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	<title>My Story &#187; Chikungunya</title>
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		<title>Chikungunya or Chiwawa?</title>
		<link>http://www.lwjuan.com/2010/02/01/chikungunya-or-chiwawa/</link>
		<comments>http://www.lwjuan.com/2010/02/01/chikungunya-or-chiwawa/#comments</comments>
		<pubDate>Mon, 01 Feb 2010 14:19:59 +0000</pubDate>
		<dc:creator>LWJ</dc:creator>
				<category><![CDATA[Jokes]]></category>
		<category><![CDATA[Apple iPhone]]></category>
		<category><![CDATA[Chikungunya]]></category>
		<category><![CDATA[Chiwawa]]></category>

		<guid isPermaLink="false">http://www.lwjuan.com/?p=1234</guid>
		<description><![CDATA[During post call round, Dr Asri asked us whether we know what is the meaning of Chikungunya.. The history of it? someone answered &#8220;Dog&#8221; He...]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">During post call round, Dr Asri asked us whether we know what is the meaning of Chikungunya.. The history of it?</p>
<p style="text-align: justify;">someone answered &#8220;Dog&#8221;</p>
<p style="text-align: justify;">He asked why dog?</p>
<p style="text-align: justify;">He said dog..</p>
<p style="text-align: justify;">Then someone said &#8220;Itu Chiwawa..&#8221;</p>
<p style="text-align: justify;">lol</p>
<p style="text-align: justify;">I couldn&#8217;t help myself but start laughing for a min.. haha</p>
<p><a href="http://www.lwjuan.com/wp-content/uploads/2010/02/ipad.jpg"><img class="aligncenter size-full wp-image-1233" title="ipad" src="http://www.lwjuan.com/wp-content/uploads/2010/02/ipad.jpg" alt="" width="298" height="394" /></a></p>
<p>Oh ya, the iPad from Apple <img src='http://www.lwjuan.com/wp-includes/images/smilies/icon_razz.gif' alt=':P' class='wp-smiley' /> </p>
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		<title>Chikungunya</title>
		<link>http://www.lwjuan.com/2009/11/11/chikungunya/</link>
		<comments>http://www.lwjuan.com/2009/11/11/chikungunya/#comments</comments>
		<pubDate>Wed, 11 Nov 2009 13:08:13 +0000</pubDate>
		<dc:creator>LWJ</dc:creator>
				<category><![CDATA[Medical]]></category>
		<category><![CDATA[Chikungunya]]></category>

		<guid isPermaLink="false">http://www.lwjuan.com/?p=1104</guid>
		<description><![CDATA[Chikungunya Facts Chikungunya is a viral disease. Chikungunya is caused by an Arborvirus, belongs to the genus Alphavirus under the Togaviridae family. The virus is...]]></description>
			<content:encoded><![CDATA[<p><strong>Chikungunya Facts</strong></p>
<ol style="text-align: justify;">
<li>Chikungunya is a <span style="color: #ff0000;">viral</span> disease.</li>
<li>Chikungunya is caused by an Arborvirus, belongs to the genus Alphavirus under the Togaviridae family.</li>
<li>The virus is transmitted to human by infected <span style="color: #ff0000;">Aedes mosquitoes</span>, Aedes albopictus in the rural area and Aedes aegypti in the urban area.</li>
<li>The urban outbreaks are sporadic but explosive in nature.</li>
<li>It then disappears and reappears at irregular intervals.</li>
<li>The <span style="color: #ff0000;">incubation period</span> of the disease is <span style="color: #ff0000;">2 to 4 days</span>.</li>
<li>The symptoms is less severe and fewer in children than adults.</li>
<li>Infected patients manifest sudden onset of <span style="color: #ff0000;">fever, chills, severe arthralgia and headache.</span></li>
<li>Patients also have <span style="color: #ff0000;">maculopapular rash mostly in trunk</span>.</li>
<li><span style="color: #ff0000;">Migratory polyarthritis</span> (commonly swelling and reddening) occurs in 70 % of cases and mainly affected the small joints.</li>
<li>They may also manifest photophobia, anorexia, nausea, conjunctival injection and abdominal pain.</li>
<li>The acute illness usually last for 5 to 7 days.</li>
<li>Chikungunya has not been reported causing severe haemorrhagic manifestation or death.</li>
<li>Older patients usually continue to suffer recurrent joint pain and effusion for several years.</li>
<li>Chikungunya infection may be mistaken for dengue and / or West Nile disease.</li>
<li> Provisional diagnosis is often made based on the clinical features.</li>
<li>Acute or viraemic phase serum samples collected within 2 to 4 days of onset have yielded positive virus isolates and detection of viral nucleic acids.</li>
<li>Paired sera drawn 1 to 3 weeks apart will demonstrate rising antibody titre.</li>
<li>Rapid diagnosis can be used to detect Chikungunya antibody (IgM) after 5 days of onset i.e. ELISA, immunofluorescene etc.</li>
<li>Reverse transcriptase polymerase chain reaction (RT-PCR) tests may yield diagnoses based on samples without detectable antibodies and may also provide genetic information of the virus.</li>
<li><span style="color: #ff0000;">The disease is self-limiting.</span></li>
<li>There is <span style="color: #ff0000;">no specific treatment or vaccine for Chikungunya</span>, patients are only given symptomatic or supportive treatment.</li>
<li>To avoid further transmission, patients who is in the viraemic phase (first 4 days of onset) should be protected from mosquito bites especially from Aedes species.</li>
<li>Aedes mosquito feeding time is during dawn (5.00 am to 8.00 am) and dust (5.00 pm to 8.00 pm).</li>
</ol>
<p style="text-align: justify;">I think most people will concern about the progress of disease and the treatment.. only the medical field ppl will like to know other details.. hehe</p>
<p style="text-align: justify;">So, Chikungunya is a viral disease with symptoms almost same like Dengue Fever with no specific treatment..</p>
<p style="text-align: justify;">From Dr Zul: &#8221; Dulu saya medical student pun kena dengue, admit buat apa? balik minum banyak banyak air la.. masuk ward pun IV drip je~&#8221;</p>
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