NOSHTO MEYE CRSS HOPA 2ND DART AVOID CHEM PORBEY

MEYE NOSHTO BOU CA CRSS

em ped em nicu shift gdmo distractable shift needs pacing

yes: I am a dreamer. For a dreamer is one who can only find his way by moonlight, and his punishment is that he sees the dawn before the rest of the world. - Oscar Wilde

dth anxty

What most people consider as devotion is just deception. They are trying to make a convenient deal with God. sg

What most people consider as devotion is just deception. They are trying to make a convenient deal with God.

hickman line rupture DAYS OF LF EQUALS BLOG POSTS LXMI PUJA 2017 -IN ABT 10 YRS

repair or replace it. Points to consider include the following:

• How much longer will central-line therapy continue? Catheter repair may be more appropriate if therapy will continue for a few days, whereas replacement is more appropriate for longer-term therapy.
• Are vessels available for a new insertion? Did the inserting clinician note that the catheter was inserted with much difficulty? Does the patient have a history of multiple catheter insertions?
• Is the catheter appropriate for exchange? Is there a chance of contamination or infection with this catheter or insertion site?
• Is repair feasible based on variables of catheter damage and exposure? What are the possible risks of contamination and infection?
• What are the manufacturer’s recommendations? Many catheters don’t come with repair kits. Depending on leakage or breakage location, repair may be impossible—for instance, with a double-lumen catheter that’s leaking below the bifurcation.
• If the catheter is visibly ruptured on the outside, is there a possibility it has ruptured on the inside? This can be determined only by X-ray or dye study.

HYPERMOBY CHLD ALGOPED

ACES- AB PE NG PE HDSFN MIVS

ACE X DISEASE

ACE TO HEALTH OUTCOMES

ACE TO DTH

uti x renal US xmcug

Voiding cystourethrogram (VCUG) in neonates with first-time febrile UTI (September 2017)

For neonates with first-time urinary tract infection (UTI), the optimal approach to evaluating for vesicoureteral reflux (VUR) is uncertain, and expert opinion differs as to whether a voiding cystourethrogram (VCUG) is necessary in all cases. A recent study of 122 young infants with first-time febrile UTI found that high-grade VUR was far less likely among infants with normal renal ultrasound and Escherichia coli infection compared with those with abnormal renal ultrasound, non-E. coli pathogen, or both abnormal ultrasound and non-E. coli pathogen (1 versus 31, 26, and 55 percent, respectively) [18]. These data suggest that a VCUG may not be necessary for all neonates with first-time UTI, and they support a strategy of "watchful waiting" for low-risk infants. However, VCUG should be performed in neonates with abnormal renal ultrasound, non-E. coli pathogen, or recurrent UTI

Black tea may help with weight loss, too

Black tea may help with weight loss, too

Not to give up under any circumstances should be the motto of our life: I shall try again and again, and I am bound to succeed. There will be obstacles, but I have to defy the obstacles." -- Sri Chinmoy

"Not to give up under any circumstances should be the motto of our life: I shall try again and again, and I am bound to succeed. There will be obstacles, but I have to defy the obstacles."

-- Sri Chinmoy

There ain't no answer. There ain't gonna be any answer. There never has been an answer. There's the answer. ~ Gertrude Stein

There ain't no answer. There ain't gonna be any answer. There never has been an answer. There's the answer. ~ Gertrude Stein 

ocean table marble x acrylic

LONG TTN., OVER 72 HRS

Lactate and LDH might be useful for clinicians at first level hospitals for decision making to refer the TTN patient to the secondary or tertiary level neonatal intensive care unit before the clinical situation is worsened.

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Term infants with TTN had low lamellar body counts associated with decreased surfactant function, suggesting that prolonged disease is associated with surfactant abnormalities.

Male gender, prematurity and delivery by cesarean section were the major risk factors for TTN. Parenteral furosemide had no effect on the clinical course. Peak respiratory rate (RRpeak) at the first 36 h was significantly higher in group 2 (P > 0.000). The cut-off for RRpeak during the first 36 h (RRpeak36) was 90/min and RRpeak36 > 90/min caused a 7.04-fold risk of prolongedtachypnea. White blood cell count and hematocrit levels were lower whereas duration of hospitalization and antibiotic treatment were longer in group 2.

CONCLUSIONS:

Assessment of RRpeak36 may be useful in predicting clinical course of TTN.

Initially prolonged RVSTI RT VENTR SYTOLIC TIME INTERVAL was best predictor of the development of severe TTN (relative risk ratio 17.5, p less than 0.001): clinical characteristics and oxygen requirements at the admission had limited predictive value.

MAT PSVT X NN ASD SSECUNDUM

PSVT in pregnant women associates with a higher risk of secundum atrial septal defect in their children.


Mutations in PRKAG2 responsible for Human WPW syndrome


wpw is c cause of PSVT 

YOUTH KNOWS THE RULES, WISE KNOW THE EXCEPTIONS

WHAT IS MY NICHE VALUE?

"You just have to find that thing that's special about you that distinguishes you from all the others, and through true talent, hard work, and passion, anything can happen."

-- Dr. Dre

It's fine to celebrate success, but it is more important to heed the lessons of failure.- Bill Gates

It's fine to celebrate success, but it is more important to heed the lessons of failure.- Bill Gates

Zilch, nada, none!

Zilch, nada, none!

clarke "How inappropriate to call this planet Earth when it is quite clearly Ocean."

"How inappropriate to call this planet Earth when it is quite clearly Ocean."

STEVENSON Man is a creature who lives not upon bread alone, but primarily by catchwords."

Man is a creature who lives not upon bread alone, but primarily by catchwords."

forster How can I know what I think till I see what I say?"

How can I know what I think till I see what I say?"

GRF

CRACKING FERN 

A

Ceres, our solar system's largest asteroid, is basically a massive ice ball in disguise

a

… The universe is what consciousness looks like when it looks at itself. And you are that consciousness, you are that which looks at itself and says, this is reality …" ~ Deepak Chopra

A

RIGHT TO BR ARMS - FROM COLONIAL VS FIGHTING FK TO HOW THE WST WAS WON

As soon as you see something, you already start to intellectualize it. As soon as you intellectualize something, it is no longer what you saw. ~ Shunryu Suzuki

As soon as you see something, you already start to intellectualize it. As soon as you intellectualize something, it is no longer what you saw. ~ Shunryu Suzuki 

PSYCHOPATHY-SRGN, NON -PSYCOPATHY- DR

There are core traits—a lack of moral reasoning or sense of guilt, pathological lying, a lack of emotion, using and manipulating people—but so many people think that these traits always involve murder, rape, and sadism,” he says. “But violence or sadism is not a necessary component of psychopathy. In fact, there are plenty of psychopaths who you’ll find out in the world leading regular lives.

Individuals with psychopathy are much more likely to have issues with substance abuse. Their onset of criminal behavior is much earlier than others, which is why psychopaths are overrepresented in prisons. They account for the vast majority of costs for treatment in prisons—despite the fact that we think of them as untreatable. We are now starting to move away from the old model that people with psychopathy are fundamentally evil people who should not be interacting with anyone in society and can’t be treated or helped,” says Baskin-Sommers. “With more studies with better experimental design and larger data sets with more representative samples, we should be able to define, refine, and specify the types of dysfunctions operating in these people. That will not only give us a clearer idea of why psychopaths do what they do. It may also help us develop better programs and treatments to help them make better decisions about what’s right and wrong.”

DIET X EXERCISE

main benefit of walking on fat loss is through increasing the energy deficit, rather than by impacting REE.

COOK

BRONCH

wake rx x depression

Wake therapy’, as it is sometimes called, involves staying awake all night and the next day.

Around 50% of people find their depression improves — until they sleep again.