Ashish Poudel

Studies @IOM

[Jugal Bhurtel @JugalBhurtel]

रुसी भाषाकी कवियित्री लाना कार्पिन्स्कायाको कविता ‘एकद���न मानिसहरू नफर्किन सक्छन्’ मेरो भावानुवादमा

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

18/
Let's summarize:

🔹 Clubbing = the oldest physical exam finding and associates w/ systemic dx
🔹 Elevated VEGF levels ➡️ abnormal nail bed vasculature ➡️ soft tissue changes of clubbing
🔹 Platelets secrete VEGF and plug nail capillaries, likely contributing to pathogenesis

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

11/
What's more, VEGF production by endothelial cells is  mediated by cholinergic signaling (e.g. from the vagus nerve). https://t.co/41EYXOK0p2

Not surprisingly, vagotomy (which presumably shuts down VEGF production) improves clubbing in lung cancer. https://t.co/5XMizftndV

[Orange Book 🍊📖 @orangebook]

Getting ahead in life is simple, you just have to do what you said you would do.

[Erik Solheim @ErikSolheim]

WOW!
Solar canals in India 🇮🇳!
Solar panels being integrated into canals in Gujarat. It helps with evaporative losses, doesn’t use extra land and keeps solar panels cooler.
Huge step forward for solar industry!

https://t.co/ZvPGRQBvpB…

[Arjun Karki @drakarki]

कति राम्रो उपदेश : “बिनम्र बनौ । सिक्न अल्छी नगरौ । ब्रम्हाण्ड हामीले सोचेको भन्द�� बिशाल छ । यहाँ नबीन बिचार अटाउने ठाउ पर्याप्त मात्रामा छ । क्षमता वृद्धि तथा परिपक्वता हासिल गर्न आबश्यक तत्व भनेको बिनम्रता नै हो ।”

[Conrad Fischer @SeeFisch]

SGLT2 Drugs (Dapagliflozin, Empagliflozin, Canagliflozin)
*Most AMAZING mechanism of last 5 years!
*Prevents renal failure in diabetes
*Decreases cardiac mortality in CHF
*Very, Very hard to accept SGLT2 drugs lower mortality in CHF even WITHOUT diabetes

Intelectual Achalasia!

[Suman Acharya @thesumanacharya]

लोकमान विरुद्ध संसदमा होस् वा डा.केसी थुन्दा प्रन्याविरुद्ध माइतीघर होस्।वाक स्वतन्त्रता विरोधी विधेयक विरुद्ध बानेश्वर होस् वा ओली निरंकुशता विरुद्ध संसदमा होस्।झन्डै एक्लो प्रतिपक्ष झैं गर्जिनुभयो।
सक्दो लोकतन्त्र जोगाउनुभयो।अब लोकतन्त्रले तपाईं जोगाओस्।
शुभकामना @thapagk दाजु

[रामेश @RaameshKoirala]

यदि लोकतान्त्रिक दल हो भने काँग्रेसले यो महाधिवेशपछि विधान संशोधन गर्नुपर्���। यस्तो महँगो र लामो आन्तरिक चुनावले भविष्यमा गुण्डा, व्यापारी, दलाल र बालुवा-ढुङ्गाका माफिया वा तिनका पक्षपोषकलाई नै दलको केन्द्रमा ल्याउनेछ। सुध्रिने हो भने क्रियाशीलबाट एकैपटक सबै चुनाव गराएको बेस्।🙏

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

Severe tricuspid regurgitation as viewed from THE ARM

🎥 @Hussainch @grepmeded

#MedTwitter

[Shashi Tharoor @ShashiTharoor]

Posted as received: This poignant photo is the work of an Afghan artist named Shamsia Hassani, 33 years old, Afghan graffiti artist and teacher at Kabul University If we share, we will be giving her a voice and all Afghan women who are living in hell.

[Paras Khadka @paras77]

👏🏻👏🏻

[Erik Solheim @ErikSolheim]

The greatest enemy of knowledge is not ignorance, it is the illusion of knowledge.

—Stephen Hawking

[World Health Organization South-East Asia @WHOSEARO]

Congratulations #Nepal 🇳🇵 for administering 🔟 million doses of #COVID19 vaccine 💉 and fully vaccinating 1⃣5⃣% population in a short time.

[Dil Bhusan Pathak🇳🇵 @DilBhusanPathak]

Wow! Let’s we all clap a minute more for him! 🙏💐

[Routine of Nepal banda @RONBupdates]

Gagan Thapa was mostly praised for his work during his last tenure as a health minister. Since Nepali Congress is leading the government of Nepal, Do you want Gagan Thapa as a health minister again in this current situation ?

[Ashish Poudel @Doctarunl]

@KaflePuskar07 Kamal thapa @KTnepal are you Contractor(Thekedar) of us,Hinduism???
I think if the to be thrown milk is consumed in right way ,then a lot of hunger ness and famine and malnourished Hindu devotees and god will be happy...

[Bipin Adhikari 🌺🇳🇵 @BipinLAW]

‘जेल जर्नल’मा बीपीले लेख्नुभएको छ–‘मेरो प्रवृत्ति अध्यात्मिक नै छ । म अध्यात्मवादी छैन तर अध्यात्मिक प्रवृत्तिको निश्चय नै छु। चेतन मन र बुद्धिले स्वीकार नगरे पनि जीवनका कष्टमय घडीमा मलाई आफ्नो नियति माथि भर हुन्छ।’ यो एउटा प्रचण्ड पाठकको स्व��कारोक्ति हो । https://t.co/iOZjHxZhv3

[Santosh Khaderi (सन्तोष खडेरी) @SantoshKhaderi]

बिपी कोईरालाको शवयात्राको दुर्लभ भिडियो।
आज ०६ साउन (२१ जुलाई)
३९ बर्ष आजैका दिन वि.सं. २०३९ साउन ०६ (सन् १९८२ जुलाई २१) का दिन नेपालका पूर्वप्रधानमन्त्री एवं नेपालको प्रजातान्त्रिक आन्दोलनका शिखर पुरुष बिपी कोईरालाको ६८ बर्षको उमेरमा निधन भएको थियो।
बिपी प्रती श्रद्धासुमन!