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Friday, 20 April 2012

Technology in Birth: Cesarean

I still remember the time that I went to Operation Theater to deliver my first baby every time I look at her.  The doctors decided that a cesarean section should be done urgently due to intrauterine growth restriction (IUGR).  I have given birth on January 25, 2012 at 33 weeks. Ventilator has been ready for my baby in case of emergency. After given birth, my baby need to place at incubator. She went there for 24 days. All these things make me keep it as unforgettable journey of my life. Now, let’s see more about cesarean.



What is a Cesarean Section?
A cesarean section is a surgical procedure in which incisions are made through a woman's abdomen and uterus to deliver her baby.

The Purposes
Cesarean sections, also called c-sections, are performed whenever abnormal conditions complicate labour and vaginal delivery, threatening the life or health of the mother or the baby. The procedure is often used in cases where the mother has had a previous c-section. Dystocia, or difficult labour, is the other common cause of c-sections. 
Difficult labour is commonly caused by one of the three following conditions: abnormalities in the mother's birth canal; abnormalities in the position of the fetus; or abnormalities in the labour, including weak or infrequent contractions.
Another major factor is fetal distress, a condition where the fetus is not getting enough oxygen. Fetal brain damage can result from oxygen deprivation. Fetal distress is often related to abnormalities in the position of the fetus or abnormalities in the birth canal, causing reduced blood flow through the placenta. Other conditions also can make c-section advisable, such as vaginal herpes, hypertension, and diabetes in the mother.

My lovely baby

In my case, I have no choice unless through cesarean section. Conversely, in this new millennium, women do have an alternative that has been provided by the wonders of modern technology. Women today have choice that something women in ages past did not have. Let’s we see the reasons of women to choose deliver their baby through cesarean section.

Why do some women consider cesarean delivery more advantageous and more in keeping with the 21st century?

  • A cesarean is a modern way to have a baby, involving the use of technology. Modern technology features highly in our daily lives. We are at ease with it and find it reassuring. The latest and most up-to-date technological equipment is much prized and sought after in all areas of our lives.
  • A cesarean is a medical operation. Birth is currently seen as a medical event as it usually takes place in hospital. Is a cesarean operation not therefore a logical conclusion to pregnancy for women of this millennium?
  • A cesarean can be scheduled. Few of us can get through a day in our modern world without a watch and a diary. Our daily lives are ruled by time and by carefully planned appointments. Choosing the date of the baby’s birthday has considerable appeal in this context for some women. We have become accustomed to leading our daily lives in a way that pays little heed to the natural flow of events. For example, modern technology allows us, in many respects, to disregard the divisions of night and day or the seasons of the year.
  • A cesarean is quick in comparison to most labours. We live in an age when the quicker something can be achieved the more advantageous it is perceived to be – whether this is making a cup of instant coffee, washing the laundry, travelling from a to b, or sending a communication. In our society time is money.
  • A is perceived as pain-free. The operation is carried out under anaesthetic and therefore there are no pains of labour to be endured. The “wake me up when it’s all over” scenario appeals to many women.
  • A cesarean avoids the need for a baby to make the journey through the birth canal. Many women worry about how something as large as a baby could possibly fit through such a small opening. Some women fear the baby may be ‘squashed’ and damaged in the process.
  • A cesarean is clean. The antiseptic nature of the operating theatre is very different from the physical exertion of labour. No sweat and tears. The mess of amniotic fluid and blood is dealt with out of sight. Urine is catheterised. There are no lumps of poo emerging from the rectum, pushed out by the baby’s head as it journey’s down the vagina. Is this not more in keeping with our aseptic society?
  • A cesarean is clinical – and therein perhaps lies its biggest attraction. Planned cesarean birth avoids the necessity for the many probings of the vagina, which have become routine during what is termed ‘normal’ birth today. A woman can more easily maintain a degree of professionalism and detachment in her relationship with her carers since the private areas of her body are left unmolested and unsullied.

There are many very good reasons for having a cesarean section and with a little forethought and planning the operation can indeed be a wonderful experience. There is also no denying that a positive cesarean section is infinitely preferable to a traumatic vaginal delivery.

Nevertheless, what too many have lost sight of, is that even the best cesarean can never hold a candle to a good experience of giving birth to your baby yourself.

References:





Wednesday, 18 April 2012

J-Alert

Do you still remember what was happened 6 days ago? For those who can still remember, on April 11, 2012, magnitude 8.9 earthquake hits the West Coast of Northern Sumatra. Tremors were felt in Singapore, Thailand, Malaysia and India. High-rise apartments and offices on Malaysia’s West Coast shook for at least a minute.

What is a warning system used for detects this disaster and alert the public of the various threats? Recently, I have watched one documentary related to this issue that happened in Japan. The system is J-Alert. I found the information about J-Alert system and I like to share with all of you.

What is the J-Alert?

J-Alert is a nationwide warning system in Japan launched in February 2007. It is designed to quickly inform the public of various threats. The system was developed in the hope that early warnings would speed up evacuation times and help coordinate emergency response.


Diagram of the J-Alert system

How the system works?

J-Alert is a satellite based system that allows authorities to quickly broadcast alerts to local media and to citizens directly via system of loudspeakers. According to Japanese officials it takes about 1 second to inform local officials, and between 4 and 20 seconds to relay the message to citizens. All warnings are broadcast in five languages: English, Mandarin, Korean and Portuguese (Japan has a small Chinese, Korean and Brazilian population), including Japanese. 



Information able to be transmitted by this system
    • Earthquake
      • Earthquake Early Warning
      • News flash of hypocenter, magnitude, and precaution to tsunami
      • Information of hypocenter, magnitude, intensities of various cities, and presence of tsunami
      • Advisory information of Tokai earthquakes
      • Earthquake prediction information of Tokai earthquakes
      • Caution to Tokai earthquakes
    • Tsunami
    • Volcano eruption
    • Military threats
      • North Korean ballistic missile launching
      • Air assault
      • Military attack to nuclear power plant
      • Large scale terrorism


References:
1.        http://www.terradaily.com/reports/Japan_Launches_Alert_System_For_Tsunamis_And_Missiles_999.html
2.        http://www.thetruthbehindthescenes.org/2012/04/11/8-9-magnitude-earthquake-hits-the-west-coast-of-northern-sumatra/
3.        http://www3.nhk.or.jp/nhkworld/english/movie/feature201204051503.html


Tuesday, 17 April 2012

E-Filling: Quick and Easy


Fuhhh….I feel so good right now...I just completed the e-BE form and has submitted just now. As I remember this is the 4th year I have submitted the taxes through e-Filing system. By opt for this method, I just need to key in the figure. Thus, it makes so convenient, saves time and effort as compared with the conventional paper and pen method. For me, E-Filing method is user-friendly and there would be no problem for the first timer to use this method. As stated in New Straits Times dated April 16, 2012, 2.3 million filed their taxes online last year. However, the numbers of taxpayers that opt for this method are expected to be increased to 2.5 million for this year. It shows that Malaysians are starting conscious about e-Filing system.  Here, I have some information about e-Filing that I want to share with all of you.

What is e-Filing?

E-Filing is an application on filling and filing Income Tax Return Form (ITRF) electronically through internet for the following Forms:

Form B
-
Business Income
Form BE
-
Non-Business Income
Form P
-
Partnership
Form M (e-M)
-
Non-resident Individual
Form E (e-E)
-
Employer
Form C (e-C)
-
Company
Form R (e-R)
-
108 statement for company
e-Estimated (e-CP204)
-
An online Estimate Tax Payable Form submission for Company/Co-operative Society/Trust Body

What are the requirements of e-Filing?
  • Income Tax Reference Number and PIN Number
  • Pentium III and above
  • Internet line
  • Microsoft Windows 2000 (Latest service pack)
  • Microsoft Windows XP (Latest service pack)
  • Internet Explorer 5.0 and above/ Mozilla Firefox 5/ Opera 9/ Safari

How to get the PIN No.?
  • Stated on the ITRFs issued
  • Visit the nearest IRBM offices
  • Apply through telephone/letter/fax
    (a copy of identity card is required for verification)

Lost Your Password?
Login to e-Filing website and choose 'Terlupa Kata Laluan' menu to register new password.
  
Besides that, on March 1, 2012 Inland Revenue Board (IRB) has introduced the m-Filing system to help mobile-savvy users with smartphones to file their taxes. Everyone has his or her own favourites method. By introducing m-filing, it will cater to their needs. Thus, make your own choice!

References:
1.         http://www.hasil.org.my


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