assalamualaikum
ganas juga orang2 kat zagazig ni.eh bukan ganas,.. berani..
ade satu tempat tu, yang ada patung kuda, tu la simbol Syarqiah(negeri)(ibu negeri: Zagazig)
ada masjid Fatah juga, tempat sambut raya haji haritu..also tempat zubir & husna akad nikah :)
tapi yg sedihnya ade juga yang cedera...emm
previous related post: riot (pengalaman zaman darurat:))
note for today:D
Early coagulopathy in trauma patients
Injury, 01/24/2012
Floccard B et al. – Coagulopathy occurs very early after injury, before fluid administration, at the site of accident. Coagulation and fibrinolytic systems are activated early. The incidence of coagulopathy is high and its severity is related to the injury and not to hypoperfusion.
Methods
* Prospective, observational study investigating the on-scene coagulation profile and its time course.
* The authors studied 45 patients at the scene of the accident, before fluid administration, and on hospital admission and classified their coagulopathy using the International Society on Thrombosis and Haemostasis score during a 2-month period.
* Prothrombin time, activated partial thromboplastin time, fibrinogen concentration, factors II, V and VII activity, fibrin degradation products, antithrombin and protein C activities, platelet counts and base deficit were measured.
Results
* The median injury severity score was 25 (13-35).
* On-scene, coagulation status was abnormal in 56% of patients.
* Protein C activities were decreased in the trauma-associated coagulopathy group (p=.02).
* Drops in protein C activities were associated with changes in activated partial thromboplastin time, prothrombin time, fibrinogen concentration, factor V and antithrombin activities.
* Only factor V levels decreased significantly with the severity of the trauma.
* On hospital admission, coagulation status was abnormal in 60% of patients.
* The on-scene coagulopathy was spontaneously normalised only in 2 patients whereas others had the same or a poorer coagulopathy status.
* All parameters of coagulation were significantly abnormal comparing to the on-scene phase.
* Decreases in protein C activities were related to the coagulation status (p<.0001) and changes in other coagulation parameters. * Patients with base deficit ≤-6mmol/L had changes in antithrombin, factor V and protein C activities but no significant coagulopathy.
trivia~ don't wait for a lazy person..make u lost many things..really! enjoy yourlife & keep smile..yuuuuhuuuu
ganas juga orang2 kat zagazig ni.eh bukan ganas,.. berani..
ade satu tempat tu, yang ada patung kuda, tu la simbol Syarqiah(negeri)(ibu negeri: Zagazig)
ada masjid Fatah juga, tempat sambut raya haji haritu..also tempat zubir & husna akad nikah :)
tapi yg sedihnya ade juga yang cedera...emm
previous related post: riot (pengalaman zaman darurat:))
note for today:D
Early coagulopathy in trauma patients
Injury, 01/24/2012
Floccard B et al. – Coagulopathy occurs very early after injury, before fluid administration, at the site of accident. Coagulation and fibrinolytic systems are activated early. The incidence of coagulopathy is high and its severity is related to the injury and not to hypoperfusion.
Methods
* Prospective, observational study investigating the on-scene coagulation profile and its time course.
* The authors studied 45 patients at the scene of the accident, before fluid administration, and on hospital admission and classified their coagulopathy using the International Society on Thrombosis and Haemostasis score during a 2-month period.
* Prothrombin time, activated partial thromboplastin time, fibrinogen concentration, factors II, V and VII activity, fibrin degradation products, antithrombin and protein C activities, platelet counts and base deficit were measured.
Results
* The median injury severity score was 25 (13-35).
* On-scene, coagulation status was abnormal in 56% of patients.
* Protein C activities were decreased in the trauma-associated coagulopathy group (p=.02).
* Drops in protein C activities were associated with changes in activated partial thromboplastin time, prothrombin time, fibrinogen concentration, factor V and antithrombin activities.
* Only factor V levels decreased significantly with the severity of the trauma.
* On hospital admission, coagulation status was abnormal in 60% of patients.
* The on-scene coagulopathy was spontaneously normalised only in 2 patients whereas others had the same or a poorer coagulopathy status.
* All parameters of coagulation were significantly abnormal comparing to the on-scene phase.
* Decreases in protein C activities were related to the coagulation status (p<.0001) and changes in other coagulation parameters. * Patients with base deficit ≤-6mmol/L had changes in antithrombin, factor V and protein C activities but no significant coagulopathy.
trivia~ don't wait for a lazy person..make u lost many things..really! enjoy yourlife & keep smile..yuuuuhuuuu
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| Marble Cheesecake@quatro |
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| Zinger =) |
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| and it's reddish bloody-like..hehe |
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| cute letter :) |
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| one of the my fav |
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| newest added on fav list |
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| smile during studying..will stimulate the positive aura =)) |
kita perlu sedar dan insaf sambutan yang kita raikan mestilah selari dengan apa yang diucapkan, jangan kita bersungguh-sungguh memuji akhlak Rasulullah S.A.W. Tetapi akhlak remaja kita terbiar semakin hari semakin liar, tidak terkawal dan terlalu mementingkan hiburan sehingga mengabaikan tuntutan agama. Begitu juga, jangan kita hanya memuji baginda yang mengharamkan arak, judi dan riba sedangkan di sekeliling kita arak, penagihan dadah, pil khayal, ubat batuk dan segala macam yang memabukkan semakin manjadi-jadi seakan-akan tidak ada penghujungnya.
Maksudnya : “Dialah yang telah mengutuskan dalam kalangan orang-orang (arab) yang ummyyin, seorang rasul (nabi Muhammad) dari bangsa mereka sendiri, yang membacakan kepada mereka ayat-ayat Allah (yang membuktikan keesaan Allah dan kekuasaannya), dan membersihkan mereka (daripada iktikad yang sesat), serta mengajarkan mereka kitab Allah (al-Quran) dan hikmah (pengetahuan yang mendalam mengenai hokum-hukum syari’at). Dan sesungguhnya mereka sebelum (kedatangan nabi Muhammad) itu adalah dalam kesesatan yang nyata.”
( Surah al-Jumuah ayat : 2 )
*maulidurrasul 12 Rabiulawwal. 4 February. Keep in mind **
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