tag:blogger.com,1999:blog-75901689476713162092024-03-16T11:53:05.934-07:00Blog e Mr.wknowledge is power!MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.comBlogger90125tag:blogger.com,1999:blog-7590168947671316209.post-3807078628858437662012-06-19T07:27:00.001-07:002012-06-19T07:28:59.852-07:00New ray of thalassemia<a href="http://4.bp.blogspot.com/-8IjCMupuOYY/T-CL67U6jwI/AAAAAAAAAS0/tYJLZEKV4jc/s1600/imgres.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="164" src="http://4.bp.blogspot.com/-8IjCMupuOYY/T-CL67U6jwI/AAAAAAAAAS0/tYJLZEKV4jc/s320/imgres.jpg" width="244" /></a><br />
THALASSAEMIA is a genetic disease that interfere with normal red blood cells and blood cells that causes fragile or damaged. This lump sum can produce continuous iron and gathered in several vital organs like heart brain, liver and kidneys.<br />
This resulted in damage to the organ, and at the same time, the patient was pale due to lack of normal red blood cells. This is due to low hemoglobin level and require continuous blood transfusions.<br />
If before this, most thalassemia patients in this country, particularly children, had to deal with difficult moments, including the pain each time taking injections for the treatment of the disease, but after this, they will breathe a sigh of relief when the government will introduce alternative methods of treatment easy. To be implemented by July, treatment with a drug Deeferasirox (Exjade) taken orally is expected to benefit the most optimum thalassemia patients as compared to the old method of using injections of iron chelation agent such as Desferrioxamine (Desferral). Previously, the method Desferrioxamine injection (Desferral) should be taken for eight to 10 hours a day with <br />
<a name='more'></a>treatment frequency of five to six times a week using the infusion pump to bind excess iron. Next followed the process involved in producing pile of iron from the body. However, the method is complicated and painful. It is also possible to bring the risk of complications if they are contaminated during the last injection, thus making a thalassemia patient fails to comply with proper treatment. In this regard, the Government proposes that drugs Deferasirox (Exjade) applies for purposes of treatment 'iron chelation' and it was approved registration by the National Pharmaceutical Bureau in Malaysia in 2008. It is included in the National Formulary Drugs Ministry of Health (Blue Book). However, the use of Deferasirox (Exjade) is expensive, which is a seven-year-old patient with 25 kg of body weight (kg) requires an allocation of RM49, 275 for supplies the drug a year, causing its use was not feasible at that time. Director of the Institute of Molecular Medicine, Universiti Kebangsaan Malaysia (UKM), Prof Datuk Dr A Rahman A Jamal said the use of Deferasirox (Exjade) is more expensive, would have cost three times as against the Desferrioxamine (Desferral). Dr A Rahman said the ministry allocate more funds for the use of Deferasirox (Exjade), a doctor will see more qualified individuals who received treatment based on clinical practice guidelines and the needs of each patient. He is also the Federal Advisory Thalassaemia Association of Malaysia said treatment Deferasirox (Exjade) is expected to be implemented immediately where the doctor can provide treatment for iron chelation 'best for the patients. "This is at once taken to reduce pain during injection Desferrioxamine (Desferral). "However, at present, not all patients will be able to oral treatment and the ministry will limit the number of patients only, "he said. Healthy Dr A Rahman said, even with the introduction of the drug Deferasirox (Exjade), but there will be patients who require a combination of both types of injections and oral treatment for those who rate and critical excess iron in the liver. "Use of Desferrioxamine (Desferral) combined with Deferasirox (Exjade) is to help remove iron more effectively for patients with chronic thalassemia. "Initial use of oral treatments for new cases will help reduce the cost dose depends on body weight, "he said. In the meantime, Health Minister Datuk Seri Liow Tiong Lai said the use of Deferasirox (Exjade) finally can be realized within two months after the ministry obtained allocate approximately RM80.9 million every year, which an increase of RM31.9 million, mainly for the purchase of medicine. "Through this method, patients only need to take one dose per day compared to injection to be taken every eight hours for five or six times a week. "With the implementation of this treatment method also shows the level of medical nation we are getting better and better up to a level that not many other countries that could provide this as expensive drugs, "he said. Liow said that so far, the ministry is negotiating with pharmaceutical companies that manufacture Deferasirox (Exjade) for supply within a month or two months for the benefit of thalassemia patients. However, he said the cost of drugs Deferasirox (Exjade) is high, then the use of prescribed only to patients under the age of eight years, patients who experience serious side effects due to drug use 'iron chelating agents and patients who do not get optimal treatment 'iron chelation'. He said, through an additional allocation of RM31.9 million for the purchase of medical supplies each year, it is expected to benefit approximately 916 pediatric patients with thalassemia, aged between two to seven years and 166 new patients. "Some of these pediatric patients grow up and enter adulthood as a result of improved treatment of thalassemia given by the Ministry of Health hospitals during the period of the child. "Accordingly, the allocation of about RM26.7 million per year needed to meet the needs drug Desferrioxamine (Desferral) and drug Deferiprone (L1) for the treatment of patients with thalassemia 1.646 adults aged 20 years and above. "In addition, it also includes additional provisions Prenatal Diagnostic Laboratory at the Hospital Kuala Lumpur, the strengthening of the Pathology Laboratory services for screening the population at hospital ministry and carry out health education and information dissemination related to thalassemia, "he said. Liow said with the increase in counseling and health education program thalassemia, the number of births that have the disease decreased from 192 in 2004 to 82 in 2009. At the same time, he number of teenagers and young adults who underwent screening for thalassemia to know whether a 'gene' disease also increased from 141.758 in 2008 to 262.236 persons in 2010, thus proving there is increasing public awareness about it. "stage of adolescence is the most suitable for the test for counseling interventions conducted at that age is more effective, "he said. While overall, the number of thalassemia patients registered under the National Thalassaemia Register in 2010 amounted to 4.823 people where all they have got the perfect treatment that includes medication chelators and filtered blood transfusions to maintain the quality of life.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com18tag:blogger.com,1999:blog-7590168947671316209.post-7911460696928919942012-05-11T18:40:00.000-07:002012-05-11T18:40:00.817-07:00MU moment will be remembered<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-fQCQYCOrN6A/T62-j8yOKOI/AAAAAAAAASk/jZNw8mew9UM/s1600/mu.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="194" src="http://1.bp.blogspot.com/-fQCQYCOrN6A/T62-j8yOKOI/AAAAAAAAASk/jZNw8mew9UM/s320/mu.jpg" width="259" /></a></div>As the players left the field exhausted Manchester City on April 8 after losing 1-0 to Arsenal, only hardcore fans they still have confidence and not until a month later, they now on the verge of winning league history.<br />
A poor start against the Gunners, plus striker Mario Balotelli who was sent off, watching rivals, Manchester United have a big advantage at the top of the league eight points, six games remaining.<br />
"No fighting, no title for the City that are not in earnest," commented the Daily Mirror, referring to the opinion of many that the league championship to-20 for United already in the hands of City when challenges deterioration and fading. unexpected situation occurs, which saw United just one win from four games later, to allow the City cut as leaders on goal difference after winning their precious 1-0 victory over neighbor, 30 April. No team has lost the title after leading by eight points advantage in April and Alex Ferguson must now accept the fact his team lost like horse racing at the last minute after comfortably ahead of the competition. Ferguson blamed the important decisions affecting the team, referring to the 4-4 <br />
<a name='more'></a>draw against Everton 22 April last, allowing the City to close the gap to just three points. " I think the game against Everton was a murderer from us, "Ferguson said last week. "It was the worst performance in the last 10 minutes of the match. It is truly the most careless, "said Ferguson. If the City is truly the first team in the era of the English Premier League (EPL) clinch the title on goal difference this weekend, of course, the fact that Ferguson will haunt all his men.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com13tag:blogger.com,1999:blog-7590168947671316209.post-26269484976835391322012-05-04T00:10:00.000-07:002012-05-04T00:10:02.472-07:00Real Madrid the campion of Spanish league<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-FMZbnnmZO9U/T6N_5nn2ENI/AAAAAAAAASU/OdKY4wiFSWc/s1600/images%2B%25285%2529.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="180" src="http://2.bp.blogspot.com/-FMZbnnmZO9U/T6N_5nn2ENI/AAAAAAAAASU/OdKY4wiFSWc/s320/images%2B%25285%2529.jpg" width="279" /></a></div><br />
Real Madrid win the Spanish championship for the first time in four years, ending the dominance of the main rivals Barcelona beat Athletic Bilbao 3-0 to league-32 to their early yesterday morning. success giants also saw the first coach Jose Mourinho appeared won the domestic league in four different countries in Portugal following two (FC Porto), two in England (Chelsea), two in Italy (Inter Milan) and now one in Spain. <br />
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"This is a most difficult time," said 49-year-old operator. "Until the last moment no one putting their trust on us."<br />
In the match network from Gonzalo Higuain, Mesut Ozil and Cristiano Ronaldo Real victory. Mourinho that the students have to win the match after the previous Barcelona 4-1 thrashing of Malaga through the network Carles Puyol and Lionel Messi hat-trick which saw him net a record-breaking Gerd Muller in the season <br />
<a name='more'></a>competition in Europe. After the players on the field celebrating the San Mames thus become the first visiting team to ever win a championship in Athletic stadium. "It's a long hard season, but finally we managed to do and I hope it is a beginning to a young line the team won more championship titles and our dedication to the fans, "said the captain Iker Casillas after the final whistle. "We are very happy," said Sergio Ramos, after last Wednesday and emotional experience is different when the failed clog penalties in the semi-finals Champions League against Bayern Munich.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com14tag:blogger.com,1999:blog-7590168947671316209.post-21256197816315020642012-05-01T22:06:00.000-07:002012-05-01T22:06:06.985-07:00Lukas Podolski<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-cUCXNas8cbY/T6C_EZ0dNzI/AAAAAAAAASE/ssDFMzK586k/s1600/images%2B%25284%2529.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="205" src="http://1.bp.blogspot.com/-cUCXNas8cbY/T6C_EZ0dNzI/AAAAAAAAASE/ssDFMzK586k/s320/images%2B%25284%2529.jpg" width="245" /></a></div><br />
Lukas Podolski (German international striker) will leave Cologne to play for Arsenal in the English Premier League (EPL) 2012-2013 season, according to the Bundesliga club on Tuesday. the 26-year-old striker, who played - 95 times - struggling joined Cologne from Bayern Munich in 2009. <br />
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No further information about the disposition described by the Cologne is now ranked 16th in the Bundesliga, but news reports estimated that the transfer was worth 13 million Euro.<br />
"This move gives me the opportunity to play at international level with one of the best European clubs," said Podolski. "It is not a simple decision for me because the club, the fans and this city means a lot to me. Cologne has always remained in my heart. " Podolski, who played 180 times and scored 86 goals will be joining teammate <br />
<a name='more'></a>Germany, Per Mertesacker at Arsenal. Meanwhile, Arsenal manager Arsene Wenger welcome Podolski and hopes to capitalize on the player's experience end drought Gunners trophy. "We are pleased to be able to sign an agreement with Lukas Podolski and hope he can play an important role.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com7tag:blogger.com,1999:blog-7590168947671316209.post-13254164968318307942012-04-24T18:51:00.000-07:002012-04-24T18:51:21.514-07:00Nani<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-vvojBhLyaHs/T5dXOlR90tI/AAAAAAAAAR4/gE72F2jrlnA/s1600/images%2B%25282%2529.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="194" src="http://1.bp.blogspot.com/-vvojBhLyaHs/T5dXOlR90tI/AAAAAAAAAR4/gE72F2jrlnA/s320/images%2B%25282%2529.jpg" width="259" /></a></div><br />
Nani said many Manchester United star angry for allowing rivals to compete for City return the title race Premier League (EPL). United drew 4-4 against Everton last Sunday where they are now only three points ahead of exaggerated enemy's neighbor. <br />
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The winger said: "The players are very angry, of course, because we want to win. We are very disappointed that conceded four goals. "<br />
United went ahead 4-2 but failed to stem the Toffees Nikica Jelavic and Steven Pienaar, who scored two quick goals late to equalize, making the match at Etihad next Monday as the 'mother of all battles neighbors' after City won 2-0 at Wolves. Nani added: "The focus of players upset at the last minute - a source of opposition arose to create chances and score goals. "We have a lot on the ball and play with the attacking attractive. But we let many <br />
<a name='more'></a>goals and we are not happy about it. " Yesterday, United boss Alex Ferguson admitted the clash against rivals is the biggest game ever involving himself. Nani, 25, agrees: "It was a big game - it would be a scenario that great there. "It will be tough but if you want to win the league, we can not think about the environment or too challengers, we just need to think about how we play and try to win the game.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com8tag:blogger.com,1999:blog-7590168947671316209.post-14417899145204485322012-04-24T00:07:00.001-07:002012-04-24T01:36:53.056-07:00Kenny Dalglish<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-2V9XOlnoIZI/T5ZQCtz6x2I/AAAAAAAAARs/F7-ggsao_t0/s1600/images%2B%25281%2529.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="177" src="http://1.bp.blogspot.com/-2V9XOlnoIZI/T5ZQCtz6x2I/AAAAAAAAARs/F7-ggsao_t0/s320/images%2B%25281%2529.jpg" width="285" /></a></div><br />
Kenny Dalglish again faced the same feelings experienced earlier after seeing the guidance team, Liverpool lost 0-1 to West Brom in the Premier League action at Anfield last night. Web visitors through Peter Odemwingie single in the 75th minute was enough to give West Brom victory in the inaugural Liverpool sacred arena, after the last time did 45 years ago. <br />
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Some of the best opportunities for real ignore by Liverpool when Dirk Kuyt trial and Jordan Henderson just rattled the crossbar, while Luis Suarez and Andy Carroll missed several golden opportunities in addition to demand penalties are not treated referee Maxi Rodriguez.<br />
During the 17 matches at home this season, Liverpool has won only five times and it makes Dalglish felt 'fortress' Anfield is no longer sekebal first. "It's not just happening in this game, but seven or eight times <br />
<a name='more'></a>happen here. Not much I can say that it has already been said a few times at Anfield before. "I think they just need a little luck. It sounds like a repeat but it is not an excuse. We do not run away from anything because it is not an error of sudden we can not identify. It's just a little luck we need, "said Dalglish. West Brom's victory also gives personal satisfaction for the manager, Roy Hodgson, who was sacked Liverpool after only six months to steer the team last season before being replaced Dalglish.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com1tag:blogger.com,1999:blog-7590168947671316209.post-7163680251559812342012-04-20T23:59:00.000-07:002012-04-20T23:59:38.079-07:00Emmanuel Adebayor<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-veRYi2YQkCs/T5JZm1D-_xI/AAAAAAAAARg/AmssHf8xK88/s1600/images.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="195" width="258" src="http://2.bp.blogspot.com/-veRYi2YQkCs/T5JZm1D-_xI/AAAAAAAAARg/AmssHf8xK88/s320/images.jpg" /></a></div><br />
<b>Emmanuel Adebayor</b> admits Tottenham Hotspur to face severe test when visiting Queens Park Rangers today, six days after being humiliated at Wembley. Adebayor and his team-mates were shocked by the 5-1 defeat to Chelsea in the FA Cup semi-final clash that ended their dream to lift trophy this season. <br />
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The defeat left the Spurs with only a chance in the end the English Premier League top four - the only targets that are still open this season.<br />
Pressure is mounting for the north London club to return to the best performance and avoid being disappointed Newcastle and Chelsea in the hunt for a place to race the Champions League next season. "What is important now from QPR to Fulham at the end of the season is finished in the top four, " Adebayor said. "We have a difficult time but the quality is still there, as you can see in the first round match <a name='more'></a>against Chelsea." QPR is a remarkable record at home is now just two points above the relegation zone, with Swansea, Arsenal and Liverpool among their latest victim in Loftus road.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com3tag:blogger.com,1999:blog-7590168947671316209.post-82369916868365142472012-04-13T23:28:00.000-07:002012-04-13T23:28:58.725-07:00Gallstones<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-VZvi2lS03qU/T4kX_DJUR0I/AAAAAAAAARQ/erm_QmKe-Ow/s1600/images%2B%25281%2529.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="204" src="http://4.bp.blogspot.com/-VZvi2lS03qU/T4kX_DJUR0I/AAAAAAAAARQ/erm_QmKe-Ow/s320/images%2B%25281%2529.jpg" width="247" /></a></div><br />
Problem gallstones caused a chemical imbalance between the deposition of cholesterol in the gallbladder. Time required for gall stones are formed from small grains of sand to stone size larger. The gallbladder actually works as a thick liquid storage organ until it is needed to digest fats in your small intestine.<br />
Consultant Surgeon General and hepato-pancreas, Sunway Medical Centre (SMC), Dr Bong Jin explained in January, when the formation of grains of sand in the gallbladder, it causes the liquid in which the more concentrated due to chemical imbalance causing particles before the formation of hard gallstones.<br />
Dr Bong said the disease is usually treated using various methods, including laparoscopic procedures that keyhole-sized surgical procedures (keyhole) using the special small instruments for surgery. In this case, the key to success of this procedure is a very good camera system. "Now, experts use high definition cameras. Therefore, they can approach the texture and translate three-dimensional space the TV monitors in two <br />
<a name='more'></a>dimensions to enable the operation run. "this procedure requires training, skill and expertise is very high," he said Healthy column, recently. Laparoscopic Cholecystectomy can said to be the procedure for the treatment of choice in Malaysia now where 90 percent of patients had a laparoscopic surgery. The remaining 10 percent is open surgery. open surgery is the most complicated technique in which the patient was in serious condition with anatomy that is not so clear. conventional laparoscopic surgery now developing as evolutionary step. Not only are the instruments used more wisely, but its size is too small to reach three more millimeters. It aims to provide more comfort and pain relief to patients. This is very common among young women between 30 to 40 years . question is, why should a large surgical wound when there is an instrument that can produce a very small surgical wound and gradually disappeared from view. procedure known as Needlescopic Cholecystectomy (NC) is not only able to carry out keyhole surgery to patients with gallstones and even those suffering from appendicitis. procedure is fairly relevant to young women aged 18 to 20 are concerned about imperfections in terms of cosmetic surgery. However, the NC requires special training, it means the generation of general surgeons over the age may not be able to do so. Apart greater cost savings, the criteria can be said 90 percent of patients come from diverse backgrounds, regardless of age and the severity of the patient's condition. Patients then also need to be healthy enough to give the public anesthesia. This surgery takes 30 to 45 minutes in which the patient will rest overnight before being allowed to return the next day. Now, the world laparoscopic procedure is assisted by a better instrument. Therefore, the responsibility of physicians to offer patients a better cosmetic effect and not painful. said Dr Bong, NC is still too new in the country this. However, SMC is the first medical center in Malaysia to use the procedure in recent months. To date, 10 to 15 patients have undergone the procedure and the results are quite encouraging. However, this procedure is basically the risk of bile duct injury of 0.2 per cent if it is done experts who are not experienced. Once bile duct injuries, complications involving four to five hours of surgery to include them. Although it can be included back and combined with bile kecill, patients will experience long-term complications as recurrent infections and liver scirosis. risk is quite membabitkannya small but relatively high number of cases in Malaysia. Clearly, Dr Bong again, have the best instruments for the purpose of treatment is helping. However, the most important thing that needs to be emphasized is to choose a surgeon who is really experienced the NC is a very complicated procedure. " For bile duct specialist, I do a lot of surgical correction of errors and injuries due to bile duct conducted a general surgeon is not experienced, "he said, explaining where the bile duct is injured, the patients also face a lifetime risk of birth defects.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com8tag:blogger.com,1999:blog-7590168947671316209.post-25275142510783903612012-04-05T19:56:00.000-07:002012-04-05T19:56:28.956-07:00Dirk Kuyt and Maxi Rodriguez want to dropped<div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-ztX5lPkxC90/T35Z0aSNrLI/AAAAAAAAARE/8yAh0VV9-JY/s1600/lunapic_133367668415595_2.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="197" width="186" src="http://3.bp.blogspot.com/-ztX5lPkxC90/T35Z0aSNrLI/AAAAAAAAARE/8yAh0VV9-JY/s320/lunapic_133367668415595_2.jpg" /></a></div><br />
Dirk Kuyt and Maxi Rodriguez is likely to become victims of high profile Liverpool dropped in the club's efforts to build a stronger team, next season. The Reds(liverpool) plan to face a drastic change after the English Premier League this season despite their dismal successfully lifted the League Cup and still compete in the FA Cup semi-final.<br />
Thus the name of a popular shopping paradise, Kuyt, 31, is expected to be completed six years of service at Anfield despite the contract from the Dutch player remaining 12 months. Kuyt be difficult to find a place in Liverpool's starting XI this season and he is rumored to be a game of two Italian clubs, U.S. Roma and <a name='more'></a>Fiorentina and Turkish giants Galatasaray and former club Feyenoord. Maxi was also told that he was allowed to leave Liverpool with the club's manager, Kenny Dalglish looks more interested in bringing in young talent. the 31-year-old still remaining contract 12 months with Liverpool but only made ​​15 appearances this season. Besides Kuyt and Maxi, another senior player, Fabio Aurelio, 32, also may be released at Liverpool. The Reds have a list of Feyenoord midfielder, Tonny de Vilhena, 17, and try to get 16 years old Crewe, Dan Smith for their jersey, next season.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com4tag:blogger.com,1999:blog-7590168947671316209.post-88599357404686720172012-03-26T01:27:00.000-07:002012-03-26T01:27:23.603-07:00Fergie the embed Fulham<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-DKDkyDLuSu4/T3Am7dzUIRI/AAAAAAAAAQ4/5uKIykEu5mM/s1600/lek.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="211" width="176" src="http://4.bp.blogspot.com/-DKDkyDLuSu4/T3Am7dzUIRI/AAAAAAAAAQ4/5uKIykEu5mM/s320/lek.jpg" /></a></div><br />
Alex Ferguson is confident Manchester United reserves the right to be praised for being in the race title, but informed the players that take advantage of playing at home against Fulham on Wednesday. For the first time since starting the campaign this season, Ferguson's squad are close to the strength full when the United entered the final phase of competition, after the fortresses affected when Nemanja Vidic is ruled out through injury. <br />
Phil Jones may be back in action against the Cottagers on Wednesday after recovering from his illness, but Ferguson has lost at least six main squad.<br />
However, a victory over Martin Jol's squad will see United extend valuable three points over Manchester City who were tied with a 1-1 draw at Stoke on Sunday. <a name='more'></a>Ferguson is certainly comfortable with the fact that after the game against Fulham, United face Blackburn, QPR, Wigan , Aston Villa and Everton before heading to the City for the last three games this season, 30 April. Although the lead United recorded a record 19 titles, Ferguson feels that if his squad managed to City, it will be the most interesting success and he hoped a group of experienced players in the be commended for his squad. "I must congratulate the players to have achieved our position now enjoyed despite injury problems. It's not a great season in terms of injuries. Players show tolerance and we are now positioned as the factors. "Now, we started to decrease again key players and hope they remain as they strengthen our chances.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com10tag:blogger.com,1999:blog-7590168947671316209.post-11751009985664617102012-03-21T00:01:00.000-07:002012-03-21T00:01:59.028-07:00Liverpool FA Cup<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-Q1-pvefJXaA/T2l7uF14H1I/AAAAAAAAAQs/EzGsOVGRajQ/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="266" width="189" src="http://4.bp.blogspot.com/-Q1-pvefJXaA/T2l7uF14H1I/AAAAAAAAAQs/EzGsOVGRajQ/s320/imgres.jpg" /></a></div><br />
The red ( Liverpool )may be the opportunity to clinch a second trophy this season, but a visit to the site will pave the way QPR whether they could put back the Premier League campaign on the right track. Reds reached the FA Cup semi-final round, where they will face either Everton or Sunderland, after a 2-1 win over Stoke on Sunday. <br />
Kenny Dalglish's squad operations before ending the six-year drought without a trophy after beating League Championship Cardiff City in the League Cup final.<br />
But success was followed in the arena league failed when Liverpool is now ranked seventh, 10 points behind fourth occupant, Arsenal and only three more than <a name='more'></a>newcomers, Swansea. When performance uncertainties at home still brings to the question, the Reds were struggling when playing outside Anfield. Liverpool has two years left out of the Champions League and the third group is outside the top four will contaminate their reputation. midfielder Jay Spearing, 23, realized excitement of chasing trophy should not affect performance in the league. "It (Loftus Road) is not a great place to visit," said Spearing. "We need to go there and show our games, collecting three points and started to climb the league ladder. The dream of every player to play at Wembley and it is certainly more special if the semi-final line-Merseyside club. "We are confident to go there and reached the final. We have a big game this Wednesday (today) is to focus and collect the three points, but once they (the FA Cup semi-final) is reached, we must be prepared.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com6tag:blogger.com,1999:blog-7590168947671316209.post-38979659470144148382012-03-13T21:02:00.001-07:002012-03-15T08:33:52.816-07:00Thomas Vermaelen<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-azHrzyH6b4w/T2AUZu2s36I/AAAAAAAAAQc/7zbADriDAiU/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="151" width="320" src="http://1.bp.blogspot.com/-azHrzyH6b4w/T2AUZu2s36I/AAAAAAAAAQc/7zbADriDAiU/s320/imgres.jpg" /></a></div><br />
Thomas Vermaelen is Arsenal central Defende,in the early yesterday morning he emerged the hero with the goal winning team in injury time to help the Gunners beat Newcastle 2-1, thus giving the team's fourth consecutive win from behind. Web at the end of five additional given the referee and Arsene Wenger's squad enable it now only miss one point behind third-placed team, Tottenham. <br />
"It's a team effort by the players from the first minute until the final whistle. Game time is high enough in this game but players can keep it until the last minute and eventually win, "Wenger said.<br />
Arsenal had left behind 10 points from Tottenham in two weeks ago and this was Wenger's position is in question other than open criticism thrown their support. However, everything changed after the Arsenal forward with excellent bounce back <br />
<a name='more'></a>from behind to beat Sunderland 2-1, Tottenham 5-2 Liverpool 2-1 and beat AC Milan 3-0 after losing 0-4 in the first action. "The pressure is now on the shoulders of Tottenham. With the squad we have and a few injured players will return, we are able to go further, "said the Arsenal winger Theo Walcott. In the action early on Saturday, Newcastle took the lead on 14 minutes, Hatem Ben Arfa through the network, but Arsenal just need a minute to equalize revenue boom Robin Van Persie before Vermaelen scored the winning goal.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com10tag:blogger.com,1999:blog-7590168947671316209.post-28229602446022488692012-03-06T22:01:00.001-08:002012-03-06T22:17:35.734-08:00Gasping breath<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-7TO_j-AZFxQ/T1b3MlbPk-I/AAAAAAAAAQQ/fUFU_FBmw1U/s1600/lunapic_133109776274155_1.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="149" width="200" src="http://2.bp.blogspot.com/-7TO_j-AZFxQ/T1b3MlbPk-I/AAAAAAAAAQQ/fUFU_FBmw1U/s320/lunapic_133109776274155_1.jpg" /></a></div><br />
In our life we breathe more than 20,000 times a day for normal adult. But just think, each time attracting and breathe out, you like to grapple with life as a result of a narrow airway.<br />
That volume traveled Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease due to narrowed airways that can be life threatening.<br />
Many may never have heard or know what COPD than asthma or bronchitis. COPD is often associated with hardcore smoking, polluted air and exposed to a particular work environment to the occurrence of airway obstruction in the lungs. This situation causes the patient gasping due to shortness of breath. Not surprisingly, over time people with this condition becomes active. According to statistics, COPD affects 210 million people around the world, but is expected to become the third highest cause of death in 2020. Smoking is the main cause of COPD, with women <a name='more'></a>smokers 13 times while male smokers 12 times more likely to die from COPD than those who are not smokers. However, smoking is not the only cause of COPD. Other factors include exposure to smoke or pollution of both internal and external, can also increase the chances of suffering from COPD. Some of COPD patients were infected as a result of long periods of time in dusty and smoky environment. Thoracic Society of the United States reported that exposure to work practices contribute 10 to 20 per cent of the symptoms or failure to function consistent with COPD. President of the Thoracic Society of Malaysia, Prof Dr Abdul Manap Roslina, COPD usually affects men but women are also affected. "This is due to the increase in tobacco use and high risk exposure to indoor pollution, such as solid fuel used for cooking and heating food. "There are some cases of COPD patients live in homes filled with smoke from the kitchen to cook or smoke from the heater used to heat the house," he said the column. Healthy Roslina Prof and Chief Medical Centre Respiratory Unit Universiti Kebangsaan Malaysia (UKM Medical Centre) said the most common symptoms of COPD or shortness of breath mencungap; sputum unusual; chronic cough; breath wheezing (wheezing) and tight chest. "Sometimes, routine and simple as walking up or down the ladder over time can be an inconvenience, "he said. He said, COPD is diagnosed using a simple test called spirometry to measure the strength of respiratory function (draw and blow) and how fast it is blown out. " Unfortunately, most patients the diagnosis of COPD is missed or not properly tested until the disease is more severe, "he said. Prof Roslina said physicians only conduct spirometry tests when patients show symptoms such as chronic cough, producing phlegm, dyspnea (shortness of breath), is exposed too long to tobacco smoke, dust and chemicals in the workplace and smoke from activities at home. He said, as a result most likely to associate symptoms of COPD patients with smoking and increasing age, they ignore the health check until the situation is increasingly serious. As a result, when the diagnosis is done, more than 50 percent of lung function and failure. "Although COPD can not be cured, it can be treated and prevented, so the main goal of treatment is to reduce symptoms and prevent complications or control of the impoverished with minimum side effects," he said. He said the drug Bronchodilators relax and open the air passages in the lungs plays an important role in managing the symptoms of COPD. "Most use an inhaler bronchodilators taken. Depending on the severity of illness, no matter how fast or slow reaction, inhaled bronchodilator may be given, "he said. Prof Roslina said inhaler bronchodilators fast reaction, ie after 15 to 20 minutes and can last from four to six hours can help reduce breath even known as rescue medication. He said that late effects bronchodilators are used every day to open the airway and make sure it's open 12 hours but in some cases up to 24 hours. "Treatment of COPD include either a drug or combination of drugs in one inhaler such as bronchodilators, corticosteroids, a combination of bronchodilators, and corticosteroids or a combination bronchodialators. "In addition, COPD can be treated with antibiotics, oxygen therapy, pulmonary rehabilitation and surgery," he said. He said the vaccine failure of the lungs (pneumonia ) and influenza should also be given to patients with COPD. In conclusion, COPD patients should change their lifestyle by adopting a healthy lifestyle by exercising, quitting smoking, and far from any form of pollution.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com10tag:blogger.com,1999:blog-7590168947671316209.post-91179148900704171182012-02-20T23:30:00.000-08:002012-02-20T23:30:52.763-08:00cardiovascular<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-r3uIUg13SDQ/T0NGD7nzLQI/AAAAAAAAAQA/8hQslkE027Q/s1600/rokok.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="263" src="http://4.bp.blogspot.com/-r3uIUg13SDQ/T0NGD7nzLQI/AAAAAAAAAQA/8hQslkE027Q/s320/rokok.jpg" width="192" /></a></div><br />
unhealthy life style, high-fat diet, smoking and lack of exercise puts you at risk of potentially dangerous cardiovascular disease is now the leading cause of death around the world at the age of 25 years .<br />
Study World Health Organization (WHO) in 2008 on the cause of death in individuals aged less than 70 years in Asia found that 70 to 80 percent of deaths are people with diabetes cardiovascular disease stage two.<br />
Recent research also shows that Southeast Asia's second highest ranking for diabetes is 161 percent, with a total of 22.3 million in 2000 and is projected to surge to 58.1 million in 2030. Head of Service, and Medical Therapy Department and Head of Endocrinology and Diabetes, Hospital Prince of Wales, University of Hong Kong China, Dr. Francis CC Chow, said it was hard to convince people to change bad habits and lifestyle, the increasing number of people and number of deaths from cardiovascular disease each year. "All parties must proactively identify risk <a name='more'></a>factors for this disease. Changing lifestyle is the key to rising standards of living and also stimulate the development of Hong Kong to the increasing number of cardiovascular patients. "Cardiovascular disease usually associated with other diseases including play high cholesterol, low blood pressure, or diabetes and high cholesterol," he said at CardioCare Asian Summit Summit in Hong Kong recently. To address the problem, Chow took a more aggressive strategy to approach the patient, encourage intensive and create peer groups for patients to create a community network to help each other in overcoming problems their disease. Professor Emeritus, Department of Medicine, University of California, San Francisco, Dr. David Waters said the increase in obesity among people in Asia to cause the development of diabetes and cardiovascular disease. Dr David said, the scenario that fueled the high cholesterol plaque thus creating a block blood flow, especially in the coronary arteries. "Although the public informed about the risks of high cholesterol, many continue to ignore it. One major problem for diabetic patients when they fail to realize that when the diagnosis, they need to take different doses of medication each day and the package seriously ill heart causes the quantity of drugs and higher medical costs. "Patients with diabetes should regularly monitor blood pressure, cholesterol and cardiovascular disease-related complications. It's a very complicated process and takes time and money that many patients do not succeed in maintaining treatment, "he said. Dr. Waters said, the privilege of taking a drug Statins to reduce risk of heart attack, can help prevent cardiovascular disease, thus not limiting heart patients with cholesterol medication. In some cases, doctors prescribe Statins treatment for diabetic patients who have yet to show signs of cardiovascular disease. Statins iatu a drug that is said to reduce the risk of heart attack was invented in the mid-1990s and used to stabilize the cholesterol to a lesser extent. Sales Statins around the world totaling more than U.S. $ 20 billion (RM60.9 billion) each year. Although the Statins, also known as 'aspirin of the 21st century' and received <br />
comprehensive in cardiovascular medicine because of side effects is relatively less , the number of new patients continues to grow as a result of high cholesterol due to dietary behavior and lifestyle choices that are less good. In the meantime, Therapy and Consultant Cardiologist, Hospital Pantai, Datuk Dr N Arumugam advised the people of Malaysia to stop smoking immediately to avoid the risk of heart attack. " Cigarette major cause of heart attacks. If you practice a healthy lifestyle such as exercise without stopping smoking, you actually book remains the same as the risk of death. "Our communities are often less vigilant when there is no history of play in their families. Development of 24-hour food restaurant is indeed a serious contribution towards cardiovascular disease in our country, "he said. Arumugam said, if not an active lifestyle, you are likely to develop heart disease in young age. However, cardiovascular disease more frequently attacks individuals over the age of 40 men's and women menapous.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com6tag:blogger.com,1999:blog-7590168947671316209.post-90752544489031508502012-02-17T23:29:00.000-08:002012-02-17T23:29:30.526-08:00The psychological impact of sexual, intimate relationship of husband and wife lesion<div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-iSo9Uj0OYtU/Tz9SZbPU7GI/AAAAAAAAAP0/bTS64glG2ag/s1600/8ea1c1130a9ce5c34732257d87ed0743.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="264" width="320" src="http://3.bp.blogspot.com/-iSo9Uj0OYtU/Tz9SZbPU7GI/AAAAAAAAAP0/bTS64glG2ag/s320/8ea1c1130a9ce5c34732257d87ed0743.jpg" /></a></div><br />
NON customs of our people for talking about sex. This is because in essence, a culture still considers sex as a forbidden thing to be tried in public - whether for men or women. In fact, sex is a serious matter and for most couples, the issue of erection tension is not something that can be used as funny. According to the study of 300,000 men in Asia, what happens is that when individuals experience sexual problems, it is unlikely the patient will continue to see a doctor and that his plight. <br />
<br />
Professor of Psychology at the Faculty of Medicine, University Prof Dr Low Wah Yu said the research on men's health conducted in Malaysia, including at the international level, the number of men who suffer from chronic diseases are higher than women.<br />
"Usually the men see a doctor for high blood pressure, diabetes or heart disease. This makes the problem of sexuality is considered merely side issues, "he said, also undertake the task as the Head of Health Development Research Unit at the Faculty of Medicine. This fact leads to the fact that men hesitate to get help and eventually slow to be treated. This is because the average man, no matter what disease and faced somewhat less willing to tell. In this case, the couple encourage men and women are encouraged to quickly seek treatment or assistance. "Every time a workshop or talk about men's health are discussed, very few men in the audience at this <a name='more'></a>occasion. So, what we do is encourage women or couples to bring their loved ones to hear and undergo health checks, "he said while discussing the results of Ideal Sex Survey 2011 released recently. In this case, the quality is not satisfactory erection tension will affect the emotional and psychological needs of the couple. For a man, when the emotional and psychological needs met, it will give a good self-image and make them more confident. To meet the sexual desire, their spouse feel more loved. Dr Low said, doctors are trained to assess the problems faced by men as something serious. This is because, he said, when the patient came in, they are not sure whether they speak with the doctor is right. "For example, a patient came in for high blood pressure and treating the condition, within the health practitioner is aware that there is the possibility of other chronic diseases such as failure strain or Erectile Dysfunction (ED) due to high blood pressure sufferers tend to have ED. "So we need to educate medical practitioners to discuss sexual issues with patients. This is because the survey showed that patients are always ready to listen to issues of sexual development, but they are willing to wait for consultant advice about it, "he said. In this regard, Dr. Low said, it is important for doctors initiate discussions about sexual issues with patients aware the fact that patients are not ready to talk about the matter. Touching on the question whether the maximum tension to make partner happier and satisfied, he turned to survey results of more than 3,000 men in Malaysia which found the majority of men and women admitted erections associated with sexual satisfaction, once thus confirming that the maximum tension to satisfy a partner. Dr Low said with a managing ED drugs, men see the treatment is not limited to restoring the health problems but also exhilarating and satisfying their partners. "Does this also mean that Malaysian women are more concerned with the present greater satisfaction for a long time, again it depends on the age issue. When we talk about the couple even had already reached the 40's, the phase before and after menopause or a man who through endropause phase, they still have the desire for sexual activity, but due to increasing age, the frequency of sexual activity continued to decline. "We need to remember that every men have their sexual nerves, as long as you are sexually active and healthy no matter the age of 80 or 90 years, you can still function normally both men and women, "he said. Dr Low said most people who have ED are due to by health problems such as hypertension, diabetes and angina, and the message is very clear, very chronic diseases related to lifestyle. "Because people are moving fast in tandem with the highly dynamic world, as long as we can modify this lifestyle, there is no reason why the disease Chronic just can not be prevented. "If you had to face this problem, each partner should not reject an erection erection quality issues. This is because in addition to affecting the intimacy between couples, it also can affect the emotional well-being and health, "he said. Dr Low said with the right management approach, all patients can undergo a better quality of life with their partners.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com5tag:blogger.com,1999:blog-7590168947671316209.post-8976285679833251372012-02-08T22:38:00.000-08:002012-02-08T22:38:53.131-08:00Harmful bacteria<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-19tS2hlg0zA/TzNpcVCtbsI/AAAAAAAAAPo/553n5ICCzM4/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="194" width="259" src="http://4.bp.blogspot.com/-19tS2hlg0zA/TzNpcVCtbsI/AAAAAAAAAPo/553n5ICCzM4/s320/imgres.jpg" /></a></div><br />
IMMUNISATION children are the first fort to protect their lives from a variety of bacteria infection.<br />
Although Malaysia is fortunate to have provided the immunization program is based on expansion of the Ministry of Health Immunization Program (EPI) World Health Organization (WHO) and given free to infants and children, but there is still no vaccine in the immunization schedule ministries such as vaccines against pneumococcal infections.<br />
Consultant Paediatrician and Neonatologist Sunway Medical Centre, Dr Khoo Boo Aik explained, is a group of pneumococcal infection caused by a bacterium harmful Streptococcus pneumoniae, also known as pneumococcus. This bacterial infection can lead to several common diseases such as respiratory tract infections including otitis media (inflammation of the middle ear), sinusitis and lung infection (pneumonia). Dr Khoo said, it can also cause sepsis is an infection of the bloodstream and meningitis ( infection of the lining of the brain). "In other words, this infection can cause permanent hearing loss, seizures, paralysis, brain defects, diabiliti and death in certain cases. "In fact, an estimated one million children die each year from <a name='more'></a>pneumococcal around the world, "he said to the column. Healthy Individuals who fall into the category of this disease are at risk of infection as early as the age group under five years and more than 65 years. This is because the lower the body's immune system. Other factors include having no spleen or not working properly; have received treatment due to pneumonia, diabetes; chronic heart problems, lung problems; kidney or liver problems; a weak immune system; inherit immunodeficiency disorder or suffering from human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS) and cochlear implants. Dr Khoo said the most common symptoms found in children include coughing phlegm; high fever; ear pain or discharge from the ear; easily irritable ; prolonged crying; less active; fatigue and looks sick. However it should be noted that not all will experience symptoms described as the diagnosis. He said that pneumococcal clinically diagnosed based on clinical trials and test results of physical examination. However, he said, there are several tests that can help you obtain positive results, but it sometimes failed to detect. These include chest x-rays, culture and sensitivity (C + S) phlegm, (C + S) blood, (C + S) and urine (C + S) cerebrospinal fluid. Dr Khoo said, even dangerous and difficult diagnosed, This disease can be prevented by general preventive measures such as maintaining good personal hygiene and healthy eating to build a healthy immune system. However, the most effective method of prevention is the vaccine against pneumococcal. "The vaccine is given in the form of injections in which the number of patients required dose depends on their age. injection of this vaccine works by providing stimulation to the body to produce antibodies against the pneumococcal bacteria. These antibodies protect you from illness if you are infected with pneumococcal bacteria. It also protects against many (not all) strains of pneumococcal bacteria, "he said. He said, pneumococcal spread by contact between people who are sick or carriers of the bacteria in their throat. You can also get pneumococcal pneumonia from respiratory droplets of water through the nose or mouth of an infected person. Dr Khoo said, the choice of Intravenous antibiotic treatment is with drugs that relieve symptoms. However, the world is faced with an increase of antibiotic resistant bacteria. This is difficult for serious bacterial infection of the treatment process, thus prevention through vaccination is the best way as treatment options. He said that this disease can cause serious complications and even death in addition to parents and caregivers face the never-ending concern. Psychological effects of this disease is left able to look at parents in the form of a financial burden for the costs of hospital treatment. "Do not forget that the doctor is a keeper in charge of treating the patient until recovery. Accordingly, the doctor strongly emphasizes prevention through vaccination method. "Parents should realize that pneumococcal disease is a serious and potentially fatal. As such, they should realize that prevention can be done against him. "If the children do not get this vaccination, parents need to be aware and take note of any symptoms experienced and immediately consult a doctor to detect and provide immediate treatment to avoid complications become more bad, "he said. Dr Khoo said, parents should be aware of pneumococcal disease is a serious but preventable. In this regard, give vaccinations to your child because the vaccine is proven to be more cost effective as a means to fight infections, including pneumococcal disease.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com7tag:blogger.com,1999:blog-7590168947671316209.post-16382006482157454832012-02-07T01:36:00.000-08:002012-02-08T08:00:05.880-08:00Remove trauma surgeons fear<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/--mIGT0VLWlY/TzDvq7d0lFI/AAAAAAAAAPc/z8T7JKZxUQc/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="150" width="200" src="http://2.bp.blogspot.com/--mIGT0VLWlY/TzDvq7d0lFI/AAAAAAAAAPc/z8T7JKZxUQc/s200/imgres.jpg" /></a></div>you call it a treatment that involves surgery, Many patients become anxious. This mentality often prevent them from seeking early treatment to all late. However, with increasing technological medicine, surgery according torakoskopik or video-assisted video thoracoscopic surgery (Vats) is a type of thoracic surgery for lung may alter this perception. <br />
<br />
Developed around 1990, this procedure is technically include a video camera into the chest through the scope. This method allows doctors to see the contents of the chest cavity by making only a fissure or opening is very small.<br />
This process also allows the surgeon remove the area close to the edge of the lungs and tried to detect the presence of cancer surgery using smaller equipment. Head of Thoracic and Cardiovascular Surgery Department of Surgery, University Malaya Medical Centre (UMMC), Prof Dr Amin Raja Raja Mokhtar , said the procedure involved Vats useful to diagnose certain pneumonia infections, diagnosis of infection <a name='more'></a> or tumor in the chest wall and lung treatment failed repeatedly. "Compared to a more open thoracotomy method, Vats not involve a lot of chest wall muscles and the ribs separated not open . "This causes a decrease in pain, no side effects and duration of postoperative pain and allow patients to return a healthy and active more quickly," he said when met at the UMMC Healthy in Kuala Lumpur, recently. Dr Raja Amin said that the traditional surgery thoracotomy and sternotomy requires the surgeon makes the opening 15 to 20 centimeters but by Vats, only a small aperture is required sufficient to accommodate the size of five millimeter camera or scope of the optical fiber measuring 10 millimeters. "Given the scope of which included small, the possibility of infection and the chest wall is also affected can be reduced, "he said. However, he said, both types of incision opening potential to cause prolonged pain and can lead to bone fracture that requires at least six weeks to heal. "Therefore, patients should reduce strenuous and very active, "he said. Dr Raja Amin said, the advantage Vats, patients can avoid the problem of muscle and bone fracture and thus less pain, duration of stay in hospital a short time and recover faster than can return to daily routine. "However, not all patients undergo this procedure. Among patients who had undergone lung surgery. This is because this procedure may lead to various complications, as well as patients who are able to survive with one lung while the other failure during surgery. "Patients who underwent postoperative chemotherapy or radiotherapy to the lung is not a suitable candidate for Vats," he said. Although the treatment Vats more recognized in Malaysia, there are still many who need training to familiarize themselves with the necessary instruments handled during the procedure. One of the reasons why many experts are not interested is because of discomfort with the method or very familiar with traditional open surgery enable them to view the organs. "Currently, there are not many surgeons who carry out Vats. This procedure, however, was conducted at UMMC. Unfortunately, despite the existing technology here, but there are still many patients who are suitable to use it, it was found too late for treatment, "said Dr Raja Amin, who acknowledge human nature is sure to feel afraid of something beyond their knowledge. He said, what can be done by the experts is to try to reduce patient anxiety and fear through the non-invasive method of treatment, less pain and faster recovery. "Once cured, it is hoped this experience can be shared among more people who may need treatment so more people can benefit.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com2tag:blogger.com,1999:blog-7590168947671316209.post-58761261688422804722012-02-04T06:55:00.000-08:002012-02-04T20:20:10.706-08:00Diet discipline<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-29xpXd1n4bo/Ty1GM-l_puI/AAAAAAAAAPQ/8DNDeoj2uX4/s1600/diet.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="200" width="153" src="http://2.bp.blogspot.com/-29xpXd1n4bo/Ty1GM-l_puI/AAAAAAAAAPQ/8DNDeoj2uX4/s200/diet.jpg" /></a></div><br />
Be willing to change their lifestyle, including diet and exercise routines very important for those who suffer post-diabetes is confirmed. This includes individuals who are at high risk for type two diabetes. Active lifestyle and discipline in food intake is effective in preventing or delaying the spread of diabetes.<br />
Due to be lifestyle-related diabetes, the main target is to achieve dietary control of blood glucose levels are normal. Individuals who suffer from diabetes type one and type two are taking insulin or oral medication must match calorie intake with medication or insulin in addition to exercise to control blood glucose levels.<br />
Endocrinology Consultants Prince Court Medical Centre, Dr Norshinah Datuk Kamaruzaman said, well planned diet discipline, monitoring the glucose level <a name='more'></a>testing is very important. Dr Norshinah said low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are two conditions to watch people with diabetes who take insulin. "Ideally, patients should target glucose level readings before the meal at 90 to 130 mg / dL and levels during sleep 110 to 150 mg / dL," he said. Healthy Dr Norshinah said the dietary management for diabetic patients is not limited to a standard size. Instead, he said, patients should talk to a nutritionist for individual diet plan in accordance with general guidelines with regard to their health needs. For example, patients with type two diabetes with overweight and insulin resistant may require a different balance of carbohydrates, proteins from patients with diabetes of a thin and at risk of developing kidney disease. "Discipline diabetic diet also includes weighing and measuring foods to get the right amount of calories. For those new to adapt, use measuring cups and spoons and weighing grams. "Food should also be weighed and measured after cooking. After measuring all foods for a week or more, we are able to guess just by looking at portion sizes, "he said. Dr Norshinah said, diabetics can not take the attitude of not wanting to eat, especially those taking insulin. "Leaving food can upset the balance between food intake and insulin. This can cause low blood sugar and weight gain if the patient is eating too much. "Generally, they need to eat three meals in accordance with rules prescribed. Snacks are very important at the time of need, "he said. He said, for people with diabetes who want fast, some guidelines must be followed before a patient is allowed to fast so it does not worship and life-threatening. "If patients feel unwell, check the sugar and spot can be done at home using a glucometer to check the sugar content either high or low. "With self-monitoring carried out, patients do not need to waste time at the clinic. In addition to the challenges hyperglysemia, Hypoglycaemia and dehydration, control of medication should also be managed to suit the patient, "he said. Dr Norshinah said, when the patient is fasting, current medications need to be continued but the ratio is reversed or changed, such as the dose is usually taken in the morning will be taken at night. "This is because often the patient will eat much during iftar, including drug tablets and insulin injections," he said. In terms of medication, the dose taken in the morning can also be reduced if during Ramadan, they have hypoglycemia (sugar level under 4 mmol / liter). If this occurs, two options are allowed, the patients break their fast or abstain until the time of breaking fast. "In addition, patients also need to check blood sugar every hour. If they can not stand with symptoms such as dizziness, loss of focus, feel very hungry, shivering, sweating and chills they had to break the fast and the next dose should be reduced, "he said. He said, in terms of nutrition, the practice of pre-dawn meal is a must because of the prolonged effects of drugs. Meal time is better missed. Choose foods with carbohydrate content (rice, bread, noodles and pasta) and protein (fish, chicken, seafood dairy products) because they provide energy throughout the day and try to drink plenty of fluids during the meal and break. "Eating a date two to three seeds allowed . However, try to exaggerate the water and avoid drinking too much cordial. Eat in moderation and avoid greasy foods. "My patients like will give glucose diary to record the normal reading in which direction the same as a normal person. They need to test with glucometer. Entry to be made ​​two hours after meals, twice a week but if dizziness, patients should check immediately. Clearly, the problem is not too worrying hyperglycemia compared Hypoglycaemia because it is very dangerous. Hypoglycaemia is an incident of factors that need to be addressed by the patients themselves, spouses, family members and friends. Among the obvious symptoms are sweating, cold, hunger, headache, loss of focus, eyes so gray and want to faint. "My advice, if she went to work, drive or take public transport which is likely to get stuck in traffic jams, make sure the supply of carbohydrates is close with patients. "No matter you are in a plane, train or a bus. If Hypoglycaemia occurs, patients can drink water immediately followed by a sweet bread, dumplings, buns, or pack food such as sandwiches.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com4tag:blogger.com,1999:blog-7590168947671316209.post-9627347200590067672012-02-02T23:50:00.001-08:002012-03-15T08:34:16.171-07:00Arsene Wenger confident Gunners push<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-RLr819J1Sog/TyuQ6c-9hdI/AAAAAAAAAPE/duwr2kkgois/s1600/arsene.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="133" width="200" src="http://4.bp.blogspot.com/-RLr819J1Sog/TyuQ6c-9hdI/AAAAAAAAAPE/duwr2kkgois/s200/arsene.jpg" /></a></div><br />
Arsene Wenger believes Arsenal can still finish in the Premier League top four groups thus qualified for the Champions League, next season despite just a 0-0 draw against Bolton, early yesterday morning .<br />
However, before that, every game from now until the end of the season will be considered as final after the disappointment at Bolton which saw two points dropped to meet the bottom four clubs group.<br />
"Of course I was confident of finishing in the top four groups," said Wenger on Arsenal's chances in the Premier League this season. "There is still far away. I am confident we can make a comeback. "We've been through a difficult period, losing three consecutive league games but we also have a chance to win. We are confident but need to improve from game to game play. "For us, every game is now final. We will be entering a period in which the challenges of the FA Cup, Champions League, and combined the three, it is very difficult. "We think, two points dropped is <a name='more'></a>because we are too confident of winning the match. We have been providing the best in every game. "More disappointing, Arsenal also lost England midfielder Jack Wilshere who suffered leg fractures. Two attempts Robin van Persie denied goalposts in the match which saw Arsenal squandered a chance to row on Bolton who struggled in the league this season, but at least the end Eh draw three defeats.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com1tag:blogger.com,1999:blog-7590168947671316209.post-87024591966045473942012-02-02T08:23:00.000-08:002012-02-02T23:05:56.347-08:00my 5th and 6th awards<div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-vIp9Xf_XNjE/TyqzF-Gv7qI/AAAAAAAAAOs/04NpiMDuReA/s1600/top%2B10%2Bcreativ%2Bblog.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="193" src="http://3.bp.blogspot.com/-vIp9Xf_XNjE/TyqzF-Gv7qI/AAAAAAAAAOs/04NpiMDuReA/s200/top%2B10%2Bcreativ%2Bblog.png" width="200" /></a><a href="http://4.bp.blogspot.com/-Qthteeuc2sA/TyqzaThaCXI/AAAAAAAAAO4/DdtSme80BU0/s1600/2_Years_of_Blogging_Award_Penghuni_60.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://4.bp.blogspot.com/-Qthteeuc2sA/TyqzaThaCXI/AAAAAAAAAO4/DdtSme80BU0/s200/2_Years_of_Blogging_Award_Penghuni_60.JPG" width="172" /></a></div><br />
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I apologize to the previous award giver, because only now or tonight i just could exphose award because it might be too busy with the real world so a bit neglected in the internet world and thank you because it provides an invaluable appreciation of this, I as the owner of the blog really feel proud has received this award once again thank you .. <br />
you need to know the second award is a gift from a friend of my good blogger, whose award <b>2 years of blogging awards</b> is my 5th award that is given by <a href="http://penghuni60.blogspot.com/">penghuni60.blogspot.com</a> and <b>Top 10 creative blogs and friendship award</b><br />
is my sixth award to be given by <a href="http://gettop-gettop.blogspot.com/">gettop-gettop.blogspot.com</a> <br />
With this two award comes I hope my blog will be grow forward and grow creative such as the name of the top ten creative award.not forget my blog say also thanks <a name='more'></a>to my friends who had many visits to my blog and hopefully will continue to visit to my blog, without you all I was not probably get to this stage ... one again thank you ....MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com0tag:blogger.com,1999:blog-7590168947671316209.post-74996024132241862792012-01-15T22:45:00.001-08:002012-03-15T08:34:49.121-07:00Eight points ahead of Real<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
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<tr><td class="tr-caption" style="text-align: center;">jose callejon</td><td class="tr-caption" style="text-align: center;"><br />
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Jose Callejon exploded in the late game winning goal for Real Madrid when the son of Jose Mourinho came from a goal down to beat Mallorca 2-1 and extend control of La Liga to eight points ahead of nearest rival, Barcelona. The victory was added pressure on the incumbent champions, Barcelona down against Real Betis at home early this morning. <br />
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National player in Israel, Tomer Hemed put Mallorca ahead in the first half and it looked like the imminent shock but the explosive entry of Gonzalo Higuain equalizer on 71 minutes, returned to Madrid hope.<br />
Callejon then transform the victory eight minutes from time. "They hold good, does not make mistakes and know how we will do an attack," said Mourinho. "They played <a name='more'></a>well, especially in the first half. We need to take risks in the second half to find victory. Marcelo issue because I want to put only three defenses. "I put Fabio Coentrao with Pepe and Sergio Ramos because they are fast enough to survive for just three people." The victory was important enough for Madrid in the compressed recapture Barcelona title for three consecutive seasons also. Valencia are third with 12 points behind, after losing 1-0 at home to Real Sociedad in a match that saw the French winger, Antoine Griezmann exploded only goal in minute 55. team sixth, Sevilla fans booed their own after a goalless draw with Espanyol, which constrains the Barcelona 1-1 last weekend, once almost destroyed the opportunity to the European Champions League.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com4tag:blogger.com,1999:blog-7590168947671316209.post-15831290868226811892012-01-13T22:37:00.001-08:002012-03-15T08:35:09.732-07:00Andre will a title strongest in london<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-XU_-yuVLzBk/TxEraOA4DSI/AAAAAAAAANU/GaFVHd5tIw4/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="163" width="308" src="http://4.bp.blogspot.com/-XU_-yuVLzBk/TxEraOA4DSI/AAAAAAAAANU/GaFVHd5tIw4/s320/imgres.jpg" /></a></div><br />
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Chelsea handler, Andre Villas-Boas is confident the squad will end operations this season as the strongest club in London. Champion 2010 Premier League will start the game 11 points behind leaders Manchester City as host Sunderland at Stamford Bridge today. <br />
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And they will start the match eight points behind another London club, Tottenham Hotspur, who was third in the league, one spot above Chelsea.<br />
Chelsea fans in the rare situation where supporters of White Hart Lane is higher than them, but Villas-Boas believed that although Harry Redknapp and his men appear more excellent now, eventually it will be in favor of Chelsea. "They (Tottenham) overtake Chelsea in the Premier League this season, "says Villas-Boas. "Both have a great history, but the last 10 years, there<a name='more'></a> is no match between the two clubs. "The question of good football usually surrounds the lead. When under pressure, you can not do very well and may be the quality you are affected. That may be the factors that cause you to lose points. "Manchester City lost three of four games and Manchester United are still struggling to find consistent rhythm. Eight points is the distance that still could be pursued, "he said.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com4tag:blogger.com,1999:blog-7590168947671316209.post-65365334728031737102012-01-02T05:39:00.001-08:002012-03-15T08:35:27.977-07:00Didier Drogba's goal-150 failed to help Chelsea earn points<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-q22pKY5DF64/TwGxdQxj42I/AAAAAAAAAM8/UlGPno_ROkQ/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="209" width="241" src="http://4.bp.blogspot.com/-q22pKY5DF64/TwGxdQxj42I/AAAAAAAAAM8/UlGPno_ROkQ/s320/imgres.jpg" /></a></div><br />
Drogba`s goal-150 for the club on Saturday but it was not enough to counter the crammed in his club win over Aston Villa 3-1 in English Premier League. The 33-year striker scored the 23rd minute from the penalty spot to put it on par Stamford Bridge legends such as Peter Osgood and Roy Bentley. <br />
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From the Ivory Coast striker made a penalty kick from the point where the ashes of the late Osgood grown and after completing his kick, he pointed to that point before waving and blowing kisses to the audience.<br />
Only Frank Lampard (178), Kerry Dixon (193) and Bobby Tambling (202), who scored just over 150 for the London club. "It was very emotional for Drogba's goal and may be the last for him at home before returning to his country in the race for the <a name='more'></a>African Nations Cup next month, "said Chelsea operators Andre Villas-Boas. "We will endeavor to bring to the game against Portsmouth (FA Cup on January 8)." Before the user against Villa, Drogba said if he had scored -150, it is a Christmas gift for Chelsea fans, but the defeat caused the atmosphere in Stamdord Bridge ended with a mock cheer. Hope Chelsea for the title is getting thinner after they slipped to fifth place, 11 points behind leaders Manchester City. Drogba's future at Stamford Bridge has also been ambiguous after Villas-Boas revealed the discussions on the extension of the forward contracts have not found a clear stand.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com10tag:blogger.com,1999:blog-7590168947671316209.post-51055322241836829202011-12-21T19:05:00.001-08:002012-03-15T08:36:14.107-07:00Luis Suarez is suspended eight games<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-ufFhahXrfiQ/TvKdQpVOo2I/AAAAAAAAAMw/i33c44yL7fE/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="174" width="290" src="http://1.bp.blogspot.com/-ufFhahXrfiQ/TvKdQpVOo2I/AAAAAAAAAMw/i33c44yL7fE/s320/imgres.jpg" /></a></div><br />
Liverpool striker (Luis Suarez) is suspended eight games and fined 40.000 pounds for issuing racist words against Manchester United defender Patrice Evra during the English Premier League matches Anfield last October, according to the FA yesterday.<br />
Uruguay international striker is found guilty of misconduct in using 'insulting words' to Evra during a match last October 15, including reference to the color of the French defense.<br />
Suarez in the message via Twitter saying: "Today is the most difficult and painful to me and my family. Thanks to all who provide support. " Liverpool manager Kenny Dalglish said: "Very disappointed with today's decision. This is the time Luis <a name='more'></a>Suarez needs support. Do not let him walk alone. " FA announced the results of Suarez, who repeatedly denied allegations that the website (www.thefa.com) after the trial that began last December 14. The Commission said: "Mr. Suarez using insulting words to Mr Evra during the match against FA Rule E3 (1). A derogatory word used to refer to Mr. Suarez, including Mr Evra skin color within the meaning of Rule E3 (2). "Mr. Suarez is cautioned not to repeat that and he suspended eight games in all first team competitive and fined 40.000 pounds.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com9tag:blogger.com,1999:blog-7590168947671316209.post-55142042679690267492011-12-10T04:17:00.001-08:002012-03-15T08:36:30.954-07:00El Clasico Messi<div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-xmzLnBt1IDY/TuNNMrRXpJI/AAAAAAAAAMg/eZN2cm1mLkI/s1600/imgres.jpg" imageanchor="1" style="clear:left; float:left;margin-right:1em; margin-bottom:1em"><img border="0" height="194" width="259" src="http://3.bp.blogspot.com/-xmzLnBt1IDY/TuNNMrRXpJI/AAAAAAAAAMg/eZN2cm1mLkI/s320/imgres.jpg" /></a></div><br />
After a few days is listed as an option for FIFA Ballon dOr award this year, the two stars Lionel Messi and Cristiano Ronaldo will meet in the first clash of Spanish La Liga Clasico this season, today . The third man who was also nominated for the award, Xavi will also be on the pitch today's Santiago Bernabeu, but difficult for him to be in a position higher than the two men known as the world's best players. <br />
The importance of meeting the winner of the Clasico a great first meeting this season, often at the end of the campaign to win the competition over the last seven seasons ago and it was definitely bigger than the fight involving Messi and Ronaldo.<br />
Jose Mourinho's line of students have recorded wins in 15 games so far, matching <a name='more'></a>the club record and is likely to remain six points ahead of the advantages of winning a game if it meets defending champion. Records against Barca at the site, the place the more difficult routes with a fleet Pep Guardiola's students won only two of six games away from home with a margin of 1-0. Ronaldo just blow up three goals in Barca clash, and since the disappointment of the Copa del Rey, and Messi blow golden goal Champions League semi-final against Real as well as determining Super Cup. I'm not obsessed about the hostile situation between me and Messi, Ronaldo said last season. I do not feel envy with Messi. My priority is to win as many Champions League and Spain with Real and not Ballon dOr. Like Ronaldo, Messi also avoid when asked questions about the comparison even quite impressive record against Real.MR.Whttp://www.blogger.com/profile/14474899121618928897noreply@blogger.com10