LOW your mp3 sounds

We may already know, or perhaps feel that loud music can damage and cause hearing problems. Teens turn deaf ear to risks of mp3 players, said title
of newspaper that I read somedays ago. In focus-group discussion with students in the Netherlands, lead Researcher Inneke Vogel found that many students
didn't know when their mp3 players were too loud.
Volume at or above 90 decibels (dB) are believed to be hazardous, and noise levels reach to 120-140 dB are uncomfortable or painful. Manufacturers, acording
to the researchers, could equip mp3 players with an indicator that displays the volume level in terms of decibels, along with a signal-such as flashing lights-
that goes off when decibel levels reach the danger zone.
It is sugested that mp3 users set the volume no higher than 60 percent of its full capacity when using ear bud style headphones, while with over-the-ear
headphones recommend 70 % as the maximum,
So friends, feel worry about your hearing ability if you cannot hear your mother yelled right on your side with no headphone on your ear..

Equivalentsia and extraknowledge (taken from various sources, newspapers and books)

1. For many years, the fig has been used as a coffee substitute, the fruit contains a proteolytic enzyme that is considered an aid digestion and is used by
the Pharmaceutical Industry
2. Papaya is veeery functional fruit. It has an enzym called papain which is can soften your hair, anti aging effects, especially tighten wringkles on your face
3. 200 ml can soda pop contains the equivalent of an average nine teaspoons of sugar
4. Watch out when you buy green tea label. There some fake green tea. To test it, is easy, pour hot water to a little amount of tea leaves.
if it is red-brownish colour means it is not green tea but fermented tea. But don't worry the antioxidant concentration is not far different
so you can still consumed it
5. Wine has about the same number of calories as an equal amount of grape juice
6. HUngry in the middle of the night, but afraid of calories from milk or cookies. You can take 2 pieces of bananas. Banana has equivalent energy with
a plate of rice but no fat. Instead having more calories in your body, for women, potasium in Banana helping the production of red blood cell.
Best consumption while menstruation periode.
7. Native green tea has more 50 % of Vitamin C than black tea
8. Honey has been used for milenia as a tropical dressing for wounds since microbes cannot live in it. It also produces hydrogen peroxyde as an desinfectant
cleansing agents in medical equipment,
9. Egyptian has even been used honey to embalm pharaoh bodies. Alexander the great's body also embalm with honey
10. Honey is no less than 80 % sugar and 20 % water (can be less).
11. One mil chocolate bar has 6 mg of Caffeine, which is can cause a little aritmia for hypotensi person
12. Be carefull! most-non dairy creamers are flammable. Because it contain some metal mineral but not endanger for our body, but might endanger your
paper.
13. The main difference between chocolate and cocoa is the amount of fat. Cocoa has naturat unsaturated fat, but chocolate has a dairy fat.
Choose the best for your health and taste time
14. A common drink for Tibetans is butter tea which is made out from butter, salt, and brick tea.
15. A drink used to be made by the Aztec for Gods had an ingredients of ground cocoa mixed in with spices and corn.
16. The same chemical responsible for the ecstatic highs of love and sexual atraction, phenylethylamine, is also found in chocolate.

Managements of Cardiac Diseases

Management of Hypertension
1. Risk factors: smoking, hyperlipidemia, diabetes mellitus, >60 year of age, gender (men & postmenopausal women), family history of premature
cardiovascular disease, obesity, obstructive sleep apnea, microalbuminuria
Life style modification
- Smoking cessation
- Weight reduction
- Moderation of alcohol consumption'
- Reduce salt intake
- Maintain adequate intake of potassium, magnesium & calcium
- Increase physical activity
- Reduction of cholesterol and saturated fat intake

Effective antihypertensive combinations
- Diuretic and beta blocker
- Diuretic and ACE inhibitor or angiotensin II receptor antagonists
- Diuretic and calcium antagonists
- Calcium antagonists and beta blocker
- Calcium antagonists and ACE inhibitor
- alpha blocker and beta blocker

Management of Hypertension in Pregnancy
Gestational Hypertension: Hypertension diagnosed for the first time after mod pregnancy w/o proteinuria
without symptoms and with normal laboratory test results.
- Women who have stage 1-2 essential hypertension with normal renal function may be treated with non drug therapy under close observation
- Treatment does not decrease the chance of developing pre-eclampsia
- Women who are well controlled may stay on their antihypertensive therapy except if it is an ACE inhibitor or an angiotensin II receptor antagonists
Recomended therapy: methyldopa is preferred agent
Alternatives: Labetalol
other antihypertensive agents may cause interaction effects with the foetus.

Note: all dosage recomendations are for non-elderly adults with normal renal & hepatic function unless otherwise stated.
Not all products are available in all countries. Detailed information on dosage, administration & availability may be found in the Product Information Section

So here all the matters which will coming up next week. wish me luck to get good score..

still cardio exam

Management of Acute Heart Failure
- Suplemental oxygen to maintain 02 saturation >90%, give IV loop diuretics
- If patient condition stabil, may be switch to oral medications: refer to chronic heart failure tratment plan for oral medication recomendations
- Specific evaluation for reversible etiologies, specific reactions.

Management Of Chronic Heart Failure
there are four different clases that indicate the emergence conditions. But most of all have same premedicative non-pharmacologic treatment
- Educate the patient about their disease state, prognosis and treatment
- Warn potential drug drug interactions with self medications
- Patient should maintain good nutrition, if obesed, pursue him/her to take a diet
- Alcoholic cardiomyopathy sufferers must abstain from alcohol
- Smoking cessation
- Consider exercise training in all stable outpatients with chronic heart failure

Management of hyperlipidemia
what should patient consider about their lifestyle
- Reduce intake of saturated fats (<7 %of total calories) & cholesterol (<200 mg/day)
- Weight reduction
- Increase physical activity
- Smoking cessation
- alcohol restriction

cont'd

Management of Acute Ischemic stroke
- Treatment & preservation of vital function contitute the basis of all therapeutic measures in acute stroke
- Adequate blood oxygenation with normal respiratory function is required
- if poor ventilation drive, use mechanical hyperventilation
- IV fluids with normal saline (avoid dextrose) should be administered to maintain euvolemic fluid status
- Fever can be treated with antypiretic, but investigate the source of infection
- Blood glucose levels should be kept at <150 mg/dL (8.3 mmol/L)

Symptom reduction for Chronic stable angina
- Short acting nitrates should be offered to every patient as sublingual tablet or spray
- Should be used for accute episodes or as a prophylaxis against an attack
- Combination of nitrate, beta-blocker, trimetazidine have shown also improved angina relief.
Invasive procedures & surgical intervention may improve symptoms if medical treatment is fails.

Cardiovascular

This is one of the topic in my lecturers that describe about disesase, I wrote this because i want to review it. I'm going to have this examination
next week. So, while typing I can share this information for public views. May be there would be some of articles about health that I have learn in
lectures, and some are articles from my hobbies like books& movie review, but no impossibility too article about issues in the newspaper.

First topic I want to discuss is about The cardiac system, which is one of the most vital part in our body.
Here I would like to try to review some management diseases that can affect the cardiac.

The information provided is intended as a quick reference and not as a complete authoritative tratment guide
for cardiovascular disesases. The information is intended for healthcare professionals who are knowledgeable
in the selection of drugs for cardiovascular diseases.

The individual phsysician or other healthcare professional should use his/her best medical judgement in determining
apropriate patient care or treatment.

It should be remebered that with cardiovascular diseases, diagnosis and treatments are constantly changing because
of new updated research and evolving clinical experience. In addition professional opinion may be controversial.

While every care has been taken to ensure the accuracy, integrity and reliability of the information, healthcare
professional are advised to consult other resources and confirm the information to the right medical profession.

There are several types of Cardiovascular abnormality:
1. Ischemic-Cerebrovascular accident
2. Chronic stable angina
3. Heart Failure- (Acute/Chronic)
4. Hyperlipidemia
5. Hypertension
6. Hypertension in pregnancy
7. and many other types. Recently research has found more than ten cardiac disorders.

(taken from MIMS Cardiovascular and other sources)

Two Years After

Two Years After

I remembered that time, friday 2 am, My mother called me and tell news that my grandmother has past away.
Without thinking anymore, I said "I have to go there", did not remember that I have a Practical
laboratory lecture on saturday morning. On the way journey to my grandma house, I called the Chief of Laboratory
Quantitative Drugs Analysis, the lecturer say sorry about the news and send deepest condolence for me. But
still cannot let me missed a day practical. I wont debated, so, I said "I'll try to catch the last train
on friday night".

In my grandma house, there are many families & neigbourhoods, then I sat beside her body, cried for her.
The next thing I knew, everything went so fast. They brought my grandma to cemetery, after that, I found myself
in train station for returned to campus. I left the ceremonial tradition in my family.

God, now I have lost the two most important person in my life.
I have knew, that she's also hospitalized for a week, problem in hypertension. My grandma is quite obesed, because
she a little bit over controlled her apetite.

I wonder, if I'm warned her about it, helped her to have a diet, arranged her menu as my capability-profesional
health care student- would it be the same...??

This is all lesson for learn, take care your health is a must.
Just like a wiseman said:
'exercise, better than drugs, better than hospitalized, better than anything"

Is that a right proverbs??

I don't know, I make it for myself. if that usefull for others, lets just say
I share it..

After they took away from me, I could remember moments of love that they gave me, the way they embrace & hug me,
shed my tears, awaken my enthusiasm to science & nature. Be grateful for each GOD's fate for me
Instropection when get calamity, and thankful for joy & happines that LORD has given to me.

Why Hakuna matata and poster Spiderman?

Well, "Hakuna matata is wonderful phrase" said Timon friends of Pumba. Both Timon & Pumba are Simba's friends.
They met each other when Simba ran from his herd, betrayed by his uncle Scar. At that time Simba felt loose hope
But Timon and Pumba sang for him a catchy witty song:
Hakuna Matata...Whatta wonderful phrase
'Hakuna matata, it's mean don't worryyy...
for the rest of your daaaayyyy
It's our philosophyyyyyy....
Hakuna matataaaaaaaaa
Yuhuuuuuuu..... Hakuna Matata ... X (fade out)

I felt the same "hakuna-matata's feeling" when my grandfather hospitalized 4 years ago.
I never thought, a military man, strong, fearless, tough oldman, can lied down weakly
with life just depend on machine to keep his heart beating.

I said to myself "dont worry, he'll be okay...he'll recover soon. Then we can talking, chatting, walking
trough mountain to mantain again, dont worry..."

But it never happened. He past away three months later. Cardiac failure and liver disability function was
the caused of his death.

The most precious things that remembered me about him was "He is a Hero" for his children, grandchildren,
even for the country. He just like SPiderman for me, spreading the web of love. Through helping people,
preserve nature, and many other good benevolences. His wisdoms truly inspired me.

I wonder if Spiderman in the movie/comics someday get cardiac disease (UPSS!!)
you know, just like any ordinary person in the world.
BUt, HE IS NoT an ordinary man, HE IS A SUPER-ORDINARY man.

Death can't be revealed. When it's coming, following, catching us, ready or no, it WILL
come forward. AND we ARE all walking toward DEATh.

I hope I can do my best in this life, so everyone who knows me can remember me as a good person ever been.

My idea is about "world without money" everybody can have acces to everything without buying.
That sounds crazy, but life is getting crazier with money within it, right?!!
Robbers, criminals, all bad things come appear for the want of having money.

Well I'm so sorry just kidding..may be the world become worse if money dissapear... HAHAHAHA
There would be no banks, tellers, money changer, currency etc.

No heart feeling, just follow your life as it can be. no cheating.. :D

Hakuna matata don't worry everything is gonna be find

be opthimist

My grandpa's death left many memories of happines especially an endless spirit for never give up in reaching ur dreams come true

Welcome!

Geee ! its been hard such thing wrote this first sentences. But anyway I made it.

And just let others know what I, you, or may be all of us want to share

Dare to face chalenges

It's one thing that every one should and ever takes, remember

Start this day with a smile, coz smile will lead us to positive mind

Above and beyond the sky is a place where we set up dreams, hopes, wishes, and wants

Never forget sanctuary we always feel save, warm and comfort

Gain a start in a womb and gain and end in earth. Forever...