Thursday, June 14, 2012

Kawal Nafsu Makan...elakkan kegemukan


Pesakit saya sering bertanya:

“ Dr tolong boleh berikan saya ubat untuk kurangkan nafsu makan?”

Sebenarnya tidak semua masalah kesihatan boleh diselesaikan dengan memakan ubat. Adakalanya masalah boleh diselesaikan dengan cara lain seperti bersenam, mengambil pemakanan yang seimbang  dan menjauhi tabiat tertentu. Bagi menangani permasalahan nafsu makan, ianya adalah sama seperti mengawal nafsu yang lain iaitu dengan cara perlatihan kawalan diri dan bermujahadah .

Kata pepatah:

“Ikut hati…. Mati,
Ikut rasa……binasa,
Ikut nafsu......lesu.”

Kerana nafsu itu adalah umpama lautan yang tidak bertepi dan tiada penghujungnya.

Allah berfirman:

” Adapun orang yang takutkan keadaan semasa ia berdiri di mahkamah Tuhannya, (untuk dihitung amalnya), serta ia menahan dirinya dari menurut hawa nafsu. ”
Surat An Nazi’at 40

Beramallah dengan cara pemakanan Rasulullah saw yang tidak makan sehingga berasa lapar dan berhenti sebelum berasa kenyang.

Sabda Nabi saw:
"Kami adalah kaum yang tidak akan makan kecuali apabila lapar dan apabila kami makan tidak sampai terlalu kenyang." (Hadis Abu Daud)

Dari Miqdam bin Ma’dikarib ra. menyatakan pernah mendengar Rasulullah SAW bersabda : “Tiada memenuhi anak Adam suatu tempat yang lebih buruk daripada perutnya. Cukuplah untuk anak Adam itu beberapa suap yang dapat menegakkan tulang punggungnya. Jika tidak ada cara lain, maka sepertiga (dari perutnya) untuk makanannya, sepertiga lagi untuk minuman dan sepertiganya lagi untuk bernafas.” (Riwayat At-Tirmidzi dan Al-Hakim)

Thursday, January 14, 2010

GRE oh GRE

Pada sesiapa yang nak ambil Peperiksaan GRE saya ada beberapa tips. (exam GRE adalah wajib bagi sesiapa yang nak masuk Universiti di US)

1. Ingat teknik menjawab amat penting sebab GRE menggunakan sistem Computer Adaptive Test(CAT).10 soalan pertama amat penting sebab dia menentukan markah keseluruhan. Jadi tumpukan dan jawab betul-betul 10 soalan pertama.

2. Buat latihan simulasi banyak2. Kat dalam internet berlambak sumber latihan GRE percuma (yang ciplak pun banyak).

3. Buat latihan dalam POWERPREP yang dibekalkan oleh ETS. Biasanya ETS akan bagi CD percuma, kalau tak ada bileh download di laman web GRE. Beberapa hari sebelum exam buat exam CAT. Sebab keputusan anda itu nanti akan hampir menyamai keputusan sebenar.

OK selamat berjaya

Sunday, June 07, 2009

Sunday, March 01, 2009

Ziarah Perkampungan Orang Asli

Hebat, program ziarah di perkampungan orang asli di Kg Bukit Kala Gombak petang tadi memang hebat. Hebat kerana di hadiri oleh ramai veteran ALKIS(dato presiden, abang Aziz aka abang Roi , Pak din dll) Hebat juga sebab program dapat berjalan sehingga asar walaupun di dalam hujan lebat.

Program bermula sekitar jam 9.30 pagi dengan ucapan alu-aluan Tok Batin dan Dato presiden. Kemudian diikuti dengan ceramah ringkas Ustaz Arif (kesihatan rohani) dan Dr Zainal (kesihatan Jasmani). Seterusnya pemeriksaan kesihatan . Alhamdulillah ramai doctor perubatan warga Alkis yang hadir (Dr burhanudin Busu, Zuridah, Ramzi dll) juga dibantu para pelajar perubatan Cyberjaya Medical College. Dari data yang dikumpul 47% yang hadir adalah non muslim (animisma, Hindu dll).

Sementara Ust Arif memberi rawatan rohani anak-anak pula dihiburkan dengan pelbagai aktiviti oleh remaja PEPIAS. Berbanding dengan anak-anak OA di pendalaman yang pemalu anak2 OA di sini agak agressif dan proaktif.

Menjelang tengahari masing-masing gelisah kerana makanan belum sampai. Rupanya Dr Firdaus balik ke Klang mengambil makanan yang dimasak di rumah beliau. Jalan jam pulak. Jadi kita solat dulu.

Lepas solat makanan masih belum tiba, apa nak buat? Perut dah lapar, cuaca makin gelap. Mujurlah Ustaz Arif menyelamatkan keadaan. Jom kita dengar ceramah Ustaz dulu….ceramah ustaz memang best saling tak tumpah macam bondanya Ustazah Fauziah Sani.

Sementara tu budak –budak yang ada kutu kita buat head lice treatment….alamak towel pulak tak ada nak basuh rambut macamana…..

mujurlah Kak ros ada , tolong belikan good morning towel di pekan Gombak.

Habis ceramah…..masih belum nampak kereta Dr Firdaus….Tak apa, jom kita dengar Ustaz Arif bernasyid pulak…..

….dah habis dekat 10 lagu, makanan masih belum sampai….tapi katanya dah dekat…..hujan pun makin lebat….Ustaz kata kita selawat dulu …InsyaAllah dimudahkan urusan.

Alhamdulillah dekat pukul 3 baru Dr Firdaus sampai. Hidangan istimewa lauk udang, ayam dan daging. Kuih karipap, cucur badak dan mihun. Dalam hujan lebat makan beramai-ramai memang menyelerakan.

Habis makan kita sambung dengan program anak-anak. Kalau ada hadiah walaupun coklat beberapa biji anak-anak memang suka. Lepas tu penyampaian hadiah untuk semua yang hadir dan hadiah khas dari Jakim untuk para muallaf.

Alhamdulillah program berakhir menjelang waktu asar dengan doa (Ust Arif lagi).

Lihat foto di Facebook
http://www.facebook.com/inbox/?ref=mb#/album.php?aid=57375&id=619452269&page=2

Friday, July 11, 2008

5 Minutes IT Tutorial: How to pin programs to the Start menu in Windows XP

Want to add your favorite programs to the Start menu?

1. From the Start menu, click All Programs.

2. Locate a favorite program, right-click the program's icon

3. Click Pin to Start menu. That's it.

You can also pin an application by dragging and dropping its icon from All Programs to the Start menu. The program is now "pinned" to your Start menu. To remove it, right-click the program icon on the Start menu and then click Unpin from Start menu.


Click on this link to watch the video clip (Pin Program)

5 Minutes IT Tutorial: How To Create Confidence Interval Chart

5 Minutes IT Tutorial: How To Combine Charts in MS Excel 2007

Monday, June 30, 2008

Majlis Pelancaran 5S Kaizen Klinik Kesihatan Putrajaya


This is my speech during the launching ceremony....


Bismillahirrahmanirrahim
Assalamualaikum warahmatullahi wabarakatuh dan Salam Sejahtera
Y Bhg Dr Ismail Abu Taat, Pengarah Jab Kesihatan Wilayah Persekutuan KL
Y. Bhg. Dr Nora’I Mohd Said, Pakar Kesihatan Awam Pejabat Kesihatan Putrajaya
Y. Bhg En Kasuddin Mohd Yasin, Pakarunding 5S Kaizen
Timbalan-timbalan Kesihatan Negeri,
Wakil-wakil jabatan
Pakar-pakar perubatan keluarga
Pegawai-pegawai perubatan
Dan semua anggota Pejabat Kesihatan dan Klinik Kesihatan dan Pergigian Putrajaya

Pertamanya saya selaku coordinator 5S mewakili Pakar Kesihatan Awam PKPJ ingin mengalu-alukan kedatangan tuan-tuan dan puan-puan sidang hadirin sekalian ke majlis pelancaran 5S Kaizen peringkat PKPJ.

Tuan-tuan dan puan-puan Sidang Hadirin sekalian,

Warga PKPJ dan KKPJ amat komited didalam usaha meningkatkan kualiti perkhidmatan dan kecemerlangan system penyampaian. Sepanjang 10 tahun beroperasi klinik ini telahpun mengukir banyak kejayaan antaranya:
1. Memenangi Anugerah Inovasi Peringkat Negeri Selangor 2001
2. Menerima persijilan ISO 9001 sejak tahun 2003
3. Menerima anugerah perdana teknologi maklumat sektor awam 2005
4. Johan Pertandingan Kaunter Farmasi peringkat nasional 2007

Namun disebalik kejayaan dan anugerah yang diterima, kami merasakan pencapaian yang ada masih perlu dipertingkatakan lagi. Justeru itu pihak PKPJ telah bersetuju untuk memperkenal dan mengadaptasi konsep 5S Kaizen sebagai salah satu inisiatif kualiti yang baru pada tahun ini.

Dengan bimbingan pakarunding dari firma Kaizen Integrated, En Kasuddin Mohd Yasin, pihak pengurusan telah mengorak langkah memasuki tahun 2008 dengan mengadakan bengkel pengenalan konsep 5S Kaizen kepada anggota PKPJ dan KKPJ.
Ianya disusuli pula dengan langkah yang lebih serius iaitu melantik ahli jawatankuasa pemandu bagi mengetuai unit-unit promosi, latihan dan audit dalaman. Setiap inci dan setiap sentimeter pelan lantai pejabat dan klinik telah dibahagi-bahagikan kepada zon yang berbeza. Setiap zon pula dipecahkan kepada subzon. Dan setiap zon dan subzon ini mempunyai ketua dan hakmilik masing-masing.

Unit Promosi yang diketuai oleh PPP En Rosman Jonet telah bertungkus lumus mempromosikan 5S Kaizen melalui acara-acara yang pelbagai. Satu pertandingan mencipta logo 5S telah diadakan bagi mencungkil bakat warga kerja, gantungan poster dan kain rentang 5S telah dibuat bagi menyedarkan warga kerja PKPJ dan KKPJ bahawa slogan 5S yang mereka anuti suatu ketika dulu iaitu: Selit, sumbat, sorok, serabut dan selekeh perlu digantikan dengan slogan 5S Kaizen: Sisih, Susun, Sapu, Seragam dan Sentiasa amal. Buletin 5S telah diterbitkan dan lawatan kerja ke beberapa pusat kecemerlangan 5S iaitu Hospital Kajang dan MBSA telah dilakukan.

Unit Latihan pula yang diketuai oleh Pegawai Farmasi Puan Muslisah telah berusaha sedaya upaya mengumpul dan mengadakan sesi ceramah dan taklimat kepada seluruh warga PKPJ dan KKPJ supaya tidak seorang pun yang tertinggal, bermula dari pihak pengurusan dan pakar perubatan sehinggalah pencuci lantai dan pengawal keselamatan.

Tuan-tuan dan puan-puan sidang hadirin sekalian,

Unit yang paling penting ialah Audit dalaman yang diketuai oleh Dr Suzana Budarto. Bengkel audit telah dilakukan bagi melatih juruaudit mengenai tatacara selok belok pengauditan. Seterusnya audit percubaan dilakukan diikuti dengan audit dalaman yang sebenar yang dilakukan secara berkala. Untuk menyuburkan lagi amalan 5S ini unit audit dengan kerjasama unit promosi telah mengadakan pertandingan antara zon dimana zon yang mendapat markah tertinggi akan menerima piala pusingan sumbangan Dr Nora’i.

Tuan Puan sidang hadirin sekalian,

Sehingga kini tahap kepatuhan dan keakuran 5S Kaizen dikalangan warga PKPJ dan KKPJ adalah sekitar 60-70 %. Sungguhpun begitu program 5S ini telah dapat meningkatkan penghayatan budaya korporat terutamanya di dalam memupuk semangat kerjasama dan berpasukan di kalangan anggota. Ianya juga diharap dapat menjadi pelengkap kepada kemahiran soft skill yang dipupuk melalui Konsep 10S Kejururawatan iaitu: Salam, Senyum,Sopan,Segera,Segak, Sensitif, Sentuh, Selia, Selidik dan Semangat.

Insya Allah dengan berkat kesungguhan dan kegigihan semua warga kerja PKPJ dan KKPJ kami berharap supaya tahap kepatuhan ini dpat mencapai 100% bagi melayakkan kami menerima persijilan 5S peringkat nasional.

Tuan Puan sidang hadirin sekalian,

Sebelum saya mengakhiri ucapan ini. Saya ingin merakamkan setinggi-tinggi penghargaan kepada pengarah JKWPKL Dr Ismail Abu Taat diatas sokongan yang tidak berbelah bahagi, kepada Dr Nora’I selaku penaung yang sentiasa memberi semangat dan dorongan, kepada En Kasuddin diatas segala ilmu dan tunjuk ajar, kepada S/U saya En Jamal Abd Nasir diatas penat lelah, dan kepada anda semua seluruh warga kerja PKPJ dan KKPJ yang telah memberi kesediaan untuk berubah dan bertungkus lumus menjayakan agenda kualiti ini.

Semoga segala usaha kita diberkati oleh Allah sbnhtaala.
Sekian. Saya sudahi ucpan ini dengan wabillahi taufiq Wassalamualaikum warahmatullah.

Monday, November 26, 2007

Greetings From Venice

(Click on photo to enlarge)
Buongiorno !! Chao !!

These are two forms of greetings you will frequently hear when you visit Venice. Buongiorno means Good morning and Chao (pronounce Cha-o) means Hello. Chao also means Good bye, so people will say Chao when they meet and they will say the same thing when they leave.

My mission in Venice was to present on behalf of the Ministry of Health Primary Care Division, the “Teleprimary care - Casemix Project” at the 23rd Patient Classification System International Working Conference. In collaboration with the John Hopkins University (JHU) and jointly sponsored by the WHO this research project is the first Malaysian experience of analyzing the primary health care data using the casemix software. The project has been lead and managed by Dr Safurah Jaafar and the Teleprimary Care (TPC) team. Another team member includes Assoc Prof Awang Bulgiba from the Faculty of Medicine, University Malaya and Dr Rozita Harlina Hussein from the Institute of Health System Research, Bangsar. The three consultants from JHU were Prof. Dr. Barbara Starfield, Dr. Karen Kinder Siemens and Mr. Chad Abrams.

The conference was organized by the independent organization called Patient Classification System International (PCSI). It is an organisation that creates a network of researchers and users of the casemix concept from health administration, government agencies, and academia. From an initial focus on the Diagnosis Related Groups (DRG), the association’s goals have expanded to include a broader interest in clustering and grouping techniques of clinical and administrative data for health care management and financing. The association has stimulated the use and refinement of the science of "re-grouping patients" to create classes, which are relatively homogenous in respect of the resource used by taking into account severity of illnesses, patient age, co-morbidities and complication. This new group of patient database is extremely useful for risk adjustment, capitation, predictive modeling and resource distribution. And that is what ‘Casemix’ all about.

Traveling alone is less enjoyable especially when going to a place you never been. So few weeks before my journey, I sought information about Venice and Italy from books, internet, friends and patients. Safurah gave me a long list of stuff to take along. Prof Awang wrote a lengthy email describing “do and don’t” while in Venice. To ensure I would be always reachable and have no problem abroad, I activated the roaming service of my handphone as well as the maybank plus service to allow me withdrawing cash from any ATM abroad.

My flight to Venice would first make a transit in Paris, a twelve hours journey from KL. Traveling a long haul flight in a Malaysian Airline Business Class cabin allow you to relax and have a good rest. The seat is spacious, comfortable and can be transformed into a flat bed. It is also equipped with a ten minutes massager and a multi-channel in-flight entertainment. Even the food has so much varieties and course; one after another. The in-flight entertainment even has an interactive online fact of the popular travel destination all over the world together with a language lesson. I managed to learn a few basic Italian languages while on board.

It was 7am Malaysia time, almost 6h on board when I was awakened by the air steward. A view outside the window was still dark and the navigator on the small monitor in front of my seat showed that the plane was flying somewhere above a desert of Afghanistan. The air steward asked me whether I am a medical doctor and whether I could see a French boy who suffered from diarrhea and vomiting. I showed him my MMA card and agreed to see the boy.

‘Bonjour’ I greeted the boy and his parents in French. After introducing myself I took a brief history from them followed by a quick physical examination on the boy. It seemed that the boy had acute gastroenteritis and oral medication given earlier by the air steward seemed to be ineffective. I asked the steward whether they have any parenteral medication. He then led me to a medical container that only permitted to be opened by a certified medical professional. Fortunately I found a few ampoules of Stemetil and Oral Rehydration Salt inside it. After discussing with the boy and the parents they agreed for the injection. Every one felt relieved when the injection worked and that was one of the great moment where you really felt worthwhile being a family physician.

I reached the Charles De Gaulle International Airport, Paris at dawn (6 am local time). The chilling temperature outside was 5 degree Celsius. The airport buildings are scattered in one large area that you have to take shuttle bus and train to its various terminals. The congested tunnel shaped terminal seemed almost claustrophobic. I have to join half a mile queue to get my passport stamped. The immigration officer welcomed me with a grim, stern- faced and only let me go after I showed him the conference registration letter. Soon after, everyone had to go through a stringent safety screening before we were allowed to enter the departure gate.

I left for Venice with Air France and it took me two hours to reach the Marco Polo International Airport. The Aeroporto di Venezia Marco Polo as the Italian called it, is named in honor of its famous citizen. It is situated around 7 km north of Venice, on the edge of the lagoon. From there you have few options to enter Venice either by land or by sea. To give me the best possible introduction to the city, I decided to take a water bus.

As the water bus cruised through various stop point around Venice, my jet-lagged eyes suddenly got bedazzled by the spectacular view of this ‘floating’ city. Elusive and enigmatic, Venice is a dreamlike place that beggars description. Countless artists have tried with pen and brush to render the shimmering lagoon with its slender bell towers. World-famous for its canals, Venice was built on an archipelago of 118 islands formed by about 150 canals in a shallow lagoon. The islands on which the city is built are connected by about 400 bridges.

A brief rendezvous at Piazza San Marco (St Mark Square) is all it takes for you to soak up with Venice’s diverse and rich heritage. Its history can be read in every monument and pallazo, in fact each and every stone bears witness to the period of splendor, decay and wars. The city could be described as a gigantic open air museum, visited each year by million of tourist from all over the world. Founded fifteen hundred years ago, Venice rose to become Europe’s main trading post between the West and the East, and at its height controlled an empire that spread north to the Dolomites and over the sea as far as Cyprus. Nowadays it’s no longer a living metropolis but rather the embodiment of a fabulous past, dependent for its survival on the people who come to marvel at its relic.

The two prominent buildings at the Piazza are the Brasilica di San Marco and the Pallazo Ducale. The Brasilica di San Marco is the most mystical and exotic of Europe’s cathedral. Dan Brown, of Da Vinci Code fame, would have had a field day here. The combination of ancient structure and later decorations is to a great extent what makes the cathedral so bewildering. In contrast, the adjacent building of Pallazo Ducale is decorated with a geometric patterned stonework resembles an Islamic art. Perhaps this is one of the Islamic architecture that remains intact. Venice's economic and diplomatic relationship with the Islamic world from seven century onward is well documented. As Byzantium gradually gave way to Islamic caliphates from the eighth century onward, meeting its ultimate demise in 1453 at the hands of the Ottoman Sultan Mehmet II, Venetians increasingly came into contact with Muslims and their ideas, culture, and way of life. As a result, Venice became Christian Europe's most important interface with the Muslim civilizations of the Near East. During my visit there was an exhibition entitled “Venezia el Islam” that examines the relationship between Venice and the Islamic world over a thousand-year period, focusing on artistic and cultural ideas.

Walking north of the piazza would lead you to a labyrinth of medieval streets that been occupied by a variety of shops selling merchandise ranging from souvenirs, antiques, clothes, leather and the famous Murano glass. Many of the top-flight Italian designers and fashion houses are here; Gucci, Armani, MaxMara, Prada, Valentino, Benetton, Stefanel etc. For those with wallets as deep as oil wells this place is the most fruitful zone. If you are like me who always buy things at ‘pasar malam’ and during cheap sale carnival this place is only good for a window shopping.

As one of the most exorbitant city in Eastern Europe you would expect everything is expensive in Venice. A small hotel that I stayed cost me 140 Euros (RM670) per night. An hour of gondola ride through the canals will cost you 160 Euros (RM 768). You really need to have enough cash to enjoy Venice.

The conference itself was held in Lido Island, a southern island of Venice about 20 minutes by boat. The exact venue was at the Palazzo del Cinema where the annual Venice Film Festival (the world’s oldest and the most important film festival in Europe after Cannes) is usually held. In contrast with the bustling Venice, Lido is amazingly quiet, serene and peaceful to the point of pleasant somnolence.

With more than 300 participants from 36 countries all over the world, the conference was a great sharing forum. Every speaker presented their own project and enlightened their experience of using and implementing casemix system in their country. Safurah was right when she persuaded me to pursue into this area. Not everybody who involved in the casemix project has a degree in Public Health, there are pediatrician, psychiatrist, rehabilitation physician, nurses and even economist. To my surprise the person who presented the new version of German DRG is a surgeon!!!

As the last speaker that day my nervous eased a lot after seeing how the others performed. As you’d expect, you could hear a variety of English slang, dialect and intonation; Spanglish, Swedlish, Thailish etc. So I didn’t have to worry about my faulty English.

Generally the conference gave me a bird’s eye view on how casemix is implemented in different countries around the globe. While casemix system is quite established in evaluating hospital performance, the casemix in primary health care sector is relatively new. Some of the developed countries don’t even have one while others still experimenting. I hoped the knowledge I learned during the conference would be helpful in assisting the MOH Primary Care Division developing our own primary care casemix system.