Munaqqabah Diaries ( A 365- Day in KSA) @zietcheerocks - Tumblr Blog

Silence the neutraliser of regret, and Only a few practice it.

Abdullah ibn Mas’ud reported:

The Messenger of Allah, صلى الله عليه و سلم , said, “Most of the sins of the children of Adam are on their tongues.” Ibn Mas’ud رضي الله عنه , said, “O tongue! Speak goodness and be rewarded, or remain silent and be safe lest you become regretful.”

Source: al-Mu’jam al-Kabīr 10300 Grade: Sahih (authentic) according to Al-Albani

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Allaah (The Most High) informed us that the believer amongst the people of Pharaoh said:

يَـٰقَوۡمِ إِنَّمَا هَـٰذِهِ ٱلۡحَيَوٰةُ ٱلدُّنۡيَا مَتَـٰعٌ۬ وَإِنَّ ٱلۡأَخِرَةَ هِىَ دَارُ ٱلۡقَرَارِ

“O my people! Truly, this life of the world is nothing but a (quick passing) enjoyment, and verily, the Hereafter that is the home that will remain forever.”

Surah Ghaafir: Ayah 39

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The Fitnah of the False Caliphate of ISIS: By Shaykh Abdul Muhsin al-Abaad #FightingExtremism

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اللَّهُمَّ إِنِّي أَعُوذُ بِكَ مِنْ فِتْنَةِ الْمَحْيَا وَالْمَمَاتِ

O Allah, I seek refuge in You from the trials of life and death.

wayofthesalaf

Moosaa Richardson denounces the mass shooting that took place on June 12, 2016 in Orlando, Florida. Using passages from the Quran and Sunnah, he proves how the behaviour of the shooter is flagrantly against the basic laws and ethics of Islam.

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“People enter into prayer with a lie, they say Allahuakbar but their hearts say otherwise” -Ibn Rajaab (ra)

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If a serious issue troubled the Prophet ﷺ he would pray.

Huthayfah bin al-Yamān | Sahīh Sunan Abee Dāwūd #1319 (via aboohurayrah)

ibn-3omar

قال الإمام أحمد: الخير فيمن لا يرى لنفسه خيراً Imam Ahmad Ibn Hanbal said : Goodness lies in the person who doesn’t see goodness within himself.

• Dhayl Tabaqat al-Hanabilah (via bintmustafa)

bottleoftonic-blog

Most bang-for-buck things every intern should know before starting inpatient wards

Source. A collection of Meddit resources and advice on what bread-and-butter topics interns would most benefit from brushing up on/memorizing prior to the beginning of their internship. 1) Fluids. How and when to use them, dosage, timing and other pearls.

Review of fluids (not how to use them per se) by Dr. Strong /u/ericstrong

Maintenance Intravenous Fluids in Acutely Ill Patients - NEJM.

Pretty thorough review of fluid management on openanesthesia.org

2) Nausea. When to treat, how to treat and at what dose.

3) Standard pn orders: pain killers, sleep aids and antiemetics aka how to reduce nighttime calls from nurses by 25%

4) “Reflex” antibiotic choice for routine inpatient infections.

http://www.bpac.org.nz/Supplement/2013/July/antibiotics-guide.aspx /u/ChristianM and /u/ive_been_up_allnight

5) Initial work-up and treatment of dyspnea. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. E.g. heart failure, pulmonary edema, embolism, COPD, pneumonia).

6) Initial work-up and treatment of oliguria/anuria.

7) A sensible initial approach to suspected ileus.

8) Blood. When, how, why to replace.

9) Pain. Optimal management without inducing narcosis.

Managing cancer pain: Frequently asked questions: CCJM

10) Potassium. When, why and how to shift or replace.

A review on both potassium and sodium disorders by Dr. Strong /u/ericstrong (Not reposted in 12) hyponatremia but applies there as well) https://www.youtube.com/playlist?list=PLYojB5NEEakXVIAapcSEleP4doUdHVtld

11) Hyponatremia. Most common electrolyte disturbance, commonly mismanaged.

12) Resuscitation aka commit the ACLS algorithms to memory.

Current ACLS guidelines. https://www.acls.net/aclsalg.htm

Would love a video series, interactive cases etc.

13) Basic EKG interpretation.

Whole EKG video courses

A whole free youtube EKG video review course by meddit’s own u/ericstrong

An alternative EKG course that takes you through all the basics. This however has no free version and costs 96$ a year. The quality is amazing. Here are 6 basic sample videos on youtube. The paid course is available on http://www.ecgteacher.com/

I have to admit I haven’t used this course personally but his free youtube videos are on-point and he seems like a good teacher. Also behind paywall. Free youtube samples are here. The full course can be found here https://www.ecgacademy.com.

EKG video cases

Amazing case-of-the-week emergency medicine EKG videos on youtube by Dr. Amal Mattu

– If you like Dr. Mattu’s cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. It costs 4 starbucks coffees a year and is going to save someones life.

Practice EKGs with answers

Watching videos isn’t enough, you still have to grind out EKGs to keep your game strong. Visit http://ecgmadesimple.com and http://ecg.bidmc.harvard.edu/maven/mavenmain.asp for this.

EKG blogs

I recommend signing up for some kind of RSS feed (e.g. https://feedly.com/) and subscribing to the following EKG blogs:

http://hqmeded-ecg.blogspot.is (Dr. Smiths ECG blog)

http://www.ems12lead.com

http://ecg-interpretation.blogspot.is

http://jhcedecg.blogspot.is

EKG resource libraries

Life in the fastlane has a nice resource to look up a specific EKG finding, criteria or concept.

http://www.practicalclinicalskills.com/ekg.aspx /u/collidge

14) Know when to order ABGs and how to interpret them.

Almost too detailed video lecture series on ABGs and how to interpret them by Dr. Eric Strong (/u/ericstrong)

Practice makes perfect. ABG interpretation generator. https://abg.ninja/abg

Bonus 15) Basic CXR interpretation

CXR video lecture course

Again, Dr. Eric Strong has an excellent video course for free on youtube

Step-by-step guides to basic CXR interpretation

The Radiology Assistant: Chest X-ray - Basic interpretation

Radiology Masterclass step-by-step basic CXR

University of Virginia’s step-by-step basic CXR

All inclusive resources

The art and science of thoracic imaging All inclusive resource for all things thoracic! Jokes aside amazing resource.

UPenns CXR learning website

Loyola Universities excellent CXR Atlas Most outdated look but amazing content.

Checklist approach to CXR

Bonus 16) Overnight o-shit-what’s-that Head CT interpretation

Midnight radiology: Emergency CT of the head

University of Virginia’s guide to the Head CT

sothisisnursingschool

Hey, self: review before NCLEX. Xo, me.

md-admissions

Oh hell yes

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For future reference.

homotology

It’s almost that time of the year!

neurosciencestuff

Tamping down neurons’ energy use could treat neurodegeneration

Salk Institute scientists showed how an FDA-approved drug boosts the health of brain cells by limiting their energy use. Like removing unnecessary lighting from a financially strapped household to save on electricity bills, the drug—called rapamycin—prolongs the survival of diseased neurons by forcing them to reduce protein production to conserve cellular energy.

Rapamycin has been shown to extend lifespan and reduce symptoms in a broad range of diseases and, at the cellular level, is known to slow down the rate at which proteins are made. But the new Salk research, published in the journal eLife, suggests that rapamycin could also target the neural damage associated with Leigh syndrome, a rare genetic disease, and potentially other forms of neurodegeneration as well.

(Image caption: Salk scientists show how the drug rapamycin (bottom) rescues Leigh syndrome neurons. Credit: Salk Institute)

“Our study shows that protein production in neurons is one of the major utilizers of energy and that neurons of Leigh syndrome degenerate because they can’t sustain a high enough level of energy,” says Tony Hunter, the Renato Dulbecco Chair and American Cancer Society Professor in Salk’s Molecular and Cell Biology Laboratory, who led the research.

Previous studies on rapamycin, which blocks a key energy sensor in cells, found that it can alter the immune system, extend lifespan and treat disorders, including lupus and Alzheimer’s disease. Researchers assumed that the drug prevented the neurodegeneration seen in Alzheimer’s by encouraging cells to degrade damaged components and aggregated proteins. But recent data hinted that the drug might also have an effect on the mitochondria, organelles that act as cells’ powerhouses, producing energy in the form of adenosine triphosphate (ATP).

Xinde Zheng, a research associate in the Hunter lab, was already studying the properties of cells affected by Leigh syndrome, whose inherited neurodegeneration is caused by a mutation in mitochondrial DNA that reduces ATP production. Zheng wondered how rapamycin would affect the neurons plagued by the diseased mitochondria. He and Hunter teamed up with the lab of Rusty Gage, a professor in Salk’s Laboratory of Genetics and holder of the Vi and John Adler Chair for Research on Age-Related Neurodegenerative Disease. Zheng, together with Leah Boyer, then a researcher in Gage’s lab and now director of Salk’s Stem Cell Core, generated diseased neurons by taking skin cells from patients with Leigh syndrome, reprogramming them into stem cells in culture and then coaxing them to develop into brain cells in a dish.

Though cells must make proteins to survive, protein production is a highly energy-consuming process and, for diseased cells, the process leaves too few energy reserves to deal with cellular stress or other demands.

“Reducing protein production in aging neurons allows more energy for the cell to put toward folding proteins correctly and handling stress,” says Zheng, the first author of the new paper. “The impact of our finding is that modulation of protein synthesis could be a general approach to treating neurodegeneration.”

In their study, the team found that Leigh syndrome neurons decayed in the dish and showed clear signs of energy depletion. Meanwhile, Leigh syndrome neurons exposed to rapamycin had more ATP and showed less degeneration. By turning down the dial on protein production, the diseased and damaged neurons were able to survive longer.

“We are surprised and delighted that rapamycin’s effect to reduce protein synthesis as an energy-austerity approach may lead to a potential treatment for mitochondria-related neurodegenerative diseases,” says Gage.

This is a good example of the value of studying a disease in a dish, according to Hunter. “It’s led to a lot of new insights into the underlying biology of this rare and understudied condition,” he adds.

More work is needed to determine whether the findings on rapamycin hold true in animal models of Leigh syndrome and other neurodegenerative diseases, and to ascertain how exactly rapamycin is altering the metabolism of the cells.

zietcheerocks

Cool

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Muslims in the past would spend the entire night, or most of it, reciting a single verse while reflecting and contemplating on it during their recitation.

Ibn Taymiyyah’s Fatawa (v. 7, p. 74)

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O you who spends his lifetime in disobeying his Lord! No one amongst your enemies is (more) wicked to you than you are to yourself.

Ibn al-Qayyim, al-Fawaa’id (p. 107)

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For 20 Years The Messenger Of Allaah Did Not Increase Upon 11 Rakah

Shaykh Muhammad Nasir Uddeen Albaani [رحمه الله] said:

❝For 20 years the Messenger of Allaah did not increase in Ramadan nor outside Ramadan upon 11 Rakah. If we do not take this text [Hadeeth of Aeysha] as an evidence which prevents the Muslim from increasing upon this number of Rakah, then what Sunnah can we prevent the people from increasing upon, nothing at all whatsoever.

Then what is a Bida? The Bida which you understand from the statement of the Prophet Alayhi As Salam: ‘Every Bida is misguidance and every misguidance is in the Hell fire.’ Then what is termed as a Bida? Is it not increasing upon what the Messenger brought of obedience and worship.❞

[Silsilah al-Huda wa Noor, (No. 723) | Translated By Abbas Abu Yahya Miraath al-Anbiyya]