Monday, March 16, 2015

The art of listening

I just ran across a short video in which "listening expert Julian Treasuresummarizes five easy ways to become a better listener. 

He also points out why listening is important and why its a skill that, as a culture, we are losing.  And perhaps more importantly for our quest for success in our anatomy & physiology course, he mentions why good listening skills are important for students.

I see so many students "out of focus" and "out of tune" with what is happening in the A&P lecture and lab.  So I know that good listening skills are not common in todays students.  This video will help make you a better student!

Mr. Treasure also talks about having the"listening position" appropriate to the kind of listening in which we are engaged.

He sums up with a quick acronym, RASA, that helps us remember some key points in listening effectively:

Receive
Appreciate
Summarize
Ask

Check out the video! (and listen carefully) 
Click image to view video



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kumpulan gambar dp bbm lucu bikin ngakak

Siapa sie yang tidak tahu atau yang tidak punya bbm. Nyaris kebanyakan orang memiliki bbm atau blackbery messenger. Yang tidak sama dengan type sosial media yang lain, dengan bbm kita isa kerap ganti display picture atau yang lebih dikenal dengan DP.



Display picture dapat kita ubah kapanpun saja serta kadang-kadang display picture ini jadikan ajang pamer atau nyindir dengan rekan-rekan di bbm. Banyak Orang yang mencari dp bbm lucu untuk di gunakan di display picture bbm. Ada sangat banyak misal dp bbm lucu yang bisa anda mencari.



Anda dapat buat sendiri dengan memakai aplikasi seperti fotorus, line camera serta lain sebagainya. Catat tulisan lucu atau nyinyir. Diluar itu anda dapat juga memberi tulisan-tulisan yang dikira lucu. Umpamanya seperti Buanglah bekas pada tempatnya, siang-siang lebih enak makan es buah dibanding makan bekas dan ada banyak yang lain .



Kumpulan Gambar DP Bbm Lucu Bikin Ngakak











dp bbm lucu



dp bbm lucu



dp bbm lucu



dp bbm lucu



dp bbm lucu



dp bbm lucu



dp bbm lucu

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Hemiballismus

A lesion in the subthalamus often leads to sudden
flailing movements of an entire limb, a condition called
hemiballismus.

Hemiballismus is usually characterized by involuntary flinging motions of the extremities. The movements are often violent and have wide amplitudes of motion. They are continuous and random and can involve proximal and/or distal muscles on one side of the body. Some cases even include the facial muscles. It is common for arms and legs to move together. The more a patient is active, the more the movements increase. With relaxation comes a decrease in movements. Physicians can measure the severity of the disorder by having the patient perform a series of basic, predetermined tasks and counting the hemiballistic movements during a set time session. The physicians then rate the patient on a severity scale. This scale gives scientists and clinicians a way to compare patients and determine the range of the disorder.
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Sunday, March 15, 2015

Telephone booth transformed into aquarium booths!

Wanna call? Talk to fishes!!

As public phones are outdated due to cellular phones so the japanese came up with an idea of utilizing them to decorate the streets. The phone booths were converted to Aquariums in Osaka, Japan. Can you imagine the amount of food required by all these booth aquariums? And do you think its worth it?
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Caloric reflex test

When you put Cold Water in an ear the nystagmus is towards the lesion with quick phase to the opposite side.

When you Put Warm Water in an ear the nystagmus is to the opposite side with quick phase to the same side.

COWS: Cold Opposite, Warm Same.
Cold water = FAST phase of nystagmus to the side Opposite from the cold water filled ear
Warm water = FAST phase of nystagmus to the Same side as the warm water filled ear
In other words: Contralateral when cold is applied and ipsilateral when warm is applied

Link :

http://www.youtube.com/watch?v=4NDOQnRMLIs
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Scratch Reflex


An especially important cord reflex in some animals is
the scratch reflex, which is initiated by itch or tickle sensation.
It involves two functions: (1) a position sense that
allows the paw to find the exact point of irritation on
the surface of the body, and (2) a to-and-fro scratching
movement.
The position sense of the scratch reflex is a highly
developed function. If a flea is crawling as far forward
as the shoulder of a spinal animal, the hind paw can still
find its position, even though 19 muscles in the limb
must be contracted simultaneously in a precise pattern
to bring the paw to the position of the crawling flea. To
make the reflex even more complicated, when the flea
crosses the midline, the first paw stops scratching and
the opposite paw begins the to-and-fro motion and
eventually finds the flea.
The to-and-fro movement, like the stepping movements
of locomotion, involves reciprocal innervation
circuits that cause oscillation.
Galloping Reflex. Another type of reflex that occasionally
develops in a spinal animal is the galloping reflex,
in which both forelimbs move backward in unison
while both hindlimbs move forward.This often occurs
when almost equal stretch or pressure stimuli are
applied to the limbs on both sides of the body at the
same time; unequal stimulation elicits the diagonal
walking reflex. This is in keeping with the normal patterns
of walking and galloping, because in walking,
only one forelimb and one hindlimb at a time are stimulated,
which would predispose the animal to continue
walking. Conversely, when the animal strikes the
ground during galloping, both forelimbs and both
hindlimbs are stimulated about equally; this predisposes
the animal to keep galloping and, therefore, continues
this pattern of motion.
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Different NHL non hodgkin lymphoma

PLASMA CELL NEOPLASMS


(Bonemarrow aspirate)
(Eccentric nuclei and Perinuclear Halo)

MULTIPLE MYELOMA

It is the neoplasm of PLASMA CELL
Infection of marrow macrophages with HHV – 8 IL 6 release Myeloma cell proliferation
Patients presents with
1. MULTIFOCAL DESTRUCTIVE BONE LESIONS throughout the skeletal system
VERTEBRA (MC site) > Ribs > Skull > Pelvis > Femur > Clavicle > Scapula
The focal lesion begin in the medullary cavity erode the cortical bone PATHOLOGICAL FRACTURES (MC site is vertebra)
2. Bone marrow show INCREASED NUMBER OF PLASMA CELLS (>30%)
Many variants of plasma cell can be seen: Plasma blasts, FLAME CELLS (Red), MOFF CELLS (Blue)
Many inclusions are also seen in these cells: RUSSEL BODIES cytoplasmic and DUTCHER BODIES nuclear.
3. Plasma cell infiltration of various organ tissue of the body

Clinical features
1. Due to Skeletal destruction
BONE PAIN
Pathological fracture
HYPERCALCEMIA
Punched out lesion on SKULL X RAY
2. Due to excessive abnormal monoclonal Ig
MC serum monoclonal Ig is IgG (followed by IgA)
HYPERVISCOSITY. Waldenstrom macroglobulinemia – serum proteins increases – viscosity.
HYPOGAMMAGLOBULINEMIA (Decreased production of Normal Ig)
3. RENAL FAILURE
It is due to Hypercalcemia + Light chain proteinuria + Pyelonephritis
Manifested as BENCE JONES (Ig light chain) Proteinuria
MC – IgG Kappa light chain
4. Due to bone marrow depression
Anemia
Thrombocytopenia

Clinical triad of multiple myeloma
MARROW PLASMACYTOSIS (>10%)
LYTIC BONE LESIONS
SERUM / URINE Myeloma (M) protein on electrophoresis

PERIPHERAL T CELL LYMPHOMA
Most are CD 4 +ve few are CD 8.
Has a DIFFUSE pattern of lymph node involvement
ANGIOGENESIS may be seen
Carries WORST PROGNOSIS of all NHL


CUTANEOUS T CELL LYMPHOMA
Also called MYCOSIS FUNGOIDES
Neoplastic proliferation of peripheral CD 4 + T cells characterized by the involvement of SKIN
There is infiltration of EPIDERMIS & UPPER DERMIS
Disease progression is characterized by extra-cutaneous spread, most commonly to LN & BM
SEZARY SYNDROME – A variant of mycosis fungoides in which skin involvement is characteristically manifested as GENERALIZED EXFOLIATIVE ERYTHRODERMA & CIRCULATING TUMOR CELLS

ADULT T CELL LYMPHOMA
Neoplasm of CD 4 + T cells infected with HTLV-1 virus
Seen in Japan & Caribbean
Characterized by
SKIN LESIONS (papules, plaques, ulcers)
HYPERCALCEMIA
PERIPHERAL BLOOD LYMPHOCYTOSIS
Peripheral smear Abnormal CD 4 + cells (FLOWER or CLOVERLEAF CELLS)
Another manifestation of HTLV-1 is TROPICAL SPASTIC PARALYSIS because of progressive demyelination of CNS.
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