Thursday 31 December 2015
how the god of Profit drives many farms and companies to treat animals in inhumane ways to make a few extra bucks.
how the god of Profit drives many farms and companies to treat animals in inhumane ways to make a few extra bucks.
B WAY X ACRONYM=A Concise Reduction Obliquely Naming Your Meaning
Fixing and Healing
Our usual modus operandi is to try to rid our lives of suffering through
rearranging things. Rather than admitting suffering into our experience, we
tend to manufacture hopeful strategies of avoidance. My friend Buddy, a
structural integration practitioner, says that a client will often walk into his
office expecting to get “fixed”—to arrive at a physical state that is totally
pain-free. This is not an unreasonable desire. Nobody wants to suffer. But
we need to ask ourselves: “Is this mysterious, dynamic organism we inhabit
fixable? Does it ever reach a final state of equanimity, where it no longer
feels the movement, the pleasure and the pain, of the infinite universe it is a
part of?”
Here is a simple comparison: suppose you go and sit in the middle of a freeway with the cars and trucks charging down at you. You can't get angry at the cars, shouting, ''Don't drive over here! Don't drive over here!'' It's a freeway, you can't tell them that. So what can you do? You get off the road! The road is the place where cars run, if you don't want the cars to be there, you suffer.
It's the same with sankhāras. We say they disturb us, like when we sit in meditation and hear a sound. We think, ''Oh, that sound's bothering me.'' If we understand that the sound bothers us then we suffer accordingly. If we investigate a little deeper, we will see that it's we who go out and disturb the sound! The sound is simply sound. If we understand like this then there's nothing more to it, we leave it be. We see that the sound is one thing, we are another. One who understands that the sound comes to disturb him is one who doesn't see himself. He really doesn't! Once you see yourself, then you're at ease. The sound is just sound, why should you go and grab it? You see that actually it was you who went out and disturbed the sound.
-- Ajahn Chah
When people are born into the world they are without names - once born, we name them. This is convention. We give people names for the sake of convenience, to call each other by. The scriptures are the same. We separate everything up with labels to make studying the reality convenient. In the same way, all things are simply sankhāras. Their original nature is merely that of compounded things. The Buddha said that they are impermanent, unsatisfactory and not-self. They are unstable. We don't understand this firmly, our understanding is not straight, and so we have wrong view. This wrong view is that the sankhāras are ourselves, we are the sankhāras, or that happiness and unhappiness are ourselves, we are happiness and unhappiness. Seeing like this is not full, clear knowledge of the true nature of things. The truth is that we can't force all these things to follow our desires, they follow the way of nature.
My mother, who spent many years working with people who had lifethreatening illnesses, said she witnessed many of them move from states of
physical and emotional “dis-ease” to a place of deep acceptance of their
physical condition, their life, and their death. When people go through such
experiences their whole demeanor changes; their outlook broadens. They no
longer want to go back . . . they want to move forward. And as they move
forward they have no regrets. She heard them say things like, “This disease
was the greatest blessing of my life.”
On National Public Radio I heard a woman talk about her experience
with her daughter, a heroin addict who lived on the street. She tried taking
her to rehab, talking to her, intervening in various ways, but to no avail.
Finally, this courageous mother came to accept her daughter’s situation.
And rather than trying to rehabilitate or change her, she just went and sat
with her in the park—she started to bear witness to the truth of her
daughter’s predicament. In one way, her story as she told it remained
unresolved. She was unable to fix it. And yet, as a listener, I could feel the
bravery and clarity that came from this woman’s ability to work with her
situation in a healing way.
SANKHARAS
We must see that there is no reason to be born. Born in what way? Born into gladness: When we get something we like we are glad over it. If there is no clinging to that gladness there is no birth; if there is clinging, this is called 'birth'. So if we get something, we aren't born (into gladness). If we lose, then we aren't born (into sorrow). This is the birthless and the deathless. Birth and death are both founded in clinging to and cherishing the sankhāras.
So the Buddha said. ''There is no more becoming for me, finished is the holy life, this is my last birth.'' There! He knew the birthless and the deathless. This is what the Buddha constantly exhorted his disciples to know. This is the right practice. If you don't reach it, if you don't reach the Middle Way, then you won't transcend suffering
Desperate ecologies tend to reward 'faster,' present-focused behaviors whereas hopeful ecologies tend to reward 'slower,' future-oriented behaviors.
Desperate ecologies tend to reward 'faster,' present-focused behaviors whereas hopeful ecologies tend to reward 'slower,' future-oriented behaviors.
WHT MORE LIKELY IN HOPEFUL ENV, BLCK MORE LIKELY IN DEPERATE ENV
many predominant race stereotypes reflect beliefs about how people from different environments, or 'ecologies,' are likely to think and behave.
SC DI
WHT MORE LIKELY IN HOPEFUL ENV, BLCK MORE LIKELY IN DEPERATE ENV
many predominant race stereotypes reflect beliefs about how people from different environments, or 'ecologies,' are likely to think and behave.
SC DI
DESPERATE VS HOPEFUL ENVIRONMENT
stereotypes people hold about individuals who live in resource-poor and unpredictable ('desperate') environments as compared to those who live in resource-sufficient and predictable ('hopeful') environments.
it might be healthier for individuals to eat when they are moderately hungry than when they are not hungry.
it might be healthier for individuals to eat when they are moderately hungry than when they are not hungry.
WAGE SLAVES-Incentives, rewards, bonuses and bonding experiences – Roman slaveowners were the first management theorists
Incentives, rewards, bonuses and bonding experiences – Roman slaveowners were the first management theorists
ENTROPY 2015-The highest tribute to the people and circumstances you’ve lost is not grief but gratitude.
The highest tribute to the people and circumstances you’ve lost is not grief but gratitude.
“The more that you read, the more things you will know. The more that you learn, the more places you’ll go.” ― Dr. Seuss
“The more that you read, the more things you will know. The more that you learn, the more places you’ll go.”
― Dr. Seuss
― Dr. Seuss
MINI HABITS, MICRO-LIFE
DHAMMAPADA Verse 122: One should not think lightly of doing good, imagining 'A little will not affect me'; just as a water-jar is filled up by falling drops of rain, so also, the wise one is filled up with merit, by accumulating it little by little.
2015- MEMORY KNOWLEDGE AND A STORY
The past is already past.
Don’t try to regain it.
The present does not stay.
Don’t try to touch it
From moment to moment.
The future is not come;
Don’t think about it
Beforehand.
Layman P’ang
Don’t try to regain it.
The present does not stay.
Don’t try to touch it
From moment to moment.
The future is not come;
Don’t think about it
Beforehand.
Layman P’ang
What is this true meditation? It is to make everything: coughing, swallowing, waving the arms, motion, stillness, words, actions, the evil and the good, prosperity and shame, gain and loss, right and wrong, into one single koan. - Hakuin
- HakuinWhat is this true meditation? It is to make everything: coughing, swallowing, waving the arms, motion, stillness, words, actions, the evil and the good, prosperity and shame, gain and loss, right and wrong, into one single koan.
ALL INSIDE BBTBR
100 TRILLION YRS TILL THE LAST STAR OF OUR UNIVERSE WILL DTH
WORRIED? NMBTL 15 GM OR ODAD
FIREWORKS - RED GREEN BLUE YELLOW-STRONTIUM BARIUM COPPER SODIUM, WHITE- TITANIUM OR ALUMINIUM
FIREWORKS - RED GREEN BLUE YELLOW-STRONTIUM BARIUM COPPER SODIUM, WHITE- TITANIUM OR ALUMINIUM
GET USED TO ROUGH EDGES Grant puts it this way: "Perfectionism is the predator of productivity
GET USED TO ROUGH EDGES Grant puts it this way: "Perfectionism is the predator of productivity
Wednesday 30 December 2015
Biotic homogenization has been defined as follows “the process by which species invasions and extinctions increase the genetic, taxonomic or functional similarity of two or more locations over a specified time interval
Biotic homogenization has been defined as follows “the process by which species invasions and extinctions increase the genetic, taxonomic or functional similarity of two or more locations over a specified time interval
POSSIBLY CARCINOGENIC-“E-cigarette vapor, both with and without nicotine, is cytotoxic to epithelial cell lines and is a DNA strand break-inducing agent,”
“E-cigarette vapor, both with and without nicotine, is cytotoxic to epithelial cell lines and is a DNA strand break-inducing agent,”
For some people, palatable foods invoke such a strong response in the brain's reward circuit—and so dramatically alter their biology—that willpower will rarely, if ever, be sufficient to resist eating those foods once they are around
For some people, palatable foods invoke such a strong response in the brain's reward circuit—and so dramatically alter their biology—that willpower will rarely, if ever, be sufficient to resist eating those foods once they are around
SCIAM
SCIAM
CHOKHER KHIDEY- HEDONIC HUNGER
hedonic hunger, a powerful desire for food in the absence of any need for it; the yearning we experience when our stomach is full but our brain is still ravenous.
Sunday 27 December 2015
BMJOBIT-Uovey, consultant haematologist (b 1926; q University of Bristol 1948), died from bronchopneumonia, and heart and kidney failure on 16 November 2015.
Uovey, consultant haematologist (b 1926; q University of Bristol 1948), died from bronchopneumonia, and heart and kidney failure on 16 November 2015.
BAD LATE NIGHT EATING=Those fed when they usually slept showed worse memory performance.
BAD LATE NIGHT EATING=Those fed when they usually slept showed worse memory performance.
"Failure is unimportant. It takes courage to make a fool of yourself." -- Charlie Chaplin
"Failure is unimportant. It takes courage to make a fool of yourself."
-- Charlie Chaplin
-- Charlie Chaplin
Upper airway obstruction can produce asthma-like symptoms and should be kept in differential diagnosis of patients who present with uncontrolled wheezing.
Upper airway obstruction can produce asthma-like symptoms and should be kept in differential diagnosis of patients who present with uncontrolled wheezing.
ANIMALS ARE NOT OURS to eat, wear, experiment on, use for entertainment or abuse in any other way
ANIMALS ARE NOT OURSto eat, wear, experiment on, use forentertainment or abuse in any other way
Contentment, not happiness.
Contentment, not happiness.
“The notion that a human being should be constantly happy is a uniquely modern, uniquely destructive idea.”― Andrew Weil
You are not a noun. You are a verb.
“I live on Earth at present, and I don’t know what I am. I know that I am not a category. I am not a thing — a noun. I seem to be a verb, an evolutionary process — an integral function of the universe.”BUCKMINSTER FULLER
Overman is one who has superseded the bondage of the human condition and reached a liberated state — one of free play and creativity.
Overman is one who has superseded the bondage of the human condition and reached a liberated state — one of free play and creativity.
CONTINUOUS ETCO2 MONITORED IN VENTILATED PREM-The prevalence of intraventricular hemorrhage or periventricular leukomalacia rate was lower in the monitored group
CONTINUOUS ETCO2 MONITORED IN VENTILATED PREM-The prevalence of intraventricular hemorrhage or periventricular leukomalacia rate was lower in the monitored group
Bereavement. Or, Bereaved. Bereft. It’s from the Old English bereafian, meaning ‘to deprive of, take away, seize, rob.’ Robbed. Seized. It happens to everyone. But you feel it alone. Shocking loss isn’t to be shared, no matter how hard you try.
Bereavement. Or, Bereaved. Bereft. It’s from the Old English bereafian, meaning ‘to deprive of, take away, seize, rob.’ Robbed. Seized. It happens to everyone. But you feel it alone. Shocking loss isn’t to be shared, no matter how hard you try.
“I have been able to see my life as from a great altitude, as a sort of landscape, and with a deepening sense of the connection of all its parts,” Oliver Sacks
“I have been able to see my life as from a great altitude, as a sort of landscape, and with a deepening sense of the connection of all its parts,”Oliver Sacks
Saturday 26 December 2015
DIET FAIL-“The crux of the disconnect is the divide between thoughts and feelings.
DIET FAIL-“The crux of the disconnect is the divide between thoughts and feelings.
Life’s highest highs and lowest lows come from…SOCIAL OCCASIONS NOT EXAM OR JOB RELATED
Life’s highest highs and lowest lows come from…SOCIAL OCCASIONS NOT EXAM OR JOB RELATED
Carriers of a certain genetic variation experience positive and negative emotions more strongly,-ADRA2b and it regulates the neurotransmitter norepinephrine.
Carriers of a certain genetic variation experience positive and negative emotions more strongly,-ADRA2b and it regulates the neurotransmitter norepinephrine.
Talent won’t get you as far as hard work and passion.
Talent won’t get you as far as hard work and passion.
VALVULAR AS
Valvular aortic stenosis is quite common in the elderly, and its prevalence will increase as the population ages. The natural history is well known, with no increased mortality in asymptomatic patients, but a 50% 2-year mortality rate once the classic symptoms of congestive heart failure, angina, or syncope develop. No effective medical therapy exists, and proper management involves careful, educated monitoring utilizing clinical findings, echocardiography for assessing and monitoring severity and progression, and ensuring appropriate timing of aortic valve replacement.
B GROUP X COR HD
‘বি’- গ্রুপের রক্ত
রোগের সম্ভাবনা:
এই গ্রুপের রক্ত যদি আপনার হয় তা হলে সাবধান। কারণ, এই গ্রুপের ক্ষেত্রে ১১% হৃদরোগে আক্রান্ত হওয়ার সম্ভাবনা।
RCIP 74/70
সে সময় হলিউডের নায়িকা অড্রে হেপবার্নের জনপ্রিয়তা তুঙ্গে। রোমান হলিডে বা ব্রেকফাস্ট অ্যাট টিফানিজ-এ কপালের উপরে ছোট করে কাটা চুল সারা পৃথিবীর চোখের মণি। ছিপছিপে নতুন মেয়েটি সেই স্টাইলকে নিয়ে এলেন আরব সাগরের তীরে। ছবির নাম ‘লভ ইন শিমলা’। কিছু দিনের মধ্যেই মাথায় বুফোঁর সঙ্গে কপালে ‘ফ্রিঞ্জ’ বলিউডের ঘরোয়া হয়ে গেল। নাম হল, ‘সাধনা কাট’।
ষাটের দশকের সেই স্টাইল-ঈশ্বরী সাধনা (৭৪) আজ ভোরে মারা গেলেন। মুম্বইয়ের হিন্দুজা হাসপাতালে গত কয়েক দিন ধরে ভর্তি ছিলেন। সেখানেই মৃত্যু হয় তাঁর।
গত বছর মুখে একটা ক্ষত হয়েছিল। ক্যানসার ধরা পড়ে। অস্ত্রোপচারও হয়। তবে তার অনেক আগে থেকেই সাধনা সরে গিয়েছিলেন আড়ালে। সত্তর দশকের মাঝামাঝির পর থেকে তাঁকে দেখা যেত না সে ভাবে। অল্প কয়েক জন বান্ধবী— নন্দা, ওয়াহিদা রহমান, হেলেন আর আশা পারেখ— ছাড়া কারও সঙ্গে কথা
Thursday 24 December 2015
Zig Ziglar once said, “People often say that motivation doesn’t last. Well, neither does bathing – that’s why we recommend it daily.”
Zig Ziglar once said, “People often say that motivation doesn’t last. Well, neither does bathing – that’s why we recommend it daily.”
Wednesday 23 December 2015
Among infants admitted to the hospital with bronchiolitis, treatment with nebulized 3% HS compared with NS had no difference in LOS or 7-day readmission rates.
Among infants admitted to the hospital with bronchiolitis, treatment with nebulized 3% HS compared with NS had no difference in LOS or 7-day readmission rates.
Although DCC did not alter the incidence of IVH or LOS in preterm infants, it improved motor function at 18-22 months corrected age.
Although DCC did not alter the incidence of IVH or LOS in preterm infants, it improved motor function at 18-22 months corrected age.
delayed cord clamping
delayed cord clamping
TOURNIQUET OR HEMOSTATIC DRESSING FOR PED TRAUMA
The most common and effective were C PHI for hemorrhage control, which should remain a primary focus of equipment and training
Communication has therapeutic value, including providing an explanation and probable prognosis without “normalizing” the symptom.
Communication has therapeutic value, including providing an explanation and probable prognosis without “normalizing” the symptom.
Serious causes that are not apparent after initial evaluation seldom emerge later.
CAVEAT THE RETURNING CORYZAL CHILD WHO RETURNS WITH SEPSIS
ESCALATE
Communicate to everyone involved the critical nature of the situation and mobilize all of your available resources rapidly and efficiently. Treat every crashing patient like a natural disaster.
NOC -ESCALATE-957
don’t wait to intubate patients you think have a high likelihood of needing a definitive airway
NOC CLOUD
history and physical alone contribute between 73 and 94% of the diagnostic information needed to make a correct diagnosis.
NOC CLOUD X LISTEN
radiology techs, ED techs, volunteers, and family members, in addition to our nursing staff. LISTEN when they express a concern about a patient.
NOC CLOUD
Forecasts change. So do patients. The weather right now might very well NOT be the weather four hours from now. Flexible thinking and frequent reassessments will stop you from getting soaked
NOC- PEWS
Read the forecast. Or at least the nursing notes
Always read the nursing notes and review ALL of the vital signs.
Always read the nursing notes and review ALL of the vital signs.
NGTS ON CALL
You can’t control the weather, but you can prepare ahead of time. been in the habit of coming ten to twenty minutes before my shifts to walk the department and run the board before sign-out
WMA appears to be an important intervening factor linking infection and severe motor and IQ impairments
WMA appears to be an important intervening factor linking infection and severe motor and IQ impairments
white matter abnormalities
at term mri brain
white matter abnormalities
at term mri brain
Confirmed neonatal infection heightens VPT infants' risk for neurodevelopmental impairment.
Confirmed neonatal infection heightens VPT infants' risk for neurodevelopmental impairment.
very preterms eg <30 wkr
very preterms eg <30 wkr
NEC SX
abdominal erythema, C-reactive protein levels and the critical imaging report were independent predictors of the need for surgical intervention. The critical imaging report was the most powerful predictor of surgical NEC.
NEURODVPT IMPAIRMENT
Maternal preeclampsia, caesarean section and low income were negatively related to male and female motor outcomes. Lower percentage of optimal birth weight was related to a lower male NDI. Younger maternal age, smoking during early pregnancy and stress during later pregnancy were related to lower female NDIs
Using intravenous isotonic fluids induced a positive trend in natraemia on a general paediatric ward, particularly if patients were hyponatraemic when admitted, and did not induce clinically relevant adverse effects.
Using intravenous isotonic fluids induced a positive trend in natraemia on a general paediatric ward, particularly if patients were hyponatraemic when admitted, and did not induce clinically relevant adverse effects.
Radial access used less than femoral approach for emergency angioplasty
Radial access used less than femoral approach for emergency angioplasty
EMPATHY/ALTRUISM-pro-social”) behavior, they are doing so to protect their reputation, avoid retribution, or benefit when their kindness is reciprocated.
pro-social”) behavior, they are doing so to protect their reputation, avoid retribution, or benefit when their kindness is reciprocated.
Metastasized pancreatic neuroendocrine tumors are extremely rare malignancies, especially in children.
Metastasized pancreatic neuroendocrine tumors are extremely rare malignancies, especially in children.
SIT TO SLEEP- ACHALASIA
childhood achalasia as a cause of unusual symptoms and fixed upper airway obstruction.
INDUCED SPUTUM- SALINE NEBS, SUCTION , CHEST PHYSIO
inflammation was measureable in only one-third of IS samples and the cell differential was predominantly neutrophilic compared to BAL. Blood eosinophils may provide a better reflection of lower airway eosinophilia in this age group.
Caregiving burden is a relevant and frequent issue among parents of adolescent patients with cystic fibrosis.
Caregiving burden is a relevant and frequent issue among parents of adolescent patients with cystic fibrosis.
Lung function deteriorated with increasing age in SCD children and the rate of decline was greater in younger children in whom ACS episodes were more common.
Lung function deteriorated with increasing age in SCD children and the rate of decline was greater in younger children in whom ACS episodes were more common.
sickle cell dis
acute chest syndromes
sickle cell dis
acute chest syndromes
Metformin has potential to prevent or treat preeclampsia,”
Metformin has potential to prevent or treat preeclampsia,”
Pamidronate is an efficient and safe agent in treatment of children with VDI
Pamidronate is an efficient and safe agent in treatment of children with VDI
RMRMBR THE NARLOW SIBS GIVEN VIT D BY MTHR -OD
RMRMBR THE NARLOW SIBS GIVEN VIT D BY MTHR -OD
High CRP and IT-ratio and low WBC and ANC values were closely linked to a more severe course of MAS during the early phases of the disease.
High CRP and IT-ratio and low WBC and ANC values were closely linked to a more severe course of MAS during the early phases of the disease.
Term-born children who develop CP after neonatal encephalopathy with suspected birth asphyxia have a greater burden of disability than those without suspected birth asphyxia.
Term-born children who develop CP after neonatal encephalopathy with suspected birth asphyxia have a greater burden of disability than those without suspected birth asphyxia.
Tuesday 22 December 2015
only infants who experienced a maximum total serum bilirubin level ≥ 35 mg/dL had an elevated hazard ratio
only infants who experienced a maximum total serum bilirubin level ≥ 35 mg/dL had an elevated hazard ratio
>500
>500
infants have very poor survival from out-of-hospital cardiac arrest, and bystander CPR has no effect on outcome.
infants have very poor survival from out-of-hospital cardiac arrest, and bystander CPR has no effect on outcome.
survival was less than 25% in witnessed, out-of-home cardiac arrests with shockable rhythms in adolescents.
survival was less than 25% in witnessed, out-of-home cardiac arrests with shockable rhythms in adolescents.
survival was less than 25% in witnessed, out-of-home cardiac arrests with shockable rhythms in adolescents.
survival was less than 25% in witnessed, out-of-home cardiac arrests with shockable rhythms in adolescents.
Wednesday 16 December 2015
Monday 14 December 2015
Exclusive breastmilk feeding was associated with lower growth rates and a reduced risk of BPD as well as NEC and ROP.
Exclusive breastmilk feeding was associated with lower growth rates and a reduced risk of BPD as well as NEC and ROP.
Be suspicious in children that are colicky, have palpitations, lightheadedness, syncope, seizure, or exertional symptoms. These children may have an underlying cardiac cause to their chest pain.
- Be suspicious in children that are colicky, have palpitations, lightheadedness, syncope, seizure, or exertional symptoms. These children may have an underlying cardiac cause to their chest pain.
In selected children with chest pain who also had abnormal EKG findings or a fever, obtaining elevated troponin had diagnostic utility for diagnosing myopericarditis. In addition, troponin may be useful in children with chest pain associated with chest trauma, overdose, poisoning, or significant cardiac pathology
In selected children with chest pain who also had abnormal EKG findings or a fever, obtaining elevated troponin had diagnostic utility for diagnosing myopericarditis. In addition, troponin may be useful in children with chest pain associated with chest trauma, overdose, poisoning, or significant cardiac pathology
Saturday 7 November 2015
Friday 6 November 2015
Saturday 31 October 2015
Wednesday 28 October 2015
some preterm infants, intermittent tube feeding resulted in large intraday glucose fluctuation at 31-35 postconceptual weeks, but the pattern disappeared before discharge (36-38 postconceptual weeks).
some preterm infants, intermittent tube feeding resulted in large intraday glucose fluctuation at 31-35 postconceptual weeks, but the pattern disappeared before discharge (36-38 postconceptual weeks).
Tuesday 27 October 2015
Thursday 15 October 2015
eosinopenia during infant bronchiolitis predicted low asthma risk and eosinophilia outside infection predicted high asthma risk up to the age of 28–31 years.
eosinopenia during infant bronchiolitis predicted low asthma risk and eosinophilia outside infection predicted high asthma risk up to the age of 28–31 years.
Tuesday 29 September 2015
Monday 28 September 2015
Thursday 10 September 2015
Thursday 2 July 2015
Tuesday 23 June 2015
Tuesday 28 April 2015
Thursday 16 April 2015
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