JNFOMED EMPED 20

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STRAVINSKY- LESSER ARTISTS BORROW, GREATER ARTISTS STEAL

Use compassion, not anger, to motivate you to protect yourself, and [have] compassion toward the person who’s giving you the trouble. Compassion rather than hate is what helps. —Gelek Rinpoche, “What to Do When the Anger Gets Hot

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BG 13.30: They alone truly see who understand that all actions (of the body) are performed by material nature, while the embodied soul actually does nothing

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MINOR INJRY

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PPHN  PDF TOOLS   SHARE Persistent Pulmonary Hypertension of the Newborn (PPHN) is a significant clinical problem characterized by refractory and severe hypoxemia secondary to elevated pulmonary vascular resistance resulting in right‐to‐left extrapulmonary shunting of deoxygenated blood. PPHN is associated with diverse cardiopulmonary disorders and high early mortality rate for infants with severe PPHN. Surviving infants with PPHN have increased risk of long‐term morbidities. PPHN physiology can be categorized by (1)maladaptation: pulmonary vessels have normal structure and number but have abnormal vasoreactivity; (2) excessive muscularization: increased smooth muscle cell thickness and increased distal extension of muscle to vessels that are usually not muscularized; and (3) underdevelopment: lung hypoplasia associated with decreased pulmonary artery number. Treatment involves adequate lung recruitment, optimization of cardiac output and left ventricular function and pulmonary vasodilators such as inhaled nitric oxide. Infants who fail to respond to conventional therapy should be evaluated for lethal lung disorders including ACD, TBX4, TTF‐1, ABCA3 and surfactant protein diseases. ########################### ############################### COVID PED CHEST CT ABSTRACT Rationale Pediatric COVID‐19 studies have been mostly restricted to case reports and small case series, which have prevented the identification of specific pediatric lung disease patterns in COVID‐19. The overarching goal of this systematic review and meta‐analysis is to provide the first comprehensive summary of the findings of published studies thus far describing COVID‐19 lung imaging data in the pediatric population. Methods A systematic literature search of PubMed was performed to identify studies assessing lung‐imaging features of COVID‐19 pediatric patients (0‐18 years). A single‐arm meta‐analysis was conducted to obtain the pooled prevalence and 95% confidence interval (95% CI). Results A total of 29 articles (n=1026 children) based on chest CT images were included. The main results of this comprehensive analysis are as follows: (1) Over a third of pediatric patients with COVID‐19 (35.7%, 95% CI: 27.5%‐44%) had normal chest CT scans and only 27.7% (95% CI: 19.9%‐35.6%) had bilateral lesions; (2) the most typical pediatric chest CT findings of COVID‐19 were ground‐glass opacities (GGO) (37.2%, 95% CI: 29.3%‐45%) and the presence of consolidations or pneumonic infiltrates (22.3%, 95% CI: 17.8%‐26.9%); (3) the lung imaging findings in children with COVID‐19 were overall less frequent and less severe than in adult patients; and (4) typical lung imaging features of viral respiratory infections in the pediatric population such as increased perihilar markings and hyperinflation were not reported in children with COVID‐19. Conclusion Chest CT manifestations in children with COVID‐19 could potentially be used for early identification and prompt intervention in the pediatric population. ############################ ############################ CLEMATIS MANJU ################################ ################## ERICA CARNIEA GRACILIS ############################ PSYD Practice feeling this emotion for more pleasure and better mental health. People enjoy more pleasure from a walk when they try to experience awe, new research has found. The feeling of awe — felt when looking at vast things like huge natural landscapes — helps people to refocus outside of themselves. ################# XRAY NORMAL  SUBTLE, NOT NECESSARILY RED OR SWOLLEN ########################### People increasingly blame their phones for sleep loss, low productivity and risk-taking while driving, new research finds. ########################### ############################# From the Big Bang to the Present: Gravity Is Why the Universe Is So Uniform ############################## PHONE BONDING V RELNSHIP ################################# Be willing to be a beginner everysingle morning.~ Meister Eckhart