Ebooks

Medicine ebooks: http://ebooksgo.org/free-medicine-ebooks.html

30th-year at USM

Today, 28 June 2012, is my 30th-year serving and teaching at USM. I still have another 6 years to serve before I retire at 60 years. Happy 30th Work-Anniversary to me!!

That's me!!

In my cluttered office

Fluids and Electrolytes

YouTube videos on Fluids and Electrolytes.

Fluids and Electrolytes Function 1/2  (slides, US female voice)
Fluids and Electrolytes Function 2/2 

Fluid and Electrolytes Part 1 (John Campbell - textbook author, UK male voice)
Fluid and Electrolytes Part 2
Fluid and Electrolytes Part 3

Fluids and Electrolytes (no narration, text a bit too clinical and with treatment)

Hypokalemia & Hyperkalemia

YouTube videos on Hypokalemia & Hyperkalemia.

Hypokalemia & Hyperkalemia Patient Teaching (colour slides, US male & female voices)

A brief video for Patient Teaching regarding the signs, symptoms treatments and causes of Hypokalemia and Hyperkalemia.

Comments from students:

• i thought the material was very helpful and detailed... the only disadvantage would be a lay person who is a patient would have a hard time understanding this, but this would be really helpful for a nurse who would want to review about hypo and hyperkalemia before she does any teaching for her patient. i know it was very helpful for me
• I love this Video . Thank you so much for taking time and posting this up. Good luck and looking forward to your more educational videos. :-)

Comments from patients:

• Oh wow!! This is awesome... I was diagnosed 2 years ago and have been hospitalized 3 times with levels droping below 2.0 but no one ever took the time to explain in detail what it is I am dealing with. You just did!!
• thanks 4 posting this.. i've suffered from this disease like since i was 2nd year high school.. it's been 2 years now. i've had my latest attack just this past 2 weeks and i always hated that feeling of shortness in breathing. well, thanks anyway :)) 

ABG Analysis

YouTube videos on ABG Analysis (data interpretation):

Dawn Recher (Nursing, Northwest Iowa Community College) on ABG Analysis (whiteboard, US female voice)

Comments from students:

• Thank you so much! It has never been more clear to me :) 
• I wish I have seen this video sooner! It really cleared up my confusions about ABG. Did a much better job than what my notes have been trying to tell me. Thank you! 
• very informative on ABGs.  thank you! 
• beautiful...first time ever i understood the proper analysis with rationale.... great... thank you soooooooo much 
• Thank you. It is simply amazing how a gifted teacher can make learning so much easier. I am changin schools! 

Luke Wells on ABG Analysis (slides, UK male voice)
Please email any feedback at pmslukewells@gmail.com
What was good? What could have been improved?

Other useful resources:

• Acid-Base nomogram: http://en.wikipedia.org/wiki/File:Acid-base_nomogram.svg
• Guide to ABG interpretation for medical students (including causes of acid base imbalance): http://www.revisemedicine.com/forum/medical-students/1947-guide-abg-interpret... 

Josh on ABG Interpretation (slides, US male voice)

Comments from students:

• excellent approach to judging the ABG on the fly. Thank you
• thank you I love you, I hope I will do fine in my exam

6 Easy Steps to ABG Analysis (instructor talking to students, US male voice)

Understand ABGs using a simple 6-step method. Get the free e-book too at http://www.ed4nurses.com/resources/1/pdf/ABGebook.pdf

Comments from students:

• Good video. Very well explained
• I've never understood acid-base balance as perfect and simple as this... Thank you sooooooooooo much for this upload

Conjugate Acids and Bases

YouTube videos:
Khan Academy.org on Conjugate Acids and Bases

Comments from students:
btw, i hope you get something REALLY great from life for helping so many people out here. like.. i dont know, foreverlasting happiness, neverfailing health and a wealthy life. if there is someone who deserves to have it all, it is you sir.

You have no idea what contribution OPEN SOURCE EDUCATION represents to people without the luxury of the education you take for granted. Spoilt with scant knowledge of the 'outside' world, I am genuinly suprised to find such a narrow minded individual on a science channel. Do folk find you self-centred and egotistical? Wake-up sunshine you stiffling your own contribution and evolution of self. Big up to the Khan Acadamy and anybody who appreciates their worth.

Normal Acid-Base Regulation

Summary:
A lecture on the physiology of normal acid-base regulation, including a discussion of the bicarbonate buffering system, the Henderson-Hasselbalch equation, and elimination of acid from the body via the lungs and kidneys.

YouTube videos on Acid-Base Regulation:
Dr Eric Strong's lecture on Normal Acid-Base Regulation

Comments by students:
I found this to be a well-rounded, balanced (basic science and clinical considerations), well-paced lecture. I particularly appreciated the asides, e.g., 'acid' having negative connotations. I believe such asides make a lecture--any lecture, not just this one--more interesting, for several reasons. Good job.

Acid-Base Balance

YouTube videos on Acid-Base Balance:

Filipino video on Acid-Base Balance

Metabolic Acidosis

YouTube video lecture on Metabolic Acidosis

Comments from students:

This is a best and most simplified explanation of metabolic acidosis!

Very good Video. Tons of good info.
I see metabolic acidosis all the time in septic patients in respiratory failure.

I applaud your brilliance and zeal most of all!
Every blessing!

AWESOME video! You really break it down and make it easy to understand. I would like to know just what the signs and symptoms of metabolic acidosis/alkalosis and respiratory acidosis/alkalosis would be. My instructor just gives us vital signs and expects us to figure it out and she did not explain how.

Bilirubin Metabolism

YouTube: Bilirubin Metabolism from ftplectures.com

Summary:
Bilirubin is the yellow breakdown product of normal heme catabolism. Heme is found in hemoglobin, a principal component of red blood cells. Bilirubin is excreted in bile and urine, and elevated levels may indicate certain diseases. It is responsible for the yellow color of bruises, the yellow color of urine (via its reduced breakdown product, urobilin), the brown color of faeces (via its conversion to stercobilin), and the yellow discoloration in jaundice.

Comments from students:
You are an awesome teacher!!! I got more out of this then listening to my med school lecture.

Thanks so much:)

This is so much more helpful than the text, thanks so much!

Renin-Angiotensin System (RAS)

Doctor Najeeb video lecture:

YouTube: Renin-Angiotensin System (RAS)

Comments by students:

You are a true teacher! There are not enough people like you. Please keep sharing your teachings, so I can learn. At my school the instructors don't read the textbooks and have forgotten how things work. I often find myself biting my tongue and pray they don't use questions they made up themselves.

How is it possible that in 10 minutes you used your magical colored markers to clearly explain a concept which has taken my A&P professor over a week to clumsily stumble over? I think you might be a wizard.

you know how confusing the kidney's can be? Thanks for helping me save my grade in physio. Your the best Dr. Najeeb!

thank you doctor.. how i wish your the one who's teaching us... i can clearly understand

ECG / EKG

YouTube: Doctor Najeeb video lecture on ECG / EKG

Comments by students:

wonderful work you helped me and who does not thank people does not thank Allah so thank you very much go on

I think cardiovascular system is the most difficult to understand in physiology but he made it simply understandable!!

you explained in a way nobody ever explained ths before in youtube.
thank you

Non-operative mx of pyogenic liver abscess

This is a good article on mx of liver abscess
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2020567/

What are the causes?
What are the mx plans?
What are the outcomes?
What is the morbidity rate?
What is the mortality rate?
What is the hospitalisation duration?

Sexual and Reproductive Health and Rights

Who looks after the world's sexual and reproductive health and rights?
The International Planned Parenthood Federation (IPPF). This is an NGO (non-governmental organisation). Look at its funding sources.
Read more at:
http://en.wikipedia.org/wiki/International_Planned_Parenthood_Federation

LDL Receptor

1. The low density lipoprotein receptor is a cell surface receptor that plays an important role in cholesterol homeostasis.
2. The low density lipoprotein receptor is synthesized as a 120-kD glycoprotein precursor that undergoes change to a 160-kD mature glycoprotein through the covalent addition of a 40-kD protein. 
3. The human LDL receptor is an 839-amino acid protein rich in cysteine, with multiple copies of the Alu family of repetitive DNAs. 
4. The LDL receptor shares DNA sequence homology with the epidermal growth factor (EGF) receptor. 
5. The LDL receptor gene (LDLR) was mapped to chromosome 19. 
6. The LDLR was regionalized to 19p13.1-p13.3 by in situ hybridization. 
7. LDL bound to cultured fibroblasts in a manner consistent with a receptor. 
8. LDL binding resulted in suppression of cholesterol synthesis by the cell via repression of HMG CoA reductase.
9. LDL bound at the cell membrane and were taken into the cell ending up in lysosomes where the protein was degraded.
10. After internalization and degradation, the cholesterol was made available for repression of microsomal enzyme 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase, the rate-limiting step in cholesterol synthesis.

More on mutations of the LDLR gene at http://omim.org/entry/606945

Apolipoprotein B (Apo B)

1. Apolipoprotein B (apoB) is the main apolipoprotein of chylomicrons (CM), very low density lipoproteins (VLDL), and low density lipoproteins (LDL). 
2. ApoB occurs in the plasma in 2 main forms, apoB48 and apoB100, which are bound to lipoproteins. 
3. ApoB48 is synthesized exclusively by the gut. [ApoB48 = Gut origin]
4. ApoB100 is synthesized by the liver. [ApoB100 = Liver origin]
5. ApoB100 is larger than apoB48.    [100 > 48]
6. ApoB is not water-soluble (ie, it is hydrophobic and bound to lipids in lipoproteins).
7. ApoB does not leave the lipoprotein (ie, it not exist as a free entity in plasma).
8. ApoB mediates uptake of B-containing lipoproteins (CM Rm, VLDL remnants, IDL and LDL).
9. ApoB100 is necessary for hepatic LDL uptake.
10. ApoB48 is necessary for CM Rm uptake.

More at http://omim.org/entry/107730

MEDPED

What is MEDPED?

MEDPED is a humanitarian nonprofit project funded to help treat individuals and families with inherited high cholesterol disorders.  We help  by:

Identifying, diagnosing and promoting treatment of persons with inherited high cholesterol and their affected relatives
Educating patients and their doctors
Fostering patient support, encouraging research for treatment of inherited high cholesterol disorders and advocating government assistance world wide

More at http://www.medped.org/MEDPED-Benefits.html


MEDPED
University of Utah
410 Chipeta Way, Room 161
Salt Lake City, UT 84108

Familial Hypercholesterolaemia (FH)

CHRISTOPHER SIBLEY, MD
Department of Cardiology, Johns Hopkins
University, Baltimore, MD

NEIL J. STONE, MD*
Professor of Clinical Medicine, Feinberg
School of Medicine, Northwestern University,
Chicago, IL

Familial hypercholesterolemia: A challenge of diagnosis and therapy
R E V I EW

■ A B S T R A C T
People with familial hypercholesterolemia (FH) have dramatically high levels of low-density lipoprotein cholesterol (LDL-C), which can lead to accelerated atherosclerosis and, if untreated, early cardiovascular death. Although the heterozygous form of FH is often unrecognized, detecting it early can enable risk reduction before premature coronary heart disease occurs.


More at http://www.ccjm.org/content/73/1/57.long

Better dietary approaches to CVD prevention

Cholesterol
Volume 2012 (2012), Article ID 367898, 9 pages
doi:10.1155/2012/367898

Review Article
Traditional Dietary Recommendations for the Prevention of Cardiovascular Disease: Do They Meet the Needs of Our Patients?
Johannes Scholl
Prevention First, 65385 Ruedesheim, Germany

Received 1 November 2011; Revised 31 December 2011; Accepted 8 January 2012
Academic Editor: Jeffrey Cohn

Abstract

The characteristics of patients with CVD have changed: whereas smoking prevalence declines, obesity and metabolic syndrome are on the rise. Unfortunately, the traditional low-fat diet for the prevention of cardiovascular disease (CVD) still seems to be the “mainstream knowledge” despite contradicting evidence. But lowering LDL-cholesterol by the wrong diet even may be counterproductive, if sd-LDL is raised and HDL is lowered. New insights into the pathophysiology of insulin resistance and its influence on the effects of dietary changes have led to a better approach: (1) the higher a patient's insulin resistance, the more important is the glycemic load of the diet. (2) Fat quality is much more important than fat quantity. (3) The best principle for a reduced calorie intake is not fat counting, but a high volume diet with low energy density, which means fibre rich vegetables and fruits. (4) And finally, satiation and palatability of a diet is very important: there is no success without the patient's compliance. Thus, the best approach to the dietary prevention of CVD is a Mediterranean style low-carb diet represented in the LOGI pyramid. Dietary guidelines for the prevention of CVD should to be revised accordingly.

More at http://www.hindawi.com/journals/chol/2012/367898/


Johannes Scholl, “Traditional Dietary Recommendations for the Prevention of Cardiovascular Disease: Do They Meet the Needs of Our Patients?,” Cholesterol, vol. 2012, Article ID 367898, 9 pages, 2012. doi:10.1155/2012/367898

Sir William Osler

Sir William Osler: Aphorisms from His Bedside Teachings and Writings. (1961) edited by Robert Bennett Bean

A physician who treats himself has a fool for a patient. (Ch. 1)

One of the first duties of the physician is to educate the masses not to take medicine. (p. 105)

Soap and water and common sense are the best disinfectants. (p. 134)

http://en.wikiquote.org/wiki/William_Osler

Incorporating 3D virtual anatomy into the medical curriculum

Incorporating 3D virtual anatomy into the medical curriculum: The images are made from 2 cadavers - male and female.

http://dl.acm.org/

Cost of end-of-life care in hospitals

What does it cost to stay in hospital for the elderly? Is it cheap to send the sick elderly to hospital? What if the sick elderly is really elderly and almost dying? Will the hospital bills be a lot larger or about the same as for a middle-aged person? Who decides how much a patient must pay? Who decides on the ceiling for hospital care? What is the largest hospital bill paid so far? If patients are dying, why should their hospital bills be so huge? Why do families still need to pay for a deceased patient's bill?

Why did her husband's end-of-life care cost so much?

What causes obesity?

What causes people to begin to put on weight when initially they are normal weight? What causes weight reduction measures to fail? What causes obesity to continue despite all measures to stop it? What causes obesity? Why is it difficult to control obesity?

Waking up early makes us fat

Food, Money, Sex and Facebook

Food, money, sex and Facebook - what have they got in common? They are addictive elements in our lives today. Read about Facebook addiction.

Convex 46 - Alternative Medicine

from: Ahmad Fauzan Zainal Bakri syabab_addeen@yahoo.com
reply-to: Ahmad Fauzan Zainal Bakri <syabab_addeen@yahoo.com>
to: "faridahar@gmail.com" <faridahar@gmail.com>
date: Wed, Jun 6, 2012 at 7:40 AM
subject: Convex 46; Alternative medicine


Assalamualaikum, Prof..
Saya Ahmad Fauzan,wakil untuk group alternative medicine...
Sedikit details tentang Convex 46 dan perancangan untuk booth kami..

Tarikh : 19-23 Sept 2012
Tempat : USM induk

setakat perbincangan kami,kami bercadang untuk kongsi terapi dan herba2 daripada setiap kaum...
contohnya untuk Cina kami bercadang untuk buat tentang Reflexology n Acupuncture..
untuk Indians kami bercadang untuk kongsi tentang Ayuverda dan yoga..
untuk Melayu,saya x pasti samada ada sebarang terapi yg khusus daripada kaum Melayu...jadi mungkin akan lebih kepada
perubatan yg berasal drpd Islam spt Bekam dan muzik...

untuk herba,kebanyakkannya kami rujuk kepada lecture note Prof masa block Bioethics dulu..

kalau Prof ada sebarang cadangan untuk menambah baikkan lagi booth ni, insyaAllah kami akan laksanakn sebaik yang boleh..

objektif utama kami untuk Booth ni adlh untuk kongsi dengan masyarakat tentang perubatan alternatif yang mudah dilaksanakan
tanpa mengabaikan kepentingan perubatan moden...

trima kasih Prof sebab sudi jadi penasihat untuk booth kami...


-----------------------------------------------------------------------

from: Faridah Abdul Rashid <faridahar@gmail.com>
to: Ahmad Fauzan Zainal Bakri <syabab_addeen@yahoo.com>
date: Wed, Jun 6, 2012 at 9:59 AM
subject: Re: Convex 46; Alternative medicine



Wa'alaikumussalam Ahmad Fauzan & rakan2,

TQ untuk menulis.

Pada hemah saya, tema pameran anda menarik kerana masyarakat masih mencari maklumat dan cara perubatan yang masih ada. Saya ada beberapa komen dan cadangan untuk dikongsi spt berikut. Anda tidak semestinya kena ikut. 

PENGELASAN JENIS PERUBATAN DAN DEFINISI

Perubatan alternatif atau perubatan moden, kedua-dua istilah ini adalah subjektif dan perlu diterangkan dengan sebaiknya, Sebenarnya, perubatan Islam merangkumi semua jenis perubatan dan rawatan yang tidak memudaratkan, dan tidak melibatkan penggunaan bahan haram, serta tidak melanggar syariat Islam. Dengan definisi berkenaan, kita boleh katakan bahawa perubatan Islam ialah perubatan alternatif serta juga perubatan moden. Ini bermakna, perubatan Islam tidak terhad kepada satu mod kaedah perubatan yang kuno, tetapi sentiasa dinamik. Persepsi ini kita kena perbetulkan supaya masyarakat mempunyai tanggapan dan pemahaman yang betul tentang apa itu sebenarnya perubatan Islam dan pecahan-pecahannya. Dengan definisi ini, maka perubatan moden ialah salah satu mod perubatan dalam perubatan Islam. Jika kita tidak perbetulkan tanggapan ini, sampai bila pun orang Melayu akan tetap salah anggap tentang perubatan moden dan tetap akan menolak perubatan moden, dan hanya memilih perubatan alternatif atau yang kuno. Bila sudah betul tanggapan dan persepsi, baru kita beraleh dan mengetengahkan mod-mod perubatan mengikut kaum - Melayu, Cina dan India. 

Setiap kaum ada falsafah kehidupan, amalan kesihatan & harian dan juga cara perubatan masing-masing. Ini boleh dijelaskan di bawah topik setiap kaum spt berikut. 

FALSAFAH KEHIDUPAN & KESIHATAN ORANG MELAYU
Terangkan apakah falsafah orang Melayu tentang kehidupan dan kesihatan.

AMALAN KESIHATAN & HARIAN ORANG MELAYU
1. Bangun awal dan mandi
2. Tidak tidur banyak waktu siang
3. Banyak buat kerja yang menggunakan tenaga fizikal
4. Banyak minum air suam
5. Tidak makan berlebihan
6. Banyak makan ulam-ulaman
7. Tidur awal
8. Tidak gopoh, bersopan-santun (tak rosak otot-otot)
9. Sentiasa berbaik (positive psychology)

PERUBATAN MELAYU & ISLAM
1. Bekam
2. Ruqyah Syar'iyyah - bagi mengatasi masalah psychology, psychiatry, santau, etc (semua masalah jiwa)
3. Perubatan dengan Al-Quran - ada segalanya dlm bentuk buku drp Al-Hidayah
4. Sunnah Nabi Muhammad SAW
5. Aromaterapi - kepentingan wangian ros
6. Herba - Jamu, ulam, teh, habbatus sauda (black seeds), kacip Fatimah, tongkat Ali, hibiscus, buah pelaga (cardamom), etc
7. Oral health - bersugi (siwak), etc
8. Skincare - bedak sejuk, tepung kanji, asam jawa, lidah buaya, etc
9. Penjagaan rambut - minyak kelapa (Brylcream)
10. Penjagaan gastrousus - buah kurma, habbatus sauda, minyak zaitun, susu kambing + air rebusan dukung anak utk hepatitis
11. Penjagaan ibu selepas bersalin - bengkung ibu, bengkung bayi, minyak gosok, batu tungku, etc
12. Massage - urut lelaki, urut wanita, urut umum, etc
13. Muzik


FALSAFAH KEHIDUPAN & KESIHATAN ORANG CINA, BABA & NYONYA
Terangkan apakah falsafah orang Cina, Baba & Nyonya tentang kehidupan dan kesihatan.

AMALAN KESIHATAN & HARIAN ORANG CINA, BABA & NYONYA
1. Banyak makan buah-buahan dan sayuran
2. Banyak makan makanan laut?
3. Rajin berkerja, berkerja berterusan, sentiasa berkerja dan tidak membuang masa atau berhenti berkerja/tanpa kerja
4. Tidur awal
5. Banyak minum air masak
6. Kehidupan yang ringkas, tidak banyak kerenah, tak banyak soal, etc
7. Kehidupan berlandaskan kesihatan dan kerajinan berkerja dan berjaya, etc

PERUBATAN CINA, BABA & NYONYA
1. Reflexology
2. Acunpuncture
3. Makan & herba - Green tea, preserved oranges, fever few, ginseng, kopi hitam, bawang putih (garlic), cordyceps. etc
4. Penjagaan rambut - rambut gugur, rambut nipis, kepala membotak, bakar limau & campur dengan minyak kelapa dan comor di kepala, etc (rujuk Yu Nam haircare)
5. Massage - urut bayi, etc


FALSAFAH KEHIDUPAN & KESIHATAN ORANG INDIA & SIKH
Terangkan apakah falsafah orang India & Sikh tentang kehidupan dan kesihatan.

AMALAN KESIHATAN & HARIAN ORANG INDIA & SIKH
1. Penjagaan dan perapian kulit, rambut, etc
2. Penjagaan kesihatan mata
3. Ketahan buat kerja berat (lasak) dan kerajinan
4. Kesopanan dan kedaimaian kehidupan

PERUBATAN INDIA & SIKH
1. Ayurveda - neem,
2. Exercise routines - yoga, tarian, etc
3. Tidur - tilam durja (tilam daun), etc
4. Pemakanan, herba & rempah ratus - kacang keloh, teh & kayu manis, etc
5. Haircare - minyak bijan (sesamee seed oil), minyak zaitun

Sekian,

Prof Faridah

Medical tourism

http://www.hsc.com.my/eng/the-edge1.php