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Dengue fever

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Post by Dhugz Wed Sep 01, 2010 6:51 pm

Backround
Dengue has been called the most important mosquito-transmitted viral disease in terms of morbidity and mortality. Dengue fever is a benign acute febrile syndrome occurring in tropical regions. In a small proportion of cases, the virus causes increased vascular permeability that leads to a bleeding diathesis or disseminated intravascular coagulation (DIC) known as dengue hemorrhagic fever (DHF). Secondary infection by a different dengue virus serotype has been confirmed as an important risk factor for the development of DHF. In 20-30% of DHF cases, the patient develops shock, known as the dengue shock syndrome (DSS). Worldwide, children younger than 15 years comprise 90% of DHF subjects;1 however, in the Americas, DHF occurs in both adults and children.

Dengue is a homonym for the African ki denga pepo, which appeared in English literature during an 1827-28 Caribbean outbreak. The first definite clinical report of dengue is attributed to Benjamin Rush in 1789, but the viral etiology and its mode of transmission via mosquitos were not established until the early 20th century.

Pathophysiology

Dengue viral infections frequently are not apparent. Classic dengue primarily occurs in nonimmune, nonindigenous adults and children. Symptoms begin after a 5- to 10-day incubation period. DHF/DSS usually occurs during a second dengue infection in persons with preexisting actively or passively (maternally) acquired immunity to a heterologous dengue virus serotype. Illness begins abruptly with a minor stage of 2-4 days' duration followed by rapid deterioration. Increased vascular permeability, bleeding, and possible DIC may be mediated by circulating dengue antigen-antibody complexes, activation of complement, and release of vasoactive amines. In the process of immune elimination of infected cells, proteases and lymphokines may be released and activate complement coagulation cascades and vascular permeability factors.

Treatment


Prehospital Care

Initiate supportive therapy
Intravenous (IV) crystalloids, as needed to keep systolic blood pressure above 90 mm Hg
O2, empirically
Emergency Department Care

Supportive therapy
IV access, O2, and monitoring are helpful.
IV crystalloids may be necessary for hypotension; central line may be needed.
Correct electrolyte abnormalities and acidemia.
Implement therapy for DIC if indicated.
Corticosteroids are not helpful.
No antiviral therapy is available.
Consultations

Infectious disease
Travel clinic, if available
Medication

No specific medications are indicated for direct treatment of the dengue virus infection.



Source: EMEDICINE.MEDSCAPE
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Post by element_115x Thu Sep 02, 2010 4:30 pm

Alarming incidence we're having now in the Phils .... OFF LOTION needed!
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Post by miss_terry Fri Sep 03, 2010 8:40 pm

bakit kaya sa pinas lang may dengue outbreak? how about sa ibang bansa?
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Post by fredms3 Fri Sep 03, 2010 9:19 pm

Sobrang linis daw ng mga pinoy sa kanilang mga paligid at katawan kaya ayun fave na fave ng mga lamok ang mga Pinoy Dengue fever Icon_biggrin
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Post by miss_terry Fri Sep 03, 2010 9:22 pm

Hahaha.
Tamaaaa.
O baka naman nasa klima din?
Ang major major daw na maraming dengue cases ay sa QC nga ba
and in Region 6, Bicol Region?
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Post by fredms3 Fri Sep 03, 2010 9:33 pm

Not sure sis kung saan ang major major (wow venus ang dating ah) na concentration ng dengue....ang alam ko lang ay nakarating na 'to sa Visaya area.

Watch nga ako mamaya ng balita kay Ar-ar at Vicky Morales.
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Post by fredms3 Fri Sep 03, 2010 9:34 pm

miss_terry wrote:Hahaha.
Tamaaaa.
O baka naman nasa klima din?
Ang major major daw na maraming dengue cases ay sa QC nga ba
and in Region 6, Bicol Region?

Sa Batangas ba sis ala pang dengue cases?
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Post by RavlaM Fri Sep 03, 2010 11:03 pm

fredms3 wrote:Sobrang linis daw ng mga pinoy sa kanilang mga paligid at katawan kaya ayun fave na fave ng mga lamok ang mga Pinoy Dengue fever Icon_biggrin

Hahaha in fact pati ang mga dengue mosquito ay sobrang linis, sa malinis na tubig lang sila ng be-breed.

Dengue fever Aedes_aegypti
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Post by harballah Sat Sep 04, 2010 12:21 am

Nakaka-alarma ang sinuman madapuan ng dengue kasi kahit mga artista ay nadadapuan din ng virus na ito.

Ang kawawa ay yaong mga mahihirap kasi hindi nila kayang tustusan ang pagpagamot lalo na kapag nangangailangan ng dugo na pansalin sa apektadong dugo.
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Post by Ateo Sat Sep 04, 2010 12:36 am

Para din pala silang mga malaria mosquitoes. Sa malinis na tubig lang sila naninirahan.

Teka, to go back to the religious theme of this forum, sino ba ang nag-create sa mga pesteng lamok na ito? Si God din ba? At bakit niya ginawa ito? Dahil ba sa tinatawag na freewill? Kailan niya ginawa ito, sabay sa ibang hayop o saka na lang nang nagkasala na sina Adan?
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Post by harballah Sat Sep 04, 2010 3:55 am

Ateo wrote:
Teka, to go back to the religious theme of this forum, sino ba ang nag-create sa mga pesteng lamok na ito? Si God din ba? At bakit niya ginawa ito? Dahil ba sa tinatawag na freewill? Kailan niya ginawa ito, sabay sa ibang hayop o saka na lang nang nagkasala na sina Adan?

Siyempre naman Ateo lahat ng nilalang na nakikita ng mata mo ay galing sa Diyos, may sagot ako sa tanong mo basi sa sinabi ng Allah subhana wa taalah sa banal na Quran.

2:155
Be sure we shall test you with something of fear and hunger, some loss in goods or lives or the fruits (of your toil), but give glad tidings to those who patiently persevere,

Iyan ang sagot ko kung dadalhin mo sa religious theme ng forum na ito.

Pagsubok ang nakikita ko diyan brad Ateo.
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Post by Ateo Sat Sep 04, 2010 5:29 am

Thank you, Harballah. Yang pagsu-pagsubok na yan ay isa yan sa mga pinaka-importanteng alibi ng my mananampalataya.

Hintayin natin ang mga Kristiano kung ano rin ang alibi nila.
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Post by harballah Sat Sep 04, 2010 5:54 am

Ateo wrote:Thank you, Harballah. Yang pagsu-pagsubok na yan ay isa yan sa mga pinaka-importanteng alibi ng my mananampalataya.

Hintayin natin ang mga Kristiano kung ano rin ang alibi nila.


Iyon sa amin Ateo ay hindi alibi kundi aral iyan sa Islam, tinatawag din namin ang mga bagay na dumadating sa amin mabuti man o masama na "Qadar/Fate".

Kaya nga Quran verse ang ipinapakita ko at hindi po opinyon ko lamang, pero nauunawaan ko po kayo kung alibi ang tingin ninyo na sagot ng mananampalatayang tulad namin at baka nakaranas kayo ng sagot ng mga kapatid natin nagpapakilalang kristiyano.

Sige wait natin sila, pero hindi kaya out of topic na ang pupuntahan nito kung sakali Ateo.
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Post by Dhugz Sat Sep 04, 2010 8:00 am

Ateo wrote:Thank you, Harballah. Yang pagsu-pagsubok na yan ay isa yan sa mga pinaka-importanteng alibi ng my mananampalataya.

Hintayin natin ang mga Kristiano kung ano rin ang alibi nila.

Lahat ng bagay na nilalang ng Diyos ay may silbi, diko lang alam kung ano ang naidudulot na mabuti ang Lamok pero parang sa gagamba mayroong role sa mundong ito, ganyan din sa lamok siyempre, sabi nga ng Science di pwedeng mawala ang isa sa mga bagay na nairito sa mundo dahil magcause iyon ng imbalance.
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Post by RavlaM Sat Sep 04, 2010 1:17 pm

Mosquito trap (Dengue prevention)

It's just a mix of water, brown sugar and yeast.

1. Cut a plastic bottle in half, keep both parts. Can be Coca Cola / Pepsi bottle.
2. Take the lower portion of the bottle. Dissolve the brown sugar in hot water. Let it cool down to ~70 degF.
3. Add the yeast. Carbon dioxide will form (This will attract the mosquitos)
4. Cover the bottle with a dark wrap and place the top portion upside down like a funnel. Place it in a corner in your house.
5. In 2 weeks you will be surprised by the number of mosquitos killed.

Dengue fever Cid:image001.gif@01C9FA39Dengue fever Download?mid=1%5f48850%5fAMjHtEQAAMQPS%2frcCQaNnAD%2fRSY&pid=2
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Post by element_115x Sat Sep 04, 2010 5:23 pm

Pati kasi mga palaka at butiki kinakain na ng mga pinoy, kaya nawawala na ng mga kumakain sa lamoks Razz
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Post by harballah Sat Sep 04, 2010 11:48 pm

element_115x wrote:Pati kasi mga palaka at butiki kinakain na ng mga pinoy, kaya nawawala na ng mga kumakain sa lamoks Razz

Teka iyong palaka ay marami ngang kumakain niya lalo na sa probinsiya, pero iyon butiki ba ay kinakain parin..........yak! Dengue fever Affraid
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Post by vril Mon Sep 06, 2010 10:04 am

harballah wrote:

Siyempre naman Ateo lahat ng nilalang na nakikita ng mata mo ay galing sa Diyos, may sagot ako sa tanong mo basi sa sinabi ng Allah subhana wa taalah sa banal na Quran.

2:155
Be sure we shall test you with something of fear and hunger, some loss in goods or lives or the fruits (of your toil), but give glad tidings to those who patiently persevere,

Iyan ang sagot ko kung dadalhin mo sa religious theme ng forum na ito.

Pagsubok ang nakikita ko diyan brad Ateo.

Why test? What is he testing? I think he should know by now who fanatically worships him or not. Eh walang pinili tong pesteng lamok na ito.... lalu pa't mga bata namamatay dito.

This is the lamest excuse I hear from all religions. Deaths of innocents to test the faithful. Such a lame god. No offense.
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Post by harballah Mon Sep 06, 2010 10:59 am

vril wrote:

Why test? What is he testing? I think he should know by now who fanatically worships him or not. Eh walang pinili tong pesteng lamok na ito.... lalu pa't mga bata namamatay dito.

This is the lamest excuse I hear from all religions. Deaths of innocents to test the faithful. Such a lame god. No offense.

Alam mo brad kung mayroon kang faith ay malalaman mo kung bakit sa kabila ng lahat ay mayroon nakakagat ng lamok gayong puwede naman sigurong makagat ng lamok ang lahat sa lugar kung saan nakagat iyong mga bata, isipin mo maski ang mga artista ay nagkakaroon ng dengue gayong bukod sa nakatira na sila sa mga magagarang bahay ay sigurado po tayo na malinis din naman ang kapaligiran nila.

Iyon po iyong Qadar/Fate na nasa post ko kung saan hindi nga po namimili ang pagkakataon ng mabibiktima at sa isang may pananampalatayang tulad namin ay masasabi namin na pagsubok sa bawat tao ang dumarating sa kanila, siguro po wala kayo niya kasi hindi naman kayo naniniwala hindi po ba.

Sa may huling kataga sa talata ay may sinasabi ang Allah na ganito " but give glad tidings to those who patiently persevere, " bakit niya sinabi iyan, alam mo ba?
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Post by fredms3 Tue Sep 07, 2010 12:40 am

RavlaM wrote:

Hahaha in fact pati ang mga dengue mosquito ay sobrang linis, sa malinis na tubig lang sila ng be-breed.

Dengue fever Aedes_aegypti

Colorful pa yang lamok na pinoste mo ah bro Dengue fever Icon_surprised
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Post by vril Tue Sep 07, 2010 9:35 am

harballah wrote:

Alam mo brad kung mayroon kang faith ay malalaman mo kung bakit sa kabila ng lahat ay mayroon nakakagat ng lamok gayong puwede naman sigurong makagat ng lamok ang lahat sa lugar kung saan nakagat iyong mga bata, isipin mo maski ang mga artista ay nagkakaroon ng dengue gayong bukod sa nakatira na sila sa mga magagarang bahay ay sigurado po tayo na malinis din naman ang kapaligiran nila.

Iyon po iyong Qadar/Fate na nasa post ko kung saan hindi nga po namimili ang pagkakataon ng mabibiktima at sa isang may pananampalatayang tulad namin ay masasabi namin na pagsubok sa bawat tao ang dumarating sa kanila, siguro po wala kayo niya kasi hindi naman kayo naniniwala hindi po ba.

Sa may huling kataga sa talata ay may sinasabi ang Allah na ganito " but give glad tidings to those who patiently persevere, " bakit niya sinabi iyan, alam mo ba?

I cannot make sense of enduring deaths of innocents for glad tidings, heaven, paradise, heavenly reward in the afterlife, in the furure, in the second coming, after judgment day, after the apocalypse, whatever. What matters to me is what is present and what I have right now. I don't need paradise in the future. I want paradise at present and to me...seeing children live a full life is paradise. Seeing them die needlessly caused by someone who created disease or pest is atrocious and unforgivable. it's because I'm human and every minute counts, every moment cherished. I want to live seeing children grow happy lives..seeing them smile and play. Their deaths does not justify eternal happiness in the future. Would I see these children again in the afterlife with clocks turned back? No. It's obvious faith is what I lack. Because it doesn;t make any sense.

What i want to see is for humans to progress and discover solutions to our current problems(diesease) and make this world a better place to live in. I dont need eternal happiness when I can live a happy life on earth. It's enough.

But of course that's just me.
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Post by Ateo Wed Sep 08, 2010 8:42 am

Your thinking makes perfect sense, Vril, considering that you are an atheist. But what I could not understand are the believers. It made me suspect that Christians don't fully believe in heaven.

Look, they worry about Dengue! If they get Dengue and they die, then they would see Jesus sooner. Why aren't they excited about that?

Their child sick with Dengue? For us, atheist, we should react with an appropriate and urgent medical response. But for Christians, a sick child is a sure bet that she goes to heaven. So, excitement should be the reaction.

But the reason why Christians are not reacting as such because deep down they doubt if there is really God and heaven. They praise each other for the other's faith because their faith is really problematic.
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Post by vril Wed Sep 08, 2010 11:32 am

Ateo wrote:Your thinking makes perfect sense, Vril, considering that you are an atheist. But what I could not understand are the believers. It made me suspect that Christians don't fully believe in heaven.

Look, they worry about Dengue! If they get Dengue and they die, then they would see Jesus sooner. Why aren't they excited about that?

Their child sick with Dengue? For us, atheist, we should react with an appropriate and urgent medical response. But for Christians, a sick child is a sure bet that she goes to heaven. So, excitement should be the reaction.

But the reason why Christians are not reacting as such because deep down they doubt if there is really God and heaven. They praise each other for the other's faith because their faith is really problematic.

Hi Ateo,

Exactly. I have the same thoughts about the religious. Nakakasira ng bait di ba. If we think about it, some religious beliefs are fighting against our very basic nature to survive and live an interesting life.

I don't think they really doubt god. God belief/Afterlife is somehow hardwired in our brains. This part of the brain is probably in conflict with another part of our brain that tells us to live. I dunno. i can;t really explain. Nakakabaliw isipin..^_^.
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Post by Ateo Wed Sep 08, 2010 12:17 pm

As I kept on advising the many pastors in BARM, the fastest way to see Jesus is to preach loudly in Basilan. A couple of weeks proclaiming Jesus there might earn one the martyrdom that ensures heaven and prompt reunion with Jesus.

Nobody has taken up my advice just yet.

Btw, I agree with you. Faith may be hardwired in our brain and so is need to live -- and the two gets into conflict when dying would have been the correct response to faith.
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Post by vril Wed Sep 08, 2010 12:56 pm

Ateo wrote:As I kept on advising the many pastors in BARM, the fastest way to see Jesus is to preach loudly in Basilan. A couple of weeks proclaiming Jesus there might earn one the martyrdom that ensures heaven and prompt reunion with Jesus.

Nobody has taken up my advice just yet.

Btw, I agree with you. Faith may be hardwired in our brain and so is need to live -- and the two gets into conflict when dying would have been the correct response to faith.

Maybe the rewards aren't inviting as the rewards of those suicide bombers.

Christian Martyrdom Rewards: Heaven and reunification with Jesus-------to vague.
Fundamental Islamic Martyrdom Rewards: Paradise with 72 Young Virgins. untouched by angels and jinns with pearly eyes.-----huwao!
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