting them out of their bed and observing them walk – can be helpful. Children with appendicitis with peritoneal pain often guard or have pain with walking

PRNTS- TALU- SLOWLY

Children and adolescents with an abnormal renal ultrasonographic finding or with a combination of high fever (>/=39 degrees C) and an etiologic organism other than E coli are at high risk for the development of renal scarring.

GRF-MMRY- NADO-LOSE HR A BIT EVERY DAY

Cytomegalovirus Linked to Maternal Breast Milk in Very-Low-Birth-Weight Infants

Obese Children at Risk of Weight Gain Following Tonsillectomy or Adenotonsillectomy

CUBICLE DRONES

Major depressive disorder affects nearly 7% of the adult population

Perfectionism is a bigger risk factor in suicide than is often thought, according to new research.-FLETT

There is only one corner of the universe you can be certain of improving, and that’s your own self.” Aldous Huxley

APPEAL TO HS VOID

?lost I'd badge

Monday mourning

Cous cous. The food so good they named it twice

Roll Jordan Roll

SMRT APPL TO SOUR APPL

KASH PHOOL AGOMANI HEMANTA DURGA PUJA NSTLGIA MKK

EMOTIONAL INTELLIGENCE MOST COMPLEX TO REPLICATE BY MACHINE

TECH DESTROYS AND CREATES JOB

QUALITY VS BUDGET COMPETITION

QUALITY VS BUDGET COMPETITION

ONCE UPON A NOT VERY LONG AGO

JUST RNDM FVIL

GET THAT WILL DO ACC

MDC, YACHT AND CLIMATE CHANGE TALK TALK

RM TRIP FNDERS FEE 38

KNWN PRSN DTH- ABABUS FTHR DTH LUNG CA-HMPTHC MED FRM PTIPKR

DECIMALISED CV DILATATION AND DELIVERY AFTER LABR

Mood from flat to funeral

Lights off. Big sleep. Dth

Biphol to somalochana. Safal to irsha. Mdi

Worrying but inevitable

Feeding the narrative

Asset rich. Cash poor

Fraid abt own indiff?

LF IS ALL ABT LETTING GO- REGRET IS NOT BEING ABLE TO SAY G BYE- LF OF PI

RCHRD PRKR- TAMED OR TRAINED

BINARY Q ANSWERED

VEGAN BY COMPASSION

SN CNMA GRAVITY- DONT LET GO

STORM CLOUDS ROLLING IN

WHAT IS THE SETTLED WILL OF THE PPL

CHANGE WOULD HAVE BEEN FAR TOO MUCH

MARMITE MAN- LV HIM OR HATE HM

RELIEF BUT NOT EUPHORIA

PRIMACY OF LIFE

Suffering is part of bio life and evolution

PAIN, SORROW AND FELLOW-FEELING-OXYTOCIN, BONDING-ADAM SMITH

ATIPATA= STRIKING DOWN .PALI

BDHA=WELL, HAPPY, PEACEFUL

SUBJECTIVE, OBJECTIVE AND THE TRUTH

LEAF CUTTING ANTS- FARMERS, SLDRS

RD Y N HARARI- COGNITIVE, AGRICULTURAL AND SCIENTIFIC REOLUTIONS IN SAPIENS

DTH IS BY TECHNICAL PROBLEM, WILL HAVE A TECHNICAL SOLUTION

TECHNOLOGICALLY AAMORTAL, NOT IMMORTAL

RELGN - A SHARED FICTION?

REFERENDUM NEVERENDUM SCT Q

BARY SX IF BMI >40

MUJHE KYA? MERA KEYA ? ATTTD JNDE- CHLTA HAI- RM BHROSE

EVL SLIPPERY SLOPE OF CRM

HARVARD BUSINESS SCHOOL STDY=
 if we could get people to cheat a little in one round, they might be willing to cheat a bit more in another round, and finally cheat 'big' in a third round.

MAX VEG INTAKE

SCTISTS DISCOVER THE OBVIOUS

MAJOR OPN= GON X LUCK X SKILL

RABI THAKUR-JPNMPCEB

যখন    পড়বে না মোর পায়ের চিহ্ন এই বাটে,
আমি    বাইব না মোর খেয়াতরী এই ঘাটে,
              চুকিয়ে দেব বেচা কেনা,
              মিটিয়ে দেব গো,   মিটিয়ে দেব লেনা দেনা,
          বন্ধ হবে আনাগোনা এই হাটে--
          তখন আমায় নাইবা মনে রাখলে,
              তারার পানে চেয়ে চেয়ে নাইবা আমায় ডাকলে।

RISK, CHANCE AND LIMITATIONS

FACING TERMINAL CA/ILLNSS= PLAN, BCKT LIST,CHRTY, PALLT, DGNTS= PBLC-PD , WHT WILL WHT PPL DO

RISK AND RESILIENCE

RICH AND THIN

3WRLD TROPICS- WEATHER,INFECTION, POPULN, CORRUPN, POLLUTN, VICIOUS CYCLE

GLOVE PUPPETS AND RAISING CONDOR BIRDS

PREDATOR V SCAVENGER

PAELLA IS NON VEG KHICHURI

Med ethics. Autonomy. Beneficence. Nonmaleficience. Justic

SUFFERING, MINDFULNESS AND DENIAL?

COUNTERINTUITIVE BE HERE NOW-Life is what happens while we are busy making other plans.LENNON

MOHINER GHORAGULI

Premature closure of Dx. Stops further thinking

JANMA, VIDYA, KARMA, JORA, MRITYU= JVKJM

MON KHARAP? CHA KHABI?

I M THE NARRATIVE OF MY MEMORY

NACHHORBANDA SENSATION OF DEJA VU

BANDEMONIUM

Eco reason. We are more likely to believe something if it makes us fearful or hopeful. NS

Copes rule. Organisms get bigger over time. Horse. Godzilla

Binary question. Go or no?

Crime. Means opportunity motive. Columbo

DIETWALK- SLIDE/FAIL- GBUTA- GET BACK UP AND TRY AGAIN

WESTALL UFO 1966

POST PRNT DTH VOID- FNDA TALK

MENTAL IRRTATION V CEREBRAL IRRITATION

REGIONAL PROBLEM , FARAWAY CRSS

MX HUNGER, HUNGER GAMES 6 TO 9

AGITATION MEETS VIGILANTISM

USUSAL AGE OF EMPIRES =250 YRS, 10 GENERATIONS

AGES OF CONQUEST//EXPANSION//LUXOS//INTELLECTUALISM//DECADENCE

///////////////////////FIAT- AS IT IS

/////////////////////////VOLTAIRE- ALL PAPER MONEY RETURNS TO ITS PAPER VALUE

/////////////////////////97% WORLD MONEY IS DEBT


////////////////////////////MILITARY READINESS VS PERPETUAL WARFARE


///////////////////////////////The Romans NEVER subdued the Germanic tribes, and were in the end defeated and overrun by the Germans. The Germans quickly expanded throughout Europe and populated the entirety of Western Europe.


///////////////////AMORAL CORPORATE//MIC


////////////////WORLD  NOW HAS MORE MANMADE CAPITAL AND REDUCED NATURAL CAPITAL


///////////////////RICH WORLD V POOR WORLD



////////////////////////PLUNDERING NATURAL CAPITAL


///////////////////BLUEPRINT VS SCRAMBLING



///////////////////////

UNCERTAIN REWARD, DOPAMINE AND RISK TAKING

Plot thickens. A soup metaphor

HOMEOSTASIS LIKE GOLDILOCKS ZONE-JUST RIGHT -WATER, TEMP, GLUCOSE, SALTS

W CONTRADICTION VS E 2 SIDES OF SAME COIN

AVOIDING BREAD AND RICE CREEP- DIETWALK

BEE AWARE - BEWARE-CCD

WAR TRR FLOODS EBOLA EUASAF

BEFORE I GO TO SLEEP- I ALMOST WENT TO SLEEP

ADAM- CHRSH WHILE THEYARE THERE-CWTAT-NADO

PEWTER FLASKS

MO BDGT DOWNSLIDE STARTS

analytical meditation (contemplation) and placement meditation (single-pointed concentration.)

Meditation involves two parts, analytical meditation (contemplation) and placement meditation (single-pointed concentration.) In brief, during analytical meditation we bring to mind the object of placement meditation through reasoning, analogies, and checking the teachings in our own experience. When the object appears clearly we stop analyzing and concentrate on it single-pointedly.-Kdmpa

Uncontrolled desire, or attachment, takes us out of the here and the now.

Uncontrolled desire, or attachment, takes us out of the here and the now. Have you noticed how, when you are attached, you are always wanting to be someplace different or with someone else, never content or satisfied in the present moment with the people around you?-Kdmpa

DEPRESSION, HYPERCONNECTED BRAIN THEN RUMINATION

Loss x time = sad memory

Pahaar eh sondhya. Bishonno shundar

Every person has own grief loss narrative

DAY OUT-NIGHT IN

No purpose. Just journey. BBTBR. Bon voyage

OCD x schizophrenia link proved

Having all life chances. SXC drgpr 70s

DEPRESSN LIKE WEATHER-IT HAPPENS, NO CAUSE - FRY

Meta to the world and universe.

Big 50. Age VK. 18250 days completed on the thin green smear of the pale blue dot,3rd rock from the sun

GO DSAPPNT UR PRNTS SMWHERE ELSE -MM

COTW- DOALITN OF THE XILLING

AVOIDING HI CAL CONC FOODS - RETRAINING BRAIN TO LIKE LO CAL FOOD

AVOIDING HI CAL CONC FOODS - RETRAINING BRAIN TO LIKE LO CAL FOOD

AVOIDING HI CAL CONC FOODS - RETRAINING BRAIN TO LIKE LO CAL FOOD

NO WEILS NO CEARD-DHINA

XTREME PARKING IN ROME TV

RIGHT TO GO TO SLEEP AT REASONABLE HOUR

ALL MXD UP EMOS - BACK FRM KOL - UK SEP 16 TH YR ON

AN INCONVENIENT YEAR