"Dan janganlah kamu merasa lemah,dan janganlah pula kamu bersedih hati,padahal kamulah org2 yng paling tinggi darjatnya jika kamu orang2 yng beriman"
Surah Ali-Imran ayat 139
Makasih sarah for this..
.....Luahan hati ini.. Harap maklum......
Tuesday, January 5, 2010
~~wahai SYAMIMI::
TARGET:Menghabiskan note2 yg masih x terusik..
fuhhh..xbaikla asyik *sigh jer..
start the new day with correct intention...Belajar kerana ALLAH.
Hoho..semangat lak rasanye..
This is my choice..so, do it wisely.
Xbole nak bermalasan..xbaik jugak...
Renungan untuk hari ini:Selasa 5/1/2010
"Dan apabila hamba-hambaKU bertanya kepadamu tentang Aku, maka( jawablah) bahawasanya Aku adalah dekat. Aku mengkabulkan permohonan orang yang berdoa apabila ia memohon kepadaKU, maka hendaklah mereka itu memenuhi (segala perintah) KU dan hendaklah mereka beriman kepadaKU agar mereka berada dalam kebenaran
(al-Baqarah:186)
Monday, January 4, 2010
HAPPIE nye SAYER::
Today:
Besday my brother..Muhammad Syamil 4/1/1985
also got good new: My sister got pregnant..hehe..really happie mode...My 2nd anak menakan coming soon::
lots of LOVE.
Semoga family ku also transform into better duniawi dan ukhrawi jgak.
Study rajin2 yer cik mimi...cepat2..abes blaja..& nak fullfill my KEINGINAN,CITA-CITA and CINTA...semoga dipermudahkan urusan
Kebahagian itu satu kesyukuran kan..walau byk ranjau berduri..kena tempuhi jgak even cmner pown..
ALHAMDULILLAH..syukur sgt2.
Besday my brother..Muhammad Syamil 4/1/1985
also got good new: My sister got pregnant..hehe..really happie mode...My 2nd anak menakan coming soon::
lots of LOVE.
Semoga family ku also transform into better duniawi dan ukhrawi jgak.
Study rajin2 yer cik mimi...cepat2..abes blaja..& nak fullfill my KEINGINAN,CITA-CITA and CINTA...semoga dipermudahkan urusan
Kebahagian itu satu kesyukuran kan..walau byk ranjau berduri..kena tempuhi jgak even cmner pown..
ALHAMDULILLAH..syukur sgt2.
::Hakikat Bahagia by UNIC::
Hakikat Bahagia
Album : See You D IPT
Munsyid : Unic
http://liriknasyid.com
Bahagia itu dari dalam diri
Kesannya zahir rupanya maknawi
Terpendam bagai permata di dasar hati
Bahagia itu ada pada hati
Bertakhta di kerajaan diri
Terbenam bagai mutiara di lautan nurani
Bahagia itu ada di jiwa
Mahkota di singgahsana rasa
Bahagia itu adalah suatu ketenangan
Bila susah tiada gelisah
Bila miskin syukur pada Tuhan
Bila sakit tiada resah di jiwa
Bukankah Tuhan telah berfirman
Ketahuilah dengan mengingati Allah
Jiwa kan menjadi tenang
C/O :
Kebahagiaan itu suatu kesyukuran
Bila kaya jadi insan pemurah
Bila berkuasa amanah
Bila berjaya tidak alpa
Bila sihat tidak lupakan Tuhan
Hakikatnya bahagia itu
Adalah ketenangan
Bila hati mengingati Tuhan
Semua insan kan mengerti
Maksud terseni Ilahi
Itulah zikir yang hakiki
P/s: Hohoho..baru 1st time dgr lagu nih..tu pon mse dengar nasyid by kump nasyid usm sempena opening ceremony Minggu Penghayatan Islam yesterday..theme MPI thn ni "Bersama memartabatkan ISLAM"
Terasa jahilnye diriku ini..manusia bole berubah kan??Towards transforming into better person ..even only a bit..
Album : See You D IPT
Munsyid : Unic
http://liriknasyid.com
Bahagia itu dari dalam diri
Kesannya zahir rupanya maknawi
Terpendam bagai permata di dasar hati
Bahagia itu ada pada hati
Bertakhta di kerajaan diri
Terbenam bagai mutiara di lautan nurani
Bahagia itu ada di jiwa
Mahkota di singgahsana rasa
Bahagia itu adalah suatu ketenangan
Bila susah tiada gelisah
Bila miskin syukur pada Tuhan
Bila sakit tiada resah di jiwa
Bukankah Tuhan telah berfirman
Ketahuilah dengan mengingati Allah
Jiwa kan menjadi tenang
C/O :
Kebahagiaan itu suatu kesyukuran
Bila kaya jadi insan pemurah
Bila berkuasa amanah
Bila berjaya tidak alpa
Bila sihat tidak lupakan Tuhan
Hakikatnya bahagia itu
Adalah ketenangan
Bila hati mengingati Tuhan
Semua insan kan mengerti
Maksud terseni Ilahi
Itulah zikir yang hakiki
P/s: Hohoho..baru 1st time dgr lagu nih..tu pon mse dengar nasyid by kump nasyid usm sempena opening ceremony Minggu Penghayatan Islam yesterday..theme MPI thn ni "Bersama memartabatkan ISLAM"
Terasa jahilnye diriku ini..manusia bole berubah kan??Towards transforming into better person ..even only a bit..
"Already Gone"
"Already Gone"
Remember all the things we wanted
Now all our memories, they're haunted
We were always meant to say goodbye
Even with our fists held high
It never would have work out right, yeah
We were never meant for do or die
I didn't want us to burn out
I didn't come here to hurt you now I can't stop
[Chorus]
I want you to know
That it doesn't matter
Where we take this road
But someone's gotta go
And I want you to know
You couldn't have loved me better
But I want you to move on
So I'm already gone
Looking at you makes it harder
But I know that you'll find another
That doesn't always make you wanna cry
It started with the perfect kiss then
We could feel the poison set in
"Perfect" couldn't keep this love alive
You know that I love you so
I love you enough to let you go
[Chorus]
You can't make it feel right
When you know that it's wrong
I'm already gone, already gone
There's no moving on
So I'm already gone
Ahhh already gone, already gone, already gone
Ahhh already gone, already gone, already gone
Remember all the tings we wanted
Now all our memories, they're haunted
We were always meant to say goodbye
[Chorus]
You can't make it feel right
When you know that it's wrong
I'm already gone, already gone
There's no moving on
So I'm already gone
Remember all the things we wanted
Now all our memories, they're haunted
We were always meant to say goodbye
Even with our fists held high
It never would have work out right, yeah
We were never meant for do or die
I didn't want us to burn out
I didn't come here to hurt you now I can't stop
[Chorus]
I want you to know
That it doesn't matter
Where we take this road
But someone's gotta go
And I want you to know
You couldn't have loved me better
But I want you to move on
So I'm already gone
Looking at you makes it harder
But I know that you'll find another
That doesn't always make you wanna cry
It started with the perfect kiss then
We could feel the poison set in
"Perfect" couldn't keep this love alive
You know that I love you so
I love you enough to let you go
[Chorus]
You can't make it feel right
When you know that it's wrong
I'm already gone, already gone
There's no moving on
So I'm already gone
Ahhh already gone, already gone, already gone
Ahhh already gone, already gone, already gone
Remember all the tings we wanted
Now all our memories, they're haunted
We were always meant to say goodbye
[Chorus]
You can't make it feel right
When you know that it's wrong
I'm already gone, already gone
There's no moving on
So I'm already gone
FEVER AFTER CONTACT WITH ANIMAL
PBL today:Diagnosed of Leptospirosis
Yukk..mengenali apekah leptospirosis itu...
Leptospirosis, an infectious disease that affects humans and animals, is considered the most common zoonosis in the world.1 Leptospirosis is often referred to as swineherd's disease, swamp fever, or mud fever. The organism enters the body when mucous membranes or abraded skin come in contact with contaminated environmental sources.
1. Primary bacteremic infection caused by Leptospira interrogans, contact directly or indirectly from urine of infected carrier host(rodents and marsupials).
2.Bacteria enter host via damaged skin, certain mucous membrane ,conjuctiva membrane.The transfer required bacteria to be enveloped in water, entry via lung requires onhalation of aerosol droplets.
onces the bacteria enter the body,migrate to lymphatic and circulatory systems within minute.The growth rate slow and the incubation period range 2-28 days@3-14 days
Very sudden onset of symptoms with severe and incapaciteting headache, bilateral conjuctival suffusion, sign og meningism, pyrexia@fever 39 degree and above.
Red transient non blanching rash , myalgia, fatigue, nausea, reproductive cough with minor haemopthysis(kahak berdarah).The psychological changes (depressed, confused,aggresive), psychotic (schizophrenia, hallucinatioan, personality change and violence).
First few days, bacteria present in the bloodstream but later confined to tissue
UNIPHASE INFECTION:
mild cases, 3-7 hari.Symptoms appear on day 1, peak on day 2, reduce thereafter
antibiotic beneficial but pt will recover without intervention.
BIPHASE INFECTION:
Initial septicaemia, then transient remission then rapid decline one or two das later
Icteric symptoms
can progress to mortality(mati) within short time w/o intervention
CLINICAL FEATURES::
PUO:pyrexia of unknown origin
2phases:
1)Leptospiraemic phase(lasting to a week)
2)Immune phase; generally separated from the former phase by asymptomatis period of 1-3 days.
Leptospiraemic phase
Anorexia, nausea and vomiting
Recurrent chills, high spiking temperature, headache, severe myalgia(cutaneous hyperesthesia), conjunctival suffusion
Uncommon finding: skin rashes,petechiae, hepatosplenomegaly and lymphadenopathy.
The phase terminate with defervescence and improvement in symptoms.This coincides with disappearance of leptospiras from the blood and CSF.
Immune phase
appearance of Ig M antibodies. After relative asymptomtic period of 1-3days, the fever and earlier symptoms recur.
Other features :Meningism and CSF lymphocytosis+ Increased in CSF protein
Recovery is complete but small proportions enter the Weil's syndrome
Weil syndrome is common with L.icterohemorrhagic .There ie hepatitis, renal tubular necrosis and meningitis
A=>HEPATITIS
Tender hepatomegaly
Jaundice: due to hepatocellular jaundice, predominant intracellular block to bilirubin excretion-> CONJUGATED BILIRUBINAEMIA
B=>RENAL TUBULAR NECROSIS
Oliguris renal failure(uremia)
Microscopic haematuria(kencing berdarah)
Proteinuria
Pyuria
C=> MYOCARDITIS
Atrial and ventricular dysrhythmias
Congestive cardiac failure
D=> Hemorrhagic manifestation
due to diffuse vasculitis with capillary injury
Haemolytic anaemia,Epistaxis,Hemoptysis, GI bleeding and hemorrhage into adrenal gland
Majority of pt, enter the convalescent phase by 3rd and 4th week of illness
PATHOGENESIS:
NO inflammatory response at site of entry of organism
Incubation period:10-12days
During the period, the leptospires spread from the site of entry through bloodstream and multiply in the blood and liver.There is no toxin.Symptoms are due to damage to endothelial lining of capillaries in the various organs
This damage results:
Increased capillary permeability
Hemorrhages
Diminishe oxygen supply to tissue
Jaundice if it is dua to hepatocellular damage w/o necrosis of liver cells.
::At time of onset of symptoms, organisms are found in the blood, CSF and in tissue of many organs including the kidney.As antibodies develop during first week(6th day) of illness the organism disappear but can be found in urine for anothe 2weeks
Penat aih...hihih
sudaa la dulu ek..mau tdoo~~
tHIs iS sCHOOL OF DENTAL sCIENCES,USM, MALAYSIA
dENTISTRY iS tOO hOT TO gO::KUATKAN HATI..MOGA DIKUATKAN HATIKU INI..HEEE~~~
Yukk..mengenali apekah leptospirosis itu...
Leptospirosis, an infectious disease that affects humans and animals, is considered the most common zoonosis in the world.1 Leptospirosis is often referred to as swineherd's disease, swamp fever, or mud fever. The organism enters the body when mucous membranes or abraded skin come in contact with contaminated environmental sources.
1. Primary bacteremic infection caused by Leptospira interrogans, contact directly or indirectly from urine of infected carrier host(rodents and marsupials).
2.Bacteria enter host via damaged skin, certain mucous membrane ,conjuctiva membrane.The transfer required bacteria to be enveloped in water, entry via lung requires onhalation of aerosol droplets.
onces the bacteria enter the body,migrate to lymphatic and circulatory systems within minute.The growth rate slow and the incubation period range 2-28 days@3-14 days
Very sudden onset of symptoms with severe and incapaciteting headache, bilateral conjuctival suffusion, sign og meningism, pyrexia@fever 39 degree and above.
Red transient non blanching rash , myalgia, fatigue, nausea, reproductive cough with minor haemopthysis(kahak berdarah).The psychological changes (depressed, confused,aggresive), psychotic (schizophrenia, hallucinatioan, personality change and violence).
First few days, bacteria present in the bloodstream but later confined to tissue
UNIPHASE INFECTION:
mild cases, 3-7 hari.Symptoms appear on day 1, peak on day 2, reduce thereafter
antibiotic beneficial but pt will recover without intervention.
BIPHASE INFECTION:
Initial septicaemia, then transient remission then rapid decline one or two das later
Icteric symptoms
can progress to mortality(mati) within short time w/o intervention
CLINICAL FEATURES::
PUO:pyrexia of unknown origin
2phases:
1)Leptospiraemic phase(lasting to a week)
2)Immune phase; generally separated from the former phase by asymptomatis period of 1-3 days.
Leptospiraemic phase
Anorexia, nausea and vomiting
Recurrent chills, high spiking temperature, headache, severe myalgia(cutaneous hyperesthesia), conjunctival suffusion
Uncommon finding: skin rashes,petechiae, hepatosplenomegaly and lymphadenopathy.
The phase terminate with defervescence and improvement in symptoms.This coincides with disappearance of leptospiras from the blood and CSF.
Immune phase
appearance of Ig M antibodies. After relative asymptomtic period of 1-3days, the fever and earlier symptoms recur.
Other features :Meningism and CSF lymphocytosis+ Increased in CSF protein
Recovery is complete but small proportions enter the Weil's syndrome
Weil syndrome is common with L.icterohemorrhagic .There ie hepatitis, renal tubular necrosis and meningitis
A=>HEPATITIS
Tender hepatomegaly
Jaundice: due to hepatocellular jaundice, predominant intracellular block to bilirubin excretion-> CONJUGATED BILIRUBINAEMIA
B=>RENAL TUBULAR NECROSIS
Oliguris renal failure(uremia)
Microscopic haematuria(kencing berdarah)
Proteinuria
Pyuria
C=> MYOCARDITIS
Atrial and ventricular dysrhythmias
Congestive cardiac failure
D=> Hemorrhagic manifestation
due to diffuse vasculitis with capillary injury
Haemolytic anaemia,Epistaxis,Hemoptysis, GI bleeding and hemorrhage into adrenal gland
Majority of pt, enter the convalescent phase by 3rd and 4th week of illness
PATHOGENESIS:
NO inflammatory response at site of entry of organism
Incubation period:10-12days
During the period, the leptospires spread from the site of entry through bloodstream and multiply in the blood and liver.There is no toxin.Symptoms are due to damage to endothelial lining of capillaries in the various organs
This damage results:
Increased capillary permeability
Hemorrhages
Diminishe oxygen supply to tissue
Jaundice if it is dua to hepatocellular damage w/o necrosis of liver cells.
::At time of onset of symptoms, organisms are found in the blood, CSF and in tissue of many organs including the kidney.As antibodies develop during first week(6th day) of illness the organism disappear but can be found in urine for anothe 2weeks
Penat aih...hihih
sudaa la dulu ek..mau tdoo~~
tHIs iS sCHOOL OF DENTAL sCIENCES,USM, MALAYSIA
dENTISTRY iS tOO hOT TO gO::KUATKAN HATI..MOGA DIKUATKAN HATIKU INI..HEEE~~~
Tentang Cinta::
"Dia menciptakan pasangan-pasangan untukmu dari jenismu sendiri, agar kamu cenderung merasa tenteram kepadanya, dan Dia menjadikan di antaramu rasa kasih dan sayang. Sungguh pada demikian terdapat tanda-tanda kebesaran Allah bagi kaum yang berfikir
(Ar-Rum:21)
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