Tuesday, 31 December 2019

B suffering is like rope burn. Holding on to the rope is causing suffering. Grasping is the suffering. Go neutral

B Holding on to star stuff will cause suffering. Not worth clinging to. Hard to intellectually adhere to. Those pockets of happiness are not worth grasping. Contains the seeds of its own suffering. Destined to change. Because it is star stuff

B. Empty phenomenon rolling on. Own Body Mind. Rolling on. STarstuff rolling on

B Pleasantness is conditioned. Will not stay. So don't cling. Go neutral. calm Balm Numb Dumb

B my bones not mine. Lent by condition. By nature for less than 100 years

B physicality of our body is Pancha Bhuta. Water Air. Fire heat. Earth. Sky. We are stardust

2020. Direction of Hinduism Buddhism

Bmtp. Angry. Arising. But not act on the anger. That is mindful relinquishment

Pizza binge. Then fruit berry green tea binge corrective

Try Yoga 2020

Dog.

1 billion in world 

Descended from grey wolves 20kya

Wolves can't bark. Dogs can communicate by barking

Best sense of smell.  Bloodhound 


POE X ZEN FLWM CAS X FLOWER LEAF WATER MOUNTAIN CLOUD AND SKY

APOD


Galactic Pyrotechnics From 23 Million Light Years Away
NGC 4258, a galaxy about 23 million light years away, is the site of impressive, ongoing fireworks.

P PARACETAMOL 12, IBUPROFEN 3, P6, I9, X TITO CLOCK

Image result for clock face

P OCULOMOTOR D X FASD

Oculomotor deficits in children adopted from Eastern Europe

We aim to assess oculomotor behaviour in children adopted from Eastern Europe, who are at high risk of maternal alcohol consumption.

Methods

This cross‐sectional study included 29 adoptees and 29 age‐matched controls. All of them underwent a complete ophthalmological examination. Oculomotor control, including fixation and saccadic performance, was assessed using a DIVE device, with eye tracking technology. Anthropometric and facial measurements were obtained from all the adopted children, to identify features of foetal alcohol spectrum disorders (FASD). Fixational and saccadic outcomes were compared between groups, and the effect of adoption and FASD features quantified.

Results

Oculomotor performance was poorer in adopted children. They presented shorter (0.53 vs 1.43 milliseconds in the long task and 0.43 vs 0.82 in the short task) and more unstable fixations (with a bivariate contour ellipse area of 27.9 vs 11.6 degree2 during the long task and 6.9 vs 1.3 degree2 during the short task) and slower saccadic reactions (278 vs 197 milliseconds). Children with sentinel finding for FASD showed the worst oculomotor outcomes.

Conclusion

Children adopted from Eastern Europe present oculomotor deficits, affecting both fixation and saccadic skills. We highlight prenatal exposure to alcohol as the main cause for these deficits.

P UTI

Do Infants 29-60 Days With UTI Need LP? - Prevalence of concomitant bacterial meningitis in infants 29-60 days old with UTI was 0.25%.
Risk of Meningitis in Infants Aged 29 to 90 Days with Urinary Tract Infection: A Systematic Review and Meta-Analysis. J Pediatr. 2019 Jun 20. pii: S0022-3476(19)30536-0. doi: 10.1016/j.jpeds.2019.04.053.



Risk of Meningitis in Infants with UTI - Among infants treated for UTI without CSF testing (n=505, mostly 31-60 days old), there were no cases (95% CI 0-0.6%) of delayed meningitis within 7 days of discharge.
Testing for Meningitis in Febrile Well-Appearing Young Infants With a Positive Urinalysis. Pediatrics. 2019 Aug 8. pii: e20183979. doi: 10.1542/peds.2018-3979

P CONCUSSION

Exercise to Treat Concussion? - Light aerobic activity that doesn’t evoke concussion symptoms speeds recovery vs. rest.
Early Subthreshold Aerobic Exercise for Sport-Related Concussion: A Randomized Clinical Trial.  JAMA Pediatr. 2019 Feb 4. doi: 10.1001/jamapediatrics.2018.4397.

P FYI

New Landmark PECARN Rule for Infant Fever - Infants ≤60 days are low risk for serious bacterial infection (SBI) if they have a negative urinalysis, ANC ≤4090/µL, and procalcitonin ≤1.71 ng/mL. NPV was 99.6%; negative likelihood ratio (NLR) 0.04.
A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Feb 18. doi: 10.1001/jamapediatrics.2018.5501.

P UTI X BRONCH

Prevalence of UTI With Bronchiolitis - When UTI was defined as a positive urine culture plus abnormal UA, the prevalence of concomitant UTI in febrile infants with bronchiolitis was 0.8%. Association of Diagnostic Criteria With Urinary Tract Infection Prevalence in Bronchiolitis: A Systematic Review and Meta-analysis.  JAMA Pediatr. 2019 Jan 28. doi: 10.1001/jamapediatrics.2018.5091.

AAP - No More Hypotonic MIVF - The AAP now recommends isotonic fluid (+/- KCl and dextrose) in children FROM 28 days to UNDER 18 years who need maintenance IV fluid. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018 Dec;142(6). pii: e20183083. doi: 10.1542/peds.2018-3083.

AAP - No More Hypotonic MIVF - The AAP now recommends isotonic fluid (+/- KCl and dextrose) in children >28 days to <18 years who need maintenance IV fluid.
Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018 Dec;142(6). pii: e20183083. doi: 10.1542/peds.2018-3083.

M STROKE EXTEND - Alteplase Up to 9 Hours Out? - Alteplase from 4.5 to 9 hours or upon awakening in patients with ischemic stroke with salvageable brain on perfusion imaging was superior to placebo, NNT = 17. Thrombolysis Guided by Perfusion Imaging up to 9 Hours after Onset of Stroke. N Engl J Med. 2019 May 9;380(19):1795-1803. doi: 10.1056/NEJMoa1813046.

EXTEND - Alteplase Up to 9 Hours Out? - Alteplase from 4.5 to 9 hours or upon awakening in patients with ischemic stroke with salvageable brain on perfusion imaging was superior to placebo, NNT = 17.
Thrombolysis Guided by Perfusion Imaging up to 9 Hours after Onset of Stroke. N Engl J Med. 2019 May 9;380(19):1795-1803. doi: 10.1056/NEJMoa1813046.

Is 5 Days of Penicillin For Strep Pharyngitis Enough? - A 5-day course of penicillin was non-inferior to a 10-day course for group A streptococcal pharyngitis. Penicillin V four times daily for five days versus three times daily for 10 days in patients with pharyngotonsillitis caused by group A streptococci: randomised controlled, open label, non-inferiority study. BMJ. 2019 Oct 4;367:l5337. doi: 10.1136/bmj.l5337.

COMPASS MI ED M

https://compass-mi.com/#results

P What’s the Right Pediatric ETT Size? - The formula (age/4) + 3.5, with a cuffed tube makes more sense anatomically

What’s the Right Pediatric ETT Size? - The formula (age/4) + 3.5, with a cuffed tube makes more sense anatomically

A WOOLER

Open The Door To Your Dreams

C11

C11

GASTRO-PAST TGA SX-APNC -PULSELESS-RHYTHM-VF


 3 YR14 KG


DX-CRA-VF


A-EAP-ET

B-BMV02-BTO2

C-IV/IO
UI BLS
VF PRTCL-VFVT-


VF PROTOCOL ---- DC2....RDC2.....RDAAMC2......RDC2.....RDAAMC2....4H VOTK  4T TATETOTH ....SBC 

BAD X ULTRAPROCESSED FOOD

Image result for ULTRAPROCESSED FOOD"

C1

9 YR OLD BOY -SNOW BOUND GOLF COURSE - AXDENT
CRA- VF- hypoTHERMIA- fracture Rt tib fib

9 YR 3/7 34KG

A- EAP-ET

B-BMO2 BTO2

C-IV/IO VF PROTOCOL

G-UIBLS RESUS UNTIL  TEMP OVER 32C 

S- ACTIVE REWARMING 

VF PROTOCOL ---- DC2....MDC2.....MDAAMC2......MDC2.....MDAAMC2....4H VOTK  4T TATETOTH 

M-RC PC SOL 

PEAAS- AC2....RC2....ARC2.....RC2



Shockable (VF/pVT)

This is less common in children but may occur as a secondary event and is likely when there has been a witnessed and sudden collapse. It is seen more often in the intensive care unit and cardiac ward.
  • Continue CPR until a defibrillator is available – as 5A above
  • Defibrillate the heart:
    • Charge the defibrillator while another rescuer continues chest compressions.
    • Once the defibrillator is charged, pause the chest compressions, quickly ensure that all rescuers are clear of the patient and then deliver the shock. This should be planned before stopping compressions.
    • Give 1 shock of 4 J kg-1 if using a manual defibrillator.
    • If using an AED for a child of less than 8 years, deliver a paediatric-attenuated adult shock energy.
    • If using an AED for a child over 8 years, use the adult shock energy.
  • Resume CPR:
    • Without reassessing the rhythm or feeling for a pulse, resume CPR immediately, starting with chest compression.
    • Consider and correct reversible causes (4Hs and 4Ts).
  • Continue CPR for 2 min, then pause briefly to check the monitor:
    • If still VF/pVT, give a second shock (with same energy level and strategy for delivery as the first shock).
  • Resume CPR:
    • Without reassessing the rhythm or feeling for a pulse, resume CPR immediately, starting with chest compression.
  • Continue CPR for 2 min, then pause briefly to check the monitor:
  • If still VF/pVT, give a third shock (with same energy level and strategy for delivery as the previous shock).
  • Resume CPR:
    • Without reassessing the rhythm or feeling for a pulse, resume CPR immediately, starting with chest compression.
    • Give adrenaline 10 mcg kg-1 and amiodarone 5 mg kg-1 after the third shock, once chest compressions have resumed.
    • Repeat adrenaline every alternate cycle (i.e. every 3–5 min) until ROSC.
    • Repeat amiodarone 5 mg kg-1 one further time, after the fifth shock if still in a shockable rhythm.
  • Continue giving shocks every 2 min, continuing compressions during charging of the defibrillator and minimising the breaks in chest compression as much as possible.
    • After each 2 min of uninterrupted CPR, pause briefly to assess the rhythm: If still VF/pVT:
      • Continue CPR with the shockable (VF/pVT) sequence.
    • If asystole:
      • Continue CPR and switch to the non-shockable (asystole or PEA) sequence as above.
    • If organised electrical activity is seen, check for signs of life and a pulse:
      • If there is ROSC, continue post-resuscitation care.
      • If there is no pulse (or a pulse rate of <60 min-1), and there are no other signs of life, continue CPR and continue as for the non-shockable sequence above.
If defibrillation was successful but VF/pVT recurs, resume the CPR sequence and defibrillate. Give an amiodarone bolus (unless two doses have already been given) and start a continuous infusion of the drug.

Important note 
Uninterrupted, high quality CPR is vital. Chest compression and ventilation should be interrupted only for defibrillation. Chest compression is tiring for providers and the team leader should repeatedly assess and feedback on the quality of the compressions. To prevent fatigue, change providers should every two minutes. This will mean that the team can deliver effective high quality CPR so improving the chances of survival.2,14

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 Non-shockable (asystole or PEA):

This is the more common finding in children.
  • Perform continuous CPR:
    • Continue to ventilate with high-concentration oxygen.
    • If ventilating with bag-mask give 15 chest compressions to 2 ventilations.
    • Use a compression rate of 100–120 min-1.
    • If the patient is intubated, chest compressions can be continuous as long as this does not interfere with satisfactory ventilation.
    • Once the child's trachea has been intubated and compressions are uninterrupted use a ventilation rate of approximately 10–12 min-1Note: Once there is return of spontaneous circulation (ROSC), the ventilation rate should be 12–20 min-1. Measure end-tidal carbon dioxide (CO2) to monitor ventilation and ensure correct tracheal tube placement.
  • Give adrenaline:
    • If vascular access has been established, give adrenaline 10 mcg kg-1 (0.1 mL kg-1 of 1 in 10,000 solution).
    • If there is no circulatory access, obtain intraosseous (IO) access.
  • Continue CPR, only pausing briefly every 2 min to check for rhythm change.
    • Give adrenaline 10 mcg kg-1 every 3–5 min (i.e. every other loop), while continuing to maintain effective chest compression and ventilation without interruption.
  • Consider and correct reversible causes (4Hs and 4Ts):
    • Hypoxia
    • Hypovolaemia
    • Hyper/hypokalaemia, metabolic
    • Hypothermia 
    • Thromboembolism (coronary or pulmonary)
    • Tension pneumothorax
    • Tamponade (cardiac)
    • Toxic/therapeutic disturbance


Monday, 30 December 2019

2020- HB MTP


BLACK AND WHITE COLORISM EVEN IN ARYAN COLONIES OF INDE


NASA CALDWELL STARS

NY

13 Things I Found on the Internet Today (Vol. CDLXXXIV)

NOW It’s something we create for ourselves over and over again, moment by moment."

It’s something we create for ourselves over and over again, moment by moment."

David Eagleman, a neuroscientist at Stanford University, said that we don't experience the world in real time, we're always living a little bit in the past. That's because when we perceive anything, we collect sensory inputs from all over our bodies and the world, and not all of these inputs are processed at the same speed. Sound is processed faster than light. An input from your toes has to travel all the way up your spinal cord, while a signal from your nose doesn't have as far to go.



Wittman explained that there are multiple "nows," comprising different layers of our experience. He outlined three: the functional now, the experienced moment, and mental presence.
The functional now we've touched on already. This is the very small time period in which your brain experiences sensory inputs at the same time. This is mostly unconscious—your brain waiting for the signal from your toe—and takes place in the milliseconds range.
The experienced moment is a more conscious, psychological sense of now, "a slightly longer period in which a single event seems to unfold," as Burdick wrote. This experienced moment has been found repeatedly to be around 2 to 3 seconds. In a paper in PLOS One, researchers looked into this by showing people movie clips—a representation of the kinds of multi-sensory experiences we have in the real world. They scrambled the sequence of events within and beyond intervals of 2 to 3 seconds. They found that within 2 to 3 seconds, the brain was able to fix the order. But above that timescale, there was a dramatic increase in an inability to understand the clips.
Two to 3 seconds for integration might be a “fundamental component of human cognition," the authors wrote, given that similar results have been seen across different tasks. It may "reflect a general organizing principle of human cognition—better defined as the ‘subjective present." Or in other words, “the phenomenal impression of ‘nowness.’”
Wittman said we can also see evidence of this in other places—like a metronome. If you listen to a metronome tick, the ticks are all the same and not being grouped in any particular way. But we do hear a grouping: either one-two, one-two, or if it’s faster, one-two-three, one-two-three. “Although these chunks are not in the metronome,” Wittman said, “our brain creates these units of perception.” For images that can be visually interpreted in different ways, like the duck-rabbit or vase/faces "such changes in perceptual content occur spontaneously, at roughly 3-second intervals," observed one study on the present.

But Wittman said that right now has to be able to do more, so that we can have an integrated whole experience. That's what he calls the third tier: mental presence. It's the right now rooted in the larger, narrative self, and it's built from the other, smaller nows. It's the functional nows and experienced nows linked together, with the help of our memories. This is how everything we see, hear, and feel seems to take place now and yet we also experience the fluid passage of time—our perception is, thankfully, not in static chunks of minute nowness, even as those blocks of right now lie at its core.
In 2007, neurologist Oliver Sacks wrote about a man named Clive Wearing, whose hippocampus, a region of the brain critical for forming new memories, was damaged after he contracted viral encephalitis. Wearing existed only in the “now." If he was holding something in his hand, a chocolate for example—it would constantly present itself as brand new. As his wife described in her memoir, Forever Today:
“Look!” he said. “It’s new!” He couldn’t take his eyes off it.
“It’s the same chocolate,” I said gently.
“No . . . look! It’s changed. It wasn’t like that before . . .” He covered and uncovered the chocolate every couple of seconds, lifting and looking.
“Look! It’s different again! How do they do it?”
The way we experience now is for our survival. We need to understand when things in the outside world happen at the same time, in what order they happened, and be able to use our memories to create a narrative through time




PHILO- LOGICAL CONCLUSION OF THOUGHT


SN CNMA ANGLE OF MINE , AMERICAN DREAMER, SPINNING MAN


CELTIC 400 BCE

BRAIN FOG People often report experiencing a mental sluggishness or ‘brain fog’. People often experience a mental sluggishness when they are ill. This kind of ‘brain fog’ is often reported by people with chronic medical conditions. Some of the most common chronic medical conditions include arthritis, depression, asthma, oral disease, kidney disease and cancer.

People often report experiencing a mental sluggishness or ‘brain fog’.
People often experience a mental sluggishness when they are ill.
This kind of ‘brain fog’ is often reported by people with chronic medical conditions.
Some of the most common chronic medical conditions include arthritis, depression, asthma, oral disease, kidney disease and cancer.

TATRA NP POLAND

Image result for TANTRA NATIONAL PARK POLAND

P FYI X Infants with SIS under 10 were identified as ‘high-risk’.

Figure 3


Infants with SIS<10 were identified as ‘high-risk’.

P FYI NICE CRITERIA DID BEST ALONG WITH ROCHESTER

Figure 2

P FYI X NICE AND ROCHESTER DID BEST

Sunday, 29 December 2019

BMTP X WISE ATTN V UNWISE ATTN


BMTP DEPRESSN X RX BUSY X RX HELPING OTHRS X


B MTP = NO FIGHTING THE MIND- RMMBR 1 HOUR THOUGHT AJAHN ANECDOTE

LETTING GO MEDITN THIS MOMENT BMTP

B MX PLAN FOR THINKING


SEA LION CARES FOR GOLDEN GAE SUICD SURVIVOR - KEVIN HIVES ANECDOTE

B thinking is just approx of reality

Unanswered email. Angry with me?

Deep enlightened. Dissolved the notion on I 

Constant mantra.  So much to do

What others think.  They are thinking themselves 




C20

4 MO 5/4    4.5 KG GIVEN
POST FALLOT REPAIR - COLLPSE
ECG-VF



A- EAP-ET

B- BMO2  BTO2

C- IV IO UIBLS

VF- DC2....PCRC..DC2....PCRC........DAAMC2....PCRC.....DC2....PCRC........DAAMC2....PCRC.....DC2......PCRC

4H VOTK  4T TATETOTH SBC 

B I WONT THINK NOW

B INSIGHT - I WONT THINK NOW - ARISING PASSING - DEPENDENT ON CONDS


CAUGHT IN THE LOOP OF THINKING EG FLICKING THRO MAGS

CAUSES A CONSTANT NARRATIVE - ANXTY FEAR PANIC     WILL WE MANAGE WILL WE COPE    FOID  FOIF FEAR OF IMPENDING FUTURE


B THOUGHT MX PRACTICE

NON ANGER - LVING KINDNESS

NON DELUSION- UNDERSTANDING

B WAY OF LYF

DALY BAG OF TANHA

I THINK THEREFORE I AM  DESCARTES

I DONT THINK , THEREFORE I AM NOT ?


C10

CHOKING CRA ASYS T PNTHX
ECG-PEA
DX- RA SECY TO ASTH THEN CRA-ASYS
3 YR 2/8 14 KG


A-EAP ET

B-BMO2 BTO2 NEEDLE THRCCNTSS

C- IV IO UIBLS

S- AC2,,,pcrc.C2,,pcrc...AC2....pcrc..C2..pcrc..AC2...pcrc
     4H VOTK 4T TATETOTH SBC

Homo Machina: We are no longer afraid of the machine, Harari says, we have become it: “We no longer search for information. We Google. We trust the Google algorithm and we lose the ability to search for information independently.”

Homo Machina: We are no longer afraid of the machine, Harari says, we have become it: “We no longer search for information. We Google. We trust the Google algorithm and we lose the ability to search for information independently.”

TNH Watering the seeds of joy and peace in you. Look at anything natural like a plant, a tree or the sky. Enjoy looking at it while following your breathe." ~Thich Nhat Hanh

Watering the seeds of joy and peace in you. Look at anything natural like a plant, a tree or the sky. Enjoy looking at it while following your breathe."
~Thich Nhat Hanh

B GITA 800 BCE

The greatest stories are also allegories, which means that they work on many levels. On one level – the most obvious level – the story of the Mahabharata is the story of a Great War between two sets of cousins – one set noble, righteous, law-abiding and virtuous, the other corrupt, deceitful, crooked and unscrupulous. But on another level, the Mahabharata is about the battles that rage in our own minds and hearts each day, as we struggle to choose between what we know is right and good and difficult , and what we know is not-so-right, not-so-good and definitely way easier


Each day, just like Arjuna on the battlefield of Kurukshetra, we make excuses for our weaknesses on the battlegrounds of our minds and hearts, and whine about the right choices being too scary, too hard, too lonely, or just not as much fun . We become confused about what the right thing to do is, and wish we could run away from the battle rather than face its consequences. But unlike Arjuna, we often shut out the Krishna who lives in all of us – the still, small voice of our conscience that tells us, loudly and clearly, what we really ought to be doing – and end up doing what is convenient rather than what is right . Over time, our inner Krishna, tired of being ignored, stops speaking altogether, leaving us confused and clueless about what the right answers are.


Because, when you read the Gita, there is no escaping Krishna’s gentle – but no-nonsense – diktat to his confused, nervous, heartsick friend, Arjuna, and through him, to all of us: • Focus only on doing your duty; let the Universe take care of the consequences. • Defend the good, destroy the bad. • Be true to yourself. • Never hesitate to fight the good fight with everything you’ve got, for as long as it takes. • Talk to your closest friend – your inner voice – often and at length (yes, even if it takes 700 shlokas worth of time, and especially on the eve of a big battle) and listen to what he has to say. • That is the secret to being happy. That is the secret of a good life. That, my beloved Arjuna, is the only way to live.


Once upon a time, many thousands of years ago, the king of the Bharatas ruled the land that we now know as India from his capital of Hastinapura (now placed about 100 km north–east of today’s Delhi, in Meerut district, Uttar Pradesh). This king had two sons. The older one, Dhritarashtra, should rightfully have been king after his father passed, but he was blind, which automatically disqualified him from kingship. Thus did the younger son, pale and sickly Pandu, who would never otherwise have had a chance to rule, get his lucky break and become king.



And thus was the stage set for the Great War at Kurukshetra (which is the town that we still call Kurukshetra, located about 160 km north of Delhi, in Haryana). For 18 long days, the greatest warriors in the land faced each other and fought like lions, their roars resounding across the land. One by one, legendary heroes fell, never to rise again, drenching the dusty plains with their noble blood. One by one, entire clans were wiped off the face of the earth, denuding the land of good men, leaving only widows and wailing orphans behind.


As you have probably noticed, Ugrashrava Sauti’s version was narrated , not written down. This was generally the way information and stories – even those that were 1.8 million words long – were passed on in the olden days (ancient Indians had insane memory power). The first written version – with who knows how many more additions and deletions – that we know, dates back only to the 4th century CE, more than 1,600 years ago.



What makes the Mahabharata more interesting is the belief that it isn’t a story that Vyasa made up entirely in his head. It is said to be a mix of fact and fiction, a story set against actual historical events that occurred somewhere around the 8th century BCE (or a lot earlier, or a little later – no one is quite sure. The dating of ancient Indian texts is also often a mix of fact and fiction).


1 chariot (Ratha) + 1 elephant (Gaja) + 3 horses (Ashva) + 5 foot soldiers (Padhata) = 1 Patti 3 Pattis = 1 Sena-Mukha 3 Sena-Mukhas = 1 Gulma 3 Gulmas = 1 Gana 3 Ganas = 1 Vahini 3 Vahinis = 1 Pruthana 3 Pruthanas = 1 Chamu 3 Chamus = 1 Anikini 10 Anikini = 1 Big Fat Akshauhini! So how many chariots/elephants in an Akshauhini? How many horses? And foot soldiers? Try and work it out for yourself before you read on for the answers. And the right answer is … There are 21,870 chariots, 21,870 elephants, 65,610 cavalry and 109,350 infantry in 1 Akshauhini.


So if the Kauravas had 11 Akshauhinis, they had 240,570 chariots, 240,570 elephants, 721,710 horses and 1,202,850 infantry, versus the Pandavas’ seven Akshauhinis with 153,090 chariots, 153,090 elephants, 459,270 horses, and 765,450 infantry. Even assuming just one person per chariot and one person per elephant – typically, there were at least two in a chariot and at least six on an elephant – there were close to a whopping four million men fighting in the Great War!


Whether you take the number of chariots (21870), or the elephants (21870), or the cavalry (65610) or the foot soldiers (109350), the digits always add up to 18! And there are 18 Parvas (books) in the Mahabharata, and 18 chapters in the Gita, and, best of all, the Kurukshetra War lasted exactly 18 days. Cool, huh?



But even among chariot riders, or Rathis, there were levels of excellence. An Atirathi was the lowliest, a warrior capable of fighting off a mere 10,000 warriors (whether on foot or on horseback) at a time. Next in the pecking order were the Maharathis , heroes like Duryodhana, Dhrishtadyumna, Ashwatthama, Abhimanyu, and all the Pandava brothers except Arjuna, who were capable of holding up to 60,000 warriors simultaneously. Superior to them were the Atimaharathis – men like Arjuna, Karna, Bhishma and Drona – who no longer dealt with lowly foot soldiers but focused purely on Maharathis, being able to single-handedly take on a dozen of them at a time!



There was also another, even more superior class of Rathis, called the Mahamaharathis , who were capable of fighting 24 Atimaharathi warriors at the same time! But no mortal ever attained this status, mainly because there never were 24 Atimaharathis at the same place at the same time, ever. In theory, though, gods and their avatars – Shiva, Rama, Krishna – are believed to be Mahamaharathis.


those rules, several of which were broken during the course of the Kurukshetra war. • Fighting must begin no earlier than sunrise and should end exactly at sunset. • More than one warrior must not attack a single warrior. • Two warriors may duel, or engage in prolonged personal combat, only if they carry the same weapons and are on the same mount (a chariot warrior cannot attack a horseman, for instance) • No warrior may kill or injure a warrior who has surrendered. • A warrior who surrenders becomes a prisoner of war and will then be entitled to the privileges of a prisoner of war. • No warrior may kill or injure an unarmed warrior. • No warrior may kill or injure an unconscious warrior. • No warrior may kill or injure a person or animal not taking part in the war. • No warrior may kill or injure a warrior whose back is towards him.









SOUL CONSC VIJNANA RUH ATMAN NISHMAH


The Bhagavad Gita has the same number of chapters as the Mahabharata has Parvas – 18. • It has – surprise, surprise! – just 700 shlokas, less than 1 per cent of all the shlokas in the mother epic! • It is part of the 6th Parva – yes, it makes an appearance quite early on in the story.

The Bhagavad Gita has the same number of chapters as the Mahabharata has Parvas – 18. • It has – surprise, surprise! – just 700 shlokas, less than 1 per cent of all the shlokas in the mother epic! • It is part of the 6th Parva – yes, it makes an appearance quite early on in the story.


 The Gita conversation started just a few minutes before the Great War began, and since it wasn’t a short conversation, it almost certainly held everything up for a longish time. Yes, not the best timing for a long conversation, but there you go. • It was mostly Krishna talking through the 700 verses, and he was essentially telling Arjuna to stop whining and start fighting the Great War



FN TBS X BMTP

TBS X BMTP

I believe that negative experiences, such as stress, frustration, disappointment, anger, and suffering are an integral part of everyday life, because of a) negative macro forces, such as earthquakes, flooding, storms and climate change, b) negative life circumstances, such as poverty, political oppression, toxic work place and marital conflicts, and c) personal limitations and frailty, such as physical handicaps, personality defects, past traumas, and painful memories.
PP1.0 believes that simply by practicing happiness enhancing activities, such as gratitude, PERMA and personal signature strengths we can achieve authentic happiness and flourishing.
In contrast, I believe that one-sided focus on happiness enhancing activities are handicapped by the unavoidable negative events if we do not accept them, cope with them and incorporate then in our daily life. We cannot cure the negatives of life, but we can certain transcend or transform them to something positive.
I also believe that we can best achieve authentic happiness and flourishing by developing appropriate virtues to cope with the negatives and pursuing a meaningful life at the same time.

TBS X BMTP TRIAL BY SUFFRNG

We add depth and breadth to all PP research and interventions by accepting stress and suffering as an integral part of life as the foundation for surviving and flourishing. Existential Gratitude is just one example of incorporating suffering in PP.

JNDE

WELL SPAN

Wellness is ever shorter respite
before ever longer sickness,
before ending in (re)death.

(Swiftly live life well now then.)  

The insights that arise in the course of meditating are often surprises. The awakening mind lets go of the old fictions we invent and opens to what is really here: simply this. —Sylvia Forges Ryan, “Bare Branches, Bare Attention”

The insights that arise in the course of meditating are often surprises. The awakening mind lets go of the old fictions we invent and opens to what is really here: simply this.

—Sylvia Forges Ryan, “Bare Branches, Bare Attention”

SJ GOULD We pass through this world but once."

We pass through this world but once."

A ROBERTS

Crestone

DWM X BRFAST X OATMEAL

The One Breakfast Dietitians Want You to Eat More Often

You know a balanced, nutritious breakfast helps you feel sharp, strong and satisfied all morning long. But with trends like keto and intermittent fasting calling the (arguably) most important meal of the day into question, it's hard to know what to eat — or whether you even should eat — after you wake up.
Oats provide complex carbs to keep you energized all morning.
Credit: David-Prado/iStock/GettyImages

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Regardless of what eating style you prefer and what your individual health goals look like, there is one classic, often-overlooked breakfast deserving of your mornings: oatmeal.
Whole-grain oats (whether rolled or steel-cut) make for a totally nutritious, versatile breakfast. If you're not sold on the gooey, cozy grain, the following dietitian-backed perks will make you a believer.

1. Oatmeal Provides Fiber — Including a Special Type Called Beta-Glucan

One cup of cooked oats (the standard serving size), provides 4 grams of fiber, which is about 16 percent of your daily value of the nutrient, according to the USDA. "A high fiber intake has been associated with cholesterol, blood sugar and healthy digestion and a decreased risk for various chronic conditions and types of cancers," says Alex Lewis, RD, a dietitian for Baze personalized supplements.
Learn how to fill your plate with healthy, nutrient-dense foods by logging your meals on the MyPlate app. Download now to fine-tune your diet today!
Oatmeal, in particular, contains a specific type of soluble fiber called beta-glucan. "This soluble fiber dissolves in water and bulks up to form a gel-like substance," Lewis explains. This type of indigestible fiber attaches to fats and bile components in the bowel, helping to remove cholesterol from the body, according to a January 2018 review in the International Journal of Molecular Medicine.
Because of this effect, soluble fibers like beta-glucan can help the body manage cholesterol. (Psst, the reason Cheerios advertises itself as "heart-healthy" is because it's made of oats!) Plus, since beta-glucans are indigestible, they move slowly through the digestive tract, which helps keep you full for longer.
What's more, a December 2015 meta-analysis published in Nutrients shows that eating oats supports healthier blood sugar and cholesterol in people with type 2 diabetes. And beta-glucans were found to decrease glucose levels in people with type 1 or type 2 diabetes, per a Brazilian review in the journal Nutrición Hospitalaria.
Here's another reason to warm up to a bowl of oatmeal over an omelet: Researchers followed more than 55,000 people over 13 years and observed that those who ate oatmeal had a lower risk of getting a stroke for the first time than people who ate white bread or eggs for breakfast, per a December 2019 study in Stroke.

2. It's Weight-Loss Friendly

"Although certain medical conditions may require people to consume fewer carbohydrates, I still very much believe that oatmeal can be a healthy part of any eating plan if done right," says Lewis.
At about 166 calories per one cup of cooked oats, "oatmeal really isn't that high in calories," says Pamela Nisevich Bede, RD, CSSD, author of Sweat. Eat. Repeat.: The 90-Day Playbook to Change Your Food Habits, Improve Your Energy, and Reach Your Goals.
"Although you have to pay attention to portion control (just like you would with any other food), I would so much rather see my clients have some carbs from oatmeal than refined grains, like white flour."
Start with one serving of oats and add toppings like flaxseed, chia seeds, walnuts, mixed berries and some protein powder, suggests Bede. "Yes, these things have calories, but the fiber, phytonutrients and other nutrients in them are so important — and filling," she says.
Another potential perk of oatmeal for anyone looking to manage their weight: The beta-glucans in oats can promote satiety and increase appetite control for hours, according to one small study published in Nutrition Journal. That's a major plus if snacking tends to be your weight-loss undoing.

3. Oatmeal Isn’t as High in Carbohydrates as You Think

While keto has healthy eaters ditching grains left and right, don't let the low-carb craze convince you that a bowl of oats is a total carb bomb.
Oats are grains and contain carbohydrates, but your average one-cup serving of cooked oats comes in at around 28 total grams of carbs. And when you subtract the 4 grams of fiber, you're left with 24 grams of net carbs. Less than you thought, isn't it?
If you're concerned about your carb intake and its effect on blood sugar, just make sure to add a protein source to your oats, says Bede. Any protein source — like eggs, dairy, nuts or seeds — will help create an even more balanced meal. And, of course, stick to one serving at a time, she adds. So break out the measuring cups if you need to!

4. It Can Fuel Your Workouts

Another benefit of oatmeal that applies to both those striving to lose weight and anyone who exercises: It makes a great pre-workout or post-workout meal.
"Carbohydrates are your main source of fuel," says Bede. And our body converts carbs into glycogen (aka, sugar, a type of carb, that's stored in the muscles) and uses it as a source of energy when you work out. That explains why you'll likely feel more prepared and energized for exercise after eating a bowl of oatmeal, Bede says.
Ultimately, being well-fueled ensures you can train as hard and burn as many calories as possible, which is good news for your performance, fitness and fat loss.

5. Oatmeal Can Be Safe for Gluten-Intolerant People

Breakfast, which often includes some form of grains, can be particularly tricky for people with celiac disease or gluten sensitivities. And for them, too, oatmeal comes in clutch.
"It's also one of the more hypoallergenic grains," Bede says. Since oats are naturally gluten-free, they can be a great breakfast choice for people who don't tolerate wheat well. You don't hear "oatmeal wrecks my stomach" too often!
If you have celiac, make sure to purchase oats that clearly state on the label that they're gluten-free since oats can be exposed to cross-contamination during harvesting and processing, Bede advises. (You'll find our go-to gluten-free brands to buy below.)

6. You Can Turn Oatmeal Into Pretty Much Anything

In addition to providing that extra-special beta-glucan fiber, oatmeal also just so happens to be a super versatile meal. Since it has such a mild flavor, you can completely transform your bowl by adding different toppings.
If you want something sweet, Lewis recommends cooking your oats with soy milk and adding berries, walnuts and chia seeds. "You can also mix flavored protein powder or collagen peptides into your oats," Bede says. Powdered peanut butter (or regular nut butter) also adds some flavor, protein and healthy fats.
If you're after something more savory, cook your oats in plain milk, stir in wilted greens and a bit of butter and top with a fried egg. Bede loves adding nuts or pepitas, a savory sauce (like pesto) and/or grated cheese to an oat base.
And you can even use oats to make homemade granola or protein bars — or even toss a handful into your usual smoothie blend. It's the perfect base for a wide variety of other whole foods, textures, flavors and nutrients.

The Bottom Line: Oatmeal Is Great for Your Overall Health

Thanks to those beta-glucan fibers and other nutrients in oats (like iron), whole-grain oats support your general health and can fit into most balanced, healthy eating plans. “If you’re focused on long-term health, oatmeal can be a great choice,” Bede says.
The key to ensuring your morning oats support your health for years to come: “Stop putting loads of brown sugar in it and make it a balanced meal with some protein and healthy fats,” Bede says. Buy your oats whole and plain and top appropriately.