Saturday, 30 December 2017

Soon after, Dr. Livesey’s horse came to the door and he rode away, but the captain held his peace that evening, and for many evenings to come. Robert Louis Stevenson. Treasure Is

Soon after, Dr. Livesey’s horse came to the door and he rode away, but the captain held his peace that evening, and for many evenings to come.

Robert Louis Stevenson. Treasure Isl

TRSR ISLND His stories were what frightened people worst of all. Robert Louis Stevenson.

His stories were what frightened people worst of all.


Without being in constant exchange with the rest of the cosmos, you cannot exist. The idea of individuality is an illusion. sg


Without being in constant exchange with the rest of the cosmos, you cannot exist. The idea of individuality is an illusion.

pallimed oeveah uown holoprosencephaly NN - 2 midaz 1 morphn


If you spend too much time thinking about a thing, you’ll never get it done. Make at least one definite move daily towards your goal.” – Bruce Lee

If you spend too much time thinking about a thing, you’ll never get it done. Make at least one definite move daily towards your goal.” – Bruce Lee

rt red eye crss


There is nothing either good or bad but thinking makes it so. - Shakespeare

There is nothing either good or bad but thinking makes it so. - Shakespeare

Thursday, 28 December 2017

OVREATING - HALT

Too hungry (keep a balanced blood sugar)
Too angry (losing control of your emotions will often trigger overeating)
Too lonely (humans do better when they have the company and support of others)
Too tired (good sleep is essential to getting control of your appetite, cravings, and
brain health)

IMPULSIVE LATE NIGHT POST LONG DAY OVEREATER

Brain Type 2 Is “the Impulsive Overeater”
People with this type have poor impulse control, get distracted easily, and just reach for
food without thinking. Their brain scans show low activity in the front part of the brain
in an area called the prefrontal cortex. Think of the prefrontal cortex like the brain’s
brake. It stops us from saying stupid things or making bad decisions. It is the little voice
in your head that helps you decide between the banana and the banana split.
GET SMART TO GET THINNER
“I have taken your test, and it has been revealed that I am probably an impulsive
overeater. Tears came to my eyes because my prayers have been answered just to
know that the reason I am having difficulty reaching my goal weight is because I
have been using the wrong approach.”
—Lana
Impulsive overeating is common among people who have attention deficit disorder
(ADD), which has been associated with low dopamine levels in the brain. People with
ADD struggle with a short attention span, distractibility, disorganization, and
impulsivity. Research suggests that having untreated ADD nearly doubles the risk for
being overweight. And, without proper treatment, it is nearly impossible for these
people to be consistent with any nutrition plan. Overweight smokers and heavy coffee
drinkers also tend to fit this type.
We help impulsive overeaters by boosting dopamine levels in the brain and
strengthening the prefrontal cortex. Higher-protein, lower-carbohydrate diets tend to
help, as does exercise and certain stimulating medications or supplements, such as green
tea or L-tyrosine. Any supplement or medicine that calms the brain, such as 5-HTP,
typically makes this type worse because it can lower both your worries and your impulse
control.

EAT FROM THE RAINBOW. This means putting natural foods in your diet of many different colors, such as blueberries, pomegranates, yellow squash, and red bell peppers. This will boost the antioxidant levels in your body and help keep your brain young. Of course, this does not mean Skittles or jelly beans.

EAT FROM THE RAINBOW.
This means putting natural foods in your diet of many different colors, such as
blueberries, pomegranates, yellow squash, and red bell peppers. This will boost the
antioxidant levels in your body and help keep your brain young. Of course, this does not
mean Skittles or jelly beans.

Sugar is not your friend. Sugar increases inflammation in your body, increases erratic brain-cell firing, and has been recently implicated in aggression. In a new study, children who were given sugar every day had a significantly higher risk for violence later in life. I don’t agree with the people who say “Everything in moderation.” Consuming cocaine or arsenic in moderation is not a good idea. The less sugar in your life, the better your life will be.

Sugar is not your friend. Sugar increases inflammation in your body, increases erratic
brain-cell firing, and has been recently implicated in aggression. In a new study,
children who were given sugar every day had a significantly higher risk for violence
later in life. I don’t agree with the people who say “Everything in moderation.”
Consuming cocaine or arsenic in moderation is not a good idea. The less sugar in your
life, the better your life will be.

beans, raw nuts, low-fat or nonfat dairy, and high-protein vegetables, such as broccoli and spinach. Did you know that spinach is nearly 50 percent protein? I use it instead of lettuce on my sandwiches for a huge nutrition boost

beans, raw nuts, low-fat or nonfat dairy, and high-protein vegetables, such as
broccoli and spinach. Did you know that spinach is nearly 50 percent protein? I use it
instead of lettuce on my sandwiches for a huge nutrition boost

ANTIANGIOGENIC FOOD

Stopping the growth of blood vessels could be useful in the treatment of cancer or
obesity, according to Li. A host of antiangiogenic drugs are already on the market, but
Li and researchers at the Angiogenesis Foundation have also identified numerous foods
that are natural angiogenesis inhibitors. Consuming these foods could play an important
role in fighting obesity as well as cancer. Many of the brain healthy foods I write about
in this book are also antiangiogenic. Some of them include:
Apples
Blackberries
Blueberries
Cherries
Dark chocolate
Garlic
Grapefruit
Green tea
Lemons
Nutmeg
Olive oil
Oranges
Raspberries
Red grapes
Soybeans
Strawberries
Tomatoes
Turmeric

Eat more vegetables than fruits and try to get that number to between five and ten servings to enhance your brain and lower your risk for cancer.

Eat more vegetables than fruits and try to get that number to between five and ten
servings to enhance your brain and lower your risk for cancer.

WT MX

The first secret is that most weight problems occur between your ears. So stapling
your stomach may, in fact, be working on the wrong organ. Not to mention that ten
years after gastric banding surgery, the success rate is a disappointing 31 percent. It is
your brain that pushes you away from the table telling you that you’ve had enough, and
it is your brain that gives you permission to have that second bowl of ice cream, making
you look and feel like a blob. If you want a better body, the first place to always start is by
having a better brain.

M Oral contraceptive use and migraine with aura are among the risk factors for ischemic strok

Oral contraceptive use and migraine with aura are among the risk factors for ischemic strokE
IN PREMENOPAUSAL WOMEN 

ROME

Also becoming familiar before the end of the Republic was travertine, a
calcareous limestone found in large quantities near Bagni on the road to Tivoli. Soft
when quarried, it hardened quickly and is a lovely white or light yellowish colour.
The colonnade of ST PETER'S was to be built of this. Brick was not used in wall
construction until the days of the Empire, but brick tiles were used in roofing for six
centuries B.C.

RM VTCN

The cardinals assembled in the Chapel of St Nicholas where, upon the altar, was the
golden cup into which they were to place their slips of paper. The cup was guarded by
three cardinals, one of them d'Estouteville who was trembling with excitement. Into the
cup, in order of seniority, the cardinals dropped their votes, and when all had done so
the cup was emptied. The papers were unfolded and the names read out. D'Estouteville
then declared the result. But the Bishop of Siena, who had been prudently making notes
of the names as they had been announced, objected that his rival had miscounted the
number of votes cast for him. And so he had. But even so the Bishop of Siena had not
acquired the sufficient majority; and it was decided that the Sacred College would have
to resort to the method known as per accessum by which, during discussion, it could be
discovered whether or not any of the voters might be prepared to transfer their support
to another candidate for the sake of agreement.
‘All sat in their places, silent, pale, as though they had been struck senseless,’ recalled
the Bishop of Siena in his account of the final stages of the conclave. ‘

ROMN EMPIRE WAS TAKEN OVER BY VTCN


ROME

During the Lombard invasions, aqueducts had been destroyed, churches had been looted,
and catacombs had been broken into and bones and sacred relics carried off. Several
times the Tiber had burst its banks and the swirling waters had flooded over the fields
and into the streets. Pope Hadrian I, a Roman aristocrat by birth, had raised a large
labour force in the countryside and had set about repairing the damage, restoring
Rome's water supply, extending the city's welfare system, rebuilding the Aurelian Walls
and their fortified towers, improving agriculture on the large estates of the Church
beyond them, and clearing the debris out of the catacombs from which cartloads of
bones and relics were drawn into Rome to be re-buried in consecrated ground.
Numerous churches were renovated and several were adorned with rich furnishings,
curtains and candelabra; silver paving was installed at St Peter's, together with a
chandelier with over a thousand lights.

rome

Most sick men die here from insomnia,’ Juvenal who was
living in Rome at the end of the first century wrote in one of his satires:
Rest is impossible. It costs money to sleep in Rome.
There is the root of the sickness. The movement of heavy wagons
through narrow streets, the oaths of stalled cattle drovers
would break the sleep of a deaf man or a lazy walrus.
On a morning call the crowd gives way before the passage
of a millionaire carried above their heads in a litter,
reading the while he goes, or writing, or sleeping unseen:
for a man becomes sleepy with closed windows and comfort.
Yet he'll arrive before us. We have to fight our way
through a wave in front, and behind we are pressed by a huge mob
shoving our hips; an elbow hits us here and a pole
there, now we are smashed by a beam, now biffed by a barrel.
Our legs are thick with mud, our feet are crushed by large
ubiquitous shoes, a soldier's hobnail rests on our toe…
Newly mended shirts are torn again. A fir-tree
flickers from the advancing dray, a following wagon
carries a long pine: they swing and threaten the public.
Suppose the axle should collapse, that axle carrying
Ligurian stone, and pour a mountain out over the people –
what would be left of the bodies? The arms and legs, the bones,
where are they? The ordinary man's simple corpse
perishes like his soul.

ROME

The excitement of the displays in the Circus Maximus and the Colosseum attracted far
larger audiences than did the theatres of Rome, even though the plays which were
presented frequently offered scenes as violent and far more lubricious than those to be
seen in the more popular places of entertainment. There were three principal theatres in
Rome at this time, none of them offering anything like the accommodation afforded by
either the Colosseum or the Circus Maximus, yet all of them enormous when compared
with the largest theatres which have succeeded them. The Theatre of Pompey had about
27,000 seats, the Theatre of Marcellus some 10,000 and the smaller Theatre of Balbus
which had been built in 13 B.C. had 8,000.5 But long gone were the days when such
theatres could be filled by dramatists like Livius Andronicus, one of the founders of
Roman drama, or Plautus and Terence who had adapted the content and style of the
Greek masters for the stages of Rome. Plays were now written not so much for public
performance as for private declamation; and the theatres presented productions more
notable for the impressiveness of their effects than for the beauty of their language, the
interest of their plots or the delineation of character. Playing to huge auditoria, actors
wore easily identifiable masks and brightly coloured costumes, often merely making
stylized gestures or dancing while a chorus spoke or loudly sang the accompanying
words. Audiences, coarsened and degraded by the spectacles in the amphitheatre,
demanded as much violence and sensationalism, rape, incest, pillage and cannibalism as
the plot could be made to support. Women appeared naked on the stage, Leda making
love to the swan, Pasiphae with the white bull of Minos; and when blows were
exchanged real blood was shed and wounds inflicted. Before the end of the first century,
convicted criminals were substituted for actors in the final scene and actually executed;
bandits died on crosses; and a convict forced to take over the part of Hercules was
wrapped in a poisoned cloak and burned on a funeral pyre.

ROME

As revered as successful gladiators were the charioteers of the circus, where
performances were staged before audiences as enthusiastic if not as large as those in the
Colosseum. There were several circuses in Rome, the Circus Flaminius which had been
built in the days of the Republic,2 the Circus Gaius inagurated by Caligula,3 and, most
splendid of all, the Circus Maximus which, in use perhaps since the time of the kings,
had been improved and enlarged by Julius Caesar and could accommodate well over
150,000 spectators.4 Here, in the immense arena eventually measuring 1,800 feet by 600
feet and surrounded by shops and eating places, by taverns and the booths of prostitutes
and fortune-tellers, horse races and chariot races took place in an atmosphere of noisy
excitement, betting frenzy and amorous intrigue.

ROME X GLADIATORS

Successful gladiators were the heroes of the day; and there were those, unlike the
impressed criminals and prisoners of war, who chose the precarious existence in the
hope of achieving fame and the admiration of women. It was a hard life, though, as well
as a dangerous one. The training was long and exacting; and, if the medical attention
and the meals supplied in the gladiatorial schools were adequate, the quarters in which
the men were lodged were usually cramped and foul

PRSIANS ARE ORGL ARYANS

The Medes, and with them a closely related race, the Persians, came originally from what we call the
steppes of Turkestan, where they had become better horsemen than any other previous race of the ancient
world. They had wandered down by the shores of Lake Aral and the south end of the Caspian Sea and
had settled, the Medes in the mountains to the east of the Fertile Crescent on the borders of Assyria, and
the Persians on the east of their Gulf. By destroying Elam, and the strongly organised little kingdom
which had long existed in the north round Lake Van, Assyria had removed their chief rivals, and when
Nineveh fell, the Medes spread into and beyond north Assyria, into what we should call Armenia, and
file:///C|/Documents%20and%20Settings/sodindo/D...e_Ancient_World_by_Tenen_(html-text-pic)/04.htm (14 of 17) [6/19/2002 3:36:25 PM]
Chapter Four - The Rise And Fall Of Israel
beyond that to the river Halys, the old Hittite centre (p. 40). The Persians occupied Elam with its ancient
capital Susa.

The Assyrians had greatly developed the art of besieging cities. While their skilful long-range archers, often including the king himself, poured volleys of arrows at the defenders on the battlements, ponderous battering-rams were thudding at the wall, those working them being often completely protected by thick screens of metal or leather. At length, with a crash and a cloud of dust, part of the wall collapsed, the spearmen and archers swarmed through the breach, and before long the sacred war-standard of the Assyrians, the archer-god Ashur with his winged disc, was planted on the walls.

The Assyrians had greatly developed the art of besieging cities. While their skilful long-range archers,
often including the king himself, poured volleys of arrows at the defenders on the battlements, ponderous
battering-rams were thudding at the wall, those working them being often completely protected by thick
screens of metal or leather. At length, with a crash and a cloud of dust, part of the wall collapsed, the
spearmen and archers swarmed through the breach, and before long the sacred war-standard of the
Assyrians, the archer-god Ashur with his winged disc, was planted on the walls.

But the Hebrews, in spite of their numerous backslidings, were developing a new idea of God. Even when He was looked upon simply as the jealous tribal God of the Hebrews, He was their One and Only God, and an invisible spirit who had no images, a great advance this upon any previous religions. The southern and more lonely area, where life was simpler, tended to hold purer religious ideas. The north was inclined to be more tolerant of its neighbours' gods.

But the HBRWS, in spite of their numerous backslidings, were developing a new idea of God. Even
when He was looked upon simply as the jealous tribal God of the Hbrws, He was their One and Only
God, and an invisible spirit who had no images, a great advance this upon any previous religions. The
southern and more lonely area, where life was simpler, tended to hold purer religious ideas. The north
was inclined to be more tolerant of its neighbours' gods.

Denis Noble says, life should be considered in a variety of levels; life is “a kind of music, a symphonic interplay between genes, cells, organs, body, and environment,” what can be only examined under the views of synthetic biology (Noble, 2006).

 Denis Noble says, life should be considered in a variety of levels; life is “a kind of music, a symphonic interplay between genes, cells, organs, body, and environment,” what can be only examined under the views of synthetic biology (Noble, ). 

Life is as thinkable as music is thinkable

Life is as thinkable as music is thinkable

When refugees arrive in a new country they bring the clothes on their backs, the memories in their heads, and the recipes of their ancestors

When refugees arrive in a new country they bring the clothes on their backs, the memories in their heads, and the recipes of their ancestors

Life is short and boring as fuck


M Heavier Alcohol Intake Linked to Lower Frailty Risk

Heavier Alcohol Intake Linked to Lower Frailty Risk

SOCRATES He is richest who is content with the least, for content is the wealth of nature."

He is richest who is content with the least, for content is the wealth of nature."

ALLEN Eighty percent of success is showing up. - Woody Allen

Eighty percent of success is showing up. - Woody Allen

MAGRITTE "Life obliges me to do something, so I paint."

"Life obliges me to do something, so I paint." 

BUCK "One faces the future with one's past."

"One faces the future with one's past."

BOONE "Nature was here a series of wonders, and a fund of delight."

"Nature was here a series of wonders, and a fund of delight."

minimalism is about minimising your impact on the environment

minimalism is about minimising your impact on the environment

BWRELOP 2018 BDDHA WALK READ EAT LESS ONLY PLANTS


"Remarkably, caloric restriction has been shown to be effective in delaying aging in multiple species and the results in humans look equally promising," Anderson said. "Indeed for many studies, CR is used as the gold-standard for enhanced longevity against which new drugs and anti-aging strategies are measured."


P AOM in young children with no recent antibiotic exposure, immediate amoxicillin is the most cost-effective initial treatment.

 in young children with no recent antibiotic exposure, immediate amoxicillin is the most cost-effective initial treatment.  

HMHNS: Hoc monumentum heredem non sequetur (this monument shall not fall to the share of the heir) or HMHENS: Hoc monumentum heredem exterum non sequetur (rhis monument shall nor fall to the share of an heir who is an outsider).

HMHNS: Hoc monumentum heredem non sequetur (this monument
shall not fall to the share of the heir) or HMHENS: Hoc monumentum
heredem exterum non sequetur (rhis monument shall nor fall to the share of an
heir who is an outsider).

To indicate a house of death during the period of exposition of the body branches of pine (picea) or cypress were planted in front of the door of the house. The cypress was used because once cut it would not regrow, and was thus considered sacred to Dis, the god of the underworld, and the Roman equivalent of Pluto (Plin. NH 16.40; 16.139; Festus-Paulus 56L s.v. 'cupressus'; Hor. Od. 2.14.23). According to Servius, the marking of the death-house was intended as a warning of possible pollution which had special relevance for rhe pontiffs. Any form of contact with or sight of a corpse was thought to entail pollution and Servius claims that the Romans took particular care to keep these priests away from the sources of trouble, so that they could continue to exercise their duties in relation to public cults (Serv. ad Aen. 3.64). Pliny, in referring to these pine and cypress branches, does not mention this pollution angle, and Servius may be providing antiquarian material.

To indicate a house of death during the period of exposition of the body
branches of pine (picea) or cypress were planted in front of the door of the
house. The cypress was used because once cut it would not regrow, and was
thus considered sacred to Dis, the god of the underworld, and the Roman
equivalent of Pluto (Plin. NH 16.40; 16.139; Festus-Paulus 56L s.v.
'cupressus'; Hor. Od. 2.14.23). According to Servius, the marking of the
death-house was intended as a warning of possible pollution which had
special relevance for rhe pontiffs. Any form of contact with or sight of a
corpse was thought to entail pollution and Servius claims that the Romans
took particular care to keep these priests away from the sources of trouble, so
that they could continue to exercise their duties in relation to public cults
(Serv. ad Aen. 3.64). Pliny, in referring to these pine and cypress branches,
does not mention this pollution angle, and Servius may be providing antiquarian
material.

STUBBORN , RESILIENT LIVE LONGER


Public funerals, burials and commemoration also found their parallel in the cities of the empire. Those who had served their communities well might receive a funeral and a monument paid for out of public funds. This was often noted in the inscriptions that adorned funerary memorials. The epitaph of Aulus Umbricius Scaurus, a duovir from Pompeii, recorded how he was honoured by the erection of an equestrian statue in the forum and

Public funerals, burials and commemoration also found their parallel in
the cities of the empire. Those who had served their communities well
might receive a funeral and a monument paid for out of public funds. This
was often noted in the inscriptions that adorned funerary memorials. The
epitaph of Aulus Umbricius Scaurus, a duovir from Pompeii, recorded how
he was honoured by the erection of an equestrian statue in the forum and

I am thankful for all of those who said NO to me. Its because of them I’m doing it myself. - Albert Einstein

I am thankful for all of those who said NO to me. Its because of them I’m doing it myself. - Albert Einstein 

Patients with vesicoureteral reflux and concomitant bladder and bowel dysfunction (BBD) are at high risk for febrile urinary tract infections.

Dilating reflux and female sex were identified as risk factors for development of BBD, but neither BMI nor prophylactic antibiotics was associated with the development of BBD.

MOTHERWELL Art is much less important than life, but what a poor life without it."

Art is much less important than life, but what a poor life without it."

PHILLIPS "The less you talk, the more you're listened to."

"The less you talk, the more you're listened to."

Here in the first book of the Iliad we have the earliest description in Greek literature of the impact of epidemie disease. The poet describes how Apollo, angered by Agamemnon's arrogant treatment of his priest, who had come to the Achaean camp to ransom his daughter, sent in punishment a plague upon the army investing Troy. At this time, Celsus says 'Diseases were attributed to the wrath of the gods' (De medicina, Proem, 4). Eventually, the Achaeans, at the suggestion of Achilles, consulted the soothsayer, Calchas, who revealed to them that Apollo had sent the disease to avenge his priest and that the god would not lift the pestilence until the girl had been returned to her father, without ransom and with a hecatomb of oxen for sacrifice. The Achaeans complied, cast the 'defilements' into the sea and sacrificed to Apollo. The god was placated and the plague abated.

Here in the first book of the Iliad we have the earliest description in Greek
literature of the impact of epidemie disease. The poet describes how Apollo,
angered by Agamemnon's arrogant treatment of his priest, who had come to
the Achaean camp to ransom his daughter, sent in punishment a plague
upon the army investing Troy. At this time, Celsus says 'Diseases were
attributed to the wrath of the gods' (De medicina, Proem, 4). Eventually, the
Achaeans, at the suggestion of Achilles, consulted the soothsayer, Calchas,
who revealed to them that Apollo had sent the disease to avenge his priest
and that the god would not lift the pestilence until the girl had been
returned to her father, without ransom and with a hecatomb of oxen for
sacrifice. The Achaeans complied, cast the 'defilements' into the sea and
sacrificed to Apollo. The god was placated and the plague abated.

Herodorus' discussion of the Scyrhians thus acknowledges the danger of living in fortified towns: such structures become clear targets. Yet the lack of settlement is at the same time a mark of primitivism: city living, in Herodorus' view, is a key element in the development of civilisarion. The mobility of the Scythians, like that of Aristophanes' birds, is feasible because they lack large fixed structures like walls. Yet that mobility prevents them from unified action and thus from achieving anything on a large scale.

Herodorus' discussion of the
Scyrhians thus acknowledges the danger of living in fortified towns: such
structures become clear targets. Yet the lack of settlement is at the same
time a mark of primitivism: city living, in Herodorus' view, is a key element
in the development of civilisarion. The mobility of the Scythians, like that
of Aristophanes' birds, is feasible because they lack large fixed structures like
walls. Yet that mobility prevents them from unified action and thus from
achieving anything on a large scale.

The frame of such a city is, I shall argue, marked out by its walls, within which dread disorders can arise. By the late fifth century, the city walls, intended to provide protection for the citizenry, come to be regarded as structures that can also preserve, encourage and even breed destruction.

The frame of such a city is,
I shall argue, marked out by its walls, within which dread disorders can
arise. By the late fifth century, the city walls, intended to provide protection
for the citizenry, come to be regarded as structures that can also preserve,
encourage and even breed destruction.

Surgeons face a high risk of developing musculo-skeletal diseases because of the long hours they spend working over operating tables, according to a new study.

Surgeons face a high risk of developing musculo-skeletal diseases because of the long hours they spend working over operating tables, according to a new study. 

After all, success in Panhellenic games was perceived as a victory for both the arhlete and his city

After all, success in Panhellenic games
was perceived as a victory for both the arhlete and his city

As these authors suggest, ancient Greeks isolated the dead from their cities mainly for religious reasons, in that the dead were believed to cause religious pollurion.

As these
authors suggest, ancient Greeks isolated the dead from their cities mainly for
religious reasons, in that the dead were believed to cause religious pollurion.

ROME X PERIPHERY

Patterson investigates the impact of environmental facrors and the effects
of death and disease on urban organisation. Pattcrson focuses on the topography
of the city of Rome, especially its periphery. What boundaries
surrounded the city? and what activities did they seek to exclude and
COntrol? The boundaries defined ritual, military and economie spheres of
activity, but these individuai boundaries were surprisingly flexible. As the
cityexpanded its periphery was redefined and reordered. Ineleed the margins
of the city were not purely associated with negative activities, the burial of
the deael and noxious, unhealthy industry. Instead the periphery could be an
acrive space - aggrandised and monumentalised - as is so well illustrated by
an examination of the roads, such as the Via Annia, which led from the city.
When we picture the outskirts of Rome, the roads, walls anel gates, ir is the
tombs of the dead which often spring to mind. Yet these need to be placed
in a wieler environment and alongside temples, arches, gardens, houses,
villas and workshops. The suburb was not just characterised by negative
associations such as death and disease; instead it had the potential to display
honour and prestige, even if some of the more mundane and seedy activities
of the area did, in the final scenario, serve to unelermine any lasting sense of
glory.

Proximity to a marsh, fen or bog could make a settlement poteritially unhealthy. Borca

Proximity to a marsh, fen or bog could make a settlement poteritially
unhealthy. Borca

NOT EVEN DIET SOFT DRINKS

Artificially sweetened soft drinks, like diet soda, are associated with increased risk for stroke and dementia, according to an observational study in Stroke.

NSAID X AMI

Use of nonsteroidal anti-inflammatory drugs (NSAIDs) for even 1 week is associated with increased risk for myocardial infarction, a meta-analysis in The BMJ finds

MED HTN IF OVER 130/80

The new ACC/AHA guidelines — unveiled on Monday at the AHA's annual meeting — define systolic blood pressure at or above 130 mm Hg as constituting hypertension, while the older definition set the threshold at 140 or above. In addition, a diastolic BP of 80 or above is now considered hypertensive, versus 90 or above with JNC 7. On the basis of nationally representative data on roughly 10,000 adults, some 46% of Americans have hypertension under the new guidelines — versus 32% under JNC 7 — according to an analysis in the Journal of the American College of Cardiol

LL PED VARIATIONS

NOT VERY HIGH BM , CONSDIERING INSULIN, THINK FEW DAYS OF BM MONITORING


HYPERTONIA WORRY

The most important part of the neurologic examination of an infant is tone. Mild hypotonia will often prove to be benign, but hypertonia is always a worrisome finding.

PED ENCEPHALOPATHY PX FACTORS

Prognostic factors in the early phase of acute encephalopathy

Authors

  • This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/ped.13492

Abstract

Background

Neurological sequelae occur in 40% of patients with acute encephalopathy. The early prediction of poor outcomes is critical to the initiation of appropriate treatment. In the present study, we aimed to elucidate prognostic factors that can be quickly and feasibly evaluated upon hospital admission in patients with acute encephalopathy.

Methods

We analyzed data from 51 patients with acute encephalopathy who had been admitted to Hirakata City Hospital between January 2005 and December 2014. The age at onset, sex, underlying diseases, status epilepticus, presence of benzodiazepine-resistant status epilepticus (BZD-resistant SE), and basic blood serum parameters upon admission were evaluated in relation to each patient's outcome.

Results

Univariate analyses revealed that the age at onset, BZD-resistant SE, and serum aspartate aminotransferase (AST), alanine aminotransferase, lactate dehydrogenase levels, and platelet count varied significantly according to outcome. Multivariate analyses identified age at onset (≤ 21 months), presence of BZD-resistant SE, and AST level (≥ 46 IU/L) as independent variables associated with poor outcomes.

Conclusion

Age at onset, the presence of BZD-resistant SE, and AST levels are associated with a poor prognosis in patients with acute encephalopathy.