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Friday, September 17, 2010

The Perfect Girlfriend

I found this on Tumblr. If you're a guy, you have a girlfriend, and you love her, but you don't understand her.. I guess you should read this.

picture credits: TUMBLR

Tuesday, September 14, 2010

Dengue

  • the most common arboviral illness transmitted worldwide
  • is an acute febrile disease caused by the dengue single-stranded RNA flavivarus
  • It is spread by Aedes eagypti mosquito 
  • it  is manifested by a sudden onset of fever, with severe headache, muscle and joint and rashes 
  • it is most common in tropical countries and Africa 
  • it occurs in over 100 countries, with more than 2.5 billion people at risk and an estimated 50 million infection per year

2 types of dengue:

1.      Dengue fever 
    •  is more severe in adults in which incapacitating muscle, joint and bone pain ("break-bone fever') are common. 
    • is known as a non-fatal or rarely fatal disease

2.      Dengue Hemorrhagic Fever
    • occurs mostly in children under the age of 16 year 
    • is characterized by signature features of thrombocytopenia (low platelet count) and vascular leakage 
    • is associated with mortality because of its tendency to develop into a fatal shock (Dengue Shock Syndrome; sever form of DHF)
 (DSS- is defined as DHF with weak rapid pulse, cold clammy skin, and restlessness)

Etiology

Etiologic Agent
  • Dengue Virus Type 1,2,3,4 and Chikungunya virus

Source of infection
  • Aedes Aegypti
  • Infected Person

Mode of transmission 
  • Mosquito bite (aedies Aegypti)


Pathophysiology

Incubation period: 
  • Uncertain. Probably 6 dys to one week

Period of Communicability: 
  • Unknown. Presumed to be on the first week of illness - when virus is present in the blood.
 
Diagnosis

  • Tourniquet Test
    • Inflate the BP cuff to a point midway between the systolic and diastolic pressure for 5 mins
    • Release the cuff and make an imaginary 2.5 cm or 1 inch square just below the cuff, at the antecubital fossa
Count the number if petechiea insde the box, a test is (+) when 20 or more petechiae are observed
  •    Complete Blood Count (CBC)
o       Platelet count is below 150,000 and 450,000 per mm3

Signs and Symptoms

  • First 4 days,
    • Febrile or high fever
    • Abdominal pain and headache
    • Flushing that maybe accompanied by vomiting , conjuctival infection and epistaxis

  • 4th – 7th days (toxic or hemorrhagic stage)
    • Lowering of temperature
    • Severe abdominal pain
    • Vomiting and frequent bleeding from GI tract (hematemesis or melena)
    • Unstable BP
    • Narrow pulse pressure and shock
    • Tourniquet test which is (+) on the 3rd day may become (-) due to low platet count
    • Death may occur

  • 7th – 10th days,
    • Recovery stage

Classification 

  • Severe,
    • With flushing, sudden high fever, severe hemorrhage, sudden drop of temperature, shock and terminating in recovery or death
  • Moderate
    • High fever, but less hemmorhage, no shock
  • Mild,
    • Slight fever, w/ or w/o hemmorhage

Treatment

  • Supportive and symptomatic treatment should be provided
    • For fever, give paracetamol for muscle pains
    • For headache, give analgesic. DON’t give ASPIRIN (anticoagulant)
    • Increase oral fluid intake to prevent dehydration
    • Give ORESOL to replace fluid as in moderate dehydration

Nursing Mgt

  • For hemorrhage,
    • Keep patient in Complete Bed Rest (CBR)
    • For  Epistaxis, place patient in High Fowlers position and place ice bag over the head
    • For Melena (GI bleeding), place ice bag over the abdomen
    • Instruct the patient to avoid unnecessary movements
    • If transfusion is given, support the patient during therapy
    • Observe signs of deterioration that can lead to DSS

  • For Shock,
    • Prevention is the best treatment
    • Place the patient in a Dorsal Recumbent Position to facilitate circulation
    • Adequate preparation of the patient, mentally and physically prevents the occurrence of shock
    • Provide heat through lightweight covers.

  • Diet,
    • Low fat, low fiber, non-irritating, non-carbonated.
    • Noodle soup may be given.

Fast facts about the mosquito
Aedes Eagypti Mosquito
  • Only the female aedes mosquito bites as it needs the protein in blood to develop its eggs.
  • The mosquito becomes infective approximately 7 days after it has bitten a person carrying the virus. This is the extrinsic incubation period, during which time the virus replicates in the mosquito and reaches the salivary glands.
  • Peak biting is at dawn and dusk.
  • The average lifespan of an Aedes mosquito in Nature is 2 weeks
  • The mosquito can lay eggs about 3 times in its lifetime, and about 100 eggs are produced each time. 
  • The eggs can lie dormant in dry conditions for up to about 9 months, after which they can hatch if exposed to favourable conditions, i.e. water and food

Monday, September 13, 2010

Mini Pinscher

Bambi at 2 months old.

                             The Miniature Pinscher is a small breed of dog that started in Germany. They are called Min Pin,  Zwergpinscher and also called as the "King of the Toy Dogs". They are cross between a Dachshund and an Italian greyhound. Their average life span is 14-17 years. They usually weigh around 8-11 pounds. Mini Pinscher tends to have long legs, and a small body. It stands 10 to 12.5 inches in height at the shoulders. Their coat is short and smooth with different colors. Here are the American Kennel Club accepted colors:

  • Solid Clear Red: this is the most common color, varying from a dark rusty red to a color that is almost tan. Color should be rich and vibrant. A medium to dark shade is preferred.
  • Stag Red: Red with intermingling of black hairs. Color should be rich and vibrant. A medium to dark shade is preferred.
  • Black and Tan: Black with sharply defined rust-red markings on cheeks, lips, lower jaw, throat, twin spots above eyes and chest, lower half of forelegs, inside of hind legs and vent region, lower portion of hocks and feet. Black pencil stripes on toes.
  • Chocolate and Tan: Chocolate with rust-red markings the same as specified for blacks, except brown pencil stripes on toes.
Bambi at 2 years and 4 months old

                          Mini Pinsher tends to over eat and should have their diets monitored to prevent obesity. They are also very curious and investigate a lot. They like toys especially toys that make interesting noises. Miniature Pinschers enjoy having a collection of such toys, which they will hoard and spend much time in moving from one collecting place to another. However, Miniature Pinschers will chew and inevitably try to eat their toys, so avoid toys made of rubber or plastic, as they could pose a choking hazard. Mini Pinschers are known to be territorial so they need their own place where they could sleep and rest. They love to sleep on soft objects, as well as under a soft blanket. They like jumping into beds and crawling under the blankets at night.. just like bambi :)

My next blog post is about my 2nd dog, Lucy. A Coton De Tulear..

Friday, September 10, 2010

New Bicho-bicho recipe

Found a new bicho-bicho recipe yesterday. I got it from Masarap na Lutuing Piipino (katutubo at makabago) ni Aling Charing. It is written in 'malamin na tagalog', so I was having trouble understanding it. I noticed that there's no yeast included in this recipe compared to the previous Bicho-bicho recipe that I posted before (we're back on track)



note: I'm too lazy to translate it to english.

BITSU-BITSU

2 cups of flour/arina
3 teaspoon baking powder
2 eggs/itlog
1/4 cup of melted butter/mantikilya
1/3 cup of milk/gatas
6 tablespoon of sugar/asukal
1/2 teaspoon of salt/asin

Ihalo sa arina ang asukal at baking powder. Salain (sift). Isahod sa malaking tasa.
Batihin ang itlog. Ihalo ang gatas at tunaw na mantikilya. Pamuling batihin.

Unti-unting ibuhos sa arina, habang mahinay na hinahalo, ang pinaghalong gatas at itlog. Masahin at ilatag sa malapad na sangkalan o sa mesa na binudburan ng kaunting arina. Pagulungan ng rolling pin o bote na may bilog na katawan, hanggang sa maging 1/2 na pulgada ang kapal ng masa. Hiwa-hiwain nang pahaba (1/2 na pulgada ang lapad at 6 pulgada ang haba). Pagdikitin ang bawa't dalawang putol, at bago ihulog sa kumukulong mantika ay diinan ng makitid ng patpat ang bawat putol na magkadikit.

Kailangan ay maraming mantika ang paglulutuan ng bitsu Hanguin kapag umalsa at naging mamula-mula. Patuluin ang mantika bago paguungin sa asukal.

Will try this out sooonnn :)

Saturday, September 4, 2010

Bicho-bicho recipe


At the moment, I'm craving for bicho-bicho.. I've been wanting to eat it since last week when I visited my boyfriend in Bulacan. I've been thinking if I should learn how to make one so I could surprise my boyfriend so I found a recipe here on the Internet:

Bicho-bicho
1. Put in a mixing bowl:
1 C lukewarm water
1 T active dry yeast
1 tsp salt
2 C bread flour

2. Beat thoroughly. Cover and let rise for ½ hour. Add:
¼ C melted butter or grape seed oil
1 C light brown sugar
2 well beaten eggs
1½ C bread flour

3. Beat well. Cover and let rise again until dough is light, about 1 hour. Punch down.

4
. Add more flour if dough is too soft to handle. Turn out into a well-floured surface. Divide the dough into 2 parts. Cover each and let rest for 10 minutes.

5.
Roll dough to ½-inch thickness and cut into 6 x 1-inch strips. Set on baking sheets, cover and let rise for 1 hour.

6.
Fry in hot oil until golden brown, roll in granulated sugar. Enjoy!


Wish me luck. Hope I get it right. :P

EDITED: 11/01/12
 Some portion of this post has been deleted for personal reasons. Thank you. - Gela