SHORO RIPU., SEVEN SINS

1. SHORO RIPU
2. Lust or desire (Sanskrit: काम) – Kama
3. Anger (Sanskrit: क्रोध) – Krodha
4. Greed (Sanskrit: लोभ) – Lobha
5. Pride (Sanskrit: मद) – Mada – pride, hubris, (being possessed by)
6. Fascination or attachment (Sanskrit: मोह) – Moha – delusory emotional attachment or temptation
7. Jealousy (Sanskrit: मात्सर्य) – Matsarya – envy, jealousy

7 SINS

Sins

People have always been immoral, shiftless, and self-gratifying. For ages, humankind struggled to find a conceptual system to operationalize their spiritual shortcomings.

Pride is excessive belief in one's own abilities, that interferes with the individual's recognition of the grace of God. It has been called the sin from which all others arise. Pride is also known as Vanity.-MADA

Envy is the desire for others' traits, status, abilities, or situation.-MATSARYA

Gluttony is an inordinate desire to consume more than that which one requires.LOBHA

Lust is an inordinate craving for the pleasures of the body.-KAMA

Anger is manifested in the individual who spurns love and opts instead for fury. It is also known as Wrath.-KRODHA

Greed is the desire for material wealth or gain, ignoring the realm of the spiritual. It is also called Avarice or Covetousness.-LOBHA

Sloth is the avoidance of physical or spiritual work.

LAST ICE AGE WORLD MAP

LANDLOCKED COUNTRIES WORLD MAP

LAKE SUPR AGATE , LARGE EYE V RARE

NORTHANTS

DWM PRE MEAL WATER

People in the study lost 5 pounds more with this simple technique.

Drinking two glasses of water before each meal helps to boost weight loss significantly, research finds.

People in the study drinking this much water lost 5 pounds more than a comparison group.

A previous study has found that people who drank a pint of water 30 minutes before every main meal lost almost 10 pounds in 12 weeks.

Water in the stomach before a meal helps to reduce the number of calories consumed, the researchers found.

PSY NARCISSISM X CONFIDENCE

While narcissism is often considered a bad thing, not all aspects of the trait are negative.

‘Normal’ narcissists display high levels of mental toughness, recent research finds.

Mental toughness, which is strongly linked to narcissism, helps people to embrace challenges, be more assertive and motivated.

A recent study of adolescents has linked high levels of mental toughness to better performance in school.

While narcissism is often considered a bad thing, not all aspects of the trait are negative.

A ‘normal’ narcissist — a person with subclinical levels of narcissism — is someone who has a strong belief in their own abilities.

B VEDANA

KZKHSTN SOYUZ LAUNCH

When you do nothing, you feel overwhelmed and powerless. But when you get involved, you feel the sense of hope and accomplishment that comes from knowing you are working to make things better. ~ Pauline R. Kezer

When you do nothing, you feel overwhelmed and powerless. But when you get involved, you feel the sense of hope and accomplishment that comes from knowing you are working to make things better. ~ Pauline R. Kezer 

DWM Optimism Might Lengthen Your Life

Optimism Might Lengthen Your Life

M Links Between Fatty Liver Disease and Polycystic Ovary Syndrome

Links Between Fatty Liver Disease and Polycystic Ovary Syndrome

EMPTY STOMACH, BAD DECISIONS It doesn't matter if it involves choices about food, money or music -- being hungry makes you impulsive.

EMPTY STOMACH, BAD DECISIONS

It doesn't matter if it involves choices about food, money or music -- being

hungry makes you impulsive. 

NN INTUBN DIFFICULT

APLS The rationale for bolus administration of resuscitation fluid in sepsis is to increase cardiac output and vital organ perfusion

The rationale for bolus administration of resuscitation fluid in sepsis is to increase cardiac output and vital organ perfusion

NLS Bradycardia= needs ventilation. Mild bradycardia= optimize ventilation and reassess, good heart rate = observe and wait

Bradycardia= needs ventilation. 

Mild bradycardia= optimize ventilation and reassess, 

good heart rate = observe and wait

NLS 2015 AIRWAY TEST

AIRWAY TEST 

SHOW ALL FORMS OF AIRWAY USED

DTC 

OA-NP-MASK ROLL, CE GRIP, GOOD SEAL, 5IB 

IB- 123, 223, 323, 423, 523, ALL ON BAG AND MASK , SQUEEZE ALL THE WAY TO 123

COLOR TONE BREATHING HR

IS THERE CHEST MVT?

IF NOT, CALL FOR HELP, 1 HANDED JAW THRUST, CHOOSE GUDEL, LARYNGOSCOPIC SUCTION, 2PAC (JT, BETTER MASK SEAL)

CM PRESENT

SLOW HR <60- CC/VENT 3/1 

VENTIL BREATHS 30/MIN 1 SEC DURATION

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1/ FLOPPY NEONATE GIVEN BY MIDWIFE- ASK TONE, COLOUR, BREATHING, HR, CHEST MVT AFTER 5 IB

2/ DONT FORGET TO START THE CLOCK AT THE BEGINNING.

3/ 28 WEEKER UNEXPECTED- REDUCE INS PRESSURE TO 25. USE BAG

4/ DONT MOVE TO CC TILL CM SEEN

IF NOT SURE, REPT 5 IB

5/ LOCUM SHO CONFIDENTLY PUT ETT IN ESO- CONFRONT, STOP, GO BACK TO 5IB

6/ BABY DELIVERED IN A/E TOILET- NO POINT IN BAG 

AS COLD WET, UNLIKE WARM WET PRETERM 

7/ POST NATAL COLLAPSE- ASK ABT SATS, MAXIMISE O2

8/ SLOW HR- ASK IF < 60 THEN CC / VENT

9/ALL SCENARIOS IN AFTERNOON- JUMP IN FOR CONTINUOUS ASSESSSMENT

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MANOUVRES TO REMEMBER

NEUTRAL POSITION

ROLL UP CE HOLD MASK

1 HAND JT THEN MASK AND BAG

BAG - INFLATION BREATHS 123,223, ....ALL COUNT IN COMPRESSION

GUDEL MEASURE- CURVE SIDE UP, MIMICS TONGUE

GUDEL IS ONE PERSON EQUIVALENT OF JT

2PAC- HEAD ENDER FOR CORRECT JAW THRUST, AVOID EYES

DONT TAKE AWAY LARYNGOSCOPE BEFORE INSERTING GUDEL

MEASURE GUDEL FIRST THEN INSERT

SAY OXYGEN IS CONNECTED TO BAG AR INCR CONCN IN RESUS SCITUATION

CALL FOR HELP IF NO CM ON 1ST CYSCLE IB 

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The biggest changes are:

• We no longer intubate and suction for meconium. The resuscitation proceeds identically whether or not meconium is present

• Heart rate is monitored using ECG leads, rather than the classic palpation of the umbilicus

• CPAP is added as an option for laboured breathing or persistent cyanosis

• The first 30 second assessment has been removed because it was unrealistic. The goal is to just get an initial assessment and initial maneuvers done in the first minute.

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NN ET INTUBN

NN ET X NO ROCK IN X BLADE DIRECTS OUT

NLS AIRWAY -NSJS X NFJ2 LS GEL TRACH OBS

IST ATTEMPT - NP SS JT SUCTN

2ND ATTEMPT- NP FML JT 2PAC Ti3S LARSUCTN GDL ETT LMA TRACHOBS 

NLS X MASK SEAL

NLS

NLS

NLS T PIECE

NLS PIP PEEP CPAP

NLS

NRP

NRP

NRP

PREM X RESP

N If HR is above 100 then it’s a firm indication that lungs are adequately aerated

If HR is above 100 then it’s a firm indication that lungs are adequately aerated

ROHR

Inability to face life’s challenges may diminish us, but unwillingness to face life’s challenges will demolish us

Inability to face life’s challenges may diminish us, but unwillingness to face life’s challenges will demolish us

We have to discover [the real Buddhist teachings] for ourselves through meditation. The real Buddhist teachings are hidden in the lotus. The real teachings are hidden in the full moon. —Sam Mowe, “Changed by Brightness”

We have to discover [the real Buddhist teachings] for ourselves through meditation. The real Buddhist teachings are hidden in the lotus. The real teachings are hidden in the full moon.

—Sam Mowe, “Changed by Brightness”

LYF COUNTERPT TO CLAMOUR

ALLINGHAM Autumn's the mellow time."

Autumn's the mellow time."

GIBRAN Life without liberty is like a body without spirit."

Life without liberty is like a body without spirit."

Not all screen time negatively affects kids’ academic achievement- TV SCREEN TIME DOES

Not all screen time negatively affects kids’ academic achievement

M Frequent hot flashes may signal increased CV risk

Frequent hot flashes may signal increased CV risk

B PAIN OF ANGER

Those tormented by the pain of anger,
Never know tranquility of mind—
Strangers they will be to every pleasure;
They will neither sleep nor feel secure. . . .

Bodhicaryavatara: The Way of the Bodhisattva, op. cit. Chap. 5, verses 12-13, and Chap. 6, verses 1-3, 10, 22, 41, 107-8.

SHANTIDEVA (685-763)

P URTI SEPSIS

P BRONCH LRTI

P BRONCH VIW

P BRONCH VIW

P VIW

P VIW

P BTB NEBS

NLS MEMO

NLS

NLS. DA5R. CNCCU

1. DTC
2. ATBHR
3. GONB. OA. 5IB sats ecg. OA- NP CL JT
4. Reass HRCM. End 60 s

5 CNM. RP 2PAC OAM 5IB sats ecg reass. Think IHP FML Pht. Think NP JT 3sIT 2nd Prsn Sctn OPA.

 Think MRSOPA

6. NIHR CM

7 CM HR<60 vent 30 s reass

8 CM HR still <60. CC

1. UVC ABGV    0.1 OF 1/10000   2 M;/KG PF 4.2%  2.5 ML/KG 10%  10 ML/KG 

1121 WORLD HRITAGE SITES BY UNESCO

INDE

kolkata 1690

It is not possible for actions to disappear without residue or result once the action is over. To think it could be otherwise, the Buddha explained, would be like believing you could toss a stone into a pool of water and not create a single ripple. —Beth Roth, “Family Dharma: Karma and the Tonka Truck”

It is not possible for actions to disappear without residue or result once the action is over. To think it could be otherwise, the Buddha explained, would be like believing you could toss a stone into a pool of water and not create a single ripple.

—Beth Roth, “Family Dharma: Karma and the Tonka Truck”

INGERSOLL In nature there are neither rewards nor punishments; there are consequences."

In nature there are neither rewards nor punishments; there are consequences."

MIND BLOWN

SN CNMA CHALOCHITRO CIRCUS 2017- TUI SHARUKH KHANER PATLA HAGA

Aguner Poroshmoni - SRIKANTO ACHARIYA

Klanti Amar Khoma Koro Probhu

P CEREBROPLACENTAL RATIO

Monteith C, Flood K, Pinnamaneni R, et al. An abnormal cerebroplacental ratio (CPR) is predictive of early childhood delayed neurodevelopment in the setting of fetal growth restriction. Am J Obstet Gynecol. 2019 Sep;221(3):273.e1-273.e9. doi: 10.1016/j.ajog.2019.06.026. Epub 2019 Jun 18. (Original study)

---

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Abstract

BACKGROUND: Fetal growth restriction accounts for a significant proportion of perinatal morbidity and death. The cerebroplacental ratio is gaining much interest as a useful tool in differentiating the "at-risk" fetus in both fetal growth restriction and appropriate-for-gestational-age pregnancies. The Prospective Observational Trial to Optimize Pediatric Health in Fetal Growth Restriction group has demonstrated previously that the presence of this "brain-sparing" effect is associated significantly with adverse perinatal outcomes in the fetal growth restriction cohort. However, data about neurodevelopment in children from pregnancies that are complicated by fetal growth restriction are sparse and conflicting.

OBJECTIVE: The aim of the Prospective Observational Trial to Optimize Pediatric Health in Fetal Growth Restriction NeuroDevelopmental Assessment Study was to determine whether children born after fetal growth-restricted pregnancies are at additional risk of adverse early childhood developmental outcomes compared with children born small for gestational age. The objective of this secondary analysis was to describe the role of cerebroplacental ratio in the prediction of adverse early childhood neurodevelopmental outcome.

STUDY DESIGN: Participants were recruited prospectively from the Perinatal Ireland multicenter observational Prospective Observational Trial to Optimize Pediatric Health in Fetal Growth Restriction study cohort. Fetal growth restriction was defined as birthweight <10th percentile with abnormal antenatal umbilical artery Doppler indices. Small for gestational age was defined similarly in the absence of abnormal Doppler indices. Cerebroplacental ratio was calculated with the pulsatility indices of the middle cerebral artery and divided by umbilical artery with an abnormal value <1. Children (n=375) were assessed at 3 years with the use of the Ages and Stages Questionnaire and the Bayley Scales of Infant and Toddler Development, 3rd edition. Small-for-gestational-age pregnancies with normal Doppler indices were compared with (1) fetal growth-restricted cases with abnormal umbilical artery Doppler and normal cerebroplacental ratio or (2) fetal growth restriction cases with both abnormal umbilical artery and cerebroplacental ratio. Statistical analysis was performed with statistical software via 2-sample t-test with Bonferroni adjustment, and a probability value of .00625 was considered significant.

RESULTS: Assessments were performed on 198 small-for-gestational-age children, 136 fetal growth-restricted children with abnormal umbilical artery Doppler images and normal cerebroplacental ratio, and 41 fetal growth-restricted children with both abnormal umbilical artery Doppler and cerebroplacental ratio. At 3 years of age, although there were no differences in head circumference, children who also had an abnormal cerebroplacental ratio had persistently shorter stature (P=.005) and lower weight (P=.18). Children from fetal growth restriction-affected pregnancies demonstrated poorer neurodevelopmental outcome than their small-for-gestational-age counterparts. Fetal growth-restricted pregnancies with an abnormal cerebroplacental ratio had significantly poorer neurologic outcome at 3 years of age across all measured variables.

CONCLUSION: We have demonstrated that growth-restricted pregnancies with a cerebroplacental ratio <1 have a significantly increased risk of delayed neurodevelopment at 3 years of age when compared with pregnancies with abnormal umbilical artery Doppler evidence alone. This study further substantiates the benefit of routine assessment of cerebroplacental ratio in fetal growth-restricted pregnancies and for counseling parents regarding the long-term outcome of affected infants.

TOURISM IS ECOCIDE

ZEN IN GEOMETRIC PROGRESSION

Exercises in Attention In Zen they say: If something is boring after two minutes, try it for four. If still boring, then eight. Then sixteen. Then thirty-two. Eventually one discovers that it is not boring at all. –JOHN CAGE 1 

EOL X CAREGIVING

Caregiving in the final stages of life

While the symptoms in the final stages of life vary from patient to patient and according to the type of life-limiting illness, there are some common symptoms experienced near the end of life. It’s important to remember, though, that experiencing any of them does not necessarily indicate that your loved one’s condition is deteriorating or that death is close.

Common Symptoms in End-of-Life Care
Symptom	How to provide comfort
Drowsiness	Plan visits and activities for times when the patient is most alert.
Becoming unresponsive	Many patients are still able to hear after they are no longer able to speak, so talk as if your loved one can hear.
Confusion about time, place, identity of loved ones	Speak calmly to help re-orient your loved one. Gently remind them of the time, date, and people who are with them.
Loss of appetite, decreased need for food and fluids	Let the patient choose if and when to eat or drink. Ice chips, water, or juice may be refreshing if the patient can swallow. Keep your loved one’s mouth and lips moist with products such as glycerin swabs and lip balm.
Loss of bladder or bowel control	Keep your loved one as clean, dry, and comfortable as possible. Place disposable pads on the bed beneath them and remove when they become soiled.
Skin becoming cool to the touch	Warm the patient with blankets but avoid electric blankets or heating pads, which can cause burns.
Labored, irregular, shallow, or noisy breathing	Breathing may be easier if the patient’s body is turned to the side and pillows are placed beneath their head and behind their back. A cool mist humidifier may also help.

“What you think … you become.” Buddha

“What you think … you become.”

Buddha

EOL STAGE 3 WKS X 3 DAYS

How long is the end of life stage?

While the pre-active stage lasts for about three weeks, the active stage of dying lasts roughly three days. By definition, actively dying patients are very close to death, and exhibit many signs and symptoms of near-death.

CRYING

Is crying a natural reaction to pain or is it a learned one?

Psychology

I was thinking about how some people experience immense pain and don't cry and it occurred to me that crying could be an action learned by children to get parental attention when injured. Could someone knowledgeable about this explain it in greater detail?

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level 1

Quantumlnfinity

1 point·1 year ago

You already got a direct answer, but I figured you may appreciate a further breakdown of the topic (and I find this stuff fascinating). First though, we need to dissect your question a bit. The first thing we need to determine is if crying is a natural action at all. Then whether it's expressly connected to the pain response, and finally how this connection may evolve throughout life. I'll leave a few references at the end if you want further reading, and feel free to ask for more information if you like.

To answer the first part, yes. Crying is built into humans from the very start. We are social animals and our use of language is a huge part of that. However, human babies lack the ability to create complex speech when they are first born. As such, they rely on simple noises and crying for all communication. This is why babies - and especially 0-6 month olds - seem to cry all. the. time. Babies will cry when they're hungry, when they're upset, when they're hurt, when they want attention, and so on. This is where some of the nuance in your question comes up. Babies don't have any strong natural link between pain and crying. They simply always cry to communicate. This has a lot of parenting and evolutionary significance, too. It alerts parents quickly and effectively that there's a problem of some kind, which is essential to the baby's survival. However, due to the indiscriminate habits of babies to cry, their crying is also a common instigator of parental abuse.

So crying is a natural reaction in humans, absolutely. But is it tied to pain? Not really. Pain is an incredibly complex sensation. On the most basic level, it arises from nociceptors throughout the body, which signal the presence of potentially damaging stimuli. For example, if you touch a hot stove or step on a toy, the nociceptors in your hand/foot will signal your brain and warn of the harmful stimulus. This is where it gets tricky, though, because nociception isn't the same as pain. Nociception plays a role, but so do several brain areas. For example, the Insular cortex of the brain is considered to register your "emotional response" to pain, while the ACC is thought to identify pain as being "unpleasant". As an interesting aside, we don't know which area of the brain determines the direct pain response. It's a fascinating and complex process.

More to the point, this complex network underpinning your pain response has been found to be almost identical in infants, albeit it functions more slowly in them. This similarity suggests that infants experience pain in an incredibly similar way to full-grown adults, and they only cry in response to pain because they always cry to communicate. There is no real link between the two. This also explains why crying in response to pain becomes less common as humans age. As we get (1) better at coping with pain, and (2) better at communicating, we no longer need to cry when we get hurt.

Riem et al., (2011) "Oxytocin Modulates Amygdala, Insula, and Inferior Frontal Gyrus Responses to Infant Crying: A Randomized Controlled Trial." Biological Psychiatry

Tracey (2017), "Nociception". Current Biology

Fabrizi et al., (2016), "Encoding of mechanical nociception differs in the adult and infant brain". Scientific Reports

level 1

coolchazz98

1 point·1 year ago

I don't actually have a scientific answer but considering newborn babies are usually smacked right after being born to make them cry, I'd garner crying is a very natural way of communication and not something learnt. In all honesty I'm pretty sure we learn to not cry when we want to, not vica versa.