Assalamualikumsume..rindunyer kat korang..lame btol xupdate blog nie kan..smpi xthu nak tulis pe dah skng nie..nak citer pun xde citer best nak cite..now mmg sbuk sgt ngan exam xabes2..pening2 kepala..
Pening kepala exam berturut2 6 paper... nak urut pun dah xdaya haaa..
naseb bek ary kames nie paper last medical..hoooooooraaaaayyyyy..melompat mcm pelompat negara la msg2 law paper dah abes nnt..maklumla..dah sem lima satu sem je lg dah nak berambus dr snie kan..
melompat la msing2 dah nak grad dah.. xingt masing2.. jage sket jgn smpi nampak pengarah kang ader yg kena maki..huhu~~
tp time nak keje nanty sume jgn bru sbuk nak menangis nak study lik..coz mls nak keje or merana asyik kena marah nagn boss kan..maklumla korang.. kita nie keje law kat casualty tu mmg ngan org atas..hope PPW t dpt tmpt yg best2..
korang dapat bayangkan x law kena marah smpi tahap mcm nie dpn ramai org.. mmg anjeng la kan..
seronok tgk senior2 ats tue msg2 dah nak berasmbus haaa..wah.. meriah la nak keje kan..tp sdih la dah xde senior yg cando2 lg..huhuhuhu~~ statement brani mati nmpkner..
mggu dpn start g ganti cuti ritu..cuti H1N1 katakan..malas btol..kumpulan kami kena ganti kat Unit Pendidikan Kesihatan..haruslah lepas nie berbuih mulut bercakap..ramailah makcik2 kena sentap ngan i law xikut nasihat kan..berapi la telinga masing2 nak dgr leteran i nie kan..
"pakcik xnak dgr lagi, cukup.." huhuhu~~
hahahaha~~~harus nak kena minum air banyak2 nie ni,,takut dehydrate plak kan..huhuhu~~~kita tgk jela nnt ape yg jadi law i dah g kat sane k...huhuhu~
Assalamualaikum.. hari ini sy nak berkongsi skit tntg cerita yang mungkin bermakna kepada pembacanya... cubela bace k...
Pada suatu hari di sekolah,
seorang murid bertanya pada guru.
ketika itu guru tersebut sedang mengajar mengenai kasih sayang.
PELAJAR: "cikgu, macam mana kita nak pilih seseorang yg terbaik sebagai orang yang paling kita sayang?macam mana juga kasih sayang itu nak berkekalan?
CIKGU: "ok, kamu ikut ape yg sy suruh. kamu pergi ke padang. kamu berjalan di atas rumput sambil memandang rumput di depan kamu. pilih rumput yg PALING cantik tanpa menoleh ke belakng lagi walau sekali. dah petik rumput yg PALING cantik, bawa ke kelas"
apabila pelajar itu pulang ke kelas, tiada sehelai rumput pun di tangannya. cikgu bertanya.
CIKGU: "kenapa tiada rumput yg dipilih?"
PELAJAR: "tadi masa sy berjalan, sy carilah rumput yg PALING cantik. memang ade banyak yg cantik tp cikgu kata petik yg PALING cantik, maka sy pun terus berjalan ke depan sambil mencari yg PALING cantik tanpa menoleh ke belakang lagi. tapi sampai di penghujung padang, sy tak jumpa pun yg PALING cantik. mungkin ade di antara yg di belakang sy tadi rumput yg PALING cantik tp dah cikgu cakap tak boleh toleh ke belakng semula, jd tiadalah rumput yg sy boleh petik."
CIKGU: "ya itulah jawapannya. maknanya apabila kita telah berjumpa dengan seseoarang yg kita sayang, janganlah kita mencari yg lebih baik dari itu. kita patut menghargai orang yg berada di depan kita sebaiknya. jangan kita menoleh ke belakang lagi kerana yg berlaku tetap dah berlaku. semoga yang berlalu tidak berulang lagi. daningatlah orang yg PALING kita sayang itulah yg PALING cantik dan PALING baik. mahu pun nk ikutkan banyak lagi yg cantik dan baik seperti rumput tadi."
salah satu cara kita nak jimatkan wang ketika zaman perayaan adalah dengan menghantar kad raya menggunakan email,mms n sebagainye.. so dikesempatan ini, sy pun nak bg la kat korang sume kad raya k.. hehehehe....
selamat hari ray aidilfitri.. maaf zahir dan batin...
salam ramadhan.... saya dengan tulus ikhlasnye ingin mengucapkan selamat menyambut bulan ramdhan kepada semua umat islam kat malaysia or dimana sahaja... puasa penuh k.. hehehe...
Preparing for the second wave: lessons from current outbreaks
Pandemic (H1N1) 2009 briefing note 9
28 AUGUST 2009 | GENEVA -- Monitoring of outbreaks from different parts of the world provides sufficient information to make some tentative conclusions about how the influenza pandemic might evolve in the coming months.
WHO is advising countries in the northern hemisphere to prepare for a second wave of pandemic spread. Countries with tropical climates, where the pandemic virus arrived later than elsewhere, also need to prepare for an increasing number of cases.
Countries in temperate parts of the southern hemisphere should remain vigilant. As experience has shown, localized “hot spots” of increasing transmission can continue to occur even when the pandemic has peaked at the national level.
H1N1 now the dominant virus strain
Evidence from multiple outbreak sites demonstrates that the H1N1 pandemic virus has rapidly established itself and is now the dominant influenza strain in most parts of the world. The pandemic will persist in the coming months as the virus continues to move through susceptible populations.
Close monitoring of viruses by a WHO network of laboratories shows that viruses from all outbreaks remain virtually identical. Studies have detected no signs that the virus has mutated to a more virulent or lethal form.
Likewise, the clinical picture of pandemic influenza is largely consistent across all countries. The overwhelming majority of patients continue to experience mild illness. Although the virus can cause very severe and fatal illness, also in young and healthy people, the number of such cases remains small.
Large populations susceptible to infection
While these trends are encouraging, large numbers of people in all countries remain susceptible to infection. Even if the current pattern of usually mild illness continues, the impact of the pandemic during the second wave could worsen as larger numbers of people become infected.
Larger numbers of severely ill patients requiring intensive care are likely to be the most urgent burden on health services, creating pressures that could overwhelm intensive care units and possibly disrupt the provision of care for other diseases.
Monitoring for drug resistance
At present, only a handful of pandemic viruses resistant to oseltamivir have been detected worldwide, despite the administration of many millions of treatment courses of antiviral drugs. All of these cases have been extensively investigated, and no instances of onward transmission of drug-resistant virus have been documented to date. Intense monitoring continues, also through the WHO network of laboratories.
Not the same as seasonal influenza
Current evidence points to some important differences between patterns of illness reported during the pandemic and those seen during seasonal epidemics of influenza.
The age groups affected by the pandemic are generally younger. This is true for those most frequently infected, and especially so for those experiencing severe or fatal illness.
To date, most severe cases and deaths have occurred in adults under the age of 50 years, with deaths in the elderly comparatively rare. This age distribution is in stark contrast with seasonal influenza, where around 90% of severe and fatal cases occur in people 65 years of age or older.
Severe respiratory failure
Perhaps most significantly, clinicians from around the world are reporting a very severe form of disease, also in young and otherwise healthy people, which is rarely seen during seasonal influenza infections. In these patients, the virus directly infects the lung, causing severe respiratory failure. Saving these lives depends on highly specialized and demanding care in intensive care units, usually with long and costly stays.
During the winter season in the southern hemisphere, several countries have viewed the need for intensive care as the greatest burden on health services. Some cities in these countries report that nearly 15 percent of hospitalized cases have required intensive care.
Preparedness measures need to anticipate this increased demand on intensive care units, which could be overwhelmed by a sudden surge in the number of severe cases.
Vulnerable groups
An increased risk during pregnancy is now consistently well-documented across countries. This risk takes on added significance for a virus, like this one, that preferentially infects younger people.
Data continue to show that certain medical conditions increase the risk of severe and fatal illness. These include respiratory disease, notably asthma, cardiovascular disease, diabetes and immunosuppression.
When anticipating the impact of the pandemic as more people become infected, health officials need to be aware that many of these predisposing conditions have become much more widespread in recent decades, thus increasing the pool of vulnerable people.
Obesity, which is frequently present in severe and fatal cases, is now a global epidemic. WHO estimates that, worldwide, more than 230 million people suffer from asthma, and more than 220 million people have diabetes.
Moreover, conditions such as asthma and diabetes are not usually considered killer diseases, especially in children and young adults. Young deaths from such conditions, precipitated by infection with the H1N1 virus, can be another dimension of the pandemic’s impact.
Higher risk of hospitalization and death
Several early studies show a higher risk of hospitalization and death among certain subgroups, including minority groups and indigenous populations. In some studies, the risk in these groups is four to five times higher than in the general population.
Although the reasons are not fully understood, possible explanations include lower standards of living and poor overall health status, including a high prevalence of conditions such as asthma, diabetes and hypertension.
Implications for the developing world
Such findings are likely to have growing relevance as the pandemic gains ground in the developing world, where many millions of people live under deprived conditions and have multiple health problems, with little access to basic health care.
As much current data about the pandemic come from wealthy and middle-income countries, the situation in developing countries will need to be very closely watched. The same virus that causes manageable disruption in affluent countries could have a devastating impact in many parts of the developing world.
Co-infection with HIV
The 2009 influenza pandemic is the first to occur since the emergence of HIV/AIDS. Early data from two countries suggest that people co-infected with H1N1 and HIV are not at increased risk of severe or fatal illness, provided these patients are receiving antiretroviral therapy. In most of these patients, illness caused by H1N1 has been mild, with full recovery.
If these preliminary findings are confirmed, this will be reassuring news for countries where infection with HIV is prevalent and treatment coverage with antiretroviral drugs is good.
On current estimates, around 33 million people are living with HIV/AIDS worldwide. Of these, WHO estimates that around 4 million were receiving antiretroviral therapy at the end of 2008.
haaa, dpt gak zul bertemu ngan korang lagi, haa.. nie dikatakan rezeki kan.. hehehe.. nie zul kuar gak g kfc kat daerah baling kedah nie... satu2nya tmpt yg boleh g un9.. haa.. tue yg dpt gak lakarkan coretan2 zul kan.. hehehe.. sambil diluar tue ujan.. sambil memakan bubur lambuk yg ader kat kfc nie.. dan sambil diperhatikan ramai org kat sini.. sy asyik je menaip dengan confidentnya kat sini..huhuhu..
tadi sy keje shift pg, cm biasela.. tp hari ni mmg btol2 labour room tue dah mcm kena tsunami.. pagi2 je.. sy msuk je dlm tgk dah ader satu kes.. xpela lg.. tetibe dtg lg satu.. belum cukup bulan plak tue.. punye la kelam kabut sume org.. yg best nye sume baby arini baby pompuan.. naseb baek sume berjalan lancar.. hehehe... punyela pnat... lpas tue nak blik dr hospital ke kuartes punyerla jauh.. ltey2 ..
sume dah dalam tgn sy, xblh lari dah..
tapi sy dah buat yang terbaik kan... rase puas hati sgt2...sume bayi2 tu comel2 taw..
sorry kepada semua peminat blog zul nie.. hehehe.. ade ke yg minat?? haaaa.. itu yg kita x taw.. huhuhu.. sory kepada semua k. coz zul mmg now susah sgt nak update blog n un9.. skng nie ade kat hospital baling, praktikal kat snie.. mmg susah nak un9.. kat snie lg pun sbuk nak keje je kan, last week zul dah keje kat emergency department.. best.. semua staf baek, suka sgt.. kes pun melambak2.. hehe.. lpas nie nak masuk dalam labour room la plak.. bleh ke nak sambut baby nie... doakan semua berjalan lancar k.. hehehe..
so, lg sekaly zul mintak maaf kat semua kos xde citer baru..
haa.. sume apa kabar hari nie? shat ke?? aku harap sume shat je hendaknyer.. dah mcm ayat kad raye la plakss.. huhu..~~ maklumlah skng nie negara kita pun dah diserang ngan selsema babi kan.. babi pown nak glamour gak kan.. huhu~~ sebelum nie dye bawak JE, lepas dah setel, bawak H1N1 plaks..harap2 xde dah la lpas nie kan..~ malas nak citer pnjg pasal 'babi', kita teruskan agenda kita dengan "TeKa TeKi", aku nak korang jawab teka teki ni k..
sape menang t aku bg award la.. huhu~~ tp, hadiahnya rahsia dulu yaa..
SOALAN 1:
"aper bnda yg bile kita berdiri di baring...bila kita duduk dia baring...dan bila kita baring dia pulak nak berdiri?? ape bnda tue ek??"
SOALAN 2:
"ape bnda ni, ia dikategorikan batang yang besar, ader plak sedikit bulu diatas nyer.. warnanya cantek, kalau tengok.. mesti suke.. ader bersalut lagi.. perlu dibuka salutnya.. brulah jumpe isinya.. apekah itu??"
jangan pikir soalan nie lucah taw.. no3x..
SOALAN3:
"bnyk-bnyk bnda, bnda ape yg bila mlm ia naik, bila siang je matahri timbul ia turun...?"
haaa, aku bg 3 dulu la.. jwb k.. sape dpt jwb t aku bg hadiah taw..
...nak dgr citer yg mendukakan x?? citer pasal aku yg tetibe jd ter'mengong' mlm nie...
cam ni citer dye, aku skng nie dlm wallet ade RM5 engget je.. tue satu hal dah buat aku sedey, kebetolan plak mlm nie dpat kuar , then td lpas isyak gigih la aku nak g draw duet kan...... apa lagi.. tukar2 baju cket... capai wallet n enset... terus keluar bilik.. heppy sgt dpt kuar... semangat nie berjalan keluar dari kolej ala2 model yang nak ambik anugerah...
punyerla confident ni jln keluar dr kolej...
tetibe lpas je separuh jln, dlm bus kolej.. tuptup.. aku baru perasan yg aku punyer kad bank aku dah keluarkan dari wallet.. puhnyela hangin mase tue.. rase nak menangis je, dah la skng nie ngah xblh kuar kolej.. skaly dpt kuar pun.. ader je prob... mase tue rase nak nangis pun ader gak... berjijih nie air mata jatuh ke bumi...
"ape yg harus aku lakukan??.. tidakkkkkkkk...
terpakse la merayu kat kwn yg ader kat sebelah, dah mcm segmen bersamamu dah haa..
terpaksa dok's... tebalkan muke..
mintak tolong's buleh??
yang paling penting aku hampir dihanjengkan, motipp??
"nak pinjam duit boleh?, xbawak kad bank la" bdk tu ape lagi, peluang la nak melahar aku kan.. "a'ah, aku punyer duit mmg dikhaskan untuk kebajikan masyarakat.. sape lagi nak pinjam duet??.."
punyerla sentap kan..rase mcm nak bertumbuk je kan kat stue.. but, terpaksa terima lah kan.. salah sendiri.. nak wat camne??
rase nak pengsan je kat situ.. naseb baek masih kuat lagi kan.. sabar dan terus bersabar jela... ada ubi, ada batas.. huhu~~~
tolong kawan aku pengsan lepas disentap...
so lepas nie pada semua ingat k.. jgn nak tgglkn ape2 skaly brg.. yg plg penting wallet n money.. huhu~~
Ape perasaan korang kalau dalam family korang ada yang ngah nak naik pelamin tapi korang xdpt tgk pown... msti sdh kan~~
ni la yang terjadi kat kwn aku ni, abg dye kawen hari ni, tapi dye xblh nak blik kmpg sbb x dbenarkan ats sbb2 tertentu, punyalah sedih bdak nie smpi xnak kuar bilik.. duk bermuram durja je dah mcm tempoyak basi dah ha aku tengoknya... smpi kwn kena tngkan dye taw..
cian sgt, ala2 mati anak haa...
perluke nak bersedih sgt, suruh jela sape2 ambik gambar ke, video ke n sent kat ko then tgk la puas2 gambar tue kan.. huhu~~.. tp nak wat cmne kan.. klu aku pun sdih gak..
tp aku xley wat pape la.. hnya blh turut bersedih smbil melihat jela.. ala2, tgk drama kat tv tue..
kami ramai bersimpati kat dye..
kami sama2 bersimpati kat dye..
sabar jela k..
nak wat cmne..
nnt ko kawen ko wat la grand2 sket.. jemput satu malaya k.. ala2 erra kawen ngan yusri dulu2.. huhu~~
Assalamualaikum.... halllloooo... selamat petang... salam sejahtera... Nie kali pertama aku dalam blog nie.. bru je nak blaja2 buat blog.. khas untuk kwn2, dan saper2 je yg knl diri nie atau bru nak knl diri nie... hrp sume dpt bg support tuk blog sy nie k... bace la ape yg ptut or komen la ape yg ptut k... klu berkesempatan ak akn update everyday k... khas 4 u all... thanks yaaa... ariegatokhughaimas~~~
salam...hye semua.. my nickname zul..u can call me zul, zack, or daniel.. kenapa daniel?? suke aku la weh, huhuu.. ape je aku nak citer ek.. aku anak ke 8 dalam 9 adik beradik, ramai x?? tgk baka laa.. huhu~~ aku seorang yang hepy go lucky.. xpndi nak kecik ati sgt kecuali mmg dah melampau lah kan,.. aku simple, masih study agy kat alor star medical college, insyaAllah nnt kuar jd seorang asst.medical officer yg berjaya n berwawasan..huhu~~.. aku suke membaca, on9 sentiasa.. n ape2 yg aku suka wat la... yg plg pntg aku nie suka sgt nak berkwn,.. aku dok kat kota tinggi johor.. family aku ader kat air tawar 3... carilah klu thu.. huhu~~ aku xtaw la nak citer pe.. t ak free, aku edit laen la eh..
yg plg pntg aku syg korang sume..
:0
Kelantan...

Make ikke cicoh budu
Jange lupo tamboh satar
Kelik rayo taksir laju
Nanti rayo dale sepita
Terengganu.. .
Makang ubi jamang jepong
Makang kepok cicah cuke
Bulang pose mung bengong
Bulang raye mung gile
Pahang...
Sepadan Pahang ada kasino
Nasi dagang ikan patin
Jange mu masam muko
Raya makan rendang sadin
Johor...
Cegitu cegini awak suke
Awak suke kite tak suke
Esok luse hari raye
Sama-sama bersuke rie
Melaka...
Hawau kau berak merate
Kaki bengkak ulau patok
Kalu balik naik kerete
Jangan pandu kalau ngantok
N. Sembilan...
Masak lomak cili api
Campo dongan! daun turi
Hari rayo kolumpo sopi
Tinggal penyamun dongan pencuri
(org kolumpo jgn kocik ati!!)
Selangor/K.Lumpur. ..
Wa cakap lu wa tak tau
Tapi wa tipu sama lu
Raya jangan buat tak tau
Angpau ada bagi gua dulu
Perak...
Gulai tempoyak ikan mayong
Deroyan busok tebok tupai
Pandu hemat ingat kampong
Asal teman selamat sampai
Kedah...
Aloq Staq terketaq-ketaq
Lapaq perut makan pau
Macam mana tak ketaq
Kena paksa bagi angpau
Penang...
Nasi kandaq kedai mamak
Anak mami juai pesemboq
Lepas raya usah dok triak
Kalu ceti mai ikut dapoq
Perlis...
Padang besaq kecik aja
Tempat siam lalu lalang
Hari raya kita berbelanja
Jangan sampai menambah utang
sape nak bls buleh la k..
huhuhuhu.....