mengimbau.. dulu...

semakin bertambah umur..
semakin terasa turunya keringat..
lemahnya semangat..
hilangnya kudrat.... (mood: tua)

sekarang ni dah start dah nak sakit-sakit badan.. sakit pinggang.. bunyi tulang ketuk ketak...
dah lama pakai rupanya badan ni..

suddenly.. waktu mengemas.. saya terpandang..
1 kotak... yang tersimpan kemas... hmm.. berhabuk dah..
bila bukak.. sedih tgk... banyak surat.

kertas itu kekuningan..
seiring dgn pertambahan umur.. hmm.. bila sehelai2 surat dibuka.. perasaan itu mengamit..
rasa yang dah lama takde..
rase yang dah lama aku lupa..
perasaan itu.. betul2 mencengakam hatiku...

ada rasa yang aku banggakan..
ada rasa yang aku kesalkan..
semuanya bercampur baur.. dan akhirnya.. semua itu..
rencah rempah.. yang menambah warna hidup aku....

banyak cerita yang tercoret di sini.. segala2 kisah zaman RPS aku.. n.. aku tak bole nafikan yang RPS adalah part hidup yang aku gembira.. mostly... kat sini.. aku belajar.. kawan.. hidup..
banyak cerita-cerita gembira.. yang seronok.. yang masih terletak kat kotak hidup aku.. tapi.. yang paling terkesan... adalah.. rasa menyesal itu... kesal yang merobek hidupku skrg...

banyak yang hilang... dan segalanya2 aku judikan utuk perasaan aku waktu itu.. alasan yang mudah,, adalah... semua orang suka disayang.. dan disayangi... dan itu. sangat-sangat meendidik aku..

tapi.. hari ini.. bila aku buka.. bait-bait kata..
aku sedar yang sebenarnya..
banyak yang aku buang... tanpa aku pernah teliti.. betapa..
semuanya berharga..!!

ni yang paling mahal ni... sapa ada lagi?

Saya Tahu Saya Tak Cantik | iluvislam.com + discover the beauty of islam

Saya Tahu Saya Tak Cantik | iluvislam.com + discover the beauty of islam

Anatomi : Telinga Tengah ( Bhg 2)

..... last entry, rasanya aku dh citer tentang anatomical features of middle ear.. jd hari ni, nak tambah sikit.. agar dapatla jugak ilmu ini menambah knowldege yang aku sedia ada.. memantapkan ilmu2 yang mungkin sikit banyak, aku dh lupa.. hope.. i get something beneficial jugak....

Kepentingan utama telinga tengah adalah untuk menguatkan bunyi. Dan organ yg paling berusaha kuat untuk menambah kekuatan bunyi adalah tulang-tulang oksikel. Tulang2 yang dimaksudkan adalah; 1) Malleus, 2) Incus dan 3) Stapes

for those yang tak tahu.. these were the smallest bones yang ada kat badan kita..

Tapi..

biar pun kecik.. tapi manfaatnya.. MasyaAllah... betulla apa org kata.... kecik2 cili padi.. lagi kecik.. pedas lebih lagi.. huhuhu....

As yang kita tahu.. terdapat prbezaan environment simboliknya di antara teling tengah dah telinga dalam.. Telinga dalam,, rumahnya dipenuhi air, dan telinga luar didiami udara. Jadi, terdapat perbezaan ketumpatan antara 2 medium ini.. Yang mana.. sekiranya bunyi disalurkan.. hanya 0.01% sahaja yang akan initaiate receptors of hearing. 99.9 % akan reflected back.. Jadi, ossciles, play an important role, to avoid impedance mismatch ni..

Tulang2 berikut membantu menguatkan bunyi yang disalurkan sebanyak lebih kurang 20dB.. Ada 3 mechanisme yang terjadi untuk penambahan bunyi2 ini.. Yang mana; 1) Area Ration, 2)  Lever Action and 3) Buckling Mechanism......

Ketiga2 mechanisme ni, berlaku pada frequencies 100Hz hingga 2kHz. 2kHz and above??? Outer ear yang akan tolong amplify..

......

‎"Biarkan orang lain menjalani kehidupan yang kecil, tetapi kamu jangan! 
Biarkan orang lain memperdebatkan soal-soal kecil, tetapi kamu jangan! 
Biarkan orang lain menangisik kepedihan-kepedihan kecil, tetapi kamu jangan! 
Biarkan orang lain menyerahkan masa depan mereka kepada orang lain, tetapi kamu jangan!" 

— Habiburrahman El Shirazy

"Adjustment is always better than Argument...

 A Meaningful silence is better

than meaningless words..."

... shh.... i'm talking!

Talking To The Moon 

I know you're somewhere out there
Somewhere far away
I want you back
I want you back
My neighbors think
I'm crazy
But they don't understand
You're all I have
You're all I have


Chorus:

At night when the stars
light up my room
I sit by myself

Talking to the Moon
Trying to get to You
In hopes you're on
the other side
Talking to me too
Or am I a fool
who sits alone
Talking to the moon

I'm feeling like I'm famous
The talk of the town
They say
I've gone mad
Yeah
I've gone mad
But they don't know
what I know

Cause when the
sun goes down
someone's talking back
Yeah
They're talking back

Chorus:

At night when the stars
light up my room
I sit by myself
Talking to the Moon
Trying to get to You
In hopes you're on
the other side
Talking to me too
Or am I a fool
who sits alone
Talking to the moon

Ahh Ahh,
Ahh Ahh,

Do you ever hear me calling?
Cause every night 
I'm talking to the moon
Still trying to get to you

In hopes you're on
the other side
Talking to me too
Or am I a fool
who sits alone
Talking to the moon

I know you're somewhere out there
Somewhere far away

liver transplant?

case study :
HISTORY
Patient 6 years old, female. She came with her father. Her father want to sent her daughter into special school, because he found out that her daughter had difficulty in understanding expressive language. She seems confused, and father want to fill in OKU form for her daughter.This child had history of liver transplant since she is 4 years old. Currently on medication, to avoid negative rejection from her body.

Agak-agak... apa masalah yang kita boleh noted?
 (1) Learning problem
 (2) On medication

AUDIOLOGICAL FINDINGS


No abnormality found out through otoscopic examination and tympanometry.
Play Audiometry  : mild to severe sensorineural hearing loss at high frequencies ( 2K : 55dB, 4K : 60 dB, 6K : 90dB)

Discussions
Earlier on testing, patient had difficulty in understanding the task of testing She seems confused, and cannot respond well in conditioned state. Tester had increase the intensity of the conditioned level up to 80 dB, but then, patient seems to show false-positive respond, by responding with guess. Instead of changing the task, tester had try to modify the test, by using lower frequency to condition, and she able to respond accordingly.

This child had showed a hearing loss that may replicate the condition of ototoxicity. Her hearing is dropping slowly, and yes, it damaging the high frequency far more earlier than the lower frequency. This is due to anatomic locations of the cochlear, and frequency selectivity that God create. The lower frequency is place in apex of the spiral, and this protecting this region.

Management?
The confusion and symptoms that this patient may reflected due to hearing loss that she had. It's hearing is slowing diminishing, and yet the important phonemes in understanding speech lying on the high frequency region. Thus the impaired cochlear that due to toxicity, can cause problems in understanding speech, discriminating words that had similar sounds, inaudibility of speech, and many more. The right management of the patient, is to adopt a hearing aids, that can helps in assisting during conversation. But then, special specification needs to be consider. The child had a near normal low frequencies threshold. We dont want to fit hearing aids that can increase the threshold of the better frequencies.

puasa kali ini

1 Ramadhan 1432H
kali ini...
tiada lagi waktu dimana pagi,
bangun ke kelas, sampai ke petang..


kali ini..
tiada lagi sahur, mengetuk pintu teman..
masak nasik.. minum milo.. makan kacang goreng merah..
ratah kurma... mcm takde dah makanan lain nak makan..


kali ini..
tiada lagi waktu..
di mana nak kena bawak keta g beli makanan..
berhimpit di trafik jam.. berbuka di padang..


kali ini..
takde lagi pilihan..
urm,, nak beli kat bazar mana? masjid ke? padang?


kali ini..
takde lagi nak kena on time beli popia..
borong air macam2.. semangat kuih tak hilang sama..


kali ini.. 
takde lagi nak semayang terawikh sama2..
mengejar takwa bersama...


semua dah takde.. 


dan semestinya.. yang hilang itu akan selalu kita kenang