Largest Atomic bomb and the Lucky Kokura

'Its a mushroom cloud!'he said.
'No,it's just a cloud',I replied and  continue to flip the next  57th page..
'What could be the loudest explosion ever human detonated?I knw,its hiroshima,'he blabbered  himself.Well ,the shock wave produced by the meteoroid  that killed all the dinausours on richter scale~estimated 12.5 but the max we human have ever seen is 9.0 in Japan(means we havent face the worst;yet).The largest and most powerful nuclear weapon ever detonated ,the Tsar produced 8.12 on richter scale..the good thing is Tsar have never been use for warfare before,it was just tested in an Archipelago..Even the dual atomic bomb wasn't the biggest..While im confusing my self with all this question,my brain wondered again.On 9th August 1945,did Kokura rly was saved by the cloud tolling Nagasaki or the tactical human's act-it remains a debatable theory..

By lakdhes

Hydrocephalus,Meningocele,Bow Leg and Gravity

Few days back,I saw this baby in the pediatric surgery ..She was cute and adorable.Everybody in that ward loves her..She was in that ward because she had hydrocephalus ,meningocele and genu venum.But one thing was uncommon for her and the rest of the babies and kids in the ward;she was on a table, in the nurse's room all the time..I just wonder why whenever I saw her  there on the same spot.At times,different people will be playing with her and she will be playing with them too..That's the beauty of that baby.She still didn't know that world is full of shitty humans and treat everyone like her family..She seldom cries,most of the time will be smiling and blurrrr at moments-babies nature.

Later I got to know that,the baby's mother abandoned her on the 6th floor of the hospital covered with clothes and the reason was because the baby looks abnormal.That's what everyone said and  with the baby's condition,the mother  might felt such way.That what poverty and illiteracy does to human,

Meningocele is a type of spina bifida.Well spina bifida is a birth defect where there is incomplete closing of the backbone and membranes around the spinal cord and  meningocele typically causes mild problems with a sac of fluid present at the gap in the spine.Usually during pregnancy, amniocentesis can reveal about this condition marked by high alpha- feto protein level.USG and medical imaging helps too.The fucked up thing about meningocele is that it will bring it's friends along such as hydrocephalus and bow leg together in many cases..Hydrocephalus is the abnormal accumulation of CSF in brain.With the increase of intra cranial pressure,there will be progressive enlargement of the skull and one of the common cause for hydrocephalus is spina bifida..When we look about bow leg,it is a physical deformity marked by outward bowing of the lower leg , giving the appearance of an archer's bow. Usually bilateral bow leg occurs in  rickets,while infection and tumor give rise to a one-sided bow-leggedness..-and the baby was suffering from unilateral bow legged which could be corrected with physiotherapy once she start to walk..

The interesting thing about bow leg reminds me about what will happen if babies were  born in space. Things will be more complicated if the fetus develops in space and is then born, so I will just talk about a pregnant woman flies in space and gives birth almost right away.When such circumstances occurs,the baby will be born pretty normal because it will develop in the womb very normally at Earth's gravity. What happens then is very interesting.

The bone cells are programmed to grow--they don't stop until you are a teenager or so. But it is gravity as a stress that makes the cells in the bones have the right alignment, or stack up properly and pull the bone so that it forms straight. Without gravity, the baby's bones won't get long and thin like adult bone. They will be very easy to break, and they won't grow as fast. This is true for arms and legs.

The bones at the top of the baby's head will actually grow thicker and stronger than on Earth. This is because your heart does not have to work so hard to move blood and other fluid from your feet to your upper body because there is no gravity. What happens is that the heart still pulls on the fluid in the legs, which now comes out much more easily. This causes the upper body to have more fluid and more pressure, which causes stress. Stress is always what makes bone grow and change. So, more pressure, more growth in the skull.

The bones in the hands will probably be normal because the baby/child/adult will use his hands just like on Earth. The feet will probably not grow much because they don't get the stress from having the weight of your whole body on them--no stress, not much growth. Ribs are interesting. Ribs protect your lungs and give support to your body so they don't collapse. They would probably be okay, but develop thinner than on Earth, so they wouldn't be nearly as strong. The spine is really going to be affected. The gravity won't push / pull down on you, so the vertebrae don't feel the stress, so they won't grow. But they will get stress from the spinal cord as it grows and pushes out. So you would probably end up with thinner, very easily crushed vertebrae.

Muscles work the same way. They need stress to grow and develop. Gravity is a stress force that pulls in one direction causing the muscle to develop in the right shape. So, if it is a muscle that won't be used much (say, the muscles that move your feet), they won't grow nearly as strong. Some muscles will be almost the same, such as your hand muscles. They aren't much affected by gravity--they are more affected by how the other muscles in your hands contract and release. They are stressed independently of gravity. Other muscles, like your heart, will be different. Your heart won't have to work as hard because there is no gravity to make blood circulation difficult. This takes a while to happen though. With a baby just born, probably the heart will never develop nearly as strong as a baby on Earth will.

Muscles and bones work together. The muscles are attached to bone, and they are very tightly connected. If you exercise a muscle, it pulls on the bone and causes a pulling stress. This helps the bone grow stronger in that area. This is why kids are told to play around outside when they are young--their bones grow very fast and if the child does a lot of exercise, the muscles get strong, making the bone very strong.

So, a baby born in space is going to have pretty strange and weak bones in most parts of their body. This shouldn't affect them too much if they spend their whole life in space, but they will be in a lot of trouble if they come back to Earth. Their leg and feet bones will be too weak to hold them, the spine will probably crush under its own weight. The heart muscle will not be strong enough to pump blood around the whole body because of gravity pulling the blood down, and leg muscles will be too weak for you to stand. Basically, your bones and muscles will be much too heavy to support, and you will fall down in a big heap and die - (unless the mother is very insistent and special equipment is made so the baby can exercise muscles and bones to make them similar to the ones on Earth -but you still have heart and other things...).



and back to our story,the root to the problem could be corrected if the mother get enough folate supplement during her pregnancy which only cost RM1..20 per strip...Simple as abc..but illiteracy and poverty toll the girls life..Yet ,there was a good thing from all of this..There was a sir and madam that did the surgery for free for that girl and taking care of the baby so well till someone is willing to adopt her..Maybe God took shit our of the baby to give something better..

by Lakdhes


Ref:
 http://quest.arc.nasa.gov/people/jour...
conception and fertility in space: 

http://www.escapistmagazine.com/news/...
http://weboflife.nasa.gov/currentRese...

http://www.lifeslittlemysteries.com/1...
https://en.wikipedia.org/wiki/Genu_varum
https://en.wikipedia.org/wiki/Spina_bifida
https://en.wikipedia.org/wiki/Hydrocephalus

Wormhole,Milky Galaxy and Me

Usually ,if we went fishing late at night,the next thing we could do once we set the net is -sleep..that night,while looking at the clear sky, full of stars, million lightyears away,I was wondering if the hypothetical wormhole(a theoritical passage through space-time that could create shortcuts for long journeys across the universe) really exist or not..maybe one day,i would be able to visit kepler 452b myself using a wormholes..or even travel to a parallel universe..(hopefully there are parallel universe with human friendly aliens)

But the problems are-microscopic size and the quick collapsing criteria of a wormhole. However, as the universe expands, it is possible that some may have been stretched to larger sizes and a wormhole containing exotic matter could stay open and unchanged  for longer periods of time- 

Which means ,even my friend navin could travel in it a day...

2016

Cortisol ate my muscle more than anything else. Past two weeks chittagong have been cruel to us..you knew people are cheating you but you can't do anything about it..that's the funny thing about this world..it laugh at your pain..being a foreigner in a foreign soil,far from family never been an easy thing..that's the moment when you realized that this world is fully of shit and craps everywhere in the form of humans..human that only seek you when they needs you.

Well,who give a damn about the shitty humans.They can't be changed.Anyway 2016 still seems unsteady with new environment..Let's  see what new shit it can throw at you this year..

A Typical Lecturer Straight from Satan's Cave.

This is a continuation of The first Lesson I Learnt in My Medical School


                                                               Chapter 6


 The Sir looked unembellished, in his late 40's with a nerdy glasses, a typical lecturer straight from Satan's cave. That's how he looked at the 200  students standing in front of him. 
'His sinister smile is his trademark I guess',Jeeva whispered .
'Muddddhheedaaa",I whispered back.(it means shut up,but if u add some tune to the word while whispering ,it might means stfu too).

 'How many foreigners are here? Raise your hand!',that was the first sound we heard from his mouth.If you were him, you could see about 20 raised hands while all the local student's head turned towards us, scanning and counting in their heads.I noticed some of students from our group of 20 seems proud of themselves.The proud smiles were there on their faces as if they going to receive a medal .Meanwhile the remaining us looked nervous -and I'm one of them.

'All move to the middle,tara teri',he said using the microphone..

The sir asked us to move to the middle of the lecture hall;to the stairs and we were clueless.Damn.It was way worse than what I imagined Jeeva might caused.That's how I felt. The lecture hall was in a mourning silence..

"I studied in UK,' he uttered few words and linked it to his college life.

"They used to bully me lot.So I don't respect them too',he continued while we were standing in the middle,on the stairs, holding our pen and books, listening to him with full attention.

'So sit on the floor.That's what you get from me",he concluded.

I was just 3 when some Britain junkies bullied him.'It wasn't his fault.He was gifted with such an annoying face that ended up with people bullied him',Shaun whispered.Shaun is a modern Punjabi boy from Malaysia too.He is my new classmate too along with Mugil,Raj,Roshan and few others that I still can keep remember.He never wears a turban,that is why I meant him 'modern'.


Since we don't have any options ,we sat on the floor.
'what the fuck la this?Is this why paid so much to be here,sitting on the floor",Jeeva asked me slowly.
'If he see us talking,don't know what else he might do la..So shut up and just write something',I said.

 Some of the Malaysian girl showed 'seriously??' kind of face, while the boys just goes with the tide like an emotionless statues except this boy from Ipoh,Ajay.I only met him once in this few days and he was abnormally friendly then.. He was seriously down and his facial muscles couldn't hide it.

Who wouldn't actually? You wore your new fresh whitish lab coat and the reality was you have to sit on the floor..The floor that hundreds of muddy and dusty slippers just walked onto- a pair of it was mine, just replace the slipper with shoe. With his nicely ironed blue shirt and polished black shoe, it definitely wasn't a pleasant morning for him,and us..and definitely not a good start for any student..
10 minutes before 12pm,he ended the class and walked his way out...

to be continue..





   
   

Island and I

By lakdhes

What's special about the isolated island in the picture..Anyone that have been here will knw what's special about this archipelago ..When we reached there, we met  two Czech guys  that was kayaking along with us.(but we reached first,biasalah)..One of them was 202cm tall ..His height made me curious and that's how I started the conversation. Okay, let's skip the random shit, but one of them was talking about what will happen if they trapped on an island. Well, everyone knws abt Robinson's story that we read during our secondary school.I can't recall the real Robinson C's name, bt he survived many years on that island with Friday because there was plenty of fresh water for his survival on that Island.
Drinking sea water would actually be a squit-ticket to die, since it will fry your kidney..So let me share about the last thing u can do when u trapped on an Island and you can't find fresh water to drink. That's when I felt i should tell him about enema.An enema may be used as a last-resort method for rehydration, particularly if the only available fresh water is contaminated and unfit for drinking..(if you drink the dirty water, then you will die sooner due to  severe dehydration caused by vomiting and diarrhoea.) The reason is that the water would be readily absorbed by the colon while avoiding any gag reflex and vomiting caused by the contaminants.
#donttryitathome
#justaninfo
#ifyouknwBearGrylls
#thenyouwillknwallthis

Relationship Goals:Sucks

Maybe the past is like an anchor,
Holding us back..
Maybe you have to let go,
of who you were,
to become who you will be..

Lakdhes. . .

Jungle trekking-moments

The stairs by lakdhes

What's special about this place.Well recently I met this person here. A complete stranger but was quite friendly.Unfortunately, I can't recall her name now.  She asked me a question after some random chat.Honestly my knowledge was shallow regarding her question then.

She asked me, if botox can make our face pretty, why not inject it into our blood and make it work generalized for all the muscles(the way she asked was really  funny).haha,I realized that this type of innocent  questions are the one that at times help us to improve and make us learn something beyond the syllabus of our books. Like once someone asked me, is cancer contagious? Like if a mosquito bite a cancer patient and us next, will we get cancer too?
Lol..

What is the answer..haha...
Comment if you know..

Depression Care

I'm watching you...
and I wish to listen..
you're not alone..
share with me..




infomedic/fb

How to sleep better

Tips for getting better sleep:

1.Establish a regular bedtime and a relaxing bedtime routine—examples might include taking a warm bath or listening to soothing music.

2.If you can’t fall asleep after 15 to 20 minutes, get out of bed and go into another room. Do something relaxing, such as reading quietly with a dim light. Don’t watch television or use a computer, since the light from their screens has an arousing effect. When you feel sleepy, get back into bed. Don’t delay your scheduled wake-up time to make up for lost sleep.

3.Use your bed only for sleeping or lovemaking. Avoid reading and watching television in bed.

4.Don’t take long naps during the day. If you need a nap, restrict it to 20 to 30 minutes in the early afternoon.

5.Get plenty of exercise. Build up to 45 minutes of moderate exercise nearly every day. Get your exercise early in the day. Try some easy stretching exercises or yoga to relax your muscles and your mind at bedtime.

6.Whenever possible, schedule stressful or demanding tasks early in the day and less challenging activities later. This helps you wind down at the end of your day.

7.Don’t go to bed hungry, but don’t eat a big meal right before getting into bed. If you want a bedtime snack, keep it bland and light.

8.Limit caffeine and consume none after 2 p.m.

9.To decrease middle-of-the-night urination, don’t drink any fluids after dinner.

10.Avoid alcohol after dinnertime. Although many people think of it as a sedative, it can get in the way of quality sleep.

11.Be sure your bed is comfortable and your bedroom is dark and quiet. Consider a sleep mask or earplugs.

12.Practice relaxation breathing. Use slow breaths, especially when you exhale.

Murmur

Heart murmurs are sounds produced by turbulent blood flow in the heart, particularly the heart's valves. Heart murmurs can be found in babies or develop later in life. Generally murmur is not a condition,but a sign which will leads to condition like mitral regurgitation and aortic stenosis .That is why sometimes student have to study  murmur along with MR,AS etc.

It can be classified according to:

Timing and Cadence

Systolic murmurs occur between the first heart sound (S1) and the second heart sound (S2). Diastolic murmurs occur between S2 and S1. In addition, timing is used to describe when murmurs occur within systole or diastole. For example, early systolic, midsystolic or late systolic. 

Duration

Heart murmur duration refers to the portion of systole or diastole that the murmur occupies. Terms used include short and long. Murmurs lasting throughout systole are referred to as holosystolic or pansystolic. 

-pansystolic murmur usually associated with mitral regurgitation.

The first and second heart sounds are normal but 

a mid-frequency rectangular murmur fills all of systole.

Pitch

Evaluation of the murmur's pitch should be made by classifying the pitch (frequency) as low, medium or high. The stethoscope's bell can be helpful with low pitched sounds while the diaphragm is used for medium or high pitched sounds.

Shape

Some murmurs are described by the sound's shape. Common classifications include crescendo (increasing intensity), decrescendo (decreasing intensity), crescendo-decrescendo (increasing then immediate decreasing intensity). Crescendo-decrescendo is also called diamond shaped. Rectangular, also termed plateau indicates a heart murmur of constant intensity. 

Tonal Quality

Listen for additional aspects of the murmur's sounds. Heart murmurs may have qualities that can be noted as musical, harsh, blowing, booming, sharp or dull.

Respiration and Patient Position

Respiration or patient position can influence murmur intensity as well as heart sound splitting. Generally , murmurs increasing with expiration originate with left side (aortic or mitral) valves, while murmurs increasing in intensity with inspiration originate with tricuspid or pulmonary valves.

Additional:

1.diastolic murmur- a heart murmur heard at diastole, due to mitral obstruction or to aortic or pulmonic regurgitation with forward flow across the atrioventricular valve; it has a rumbling quality.

2.prediastolic murmur- one occurring just before and with diastole, due to aortic regurgitation or pulmonic regurgitation.

3.presystolic murmur- one shortly before the onset of ventricular ejection, usually associated with a narrowed atrioventricular valve.prediastolic murmur one occurring just before and with diastole, due to aortic regurgitation or pulmonic regurgitation.

4. mitral regurgitation - a disorder of the heart in which the mitral valve does not close properly when the heart pumps out blood. 

5.aortic stenosis -is the narrowing of the exit of the left ventricle of the heart.It may occur at the aortic valve as well as above and below this level. It typically gets worse over time. Symptoms often come on gradually with a decreased ability to exercise often occurring first. If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse. Loss of consciousness typically occurs with standing or exercise. Signs of heart failure include shortness of breath especially with lying down, at night, and with exercise as well as swelling of the legs. Thickening of the valve without narrowing is known as aortic sclerosis.

Sunrise :A different day,different questions

If Ozone in the Earth's stratosphere is created by ultraviolet light striking ordinary oxygen molecules containing two oxygen atoms O2, splitting them into individual oxygen atoms and when the atomic oxygen then combines with unbroken O2 and  created ozone, O3,why ozone can't be create artificially?because it's super unstable ?and if ozone really healing itself after banning of cfc,will the earth temperature reduce like before?or only skin cancers cases will reduce?

and if the is major tectonic plates movement ,will the Pangaea forms again? At least,can we see the Lemuria again?Travel by road to Australia perhaps?

books drive me crazy n leads to neurosis..zZzzZz

p/s- a year from now,when u read this again,this shouldn't be a question anymore.

an year
a year

Why people using both since  ( y ) is not a vowel .  Fat-finger syndrome?

Clinical examination

Easy Clinical Examination 

Not mine.

How to overcome Depression

How to overcome Depression

How to be happy?
How to be more confident?
How to be attractive?
Is there any ways?
The answer depends on  you.Others can only guide you,but end of the day,it's all about you.

Why people become depressed?
What is depression actually..?
Wikipedia define depression as a state of low mood and aversion to activity that can affect a person's thoughts, behavior, feelings and sense of well-being.
Science addressed it as a feature of some psychiatric syndromes such as major depressive disorder.


People with depressed mood can feel sad, anxious, empty, hopeless, helpless, worthless, guilty, irritable, ashamed or restless. They may lose interest in activities that were once pleasurable, experience loss of appetite or overeating, have problems concentrating, remembering details or making decisions, and may contemplate, attempt or commit suicide. Insomnia, excessive sleeping, fatigue, aches, pains, digestive problems or reduced energy may also be present.It's a lot of shit,but you will never understand it fully without experience it.

What depressed people do is,they  isolate them self from others,They feel  no body cares about them.They want to be alone.But deep inside,they need someone ,something that can help them to overcome it.Who the fuck likes and want to be depressed in the first place.As the last solution,they will commit suicide and end their life when all the prescribed drugs failed to help them.Before they choose the ultimate decision,they will search on net for ways to overcome depression  without contact someone in person.The feeling will be like you're drowning and you really,I mean really wish that someone will give a hand to you and bring you out from your misery.

1.So,what is the way to overcome this.It took me many years to find the real solution and I decided to share it with others.Who cares how many people will read this,how many people will comment on this post.I don't care.Confidence is not  'they will like me'.Confidence is 'I will be fine even if they don't.'First of all,how do I know how many people likes me out there with this uncertain world.Human are good pretender.So,never care about others.That is the first step you apply to avoid being depressed thinking you're not good.The moment you compare yourself with  others,that moment it self you are below them.Never compare your self with other doesn't matter how successful they are.Some might be an athlete ,a bodybuilder,a successful business man,entertainer,public figure.You might compare your self for not being them,but wait..Did you try nor put any effort to be like others?
But you're good in comparing with others since comparing is easy.Sounds unfair?Definitely yes.
Stop comparing with others.You never know your capability without trying.You might be the same level as others when you try.Maybe a step above them.So,don't judge yourself without trying and doing something .



2.and about people being depressed because of relationship, do you know what is the main culprit for this?We never get enough care and attention from our partner.When this happened,we never move on but still going after them and get nothing but shit.One reason why people keep going after their useless partner is love.Others might be memories.Correct?What is love?Just a cocktail of endorphins and P.E.A that drives us crazy.We might think we will never find someone like them again,anymore.Bullshit.You will smile for your stupidity when you get someone better than your ex a day.The reason why we going after them again and again and why we can't move on and why in the first place we seeking for their attention is the same reason.We are not busy enough with ourselves .We don't love our self and that's why we can't decide what we like and do it on our own.Since we are being lifeless and from no where,when someone like us and we are in a relationship,all we need is their time and attention.How can we expect others to do the same for us in the name of love.Love is about being strongly a part and being strongly together at the same time.They will do their own stuff and you will do your own and at the right time,you both will go for a date,interact,cuddle,what ever shit it is,you both should do it together at the right time,but definitely not 24/7.If one partner is lifeless and and got nothing better to do,that is the moment when love Satan arise.So,the problem is not with the partner,but you(I'm not including the assholes that betray and having many girlfriends and boyfriends at a time).Keep yourself busy and productive.Then you will know the difference. 

3.and for those who being depressed with studies, .. 

Hemicrania Continua

Hemicrania Continua:
Persistent One sided Headache(for easy search) 

The reason why  I select this picture: she's very pretty. 

Many times, when someone asked me about their persistent unilateral headache, I tried my best to know the cause and it's type.Either , migraine , cluster, tension, hormonal and etc..but a day, I came across this, something wasn't in the book.Maybe not in the books that I was using. :P 

For many times,I have seen myself doctors prescribed paracetamol, aspirin for patient with  persistent headaches, but they kept coming back with the same complaint.So the doctor at time asked the patient to do a CT scan and CT reveals nothing.Then I came across this type of headache that responds well for Indomethacin (for sometime maybe).This is just an info, so If you having any of the symptoms, don't make your own assumption.Just check with you doctor before taking the over-the-counter drugs.

Hemicrania continua  is a persistent unilateral headache . It is usually unremitting, but rare cases of remission have been documented. Hemicrania continua is considered a primary headache disorder, meaning that it is not caused by another condition.

The following diagnostic criteria are given for hemicrania continua:
1.Headache for more than 3 months fulfilling other 3 criteria

2.All of the following characteristics:
-Unilateral pain without side-shift
-Daily and continuous, without pain-free periods
-Moderate intensity, but with exacerbations of severe pain

3.At least one of the following autonomic features occurs during exacerbations and ipsilateral to the side of pain:
-Conjunctival injection and/or lacrimation
-Nasal congestion and/or rhinorrhea
-Ptosis and/or miosis

4.Complete response to therapeutic doses of indomethacin, although cases of hemicrania continua that do not resolve with indomethacin treatment have been documented.

A variant on hemicrania continua has also been described, in which the attacks may shift sides, although meeting the above criteria in all other respects.

Main features differentiating Hemicrania continua from cluster headaches (migrainous neuralgia, etc) are the higher frequency and shorter duration of attacks, higher incidence in women, and the response to treatment with indomethacin. Also hemicrania continua is not associated with cranial nerve palsies.

Remember, check with your physician for better information.