Monday 29 September 2014

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

Sunday 28 September 2014

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

Saturday 27 September 2014

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

Friday 19 September 2014

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

a



a

omega balance - include leafy greens 

a


You and I are One. We just seem different vibrations of the same Loving Principle. Find Union in The Self.

“Every state, every expression exists as an opposite: masculine-feminine, positive-negative, hot-cold. We have learned to think and judge according to these categories. But, in reality, the apparent opposites are merely manifestations of the same principle.

Lightness is a lack of darkness and vice versa. Both are expressions of the ruling intensity of light, therefore reflecting the same principle.

In the complexity of life we are often unable to recognise the unity behind the duality.”

Agya Chakra - Eyebrow center


a




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


Monday 15 September 2014

Sunday 14 September 2014

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

Thursday 11 September 2014

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



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

Sunday 7 September 2014

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