Thursday, October 6, 2016

CoinBrawl



Salam and good morning..
Almost all of us have history of playing RPG games. Do we get paid? so far little or no at all.

Have u ever heard of CoinBrawl game? ths is online RPG game, paying you with satoshi. when you get 100000 satoshi, you can withdraw and put in you bitcoin wallet. Easy right. Give a try. worth it.





Thursday, October 9, 2014

Wells Score for pulmonary embolism (PE).

Wells Score for pulmonary embolism (PE).
The mnemonic is: Don’t die, tell the team to calculate criteria! The first letters in the saying correspond to a criteria for diagnosis. If the first letters are the same, they also have the same numerical point value for calculating the total sore.
Don’t (DVT symptoms) 3 points   
Die (Diagnosis most likely PE) 3 points 
 Tell (Tachycardia) 1.5 points  The Team (Three days [at least] of immobilization, or surgery in the past Thirty days) 1.5 points 
 To (Thromboembolism in the past [DVT or PE]) 1.5 points 
 Calculate (Coughing up blood [hemoptysis]) 1 point   Criteria (Cancer) 1 point

This is what the scores mean:
> 6 High probability of PE
2-6 Moderate probability of PE
< 2 Low probability of PE

The modified Wells Criteria is a bit simpler:
> 4 PE is likely
≤ 4 PE is unlikely






Picture from: http://doctorstock.photoshelter.com/image/I0000FUaFtGQCIg0

From: “Well’s Criteria for Pulmonary Embolism / PE.” MDCalc. Web. 11 Nov. 2011

SIRS-systemic inflammatory response syndrome

 SIRS: At least 2 conditions:
  1. T>38'C @ <36'C
  2. Heart rate >90
  3. Respiratory Rate >20 @ PaCO2<32mmhg
  4. White cell counts >12k/mm3  @ <4k/mm3, @ >10% immature band form
Pic & further info from: http://nrsged.wikispaces.com/6.+SIRS+vs+Sepsis