Sabado, Hulyo 16, 2016

Theme song of My Life



I won’t just survive
Oh, you will see me thrive
Can’t write my story
I’m beyond the archetype


I won’t just conform
No matter how you shake my core
‘Cause my roots they run deep, oh


Oh, ye of so little faith
Don’t doubt it, don’t doubt it
Victory is in my veins
I know it, I know it
And I will not negotiate
I’ll fight it, I’ll fight it
I will transform


When, when the fire’s at my feet again
And the vultures all start circling
They’re whispering, "You’re out of time”
But still I rise


This is no mistake, no accident
When you think the final nail is in
Think again
Don’t be surprised
I will still rise


I must stay conscious
Through the madness and chaos
So I call on my angels
They say


Oh, ye of so little faith
Don’t doubt it, don’t doubt it
Victory is in your veins
You know it, you know it
And you will not negotiate
Just fight it, just fight it
And be transformed


‘Cause when, when the fire’s at my feet again
And the vultures all start circling
They’re whispering, "You’re out of time”
But still I rise


This is no mistake, no accident
When you think the final nail is in
Think again
Don’t be surprised
I will still rise


Don’t doubt it, don’t doubt it
Oh, oh, oh, oh
You know it, you know it
Still rise
Just fight it, just fight it
Don’t be surprised
I will still rise

PHILIPPINE RED CROSS MADE A HISTORY IN BARANGAY MAMHUT NORTE!



Pagkatapos nang epekto ng Typhoon Yolanda (Typhoon Haiyan) na hindi na malilimutan ng barangay Mamhut Norte at nang buong bansa masasabi ko talaga na unti unti nang nakabangon ang aming barangay sa pagkalugmok sa tulong ng Philippine Red Cross at sa iba pang organisasyon, mga tao at grupo ng mga tao para muli kaming makabalik sa normal na buhay.
July 16, 2016 muling gumawa ng kasaysayan ang Philippine Red Cross sa pangunguna at pakikilahok ng komunidad ng Mamhut Norte sa pagdiriwang ng kauna-unahang NUTRITION DAY na may tema na  “First 1000 Days ni baby pahalagahan para sa malusog na kinabukasan.”!
Araw bago ganapin ang programa tulong tulong ang mga mamamayan, mga barangay officials  sa pangunguna ni Brgy. Captain Wilfredo Prudente, Brgy Kagawad Roger Aposaga, Bookkeeper Ramon Balberona at ng dalawang masipag na CVO na sina Raffy Maghanoy at Mr. Gadian at ng mga Community Health Volunteers ng Philippine Red Cross ng Mamhut Norte sa pangunguna ng masipag na Facilitator na si Criselda B. Baclason.
Umaga nang July 16, 2016 abalang abala na ang mga CHV’s sa paghahanda ng pagtitipunan ng programa. Mga alas 9:00 ng umaga nagsimula ang programa.
Pinangunahan ni Myrna Aposaga isa sa mga CHV ang masaya at nakaka-aliw na storytelling sa mga bata katulong sina Shirline lapuz at Rese Bernat Estante Salmorin. At sinundan ito ng nakakatuwang palaro sa mga bata ng mga CHV’s na sina Josefa Binegla, Analy Custinar, Leny Prudente at Josie Maghanoy. Tuwang tuwa ang mga bata sa palaro at ang mga nagwagi ay may mga masustansiyang pagkain para sa kanila.
Sa kabilang banda tinuruan ng mga CHv’s na sina Alyn Rafael, Rosaminda Francisco, Ma. Fe Francisco, Concepcion Balberon at Remedios Balberona ang mga dumalong mga nanay at buntis tungkol sa mga karapatan ng mga bata at ang kahalagahan ng breastfeeding para sa kalusugan ng mga bata.
Nang dumating ang mga barangay officials ng Mamhut Norte at ang TPA na si Gilbert Fernando, CO na si Wil Ticar,  mga bisita mula sa barangay Gimamanay at barangay Balanti-an ay inumpisahan na ang programa.
Inumpisahan ang programa sa pamamagitan ng panalangin na pinangunahan ni Myrna Aposaga at sinundan ito ng pambansang awit na pinangunahan ni Josefa Binegla.
Nagbigay ng paunang bungad ang masipag na pinuno ng Mamhut Norte na si Hon. Wilfredo Prudente. Para maintindihan kung ano ang CBHFA o Community Based Health and First Aid ipinaunawa ito ni Joerry Dulalia sa mga mamamayan ng Mamhut Norte.
Ibinigay ang mahalagang mensahe ng TPA ng Health Sector ng Philippine Red Cross na si Mr. Gilbert Fernando ang mensaheng hindi malilimutan ng mga mga simpleng mamamayan ng Mamhut Norte tungol sa kalusugan.
Sinundan ito ng napakasayang at muntik na hindi matuloy na sayaw ng mga CHV’s ng Mamhut Norte. Hindi nga perpekto ang sayaw pero nag-enjoy ang mga tao sa ginawang presentasyon ng mga masisipag at isang pamilyaang turingan  na mga CHV’s ng Mamhut Norte.
Winakasan ni Hon. Nora Jaranilla ang Kagawad na Committee on Health sa kanyang pangwakas na mensahe. At pagkatapos nito masayang ngtitpon tipon ang mga mamamayan para pagsaluhan ang simpleng Arroz Caldo at tinapay na inihanda para sa lahat. Simpleng pagkain pero masaya itong pinagsaluhan.
Dahil may partisipasyon ang Wash Sector ng Philippine Red Cross sa programa sila ang nagturo sa mga bata kung paano linisin at pangalagaan ang ngipin sa pamamagitan ng tamang  pagtoothbrush. Sila rin ang nagturo sa mga bata kung ano kahalagahan at paano maghugas ng kamay katulong ang mga CHV’s na sina Celia Almasol, Jenafe Almasol, Amelia Diaz, Ireen Prudente, Jonalyn Prudente at Gina Bantillo.
Nagkaroon din ng pormal na pagtannggap  ng mga regalo para sa mga batang Day Care Center  ang pinuno ng barangay in behalf sa very hospitable at very accommodating na Day Care Worker na si Mrs. Grace Balagantio. Nagpapasalamat ang Philippine Red Cross, Health Sector sa pagpagamit sa Day Care Center building upang gawing lugar na tanggapan para sa mga mga ina at mga bata.
Natapos ang makasaysayang programa na matagumpay at naway patuloy itong gagawin taon taon sa barangay sa pangunguna ng komunidad at hindi ito ang una at huli. Ang napakaganda at very active na si Ms. Jennifer dela cruz Sobron ang Lady of Ceremony ng programa.
God Bless Mamhut Norte and God bless Philippine Red Cross!
Maraming salamat sa mga dumalo!



Biyernes, Hulyo 1, 2016

Maidudulot na kabutihan at kasamaan ng "COMPUTER" sa mga bata!


What are the advantages of computers for young children?
What about the disadvantages of computers?
How do the advantages and disadvantages compare?
What is children’s computer education? KIDS AND COMPUTER EDUCATION.
How do children learn computers?
Which is the right age to get them started and what should be their minimum skills?
Is there an maximum age learn to use the computer? Any benefit to starting early?
What role does educational software play ?
What role do popular characters play in developing computer literacy?
How can parents help in developing computer literacy?
What is the role of computers in the lives of young children?
What can we conclude from this discussion?
Why is computer education for young children a growing concern?
Over the past few years, computers have become a vastly popular household item. The luxury of emailing messages as opposed to charging up the phone bill is more appealing. Checking news, weather, and sports via the Internet is a convenience that many are taking advantage of.
 Children’s lives are already getting influenced by technology – and this is just the beginning. Computers and Internet are here to stay and software titles targeting young children continue to increase. Computer science is has become a compulsory subject in  schools. Today, We find computers in use everywhere, whether we go to reserve a train ticket or to a Bank. This is because it is faster and helps us complete our work without mistakes/errors. So Parents too have realized the need to help their children develop strong computer skills.
Children are learning to read and write with computer games instead of homemade flash cards. They are reading their bedtime stories online instead of in bed with their parents. Slowly traditions are being broken and the computer is becoming a child’s learning tool. Many parents are buying computer learning games instead of board games and pop-up books.
Parents are leaving the learning up to the computers and spending less quality time with their children. The most important learning step for children is interaction with others. If they are sitting in front of the screen all day, they do not learn to share, wait their turn, or even something as simples as manners. Children need to be in contact with other children, adults, and animals. They need to experience things first hand not off a computer screen.
When children log on to the computer their innocence is noticeable. Children are an easy target for adults who pose to be other children with similar interests. Sexual offenders often chat online with children and then make plans to meet them or slowly filter information about them.
Children are innocents and honesty on the computer can pose some huge problems. They do not know any better and usually it will only harm them in the end.
One benefit of the computer age is that children are becoming smarter. They are growing up computer literate and will have that as a huge advantage. Computer literacy is becoming a huge job qualification and feeling comfortable with one will put them a step ahead.
Children will also be able to complete homework on line. In some places, if you miss school you can find out the assignments that you miss and catch up. This is very helpful if your child comes down with the flu, but do you want them to feel like it is okay to miss school because they can catch up with their computer?
Overall, children can benefit from computers if they are used wisely. Parents that supervise their children when they are on the computer can ensure that everything is happening safely.
Computers are the wave of the future, but old fashioned learning techniques should not be forgotten. A child needs to interact physically with other people and not learn everything from computers.
What are the advantages of computers for young children?
Computers help children to be in control of their experience, to set their own pace, and to select the level of challenge with which they feel comfortable.
Computers help children to use all of their senses to extract information. Computers fascinate kids and can draw their  full attention, which often results in a deeper focus and concentration.
Computers enable children to learn through creating, just as they gain hands-on knowledge and understanding when they build forts, make up stories, and paint, increase their skills
As they master computers, children build positive attitudes toward technology that will pay dividends for the rest of their lives.
Computers benefit the development of fundamental skills…
Good educational software enables children to develop and practice a broad range skills. It can help them learn, for example, about letters, numbers, shapes, colors, and rhythm. Good software can also help children develop their understanding of cause and effect, higher order problem solving, procedural thinking, and creative expression. Today, the wide range of multimedia available for kids in India is really amazing.
Emotional skills: By using a computer children develop self-confidence and self-esteem as they master computer skills and use the computer to make things happen. This also gives them a reason to smile!
Social skills: In the classroom setting or in the home when their friends or parents are available, children often prefer working with one or two partners over working alone, which leads to the development of social skills.
Computers benefit children with special needs…
Computers have proven extremely  beneficial to kids with certain speech, audio, and motor limitations. Kids with special needs can use alternative input and output devices (assistive technologies) to interact with computers and do things that they normally could not accomplish independently. They benefit especially from having access to an on-demand, patient tutor that allows them to work at their own pace. What they achieve through using a computer enhances their self-esteem and provides them with a greater sense of control and engagement with the world. The internet provides them with the best of knowledge for their treatments and they can be in touch with doctors or friends through the internet, in India or Abroad. Also, the internet can later help them earn their means of livelihood.
What are the disadvantages of computers for young children?
Computers are very engaging and can exercise a strong “holding power” on children as well as adults. They really seem to mesmerize children. Since we do not yet understand the impact of this power, we need to monitor the amount of time a child spends before a computer.
If the software is not age-appropriate, children are likely to become frustrated and associate a computer with failure.
Kids with access to software that is not age appropriate may be exposed to such negative influences as violence, strong language, and over-stimulation from fast-action graphics.
Frequent and prolonged computer sessions may pose physical health risks for children. The most frequently cited are visual strain, harmful effects of radiation, and posture and skeletal problems. In the case of normal usage and normal operating conditions, however, research has shown that computer monitors are safe and do not compromise the health of our eyes and that computer monitors emit little or no harmful radiation. What does seem to pose a hazard is the strain placed on a child’s posture and skeletal structure if she consistently uses a computer set-up designed for an adult.
For Surfing the Internet, parental involvement & control is a must.
How do the benefits and drawbacks compare?
Overall, the benefits seem to outweigh the drawbacks. And, the fact is, actively involved parents can control most of the drawbacks. This puts even greater responsibility on parents to be vigilantand conservative in their judgment about their children’s computer usage. A regular and constant watch is very necessary, especially regarding the internet. Although cyber laws inPhilippines are trying to regulate the content within Filipino sites, the Internet hold no barriers since it is a World Wide Web. Parents could install  parental control tools to prevent children from going to undesirable sites.
Just what is children’s computer education.
Years ago, computer literacy was defined in terms of specific knowledge of computer technology and terminology. Today, it is regarded more as a continuum of awareness, skills, experience, and attitudes based on the age and capabilities of the individual child.
1.An awareness of what the computer can do – that it is a tool for learning and finding out about things, and for expressing and creating things.
2.An awareness of ideas and behavior that are a part of the computer culture, such as knowledge of safe behavior on the Internet.
3.Basic operational skills learned by immersion in a variety of software programs.
4.A body of successful experiences that over time develop within a child an intuitive feel for dealing with new things that he encounters in a computer environment. Typical examples are how to navigate a new program and how to “trouble-shoot” when something isn’t working.
5.An attitude of discovery, mastery, purposefulness, and pleasure in using computers.
How do children gain computer literacy? Is there a series of steps?
Children develop computer literacy by observing others at the computer and by diving in and actively exploring different software programs. As with learning to read, each child will progress at the rate appropriate to that child. By and large, children are curious and pick up fast. There are lots of computer classes in India which specially specially cater to young children.
STEPS:-
Exposure and observation: A child’s relationship with the computer typically begins with the child watching a sibling, parent or classmate busy at the computer. She eventually crawls up on Daddy’s lap, and through the so-called “Daddy Interface” has her first computer experiences, passive in nature.
Active participation: The child quickly moves from observer to active participant, grabbing at the mouse, banging on the keyboard, and pointing at things that excite her on the screen. The parent, however, still operates the software.
Taking control: Eventually, the child learns how to control a mouse or trackball and subsequently how to control what is happening on the computer screen. Using her newfound “point and click” and “click and drag” skills, she can now actively explore a software program.
The computer is my tool: With greater control, the child begins to see the computer more as her tool – something she can use to make and find things. Increasingly, she approaches the computer with a goal, for example to find dinosaurs or or click on something colorful or moving.
Mastering skills: As she plays with different software programs, a child develops a general sense of how to navigate through simple environments, how to start and quit an activity, and how to operate specific programs. Although she may still rely on a parent or sibling for many functions, she is rapidly mastering an impressive skill set.
Independence: Most children with consistent access to a computer over the period of a couple years are eventually able to power up the machine, start up a pre-loaded application either from the hard disk or a CD-ROM, quit an application, operate the printer and scanner, access the Internet from the desktop, and even send an email.
At what age can children reasonably begin to develop computer literacy? What underlying development skills do they need to possess?
Certainly a baby can watch animations unfold across a computer screen. But computer control and interaction with software requires certain developmental skills. As these skills develop, a child will gain more and more benefit from using a computer.
Babies and Young Children: Passive Observers
At this age, kids are able to sit on a parent’s lap and watch the activity on a computer screen. They have the curiosity, attention span to track and enjoy the media experience. This relatively passive computer experience with the parents, however, is not very different from being read to or watching a TV program, with the parent making the effort to connect the child with the media.
Three-Year-Olds: Ready, Set, Go
A few essential skills are required for directly controlling a computer software program. Children must first have adequate fine motor skills and hand-eye coordination to operate a mouse or track ball. Second, they must possess the cognitive skills of causality and vertical/horizontal transfer in order to understand that what they are doing with the keyboard or mouse is making things happen on the computer screen. They also need to possess the related skill of knowing what is up, down, right and left, so that they can control which direction they want the cursor to move on the computer screen.
Typically these capabilities are present in the three to three-and-half-year-old. This is when becoming proficient with a mouse is a quasi-effortless, rapidly acquired skill. Although many two’s are able to control a mouse, for most younger children, it is a struggle and it is better to simply wait until they are ready rather than build up frustration and negative feelings toward the computer.
With basic mouse skills, three-year-olds can explore and experiment with cause and effect in simple environments like interactive stories and play rooms. They can also dabble with basic draw and paint programs and enjoy sing alongs, finding games and other activities that are simple to control.
Preschoolers and Kindergartners: Computer Explorers
As children move through pre-school into kindergarten, their insatiable curiosity, growing attention span, increasing memory, and developing cognitive skills make for an increasingly richer, more independent experience. They can stay with an activity longer, remember more about where things are and how to get where they want to go in a program, and they can enjoy a broader range of content and activities. They move from simple cause and effect experiences to acquiring readiness and problem-solving skills through structured activities, creating illustrated stories and multimedia pictures with graphics programs, and even using visual reference programs like Microsoft Encarta to answer their many “why’s?” At this stage, four and five year olds become computer “explorers”, never tiring of finding more things to do with a program and the computer.
First and Second Graders: Computer Competency
As children enter elementary school, their computer experience continues to broaden with their emerging reading and writing skills. Programs that require or revolve around some reading come within their reach, and they can supplement their learning in school with subject-specific software programs, from the three “Rs” to science and geography. Their more sophisticated logic and problem-solving skills enable them to enjoy puzzles, strategy games and building and simulation programs. Their ability to follow longer multi-step procedures allows them to use more sophisticated creativity programs to make slide shows, theater productions, paper doll designs, even animations. The text-heavy Internet starts to become more comprehensible, and as their sense of the world broadens, email and correspondence with children from far away places becomes more comprehensible and exciting. Their facility with the printer and other input and output devices gives them control over a wide range of creative “productions.”
Is there an optimal age for a child to learn to use the computer? Is there a benefit to starting early?
Rather than predicating an age, it is best to allow the child to take the lead. As in the case of reading and writing, her own readiness should drive when she starts using a computer and at what pace she develops her computer skills. Since most children seem to “catch up” whenever they start using a computer, parents needn’t worry that their child will fall behind on computer skills if she doesn’t demonstrate an interest at an early age.
What role does educational software play in developing computer literacy?
In short, everything. The computer is a tool and the software tells the computer what to do. Accordingly, the value of the computer for a child is as good as the experience provided by the software. Having access to a library of high-quality age appropriate titles spanning the product categories relevant to kids (e.g. creativity, storybooks, and reference) is essential for enjoying the full benefits of a computer.
What role do popular characters play in developing computer literacy?
Popular characters from across the media spectrum have migrated into the world of early learning software. In a positive sense, characters and stories are what engage us in the act of reading or watching a movie. It is therefore no surprise that this is often what draws a child into playing with a computer. The warmth, familiarity and context of the story step the child into the other aspects of the software program.
Whether software featuring a popular character is a positive experience for the child or a negative one depends more on other design aspects of the software, including the actual learning experience. A character can lead a child into a program but leave her stranded in a content-poor, non-intuitive, and ultimately frustrating environment. A well-loved character teamed up with a well-designed learning experience, however, can be a strong recipe; the character will lead the child in, but rewarding opportunities for discovery and learning will keep her engaged.
What role do parents play in developing computer literacy?
Parents play a critical role in shaping their child’s development in general, and computer literacy is no different. First, they are in control of what kind of computer set-up the child has, where the computer resides in the household, and what kind of access the child has to the computer. As noted above, parents also purchase the software their child plays with. And as we have seen, software is everything, so parental knowledge and judgment in this area have a major impact on what a child gains from the computer. Once the computer is set up and software is purchased, there is the question of how productive and beneficial a child’s time on the computer will be. The parent has an important role to play here as facilitator. Young children typically need an adult to guide their discovery process and to ensure that they challenge themselves. Monitoring a child’s computer usage is just as essential. By reviewing hard copy output of a child’s computer activities, for example, the parent can track her abilities to accomplish the task at hand. This enables the parent to supplement learning or introduce new experiences and challenges at the right time.
What is the appropriate role of computers in the lives of young children?
Given the important benefits of computers and parental ability to control many of their drawbacks, computers have a positive, useful role to play in the development of young children. However, this role must be carefully circumscribed, as computers can be misused and cannot provide all of the kinds of experiences that are critical to a young child’s development.
MOST OF ALL ALWAYS REMEMBER THIS “Computers supplement and do not replace highly valued childhood activities and materials, such as art, blocks, sand, water, books, exploration with writing materials, and dramatic play.” In other words, the computer is an enrichment tool for enhancing readiness skills, problem-solving, and creative expression. It adds another dimension to concrete exploration and expression, like playing with sand, puzzles and crayons.
The good news is that most parents, teachers, and kids in particular seem to know this intuitively. Young children flit between blocks, dress-up, drawing, books, the computer, and other favorite activities according to their spontaneous interest. They will rarely sit at a computer for more than fifteen minutes at a time and not more than a few sessions per day, if the computer is left on.
What can we conclude from this discussion?
Computers offer substantial benefits to young children and their development, and to families as a whole. At the right age, a computer is a wonderful thing that every child deserves to have. Accordingly, if a family can afford a computer without sacrificing other important, traditional childhood experiences, then this environment should contain a computer set-up that can be accessed as easily as books and other playthings and integrated in the family’s day-to-day activities in a natural way.
The actual benefit of a computer to a child depends primarily on:
  • The quality of parental involvement
  • The quality of educational software that the child is using
  • Following developmentally appropriate practices in the way the child uses the computer
  • Achieving a balanced role for the computer in the child’s life as one important element in the mix of quality learning and play opportunities
With parental guidance, quality software, Parental control softwaresafe surfing tips, and their own love of discovery and learning, young children can work wonders with computers & the internet. They can also gain and reap the benefits of computer literacy for the rest of their technology-filled lives.

Linggo, Hunyo 19, 2016

My Sister, My Best Friend



My Sister, My Best Friend




 Sisters. 
They share a special bond that is impossible to describe. 
It can only be felt and understood by the sisters who share it. 
They go through life together as a team, helping and supporting each other 
Through whatever this world has destined for them. 
They will never give up on each other, 
For giving up on your sister means giving up on yourself. 
They smile together, laugh together, 
Lie for each other, lie to each other and cry together.
Your sister is the one person you can confide your whole self to, the one person who understands.
She is the person who will stand by your side until the very end.
She has and always will be there for you during all the times in your life, 
Whether they be happy or sad.
A sister is someone who knows you better than you know yourself. 
She is someone you can't imagine your life without, 
And just the thought of it makes you want to cry.
She is someone who knows you're not okay, even when you say you are. 
Your sister is and always will be your very best friend.

Huwebes, Hunyo 16, 2016

NAKAKAMATAY ANG BULLYING AT DAPAT ITIGIL ITO!



Everyday it seems like a dark clouds surrounds me. It started when i diagnosed with the disease that really affects me, my whole life and even my family. Its been so hard for me to trust people and sometimes i hate my honesty. I hope that i lied at the very beginning and nobody will stare at me as if i am a monster and talked back about me.

During my depression i don't know where to go but God is only my strength and i talked to Him always. I lost my confident to everyone including myself. I try to conceal my feelings and i want to disappear to a place that no one knows. Some people don't bully a person verbally but intelligently i can guess through their action and action is louder than words.

I am bullied everyday, and I cry almost every night not wanting to go out next morning. family gathering are the worst. You have the whole weekend without bullies and all these meanpeople, and then family gathering comes, and I cry longer than I do on weeknights. Being bullied by the family is enough, but I always the topic of people when i passed by. The only reason I am being bullied and being disrespected is because of a disease common with me. I really am not trying to be rude on this, but people understand what I am taking through. But every time I try to have time by myself, they always thinks that I am not deserve to be their friends with them again and they starts insulting me. It's too much to handle. I need to stand up for my self once and for all if i can get the courage.

After being called disgusting, a whore, a slut, nasty, and etc. ALL DAY, EVERYDAY. You start to think that of yourself too. You say to yourself "I AM worthless. Nobody cares about me. Maybe I should just kill myself, so I won't have to suffer anymore." I’m still getting bullied, every day. But every day it's someone different. I'm becoming weak, and I'm not sure what to do.

I just wanted to share this because bullying is no joke and you'll never know how I feel until you've experienced it for yourself! I WANNA RAISE AWARENESS and i want to start in community!

ANO ANG HYPERTENSION AT PAANO IWASAN AT ANG UNANG GAGAWIN KAPAG MAY INAATAKE!



Hypertension is defined as sustained elevation of systemic arterial pressure beyond 140/90 mmHg in an adult. It is usually a chronic medical condition, which leads to damage the blood vessels of various organs including brain, heart, kidney, eye etc. Management of a hypertensive individual includes maintenance of optimal blood pressure as well as routine screening and attending to its secondary adverse effects on organs.

Hypertension is graded as following according to its severity

CategorySystolic (mmHg)Diastolic(mmHg)
Normal<120<80
Pre-hypertension120-13980-89
Grade 1 hypertension140-15990-99
Grade 2 hypertension160-179100-110
Grade 3 hypertension>180>110
Isolated systolic hypertension>140>90
Hypertension can be broadly classified in to two groups,
• Primary (essential) – hypertension without underlying identifiable cause. 90- 95% of all hypertensive individuals belong to this category.
• Secondary – hypertension arises due to an underlying medical condition (e.g. kidney disease, SLE, blood vessel diseases etc.). 5-10% of hypertensives belong to this category.
Though hypertension runs a chronic cause in majority; sometimes blood pressure goes out of control, rapidly rising over 180/120mmHg within a short time. This is called a hypertensive crisis. Unlike chronically elevated blood pressure this accelerated phase rapidly damages the blood vessels all over the body affecting many systems and bringing about severe consequences.

Causes of hypertensive crisis–

• Missing doses of blood pressure medication
• Stroke
• Renal failure
• Heart failure
• Pre – eclampsia and eclampsia in pregnant.

Signs and symptoms of hypertensive crisis-

• Most of the time asymptomatic
• Lightheadedness
• Vertigo and dizziness
• Severe headache
• Severe chest pain
• Shortness of breathing
• Nausea and vomiting
• Tinnitus
• Fainting episodes
• Seizures
• Severe anxiety
• Loss of consciousness
• Other symptoms related to secondary condition.
These symptoms are non – specific and rarely indicate hypertension as a cause. But first aid training courses should emphasize the value of measuring blood pressure in individuals claim to have these symptoms. Simple handheld electronic blood pressure monitors can be used for this task at community level.
Before measurement of blood pressure patient should rest for 20 minutes. Patient should be seated or lying down with correct sized blood pressure cuff applied to upper arm at the level of heart.

Consequences of hypertensive crisis-

• Heart attack
• Heart failure
• Kidney damage/failure
• Transient ischemic attack
• Stroke – due to rupture of brain aneurysms.
• Progressive vision loss
• Pulmonary edema – fluid buildup on lungs
• Convulsions
• Loss of consciousness
The primary modality of hypertensive crisis treatment is aggressive intravenous anti – hypertensive medication in order to bring blood pressure down. This is carried out in hospital following referral to urgent medical attention in these patients.
Still there is some place in first aid measures that can be used to prevent/manage these complications while waiting for medical help to arrive; increasing the chances of the patient to make a complete recovery without any morbidity.

First aid management-

1. Reassure the patient and call for medical help.
2. Make him/her to lie on the bed and rest adequately.
3. Try to comfort and reduce anxiety, as anxiety alone can increase blood pressure.
4. Keep monitoring breathing, pulse rate, blood pressure, level of consciousness and for any other dangerous signs ( e.g. paralysis of body in stroke, convulsions etc.)
5. Do not allow them to walk about, accompany the patient if it is really needed. Watch out for falls.
6. If the patient is vomiting or having seizures, turn to lateral side to prevent aspiration.
7. If patient complains of difficulty in breathing, prop him/her up using pillows behind upper back.
8. Do not give anything by mouth to eat/drink if there is suspicion of stroke.
9. Specially avoid caffeine or alcohol containing beverages.
10. Meanwhile look for possible cause for hypertensive crisis. If the patient is a known hypertensive and missed medication, consult doctor over the phone and give a dose of medications if instructed.
11. If breathing is unsatisfactory go for basic life support. Mouth to mouth breathing and CPR if needed.


Lunes, Hunyo 13, 2016

GO THE DISTANCE by Michael Bolton made me Cry! A SONG OF ACCEPTANCE.




The first stanza tells about a great dream that could be related to fulfilling a lifelong dream or to a search for acceptance.  The song Go the Distance was used in the film Hercules as a reflection of Hercules’ quest for acceptance and later on he found out he is the son of Zeus.  Relating this stanza to my personal experience as a teenager, I am also dreaming of achieving my dreams and be successful someday.  I would only be fully happy when I know that the people around me, especially my family and friends, are also proud of my achievements just like what the song says, “where’s a hero’s welcome would be waiting for me”, “where the crowds will cheer”, and “and a voice keeps saying this is where I’m meant to be”.

          In the second stanza, the song tells about knowing a dream can be achieved someday and that a way will lead towards that dream if along the journey he will remain strong and surely every step of the way will all be worthwhile.  For me, I know someday I can reach my dream. I need to have the strength and courage and for sure I will find my way to fulfill my dream.  My journey is still long but I am sure to enjoy every step until I reach my destination.

          The third stanza reflects the part of the journey towards achieving a dream wherein the path being taken seems like an unknown road, nothing seems to be sure if it will really lead towards the goal destination.  It says, “though the road may wander, it will lead me to you”.  Indeed, keeping the faith, the road towards my dream may be unknown and maybe at some point I might also doubt the path, I know that with my strong perseverance and great hope, I can reach my dream someday.  “It may take a lifetime but somehow I’ll see it through” is a representation of what kind of attitude each one of us should posses.  I should not lose hope and just give up during the times when it seems like I am not getting anywhere because as long as I am taking steps I will surely get there someday no matter how long it will take.

          The fourth stanza sets the right attitude of not giving up and never losing hope.  The journey towards reaching my dream can be compared to climbing an uphill slope.  It will never be easy because I need to stay focused and I should not look back because it will make it harder to focus, instead I should keep my eye on the ultimate goal which is to reach the top for my journey to be completed.

          In the next line it says, “to look beyond the glory is the hardest part”.  I think it means that although we have a great dream, it is still hard to look beyond the fulfillment of that dream.  It is like wondering what is at the rainbow’s end.  It is not enough that I hold onto my dream, I should be equipped with hope, perseverance, courage, and strength because as the song goes “for a hero’s strength is measured by his heart”.  I should posses a strong heart that never gives up, a heart that never loses hope no matter how tough the situations may be.  I have always believed that only those with brave hearts finish the journey towards their dreams.
         
          Just like in the previous line, this last stanza represents the dreamer as a shooting star.  On this note, a shooting star travels across the sky “searching the world”.  The line “I will face its harms”, relating to a shooting star, means that the shooting star is uncertain of the danger he may encounter along his search of the world, uncertain of how far the end of the journey is, but he will not mind and will face everything until he finds the hero’s welcome he has been longing for.

I used to say that reaching my dreams is like reaching for the stars. Through this song I realized that it could also be like climbing an uphill slope and searching the world like a shooting star.  No matter how and to what I compare my journey towards my dreams would be like, one thing is certain, it is the fact that I can only reach my dreams if I posses a strong heart that never gives up, never loses hope, equipped with perseverance and courage.  My victory is sweeter if I see people around me, especially my family and friends, cheering, rejoicing, and proud of my achievements and comforting me in the lowest part of my life.  Only then I can say that my journey is complete.