ABANG.... SAYA TAK BUAT BUAT..... ia sebenarnya SILENT KILLER yang boleh membunuh isteri abang =(
Mesti mommy dah baca kisah Cikgu Siti Rohana yang baru 3 hari habis pantang 44 hari... & dijumpai tak bernyawa di atas katil manakala anaknya yang berusia 48 hari & 19 bulan berada di sisi =(
Punca kematian disebabkan paru paru berair & masalah jantung.
...Continue ReadingBrother.... I didn't do it..... it's actually a silent killer that can kill my wife =(
Surely mommy has read the story of teacher siti rohana who has only been 3 days after confinement for 44 days... & found not alive in bed while her 48-day-old and 19-Month-old child is on the side =(
The cause of death due to watery lungs & heart problems.
For the case of the late... we don't know what's going on... only that we know the late is complaining about her husband.
.
.
Good... this story has nothing to do with the late... it's only more to give awareness to husbands & wives that their form is extraordinary in confinement.....
The meaning of tiredness for a woman is not just the tiredness that a husband has passed.. What else when she just gave birth normally or czer.... movement is limited.. her emotions are mixed with baur plus the feeling that is trying to be strong even though weak...
Know... it's wrong if....:
1. Confinement alone..
2. Confinement & managing everything alone...
3. Abstain if husband is not only do not take it to know but hurt...
4. Confinement in a place that disturbing emotions & thoughts...
.
.
.
Please tell this to the husband... so that he also understands what you are going through:
During abstinence... where to take care of the wound after giving birth.. Jalan slammed reserve... Stone Stone (Rahim) that was berdenyut2, before shrinking & went up to the original place... by wanting to throw away the big water, the pain is afraid of tear & then constipation... Not mixed with milk swelling... the midwife is cut to remove milk.. Allah is very sick...
It's time to rest at night.. the child cried asking for milk... the husband slept and didn't help.. where with the milk didn't come out.. where with the czer wounds that are waiting for the time can be opened again if the wrong way..... plus stress With the cry of the child that makes mom confused... the yellow fever is not lacking... forced to be forced with people here to try that & this... & finally the child is vomiting & sick....
When I eat the wrong drink.. My veins hurt... one body is weak.. Blood comes out with an orgasm.. feels like there's someone who came out of the vagina... Allah... the uterus fell & almost came out....
This is just a few % of what pregnant mothers go through that makes her not only her... can even act cruel to herself & child without her self-conscious.... =(
.
.
.
Husband & wife need to be alert that the form of pulmonary embolism is one of the silent murderers when women are in confinement =(
" Pulmonary Disease Disease (Frozen blood in the blood channel to the lungs) is one of the main causes that causes the death of pregnant mothers and during the confinement period which is 6 weeks after giving birth. This incident rarely happens yet, it can cause the death of a sudden victim " - Dr. Mardiana kipli m. D (Unimas) - Expert and Gynecology expert.
.
.
.
Bad news - when... all women who are pregnant and also in the period of confinement are exposed to get disease disease disease because your blood is thicker than usual.
And, the risk of getting a pulmonary embolism during pregnancy becomes higher if you are:
1. Age more than 35 years old
2. Have children more than 2 people
3. Paralyzed and can't move straight over 3 days
4. Weight Over 80 kg or more than 30 kg / m2
5. Undergoing surgery surgery
6. Long-distance flights over 4 hours
Dehydrated
7. Ever got frozen blood disease before pregnant or on the content first
8. Blood spilled during birth (OVER 1 Liter)
9. Pregnant with twins.
.
.
.
Must be among mommy who has been through this sign, right? & make it light because I am afraid of husband & people around say it isn't it?
Not only you... but there are many women out there who 'keep' themselves sick & finally get to the hospital in fainted.. in a coma & some are not alive anymore.
.
.
.
Say you experience signs like this when it contains & abstain PLEASE TELL HUSBAND & MEET DOCTOR SOON...
1. Feet and pain on the calf (usually one foot only)
2. Hard to breathe
3. Chest pain
4. Bleeding cough
5. Pulse is so fast
.
.
.
That's why since pregnant mommy's emotions need to be taken care of.... afraid of being carried away until confinement =((for those who already have the book of @[151329642013884:274:9bulan10hari]... ask husband to refer to page 53-55... about the role of husband when wife Pregnant & listen to the expert in documentary video...-may it help husband understand the condition of the wife facing this change)
Confinement 44 days.... 100 days.. 6 MONTHS & 2 years... there is a reason.... (page 132).
Wearing socks... avoid sleeping in the air conditioner there is a reason....
My hand.. Herbal Shower... Massage.... There's a reason.... (page 135-138)
Don't make all your own work... ask husband to make it.. say husband BZ ask for family please... say BZ too.. then take CL / midwife to take care of mommy.
Avoid eating pelik2 during confinement.. refer to the confinement food set on page 140.
Don't be alone when abstain.... if you feel like someone whisper '.. quickly install Surah Ruqyah at home....
For Mommy.. Yes.. of course we make our husband happy & try to do the best for the family... but know.. if mommy is healthy... then the children will be happy too.... =)
Think good... do good things.. Insyaallah everything will be fine...
Source: #9 Bulan10hari & mmgazette.com
Copyright @ @[1416700617:2048:Nazira Nazir] for @[151329642013884:274:9bulan10hari] is not allowed to copy paste!Translated
同時也有1部Youtube影片,追蹤數超過92萬的網紅EVA GAMER,也在其Youtube影片中提到,สเป็คของ จอ LG Curved UltraWide GamingMonitor รุ่น 34UC79G Size (Inch) : 34" Curved 144Hz Panel Type : IPS Color Gamut (CIE1931) : NTSC 72% Color Dept...
m2 to kg 在 王姿允醫師。我的無齡秘笈。 Facebook 八卦
[關鍵報告---哪一種巨量營養素比例最能幫助體重下降?]
關於讓體重下降的「最佳比例」一直都眾說紛紜,因為營養素是個比例的概念,你高我低之下很難知道誰才是關鍵。
讓我們先來看一篇在營養學界分數不錯的期刊《Nutrients》上周出爐的研究,針對639位過重(BMI=32.7 ± 3.8 kg/m2)的人依空腹血糖正常與否(空腹血糖 <100 mg/dl)跟有無「前期糖尿病」(這裡的定義是空腹胰島素值 ≥ 13.8 µIU/mL,表示胰臟很操而且敏感度已降低)分成四種組合,以低卡(比原本的平均攝取熱量少750卡)高纖(一天至少20g膳食纖維)低升糖指數的前提下,隨機分配到四種不同的飲食比例:
1. 低脂中蛋白(low-fat/average-protein): 20% F, 15% P, 65% C
2. 低脂高蛋白(low-fat/high-protein): 20% F, 25% P, 55% C
3. 高脂中蛋白(high-fat/average-protein): 40% F, 15% P, 45% C
4. 高脂高蛋白(high-fat/high-protein): 40% F, 25% P, 35% C,
這裡大家要注意一件很重要的事!在定義上的高/低脂(以30%為界),高/中蛋白(以20%為界)是沒有問題的,但沒有強調的是,大於45%以上的碳水都達到「高碳水」的飲食標準了!
兩年之後觀察到的結果如下:
1. 只要空腹血糖正常的人,不管有無進入糖尿病前期,「低脂高蛋白55%碳水」這組都有最優異的成果(平均減掉5公斤),有達顯著意義差距的是同樣低脂條件下,高蛋白比中蛋白更好(平均多減去2.6公斤)。
2. 另外雖然沒有顯著意義,但四種組合比起來,減去最少的就是「低脂中蛋白65%碳水」這組也就是一般女性或老人家最常吃的飲食比例,蔬菜貝果稀飯麵包生菜沙拉這類。而同樣高蛋白的情況下,低脂還是比高脂好。
3. 如果用另一個胰島素阻抗的指數(HOMA-IR > 4.0)來看的話,對於有胰島素阻抗的人來說,不管是高或低脂,高蛋白都比中蛋白好,請注意蛋白比例高意味著較低的碳水比例。
4. 雖未達到統計的顯著意義,對於有胰島素阻抗的人來說,同樣都是高蛋白的情況下,「高脂35%碳水」這組的效果比「低脂55%好」,重點我認為還是在低碳而不是高脂啊!(所以這篇研究結論直接寫有胰島素阻抗的人適合吃高脂高蛋白飲食我覺得不太ok)不管有沒有血糖問題,高脂肪都不是好事啊!對於體重下降跟維持血糖穩定這件事,碳水的重要性就比脂肪還要重要多了!
5. 膳食纖維攝取多的(>35g)減去比較多體重。(這應該不用解釋…)
既然碳水跟蛋白質看似都比脂肪大聲,而「較高的蛋白質跟較低的碳水」感覺最好,那到底是「高蛋白」影響大還是「低碳」影響大?我們把差距再拉大來看看:另一個2012年的132人的研究,也是用兩種巨量營養素的高低來分成四組,來研究3個月(BMI=37 ± 6 Kg/m2)減重期+9個月維持期的效果,只是主角換成了碳水跟蛋白質(熱量為基礎代謝BMR×1.5的33%),而且在比例上我覺得更有鑑別度:
1.正常蛋白+正常碳 (normal-protein/normal-carbo): 20% F, 30% P, 35% C
2.高蛋白+正常碳 (high-protein/normal-carbo): 20% F, 60% P, 35% C
3.正常蛋白+低碳 (normal-protein +low-carbo): 40% F, 30% P, 5% C
4.高蛋白+低碳 (high-protein /low-carbo): 40% F, 60% P, 5% C
(註:這裡的低碳其實已經達到極低碳的標準,所謂正常蛋白也是高蛋白的標準了,脂肪就是控制在30±10%的中間)
各位觀眾~~結果是不管碳水正常或偏低,高蛋白(60%)都比正常蛋白(30%)減去更多的體重及維持的更好啊! (p<0.001)(蛋白質又KO了碳水),因此這個研究大膽做出推論:”Body-weight loss and weight-maintenance depends on the high-protein, but not on the ‘low-carb’ component of the diet, while it is unrelated to the concomitant fat-content of the diet. “
「低碳飲食中的體重減輕和體重維持取決於高蛋白質,而不是取決於飲食中的“低碳水化合物”成分,與飲食中伴隨的脂肪含量無關。」
綜合以上兩篇研究,裁判Tammy Wang默默把冠軍頒給高蛋白質,亞軍是低碳水,季軍是脂肪囉~~~
#拜託別再有人看到前一篇問我糖尿病是不是吃高脂比較好😂
#研究的判讀比結果本身更重要
#高蛋白低碳低脂高纖是王道
#匀禾妍美學健康診所
#每天上班都在曬美杯
m2 to kg 在 加護病房查房日誌 Facebook 八卦
加護病房查房日誌20180321
大家有沒有聽過? Dialysis disequilibrium syndrome(DDS)?洗腎不平衡症候群?這是在洗腎的時候,可能因為滲透壓的不平衡,導致的一種情況,可能會seizure等症狀。
今天老師要跟大家分享如何預防DDS。
首先甚麼樣的族群呢?是每個洗腎的人都要嗎?
建議是要針對高風險的人,特別是第一次洗腎,BUN特別高,或在洗腎時會出現一些神經方面的問題。
最重要的預防監測指標為限制在治療時的BUN下降,建議是數天內慢慢地下降比較好。
那要怎麼做呢?
1. 洗腎的時候,在剛開始的前兩個小時,盡量用相對低血流速,150 to 250 mL/min,搭配小的surface area dialyzer (0.9 to 1.2 m2)。
2. 病人應該連續三到四天重複洗腎,不過要依照病人臨床的反應進行調整,如果病人沒有任何DDS的症狀,血流速可以每次治療時提50 mL/min,最高300 to 400 mL/min,而且洗腎的時間可以慢慢增加30分鐘,最高到四小時或更多,依照適當移出的溶質情況而定。
3. 若病人有明顯體液過多情況,可以用ultrafiltration治療,這個可以減少移出尿素的量,而且對血漿的滲透壓改變不大。
4. 若病人有顯著的增加BUN或神經學症狀,應該讓病人住院期間洗腎,比較安全。
以上是uptodate的說法,也有醫師會用在透析時注射mannitol (1 gm/kg/次透析),最近老師還遇到使用D50W注射,這些也都可以。
看看大家對於這樣的做法,有沒有甚麼經驗,或是甚麼病人會使用mannitol?歡迎大家在底下留言分享喔。
圖片來源: http://www.netdoctor.co.uk/…/liver-kidney-a…/a3034/dialysis/
#腎臟透析
m2 to kg 在 EVA GAMER Youtube 的評價
สเป็คของ จอ LG Curved UltraWide GamingMonitor รุ่น 34UC79G
Size (Inch) : 34" Curved 144Hz
Panel Type : IPS
Color Gamut (CIE1931) : NTSC 72%
Color Depth(Number of Colors) : 8bits, 16.7M
Pixel Pitch(mm) : 0.312 mm x 0.312 mm
Resolution : 2560 x 1080
Brightness(Typ.) : 250cd/m2 (Typ.), 200cd/m2 (Min.)
Contrast Ratio(Original) : 1000:1(typ.)
(DFC) : Mega
(GTG) : 5ms(High), 1ms with Motion Blur Reduction
Viewing Angle(CR≥10) : 178 / 178 (CR≥10)
Jack Input / Output
Interface : D-Sub ไม่มี
Interface : DVI-D ไม่มี
Interface : HDMI ver2.0, 2ea
Interface : DisplayPort ver1.2
Interface : Thunderbolt ไม่มี
Interface : USB Type-C ไม่มี
Interface : Headphone Out มี
Interface : Audio Line Out มี
Interface : PC Audio In ไม่มี
Interface : IR In / Out ไม่มี
USB : Up-stream USB3.0 1ea
USB : Down-stream USB3.0 2ea * included Quick Charge for port 1
Speaker
Audio output (Watt) ไม่มี
Audio Tuning ไม่มี
POWER
Type : Adapter
Input : 100 ~240 , 50/60Hz
Ouptput (USB Type-C PD) : ไม่มี
Normal On(EPA7.0) : 50W
Normal On(typ.) : 52W
Power Save/Sleep Mode(Max) : 1.2W
DC Off(Max) 0.3W
Frequency
D-Sub : H-Frequency ไม่มี
D-Sub : V-Frequency ไม่มี
DVI : H-Frequency ไม่มี
DVI : V-Frequency ไม่มี
HDMI : H-Frequency 30 ~ 163KHz
HDMI : V-Frequency 60~144Hz
DisplayPort : H-Frequency 30 ~ 163KHz
DisplayPort : V-Frequency 60~144Hz (FreeSync 50~144Hz)
USB-C : H-Frequency ไม่มี
USB-C : V-Frequency ไม่มี
Special Feature
Picture Mode Custom, Reader, Photo, Cinema, Color Weakness, FPS Game 1, FPS Game 2, RTS Game, Custom (Game)
Ratio Full Wide, Original, Cinema 1, Cinema 2, 1 : 1
PIP PIP mode in Screen Split
PBP ไม่มี
DDC/CI มี
HDCP มี
Key Lock มี
Response Time Control มี
Quick Charge มี
FreeSync DP 50~144Hz
Game Mode มี
DAS Mode มี
Black Stabilizer มี
1ms Motion Blur Reduction มี
Crosshair มี
Flicker Safe มี
Smart Energy saving มี
Automatic standby มี
Reader Mode Picture Mode
Six Axis Control มี
Super + resolution มี
Color Calibrated มี
H/W Calibration (True Color Finder) ไม่มี
Dual controller มี
Screen split2.0 (in OSC) มี
My Display Preset (in OSC) มี
OnScreen Control (OSC) มี
Dual EDID (H/W) มี
One Click Stand Set-up มี
Mechanic
Tilt(Angle) 5~20 Degree
Swivel(Angle) ไม่มี
Height(Range) 120mm
Pivot(Angle) ไม่มี
Dimension (W*D*H, mm)
Set (with Stand) ( mm) 830.5 x449.5 x279.7
Set (without Stand) ( mm) 830.5x370.3x75.5
Box ( mm) 988x212x523
Weight (Kg)
Set (with Stand) (Kg) 8.6kg
Set (without Stand) (Kg) 6.4kg
Box (Kg) 11.8kg
Wall Mount
Wall Mount size (mm) 100 x 100 (VESA compatible)
Wrap
Packing Material EPS
Stacking Type Vertical
Stand Packing Type Base Detach
Box Printing Type Offset
Handle Hand Hole
Standard
TCO 6.0 ไม่มี
UL (cUL) มี
TUV-GS ไม่มี
TUV-Ergo ไม่มี
TUV-Type มี
FCC-B, CE มี
CCC (for China) มี
BSMI (for Taiwan) มี
EPA 7.0 ไม่มี
Erp มี
ISO9241-307 ไม่มี
EPEAT Gold ไม่มี
Medical Certificatioin ไม่มี
Windows มี
DisplayPort มี
Others ไม่มี
Accessory
Power Cord มี
D-Sub ไม่มี
DVI-D ไม่มี
HDMI มี
USB ไม่มี
Display Port มี
USB Type-C to Type-C ไม่มี
Gender (USB Tpye-A to Type-C) ไม่มี
PC Audio ไม่มี
Cable holder มี

m2 to kg 在 how to convert kg/cm2 to kg/m2 - pressure converter - YouTube 的八卦
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