Vmobile Technopreneur

Vmobile Technopreneur

                   

Hello everyone!!!! 

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KAHIT NASA TRABAHO KA AT KUNG ANO MAN ANG IYONG GINAGAWA

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 Garena                             Dream Satellite TV                    Globelines

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 Softnyx                              Blast

 Starcraft II                         ISP Bonanza

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                                       SmartBro Load

VMOBLE is launching the M-POWER SIM powered by Smart to provide seamless loading experience to members!

 

!!e-loading business!!

sa maliit na puhunan may business ka na siguradong kikita dahil ito ang in demand na negosyo ngayon

BAKIT MAGANDA ANG NEGOSYONG ITO?
1.      Halos lahat na ng tao sa Pilipinas ay gumagamit na ng cellphone. Kailangan nila ng load.
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Thundercats 2011

A new take on the original 1980s animated series, combining fantasy with science as the heroes and villains on the show fight for the Stones of Power. The ThunderCats are on the move! After the kingdom of Thundera is attacked by the lizard people, Lion-O leads Tygra, Cheetara and the other heroes on a quest for the Book of Omens and the magic stones of legend. But he'll have to face villains like Mumm-Ra, the ancient evil sorcerer, and Slithe, the dangerous lizard general. Luckily, he has the Sword of Omens and its amazing powers at his disposal. ThunderCats, ho!

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Mission Impossible 4 (CAM)

Screenshot

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Locomotion

LOCOMOTION

watch this so funny

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Muamar Gadaffi Leaked Videos

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SM Pampanga Shooting Incident actual video - LEAKED VIDEOS

The 4 Cs of Cardiac Arrest Care

The 4 Cs of Cardiac Arrest Care according to the 2010 A.H.A Guidelines

Field JM, Hazinski MF, Sayre MR, et al
Circulation. 2010;122:S640-S656
The year 2010 marks the 50th anniversary of the introduction of cardiopulmonary resuscitation (CPR). During these past 50 years, tremendous research has been conducted to evaluate techniques, medications, and devices designed to advance the care of victims of cardiac arrest. The American Heart Association (AHA) developed the first CPR guidelines in 1966 and since that time has published frequent updates of the guidelines to help educate the public and medical establishment about optimal care for patients with cardiac arrest and other emergency cardiovascular conditions.
This past November, the newest set of guidelines pertaining to CPR and emergency cardiovascular care were published by the AHA in a supplement issue of Circulation. The guidelines consist of 16 parts. They address not only cardiac arrest, but also post-arrest care, dysrhythmias, acute coronary syndromes, stroke, cardiac arrest in special situations (eg, pregnancy, pulmonary embolism, etc), pediatric considerations, and ethics. Part I is a summary statement of the major changes in cardiac arrest and emergency cardiovascular care since the previous set of guidelines, which were published in 2005. The highlights of this "Executive Summary" are summarized below. For purposes of brevity, this discussion will focus on adult patients with acute cardiac conditions (cardiac arrest and dysrhythmias), excluding acute coronary syndromes, stroke, and pediatric considerations. The reader should note that the bulk of guideline recommendations, as in past years, are concentrated on victims of primary cardiac arrest and are not necessarily relevant to victims of pulmonary arrest (eg, drowning, drug overdose, etc).

Study Summary

Change from "A-B-C" to "C-A-B." A major change in basic life support is a step away from the traditional approach of airway-breathing-chest compressions (taught with the mnemonic "A-B-C") to first establishing good chest compressions ("C-A-B"). There are several reasons for this change.

• Most survivors of adult cardiac arrest have an initial rhythm of ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT), and these patients are best treated initially with chest compressions and early defibrillation rather than airway management.
• Airway management, whether mouth-to-mouth breathing, bagging, or endotracheal intubation, often results in a delay of initiation of good chest compressions. Airway management is no longer recommended until after the first cycle of chest compressions -- 30 compressions in 18 seconds. The 30 compressions are now recommended to precede the 2 ventilations, which previous guidelines had recommended at the start of resuscitation.
• Only a minority of cardiac arrest victims receive bystander CPR. It is believed that a significant obstacle to bystanders performing CPR is their fear of doing mouth-to-mouth breathing. By changing the initial focus of resuscitation to chest compressions rather than airway maneuvers, it is thought that more patients will receive important bystander intervention, even if it is limited to chest compressions.

Basic life support. The traditional recommendation of "look, listen, and feel" has been removed from the basic life support algorithm because the steps tended to be time-consuming and were not consistently useful. Other recommendations:

• Hands-only CPR (compressions only -- no ventilations) is recommended for the untrained lay rescuers to obviate their fears of mouth-to-mouth ventilations and to prevent delays/interruptions in compressions.
• Pulse checks by lay rescuers should not be attempted because of the frequency of false-positive findings. Instead, it is recommended that lay rescuers should just assume that an adult who suddenly collapses, is unresponsive and not breathing normally (eg, gasping) has had a cardiac arrest, activate the emergency response system, and begin compressions.
• Pulse checks by healthcare providers have been de-emphasized in importance. These pulse checks are often inaccurate and produce prolonged interruptions in compressions. If pulse checks are performed, healthcare providers should take no longer than 10 seconds to determine if pulses are present. If no pulse is found within 10 seconds, compressions should resume immediately.
• The use of end-tidal CO₂ (ETCO₂) monitoring is a valuable adjunct for healthcare professionals. When patients have no spontaneous circulation, the ETCO₂ is generally ≤ 10 mm Hg. However, when spontaneous circulation returns, ETCO₂ levels are expected to abruptly increase to at least 35-40 mm Hg. By monitoring these levels, interruptions in compressions for pulse checks become unnecessary.

CPR devices. Several devices have been studied in recent years, including the impedance threshold device and load-distributing band CPR. No improvements in survival to hospital discharge or neurologic outcomes have been proven with any of these devices when compared with standard, conventional CPR.
Electrical therapies

• Patients with VF or pulseless VT should receive chest compressions until a defibrillator is ready. Defibrillation should then be performed immediately.
• Chest compressions for 1.5-3 minutes before defibrillation in patients with cardiac arrest longer than 4-5 minutes have been recommended in the past, but recent data have not demonstrated improvements in outcome.
• Transcutaneous pacing of patients who are in asystole has not been found to be effective and is no longer recommended.

Advanced cardiac life support. Good basic life support, including high-quality chest compressions and rapid defibrillation of shockable rhythms, is again emphasized as the foundation of successful advanced cardiac life support. The recommendations for airway management have undergone 2 major changes: (1) the use of quantitative waveform capnography for confirmation and monitoring of endotracheal tube placement is now a class I recommendation in adults; and (2) the routine use of cricoid pressure during airway management is no longer recommended.
As they did in 2005, the AHA acknowledges once again that as of 2010, data are "still insufficient ...to demonstrate that any drugs improve long-term outcome after cardiac arrest."
Several important changes in recommendations for dysrhythmia management have occurred:

• For symptomatic or unstable bradydysrhythmias, intravenous infusion of chronotropic agents (eg, dopamine, epinephrine) is now recommended as an equally effective alternative therapy to transcutaneous pacing when atropine fails;
• As noted above, transcutaneous pacing for asystole is no longer recommended; and
• Atropine is no longer recommended for routine use in patients with pulseless electrical activity or asystole.

Post-cardiac arrest care. Post-cardiac arrest care has received a great deal of focus in the current guidelines and is probably the most important new area of emphasis. There are several key highlights of post-arrest care:

• Induced hypothermia, although best studied in survivors of VF/pulseless VT arrest, is generally recommended for adult survivors of cardiac arrest who remain unconscious, regardless of presenting rhythm. Hypothermia should be initiated as soon as possible after return of spontaneous circulation with a target temperature of 32°C-34°C.
• Urgent cardiac catheterization and percutaneous coronary intervention are recommended for cardiac arrest survivors who demonstrate ECG evidence of ST-segment elevation acute myocardial infarction regardless of neurologic status. There is also increasing support for patients without ST-segment elevation on ECG who are suspected of having acute coronary syndrome to receive urgent cardiac catheterization.
• Hemodynamic optimization to maintain vital organ perfusion, avoidance of hyperventilation, and maintenance of euglycemia are also critical elements in post-arrest care.

Viewpoint

The AHA 2010 guidelines represent significant progress in the care of victims of cardiac arrest. Most important is the stronger emphasis on post-cardiac arrest care. Induced hypothermia is underscored, and perhaps the most important advance is the recommendation for urgent percutaneous coronary intervention in survivors of cardiac arrest. The wealth of data thus far indicate that post-arrest percutaneous coronary intervention may be the most significant advance toward improving survival and neurologic function since defibrillation was first introduced decades ago.
In reviewing these guidelines, I must admit, however, that I was disappointed that AHA hesitated to adopt the concepts of "cardiocerebral resuscitation" (CCR). CCR also promotes the "C-A-B" approach to resuscitation, but it fosters even further delays in airway intervention -- withholding any form of positive pressure ventilations, in favor of persistent chest compressions, for as long as 5-10 minutes after the cardiac arrest. The current guidelines recommend withholding positive pressure ventilation for a mere 18 seconds. First described in 2002,^[1] CCR has been studied more recently as well and demonstrated marked improvements in rates of resuscitation and neurologic survival.^[2-4] I think that CCR should be incorporated into basic life support protocols for victims of primary cardiac arrest as quickly as possible to further improve outcomes.
Optimal management of cardiac arrest in the current decade can be summarized simply by "the 4 Cs": Cardiovert/defibrillate, CCR, Cooling, and Catheterization.

FHM-10 2011(Philippines)-Slicer

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Simply Red Greatest Hits

 

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Nescafé Open Up Party Live

Tracklisting

1. (00:02:31) Shunza - Nescafe Open Up
2. (00:04:16) Mike Hanopol - Panahon Na Naman
3. (00:04:08) Mike Hanopol and Rivermaya - Ulan
4. (00:03:38) Rivermaya - Laki Sa Layaw
5. (00:04:28) Rivermaya - Beep Beep
6. (00:02:57) Sampaguita - Baliw
7. (00:04:13) True Faith - Sayawan
8. (00:03:35) Sampaguita - Huwag Na Lang Kaya
9. (00:05:49) True Faith - Tao
10. (00:04:18) South Border and Hotdog - Ikaw Ang Miss Universe Ng Buhay Ko
11. (00:08:30) Hotdog - Love Of My Life
12. (00:02:47) South Border - Pers Lab
13. (00:05:38) Hotdog - Kahit Kailan
14. (00:04:04) Apo Hiking Society - Magasin
15. (00:02:21) Eraserheads - Pumapatak Ang Ulan
16. (00:04:53) Apo Hiking Society - Pare Ko
17. (00:03:23) Eraserheads - Blue Jeans

Playing Time.........: 01:11:27
Total Size...........: 66.56 MB

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Senti, 18 Pinoy Love Hits

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Neuropsychaitry (part 2)

Here's the part to of what ive recently posted regarding neuropsychiatry: This really will help student nurses and nurses alike in their review in understanding psychiatric nursing. Enjoy and learn:

❍ What are some other terms for “pseudoseizure”?
Conversion reaction, hysteroepilepsy, and nonepileptic seizure (the preferred term).

❍ How can a seizure disorder be distinguished from schizophrenia?
Altered mentation from a seizure tends to be ego-dystonic, and the patient can talk about the symptoms in a detached manner. There is generally no evidence of interictal changes on the mental status examination, and the premorbid social histories are generally good. The seizure disorder is characterized with abrupt rather than gradual alterations in personality, mood, and ability to function that are unresponsive to psychiatric or psychological intervention. The patient generally does not quite meet DSM-IV criteria for schizophrenia.

❍ How can a seizure disorder be distinguished from a panic disorder?
Often a difficult distinction, because both conditions have overlapping symptoms—depersonalization, fear, d´ej`a vu and jamais vu, dizziness, illusions, paresthesias, chills, and flushes, which are in part mediated by a similar underlying limbic dysfunction (the temporal lobe modulates fear, for example) and amenable to similar pharmacologic intervention, i.e., benzodiazepines. However, in panic disorders, consciousness is preserved, an EEG will be normal, there are seldom olfactory hallucinations, family history is usually positive, there are no
automatisms, and a positive response is found not to anticonvulsants but to antidepressants (which would typically worsen complex partial symptoms). In addition, panic attacks usually last longer than seizures, and agoraphobia is a prominent symptom in panic but not seizure.

❍ Is there a particular personality type associated with seizure disorder?
Of the qualities traditionally associated with the “epileptic personality type”—dependency, humorlessness, hypergraphia, hyposexuality, religiosity, viscosity, paranoia, and a preoccupation with philosophical or moral concerns—evidence exists only for hyposexuality, as a reflection of a secondary endocrine abnormality evoked by seizures.

❍ Are seizures associated with aggression?
Aggression during a seizure is very unusual, and when it does occur is typically disordered, uncoordinated, undirected, and associated with restraint or postictal paranoid psychosis.

❍ What strategies can be used in treating psychiatric symptoms associated with a seizure disorder?
Strategies that can be used to treat the neuropsychiatric aspects of seizure disorders include assessment of the social factors that aggravate the seizure disorder; adjustment of the anticonvulsant as necessary to minimize seizures, using monotherapy if possible; use of psychotropic medications to target specific psychiatric symptoms, anticipating interactions, using low initial dosages, and waiting for a response plateau before changing the dose again; targeting psychotherapeutic approaches to specific behaviors or stressors; and finally collaboration with all caregivers.
❍ What are the symptoms of Parkinson’s disease?
Parkinson’s is a progressive, nongenetic disorder that presents with both motor and cognitive symptoms. The motor symptoms typically have an asymmetric onset, and consist of bradykinesia and muscular rigidity, flexion at trunk and neck leading to postural instability, difficulty initiating movements, lack of facial expression, and a 4 to 6 Hz resting tremor. Ninety-three percent of those with Parkinson’s suffer cognitive deficits—reduced verbal fluency and naming difficulties, deficits in visual analysis and constructional praxis, and executive dysfunction similar to frontal lobe syndrome—difficulties in selective attention and set maintenance. Recognition memory is usually unimpaired, but procedural memory shows deficits.

❍ What is the etiology of Parkinson’s disease?
The etiology is unknown, although some hypothesize that it is related to exposure to environmental toxins. The bradykinesia and rigidity can be related to progressive loss of neurons in the substantia nigra. There is reduced
dopamine uptake in the putamen. In addition to dopamine, neurotransmitter abnormalities are found in the somatostatin and CRF systems. There is an increase in the number of muscarinic cholinergic receptors (unlike in Alzheimer’s) but a decrease in nicotinic. Pathology shows Lewy bodies in the locus ceruleus, substantia
nigra, and hypothalamus (in contrast to Lewy body dementia, in which Lewy bodies are found in the cortex also).
❍ What are the neuropsychiatric symptoms in Parkinson’s disease?
Depression occurs in 40% to 60%, often before the onset of motor symptoms, and is unrelated to either the duration or severity of the disease or the response to medications, but is associated with dementia. Parkinson’s depression is characterized more by dysphoria, sadness, irritability, pessimism, and suicidal ideation, less by guilt and self-blame. Actual suicide is rare, unlike in Huntington’s chorea. Psychotic symptoms are common (occurring in up to 50% of patients at some point of the disease) usually as a side effect of anticholinergic medications, but can also occur as a result of mood disturbance, other medications, sleep deprivation, or the dementia associated with Parkinson’s disease. The psychotic symptoms can range in severity from hallucinations that cause no distress to delusional states with agitation and terrifying hallucinations of all types.

❍ What tests can help diagnose Parkinson’s?
PET scans show decreased uptake in the striatum, while CT scan and MRI show decreased volume in the substantia nigra of advanced cases. EEG shows nonspecific slowing.

❍ What percentage of patients with Parkinson’s disease manifest dementia?

From 10% to 40%, the risk rising with age. Other risk factors for dementia in Parkinson’s disease are family history, depression, and motor disability.

❍ What are some treatments for Parkinson’s and its associated neuropsychiatric symptoms?
l-Dopa is a dopamine agonist that can help compensate for the bradykinesia and rigidity, as do anticholinergics, but there is no treatment for the postural instability except for physical and occupational therapy. Antidepressants work normally on Parkinson’s patients, but this population is very sensitive to the anticholinergic, sedating, and orthostatic effects of these drugs. ECT is effective for both the affective and motor symptoms. If antipsychotics must be used, atypicals with minimal extrapyramidal side effects will have the least effect on motor symptoms. Quetiapine and clozapine have been shown to be the most effective in controlling psychotic symptoms in Parkinson’s-related psychosis, while aripiprazole is minimally effective and can exacerbate motor function. Risperdal is generally poorly tolerated in these patients and should be avoided. Whenever the use of atypicals is indicated in patients with Parkinson’s disease, monitoring for neuroleptic malignant syndrome–like symptoms is essential, and can be very difficult to distinguish from baseline symptoms. Again, the use of typical neuroleptics such as haloperidol is generally contraindicated, although may be necessary when agitation becomes a safety issue.

❍ What symptoms can occur as a side effect of treating a patient with Parkinson’s disease?
Anticholinergic drugs, while being the most effective in suppressing the parkinsonian tremor, are also the most prone to induce psychosis. Delusions are usually dose related, frequently persecutory, and preceded by vivid dreams or visual hallucinations. Risk factors for delusions are age and concurrent dementia. Thirty percent of treated Parkinson’s patients will hallucinate fully formed animal or human figures, typically at night and with the hallucinations associated with sleep disturbance. These differ from typical anticholinergic hallucinations in that
they are less threatening, more fully formed, not combined with tactile or auditory stimuli, and not associated with delirium. Delirium occurs in 5% to 25% of patients as a medication side effect, with bromocriptine and pergolide particularly implicated. l-Dopa can cause anxiety.

❍ What is delirium?
Delirium is a pattern of diffuse, reversible cognitive deficits with acute onset, and a waxing and waning course. The deficits can include delusions (20%–70%), perceptual disturbances, mood alterations, language (50%–90%) and thought disorders (95%), sleep/wake disturbance (50%–95%), hallucinations (30%), and psychomotor alterations. Disorientation is common, to time (80%), place (70%), and person (20%). Twenty percent of hospital patients will become delirious, and if elderly, the 1-year mortality will be 40%. Some clinicians distinguish between acute confusional state, a disorder of attention associated with frontostriatal dysfunction, and acute agitated delirium, a disorder of emotion associated with middle temporal gyrus dysfunction, but many patients present with a mixed picture.

Pacquiao "The Mexecutioner"

This one's for you!!! Kiss my glove!!

Are you crying Anton?

Our CHAMPION!! 

10 facts about kissing

Some facts about kissing:

1. Two out of every three couples turn their heads to the right when they kiss.

2. A simple peck uses two muscles; a passionate kiss, on the other hand, uses all 34 muscles in your face. Now that’s a rigorous workout!

3. Like fingerprints or snowflakes, no two lip impressions are alike.

4. Kissing is good for what ails you. Research shows that the act of smooching improves our skin, helps circulation, prevents tooth decay, and can even relieve headaches.

5. The average person spends 336 hours of his or her life kissing.

6. Ever wonder how an “X” came to represent a kiss? Starting in the Middle Ages, people who could not read used an X as a signature. They would kiss this mark as a sign of sincerity. Eventually, the X came to represent the kiss itself.

7. Talk about a rush! Kissing releases the same neurotransmitters in our brains as parachuting, bungee jumping, and running.

8. The average woman kisses 29 men before she gets married.

9. Men who kiss their partners before leaving for work average higher incomes than those who don’t.

10. The longest kiss in movie history was between Jane Wyman and Regis Tommey in the 1941 film, You’re in the Army Now. It lasted 3 minutes and 5 seconds. So if you’ve beaten that record, it’s time to celebrate!

Health Alert: Cigarettes are bad for you

HBO PPV: Pacquiao vs. Margarito - Antonio Margarito (KUlba na lahat) Sino Kya sa dalawa?

Pacquiao vs Margarito: Who would you pick?

Para sa mga mang iinom

How hangover affects your health:

Philippine Travel advisory

Safety and Security - Local Travel - Mindanao
We advise against all travel to south west Mindanao and the Sulu archipelago covering the following areas Autonomous Region of Muslim Mindanao (ARMM), including the islands of Basilan, Sulu and Tawi-Tawi, plus the western provinces of Sarangani, North and South Cotabato, Sultan Kudarat, Lanao del Norte, Zamboanga del Sur and Zamboanga Sibugay, because of ongoing terrorist and insurgent activity. We advise against all but essential travel to the remainder of Mindanao.

If you intend to travel to the provinces of Zamboanga del Norte and Misamis Occidental you should use air or sea routes as we advise against all travel to neighbouring provinces.

There have been terrorist attacks against civilian targets in Mindanao. There is also criminal activity in Mindanao, including the use of kidnapping and explosions. The most recent was on 21 October 2010 when an explosion on a bus in North Cotabato Province killed ten people and injured thirty others.. Other recent significant explosions include:

* On 5 August 2010 at Zamboanga airport an explosion killed two people and injured 24 people including a British national.

* On 13 April 2010 in Basilan separate explosions near a school and cathedral in Isabela City killed 14 people and injured 16 others.
*

On 7 July 2009, in Jolo, an explosion in the main commercial area killed two people and injured at least 17 others.
*

On 5 June 2009, in Cotabato City, an explosion at a food stand near the Cathedral killed six people and critically injured eight others.
*

On 3 April 2009, in Isabella City, Basilan, an explosion in the central plaza near a fast food restaurant killed two people and injured eight others.

There are ongoing clashes between the military and insurgent groups in the Sulu archipelago including Basilan, Tawi-Tawi and Jolo. There is currently a ceasefire between the government and the MILF armed group. The situation has deteriorated with little warning in the past, most recently in August 2008 when clashes in Maguindanao, North Cotabato, Lanao del Sur and Lanao del Norte lead to civilian casualties and thousands of people being displaced.

Extortion and kidnap for ransom gangs, that have targeted public transport with armed hold-ups and explosions, operate in Mindanao. We advise against using public transport throughout Mindanao.

There is also a threat of kidnapping in south west Mindanao and the Sulu archipelago. Most recently, a Swiss national was kidnapped in Zamboanga City on 5 April 2010 and was subsequently released unharmed. Previous incidents include the kidnapping of an Irish priest from Pagadian City in Zamboana del Sur in October 2009 and three members of the International Red Cross, including two foreign nationals, were kidnapped in Sulu in February 2009. In these cases the victims were subsequently released unharmed.

You should be aware that is is the long-standing policy of the British Government not to make substantive concessions to hostage takers. The British Government considers that paying ransoms and releasing prisoners increases the risk of further hostage taking.

Source: http://www.fco.gov.uk/en/travel-and-living-abroad/travel-advice-by-country/asia-oceania/philippines