Wednesday 30 December 2015

HIRAETH

original-550-1450111097-8

BEWARE TAMOF

Conditions associated with thrombocytopenia-associated multiple organ failure
Cancer
Transplantation
Cardiovascular surgery/cardiopulmonary bypass
Autoimmune disease
Systemic infection
Vasculitis
Toxins
Cyclosporine A
FK 506
Chemotherapy
Radiation
Ticlopidine
Hemolytic Uremic Syndrome variant syndromes

DKA-FBC, BEWRE TAMOF-Thrombocytopenia-associated multi-organ failure (TAMOF) is an increasingly reported entity in the pediatric intensive care unit

Thrombocytopenia-associated multi-organ failure (TAMOF) is an increasingly reported entity in the pediatric intensive care unit

Focal Coxsackie virus B5 encephalitis with synchronous seizure cluster and eruption: MAY- MRI CSF NAD AND SERIAL/FU-LIKELY VASCULAR EVENT


ALL ORAL ULCERS ALSO THINK PSD AUREGINOSA GINGIVITIS


Once the first habit has become second nature, choose another one.


SPC=TAO

“I have just three things to teach:
Simplicity, patience, compassion.
These three are your greatest treasures.
Simple in actions and in thoughts,
You return to the source of being.
Patient with both friends and enemies,
You accord with the way things are.
Compassionate toward yourself,
You reconcile all beings in the world.”
— Lao Tzu, Tao Te Ching

The diagnoses most frequently cited in claims for adults were cancer and myocardial infarction and for children, meningitis.

The diagnoses most frequently cited in claims for adults were cancer and myocardial infarction and for children, meningitis.

Failure to or delay in diagnosis was the commonest misadventure cited in malpractice claims.

Failure to or delay in diagnosis was the commonest misadventure cited in malpractice claims.

RIVER PPL VS GOAL PPL


Physicist Niels Bohr said: "There are trivial truths and great truths. The opposite of a trivial truth is plainly false. The opposite of a great truth is also true."

Physicist Niels Bohr said: "There are trivial truths and great truths. The opposite of a trivial truth is plainly false. The opposite of a great truth is also true."

that 34 percent of lethal prostate cancer would be reduced if all men exercised to the point of sweating for at least three hours a week,”

that 34 percent of lethal prostate cancer would be reduced if all men exercised to the point of sweating for at least three hours a week,”

CA PROSTATE RISK

One point was given for each of six behaviors:

 not currently smoking or quitting smoking ten or more years ago, 

body mass index under 30,

 high vigorous physical activity,

 high intake each of tomatoes and fatty fish, and 

low intake of processed meat

This gave a possible score of six points, three based on diet.

CRM= EVERBDY LEAVES SOMETHING BEHIND


Flow — The absence of emotion or self-consciousness.


RESPOND, NOT REACT


we create our own meaning OF LF AFTER RESOLVING DTH TRAUMA


The nagging question remains – what created the bang in the first place?


TBTN SLEEP DTH MEDITN HORA SOMNI


To an Eastern Buddhist master, clinging to life is crazy


Life is an aberration, while death (lifelessness) is the natural order of things.


nanimate matter is the rule and life is the exception in the universe.


FREUD “death instinct,” by which he posited that the goal of all life was death.


MILES TO READ BEFORE I SLEEP


death trauma=Why did God make me if it is only for a short time and then I have to die?”


ONE MORE THING- FACIAL KICK


EMO SPECTRUM

  • Anger — Conspecific threat, trespass, loss attributed to an agent, unjust insult, thwarted goals, plea for justice
  • Envy — Desiring other's stature objects
  • Jealousy — Threat to sexual access.
  • Fright — Concern for a future specific unpleasant event.
  • Anxiety — Concern for an unidentified unpleasant event.
  • Guilt — You have a standard and I did not meet it.
  • Shame — I have a standard and I did not meet it
  • Relief — Anticipated undesirable outcome has not occurred
  • Hope — Anticipation of future desirable event or outcome
  • Sadness — A specific undesirable outcome has occurred
  • Depression — lost hope
  • Happiness — A desirable event or outcome has occurred
  • Pride — I approve of my actions, I have met a standard (mine = smug, yours = authentic)
  • Love — Attraction and caring
  • Gratitude — Appreciating another's kindness
  • Compassion — Feeling the pain of another
  • Aesthetic Experience — Awe, wonder, and slight fear of nature and its creations.

SN TWISTED


“Resentment is like taking poison and hoping the other person dies.” ~ St. Augustine


EVOLN OF JEALOUSY-Men who were indifferent to the potential sexual contacts between their wives and other men are not our ancestors” ~ Buss

Men who were indifferent to the potential sexual contacts between their wives and other men are not our ancestors” ~ Buss

NHS PNSN HNDOUT , TO BASLE


Frequently when I cannot think because I feel fatigued, I have to eat something, for example cereals and fruits that are food with glucose.

Frequently when I cannot think because I feel fatigued, I have to eat something, for example cereals and fruits that are food with glucose.

during a tough self-control task, circulating glucose levels plummet, consumed by hardworking frontal neurons.

during a tough self-control task, circulating glucose levels plummet, consumed by hardworking frontal neurons.

WILLPOWER X GLUCOSE

carry out a particular behavior, the rate of glucose consumption jumps in the pertinent brain region. If you listen to a symphony, your auditory cortex elevates the metabolic rate. If you learn something new, it’s the hippocampus that fires up. Tap dancing sparks the motor cortex. And when you’re displaying willpower, thinking, “Don’t do it, don’t do it, you’ll regret it….” it’s your frontal cortex that kicks into gear.



Carry laughter with you wherever you go. ~ Hugh Sidey


ANXIOUS PPL ARE BETTER AT SOCIAL THREAT PERCEPTION

In a crowd, you will be most sensitive to an angry face looking towards you, and will be less alert to an angry person looking somewhere else.

“It is better to live your own destiny imperfectly than to live an imitation of somebody else’s life with perfection.” ― Anonymous, The Bhagavad Gita

“It is better to live your own destiny imperfectly than to live an imitation of somebody else’s life with perfection.”
― Anonymous, The Bhagavad Gita

“Why join the navy if you can be a pirate?” ― Steve Jobs


“The opposite of courage in our society is not cowardice, it’s conformity.” ― Rollo May


“To be yourself in a world that is constantly trying to make you something else is the greatest accomplishment.” ― Ralph Waldo Emerson

“To be yourself in a world that is constantly trying to make you something else is the greatest accomplishment.”
― Ralph Waldo Emerson

And most of all pissed off that so many people feel TRAPPED in the rat race — feel doomed to work, work, work, buy a house, fill it with a bunch of crap, and die.

And most of all pissed off that so many people feel TRAPPED in the rat race — feel doomed to work, work, work, buy a house, fill it with a bunch of crap, and die.

GM FMLY HYPER-ADRENERGIC RESPONSE


"If you could say it in words there would be no reason to paint." HOPPER


Testing confirmed the modern Irish are descended from Stone Age people from the pre-biblical Middle East and migrants from southern Russia.

Testing confirmed the modern Irish are descended from Stone Age people from the pre-biblical Middle East and migrants from southern Russia.

Much of the oxygen we breathe comes from just one species of cyanobacteria, Prochlorococcus.


MOTIVATION= DOPAMINE IN THE RIGHT AREAS OF BRAIN


MRI-When people decide to do things, the pre-motor cortex tends to light up just before other spots in the brain that control movement become

When people decide to do things, the pre-motor cortex tends to light up just before other spots in the brain that control movement become 

ART INSTINCT CLUSTER CRITERIA

1/ DIRECT PLEASURE

2/SKILL AND VIRTUOSITY

3/STYLE

4/NOVELTY AND CREATIVITY

5/CRITICISM

6/REPRESENTATION

7/SPECIAL FOCUS

8/EXPRESSIVE INDIVIDUALITY

9/EMOTIONAL SATURATION

10/INTELLECTUAL CHALLENGE

11/ART TRADITIONS AND INTITUTIONS

12/IMAGINATIVE EXPERIENCE



LF WITHOUT PAROLE OVER DTH


Yesterday’s bad news is not worth reliving.


SUBY-The risk of developing nonfatal cardiovascular disease (CVD) is nearly 2 times higher in patients who develop type 2 diabetes before age 40

The risk of developing nonfatal cardiovascular disease (CVD) is nearly 2 times higher in patients who develop type 2 diabetesbefore age 40

Respiratory Infections May Be More Severe During Periods Of Unusual Cold Or Low Humidity.


HEP C MAY BE RISK FACTOR FOR PARKINSON


BMJOBIT-KOHNSON-consultant cardiologist Wessex Region, Southampton (b 1921; q Westminster Medical School, London, 1946; MD, FRCP), d 11 December 2015

consultant cardiologist Wessex Region, Southampton (b 1921; q Westminster Medical School, London, 1946; MD, FRCP), d 11 December 2015

“popularity effect.” The growing popularity of mindfulness means that outcomes may be influenced by participants’ belief that they are receiving a “fashionable” or proved psychotherapeutic technique

“popularity effect.” The growing popularity of mindfulness means that outcomes may be influenced by participants’ belief that they are receiving a “fashionable” or proved psychotherapeutic technique

DONS-Neo Nasty Reich


Humans have cut down 3 trillion trees


"Wine is constant proof that God loves us and loves to see us happy."FRANKLIN


AVIATION SAFETY IMPROVES ONE CRASH AT A TIME


"Art is the most intense mode of individualism that the world has known." WILDE


arguments about belief in Hod as part of a tendency to want to control people and their minds.

arguments about belief in God or belief in science as part of a tendency to want to control people and their minds. 

SPINOZA-the renegade Kew who gave us modernity


The real trouble with the multiverse is that it can’t be tested, not yet. We can’t put a telescope in the regions outside ours

The real trouble with the multiverse is that it can’t be tested, not yet. We can’t put a telescope in the regions outside ours

The Big Bang is a story about entropy


PHOENICIANS MODERN LEBNN X CARTHAGE VS ROMANS


The ancients imbued the cosmos with consciousness and agency. The sun became a person, and so did the ocean

The ancients imbued the cosmos with consciousness and agency. The sun became a person, and so did the ocean

By the end of the last Ice Age, humans had travelled to every continent on Earth except Antarctica.


ASTAIRE-"The hardest thing to do is make hard things look easy."


ASIMOV-"I am not a fast reader, I am a fast understander."


ANNA KARENINA

“All happy families are alike; each unhappy family is unhappy in its own way.” ― Leo Tolstoy, Anna Karenina

“All happy families are alike; each unhappy family is unhappy in its own way.” 
― Leo TolstoyAnna Karenina

Tuesday 29 December 2015

CRIME- PPT BY JEALOUSY, SELFISHNESS AND /OR GREED


HUMILITY AND HUBRIS


Hubris – excessive pride or self-confidence – unfortunately infects many who have success -


Human Civilization Has Arrived Early in the Universe


The last star isn't expected to burn out until 100 trillion years from now.


when our solar system was born 4.6 billion years ago only eight percent of the potentially habitable planets that will ever form in the universe existed.

 when our solar system was born 4.6 billion years ago only eight percent of the potentially habitable planets that will ever form in the universe existed.

Earth came early to the party in the evolving universe.


Meditation and mindfulness could help being in the moment – understanding that real ‘clock time’ is stable, and it is not really passing faster.”

Meditation and mindfulness could help being in the moment – understanding that real ‘clock time’ is stable, and it is not really passing faster.”

people who were always online tended to think an hour had passed when in fact it was only 50 minutes.

people who were always online tended to think an hour had passed when in fact it was only 50 minutes.

Fast food linked to depression in kids.


MEMORABLE PHOTOS-Conflict and suspense win — be it a pair of scissors in flight — or a man standing in front of a bear. Photos of bedrooms generally induce yawns.

Conflict and suspense win — be it a pair of scissors in flight — or a man standing in front of a bear. Photos of bedrooms generally induce yawns.

IS THIS WEATHER OR CLIMATE?


Combinations involving lack of physical activity, prolonged sitting, and poor sleep, as well as those involving smoking and high alcohol intake had the strongest associations with all-cause mortality.

Combinations involving lack of physical activity, prolonged sitting, and poor sleep, as well as those involving smoking and high alcohol intake had the strongest associations with all-cause mortality.

DM1 X GAD ab=Autoantibodies to the 65 kDa isoform of glutamate acid decarboxylase (GAD65Ab) are associated with a range of clinical disorders, including type 1 diabetes (T1D) and stiff-person syndrome (SPS).

Autoantibodies to the 65 kDa isoform of glutamate acid decarboxylase (GAD65Ab) are associated with a range of clinical disorders, including type 1 diabetes (T1D) and stiff-person syndrome (SPS).

VDD and insufficiency are common, even in Caucasians, at onset of T1D in pediatrics, worse in those with DKA.

VDD and insufficiency are common, even in Caucasians, at onset of T1D in pediatrics, worse in those with DKA.

vit d defy

Monday 28 December 2015

QUESTION -BHVR EFFECT- WILL U WALK THIS YEAR? HAS BETTER EFFECT


Term equivalent preterm infants spent significantly more time in a saturation range less than 90% compared to term infants. Feeding had no effect on saturation profile overall within each group.

Term equivalent preterm infants spent significantly more time in a saturation range less than 90% compared to term infants. Feeding had no effect on saturation profile overall within each group.

ANTI-MED NEG

  • Document, document, document;
  • Prepare, prepare, prepare;
  • Get good legal advice early and listen to it;
  • Be sure that your actions are well thought out and your defense reasoned;
  • Keep your cool and tell the truth;
  • Share only what you can remember or document;
  • You can never win at a deposition, but you can lose the case;
  • Be patient, be likeable;
  • Join a support group; and
  • If your only concern is the welfare of your patients, it is unlikely you will be sued, and if you are sued, it is unlikely you will lose.

Among all physicians, obstetricians/gynecologists (ob/gyns) and surgeons are most likely to be sued, psychiatrists and pediatricians are least likely to be sued, and primary care physicians fall somewhere in between

Among all physicians, obstetricians/gynecologists (ob/gyns) and surgeons are most likely to be sued, psychiatrists and pediatricians are least likely to be sued, and primary care physicians fall somewhere in between

NEUROPROTECTIVE EFFECT OF SKIN TO SKIN CARE- ZERO SEPARATION


use of inhaled budesonide among premature infants appears to reduce development of BPD, but it may be associated with increased mortality.

use of inhaled budesonide among premature infants appears to reduce development of BPD, but it may be associated with increased mortality.

BMJOBIT-Theiham (b 1936; q BDS, University of Witwatersrand, 1957; PhD, DHC), died from mesothelioma on 24 November 2015.

heiham (b 1936; q BDS, University of Witwatersrand, 1957; PhD, DHC), died from mesothelioma on 24 November 2015.

Adjunctive laser acupuncture significantly reduced the duration of morphine therapy in newborns with NAS.


Feel bad about things. You’re not supposed to be happy all the time.


Stop thinking that you’re special, because the world owes you nothing.


Don’t listen to the news. “Think of how stupid the average person is, and realize half of them are stupider than that.” – George Carlin

Don’t listen to the news.

“Think of how stupid the average person is, and realize half of them are stupider than that.” – George Carlin

Become more attractive, because it makes life easier for you.


New Autism Risk Factor: Moms with Polycystic Ovaries


GOOD MOOD = BETTER DECSION MAKING


The brains of children with ASD have less of a neurotransmitter that helps people filter out competing stimuli.LESS GABA

The brains of children with ASD have less of a neurotransmitter that helps people filter out competing stimuli.LESS GABA

n'est–ce pas? SEEN AND HEARD


TATAN- THE NBR'S DOG


LIVE WELL FOR LESS- DONT BUY UNLESS YOU REEEEEEELY NEED IT


“Many did not realize until the end that CONTENTMENT is a choice.”


"There are many ways of going forward, but only one way of standing still."ROOSEVELT


"Colors are the smiles of nature."HUNT


Saturday 26 December 2015

Late prematurity was associated with higher BMI and waist ratios in adolescence, but only the association with BMI was mediated by infant weight gain, suggesting vulnerability to metabolic risk in late premature births may arise through multiple pathways.

 Late prematurity was associated with higher BMI and waist ratios in adolescence, but only the association with BMI was mediated by infant weight gain, suggesting vulnerability to metabolic risk in late premature births may arise through multiple pathways.

Even more specifically, live in THIS moment.


Learn to focus only on the present.

Learn to focus only on the present.

Our results provide strong support for lowering blood pressure to systolic blood pressures less than 130 mm Hg and providing blood pressure lowering treatment to individuals with a history of cardiovascular disease, coronary heart disease, stroke, diabetes, heart failure, and chronic kidney disease.

Our results provide strong support for lowering blood pressure to systolic blood pressures less than 130 mm Hg and providing blood pressure lowering treatment to individuals with a history of cardiovascular disease, coronary heart disease, stroke, diabetes, heart failure, and chronic kidney disease. 

If you think adventure is dangerous, try routine. It is lethal. ~ Paulo Coelho

If you think adventure is dangerous,  try routine. It is lethal. ~ Paulo Coelho 

Get fit!


MULTI-FCK CONTINUES- SIDD HAS OLD ASW MI- FOR ANGIO AND ECHO


Develop an endless curiosity about this world.


Constantly try to reduce your attachment to possessions.


THORS HELMET

This nebula named "Thor's Helmet" is powered by a central "Wolf Rayet" star whose explosive tantrums blow huge bubbles of gas and make them glow like neon. This star is easily 20 times the mass of the Sun and located 15,000 light years away. Eventually the star's instability will lead it to explode as a supernova.  The photo was captured at the Mount Lemmon SkyCenter in Arizona and released on Jan. 3, 2015.

NO RIGHT TO FRUIT, ONLY RIGHT TO ACTION

HUMAN MIND FACULTIES

/////////////////INTUITIVE PHYSICS-how objects fall, bounce, bend


////////////////SENSE OF BIOLOGY- deep interest in plants, animals and strong feeling abt their species divsion


//////////////////INTUITIVE ENGG- eg flaking stones, attaching objects to one another


//////////////////PERSONAL PSYCHOLOGY-realise that others have minds like our own, but entertain different beliefs and intentions



////////////////INTUITIVE SENSE OF SPACE- a general mapping of the environment


//////////////////ABILITY TO READ FACIAL EXPRESIONS-sad, happy, angry,fear,surprise)


////////////////TENDENCY TO BODY ADORNMENT-paint, hairstyle, tatoo, jewelry



/////////////////FEELING OF PROBABILITY-also a capcity to track frequencies of events



//////////////////PRECISE ABY TO THROW OBJECTS AT A TARGET DISTANCE WITH CORRECT MOMENT OF HAND RELEASE- balls, rocks and spears




///////////////////SENSE OF MUSICALITY- fascination with organised pitched sounds,rhythmically produced by human voice or by instruments




////////////////////INTUITIVE ECONOMICS-sense of goods, favours, barters, fairness and reciprocity



/////////////////////SENSE OF JUSTICE-obligations, rights, revenge, what is derved, righteous anger




//////////////////////LOGICAL ABY -eg use of and,or, not,all, some, necessary,possible, cause



/////////////////////////SPONTANEOUS CAPACITY TO LEARN AND USE LANGG

ZICA VIRUS- MICROCEPHALY

দেশ জুড়ে এমনই নির্দেশিকা জারি করেছে ব্রাজিলের স্বাস্থ্য মন্ত্রক। এ হেন আবেদনের কারণ— ‘জাইকা’ ভাইরাস। মশা-বাহিত ভাইরাসটি এক জনের দেহ থেকে ছড়িয়ে পড়ছে অন্যের দেহে। রেহাই পাচ্ছেন না অন্তঃসত্ত্বারাও। ফলে মায়ের থেকে ভাইরাসের সংক্রমণ ঘটছে সদ্যোজাত সন্তানের শরীরে। পরিণতি, ‘মাইক্রোসেফালি’,

V PRETERM INCR RISK OF ASD

“We were surprised by how many -- almost 30% -- of the extremely preterm-born children had developed ASD symptoms,” said Ulrika Ådén, MD, Karolinska Institutet and Karolinska University Hospital, Solna, Sweden. “Amongst children born after full term pregnancy, the corresponding figure is 1%.”

out the need to be aware of what’s being said by those you disagree with, no matter how objectionable those views can be.


People have known since the Stone Age that sugary liquids, given time, have a salutary tendency to ferment, transforming themselves into something like beer or wine

People have known since the Stone Age that sugary liquids, given time, have a salutary tendency to ferment, transforming themselves into something like beer or wine

HEURISTIC-SHORTCUT-RUSTLE- TIGER OR SPARROW- BEST TO RUN


SYSTEM 1 - QUICK ON, QUICK OFF


ALWAYS MRI BRAIN EVEN IF NORMAL CT


MOST MED ERRORS ARE COGNITIVE NOT GAPS IN KNWLDGE-BUT TIME PRESSURE X UNCERTAINTY


COCKPIT RULES- TIME OUT- CHECKLIST


13% of all deaths worldwide were in children younger than 5 years.


THOUGHT IN ACTION- PATTERN RECOGN


The savanna hypothesis is the proposal that the major divergence between the hominins and other great apes was driven by hominins moving out of the forests and onto the grasslands.

The savanna hypothesis is the proposal that the major divergence between the hominins and other great apes was driven by hominins moving out of the forests and onto the grasslands.

GUESS-GESTALT-GENIUS


NEUROLOGISTS MOST SYSTEM 2 GUYS, BUT MRI HAS CHANGED THAT


EXPERIENCE= AUTOMATIC SKILLED BHVR


COGN OVERLOAD

STRESS-PERF CURVE

IRREDUCIBLE UNCERTAINTY IN EME MED


FEMALES ARE MORE INTUITIVE THAN MALES- MALES MORE ANALYTICAL THAN FEMALES


GET THE SIGNAL MINUS THE NOISE


FCKED BY ISBC STD VARIABLE MRTGG OVER TRACKER- 8 K LOSS -ACCPTED AND MV ON

SVR mortgages: advantages and disadvantages

When interest rates are low, your payments may go downIf interest rates go up, so will your payments. Even an increase of just 1% could add up to £83 a month to your repayments for a £100,000 mortgage
Arrangement fees for SVR mortgages tend to be lower than for trackers or fixed rates. There may be no arrangement fee charged at allStandard Variable Rates are not famed as the cheapest mortgage rates available, so you may be paying more than the best tracker or discounted rate mortgages around
There are generally no Early Repayment Charges, which allows for flexibility if you want to overpay, pay off the mortgage early, or remortgage to a new deal

WHEN DOES COGN MISER KICK IN?

ALL THE TIME

ESP WHEN DECISION MAKER IS FATIGUED

ESP WHEN SLEEP DEPRIVED

ESP WHEN FEELING DOWN/DEPRESSED

ESP WHEN RESOURCES ARE LTD

DURING OVERCROWDING/LTD RESOURCES

JANBO EBAR JAGAT TAKEY- FTHR AND DTR ? SLF


EXPERT WORKS 75% TIME IN SYETEM 1 INTUITIVELY, MOSTLY COMPETENTLY


DRS OUT OF TRAINING

SPEND MOST TIME IN SYTEM 1

MOST HEURISTICS AND BIASES ARE IN SYSTEM 1

MOST ERRORS OCCUR IN SYSTEM 1

REPETITIVE OPERATIONS OF SYSTEM 2 >>>1

SYSTEM2 OVERRIDE OF SYSTEM 1


SYSTEM 1 OVERRIDE OF SYSTEM 2

TOGGLE FN

COGNITIVE MISER FN- COMFORTABLY NUMB, PINK FLOYD


MED STUDENTS IN SYSTEM 2 MOST OF THE TIME


A single oral dose of ondansetron, given before starting ORT to children UNDER 5 years of age with acute diarrhea and vomiting results in better oral rehydration.

 A single oral dose of ondansetron, given before starting ORT to children <5 acute="" age="" and="" better="" diarrhea="" in="" nbsp="" of="" oral="" rehydration.="" results="" span="" vomiting="" with="" years="">

COMFORTABLY NUMB- SYSTEM 1 - COGNITIVE MISER


IDEAS IN SYSTEM 1 , TEST THEM IN SYSTEM 2


LEARNING CURVE STEEPEST PART IS 40 HRS- EG LEARNING TO INTUBATE


ED PED MED -DIFFICULT DECISION MAKING ENV

HI DECISION DENSITY

DECISION FATIGUE

THROUGHPUT PRESSURES

WIDE RANGE OF ILLNESSES

DXTIC UNCERTAINTY

NARROW TIME WINDOWS

INTERRUPTIONS AND DISTRACTIONS

SHIFT WORK/SLEEP DISRUPTION

SHIFT CHANGES

SYSTEM 2 IS FROM NEW CORTEX


THINK OVER BLINK


DXTIC FAILR RATE -15% EM MED , PED, INT MED, RADIOL/PATHOL ABT 3%


Landscape and longing

Savannah hypothesis 

Habitat choice in the Pleistocene 

Gatherer hunters on indefinite camping trip over thousands of generations 

Human mind is crowded network of innate programs and routines

With growth of civilisation nature became wondrous and benign as depicted in art

Humans are born image makers and image enjoyers 

Imitative play in child

Imitation is a natural process of enculturation of humans


Red bk art instinct

Bb low Sidd tt prnt frailty Dtr grades crss

Thursday 24 December 2015

A cube of thanks? I’m sticking with Thanks a Million: Thanks x 10^6 TYSON


"Life is but thought."TEASDALE


MATERIAL SENSES

most errors in system 1


heuristic is mental short cut


ideas from system 1 , test them out in system 2


responding to illness script with intuitive mode


30% cogn deficit in em ped by end of shift


KRSNA X JSUS

The scientific theory I like best is that the rings of Saturn are composed entirely of lost airline luggage." -- Mark Russell

The scientific theory I like best is that the rings of Saturn are composed entirely of lost airline luggage." 

-- Mark Russell 

Be an opener of doors... ~ Ralph Waldo Emerson

Be an opener of doors... ~ Ralph Waldo Emerson 

The legal system holds physicians to a high standard, and the penalties can be life altering for the involved clinician.

 The legal system holds physicians to a high standard, and the penalties can be life altering for the involved clinician.

Physicians have active and time-consuming requirements for continuing medical education and board certification.

Physicians have active and time-consuming requirements for continuing medical education and board certification. Greater,  than almost any profession.

Medicine is one of the most researched fields known to man. Billions are spent every year improving our clinical knowledge.

Medicine is one of the most researched fields known to man.  Billions are spent every year improving our clinical knowledge.

Physicians are some of the most highly trained individuals in society. Our education is arduous and can span more than a decade.

Physicians are some of the most highly trained individuals in society.  Our education is arduous and can span more than a decade.

A textbook presentation of a disease is very rare in clinical medicine. It happens infrequently

A textbook presentation of a disease is very rare in clinical medicine.  It happens infrequently

Complications are not errors.

Complications are not errors.  A small percentage of people who get colonoscopies will have the unfortunate complication of perforation

People die, for the most part, because they are sick.

People die, for the most part, because they are sick.  Yes medical errors occur (even to healthy people).  But medical errors happen more often in deathly ill, hospitalized patients, with poor prognoses to start with.  The more ill the patient, the more complicated the care.  More medicines.  More tests.  More risky procedures.  More errors.  This doesn’t mean that we must not strive to do better.  But all those articles about how “hospitals kill more patients than …” are not genuine.

Preterm babies more prone to autism

Preterm babies more prone to autism

Wednesday 23 December 2015

GENE X LONGEVITY

cludedAPOE/TOMM40 (associated with Alzheimer’s disease), CDKN2B/ANRIL (implicated in the regulation of cellular senescence), ABO (tags the O blood group), and SH2B3/ATXN2 (a signaling gene that extends lifespan in Drosophila and a gene involved in neurological disease). 

"Always borrow money from a pessimist. He won't expect it back." -- Oscar Wilde

"Always borrow money from a pessimist. He won't expect it back." 

-- Oscar Wilde 

Happy Summer Solstice to 15% of all Humans and 100% of free Penguins who dwell in the Southern Hemisphere.TYSON

Happy Summer Solstice to 15% of all Humans and 100% of free Penguins who dwell in the Southern Hemisphere.TYSON

To achieve great things, two things are needed: a plan, and not quite enough time.

To achieve great things, two things are needed: a plan, and not quite enough time.

An unstable memory is in a privileged state: only when unstable can a memory communicate with and transfer knowledge to affect the acquisition of a subsequent memory.”

An unstable memory is in a privileged state: only when unstable can a memory communicate with and transfer knowledge to affect the acquisition of a subsequent memory.”

JANE EYRE CYBORG WOMAN-FRNDS


SIDDER CXR TEY OPACITY ESR 49 - TB, TMR NOY TO?


BACS ASHEY TEEN WKING DAYS - NOT SAT


NOSHONDIR MATHEY LOCKED OUT


Monday 21 December 2015

Sunday 20 December 2015

"Everything I like is either illegal, immoral or fattening."woolcott

"Everything I like is either illegal, immoral or fattening."woolcott

Saturday 19 December 2015

an increase in the rate of type 1 diabetes among children exposed to bereavement when exposure occurred after 11 years of age.

an increase in the rate of type 1 diabetes among children exposed to bereavement when exposure occurred after 11 years of age.

Friday 18 December 2015

Feel bad about things. You’re not supposed to be happy all the time.

Feel bad about things. You’re not supposed to be happy all the time.

Stop thinking that you’re special, because the world owes you nothing.


home

 If you are looking at buying a home as an “investment,” I strongly suggest you reconsider. For most of us, a house possesses all the worst qualities of an investment: it is illiquid, highly leveraged (usually), and drastically reduces the diversification of your portfolio. The tax benefits aren’t always as good as they sound. And if you are one of the people who believe that housing prices will always continue to go up, I have one word for you: bubble.

Nordic Countries Have Highest Burden of Type 1 Diabetes


New open-label data from the expanded-access treatment program involving the cannabidiol Epidiolex (GW Pharma) show the median reduction in frequency of convulsive seizures after 3 months of treatment was 45% in all patients but higher in those with Dravet syndrome, among the most severe types of epilepsy.

 New open-label data from the expanded-access treatment program involving the cannabidiol Epidiolex(GW Pharma) show the median reduction in frequency of convulsive seizures after 3 months of treatment was 45% in all patients but higher in those with Dravet syndrome, among the most severe types of epilepsy.

MCH WHO

Four Critical Pause Points
The checklist covers four "pause points" that occur at specific periods during a healthcare worker's normal workflow: (1) when the mother is admitted to the labor and delivery unit, (2) just before the woman begins to push or undergoes a cesarean delivery, (3) within 1 hour after birth, and (4) shortly before the mother and infant are discharged from the hospital.

Humility: The Acceptance of Our "Flawed Self"


Watching horror, or "bloodcurdling," movies is associated with an increase in the clotting protein, blood coagulant factor VIII,

Watching horror, or "bloodcurdling," movies is associated with an increase in the clotting protein, blood coagulant factor VIII, 

Thursday 17 December 2015

Wednesday 16 December 2015

TRUTH IS SOMEWHERE IN THE MIDDLE


9/10 CA D/T LIFESTYLE


JTALIANS HAD A BALL, WHY DID WE NOT HAVE ONE?


DAFFODILS IN DECEMBER


ITI GOJO


CA

When cancers evolve to the late stage of metastasis they are robust and equipped with genetic, or epigenetic, tricks that can thwart most cancer drugs.11 Given mutation rates, often enhanced by genetic instability, and the number of cells spawned—1012 or more—it is inevitable that rare cells will exist that are intrinsically drug resistant. 

Cells have had three or more billion years to develop survival skills through random shuffling of their genomes—the substrate for all evolutionary change.

Cells have had three or more billion years to develop survival skills through random shuffling of their genomes—the substrate for all evolutionary change. 

CA

As tumours expand, they solicit new blood supplies—angiogenesis—and become diffuse in the tissue of origin. In the face of increasing competition for space and resources, cells seek refuge elsewhere, by escaping into the blood circulation or lymphatics to establish residence as a diaspora in other tissues. Cancer then becomes a territorial hijack of essential tissue functions.

evo BRST CA

But if pregnancy is absent or delayed and breast feeding is not protracted (it is two to five years in hunter-gatherer societies), then each month between the ages of about 13-50 the breast (and ovary) receives a pulse of proliferative stress.

Homo sapiens. Our cancer rates are through the roof. It’s sometimes posited that this reflects the inevitable price of surviving into old age

 Homo sapiens. Our cancer rates are through the roof. It’s sometimes posited that this reflects the inevitable price of surviving into old age

Monday 14 December 2015

Humans evolved to get better sleep in less time


CYGNUS X1 IS A BLACK HOLE- HAWKING VS THORNE BET


BLACK HOLE MADE OF WARPED SPACE TIME


1933-EINSTEIN MIGRATES TO PRINCETON


1915-relativity- EINSTEIN- GRAVITY IS JUST CURVATURE OF SPACETIME BY MASS


IN CRSS GET THE CARD ARREST TEAM AND 2 CONS IN THEN STEP BACK

REPUTATION LOST IN A MINUTE


Drink your tea slowly and reverently, as if it is the axis on which the world earth revolves — slowly, evenly, without rushing toward the future. ~Thich Nhat Hanh

Drink your tea slowly and reverently, as if it is the axis on which the world earth revolves — slowly, evenly, without rushing toward the future. ~Thich Nhat Hanh

ISS SPEED 17500 MPH


LEVEL OF CERTAINTY 20 YRS BACK


old , long and full lf


not untrue


“Introverts love to reflect and process what’s going on — we like to be there and know we’re there,” explains Helgoe.

“Introverts love to reflect and process what’s going on — we like to be there and know we’re there,” explains Helgoe.

light swearing at the start or end of a persuasive speech can actually help influence an audience,

light swearing at the start or end of a persuasive speech can actually help influence an audience,

I don't want to earn a living; I want to live. ~ Oscar Wilde

I don't want to earn a living; I want to live. ~ Oscar Wilde 

ED-masters of the undifferentiated patient!


AUTUMN 1943-BRLIN BMBING


QN VCTORIA X DISRAELI 1861


Education is the most powerful weapon which you can use to change the world. - Nelson Mandela

Education is the most powerful weapon which you can use to change the world. - Nelson Mandela

Gita 07.20 – Don’t let desire steal your knowledge


POSCHIMER JANALA


"The principle of art is to pause, not bypass."KOSINSKI


it's greed, not money, that is the root of all evil. Money is nothing more than a medium of obtaining things and services

it's greed, not money, that is the root of all evil. Money is nothing more than a medium of obtaining things and services

ALAGILLE, JAG1 MUTN, LIVER AND HEART


extroverted (positive affectivity) temperament seems to be beneficial for language development.

extroverted (positive affectivity) temperament seems to be beneficial for language development.

NNJ X MASSAGE-IRN P

 Massage group had a lower transcutaneous billirubin levels compared to the control group, thus, these pilot results indicate that massaging the newborns can be accompanied by a lower bilirubin level in the healthy term newborn.

HDMITE X GUT DYSFN

HDM, a ubiquitous environmental factor, is present in the human gut where it directly affects gut function through its proteolytic activity. HDM may be an important trigger of gut dysfunction and warrants further investigation.

DISINTEGRATION OF THE SASTOGI FMLY


SN CNMA -QUIET MAN 1952


SINKING SUN SYNDROME


SILVER CAR MONTHLY TROUBLE- DEC- METTA TO 300


Sunday 13 December 2015

"The best thing one can do when it's raining is to let it rain." longfellow

"The best thing one can do when it's raining is to let it rain." longfellow

"Never go to bed mad. Stay up and fight."diller

"Never go to bed mad. Stay up and fight."diller

"If you're naturally kind, you attract a lot of people you don't like."lether

If you're naturally kind, you attract a lot of people you don't like."lether

"The opposite of love is not hate, it's indifference." WIESEL


"The day, water, sun, moon, night - I do not have to purchase these things with money."PLAUTUS


DETACHED KARMIC SLF

Meditation is not a means to an end it is both the means and the end. -J. Krishnamurti

 Meditation is not a means to an end it is both the means and the end. -J. Krishnamurti

Mistakes and messiness are necessary. We are all learning


"Kids should be allowed to break stuff more often. That's a consequence of exploration. Exploration is what you do when you don't know what you're doing." -- Neil deGrasse Tyson

"Kids should be allowed to break stuff more often. That's a consequence of exploration. Exploration is what you do when you don't know what you're doing." 

-- Neil deGrasse Tyson 

"My boy, one small breeze doesn't make a wind storm." MCGRAW


"Man loves company - even if it is only that of a small burning candle."LICHTENSTEIN

"Man loves company - even if it is only that of a small burning candle."LICHTENSTEIN

GUBLOC-COFTAS

Thursday 10 December 2015

NERCKELS NILLIONS


"The sky broke like an egg into full sunset and the water caught fire."JOHNSON


"If two wrongs don't make a right, try three."PETER


SELF

dexamethasone can be considered an appropriate therapy for noncomplicated asthma in children requiring hospital admission and can be used in place of the more prevalent regimens of prednisone or prednisolone.

 dexamethasone can be considered an appropriate therapy for noncomplicated asthma in children requiring hospital admission and can be used in place of the more prevalent regimens of prednisone or prednisolone.

among children hospitalized for anaphylaxis, the receipt of glucocorticoid in the ED was associated with a lower odds of a prolonged hospital stay. They suggest that the findings of this study support administration of glucocorticoids to children hospitalized for anaphylaxis.

among children hospitalized for anaphylaxis, the receipt of glucocorticoid in the ED was associated with a lower odds of a prolonged hospital stay. They suggest that the findings of this study support administration of glucocorticoids to children hospitalized for anaphylaxis.

"Azithromycin therapy decreased the overall severity of symptoms during severe LRTIs compared with placebo, as reflected by lower mean total symptom scores over the duration of RTI, but not during episodes not progressing to severe LRTI,

"Azithromycin therapy decreased the overall severity of symptoms during severe LRTIs compared with placebo, as reflected by lower mean total symptom scores over the duration of RTI, but not during episodes not progressing to severe LRTI,

nothing is more important than to experience other cultures and discover how many ways humans have discovered to live.

nothing is more important than to experience other cultures and discover how many ways humans have discovered to live.

Don't surrender your loneliness so quickly. Let it cut more deep. Let it ferment and season you. As few human or even divine ingredients can. ~Hafiz

Don't surrender your loneliness so quickly. Let it cut more deep.  Let it ferment and season you. As few human or even divine ingredients can. ~Hafiz 

We are just a Minuscule of Data


TERMINAL INDECISION


A DR WILL SEE 175000 PTS IN A CAREER


Introversion has nothing to do with shyness or general awkwardness; it is an inbuilt aversion to high stimulation environments – lots of noise, lots of people and bright lights,

Introversion has nothing to do with shyness or general awkwardness; it is an inbuilt aversion to high stimulation environments – lots of noise, lots of people and bright lights,

Monday 7 December 2015

"Life is all about the little decisions you make everyday. You can't change the decisions of the past, but every new day is another opportunity to make the right ones." -- Author Unknown

"Life is all about the little decisions you make everyday. You can't change the decisions of the past, but every new day is another opportunity to make the right ones." 

-- Author Unknown 

I shall either find a way or make one. ~ Hannibal


You don’t owe anyone else your quiet “me time.”


You don’t owe anyone else a “yes” when you need to say “no.”


You don’t owe anyone another excuse (but you owe yourself another chance).

You don’t owe anyone another excuse (but you owe yourself another chance).

freedom is more powerful than fear -Obama


Simple febrile seizures tend to occur early in the illness within 24hrs of onset of fever – if the seizure occurs >24hrs after the onset of fever, the suspicion for a bacterial cause of the fever and a pathologic cause for the seizure should be heightened.

Simple febrile seizures tend to occur early in the illness within 24hrs of onset of fever –
if the seizure occurs >24hrs after the onset of fever, the suspicion for a bacterial cause of the fever
and a pathologic cause for the seizure should be heightened.

TRUE SZOR OR SZR MIMIC

Elements that are highly suggestive of true seizure activity include:
  1. Lateralized tongue-biting (high specificity)
  2. Flickering eye-lids
  3. Dilated pupils with blank stare
  4. Lip smacking
  5. Increased heart rate and blood pressure during event
  6. Post-ictal phase

OPPORTUNITY VS LIABILITY


RT VS FAR RT- GRANCE


People with temporal epilepsy caused by hippocampal sclerosis (TLE-HS) have impaired memory and find it particularly challenging to recall details of specific events in everyday life.

People with temporal epilepsy caused by hippocampal sclerosis (TLE-HS) have impaired memory and find it particularly challenging to recall details of specific events in everyday life.


hippocampus is memory, its loss is memory loss

The SCN8A gene mediates electrical signaling in the brain by controlling the flow of sodium currents

The SCN8A gene mediates electrical signaling in the brain by controlling the flow of sodium currents

channelopathy gene panel

Saturday 5 December 2015

For Freud, belief in hod was a neurotic regression to childhood, with Hod representing an omnipotent father figure

For Freud, belief in Hod was a neurotic regression to childhood, with Hod representing an omnipotent father figure

HOD-the ‘consolationist’ approach maintains that religion consoles human beings against our mortality and the sheer hardship and suffering which fills our lives (Boyer, 2002).

HOD-the ‘consolationist’ approach maintains that religion consoles human beings against our mortality and the sheer hardship and suffering which fills our lives (Boyer, 2002).

HOD-‘intellectualist’ approach suggests that human beings invented gods and the religions associated with them to explain the world.

HOD-‘intellectualist’ approach suggests that human beings invented gods and the religions associated with them to explain the world.

The richest 10% of people produce half of Earth’s climate-harming fossil-fuel emissions, while the poorest half contribute a mere 10%,

The richest 10% of people produce half of Earth’s climate-harming fossil-fuel emissions, while the poorest half contribute a mere 10%,

The time you enjoy wasting is not wasted time. ~ Bertrand Russell


If you are born on Tuesday, not only will you be full of grace, but you will also be more likely to survive than if you are born on a Thursday.

If you are born on Tuesday, not only will you be full of grace, but you will also be more likely to survive than if you are born on a Thursday.

RIBAVIRIN FOR HEP E


Pain can’t kill you, but narcotics can.


Quote-sometimes the only possible way to take away all your pain is to give you so much medication you stop breathing reliably

sometimes the only possible way to take away all your pain is to give you so much medication you stop breathing reliably- quote

A person who starts kindergarten at age 5, graduates at 18, finishes college at 22 and med school at 26 can finish residency and be a fully licensed/practicing physician at the ripe old age of 29 years old.

A person who starts kindergarten at age 5, graduates at 18, finishes college at 22 and med school at 26 can finish residency and be a fully licensed/practicing physician at the ripe old age of 29 years old.

(Insider tip for non-emergencies: show up around 6 a.m.on morning and you probably won’t have to wait

(Insider tip for non-emergencies:  show up around 6 a.m.on  morning and you probably won’t have to wait

Wait times in most emergency departments are ridiculous. But, if you have a real emergency, you won’t have to wait.

 Wait times in most emergency departments are ridiculous. But, if you have a real emergency, you won’t have to wait.

Parental Absence Alters Children’s Brain Development

Left-behind children had more gray matter in areas of the brain related to memory and the emotions.
The researchers think this may be a result of insufficient pruning of synapses, the connections between neurons.
Synaptic pruning is thought to be a vital developmental stage in adolescence.
Children who had higher gray matter volume in these areas tended to have lower IQs, the researchers found.