Ikan Haruan

Ikan haruan is dogfish. It is a small black fish and looks quite ugly. The head looks like a snake's head and the body is short with a fish tail. The Malays eat this fish during maternity confinement and following any surgery or when they have wounds. They will not eat any other fish except ikan haruan. Even ikan belut (eel) or ikan keli (catfish) is not consumed as it is regarded as 'bisa' (poisonous). The dogfish is first cleaned as any other fish and then fried or boiled. The fish flakes are taken with milk, in order to mask the ugliness of the fish. The Malays think ikan haruan is good for healing internal injuries even though wounds may heal on the outside (skin).

Pomegranate

Pomegranate is buah delima (Malay) and al granada (Arabic). It is planted around the house, either in the front yard or backyard. It is the tree of choice at many mosques. It has tiny leaves on branches which have spikes or little sharp thorns. It grows on sandy soil with little water and prefers the hot sun. The fruits are small round green ones which ripen to big golden reddish fruits. One tree can easily produce many fruits. However, growing the tree needs skills and experience; sometimes the tree won't bear any fruit.

Pomegranate plant

A big ripe pomegranate (buah delima, al granada)

Pomegranate cut into 2 halves

Commercial pomegranate juice

Are pomegranates of any use? Yes.

Pomegranates are prized for their juice and bitter skin. The fruits are crushed to obtain juice and bitter elements, which are good for heart disease. Many have tried taking pomegranate juice in their old age. There are success stories from many people.

How should pomegranate juice be consumed?

It is best to drink a cup of cold unsweetened pomegranate juice at breakfast. This is the first supply of vitamin C that the body gets. Then have breakfast and wash everything down with a cup of plain warm water.

Where can users buy the pomegranate?

Pomegranate can be bought at most supermarkets and fresh markets. They are available all year round.

Are pomegranates expensive items?

They may be quite expensive for the average-income earner. A big heavy pomegranate may cost RM10 or more. A case of pomegranates from a market in the outskirt of Makkah costs Rs25.

http://www.greenmedinfo.com/blog/how-clean-your-arteries-one-simple-fruit

Dukung Anak

The garden weed Dukung Anak grows wild in poor soil, in cracked walls near drains, and at abandoned construction site refuse (waste disposal).

There are 2 varieties of the plant - green and reddish rusty (pokok jantan). The reddish rusty variety is used for treatment.

A few bunches of the entire reddish rusty plant is washed and then boiled. The water is then cooled and consumed. It is useful for liver infection and breast cancer.

For breast cancer, Chinese ladies (siblings) are known to consume the water daily till the nodules and breast cancer disappear altogether. No surgery was needed by any of the sisters.

For hepatitis A infection, it is consumed twice daily together with fresh goat's milk (not boiled). It cures hepatitis A infection within 2 weeks. Some consumed it together with an Indian herb such as a liver tonic (eg Jetepar). Even without intervention, the liver regenerates itself and hepatitis heals on its own accord within a month.

Green variety

Mengkudu

The Mengkudu plant is a small tree with plenty of cone-shaped fruits that are green which ripen to a a smelly soft fruit. The green or yellow skin looks somewhat like that of the pineapple after the skin is removed. The Mengkudu fruit is harvested when unripe and still not smelly. They are boiled and mashed, then strained to obtain its bitter juice. The Malays traditionally use Mengkudu juice for controlling diabetes which is prevalent in the Malay community. Mengkudu juice is also available commercially as a concentrate.

Kemunting

The Kemunting shrub is low and filled with leaves. The ripe purple berries produce a sweet dark purple pulp, is juicy and contain plenty of tiny hard seeds. It is a good source of vitamins.

Biochemistry Training and Lab Results Interpretation

Google "biochemistry lab results interpretation" to get a list of websites that will help.

Be careful when looking at the protocol and data; some are for animals and not humans.

The medical laboratory technologists (MLTs) are trained by the institution or by other institutions. They perform the lab tests on automated clinical chemistry laboratory analyzers. While most clinical lab tests are performed on automated analyzers, some tests have to be performed manually.

All clinical lab tests have a Quality Control (QC) program and a Quality Assurance Program (QAP) for the lab (UK NEQAS and Australian RCPA-QAP).

Not all clinical labs perform all the lab tests listed below.

Not all clinical labs categorise their lab tests as shown below.

UK and Malaysian clinical labs report lab data in SI Units; USA labs still use old units.

Lab tests are grouped into panels by chemistry, organ, disease, or disease process:

1. Electrolytes: Sodium, potassium, chloride
2. Acid-base: Bicarbonate and anion gap, acid-base disturbances
3. Renal: Urea and creatinine
4. Minerals: Calcium (total and ionized), phosphate, magnesium
5. Proteins: Total protein, albumin, globulins, A/G ratio, ammonia, uric acid, electrophoresis
6. Carbohydrates: Glucose, fructosamine and glycosylated hemoglobin, 
7. Lipids: Triglycerides, cholesterol, non-esterified fatty acids (NEFA)
8. Ketones: β-hydroxybutyrate (BHB)
9. Liver: Enzymes (ALT, AST, SDH, GLDH, LDH, ALP, GGT), bilirubin (total, indirect, direct), bile acids, ammonia
10. Pancreas: Amylase, lipase
11. Muscle enzymes: AST, CK, LDH
12. Iron: Iron, total iron binding capacity, % saturation, ferritin
13. Interference indexes: Lipemia, hemolysis, icterus

The students of the Masters of Medicine (MMed) 4-year program have a basic MD or MBBS degree and at least 2 years work experience at a hospital before joining the program at the university. Topics covered in the MMed training covers some of the following:

QC and QA
Clinical Lab Management
Clinical Biochemistry (see 1-13 above)
Haematology and Coagulation
Adult Endocrinology
Pediatric Endocrinology
Metabolic Medicine
Nephrology
Neonatology
Cytogenetics
GI & Hepatology
Research
Electives (Toxicology, Nutrition TPN, Genetics)
Hospital posting (field work)

The MMed trainees in Chemical Pathology are competent to interpret lab tests data. These include:

1. Calcium and metabolic bone disorders
2. Diabetes mellitus: Plasma glucose, Glucose tolerance test (GTT), HbA1C
3. Inherited metabolic disorders; Inborn Errors of Metabolism (IEM)
4. Lipidology/Lipids: HDL, LDL cholesterol, Triglycerides, oxLDL
5. Cardiovascular risk assessment/Heart attack markers: AST, LDH, Troponins, CKMB, Myoglobin, beta-type natriuretic peptide
6. Nutrition
7. Renal disease
8. Thyroid disease: TRH, TSH, T3 and T4
9. Liver disorder
10. Tumour markers: Ca-125, Ca-119, Ca-153, oncogenes and specificity
11. Arterial blood gases

The clinicians who teach in the MMed program are university lecturers and they serve as laboratory consultants; they also supervise the general running of the clinical lab and are paid a 'critical allowance' for doing so. They have a basic MD/MBBS degree and a postgraduate degree (MSc/MPath/MMed) in Chemical Pathology. At present, none have a PhD degree or FRCPath. None are professors.


External links:

Cornell University

P. Pannall. Pitfalls in the Interpretation of Blood Chemistry Results. S. Afr. Med. J., 45, 1184 (1971).

Errors in Clinical Biochemistry (Nursing perspectives)

Lab Tests Online. American Association for Clinical Chemistry

Analytical and Interpretative Service (Biochemistry). 17 Sept 2012. Updated 14 Nov 2013. NHS UK

Interpretation of clinical laboratory tests (PowerPoint)

Study of Tissue Morphology by Electron Microscopy

Microwave Techniques for Electron Microscopy (Springer)

Ortho Molecular Nutrition & Wellness Center

eHow

MyBookez

Newport

Lab Info

Buzzle

AARP

Wikipedia - http://www.ganfyd.org/index.php?title=Laboratory_results:_normal_ranges

Biochemia Medica. Croatian Society of Medical Biochemistry and Laboratory Medicine

Interpreting Paediatric Biochemistry Results

Interpretation of Lab Test Profiles
Edward O. Uthman, MD; Diplomate, American Board of Pathology
Last update 6 Jan 2002. Copyright 1994-98
http://web2.airmail.net/uthman/lab_test.html

YouTube VIDEOS - Introduction to Lab Tests
http://www.youtube.com/watch?v=_mGszRbve9s

YouTube VIDEOS - Blood Tests Interpretation
http://www.youtube.com/watch?v=9UaiPovkxbk

LFT - http://www.youtube.com/watch?v=8B2a-HZEqtY
Fatty Liver - http://www.youtube.com/watch?v=n4qkXgAX6Jg

YouTube VIDEOS - Venepuncture
Need a new video on venepuncture

YouTube VIDEOS - Lipids
http://www.youtube.com/watch?v=_jjk13K47uo

YouTube VIDEOS - ABG Sampling
http://www.youtube.com/watch?v=xfso_M7pn9E
http://www.youtube.com/watch?v=KbszTXeg71g
http://www.youtube.com/watch?v=XCe_qzXFAPM

YouTube VIDEOS - Interpretation of ABG
http://www.youtube.com/watch?v=f7E-s95tbsE

YouTube VIDEOS - Acid & Base
https://www.youtube.com/watch?v=WHTxkedhxA8

YouTube VIDEOS - Electrolyte Imbalance
https://www.youtube.com/watch?v=XkiJcLQdjR8

YouTube VIDEOS - Renal
https://www.youtube.com/watch?v=JKKpvuV5HY8

JOURNALS

Verras, P and Greaves, R. 2005. Abnormal laboratory results: Interpreting paediatric biochemistry results. Australian Prescriber, vol. 28, no. 5, pp. 126-129.
RMIT University Research Bank http://researchbank.rmit.edu.au/view/rmit:19732
http://www.australianprescriber.com/magazine/28/5/126/9/

CG Fraser and Y Fogarty. 1989. Interpreting laboratory results. BMJ. 24 June; 298(6689): 1659-1660.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1836738/

TRAINING PROGRAMS AND MANUALS

Clinical Biochemistry Residency Program. Information Booklet. June 2009
Oman Medical Specialty Board. Al Athaiba, Sultanate of Oman
www.omsb.org
Email: biochemistry@omsb.org and omsb@omsb.org
http://www.omsb.org/Files/Biochemistry/Biochemistry_INFORMATION__BOOKLET.pdf

A Clinical Biochemistry Laboratory Training Module for Technicians
Dr Jagarati Jha
Dept of Biochemistry
SMS Hospital, Jaipur, India
http://www.rmsc.nic.in/pdf/Training%20Module%20-%20Biochemistry.pdf

Chemistry 422: Biochemistry Laboratory Manual
Mark Brandt, PhD
Third edition, January 2002
Dept of Chemistry and Biochemistry
California State University, Fullerton, California, USA
http://www.rose-hulman.edu/~brandt/publications/422_Manual_3rd_Ed.pdf

Introduction to Clinical Biochemistry: Interpreting Blood Results. 2011.
Dr. Graham Basten
Copyright Dr. Graham Basten & Ventus Publishing ApS
ISBN 978-87-7681-673-5
Download free books at bookboon.com
http://tailieu.vn/doc/introduction-to-clinical-biochemistry-interpreting-blood-results.1301732.html

The LabAssist Report Made Simple
Copyright 2008 Lab Interpretation LLC
http://www.labinterpretation.com
http://labinterpretation.com/files/LabAssistInterpretationManual.pdf
http://labinterpretation.com/

Carramar Education Courses
Carramar Consulting Pty Ltd
ABN 64 116 505 134
Unit 8, 220 Boundary Street
Spring Hill Qld 4000 Australia
Telephone: +61 7 3832 7727
Email: admin@carramarconsulting.com.au
http://www.carramarconsulting.com.au/consulting_and_advisory

BOOKS

Practical Clinical Biochemistry
Harold Varley
5th edition 1984

Clinical Biochemistry Principle and Practice.
Praful B. Godkar
1994

Tietz Textbook of Clinical Chemistry
2ne edition'1994

Micro Analysis in Medical Biochemistry
Editor, IDP Wooten
6th edition

Practical Biochemistry
RC Gupta
3rd edition 2004

Hawk's Physiological Chemistry
Editor, Osler
14th edition

Lecture Notes on Clinical Chemistry
Whitby, Robb and Smith
2nd edition

Clinical Biochemistry Illustrated
Allan Gaw
2nd edition 1999

Clinical Chemistry & Metabolic Medicine
7th Edition
Martin A. Crook
2006
ISBN 0-340-90617-0
Hodder Arnold Publisher

Clinical Biochemistry, Metabolic and Clinical Aspects
1st Edition
William J. Marshall and Stephen K. Bangert
Churchill Livingstone Publisher
ISBN 0443-043418

Analytical Biochemistry
3rd Edition
David J. Holme and Hazel Peck
Prince Hall Publisher
ISBN 978-0-582-29438-7

Clinical Chemistry
Ken Lewandrowsky
ISBN 0683-30085-7

Basic QC Practices Manual
Westgaard

Removing gallstones naturally

Natural & Safe Method Of Removing Gallstones Without Surgery – 6-Day Method by Dr Lai Chiu-Nan

Gallstones may not be everyone’s concern but may lead to cancer. We all have them (big or small, many or few). “Cancer is never the 1st illness. There are a lot of other problems leading to cancer. I came across some materials stating that people with cancer usually had stones,” said Dr Lee of China.

One symptom of gallstones is a feeling of bloatedness after a heavy meal as if you can’t digest the food. If it gets more serious, you feel pain in the liver area.”

Dr Lee offers the apple juice treatment which is good for those with a weak liver. Liver and gallbladder are closely linked.

1) Drink 1 glass (250ml) 100% apple juice 4 times a day for 5 days. 1 glass at breakfast, 1 glass at lunch, 1 glass at dinner & 1 glass before going to bed. It softens the gallstones. Eat normally.

2) On the 6th day, skip dinner. At 6pm, take a teaspoon of Epsom salt (magnesium sulphate) with a glass of warm water. At 8 PM, repeat the same for purging purpose. It helps to flush out all solid stuff. It also opens the gallbladder ducts. At 10 PM, drink half a glass of olive oil mixed with half a glass of lemon juice. The oil lubricates the stones to ease their passage. Lemon juice helps to extract the stones out from gallbladder ducts.

Please also Google 'Gallstelax Remedy' to obtain natural ways of removing gallstones.
Sources:
Facebook: Daily Health Tips - https://www.facebook.com/HealthLifePro
http://www.way2medicare.blogspot.com/

External links:
Gallstones - Natural treatments
Dr Judy Seeger - How to do a simple gallbladder diet
14 Foods that cleanse the liver
Liver and gallbladder cleanse
Healthline.com: gallstones