Sunday, January 30

Pray for them

A daily scene in any Egyptian protest. They are not trying to stop the protest they are trying to kill every hope in change in the country-July 21 2010
January 29, 2011

Live From the Egyptian Revolution

by Sharif Abdel Kouddous


Share676Cairo, Egypt—I grew up in Egypt. I spent half my life here. But Saturday, when my plane from JFK airport touched down in Cairo, I arrived in a different country than the one I had known all my life. This is not Hosni Mubarak’s Egypt anymore and, regardless of what happens, it will never be again.

   In Tahrir Square, thousands of Egyptians–men and women, young and old, rich and poor–gathered today to celebrate their victory over the regime’s hated police and state security forces and to call on Mubarak to step down and leave once and for all. They talked about the massive protest on Friday, the culmination of three days of demonstrations that began on January 25th to mark National Police Day. It was an act of popular revolt the likes of which many Egyptians never thought they would see during Mubarak’s reign. "The regime has been convincing us very well that we cannot do it, but Tunisians gave us an idea and it took us only three days and we did it," said Ahmad El Esseily, a 35 year-old author and TV/radio talk show host who took park in the demonstrations. "We are a lot of people and we are strong."

   In Cairo, tens of thousands of people--from all walks of life--faced off against riot police armed with shields, batons, and seemingly endless supplies of tear gas. People talked about Friday’s protest like a war; a war they’d won. "Despite the tear gas and the beatings, we just kept coming, wave after wave of us," one protester said. "When some of us would tire, others would head in. We gave each other courage." After several hours, the police were forced into a full retreat. Then, as the army was sent in, they disappeared.


   The military was greeted warmly on the streets of Cairo. Crowds roared with approval as one soldier was carried through Tahrir square today holding a flower in his hand. Dozens of people clambered onto tanks as they rode around the square. Throughout the day people chanted: "The people, the army: one hand."

   While the police and state security forces are notorious in Egypt for torture, corruption and brutality, the army has not interacted with the civilian population for more than 30 years and is only proudly remembered for having delivered a victory in the 1973 war with Israel. A 4pm curfew set for today was casually ignored with people convinced the army would not harm them. The police were a different story. Their brutality the past few days--decades in fact--has been well documented.


   Saturday, some of the police forces were holed up inside their headquarters in the Interior Ministry building near the end of a street connected to Tahrir Square. When protesters neared the building, the police began firing live ammunition at the crowd, forcing them to flee back to the square. Three bloodied people were carried out. "The police are killing us," one man yelled desperately while on the phone with al Jazeera from outside the building. When the firing stopped, defiant protesters began approaching the building again. In the background, the smoking, blackened shell of Hosni Mubarak’s National Democratic Party headquarters served as an ominous reminder of their intentions.


   At this point it seems clear the people are not leaving the streets. They own them now and they are refusing to go until Mubarak does. They chanted, "Mubarak, the plane is waiting for you at the airport," and "Wake up Mubarak, today is your last day."


   At one point, a rumor spread through Tahrir Square that Mubarak had fled the country. A massive cheer rippled through the crowd. People began jumping up and down in joy. One man wept uncontrollably. When it turned out not to be true, the cheers quickly ended but it provided a brief glimpse of the sheer raw desire for Mubarak’s ouster. Reports now indicate that Mubarak’s two sons and his wife, Suzanne, have fled Egypt, as have some of his closest business cronies. Many people believe that is a sign that Hosni will not be far behind.


   There is a great sense of pride that this is a leaderless movement organized by the people. A genuine popular revolt. It was not organized by opposition movements, though they have now joined the protesters in Tahrir. The Muslim Brotherhood was out in full force today. At one point they began chanting "Allah Akbar" only to be drowned out by much louder chants of "Muslim, Christian, we are all Egyptian."


   As the sun set over Cairo, silence fell upon Tahrir square as thousands stopped to pray in the street while others stood atop tanks. After the sunset prayer, they held a 'ganaza'–a prayer for those killed in the demonstrations. Darkness fell and the protesters, thousands of them, have vowed to stay in the square, sleeping out in the open, until Mubarak is ousted.
Meanwhile, across Cairo there is not a policeman in sight and there are reports of looting and violence. People worry that Mubarak is intentionally trying to create chaos to somehow convince people that he is needed. The strategy is failing. Residents have taken matters into their own hands, helping to direct traffic and forming armed neighborhood watches, complete with checkpoints and shift changes, in districts across the city.


   This is the Egypt I arrived in today. Fearless and determined. It cannot go back to what it was. It will never be the same.




_Sharif Abdel Kouddous is a senior producer for the radio/TV show Democracy Now.


Follow him on Twitter at @sharifkouddous._






http://www.democracynow.org/blog/2011/1/29/live_from_the_egyptian_revolution_by_sharif_abdel_kouddous
 
p/s: please pray for them, i believe the chaos will not end in a short time

Saturday, January 29

Zenith Porta; Vol 1

(Assalamu'alaikum wbt. This is simply a re-posting of the Zenith newsletter, 'Zenith Porta'. The original edition was first released and posted - on the board outside Lecture Hall 1 - on 10 Nov 2010. If you didn't manage to read it, here are the article that were available on that issue. - PnI)

ZENITH PORTA

Vol 1. 10 Nov 2010.

How to succeed in medical school (part 1)
Okey! The most important thing in our life is learning how to learn. The essential question one should ask oneself is "How do I study?". How do YOU study?
For those who do not know HOW they study, maybe you can ask yourself these questions:
· How well can I remember something that I have learned?
· How aware am I to my learning techniques?
· How do I know that I have known enough?
· Are there any internal or external factors that affects my willingness to study?
· Which portion of VARK am I using for my studying?
Visual practice
Auditory practice
Read/write preferences practice
Kinesthetic practice.
Lastly, the ultimate question that you have to ask yourself is:
WHY I AM TAKING MEDIC? WHAT DRIVES ME TO DO THIS?
Easy questions but hard to answer, right? That is the reason why this column is established. InshaAllah this column will enlighten you on these questions…
Which of the answers below most describes you?
I am taking medic due to :
  1. · Science is fascinating! I love to learn why disease can happen!
  2. · I can have many patients to attend and I am always on the move!
  3. · Exams! That is the major reason why people are trying to cram everything in their head.
  4. · I like being appreciated by showing that I learn/know more than anybody, that is the reason why I love to study before lectures
  5. · I love the excitement of stress-condition, which is studying!
So, can you reason with yourself now? Do you see what drives you the most?
InshaAllah, we will continue and explore this further in the next session.
IOF used "cell phone procedure"
Nazareth-Israeli media website "Walla" talking in Hebrew revealed that Israeli occupation forces targeted every Palestinian citizen who used his personal cell phone during war on Gaza. What so called "cell phone procedure", in which the military orders were to kidnap every Palestinian who has cell phone and in case of breaking the orders , he will be killed for suspecting of sending important field information about Israeli occupation soldiers for men of Palestinian resistance. The fighters of the Israeli military unit "Givati", soldiers and officers have shot every Palestinian who talked by the cell phone, and in many cases they wounded seriously.
UPDATE YOUR MIND
Corruption reports
The Malaysian Anti-Corruption Commission (MACC) is still studying the Auditor-General's Report 2009 and does not dismiss the possibility of opening more investigation papers based on the report. The Auditor-General's Report as mentioning that the Defense Ministry had spent RM300,000 on buying luxury items for the VVIP room, including RM95,880 on wallpaper, by using an allocation from the First Economic Stimulus Package. Three of the investigation papers were opened in Johor, six at the MACC headquarters, two in Terengganu and one each in Sarawak and Selangor.
FACT
The first owner of the Marlboro Company, Wayne McLaren, died of lung cancer.



YOUR MOTHER.
Your Mother is..
The DENTIST who uses a string.
The TEACHER who teaches about life.
The CHEERLEADER at all sports activities.
Your Mother is..
The LAUNDRY LADY who keeps you dressed so nice.
The DISHWASHER who never complains.
The CHAUFFEUR for all social events.
Your Mother is..
The TOOTH FAIRY who rewards you for your pain.
The HEALER of your first broken heart.
The KLEENEX that dries the tears.

Your Mother is..
The PRAYING HANDS that guide spiritually.
The GUARDIAN ANGEL who keeps you safe.
The best GIRLFRIEND who puts real meaning into "I Love You".
A man came to the Prophet and said, ‘O Messenger of God! Who among the people is the most worthy of my good companionship?’ The Prophet said: Your mother. The man said, ‘Then who?' The Prophet said: Then your mother. The man further asked, ‘Then who?' The Prophet said: Then your mother. The man asked again, ‘Then who?' The Prophet said: Then your father. (Bukhari, Muslim).
Woman is the only creature that can bring up individuals in her lap,
And the paradise is under the feet of your mothers..
-hnnh-




Something interesting

Assalamualaikum.

Here are some interesting things I'd like to share. They are all about what we've learnt but they are not coming out for exams, definitely. They are just recent discoveries.

Enjoy!

http://www.sciencedaily.com/releases/2011/01/110120151641.htm
http://www.sciencedaily.com/releases/2011/01/110120124951.htm
http://www.sciencedaily.com/releases/2011/01/110120085521.htm
http://www.sciencedaily.com/releases/2011/01/110118113445.htm (this looks more interesting compared to others)
http://www.sciencedaily.com/releases/2011/01/110121144003.htm (defensin has been mentioned in the Abbas Immuno book, under the chapter for Innate Immunity, if I'm not mistaken)
http://www.sciencedaily.com/releases/2011/01/110120171409.htm
http://www.sciencedaily.com/releases/2011/01/110120171409.htm
http://www.sciencedaily.com/releases/2011/01/110120124955.htm (but still it doesn't explain why do we feel sleepy in class :P )
http://www.sciencedaily.com/releases/2011/01/110118143220.htm (I don't think I understand this)
http://www.sciencedaily.com/releases/2011/01/110120142350.htm (Kaposi sarcoma virus)
http://www.sciencedaily.com/releases/2011/01/110119162509.htm (hey guys this is interesting, like Pokemon!)

There is a lot more interesting stuff, but I'm afraid I'll get shot for putting those up (there are just way too many!)

The story of Hope

Salam,
something to share about hydrocephalus mentioned by Prof Hassan link

Thursday, January 27

Answers: Crossword Puzzle Week 1

Assalamu'alaikum wbt,

Here are the answers for the first crossword puzzle of Block 3, for anyone interested to know:

























Many people got all the answers correct, so we drew lots to pick only 5 winners. The winners for this round will be revealed very soon.

There won't be any crossword puzzle next week because we'll only have 3 lecture days, so we'll try to continue after the CNY holidays.

Thank you very very much to everyone who answered and submitted! Have a great weekend.

Wednesday, January 26

Microb + Parasite + Pharmaco?

I want to share some advice which I read from a Microbiology book :


  • To succeed you must first memorize essential concepts and terminology but more important is that you need to understand, think about and analyze what you have learned. 
  • The second step to success involves your own learning style. Perhaps the list of how psychologists prioritize the pyramid of learning is a good guide as to how you can retain information.                  
          It states that we remember about:
  • 10 % of what we read
  • 20% of what we hear
  • 30% of what we see
  • 50% of what we see and hear    
  • 70% of what we discuss with other
  • 80% of what we experience personally
  • 95% of what we teach other person

  • Therefore, you should not just read the book, but you must attend lectures.listen to your tutor explain the material and write down the notes. You should discuss the concepts with other in study group. It is with these interaction that you will not just memorize words but understand the ideas and be able to apply them later throughout your career.
          Hope this piece of advice helps you guys...thanks for reading

Monday, January 24

Lecture List Block 3

Fuh...

The lecturers weren't kidding when they said that this block is packed. Take a look for yourself:

Google Docs link
Scribd Link

Credit to: Academic Lujnah. Say thanks to the head coms!

Sunday, January 23

Guidance Box Q&A

Question:
I’ve heard that we can perform solat jama’ and qasar during a journey when we are confident that by the time we arrive at our destination, the prayer time period has ended. Is that true?

Answer:
Bismillah Walhamdulillah, as a muqaddimah:

When we discuss the rukhsah of jama’ and qasar, the main priority upon Muslims is to pray within the set time period. This is according to the Quranic verse:


Indeed, prayer has been decreed upon the believers a decree of specified times. (An-Nisa’, verse 103)

1. However, in certain conditions a person will experience difficulty in performing a prayer within its set time period. In this case, Allah gives a rukhsah as a proof of his mercy and to show the flexibility of the Syari’ah. In a narration from Ya’la bin Umayyah, he said:
I said to ‘Umar ibn al-Khattaab (may Allaah be pleased with him): “ ‘there is no sin on you if you shorten As‑Salaah (the prayer) if you fear that the disbelievers may put you in trial (attack you)’ [al-Nisa’ 4:101]; but now the people are safe.” He said: “I wondered the same thing, and I asked the Messenger of Allaah (peace and blessings of Allaah be upon him) about it. He said: ‘This is a favour (lit. charity) that Allaah has granted you, so accept His favour.’” Narrated by Muslim.  

2. It is shameful for a servant of Allah not to perform the obligatory daily prayers. Allah has given the blessings of food, clothing and life, but the servant does not fulfill his responsibilities towards Allah. It is no wonder then, why these Quranic verses were revealed:

What hath brought you to this burning? They will answer: We were not of those who prayed
(Surah Al-Muddathir, verses 42-43)

3. The problem stated can be explained as so: A traveller performs solat jama’ taqdim during Zohor. After proceeding with the journey, he arrives at his mukim during Asar. In this case, he does not need to pray Asar again. This is because the Propher S.A.W prohibits people from repeating a (fardhu) prayer twice in a day:
Narrated Abdullah ibn Umar: Sulayman, the freed slave of Maymunah, said: I came to Ibn Umar at Bilat (a place in Medina) while the people were praying. I said: Do you not pray along with them? He said: I heard the Apostle of Allah (SAW) say: Do not say a prayer twice in a day. (Abu Dawud, hadith #579)
4. Based on the hadeeth that have been presented, the opinion above is not exactly correct.

Wallahu’alam
ISLAH LEAGUE
We care, that’s why we share

---------------------------------------------------------------
Translator's notes:
I apologize for any shortcomings in translating this. There are certain terminologies in Fiqh that are quite hard to translate into English, mainly due to the fact that we were educated about Fiqh in Malay. If you do not understand the answer given, I apologize again.

This is the original answer given in Malay:

Saturday, January 8

Internal Medicine

Just want to share some of notes that managed to copy during lectures, not perfect and complete. These notes may or may not help you. If anyone has additional notes regarding IM, please share!
Internal Medicine

Lecture 2 & 3: Biology of Tumor Growth & Clinical Aspect of Tumor growth

A . Fundamental principles of genetic basis of cancer:
Nonlethal genetic damage is the basis of carcinogenesis à may be hereditary or acquired

B . Components of Tumor Mass:
1.       Cancer mass
2.       Normal cells
3.       BV, matrix
4.       Infiltrative components e.g. macrophages, neutrophil

C . Factor influencing tumor progression:
1.       Growth fraction (how many cancer cells are actually proliferating:
a.       Lymphoma ~ 90%
b.      Prostate cancer ~ very2 low

2.       Rate of proliferation (Doubling Time)
a.       The lesser the doubling time, the faster the rate of growth
b.      E.g. : cervical cancer : 90-100 days ; lymphoma : 1 month

3.       Cell loss
a.       Amount of cells that undergo apoptosis after completing the doubling time
b.      Most do not undergo apoptosis, one of the reasons is p53 tumor suppressor gene is defective.
*not all cancer cells are proliferating cells, usually ~70% are
*cancer has many causes, not a uniform disease
*majority of cancer is chronic: in-situàinvadesàmetastasis

D . Purpose of Treatments:
1.       Curative intent
2.       Palliative intent
Where 1/3 is curable, preventable and palliable

E. Treatment modalities
1.       Surgery
2.       Radiation therapy
3.       Chemotherapy
4.       Biological response

*Terminal state & terminal care:
- life is very limited
- <6 months

Lecture 4 & 5: Cancer and Grading Staging & Ionizing Radiation and Radiation Hazards

*Grading – looking at some properties of the cells
*Staging – where it has limited to and where it has gone(metastasize)
**Classifying includes grading and staging

A . Historical Perspective
1.       Broder-grading cancer cells: increase of histological differences, higher grading
2.       Gleason: prostate cancer
3.       Blom-Richardson: Breast cancer
4.       Fuhrman: Kidney cancer

#Classical Grading
~   1,2,3,4:
§  Well differentiated – resembles original cells
§  Moderately differentiated
§  Poorly differentiated, anaplastic
§  Undifferentiated

     ~ Other features used in grading:
§  Presence or absence of specific receptor; e.g. breast cell has estrogen receptor
§  Biological markers; e.g CEA

#Why staging and grading is needed?
§  To know the extent of tumor for prognosis and treatment purposes
§  To standardize between different centres and groups of people managing cancer
§  Data-base for studies and researches

#Some staging systems:

§  TNM WHO staging (use almost for all cancer except O&G type of cancer):
o   T- Topography
o   N- lymph Nodes
o   M- Metastasize

§  FIGO (federation of Gynecologists and Obstetrics)

#Effects of massive doses of radiation: if the radiation causes…
§  Brain death : immediate effects
§  Gut death : 1-5 days
§  Bone marrow death : 2-4 weeks

# Effects of therapeutic doses:
§  Little by little in long time, then the tumor mass get killed

    

Tuesday, January 4

I just couldn't resist

I found this word while reading the Atherosclerosis notes from Dr.Aung Gyi. I looked up what it meant, and to make sure that it sticks in my brain as long term memory, I made another poster! =P

Monday, January 3

Local Invasion: Benign or Malignant?

Assalamualaikum.. just want to share this, in case any of us had had similar confusion.. ^_^'

A question was asked to Dr Norlelawati to get a clearer explanation on 'local invasion'..

Question:
My friends & i remembered that u said in the lecture, local invasion refers to benign tumor. U also stated about that clearly in the notes on 'tumor invasion & metastasis' u gave us.

My question is why is it stated in Robin 8th edition:

    page 179 "Next to the development of metastases, local invasiveness is the most reliable feature that distinguishes malignant from benign tumors"

    page 181 in the summary "Benign tumors remain localized to the site of origin, whereas malignant tumors are locally invasive and they metastasize to distant site"

Could you please explain what do the Robin's sentences actually mean?

Answer given by Dr Norlela:
the confusion is rather due to terminology that we/ I use...some author would like to refer to the term i.e "local invasion"  when referring to benign growth.  As being stressed during my lecture, for growth of malignant tumour, before it  metastasis to other site, the tumour cells  in fact , need to invade the surrounding structure....this is also called invasion or  " local invasiveness" - robbins....in "local invasiveness" as explained by robbins, it tumour carries all the characteristic features  of malignant tissue; not encapsulated, breaching the basement membrane, and the cell it self is malignant cell -cellular n nuclear polymorphism etc bla bla....whereas where we talking about benign tumour remember,.......there are encapsulated , but they will grow and expand within that capsule st pressing the surrounding normal structure ( this  is st called  local invasion by certain author where i refer to when preparing the lecture).

NOW
if these  are making you confused -  stick to common terminology use by Robbins ( the  kitab of Pathology).  Nevertheless you must first understand what the  biological and physical activity that are going on that defer  benign fr malignant tumour.    Conclusion: malignant cells has the capability to invade ( invasiveness) and to metastasis ( as explain in my lecture).  Cheers.

dr lela

That's all.. wallahua'lam..

Saturday, January 1

End Block Compilation

Assalamualaikum....here's the answers...




Happy End-Block Exam! ^_^

Latest news on our beloved Brother

Assalamualaikum

1. Due to advice from the Doctor, Zahin will probably be taking leave until the next academic year (He won't be joining us for block 3 & block 4. InsyaAllah, he'll restart next year with our junior batch). He is a bit sad about that, so please keep on praying for him to be strong and recover well. His sister mentioned that she'll suggest that he join a tahfiz class during his time away.

2. To the Brothers: His sister requests that we collect the things in his apartment, because they are all going back to Kota Bharu this Tuesday (4th Jan). If possible, please pack up all his things for him. For more info, please contact Afiq Arshad.

3. We won't be seeing Zahin for a long time, so we should go visit him and try to cheer him up. In my opinion, it would be rude and difficult for his family if we keep going to their house, so I suggest that we pick a specific time and date where we can all go. Please discuss and confirm this matter on FaceBook, and we will contact Zahin's family to inform them about it.

  • Sisters can go visit him too.
  • If possible, bring something for Zahin (gifts, food, religious books, etc)
That's all.