Zikir - Kaedah melatih otak

Otak kita sebenarnya melakukan aktiviti-aktiviti bio-elektrik yang melibatkan sekumpulan saraf yang dipertanggungjawabkan untuk melakukan tugas-tugas tertentu bagi membolehkan ia berfungsi dengan sempurna. Setiap hari 14 juta saraf yang membentuk otak ini berinteraksi dengan 16 juta saraf tubuh yang lain. Semua aktiviti yang kita lakukan dan kefahaman atau ilmu yang kita peroleh adalah natijah daripada aliran interaksi bio-elektrik yang tidak terbatas.

Oleh itu, apabila seorang itu berzikir dengan mengulangi kalimat-kalimat Allah, seperti Subhanallah, beberapa kawasan otak yang terlibat menjadi aktif. Ini menyebabkan berlakunya satu aliran bio-elektrik di kawasan-kawasan saraf otak tersebut. Apabila zikir disebut berulang-ulang kali, aktiviti saraf ini menjadi bertambah aktif dan turut menambah tenaga bio-elektrik. Lama-kelamaan kumpulan saraf yang sangat aktif ini mempengaruhi kumpulan saraf yang lain untuk turut sama aktif. Dengan itu, otak menjadi aktif secara keseluruhan.

Otak mula memahami perkara baru, melihat dari sudut perspektif berbeza dan semakin kreatif dan kritis, sedang sebelum berzikir otak tidak begini. Otak yang segar dan cergas secara tidak langsung mempengaruhi hati untuk melakukan kebaikan dan menerima kebenaran.

Hasil kajian makmal yang dilakukan terhadap subjek ini dimuatkan dalam majalah Scientific American, keluaran Disember 1993. satu kajian yang dilakukan di Universiti Washington dan ujian ini dilakukan melalui ujian imbasan PET yang mengukur kadar aktiviti otak manusia secara tidak sedar.

Dalam kajian ini, sukarelawan diberikan satu senarai perkataan benda. Mereka dikehendaki membaca setiap perkataan tersebut satu persatu dan mengaitkan perkataan-perkataan dengan kata kerja yang berkaitan. Apabila sukarelawan melakukan tugas mereka, beberapa bahagian berbeza otak mempamerkan peningkatan aktiviti saraf, termasuk di bahagian depan otak dan korteks.

Menariknya, apabila sukarelawan ini mengulangi senarai perkataan yang sama berulang-ulang kali, aktiviti saraf otak merebak pada kawasan lain dan mengaktifkan kawasan saraf lain. Apabila senarai perkataan baru diberikan kepada mereka, aktiviti saraf kembali meningkat di kawasan pertama. Ini sekali gus membuktikan secara saintifik bahawa perkataan yang diulang-ulang seperti perbuatan berzikir, terbukti meningkatkan kecergasan otak dan menambah kemampuannya.

Oleh itu, saudara-saudara ku seIslam, ketika saintis Barat baru menemui mukjizat ini, kita umat terpilih ini telah lama mengamalkannya dan menerima manfaatnya. Banyak contoh mereka yang boleh dijadikan teladan seperti 4 imam mazhab kita yg terkenal - mereka ini adalah hafiz quran pada umur yg sangat muda. Dengan latihan hafazan, otak mereka mampu menerima lebih banyak ilmu-ilmu yg lain. Oleh itu, amatlah malang jika kita yang masih memandang enteng kepentingan berzikir dan mengabaikannya. PERBANYAKKANLAH ZIKIR..................

Over Warfarinization - Vitamin K or Not ?

Oral vitamin K versus placebo to correct excessive anticoagulation in patients receiving warfarin: a randomized trial.

(Ann Intern Med. 2009; 150(5):293-300 (ISSN: 1539-3704)

BACKGROUND: Low-dose oral vitamin K decreases the international normalized ratio (INR) in overanticoagulated patients who receive warfarin therapy. Its effects on bleeding events are uncertain.

OBJECTIVE: To see whether low-dose oral vitamin K reduces bleeding events over 90 days in patients with warfarin-associated coagulopathy.

DESIGN: Multicenter, randomized, placebo-controlled trial. Randomization was computer-generated, and participants were allocated to trial groups by using sequentially numbered study drug containers. Patients, caregivers, and those who assessed outcomes were blinded to treatment assignment.

SETTING: 14 anticoagulant therapy clinics in Canada, the United States, and Italy.

PATIENTS: Nonbleeding patients with INR values of 4.5 to 10.0.

INTERVENTION: Oral vitamin K, 1.25 mg (355 patients randomly assigned; 347 analyzed), or matching placebo (369 patients randomly assigned; 365 analyzed).

MEASUREMENTS: Bleeding events (primary outcome), thromboembolism, and death (secondary outcomes).

RESULTS: 56 patients (15.8%) in the vitamin K group and 60 patients (16.3%) in the placebo group had at least 1 bleeding complication (absolute difference, -0.5 percentage point [95% CI, -6.1 to 5.1 percentage points]); major bleeding events occurred in 9 patients (2.5%) in the vitamin K group and 4 patients (1.1%) in the placebo group (absolute difference, 1.5 percentage points [CI, -0.8 to 3.7 percentage points]). Thromboembolism occurred in 4 patients (1.1%) in the vitamin K group and 3 patients (0.8%) in the placebo group (absolute difference, 0.3 percentage point [CI, -1.4 to 2.0 percentage points]). Other adverse effects were not assessed. The day after treatment, the INR had decreased by a mean of 1.4 in the placebo group and 2.8 in the vitamin K group (P < 0.001). Limitation: Patients who were actively bleeding were not included, and warfarin dosing after enrollment was not mandated or followed.

CONCLUSION: Low-dose oral vitamin K did not reduce bleeding in warfarin recipients with INRs of 4.5 to 10.0.

Funding: Canadian Institutes of Health Research and Italian Ministry of Universities and Research.

Advance in Treating AMI patients

First Patients Receive Cardiac Stem Cells for Treatment of MI

Doctors in the US have injected autologous cardiac stem cells into patients for the first time, with two people out of a planned 24 having received the treatment following an MI [1].

"This is the first time we have injected cardiac-specific cells into a human," investigator Dr Raj R Makkar (Cedars Sinai Heart Institute, Los Angeles, CA) told heartwire . "These cells are destined to be heart-muscle cells, so this is attractive in that sense--we are trying to obtain cardiogenesis." Preclinical experiments suggest that the cells, known as cardiosphere-derived cells, do develop into cardiac myocytes, he noted.........

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Isu MLM - Patut berhati-hati?

Ilmu tentang MLM yang tidak banyak didedahkan ............................

Kenapa MLM adalah skim piramid?

• Lebih menitikberatkan aspek mencari downline dari menjual produk. Lebih ramai downline, lebih tinggi komisen, bukan komisen berdasarkan jualan produk. Anda mendapat komisen dari downline yang mencari downline, di mana anda mendapat komisen tanpa menbuat kerja atau istilah ‘atas angin’.
• Modal untuk menjadi ahli amat tinggi, dimana yuran keahlian lebih tinggi daripada harga produk yg wajib dibeli.Harga produk yang dijual secara pakej biasanya terlalu tinggi dari nilai produk tersebut.

Kenapa MLM adalah perniagaan yang kotor:

• Anda boleh menjadi kaya raya tanpa menjual produk, padahal syarikat2 MLM tersebut selalu menyatakan bahawa mereka bukanlah skim piramid kerana mereka menjual produk.
• Anda dijanjikan pulangan berlipat ganda dengan kerja yg sedikit, tetapi hakikatnya lebih 80% dari yang menyertai MLM tidak mendapat balik modal.
• Anda diajar menipu untuk menarik bakal- bakal downline dengan janji- janji yang tidak masuk akal.
• Apabila anda menyertai MLM, anda memasuki satu ’sistem’, bukanlah sebuah syarikat yang menjual produk sebagai ‘nature of business’. Anda sebahagian daripada ’sistem’ yang memanipulasi orang lain untuk keuntungan sendiri.
• Menjual produk dengan harga yang terlalu tinggi dari nilai sebenar
• Segala kerja keras anda tidak berbaloi dengan pendapatan. Upline2 mendapat pulangan berlipat ganda hasil usaha anda terutamanya pemilik syarikat MLM.
• Sistem ‘pelan pemasaran’ yang amat meragukan dari sudut Syariah.

Kenapa MLM perlu ditolak terutamanya oleh umat Islam:

• Janji- janji yang ditabur oleh upline anda hanyalah gimik semata- mata.
• Lebih daripada 90% ahli yang menyertai sesebuah MLM tidak mendapat kembali modal, apatah lagi untung.
• Terbukti merosakkan hubungan sesama manusia; kawan, sepupu, ibu bapa, rakan sepejabat.
• Anda perlu menipu untuk berjaya menarik masyarakat menyertai dibawah anda
• Skim piramid yang bertopengkan MLM amat meragukan dari sudut Syariah
• Pulangan (jika ada) tidak berbaloi dengan usaha anda, sedangkan upline yang mendapat komisen dari kerja anda. Anda pula hanya mendapat komisyen bila downline anda membuat kerja.

Alasan- alasan yang paling popular digunakan oleh agen MLM sejak 20 tahun lepas:

• Produk kami adalah produk pertama seumpanya di dunia
• Kami bukan skim piramid, buktinya kami menjual produk.
• Jika anda gagal dalam MLM, itu kerana kelemahan anda sendiri, bukan kegagalan sistem MLM
• Ini adalah peluang untuk anda menjadi jutawan dengan modal yang kecil
• Waktu kerja yang fleksibel, singkat dan boleh dijalankan dimana- mana.
• Dengan pendapatan yang anda bakal lakukan dengan MLM, anda boleh bersara awal dan melancong ke seluruh dunia di usia muda
• Pelan kami berbeza dengan MLM yang lain dipasaran. Pendek kata pelan kami unik.
• “Jika saya boleh, anda tentu boleh”. Sebenarnya anda boleh menjadi jutawan hanya jika anda adalah orang terawal yang memasuki skim ini, iatu tidak lebih dari 10 orang terawal

Kenapa syarikat MLM jarang dikenakan tindakan walaupun boleh dibuktikan mereka mengamalkan sistem piramid:

• Pemilik syarikat MLM tersebut mempunyai hubungan politik yang sangat kuat
• ‘Pelan pemasaran’ yang sangat kompleks beserta dengan skim bonus yang pelbagai memudahkan mereka memutar belit fakta
• Menyatakan bahawa mereka menjual produk sebagai punca pendapatan yang utama, walhal produk hanyalah pengalih perhatian dari operasi sebenar.
• Kurang menerima aduan dari bekas agen MLM yang gagal, kerana mereka sudah ditanam di dalam minda bahawa “jika anda gagal dalam MLM, ia kerana kegagalan anda sendiri, bukan kegagalan sistem MLM.”Jadi mereka berasa bersalah terhadap diri sendiri.
• Mempunyai dana yang besar untuk ‘menutup’ mulut pengadu- pengadu yang ingin membuat laporan

Kenapa ramai yang taksub dengan MLM?

• Kononnya dengan memasuki MLM anda boleh mengecapi segala impian anda yang mustahil dikecapi jika anda bekerja makan gaji.
• Sesi motivasi setiap minggu tersebut mempunya unsur2 ‘mind control’(nyanyi beramai2, istilah2 yang sama diulang2)
• Disajikan dengan gambar2 org2 yang telah berjaya dalam bidang MLM yg mana hampir kesemuanya adalah palsu
• ‘In state of denial.’tidak sanggup mengakui kebodohan sendiri setelah menyertai skim MLM, lalu cuba memperbodohkan orang lain supaya nampak seolah2 pandai.
• Kononnya MLM adalah jenis pasaran terbaru, yang mana jika anda lambat, maka anda akan ketinggalan. Perlu diingat bahawa MLM sudah wujud sejak awal abad ke20, jadi tidak masuk akal untuk mengatakan bahawa MLM adalah gerbang baru pasaran runcit.
• Kebanyakan ahli yang memasuki MLM adalah dari golongan yang berpendapatan rendah,maka janji2 bahawa mereka boleh menjadi jutawan dalam masa 2-3 bulan sememangnya akan membutakan hati mereka. Perlu diingat bahawa desakan boleh membawa kepada pemikiran yang tidak rasional.

Untuk renungan:

• Hampir kesemua produk yang ditawarkan oleh syarikat MLM berasal dari negara luar, biasanya Eropah. Ini adalah kerana jika anda ingin menyiasat kesahihan pengilang produk tersebut, agak sukar kerana jarak yang jauh. halaman web, e-mail dan nombor telefon boleh dicipta oleh sesiapa saja. Pokoknya anda tidak boleh melawat kilang tersebutuntuk melihat dengan mata anda sendiri.
• Logikkah harga sebotol minuman ‘kesihatan’ berharga RM300? Pernyataan bahawa ia mahal kerana menggunakan teknologi baru atau bahan mentah yang sukar didapati tidak dapat dibuktikan secara sahih. Sijil dan anugerah boleh dibuat oleh sesiapa saja.
• 8/10 daripada rakan/saudara/keluarga anda yang ada pengalaman dalam MLM pasti memberi komen yang negatif. Kenapa?
• Jarang- jarang kita mendengar arkitek, jurutera mekanikal, doktor atau juruterbang memasuki MLM. Sebaliknya semua datang dari golongan yang tak pernah ‘cukup duit’.
• Di Malaysia, ada hampir 1700 syarikat MLM yang beroperasi secara sah dan haram. Berapa ramai yang bergelar jutawan hasil dari MLM?
• Jika anda menyertai MLM, anda lebih ditekankan mengenai ’sistem’, bukan ‘produk’.
• Hampir semua syarikat MLM menawarkan produk kesihatan.
• Jika peratusan yang gagal dalam MLM adalah 80%, adakah 80% rakyat kita bodoh?
• Kebanyakan syarikat MLM yang bertahan lebih dari 5 tahun biasanya mempunya cabang- cabang perniagaan yang lain seperti hartanah dan sbgnya. tetapi syarikat yang semata- mata MLM akan tutup kurang dari 5 tahun.

Cuba anda cari perbezaan skim Pak Man Telo dan MLM yang anda ketahui. Bandingkan perbezaan tersebut dan tentukan samada relevan atau tidak perbezaan tersebut.Piramid yang tidak mempunya ‘tapak’ akhirnya akan roboh. Anda tidak boleh membina sesuatu tanpa asas, ia pasti akan roboh.

Brugada Syndrome

Brugada syndrome is a disorder characterized by sudden death associated with one of several ECG patterns characterized by incomplete right bundle branch block and ST elevations in the anterior precordial leads. (See Media File 2). In the initial description of Brugada syndrome, the heart was reported to be structurally normal, but this has recently been challenged.¹ Moreover, subtle structural abnormalities in the right ventricular outflow tract can also be observed. The typical patient with Brugada syndrome is young, male, and otherwise healthy, with normal general medical and cardiovascular physical examinations.

Patients with Brugada syndrome are prone to develop ventricular tachyarrhythmias that may lead to syncope, cardiac arrest, or sudden cardiac death.^2,3,4 Infrahisian conduction delay and atrial fibrillation may also be manifestations of the syndrome.^5,6 Brugada syndrome is genetically determined and has an autosomal dominant pattern of transmission in about 50% of familial cases. About 5% of survivors of cardiac arrest have no clinically identified cardiac abnormality; about half of these cases are thought to be due to Brugada syndrome.⁷

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Haji bagi Pesakit Kronik

Dimaklumkan bahawa Muzakarah J/K Fatwa Majlis Kebangsaan kali ke-84 (15/12/2008) memutuskan bahawa:-

1. Pesakit Kronik yg tiada harapan sembuh seperti pesakit renal yg menjalani rawatan hemodialisis dan seumpamanya, adalah TIDAK WAJIB menunaikan ibadah haji
2. Pesakit Kronik di atas wajib melaksanakan badal haji sekiranya berkemampuan daripada sudut kewangan
3. Sekiranya pesakit kronik itu telah sembuh dari penyakitnya, individu tersebut wajib menunaikan ibadah haji jika berkemampuan.

Penyakit2 lain yg mungkin terlibat sama (ikut garis panduan KKM) ialah :-

1. Epilepsy with attack within 1 year
2. CVA, Parkinson, Myelitis, Cerebellar degenaration - Functional Class III and IV
3. Psychiatric problems ; Dementia (semua kes), Schizo (relapse within 2 years), Bipolar dan Major depression with psychotic features (semua kes)
4. Uncontrolled DM with serious complications, dan Throtoxicosis with toxic symptoms and signs
5. Rheumatoid Arthritis - functional class III and IV
6. Exfoliative dermatitis involved > 1/3 of whole body
7. Leukaemia or lymphoma on chemo Rx (boleh diluluskan selepas rawatan) dan masalah anemia with symptom ( Hb <>

Diharapkan maklumat ini membantu dalam memberikan maklumat dan kaunseling kepada pesakit2 yg terlibat.

Gastrointestinal Bleeding With Low-Dose Aspirin -What's the Risk?

Summary and Conclusions

Low-dose aspirin, defined as 75–325 mg daily, offers clearcut benefit in the prevention of cardiovascular events in patients with prior cardiovascular disease and in those whose clinical characteristics predict a moderate-high risk of developing cardiovascular events. The main concern regarding the use of aspirin is the potential for developing serious GI events, such as bleeding. Even at recommended doses, aspirin increases the risk of GI bleeding by approximately twofold. However, the annual incidence of GI bleeding with these doses is relatively low. Pooled estimates from randomized, placebo-controlled trials suggest that the annual incidence of major GI bleeding that can be ascribed to use of low-dose aspirin (i.e. the increment above the placebo or 'no aspirin' group) is 0.12%.^[20] This means that 833 patients would need to be treated with low-dose aspirin rather than no aspirin to cause an additional episode of major GI bleeding over 1 year. When the development of any degree of GI bleeding with doses of aspirin up to 1500 mg per day (well above the recommended cardioprotective dose) is assessed, the number needed to harm at 1 year is reported to be 247.^[19]

The U.S. Preventive Services Task Force concluded that the benefit–risk balance with low-dose aspirin is most favourable in patients with a predicted 5-year risk for coronary heart disease ≥3%.^[61] However, their recommendation was based on an assumed annual increased incidence of major GI bleeding of 0.06% from five primary prevention randomized trials – a rate somewhat lower than the results from other systematic reviews. Alternatively, the American Heart Association recommends low-dose aspirin be considered in a higher-risk group (10-year risk ≥10%) to improve the likelihood of a positive balance of benefit vs. risk.^[5]

The clinical characteristics that portend an increased risk of GI bleeding with low-dose aspirin are not as well defined as they are for full-dose NSAIDs. Limited information does suggest that prior history of ulcers or GI bleeding, the use of corticosteroids or anticoagulant therapy, and the addition of a non-aspirin NSAID all significantly increase the risk. Surprisingly, age has not been documented to increase the risk with low-dose aspirin, in contrast to studies with full-dose NSAIDs. However, older patients taking low-dose aspirin do have a greater risk of GI bleeding due to the marked increase in baseline risk of bleeding with increasing age. The combination of low-dose aspirin plus another NSAID increases the risk of GI bleeding by two- to fourfold. The addition of a COX-2-specific inhibitor also increases the risk of GI injury more than additively – to approximately the level of a non-selective NSAID. However, some studies suggest that the combination of a COX-2-specific inhibitor and low-dose aspirin may have lower risk than the combination of a non-selective NSAID and low-dose aspirin.

In conclusion, when determining whether low-dose aspirin is appropriate for an individual patient, the risk of clinical events such as GI bleeding must be weighed against the cardiovascular benefit. In cases where the risk of a cardiovascular event is moderate or high based on prior cardiovascular events or an increased cardiovascular risk score, the benefits of treatment are expected to outweigh the risk.^[4] In patients with low cardiovascular risk, the use of low-dose aspirin may be anticipated to cause an excess of GI events.

Read full Article - http://www.medscape.com/viewarticle/545101_print

Be Careful with Other Person's Feeling

Those who just don't bother other person's feeling, at some other times will pay for that ............




So, as doctors, please bother............ otherwise your 'time' will come.

Insulin Glargine Alerts

July 1, 2009 — Three of 4 observational studies suggest an increased risk for cancer associated with use of insulin glargine (Lantus, sanofi-aventis), although these findings warrant further follow-up studies to confirm an association, according to the United States Food and Drug Administration (FDA).

The FDA is currently reviewing many sources of safety data for insulin glargine, including these newly published observational studies, according to an alert sent today from MedWatch, the FDA's safety information and adverse event reporting program.

The FDA currently is recommending that patients not stop taking insulin glargine without consulting a healthcare professional. No guidance regarding action to be taken by healthcare professionals has been issued.

Insulin glargine is approved to control blood glucose in patients with type 1 and type 2 diabetes.

The observational studies were published in the June 30 issue of Diabetologia,, the journal of the European Association for the Study of Diabetes (EASD). According to an EASD press release, one data analysis of 127,000 insulin-treated patients reported a statistically significant link between cancer and insulin glargine use compared with those using similar doses of human insulin. Among those receiving insulin glargine, there was an increase of 1 person with cancer for every 100 people receiving human insulin.

This study, conducted in Germany, also indicated a dose-dependent increase in cancer risk; 10 U of insulin glargine increased the risk by 9% whereas 50 U increased the risk by 31%.

As a result of these findings, studies were also conducted in databases from Sweden, Scotland, and the United Kingdom. The Swedish study found that compared with patients on other forms of insulin, patients receiving insulin glargine alone had a 2-fold increased risk for breast cancer. The Scottish study found a nonsignificant increased risk for breast cancer, whereas the UK study found no link between insulin glargine and any type of cancer.

According to the FDA, further studies are underway “to better understand the risk, if any, for cancer associated with use of [insulin glargine].”

Terkini tentang Selsema Ba... Ooops .. Influenza H1N1

Liow says it’s A(H1N1), Rais tells media to say ‘swine flu’

KUALA LUMPUR, June 25 – Shortly after Health Minister Liow Tiong Lai urged the media to use the term Influenza A(H1N1) as recommended by the the World Health Organisation, Information Communication and Culture Minister Datuk Seri Dr Rais Yatim said all media should return to using “swine flu” instead.

Rais said this was to ensure that the people realised the danger of the disease and to get the message across to them more accurately.

It is also easier for (radio and television) announcers to state “selsema babi” (swine flu) than H1N1 in Bahasa Melayu, he told reporters after an official visit to Pos Malaysia, here.

Rais also said that the ministry would monitor programmes broadcasting health-related advertisements to ensure that there was no confusion as to the accuracy of the message as well as the people’s understanding of swine flu/A(H1N1).

“We should not combine health-related matters with confusing advertisements," he said. – Bernama

Adequate frontliners to cope with H1N1 – Liow

KUALA LUMPUR, June 30 – Health Minister Datuk Seri Liow Tiong Lai said Malaysia is well prepared to handle the Influenza A(H1N1) outbreak as it has adequate medical frontliners to cope with the situation.

However, the public should not take the outbreak lightly as there was a possibility of the situation reaching “sustained local transmission”, meaning the source of infection being unknown, he said when winding up debate on a motion tabled by Dr Lee Boon Chye (PKR-Gopeng) on the flu in the Dewan Rakyat today.

“As such, we have to cooperate closely to fight the outbreak. The pandemic is here to stay and can be here for months. And we have to work together to fight it,” he said.

Liow also said Malaysia was still under the containment measure phase of the National Pandemic Preparedness Plan (NPPP), and had yet to go into the mitigation phase. “Everything is outlined in the NPPP. While there is local transmission, the disease is still under control because we know the source of infection and we are able to detect the patient. The contact point can still be traced,” he said.

Liow said if the swine flu reached the stage of sustained local transmission “we will have to close down most of the schools within the community and proceed with social distancing measures”.

He said that if the situation escalated to such a level, exit screening points in the infected community would be established even though it was not a recommendation of the World Health Organisation in handling the situation.

“We have tight control measures at all entry points. A health declaration form for all visitors. We have taken these measures because we are still able to. We are still at the containment measure stage.

“Singapore is in mitigation (stage), Indonesia and Thailand are undergoing an outbreak, they need mitigation.

“We are trying our level best; we try to contain the pandemic to ensure that it will not spread. Once there is an outbreak, we will go into mitigation measures,” he said.

From his observation, Liow said, in countries such as Indonesia and Thailand where the pandemic had forced the nations to activate their mitigation phase, it had been proven that the virus transmitted quickly through human interaction and travel, making it highly possible for Malaysia to reach such a stage as well.

Liow also said that the virus was capable of undergoing mutation, causing more difficulties in containment and making it very dangerous.

When questioned regarding the ministry’s capacity in ensuring the safety of official entry points, he firmly stated that health officers and surveillance teams had been deployed to all the 53 official entry and exit points throughout the country.

Regarding unobserved illegal entry points used by illegal immigrants to enter the country, Liow told the house that he had requested more cooperation and help from the police and the immigration to monitor the situation.

The minister once again stressed that H1N1 virus did not spread through the consumption of pork or pork products, but it was airborne and transmitted through human interaction.

Speaking to reporters at the Parliament lobby later, he said he would give a full briefing on the swine flu in the Dewan Rakyat on Thursday. – Bernama

Health Ministry denies over-reacting to A(H1N1)

PUTRAJAYA, June 30 – The Ministry of Health today denied that it was over-reacting in handling the Influenza A (H1N1), stressing that it was being proactive in preventing the disease from spreading wider domestically.

The Director-General of Health, Tan Sri Dr Mohd Ismail Merican said the measures taken by the ministry had proven to be successful, as the number of cases recorded daily was not many when compared to most of the other countries in the region, and no death had been recorded yet.

“There are people who claim that since this is a mild and moderate disease, we should relax and concentrate on dengue, but dengue is an ongoing battle and we will never run away from our fight against dengue.

“But at the same time, here we are dealing with a pandemic situation with quite a significant number of deaths around the world. We don’t want that situation to occur in Malaysia.

“It is better to do a bit more than to do less and run into problems at the end of the day,” he told reporters here today.

He was asked to comment on the opinion that the ministry is over-reacting in handling the issue, despite the disease being mild and moderate.

Dr Mohd Ismail said it was true that the disease was mild and moderate, “but it is highly contagious”.

“It is also true that we cannot anticipate the emergence of a new influenza virus and the coming of a second wave, so if we relax now and we don’t test our measures now, we may not be prepared for the next wave,” he said.

Dr Mohd Ismail said the proactive measures taken by the government was also one of the factors in ensuring that the tourists continued to come to this country, even though there were cases of Influenza A (H1N1). – Bernama

Kelebihan Bulan Rejab

Sedar dak sedar, kita dah masuk ke Bulan Rejab, di mana selepas ini adalah Bulan Sya'aban, dan seterusnya berjumpa semula dengan Bulan Ramadhan Al-Mubarak yang sememangnya ditunggu-tunggu oleh kita semua.

Bulan Rejab adalah bulan ke-7 dalam kiraan taqwim Hijriyyah. Bulan ini termasuk salah satu di antara bulan suci dan dinamakan sebagai bulan Allah.

Nabi Sallallahu 'alaihi wasallam bersabda bermaksud:"Bulan Rejab bulan Allah, bulan Syaaban bulanku, dan bulan Ramadhan bulan umatku."

Bulan Rejab juga dianggap bulan istimewa kerana pada bulan ini berlaku peristiwa Isra' dan Mikraj Nabi Muhammad Sallallahu `alaihi wasallam.

Di antara amalan yang baik diamalkan di bulan Rejab ialah puasa dan bersedekah. Banyak hadis-hadis Nabi Sallallahu `alaihi wasallam menyebutkan tentang kelebihan puasa di bulan Rejab.

Antaranya sebagaimana hadis yang diriwayatkan oleh At-Tabarani daripada Sa`id bin Abu Rashid bermaksud :

"Barangsiapa berpuasa sehari daripada bulan Rejab maka ia seperti berpuasa setahun, dan barangsiapa berpuasa daripadanya (bulan Rejab) tujuh hari, ditutup daripadanya pintu-pintu Jahannam (neraka), dan barangsiapa berpuasa daripadanya lapan hari, dibukakan baginya lapan pintu syurga, dan barangsiapa berpuasa daripadanya sepuluh hari, tidak meminta dia kepada Allah melainkan diberikannya, dan barangsiapa berpuasa daripadanya lima belas hari, menyeru orang yang menyeru dari langit : " Sesungguhnya diampunkan bagimu dosa-dosa yang lalu maka mulakanlah amal", dan barangsiapa menambah (hari puasa), Allah menambahnya (kelebihan). "

Dalam hadis yang lain telah dikeluarkan oleh al-Khallal, daripada Abu Sa`id (secara marfu') bermaksud:

"Bulan Rejab adalah di antara bulan-bulan haram, hari-hari di dalamnya ada tertulis di pintu-pintu langit yang keenam, maka apabila seseorang berpuasa sehari daripadanya (bulan Rejab) dan menyempurnakan puasanya dengan penuh ketaqwaan kepada Allah, bercakaplah pintu dan hari tersebut seraya berkata: "Tuhan ampunkan baginya (dosanya)" dan jika dia tidak menyempurnakan puasanya dengan ketaqwaan kepada Allah, maka pintu dan hari itu tidak akan memohonkan ampun baginya, dan dikatakan padanya: "Kau telah ditipu oleh dirimu."

Oleh itu marilah memperbanyakkan amalan yang baik di bulan Rejab ini, bulan terbukanya pintu langit dan terbukanya pintu syurga. Sama-samalah kita merebut peluang ini dan semoga amalan kita akan diterima oleh Allah Subhanahu Wata'ala.

Sejukkan Hati

Baca dan dengarlah Al-Quran, nescaya hatimu kan tenang ...................

Wow...wow.....boleh claim rupanya

Kelayakan Tuntutan Perjalanan Masa Oncall

Hari ini kami semua menerima surat dari Bahagian Kewangan KKM menerangkan tentang ke'bolehtuntut'an elaun perjalanan to and fro semasa oncall. Surat yg panjang lebar itu dapatlah kami simpulkan bahawa :-

1. Oncall atau kerja lebih masa - extension dari waktu pejabat i.e. tiada perjalanan pergi / balik adalah TIDAK LAYAK CLAIM
2. Oncall Pasif atau aktif masa Cuti - perjalanan pergi balik LAYAK CLAIM
3. Jika diarah datang ke tempat kerja (walau tak berjadual) hari kerja @ cuti - LAYAK CLAIM tapi perlu Akuan Ketua Jabatan
4. Kelayakan tuntutan hanya untuk maksima 33 km sahaja sekali perjalanan (boleh lebih satu perjalanan sehari jika perlu)
5. Tuntutan dibuat mengikut jenis kenderaan yang biasa digunakan setiap hari semasa bekerja. Jika menggunakan teksi - hendaklah beri alasan yang munasabah, dan beserta buktinya seperti resit bayaran.
6. Semua tuntutan hendaklah melalui ketua jabatan (perlu akuan)

Tarikh berkuatkuasa hal-hal tuntutan perjalanan di atas 20 MEI 2009.


Harap INFO ini dapat membantu semua especially para doktor yg tak kesah sangat tentang hal-hal sebegini.

CME (28/06/09)

Today's afternoon mortality discussion was about a 57 year old woman with diagnosis of ESRF admitted electively for IJC insertion. She was well and asymptomatic. Right IJC was inserted on the next morning (after procedure explanation given and consent taken). However, she started to have problems in the evening. Noted to have bleeding from the site of insertion, which was associated with compressive symptoms of the airway, and during that time already in DIVC state. She was then referred to ICU team, but despite proper active management, she succumbed to death few hours later.

The issues that we learned today were :-

1. Safe procedures - sometimes can be dangerous
2. Early recognition of signs and symptoms of any complications of medical procedures
3. Stress on proper and adequate resuscitation management
4. Good medical procedure i.e skill - practice made perfect

This video shows the procedure of Internal Jugular Vein Catheterization. Let's learn.......

Kelahiran Blog Medical HSNZ

JABATAN PERUBATAN

Assalamualaikum w.b.r.

Selamat datang ke Laman Blog, Medical HSNZ. Laman ini bukanlah laman yang rasmi, cuma sebagai tempat untuk we all berkongsi maklumat, idea, pengalaman, pengetahuan dan sebagainya. Therefore, segala apa yg ada dlm ni bukanlah suatu yg rasmi datangnya dari pihak HSNZ. Any official statement akan diberikan pautan linknya.

Medical Department diketuai oleh seorang Pakar Perunding Nefrologi, iaitu Dr. Zawawi Nordin, seorang yg begitu dedikasi, kerja 'oriented' tak kenal penat, dan tegas. Terdapat 5 unit sub-kepakaran di bawah jabatan ini iaitu Unit Neurologi di bawah Dr. Zariah Abdul Aziz, Unit Respiratori (Dr. Norhaya), Unit Gastroenterologi (Dr. Azril Haris), Unit Nefrologi (Dr. Zaiha Harun) dan Unit Dermatologi (pakarnya belum ada). Di samping itu terdapat 4 orang lagi pakar perubatan di sini iaitu Dr. Wan Razin, Dr. Termizy, Dr. Zamri dan Dr. Nik Shairuzli. Pegawai-pegawai perubatan (MO) dan MO Siswazah sentiasa bertukar ganti, kecuali mereka yg sedang menjalani latihan sarjana perubatan. Segala urusan yang berkaitan dengan pentadbiran bagi Jabatan dibantu selia oleh Pembantu Tadbir yang penuh pengalaman iaitu Puan Asmawati.

Jabatan Perubatan merupakan department major di HSNZ dan ini ditunjukkan dengan jumlah wad-wad dan 'bed occupancy rate'nya. Wad-wad perubatan ialah 1. Wad 7CD - 7C (nefrologi lelaki), 7D (3rd Class Male), 2. Wad 7EF - 7E (3rd lelaki), 7F (CRW) 3. Wad 8CD - 8C (Neuro ICU), 8D (3rd Female), 4. Wad 8EF - 8E (3rd Female), 8F (2nd Female + Nephro female), 5. Wad 8A (2nd class Male) 6. Wad 7AB (multidiscipline 1st class ward) dan 7. Wad CCU (Unit Rawatan Rapi Jantung).

Manakala klinik yang berjalan di bawahnya (setiap hari dalam seminggu) ialah AHAD (2 klinik) : General Medical dan Neurologi, ISNIN (5 klinik) : Nefrologi, Gastro, Chest, New Case Clinic dan VIP Clinic, SELASA : General Medical, RABU (4 klinik) : Diabetes, Neuro, Nefro dan Cardio, dan hari KHAMIS (2 klinik) : Chest dan Combined-Clinic.

Bagi meningkatkan lagi pengetahuan dan pengalaman di kalangan anggota esp. pegawai perubatan, berbagai program CME dilaksanakan seperti Houseman Case Presentation, Mortality Audit, Journal Club, Short Quiz Discussion, lunch-talk (sponsored) dan Grand Ward Round. Kekadang terdapat juga CME Course yang dianjurkan di bawah kendalian pakar-pakar di Jabatan seperti Medical Update, Neuro Update, Respiratory Update, Gastro Update, Nephro Update, Diabetes Update dan lain-lain program samada di peringkat hospital, negeri ataupun zon timur.

Itulah serba ringkas latar belakang Jabatan Perubatan HSNZ, yang memang terkenal dengan kesibukan wadnya, tetapi keadaan inilah sebenarnya yang memberi peluang kepada semua pegawai perubatan untuk menimba sebanyak mana pengalaman agar dapat mematangkan diri dalam kehidupan sebagai doktor yang penuh mencabar, dan seterusnya akan menjadi doktor yang kompeten dlm memberikan khidmat bakti kepada masyarakat, suatu tugas yang senantiasa dipandang mulia oleh mereka, dan seterusnya dapat memberikan sumbangan yg bermakna kepada negara kita, Malaysia.