Tuesday, February 10, 2009
2nd Clinical Skills Session
Saturday, February 07, 2009
stupid Moral essay!
Valentine's Day around the corner...
Oh oh...one BIG news...I FINALLY know how to use the can opener!!!!!! Hahahaha...it should be something that I should be happy about...although its stupid....lol...its the 1st time I'm using it...all the while its my dad who opened the cans for me back at home...but now I have to do it myself la...and I succeeded!!!! Woohoo~~~
1st stethescope use =)
Ok...back to the clinical session....besides it being practical....we also get to use our own stethescope for the 1st time!!! (mine's my own..guess others too la...) I wanted to use my dad's at 1st as we have an additional one at home...but dad insisted on getting me a brand new one as my OWN stethescope...cool~~ ^^ Oh...and we even get to engrave my initials on it ==> J. HO =D
And also we get to do palpations on our guy coursemates instead of just the dummies....hahahahaha...syok~~ Oh...its just them who need to strip off their shirts...we girls are left out..muahahaha....we're the ones who get to touch the guys but NOT them touching us....Ok...my guy coursemates are really skinny and so its really easy to detect the heartbeats in the left and right 2nd intercoastal space, the mitral valve and apex of the heart...but nice body...?? Hmm........except for Naresh's hugh tattoo on his back that is quite similar to Bechkam's...I don't see anything interesting in their bodies..haha.....but its really a 1st time experience for me...ahemmm....I haven't touched any guys' bodies before except for my dad's....yikes!!! So actually I was quite reluctant to palpate with my bare hands at 1st....just with my stethescope...thanks to my dad I had experience in where I'll get the heartbeats without needing to count the rib bones....but after that....it got quite OK where I had the courage to "touch" a few of my guy coursemates' bodies....lolz...Oh well...hope we'll always have such interesting clinical skills session ^^
Tuesday, February 03, 2009
FIREWORKSSSS!!!
Sunday, February 01, 2009
Chinese New Year 2009
On the 2nd day...early morning we went for hiking instead into Penang National Park...oh yeahh....its tiring for sure...and my knees hurt me like hell (its hasn't completely healed yet)....but its realllly worth it for all the scenery...especially I'm impressed with how they managed to maintain everything in the Park...and not too mention also the meromictic lake (a kind of lake where it has layers of waters that do not intermix due to different densities)..well...in this case...it consists of sea water coming from the sea and natural mountain water...besides the meromictic lake, it is the sea that captured our mind...its SOoooo greaaaattt~~~ My usage of words cant even able to describe everything...and pictures? Sure I got them...but I'm just to lazy to connect the cables and stuffs ;p Okie then...after the hiking...our final destination is the beach...but are we going to go all the way back again..?? NO WAY!! So in the end we managed to persuade a speed-boat that just somehow stopped there at the moment to drop some tourists who're there for camping...and the speed-boat man is so kind to drop us at the jetty where we've parked our car...nice Pak Atan!! ^^ Afternoon: we practically slept through it after lunch...hahaha....Night: we went for dinner then went to a jazz pub intro-ed by my sis..Thirty-Two Pub...poor service there..but oh well....they're understaff....and anyway....we had two cups of special brewed coffee and 2 slices of cakes...and the price..?? Better don't ask...its way beyond imagination...but once experience is just enough
3rd day: Me and my sis went for parasailing...its a once a lifetime experience...the scenery u see from the sky is JUST breathtaking...COOL~~!!!! Then we went for horse-riding there too....a new experience as the horses walk on the beach...but that means it'll give you alot more ache in your back =S
Well...that's all for my Penang trip this CNY...no more trips for these few months...I just have to concentrate on my 1st Professional Exam...haizzzz.......Soooo envy my parents who're going to Bali for a 5days 4nights trip...FREE!!! Thanks to my mum la for achieving the target for her Pacific Mutual Fund...so my parents are able to go together lor..so happy for them ^^
Friday, January 23, 2009
*sobz*
Thursday, January 22, 2009
I wonder...
Piano convocation 2009
Speaking of my couz bro...managed to chat with him on the phone since he was at Uncle Peter's house when I called up...too bad won't be able to meet up during CNY reunion lunch this year...I'm going to the AMCCO CNY gathering instead of meeting with my uncles...but he promised that he'll come and look for me someday after CNY la ^^ This is kind of weird...we weren't that close last time...but now....hahahaha...people look as us and think we look more like couples...muAHAHAHAHA~~~
Wednesday, January 21, 2009
My LOYAL companions
There're a few kinds of guys I really hate:
1. Always giving lame reasons when the fault's really on them
2. Egoistic guy
3. Control-freak guy (seriously I'm someone who prefers freedom to do anything...)
4. Emotional guy
5. Disloyal guy (which gal wouldn't hate anyway...?)
6. Guys who used you...and pry into your privacy without asking for permission (not even boyfriends have that kind of privilege)
7. Guys that only S-E-X on their mind whenever they're with gals...even when they're holding sex magazines (euwwwwwww.........)
8. Guys who feel inferior IF their wives are having better jobs than he is (well...everybody's an equal...if you feel inferior..go ahead and prove that you can be better!)
p.s Too bad I cant drink coffee before sleep...sigh...else I'll have a sleepless night...but once a while would be OK la...
Sunday, January 18, 2009
没有如果 - 梁静茹
错过就过 你是不是会难过
若如果拿来当借口
那是不是有一点弱
如果我说 爱我没有如果
真的爱我 就放手一搏
还想什么 还怕什么
快牵起我的手
有人说
世界上最遥远的距离不是生与死
而是我就站在你面前 你却不知道我爱你
我常说
如果人类连爱一个人都被自己绑住
那世界末日已来到不需要等到地球毁灭掉的那天
如果 如果 如果 如果 如果
最后变成如果 我也不能接受
错过 错过 错过 错过 错过
我比你更难过 不会一错再错
嗯 这次不要再轻易错过.....
你能分清楚爱和喜欢吗?
喜歡和愛咫尺千里。
當你喜歡一個人時,你想和他在一起,因為他會帶給你快樂;離開後,你會想念,想著想著就會笑,然後繼續你平靜的生活,並期待著與他再一次重逢。
當你愛一個人時,你想和他在一起,那是一種牽腸掛肚的捨不得,怕他受委屈,怕他不能好好照顧自己;離開後,你也會想念,想著想著歎一口氣,'不知他現在過的怎樣?'然後你繼續你平靜的生活,希望他早日回到你身邊。
你喜歡的人在你眼中是天使,無所不能,他總會滿足你的任性的要求。
你愛的人在你眼中是孩子,傻傻的,你不期望他做出什麼'好事'來,只一味縱容他那些讓人哭笑不得的舉動。
你會希望你喜歡的人陪著你,然而你心中想的可能是你愛的人;你會希望陪在你愛的人身邊,看他在你面前睡得如此安逸甜美毫不設防的樣子,你會微笑,會覺得好幸福。
你喜歡的人傷害了你,你會生氣,並且一定要讓他哄著騙著逗你笑你才原諒他;
你愛的人傷害了你,你只會獨自傷心,因為你怕對他大吼大叫會嚇著他,你憂傷地微笑著,看著他的眼睛,一旦發現他的眼裡流露出歉意和悔恨,你會立即心疼地摟他在懷裡,那一刻,你也是幸福的。
你可以同時喜歡很多人,你會希望和很多人在一起,但也許很多年後你才發現,原來你愛的就只有那麼一個,就那麼一個,怎麼都不會變,你以為把他忘記了,其實只是忙的沒空想起而已,對於你喜歡的人,你關注的是他的優點;
對於你愛的人,你關注的是他的缺點,並且,那些缺點如果無關原則的話,它們在你眼裡是可愛的,獨一無二的。
喜歡和愛其實只有一紙之隔,任何愛都從喜歡開始,當有天你突然發現,你喜歡的那個人在你眼中不再完美,而他的瑕疵正如月中的桂影一般讓你更加依依不捨,你會覺得與他光彩照人的一面相比,你更願意看他在你面前無助的表情,不知道是不是應該祝賀你,總之,你的感情昇華了
——仰慕不是愛,甚至不是喜歡,當你對一個人只有仰慕之情時,你們在一起便失去了和諧。有人說愛一個人很累,的確是,因為你想為他承擔,可是愛與喜歡相比最大的魅力就在於,當你和愛的人在一起時,你的感覺就像回家了!
AMCCO gathering
Complement System
3 main effects of complement:
1. Lysis of cells such as bacteria, allografts and tumor cells
2. Opsonisation, which is enhancement of phagocytosis
3. Generation of mediators that participate in inflammation and attract neutrophils
-Several complement components are proenzymes, which must be cleaved to form active enzymes.
-Activation of complement can occur via one of the three pathways: the classic pathway, the lectin pathway and the alternative pathway.
-The lectin and the alternative pathways are more important the first time we are infected by microorganism because the antibody required to trigger the classic pathway is not present. All three pathways lead to the production of C3b, the central molecule of the complement cascade.
-Presence of C3b on the surface of a microbe marks it as foreign and targets it for destruction.
-Functions of C3b: a) combines with other complement components to generate C5 convertase, the enzyme leading to the production of membrane attack complex b) opsonizes bacteria.
Classic pathway:
-antigen-antibody complex activate C1 to form a protease, which cleaves C2 and C4 to form a C4b,2b complex.
-C4b, 2b complex which is a C3 convertase cleaves C3 into two fragments, C3a and C3b
-C3a is an anaphylatoxin, while C3b forms a complex with C4b, 2b complex and produce C5 convertase (C4b, 2b, 3b)
-C5 convertase cleaves C5 to form C5a and C5b.
-C5a is an anaphylatoxin, while C5b binds to C6 and C7 to form a complex that interacts with C8 and C9 to produce the membrane attack complex (C5b, 6, 7, 8, 9) which causes cytolysis
Lectin pathway:
-mannan-binding lectin (MBL), also known as mannose-binding protein binds to the surface of microbes bearing mannan
-this activates proteases associated with MBL that cleave C2 and C4 components of complement and activate the classic pathway
Alternative pathway:
-many unrelated cell surface substances (bacterial lipopolysaccharides, fungal cell walls and viral envelopes) can initiate the process by binding to C3 (H2O) and factor B
-this complex is cleaved by a protease, factor D to produce C3b, Bb which acts as a C3 convertase to generate more C3b
Biologic effects of complement:
1. Opsonization - presence of C3b
2. Chemotaxis - C5a and C5, 6, 7 complex attract neutrophils while C5a also enhances adhesion of neutrophils to endothelium
3. Anaphylatoxin - C3a, C4a and C5a cause degranulation of mast cells with release of mediators, such as histamine, leading to increase in vascular permeability and smooth muscle contraction (bronchospasm)
4. Cytolysis - C5b, 6, 7, 8, 9 complex (membrane attack complex) leads to killing or lysis of many types of cells such as erythrocytes, bacteria and tumor cells, results in disruption of the membrane and entry of water and electrolytes into the cell
5. Enhancement of antibody production - binding of c3b to its receptors on the surface of activated B cells greatly enhances antibody production.
Thursday, January 15, 2009
Happy or sad...?
Tuesday, January 13, 2009
农历新年聚会
目的是为了让已久没联络的师姐们出来喝喝茶...谈谈天...说说地...
大家互相分享已往的华乐生涯...交流交流...
以下是聚会咨询:
日期: 农历新年大年初三 [28日1月2009年]
时间: 12.30pm
地点: Greentown MP (小间的)
如果谁想出席的话,尽请给予通知...
因为要预订位子...欢迎大家出席哦...
在当天有可能戴老师和林老师也会出席噢...
I just got this message from one of my CO junior...the 1st part aint that interesting...lol...coz alot of my juniors dont really know me already...and my own batch also I don't think all of them going...which's no fun...but the last part where probably Ms Tai and Mr Lim are going...THAT really caught my eye...aww......how I wish I can attend....but tooo bad..I think I'm having the usual reunion dinner with my relatives of my dad's side...*sobz* =(
Girls....
Monday, January 12, 2009
Xmas and New Year holidays
Guys...
Seriously..why are guys giving the girls such a hard time....really cant understand what's going on in their mind...