Showing posts with label mEdiCaL stUff. Show all posts
Showing posts with label mEdiCaL stUff. Show all posts

Saturday, 8 October 2011

senarai belanjawan 2012

salam satu malaysia....
sambil menunggu baju siap di basuh dalam auto w'machineku....
jom2 kawan.... kita lihat ape yang telah di senaraikan oleh kerajaan dalam budget 2012 kali ini... aku just copy n paste je bagi memudahkan semua kawan2 faham.... kan lebih ringkas gitu.... huhu...

aku dah jadi better skang tau... transf0rm!!!...hahaha...

yeayyeaa... dapat bonus 1/2 bulan lagi n naik gaji lagi...(even ikut gred)... w00ott...w00oott...


1. Antara tahun 2011-2020, kesemua program transformasi akan dilaksanakan di bawah Dasar Transformasi Nasional.

2. Bajet 2012 sediakan peruntukan RM232.8 bilion untuk melaksanakan semua rancangan Kerajaan.

3. RM181.6 bilion untuk perbelanjaan mengurus & RM51.2 bilion untuk perbelanjaan pembangunan.

4. RM29.8 bilion disediakan untuk pelaburan dalam infrastruktur, perindustrian, pertanian & pembangunan luar bandar.

5. RM13.6 bilion disediakan utk sektor sosial, termasuk pendidikan & latihan, kebajikan, perumahan serta pembangunan msykt.

6. Defisit Kerajaan Persekutuan dijangka terus berkurangan kepada 4.7% drpdKDNK, berbanding 5.4% tahun ini.

7. Tema Bajet 2012 ialah “Dasar Transformasi Nasional: Bajet Membela Rakyat, Mensejahtera Negara”.

8. Rolling Plan Ke-2 (RP2) bagi RMK10 akan dilaksanakan tahun ini & diperuntukkan RM98.4 bln utk tahun 2012 & 2013.

9. Projek utama RP2 termasuk Lebuhraya Pantai Timur Jabor-Kuala T’ganu & pembinaan jalan Kota Marudu-Ranau.

10. Pada 2012, Kerajaan akan peruntuk RM978 juta utk merancakkan pembangunan di 5 wilayah koridor.

11. Peneroka FELDA akan terima “durian runtuh” yang mana jumlahnya akan diumumkan sebelum penyenaraian dilakukan.

12. Pengecualian sepenuhnya duti import & duti eksais bagi mengimport kereta hibrid & elektrik akan dilanjutkan sehingga 2013.

13. Krjn peruntukkan RM100juta utk inovasi termasuk memperkenalkan Anugerah Cipta 1Msia (C1PTA) utk iktiraf rekacipta pelajar.

14. Sektor pendidikan akan dapat RM50.2bln utk melahirkan tenaga kerja berbakat, kreatif & inovatif.

15. Buat pertama kalinya, Krjn akan mansuhkan yuran pendidikan rendah & menengah di semua sekolah2 krjn.

16. RM90juta akan diberi utk penyediaan kemudahan asas Orang Asli termasuk memperluas projek bekalan air terawat.

17. 600,000 pesara krjn akan dapat kenaikan pencen pesara sebanyak 2% setahun.

18. Mulai 2012, kenaikan Gaji Tahunan penjawat awam akan ditingkatkan antara RM80 hingga RM320 mengikut gred.

19. Dalam skim baru mengikut time-based, guru akan dapat gred 44 pd tahun ke-8 & gred 48 pd tahun ke-16.

20. Krjn akan tawar bantuan yuran pengajian kpd penjawat awam, termasuk 5,000 peluang ijazah sarjana & 500 kedoktoran falsafah.

21. Satu prgm khas akan diperkenalkan utk 175,000 anggota tentera yang tidak layak menerima pencen.

22. Krjn kenang jasa polis khas &polis tambahan masa zaman darurat, akan beri RM3,000 kpd stp bekas anggota serta duda & balu mereka.

23. Dasar Agro Makanan Negara 2011-2020 akan dilaksana & RM1.1bln akan diperuntukkan utk pembangunan sector pertanian.

24. Segala subsidi, insentif & bantuan berjumlah RM33.2bln akan diteruskan dalam semangat “Rakyat Didahulukan”.

25. KAR1SMA akan memberi manfaat kpd 500,000 rakyat, dgn membantu ringankan beban sara hidup.

26. Bagi Skim Rumah Pertamaku, had maksimum harga rumah akan dinaikkan kpd RM400,000 drpd RM220,000.

27. Krjn akan terus melaksanakan Program Perumahan Rakyat (PPP) di seluruh negara dgn membina 75,000 unit rumah mampu milik.

28. Program Rumah Mesra Rakyat (SPNB) akan diteruskan. SPNB diminta membina 10 ribu unit Rumah Mesra Rakyat pada tahun 2012.

29. RM63 juta untuk memulihkan 1,270 rumah terbengkalai. RM40 juta utk baik pulih dan menyelenggara rumah kos rendah awam dan swasta.

30. Krjn akan wujudkan Tabung Khas Perumahan Nelayan RM300juta utk bina & baik pulih rumah.

31. Perkhidmatan kesihatan akan diperuntukkan RM15 bln utk perbelanjaan mengurus dan RM1.8bln utk pembangunan.

32. Hospital akan dinaiktaraf & dibina, krjn juga akan tambahbaik 81 klinik kesihatan luar Bandar & buka 50 klinik 1Msia.

33. KLGH, hospital tertua di msia akan dinaiktaraf menjadi sebuah hospital primer dengan sebuah sayap baru utk rawatan pesakit luar.

34. Skim Amanah Rakyat (SARA 1Msia) akan memanfaatkan 100,000 isi rumah berpendapatan bawah RM3,000 sebulan.

35. Yayasan Bantuan Guaman Kebangsaan akan memastikan setiap individu yg didakwa di mahkamah akan diberi bantuan guaman percuma.

36. RM15juta akan diperuntukkan utk bina gelanggang futsal agar matlamat “Satu Gelanggang Satu Mukim” dpt dicapai.

37. Warga emas berumur 60 thn ke atas akan dikecualikan caj pendaftaran pesakit luar di semua hospital & klinik kesihatan.

38. Rancangan Tebatan Banjir akan dilaksanakan di Perlis, Perak dan Johor utk bantu 4 juta penduduk yg masih tinggal di kws berisiko.

39. Bantuan sebanyak RM500 akan diberi kpd isi rumah berpendapatan RM3,000 ke bawah.

40. Kakitangan krjn akan dpt tambahan bonus setengah bulan gaji & bayaran bantuan RM500 kpd pesara krjn.

wowwiee.... sound very promising kan kawan2.... hahaha... alhamdulillah dengan rezeki yang telah di berikan

tu.... bersyukur lah ye... even aku tau, ramai kawan2 aku @ KKM clan... x bape puas hati ngan kawan2 dari

KPM clan kan... chillax okay... next time turn kita pulak... i'allah....
yuuh0oo00oo... bulan december nie, dapat lagi bonus.... sudah cukup bagus... macam nak tukar f0n baru...

tapi kenang2 nak masuk umah baru... hmmm.. kene fikir2 dulu lol...... hem...hem.... >.<
okay2....dats all 4 2day lahh... petang mau kelija.... pm shift lol...
tAtA kawan2...

Wednesday, 5 October 2011

bila nak berubah..

assalamualaikum...
hmm... sebelum s0lat maghrib, sempat lagi aku mencorat-coret di sini yee...
topik 'bila nak berubah'....?
ape maksudnye tu...?
hm... sekarang... kat tempat keje aku, sibuk dengan cerita2 kawan2 yang apply naik pangkat dapat naik pangkat.... hahahaha...
yang x apply pun, matron offer untuk naik pangkat.... besttt nyer....
aku nak naik pangkat??
lambat lagi... sistem kuota... nak kene tunggu 10 tahun servis... baru la boleh di pertimbangkan... nak naik gred pulak n merangkap naik gaji... kene tunggu 15 tahun servis... susah nye la jadi nurse kat malaysia nie...
rase macam nak apply je OUM tu... amik ijazah lak... memandangkan aku kan best student mase g pos basik kat kl ari tu... hahaha...
tu yang macam nak try apply...
baru upgrade sket...
tapi... pepaham je la... sekali lagi, sebagai nurse yang ade degree... kene fikir... lom tentu ley naik gred ijazah ke U41 kalau xde post yang kosong... setau aku, HBP ni, memang xde post kosong tu.... so, option nye... resign n apply jadi pengajar jururawat pulak...

owhh... nape la susah macam tu sekali ye... sabar je lah dulu...
tunggu qiqi besar sikit...
time tue, maybe akan ade better option untuk aku...
cuma tumpang happy bila tengok kawan2 lain dah naik pangkat... 
maklumlah... mereka pun dah berbelas tahun bekerja...

okay lah...
nak solat dulu...
bubbye..

Monday, 3 October 2011

keje ku... keje mulia..

assalamualaikum...

wahhh.... aku alik2 keje je... terus 'ngeBlog' nih... ahaksss... baby qiqi tengah lena dalam buaian tue... curi2 peluang.... 
hm... dah siap mandi... rase fresh.. even sikit exhausted coz sangat busy la today... fuhh... working pm shift... wif 2 m.o anaest pm... ( daniel n gan...yg sangat coolll...;p ).. memang la penat sikit... tapi aku cool je... relax.. jangan tergopoh-gapah.... solat asar tadi pun dah pukul 7pm... gara2 cover scrub nurse jaga patient kat recovery.... nak 'pipis' pun tertahan2.... hahaha... jangan kene renal calculi sudahhh...

sangat gembira la... bila tengok 2 kes ENT yang berjalan dengan  jaya nye tadi... 2 pakcik yang terkategori dalam warga2 emas... boleh mengikut arahan dengan baik sepanjang kes trache tadi... under local tue sebab airway compromise... dapat trache, baru leh under kan patient... untuk buat pan laryngoscopy tu... kalau x silap lah... thumbs up pada Mr.Yousuf miraj tu lahh... hahaha...

dah la... rase lapar yang tersangat la pulak... tadi sempat makan kuih 'ondeh2' kak noorida je... nak ch0w... 
nak wat mil0... makan ngan biskut 0le0.... (ore0 lahh...;p)


gambar2 amik kat google jekk... malas nak snap sendiri... hahaha...
k lah ye.... dats all...
tAtA.... >,<

Friday, 30 September 2011

jiranku kene 'dengue fever'

salam...
wahhh... hari jumaat yang ceria....
tapi x ceria, bila dapat tahu, jiran sebelah...( kak chah... nurse  kat Pakar 2 @ ENT ) kene dengue pulak.... dah 2 hari admit ward...

baru sat nie, staff vect0r kesihatan batu pahat masuk n check2 umah aku... semua di tengok nye.... alhamdulillah... semua okay... takut gak... umah aku nie pun... fuhhh nyamuk nye boleh tahan banyak nye... bukan ape... kalau jumpe jentik2.. anda  boleh di saman sehingga rm5k tau.... 

kesian gak bila tau kak chah kene dengue.... malam nie daughter tunggal dia tu nak nikah... majlis lak, sok wat kat dewan jubli intan batu pahat.... ape kabar la jiran aku tu.... x melawat pun aku.... baru tau tadi... yang lebih bahaya nye... kalau dia dah alik... dengue boleh tersebar tu.... takut nye.... harap2 platlet count dia kembali normal.... 

teringat pulak zaman aku n family kene chikugunya.... pehhh.... platlet count aku tinggal 12.... hampir gak masuk wad.... normal saline drip pun berbotol2 gak masuk kat badan aku, gara2 xde tenaga langsung... terbaring je 24jam.... huhuhu... alhamdulillah.... xde ape2 yang serius berlaku....

well... kat bawah nie serba sedikit pasal dengue ye... aku copy n paste je kat internet...
pepaham kan je lahh...

 Dengue Fever
 

What is Dengue fever?
Dengue fever (pronounced Den-gay) is a viral infection caused by the female mosquito (Aedes aegypti and Aedes albopictus). Dengue fever occurs in tropical and sub-tropical regions and usually increases in the hot and humid months. Dengue fever is not a new disease. It was discovered several hundred years ago. In recent years, dengue fever has become a major international public health concern.

Dengue fever nicknamed "breakbone fever" because dengue patients usually express contorted movements due to intense joint and muscle pain. Benjamin Rush from Philadelphia, US, first described "breakbone fever" in 1780. Slaves who developed dengue fever in the West Indies were said to have "dandy fever" because of their posture and gait.

Dengue fever lasts for approximately 7 days, despite its sudden and acute onset. However, extra precautions should be taken after the recovery period. These precautions will help prevent severe illness from occurring in some people, such as dengue haemorrhagic fever (DHF) or dengue shock syndrome (DSS). These illnesses are potentially lethal and are today the leading cause of childhood mortality in several Asian countries.
Aedes mosquito, DengueAedes Mosquito

How is Dengue fever transmitted?

Dengue viruses are transmitted to humans (host) through the bites of the female striped Aedes aegypti mosquito (vector). This variety of mosquito breeds easily during the rainy seasons but can flourish in peridomestic fresh water, e.g. water that is stored in plastic bags, cans, flowerpots and old tires. The dengue virus is transmitted to its host during probing and blood feeding. The mosquito may carry the virus from one host to another host and the mosquito is most active in the early morning and later afternoon. A mosquito bite can cause the disease. Incubation period occurs when the viruses has been transmitted to the human host. The period ranges from 3 to 15 days (usually lasting for 5-8 days) before the characteristics of dengue appear. During incubation time, the dengue viruses multiply.


What are the characteristics of Dengue fever?
The Dengue virus travels to various glands in the body where it multiples. It then travels to the bloodstream, affecting some changes to these blood vessels. The virus may cause the blood vessels to swell and leak. The spleen and lymph nodes may also become swollen. Patches of liver tissue may die. Furthermore, a process known as disseminated intravascular coagulation (DIC) occurs. During this process, chemicals used to clot blood are used up, and thus severe bleeding (hemorrhage) occurs internally as well as the skin.


The signs and symptoms of Dengue fever are as follows:
- High fever (104 F, 40°C)
- Chills
- Headache
- Red eyes, pain in the eyes
- Enlarged lymph nodes
- Deep muscle and joint pains (during first hours of illness)
- Loss of appetite
- Nausea and vomiting
- Low blood pressure and heart rate
- Extreme fatigue

Basically, dengue commences with high fever and other signs as listed above for 2 to 4 days. Then, the temperature drops rapidly and intense sweating takes place. After about a day with normal temperature and a feeling of well-being, the temperature rises abruptly again. Rashes (small red bumps) show up on the arms, legs and the entire body simultaneously along with fever. However, rashes rarely occur on the face. The palms of the hands and soles of the feet may be swollen and bright red. Although the patient may feel exhausted for several weeks, most cases of dengue take approximately one week to recover. Once a person recovers from dengue, he or she will have antibodies in their bloodstream which will prevent them from having a relapse for about a year.

Treatment
There is no specific treatment to shorten the course of dengue fever. Medications are given to alleviate the signs and symptoms. Aspirin should not be given to patients. It will cause severe bleeding. Hence, it is advisable to take paracetamol to relieve muscle and joint aches, fever and headache. The patient may be required to be sponged down with water at room temperature using a wet, squeezed out towel for about 20 minutes at a time. This will help to help lower the high temperature. Ice water should not be used for this purpose. However, bed rest is essential to a speedy recovery and the patient should consume plenty of water which will help to alleviate the illness. Patients should be kept in a room that has screens to prevent mosquitoes from entering or else under mosquito netting until the second period of fever has subsided. Hence, mosquitoes cannot bite them. If the patient is bitten then the dengue virus may be transmitted to the mosquito and then to another host.


What is Dengue Hemorrhagic Fever (DHF)?
Dengue hemorrhagic fever occurs when the dengue virus re-infects a person who previously has experienced dengue fever. In this case, the previous infection teaches the immune system to recognize the virus, resulting in the immune system over reacting. DHF is also known as dengue shock syndrome (DSS) and the symptoms in this case are severe. It is a potential fatal immunological reaction and tends to affect children under 15 years old.


The signs and symptoms of DHF are as follows:
- Abdominal pain
- Hemorrhage (severe bleeding)
- Circulatory collapse (shock)
- Nausea and vomiting
- Bleeding of the nose and gums
- Sore throat and cough
- Pneumonia
- Inflammation of the heart
- Blood in the stool
- High fever (40 -41 C)

The initial symptoms of DHF are high fever and severe headache. Small purplish spots (petechiae) can be seen on the skin. This is because blood is leaking out of the vessels. Large bruised areas appear due to severe bleeding. Sometimes, patients may begin to vomit a substance that appears as coffee grounds. This is actually a sign of bleeding in the stomach. The severe hemorrhage results in a decrease of blood in the body. The low blood flow will unable to maintain adequate supply of blood to meet the metabolic requests of the cells in the body. This state of low blood flow is the defined as Dengue shock syndrome (DSS).

Patients with DHF must be closely monitored for the first few days until their condition is stabilized. The patient's condition may suddenly worsen after few days if the fever has not subsided. The temperature will then suddenly drop and the patient shows signs of circulatory failure. The patient may rapidly go into a critical state of shock (DSS) and die within 12 to 24 hours. However, he or she may recover quickly after appropriate volume replacement therapy. Fluids are infused to patients to avoid dehydration. Sometimes, blood transfusions may be necessary if severe bleeding occurs. In addition, oxygen is given to cyanotic (bluish) patients.

Prevention and ControlAt present, the only method of preventing and controlling dengue fever is to eradicate the mosquito population. They are a number of ways to combat the vector mosquitoes:

- Improved water storage practices. Cover all containers to prevent egg laying female mosquitoes access to it.

- Implement proper solid waste disposal.

- Eliminate any sources that may collect water such as tins, bottles, plastic food containers and old tires. Mosquitoes breed easily in any source of standing water.

- Appropriate insecticides, such as larvicide's can be added to water containers and man-made ponds. The insecticides can prevent mosquitoes breeding for several weeks. However, they must be re-applied as per directions.

- Always clean and check drains to ensure they are not blocked especially during the rainy season.

- Breed small mosquito-eating fishes in an artificial pond to eradicate the mosquito larvae.

In addition to the above, there are a number of factors to help prevent the mosquito being attracted to human prey.

- Avoid wearing dark and tight clothing because mosquitoes are attracted to dark colours. Wear loose, white and long clothes, which cover the whole body. Mosquitoes find it difficult to bite through loose clothes than tight fitting clothes.

- Environmental conditions. It is suggested to sleep under mosquito netting or in a room which has mosquito screens on the windows. Mosquitoes are unlikely to bite in an air-conditioned room and under strong fans. Mosquito coils are also useful to help prevent mosquitoes from entering the room.

- Apply mosquito repellants.

- Avoid reduce outdoor activities during morning and late afternoon because Aedes mosquitoes are daytime feeders.

Monday, 12 September 2011

congenital tracheomalacia

saje tetiba nak tulis pasal penyakit congenital tracheomalacia nie...especially pada infants.... memang kesian.... anak kak azina yang baru admit ari tu, di diagnose ngn penyakit ni lah....

Tracheomalacia - congenital

Printer-friendly versionEmail this page to a friendShare
Congenital tracheomalacia is a weakness and floppiness of the walls of the windpipe (trachea), which is present at birth.

Causes

Tracheomalacia in a newborn occurs when the cartilage in the windpipe (trachea) has not developed properly. Instead of being rigid, the walls of the trachea are floppy. Because the windpipe is the main airway, breathing difficulties begin soon after birth.
Congenital tracheomalacia is very uncommon.

Symptoms

Symptoms can range from mild to severe and may include:
  • Breathing noises that may change with position and improve during sleep
  • Breathing problems that get worse with coughing, crying, feeding, or upper respiratory infections
  • High-pitched breathing
  • Rattling or noisy breaths

Exams and Tests

A physical examination confirms the symptoms. An x-ray will be done to rule out other problems. The chest x-ray may show narrowing of the trachea when breathing in.
A procedure called a larngoscopy provides a definitive diagnosis. This procedure lets the otolaryngologist (ear, nose, and throat doctor, or ENT) see the airway structure and determine the severity of the problem.
Other tests that may be done include:
  • Airway fluoroscopy
  • Barium swallow
  • Bronchoscopy -- camera down the throat to see the airways and lungs
  • CT scan
  • Lung function tests
  • Magnetic resonance imaging (MRI)

Treatment

Most infants respond well to humidified air, careful feedings, and antibiotics for infections. Babies with tracheomalacia must be closely monitored when they have respiratory infections.
Often, the symptoms of tracheomalacia improve as the infant grows.
Rarely, surgery is needed.

Outlook (Prognosis)

Congenital tracheomalacia generally goes away on its own by the age of 18-24 months. As the tracheal cartilage gets stronger and the trachea grows, the noisy respirations and breathing difficulties gradually stop. Persons with tracheomalacia must be monitored closely when they have respiratory infections.

Possible Complications

Babies born with tracheomalacia may have other congenital abnormalities such as heart defects, developmental delay, or gastroesophageal reflux.
Aspiration pneumonia can occur from inhaling food.

When to Contact a Medical Professional

Call your health care provider if your child has breathing difficulties or breathing noises. It can become an urgent or emergency condition.





FOR ALL MOMS OUT THERE... DUN WORRY.... UR CHILD WILL GET BETTER SOON.. <3 TC

Friday, 12 August 2011

Baby's first year: Developmental milestones

What's happening, month-by-month.... :)


Just wanna share wif u'ols....



During the first year of life your baby responds best to a warm, loving environment. Holding your baby and responding to her cries are essential in building a strong, healthy bond. 

Remember, you can't "spoil" a baby.

Use these guidelines to offer age-appropriate activities for your baby. Click on each month for even more week-by-week developmental information. Remember, these are just guidelines, and a healthy child may achieve a milestone later than average. 

If your child is lagging in several areas, contact your pediatrician for advice.

By the end of month one a baby typically:


    1. Lifts head for short periods of time
    2. Moves head from side to side
    3. Prefers the human face to other shapes
    4. Makes jerky, arm movements
    5. Brings hands to face
    6. Has strong reflex movements
    7. Can focus on items 8 to 12 inches away
    8. May turn towards familiar sounds or voices
    9. Responds to loud sounds
    10. Blinks at bright lights


By the end of month two a baby typically:

    1. Smiles
    2. Tracks objects with his eyes
    3. Makes noises other than crying
    4. May repeat vowel noises, such as "ah" or "ooh


Read More http://www.ivillage.com/babys-first-year-developmental-milestones/6-a-127191#ixzz1Up9pIrpn
Sign up for iVillage Special Offers