Wednesday, December 3, 2008

aurat=p


dan katakanlah kepada perempuan yang beriman,"Hendaklah mereka merendahkan pandangan dan menjaga kehormatannya,dan janganlah mereka memperlihatkan perhiasannya kecuali apa yang biasa dinampak daripadanya dan hendaklah mereka tutupkan tudung ke dadanya janganlah mereka menampakkan perhiasan..."


an-nur:31


sebagai umat ISlam yang menjadi hamba kepada Allah s.w.t,sebagai seorang perempuan sememangnya kita diwajibkan menutup aurat ketika berhadapan dengan bukan muhrim.Tiada siapa yang boleh meningkah perintah tersebut.Dan sesungguhnya,sudah menjadi tanggungjawab kita untuk memberikan peringatan terhadap diri sendiri dan juga masyarakat sekeliling mengenai perintah tersebut.Manusia mudah lupa dan kita juga sering terlupa.

seorang pentazkirah berkata,"sebagai perempuan diwajibkan kita menutup aurat kecuali tangan dan rambut".Ya,mungkin dia tersasul atau mungkin dia menyindir.Hanya Allah yang tahu.

In my opinion,untuk bercakap tentang aurat wanita,untuk menasihati seorang wanita menutup aurat,biarah orang itu dikalangan kaum wanita itu sendiri.Bukankah mereka lebih memahami keindahan bertudung itu.Masayrakat lebih mudah percaya atau mendengar dri orang yang lebih berpengalaman.Rasanya,kaum Adam perlu memberi penekanan mengenai aurat dikalangan lelaki sendiri. Masih ramai kaum Adam disekeliling kalian yang memakai short ketika bermain bola.Adakah ketika kalian menonton world cup,piala FA etc,kalian melihat bola,tanpa terlihat kaki yang menendang bola?

p/s:Maaf andai terkasar.Rasa mual melihat orang perasan bagus,walaupun baru ada ilmu yang sedikit.peringatan untuk diri sendiri juga=p

Monday, December 1, 2008

MSFT&Leadership

a one day camping at Home Beach Resort,PCB

Talk about leadership given by Prof Zabidi Azhar Hussin,

ringkas,padat dan bermakna

ciri-ciri pemimpin yang bagus:
  1. sentiasa ada pembaharuan untuk organisasi tersebut-yang baik ditingkatkan,yang buruk diatasi
  2. berjiwa rakyat(keperluan rakyat adalah utama,kemudian baru keperluan diri) -sekarang banyak pemimpin fikir poket sendiri ja =(
  3. sentiasa merendah diri tetapi tegas
  4. cara berjalan tidak terlalu perlahan atau cepat
  5. pemakaian sesuai mengikut keadaan-Bekas PM Singapura pernah melahirkan kerisauan ekoran beberapa pemimpin politik ISLAM Malaysia yang semakin flexible dalam pemakaian.Berkot di Parlimen contohnya.Mengambarkan Islam bukanlah agama yang rigid.(Berpakaian jubah kadang-kadang melahirkan perasaan takut di kalangan non muslim)
  6. kekuatan mental yang tinggi -walaupun dirundung masalah,muka sentiasa tenang,tidak tergambar masalah
seorang pemimpin sering mempunyai tekanan.baik dari keluarga,management ataupun masyarakat.sehingga sampai satu ketika,pasti akan terasa kelemahan diri,terasa mahu meletakkan jawatan.Itu sebenarnya adalah cabaran.kita baru memimpin sebuah organisasi,tetapi Nabi Muhammad memimpin ummah.Lagi besar tanggungjawabnya.

"pohonlah kekuatan melalui solat tahajud.rintihlah,nangislah,kerana Allah Maha Mendengar"

sumber kekuatan umat ISLAM adalah Tahajjud.Semoga sentiasa dipermudahkan segala urusan

1 Dec-World AIDS DAY

"DAD, can you please not let the principal know that I'm positive?" the 11-year-old boy asked B days before he was to step into the new school.

Even before that question came, B had long decided not to disclose his son's HIV status to anyone in school this time, learning from past experience.

It was not an easy decision to make under any circumstances because it meant having to live with the guilt and constant fear that accidents might happen in school, giving rise to the possibility of a transmission.
"I feel that my son has a right to decide whether or not to tell other people his status. We have kept it a secret until now, but the guilt is still there," says B, who adopted Danial (not his real name) when he was just 2.

At that time, B was a volunteer with an organisation working to find suitable foster families for HIV-positive babies whose parents had died of AIDS.

He interviewed potential families to decide whether they had the right personality, attitude and behaviour in handling children with HIV.There was little knowledge and understanding of AIDS then, even though people knew what HIV was, said B.
A married couple was supposed to take Danial in, but over the months, in the process of thinking and rethinking about their decision, the wife changed her mind."When the wife suddenly said, 'I don't think I want to take this kid,' we withdrew the couple's application."The kid was left hanging in hospital for two years. There was a need to place him with a family. No home would take him in and he couldn't be staying in the hospital forever."By then, I had grown attached to him and we decided to adopt the child," says B, who is still actively involved in HIV-related work.

That was 12 years ago. Danial, now 14 and studying in a secondary school, is "totally healthy, active and happy", said his dad."He looks normal. No one can tell that he is positive without us informing them."Danial's secret is still intact today."

Every time my son enrols into a school, there is a health form that I need to fill in. "I always feel guilty as a parent (to not disclose his status), and the fact that he has to go to the hospital all the time makes it hard to keep things under wraps."I was torn inside, not knowing what to tell the school."In the end, B informed the secondary school teacher that his son has a blood disorder that requires treatment in the hospital every three months.All the sleepless nights , the white lies and constant worries that plagued him were worth B's sacrifice if it meant his son did not have to relive the experiences he had in his primary school."It was all done to protect him from further discrimination."

When Danial was in kindergarten, B did not let the school operators know of his condition because he knew the kindergarten would not accept his son for who he was.But when Danial turned 7 and was ready for primary school, B could not live with the guilt and so he informed the principal."I think that was a mistake."

When my son was in Year Two, he cut himself while playing. That was the time when the whole school panicked. Everyone was afraid to touch him."The school had to call B in to tend to Danial himself. It shocked B that the teachers reacted that way, because it showed that they did not know how HIV transmission was possible.

The health department was later called in to explain to the teachers about HIV.That was a one-off dramatic incident, but throughout his four years in school, Danial received "special treatment" -- he was not allowed to play games or play an active role in sports.It wasn't good for the teachers to be so protective of him, said B, because they did not give him a chance to participate."He did ask himself why he was not allowed to join the sports. He also mentioned that whenever he played with other kids, they asked him not to play rough with them."Somehow, other parents got to know of my child's case. But the good thing is no one that I know of asked to have my child removed from the school."Academic-wise, the treatment Danial received was not too far off from what he experienced during sports lessons."The teachers didn't pay much attention to him. "They treated him like a kid who didn't want to study, letting him just play in the corner."

Such an attitude would have a psychological effect on any child, said B, who encouraged Danial to share his stories with others.Right from the start, B had no intention of hiding Danial's condition from himself or that he was adopted.Even when he was in nursery, B started talking to Danial about HIV by telling him stories from books on HIV- positive children.
"We always try to empower the child from the beginning, to arm him against stigma and discrimination."I encourage my son to share with his friends, those he feels that he can trust, but so far he hasn't told anyone of his status."And now that he is at an age where he could become interested in girls, we talk about sex and condoms. Education is necessary.

"We also talk about death and dying. I've taken him to see how people die of AIDS, from the time when they are hospitalised till the time they are buried. "He has some ideas, but he is afraid to die. I wish that one day, my son would be fully empowered by his HIV status and would be a spokesman for others."

it is all about kayak

during my last 5 days break
kayak in front of my house
=p



abah yang sporting

abah main tipu!



sesi sebelum terjun mandi=p

Myasthenia Gravis


A 35 year old woman presents to the clinic with a chief complaint of double vision. She reports intermittent and progressive worsening double vision for approximately 2months, rarely at first, but now every day. She works as a computer programmer and the symptoms increase the longer she stares at the computer screen. She had also noted a drooping of her eyelids, which seems to worsen with prolonged working at the screen. Both symptoms subside with rest. She is generally fatigued but has noted no other weakness or neurological symptoms. Her medical history is unremarkable. Physical examination is notable only for the neurological findings. Cranial nerve examination discloses impaired lateral movement of the right eye and bilateral ptosis, which worsen with repetitive eye movements. Motor, sensory and reflex examinations are otherwise unremarkable.

what is the likely diagnosis?

Myasthenia Gravis

what is the pathogenesis of this disease

An autoimmune disease where the body produce atibody towards the post synaptic Ach receptors.Also,the antibodies also attack the acethylcholine(Ach) at the synatic cleft.The net effects are decrease number of ffuncctional Ach receptor and functional Ach

explain the pathophysiology of each signs and symptoms.

patient comes to the hospital with the complaints of fatigue, ptosis and also double vision.Destruction of the receptors cause diminished transmission of the nerve impulse across the neuromuscular junction. Muscle depolarization is not achieved, therefore, muscle weakness develop.The signs and symptoms of MG depends on which muscle involve:

  • extra ocular muslces :double vision
  • levator palpebral superioris:ptosis
  • upper esophagus :dysphagia
  • palatalmuscle :dysathria
  • diaphragm :respiratoryfailure

Usually,fatigue develop due to repetitive stimulation or prolonge use.This occur due to decrease number of available neurotrasmitter and the numbers of functional Ach receptor.

what are the investigations and the significant of it?
  • TensillonTest
admistration of cholinesterase inhibitor will cause improvement of muscle power.This will increase the number of Ach in the synaptic cleft.
  • antibody towards the Ach receptor
  • chest Xray
autoimmune disease may associate with thymoma or thymic hyperplasia.

what treatments should be considered

  • cholinesteraseinhibitor
  • plasmapheresis,corticosteroid
  • thymectomy
[happy study]
=p
 
Copyright 2009 ainaa ismail. Powered by Blogger Blogger Templates create by Deluxe Templates. WP by Masterplan