Saturday, January 30, 2010

Ludwig's angina

1.What is Ludwig's angina? is it same like unstable angina or pectoris angina which common seen in medical. Before we are focussing about the topic of Ludwig's angina, what is actually a definition of angina..

2.Angina comes from the latin verb 'angere' meaning 'to choke or throttle'. Ludwig's angina is far different from unstable angina. Ludwig is named after the German physician Wilheim Freidreich Von Ludwig who first described this condition in 1836.

3. Ludwig's angina is a serious, potentially life threatening infection of the tissue of the floor of the mouth spreading into submandibular space followed by or concomitant dental infection. Ludwig's angina can be emergency condition in ENT due to potential airway compromised.

4.Treatment modalities for Ludwig's angina can be clasiffied into medical and surgical treatment. Usually medical therapy is benefit to reduce the progress of infection. The used of broad spectrum antibiotic such as augmentin, zinacef and or or flagyl id widely used in hospital. However, there is a role of surgical intervention if there is presence of airway compromised that required emergency tracheostomy and incision and drainage to drain out pus.

5.So far,in my limtid experience in ENT field, i had never come with patient with ludwig's angina that need for tracheostomy, but i have done once an incision and drainage for this condition. The important to remember is, do not simply treat Ludwig's angina as such simple cellulitis because it can progress to life threatening condition.

Saturday, January 23, 2010

Royal in Malaysia

1.Started today for one week the national and state flags in Johor were lowered to half mast as a mark of passing of Sultan of Johor. The television and radio station begun airing Quran recital.
2.This phenomenon showed us, the royal system in malaysia still being practising and being respected all of Malaysian.
3.For the past few months, we have seen a few occasion related-issue to royal family. The royal of Kelantan also cannot be rule out in talk in almost mass media lately.
4.In early Tanah Melayu, Sultans has a great power at their state. But now, the power of theirs slightly limited. Sultan appointed as a leader of state islamic affair and few things.
5.The Royal institution should be maintained and supported by all malaysian to achieve our vision of 2020 despite of modernisation nowadays.

Sunday, January 17, 2010

GEMPA DI HAITI

Seakan-akan dunia kita akhir-akhir ini sering dilanda bencana. Tsunami, gempa bumi, taufan dan banyak lagi. Bila kita berfikir sejenak, kita boleh mengambil iktibar bencana yang berlaku adlah peringatan Allah kepada umat manusia. Akan tetapi manusia masih belum sedar tentang ini. Manusia masih berbalah sesama sendiri mengejar duniawi.
Sebagai saudara seislam, saya ingin menyeru semua pembaca yang beragama islam, marilah kita insaf dan bersiap sedia untuk menghadap Allah. walaupun kita sibuk dengan urusan dunia, jangan kita lupa tanggungjawab kita yang hakiki sebagai hambaNYA..

Friday, January 15, 2010

Solar Eclipse

1. The ring like solar eclipse occur on Friday 15th January 2010 which is the longest in millenium. The astronomers said Maldives is the best place to see this phenomenon. In Asia included Malaysia, it is only partial eclipse can be seen.

2. Nowadays, solar eclipse can be estimated from astronomers calculation. It shows how far the development of sciences of astronomy.

3. In islam, stated that when there was solar eclipse occur on the day of prophet Muhammad's son Ibrahim passed away, a few people said it because of mourning of Muhammad, but Prophet Muhammad (pbuh) declined that and then he said

"the sun and the moon are two of the signs (signs of God's Greatness) of Allah; they do not darken for the death or birth of any person, but allah strikes fear into his servants by means of them. So when you they darken, remember and mention Allah(Takbir&Doa), declare his Greatness, offer prayer, give in charity and supplicate to him and seek his forgiveness. (hadith muslim)

4. In Malaysia with multireligious country, we can see a colourful practices done by Muslims, Budhhas and Hindus.Heads bowed in silent prayers, purification baths taken, noisy neighbours, abstinence from eat and curtains drawn. These were some of the things malaysian did during partial eclipse

5.While the muslims are encouraged to offer 'solat gerhana' and attend special 'khutbah, the Chinese make a lot of noise by beating pots and drums to chase away the 'celestial dog' that is biting off a piece of sun, the Indians believe that they should not cook or eat when the eclipse is over, they should bathe to cleanse themselves.

6. After the flame issue of 'Kalimah Allah' occur few weeks before, let us shake hand and together in harmony to build our love country for prosperous and peaceful.

Monday, January 11, 2010

viva palestina

Angkara sekatan konvoi viva palestina dari London ke Gaza disekat oleh pihak berkuasa Mesir, banyak pihak bangun membantah menunjukkan tanda sokongan kepada viva palestina. Konvoi viva palestina yang dianggotai oleh berbagai-bagai bangsa dan agama dilihat boleh memberi sokongan besar kepada palestin yang sudah sekian lama ditindas oleh rejim zionis israel. Tidak dapat ditafsirkan, apakah motif sebenar pihak berkuasa Mesir menyekat bantuan oleh konvoi ini yang kebanyakkan bantuan ubat-ubatan dan makanan kepada pelarian dan penduduk yang ditindas di Gaza. Tidak cukup dengan sekatan, segelintir anggota konvoi viva palestina ditahan oleh pihak berkuasa mesir dengan alasan menyebabkan rusuhan dan demonstrasi di pintu masuk sempadan Gaza-Mesir.

Viva palestina yang merupakan sebuah pertubuhan sukarelawan yang tidak ada kaitan dengan mana-mana pertubuhan politik ini hanya bertujuan untuk membela nasib rakyat palestin. Mengapakah orang-orang islam seagama dengan penduduk islam di palestin masih tidak dapat merasai keperitan hidup saudara seagama mereka. Satu fatwa telah dikeluarkan oleh ulama Jordan berhubung pembinaan tembok keluli di sempadan palestin yang menbuat pertuduhan pihak berkuasa mesir melakukan suatu jenayah. Alasan pihak mesir untuk membina tembok di sempadan adalah untuk mengelak penyeludupan bekalan senjata melalui terowong rahsia yang digali di sempadan itu dan juga menjaga kedaulatan negara. Begitu dangkal alasan yang diberikan oleh pihak berkuasa mesir, bagaimana derita rakyat palestin yang setiap hari dibedil dihujani dengan peluru meriam dan senapang dari pihak zionis. Penduduk palestin hanya boleh membalas dengan lontaran batu-batu kecil sahaja. Dengan bantuan Amerika Syarikat, zionis israel dan disokong oleh pihak berkuasa mesir menambahkan lagi penderitaan rakyat palestin.

marilah kita sama-sama membantu rakyat palestin yang menderita dengan memberi apa jua bentuk bantuan yang kita termampu. Setidak-tidaknya, memanjatkan doa kepada Allah supaya memberi kemenangan kepada mujahidin di sana dan seluruh umat islam didunia.

Monday, January 4, 2010

World's Tallest Tower in Dubai

article from AFP about the tallest tower officially open in Dubai named Burj Dubai..

DUBAI (AFP) – Dubai was on Monday to officially open the world's tallest tower, a symbol of the Gulf emirate's unbridled ambitions, amid ongoing fears about a financial catastrophe.
The city state, which borrowed heavily to finance its grandiose projects, is striving to restructure its mountain of debt and face a serious crisis in its once-booming real estate sector. Related article: History of Dubai mega projects
Some observers now appear more confident about Dubai's ability to navigate its way out of the crisis, after many predicted bankruptcy when it requested a debt repayments standstill for its largest group Dubai World in late November.
Dubai was bailed out with a last-minute lifeline of 10 billion dollars from neighbouring emirate Abu Dhabi, which enabled Dubai to pay its imminent debt.
"We are much more confident about the situation of Dubai now, after Abu Dhabi?s support as well as the comprehensive restructuring plan, than we were a one month ago," said Mahdi Mattar, chief economist at Shuaa Capital.
"The debt story is not as bad as the market initially thought, when investors were assuming the worst," he told AFP.
Dubai World began negotiations with its creditors in late December with the hope of reaching an agreement over restructuring debt of 22 billion dollars, owed by its troubled subsidiaries.
The talks followed Dubai World's payment of 4.1 billion dollars in maturing bonds owed by its real estate arm, Nakheel, thanks to Abu Dhabi's help.
But the emirate, which has little oil resources, has to deal with a total debt burden amounting to around 100 billion dollars, according to estimates.
Its fortunes have turned around as the global financial crisis dried up global finance which was crucial to feed its rapid economic growth, mainly in real estate.
"In Dubai where 90 percent of the population are expatriates, 50 percent of the work force is real estate and construction-based," said Saud Masud, senior real estate analyst at UBS bank in Dubai.
He estimated a drop of eight percent in Dubai's population, which was reportedly around two million before the crisis, while he expected a two percent drop in 2010.
This decrease in population is expected to deepen the decline in property prices in Dubai which dived 50 percent in 2009, he said.
"There is over supply as more houses are being handed over. With population outflows of 10 percent over 2009-2010 and handovers of roughly 40,000 units during the same period, we would not be surprised to see residential over supply of 30 percent by end of 2010," he said.
This deterioration has triggered an 80 percent drop in projects in 2009 compared with the previous year.
"Big projects have been delayed indefinitely. If investors don?t pay developers, they in turn will struggle to pay contractors," he said.
Vacant villas and apartment blocks make now up part of Dubai's landscape, while the most grandiose projects have been put on hold, including a one-kilometre (0.62 mile) high tower expected to dwarf Dubai's completed Burj Dubai, whose final height is more than 800 metres (2,640 feet). Related article: The world's highest towers.
But Dubai's debt crisis does not mean the emirate will sink in the desert sands, analysts agreed.
"Dubai will not be wiped off the map. It is a very important centre and model for the rest of the Middle East," said Masud.
"Dubai?s infrastructure is unique in the Middle East, it is a regional financial and tourist hub. The challenge is how to come out of the downturn, by diversifying the economy and finding other levers of growth than real estate," he added.
Mattar agreed that Dubai has built an infrastructure "second to none in the region," positioning the emirate as the regional service hub.
"As oil prices remain at these levels and the global economy recovers, the situation of the whole region is on a growth recovery path -- a plus for Dubai," he added.
The tower opening ceremony kicks off at 8:00 pm (1600 GMT), featuring fireworks and a light show. It is held on the day Sheikh Mohammed Bin Rashed al-Maktoum took office as the ruler of Dubai in 2006. Related article: Dubai ruler's vision reaches skywards.

Saturday, January 2, 2010

Kalimah Allah

Permulaan tahun Baru 2010 ini, berita mengenai keputusan mahkamah membenarkan kalimah Allah digunakan oleh majalah Herald Catholic weekly mengejutkan pelbagai pihak di Malaysia. Banyak pertubuhan islam dan orang islam di malaysia membuat bantahan mengenai keputusan mahkamah ini.
Hari ini, terpampang di dada-dada akhbar utama kenyatan PM menasihatkan rakyat malaysia khasnya yang beragama islam supaya bertenang dan tidak melakukan perhimpunan atau protes yang boleh membawa persengketaan antara agama.
Disini saya tidak ingin menghuraikan mengenai hukum penggunaan kalimah Allah oleh masyarakat bukan islam. Saya serahkan kepada orang-orang yang lebih alim berkenaan agama supaya membicarakan berkenaan hukum itu. Saya cuma ingin memberi sedikit pendapat saya berdasarkan sedikit ilmu yang saya ada.
Tidak dinafikan di malaysia, penggunaan Allah biasanya untuk kegunaan masyarakat islam sahaja. Pengalaman saya, pernah suatu masa dahulu semasa saya berinteraksi dengan seorang waris pesakit saya yang berbangsa cina beragama buddha. Saya memberitahu beliau keadaan ibunya yang sakit tenat dan nazak. Pada masa itulah saya terdengar beliau mengatakan 'tuhan allah' sudah mahu mengambil ibunya yakni bermaksud ibunya akan meninggal dunia. Dia yang seorang berbangsa cina itu berkata 'tuhan allah' merujuk kepada tuhan mereka. Allah adalah perkataan bahasa arab. mungkin jika di negara arab, orang bukan islam juga menggunakan allah merujuk kepada tuhan mereka.
Saya berpendapat jika penggunaan kalimah Allah itu tidak bermaksud untuk memesongkan aqidah umat islam, mungkin ianya tidak mengapa untuk diguna oleh orang bukan islam. Tetapi jika penggunaan kalimah Allah itu boleh memberi kesan pemesongan aqidah umat islam, ianya mesti ditentang dah diharamkan. Mari kita sama-sama mendapatkan fatwa dari ulama muktabar berkenaan perkara ini..

SELAMAT TAHUN BARU 2010

Tahun 2009 telah meninggalkan kita. Adakah azam kita terlaksana. Mungkin sesetengah daripada kita, azam mereka tidak dapat terlaksana. Bagi yang dapat melaksanakan azam mereka, tahniah diucapkan.
Tahun 2010 telah datang.azam yang baru pula ditanam. Bagi yang azam yang belum tercapai, azam diperbaharui dan langkah-langkah yang menjurus tercapainya azam dilipat gandakan.
bagi saya, kita sebagai hamba Allah hanya boleh berazam dan berusaha untuk mencapai sesuatu perkara itu, tetapi yang menentukan sesuatu perkara itu tercapai adalah hak Allah yang mutlak.
Kita sebagai manusia seharusnya tidak putus untuk berdoa dan bertawakkal kepada Allah setelah kita berusaha bersungguh-sungguh melakukan sesuatu pekerjaan.
Marilah kita menguatkan semangat untuk mencapai azam tahun baru ini dan juga tidak lupa untuk terus memohon pertolongan dari Yang Maha Esa.