## Thursday, July 30, 2015

### Kidney health: 10 things You Should Know

By Health WordPress, 3 July 2015

PHOTO: The most common causes of kidney disease are diabetes and high blood pressure. You can do a lot to reduce your risk of kidney disease if you control your blood sugar levels and blood pressure.
By Health WordPress, 3 July 2015
http://4.bp.blogspot.com/-dL0Y2YZRMtk/Vbne3akTF2I/AAAAAAAAgw4/68NYWxSl4iI/s1600/kidney-failure.jpg
http://cancerfactsheet.org/kidney-health-10-things-you-should-know/

The most common causes of kidney disease in Canada are diabetes and high blood pressure. You can do a lot to reduce your risk of kidney disease if you control your blood sugar levels and blood pressure.

Hemodialysis can be done at home. Although hemodialysis is usually done in a hospital or clinic, you may be able to have it done at home. You will need special training to do this.

PHOTO: Understanding kidneys and its functions
• Cleanse the blood, eg. remove urea & creatinine (dead muscle cells)
• Removal of extra fluid (if not the following may result: puffy foot, cheeks and other parts of the body)
• Keep the body chemicals and fluid in balance, eg. makes the electrolytes (ions) needed to isolate and dispose of toxic wastes in the body
• Produce hormones, eg. Angiotensin to control blood pressure, Enythropoietin to create red blood cells, and synthesize vitamin D
Text from Khoo Teck Puat Hospital, "Living well with Chronic Kidney Disease"
Picture posted by Gabay sa Kalusugan on 3 November 2014

http://2.bp.blogspot.com/-GDB5emMEsAA/Vbne2uw2EbI/AAAAAAAAgwk/rmqn1cb8CIU/s1600/10628185_471459102992587_3000885805278349833_n.jpg
https://fbcdn-photos-e-a.akamaihd.net/hphotos-ak-xtf1/v/t1.0-0/10628185_471459102992587_3000885805278349833_n.jpg?oh=13140a43d28201b2a46e994379475f80&oe=5640AC71&__gda__=1447489578_04a8e56c7cfb5f713fa2d9cc9eefe9fe

PHOTO: Diagnosis
Kidney disease can be so silent in the early stages that the patient may be perfectly well without any symptoms.

However, apart from a physical check up, patients usually need urine and blood tests to detect renal disease.

The urine is usually tested for:
1. the presence of blood, a condition known as haematuria.
2. the presence of protein or proteinuria
3. cellular debris (also called casts)

The blood is tested also for abnormally high levels of substances that accumulate in the body in the presence of kidney failure. They include:
1. the blood urea level
2. the blood creatinine level
3. other substances such as potassium and bicarbonate.

Posted by Singapore General Hospital on 25 February 2014
http://2.bp.blogspot.com/-b4QyzvFMnJE/Vbne2neCW7I/AAAAAAAAgwo/hjyNJnEG-vw/s1600/KidneyFailure.gif
http://www.singhealth.com.sg/PatientCare/ConditionsAndTreatments/PublishingImages/KidneyFailure.gif
http://www.sgh.com.sg/Patient-Services/conditionsandtreatment/Pages/KidneyFailure.aspx

We don’t necessarily need two perfectly functioning kidneys. We have two kidneys that help to eliminate excess water and waste products from the body, but we only need one functioning or two partially functioning kidneys to stay healthy. That means that kidney disease has to be quite severe before the kidneys can’t do their job properly, and it means that someone with two healthy kidneys can donate one and still live a healthy life.

Your kidneys do a lot more than remove excess water, salt, and waste products from your body. They also help to regulate the levels of potassium, calcium, and phosphorus in your blood, remove medications from your body, produce a hormone that controls the production of red blood cells, and activate vitamin D.

PHOTO: Kidneys' location and function
Kidneys filter the blood, producing urine that is stored in the bladder prior to elimination through the urethra.

They are located in the peritoneal cavity.
Posted by Boundless, “Kidney Structure” on 21 July 2015

http://2.bp.blogspot.com/-dfmxyY7b01g/Vbne2Y2xrxI/AAAAAAAAgwg/XSygG3zY3so/s1600/figure-41-03-01.jpe
https://figures.boundless.com/19684/large/figure-41-03-01.jpe
https://www.boundless.com/biology/textbooks/boundless-biology-textbook/osmotic-regulation-and-the-excretory-system-41/human-osmoregulatory-and-excretory-systems-229/kidney-structure-860-12107/

In the early stages of kidney disease, there are no symptoms, and tests that measure kidney function may be normal. But as kidney disease progresses, the results of blood or urine tests may show abnormalities indicative of kidney disease. If blood or urine tests indicate that you may have kidney problems, you will likely undergo several other tests (e.g., ultrasound, CT scan, MRI scan, additional blood and urine tests) to determine the exact problem.

There is a lot you can do to prevent kidney disease. You can eat a healthy diet, be physically active, keep your blood pressure and blood sugar levels controlled, stop smoking, take medications as prescribed or recommended by your doctor, and have your kidney function monitored regularly.

PHOTO: Structure of the kidney
Externally, the kidney is surrounded by the renal fascia, the perirenal fat capsule, and the renal capsule.

Internally, the kidney is most importantly filled with nephrons that filter blood and generate urine.
Posted by Boundless, “Kidney Structure” on 21 July 2015
http://1.bp.blogspot.com/-VsWZrfC5JRo/Vbne3ObJwxI/AAAAAAAAgww/8nQ_OOqwX48/s1600/figure-41-03-02.png
https://figures.boundless.com/19685/large/figure-41-03-02.png
https://www.boundless.com/biology/textbooks/boundless-biology-textbook/osmotic-regulation-and-the-excretory-system-41/human-osmoregulatory-and-excretory-systems-229/kidney-structure-860-12107/

PHOTO: Nephrons perform the main function of the kidney
The nephron is the functional unit of the kidney. The glomerulus and convoluted tubules of the nephron are located in the cortex of the kidney, while collecting ducts are located in the pyramids of the kidney's medulla.
Posted by Boundless, “Kidney Structure” on 21 July 2015
http://3.bp.blogspot.com/-XEXB3gGDjhg/Vbne3TK585I/AAAAAAAAgw8/2NCZoLBELkg/s1600/figure-41-03-03.png
https://figures.boundless.com/19686/large/figure-41-03-03.png
https://www.boundless.com/biology/textbooks/boundless-biology-textbook/osmotic-regulation-and-the-excretory-system-41/human-osmoregulatory-and-excretory-systems-229/kidney-structure-860-12107/

Kidney transplants are one of the most successful types of transplants. Living kidney transplants (from a live donor) have a success rate of 90% to 95% at one year and non-living transplants have a success rate of 85% to 90%.

Not all types of kidney disease are inherited. Many things can contribute to the development of kidney disease, including diabetes, high blood pressure, lupus, kidney stones, prostate problems, and medications.

PHOTO: What is Chronic Kidney Disease?
Chronic Kidney Disease includes conditions that damage the kidneys and decrease their ability to keep us healthy. It may be caused by diabetes mellitus, high blood pressure and other disorders.
An individual is at risk of Chronic Kidney Disease when his or her GFR (a measure of the kidney's function) is less than 60ml/min/1.73m² for a period of more than 3 months.
Text from Khoo Teck Puat Hospital, "Living well with Chronic Kidney Disease"
Picture posted by Dr. Amos Ne'eman Ltd

http://3.bp.blogspot.com/-NiTzEOkJ-rE/Vbne3-L1c-I/AAAAAAAAgxE/UZigqol9_4M/s1600/kidney1.jpg
http://doctoramos.com/%D7%90%D7%95%D7%A8%D7%95%D7%9C%D7%95%D7%92%D7%99%D7%99%D7%AA-%D7%9E%D7%91%D7%95%D7%92%D7%A8%D7%99%D7%9D/

The best source of a kidney donation is from a close relative (e.g., parent, sibling). Living-donor transplants have the highest success rate and are more likely to be a close match to your genetic make-up, which will decrease the risk of rejection. Living donations, however, should be completely voluntary. No one should be pressured to donate.

There is a huge demand for healthy kidneys for transplants. Consider what you can do to help. Register for organ or tissue donation

By Health WordPress, 3 July 2015

PHOTO: How to manage Chronic Kidney Disease?
Each individual is unique. Ways to manage also vary. However, a few pointers to manage kidney disease apply to most people.

1) Home blood pressure monitoring and recording
BP < 140/90 mmHg

2) Blood glucose monitoring for diabetic patient
Premeal blood glucose 6.1 - 8.0 mmol/l
2 hours post meal blood glucose 7.1 - 10 mmol/l
HbA1c ≤ 7%

3) Maintain good personal hygiene to reduce chance of getting urinary tract infection. Monitor for symptoms like pain or burning sensation when passing urine.

4) Avoid self-medicating with over the counter drugs or supplements without proper advice from health care professionals.

5) Maintain a well-balanced diet that is according to dietitian's advice
Eg. No banana, durian or starfruit to reduce potassium intake.

6) Quit smoking

7) Keep yourself active by exercising at least 3 times per week, about 30 minutes per sessions.

8) Ensure correct dose(s) of medication are taken at the correct time.

9) Have regular check ups. Discuss with healthcare professionals if you have questions. Maintain your health and fitness.
Text from Khoo Teck Puat Hospital, "Living well with Chronic Kidney Disease"
Picture posted by Dr. Amos Ne'eman Ltd

http://3.bp.blogspot.com/-mbBIGczMPe0/Vbne4AET4TI/AAAAAAAAgxI/tsSt9Ttl0ag/s1600/open-uri20120914-24646-1mvzwn5.jpeg
http://doctoramos.com/%D7%90%D7%95%D7%A8%D7%95%D7%9C%D7%95%D7%92%D7%99%D7%99%D7%AA-%D7%9E%D7%91%D7%95%D7%92%D7%A8%D7%99%D7%9D/

Reference

## Tuesday, July 28, 2015

### $2 per hug to save sick child Source Website: http://news.asiaone.com/news/asia/2-hug-save-sick-child By mypaper, myp@sph.com.sg, Monday, 27 July 2015 PHOTO: A Chinese women is offering a hug in exchange for 10 yuan (S$2) to raise money for her daughter, who has leukaemia, Chongqing city's official news website, Cqnews, reported.
Photo: Internet
http://3.bp.blogspot.com/-HvSW1r01OT8/VbcT92_t4vI/AAAAAAAAgv8/gKsM-IrKSp4/s1600/20150727_sellhug_internet_cqnewsnet-1.jpg
http://news.asiaone.com/sites/default/files/styles/w848/public/original_images/Jul2015/20150727_sellhug_internet_cqnewsnet.jpg?itok=l2zJT3Uc
http://news.asiaone.com/news/asia/2-hug-save-sick-child

CHONGQING - A hug in exchange for 10 yuan (S$2). This is what a Chinese woman is offering to raise money for her daughter, who has leukaemia, said the Chinese media. The 28-year-old woman, Chen Dejuan, was spotted outside a light rail station in south-west China's Chongqing city on Saturday, offering to hug anyone willing to give her 10 yuan to help with her daughter's medical fees, reported the city's official news website, Cqnews. To prove she was not a swindler, Ms Chen showed her daughter's medical records, Cqnews added Her four-year-old daughter, who was bald, sat at her side while she held up a placard on which was written, "Hug for sale - 10 yuan each", according to the website. Some of the donors gave more than 10 yuan, and a number of them hugged her and her daughter, the website noted. Ms Chen told Cqnews that she was initially squeamish about the thought of being hugged by strangers, and she ended up pacing around the station with her daughter for more than three hours on Friday, the first day of her money-raising effort. "But seeing that my daughter was feeling uncomfortable and weak under the sun, I felt pain and knew I had no choice but to do it," she said. "In fact, offering to be hugged by anyone requires lots of courage." According to Ms Chen, she raised about 600 yuan in the first hour on Friday. After her story made it to the Internet, many people transmitted money to her bank or online payment account. Dismayed that some saw her act as a publicity stunt, she said she did think of selling desserts instead, but her daughter needed her constant care and the takings would not have been enough. She revealed that she and her husband discovered their daughter's disease in May, while they were working in Shandong province. They came back to Chongqing, her husband's native city, where they spent all the money they had borrowed at the Chongqing Medical University (CMU) on their child's treatment. "My husband has gone back to his home county to sell off some of my dowry," she added. She said she hit upon the "hugging" idea when some people she met in the hospital gave her monetary assistance, while others gave her hugs as encouragement. A check with CMU showed that Ms Chen's daughter had been warded there for a period of time, said Cqnews. By mypaper, myp@sph.com.sg, Monday, 27 July 2015 Get MyPaper for more stories. PHOTO: She said she hit upon the "hugging" idea when some people she met in the hospital gave her monetary assistance, while others gave her hugs as encouragement. A check with CMU showed that Ms Chen's daughter had been warded there for a period of time, said Cqnews. Photo: Internet http://4.bp.blogspot.com/-iM8AK3l4lAk/VbcT9-k8tGI/AAAAAAAAgv0/1VDuKwA6uQI/s1600/%25242%2Bper%2Bhug%2Bto%2Bsave%2Bsick%2Bchild-1.jpg http://news.asiaone.com/news/asia/2-hug-save-sick-child ------------☆☆------------ 世上只有妈妈好 - Mom is the Best shì shàng zhǐ yǒu mā ma hǎo 有妈的孩子像块宝 - A child with a mother is like a treasure yǒu mā de hái zi xiàng kuài bǎo 投进妈妈的怀抱 - In the arms of mother tóu jìn mā ma de huái bào 幸福享不了 - Boundless happiness xìng fú xiǎng bù liǎo ------------☆☆------------ 世上只有妈妈好 - Mom is the Best shì shàng zhǐ yǒu mā ma hǎo 没妈的孩子像根草 - A child without a mother is like grass méi mā de hái zi xiàng gēn cǎo 离开妈妈的怀抱 - To leave the mother's arms lí kāi mā ma de huái bào 幸福哪里找 - Where to find happiness xìng fú Nǎ lǐ zhǎo ------------☆☆------------ PHOTO: Ms Chen told Cqnews that she was initially squeamish about the thought of being hugged by strangers, and she ended up pacing around the station with her daughter for more than three hours on Friday, the first day of her money-raising effort. "But seeing that my daughter was feeling uncomfortable and weak under the sun, I felt pain and knew I had no choice but to do it," she said. Photo: Internet http://2.bp.blogspot.com/-CNeGekMTuRI/VbcT9wRw6eI/AAAAAAAAgv4/eudZjvN4zcw/s1600/%25242%2Bper%2Bhug%2Bto%2Bsave%2Bsick%2Bchild-11.jpg http://news.asiaone.com/news/asia/2-hug-save-sick-child 世上只有妈妈好 儿童歌曲1 From: https://www.youtube.com/watch?v=lhxUKSwvbK8 世上只有媽媽好~夏川里美 From: http://www.youtube.com/watch?v=eN6w9I3hPtM&feature=related 世上只有妈妈好-方世玉OST From: http://www.youtube.com/watch?v=YYzeQUJiNyI PHOTO: 妈妈再爱我一次 - Mom love me once again Mā mā zài ài wǒ yī cì 温暖、含蓄的母爱 - Warm, motherly love wēn nuǎn, hán xù mǔ'ài 漫长岁月留下 - Leaving long years Màn cháng suì yuè liú xià 永远最真挚的感情 - Most sincere feelings forever yǒng yuǎn zuì zhēn zhì de gǎn qíng http://4.bp.blogspot.com/-B_FICEiYNmI/VbcT-hZTX9I/AAAAAAAAgwM/Xt1F18Hb0tM/s1600/njeldocat3yprxq.jpg http://i.gtimg.cn/qqlive/img/jpgcache/files/qqvideo/n/njeldocat3yprxq.jpg http://v.qq.com/detail/0/04wvc94d0124feo.html ## Monday, July 27, 2015 ### 16 lauded for helping man pinned by truck My Paper, Monday, July 27, 2015, Page A4, Top Stories From http://epaper.mypaper.sg/emnd/fvxen/fvxp/fvxpress.php?param=2015-07-27 Source Website: http://mypaper.sg/top-stories/16-lauded-helping-man-pinned-truck-20150727 By mypaper, myp@sph.com.sg, Published on Jul 27, 2015 PHOTO: LENDING A HAND: These four women are among the passers-by who went to the South Korean's aid last week. They are (from far left): Ms Er, Ms Lee Yuen Wan, Ms Joyce Chang and Ms Bregente. PHOTO: SHIN MIN DAILY NEWS http://2.bp.blogspot.com/-RulgW0cXpiM/VbV0Mo2GlLI/AAAAAAAAgvQ/-Yj6HZMqewA/s1600/MY_20150727_SCDF27_P_1545932-1.jpg http://mypaper.sg/sites/default/files/styles/large/public/field/image/20150727/MY_20150727_SCDF27_P_1545932.jpg http://mypaper.sg/top-stories/16-lauded-helping-man-pinned-truck-20150727 FOUR women were among the 16 people who helped a South Korean man trapped under a truck last Wednesday and recognised for their efforts. They were given awards for their public spiritedness by the Singapore Civil Defence Force yesterday. The 16 were among a group of passers-by who had helped Kim Seong Mo, 35, who had been pinned underneath a trailer truck after an accident in Boon Keng Road. A 90sec video of the incident, which showed about 30 bystanders rushing to lift the truck to free him, went viral on social media. Among the four women recognised yesterday were colleagues Diana Bregente and Er Sing Yee. The two sales managers had been on their way to lunch and were near the scene. PHOTO: Ms Diana Bregente, receiving her certificate from the SCDF The Sales Manager from Spectrum, was among the first few to respond when the accident occurred. Posted by Diane Leow, Channel NewsAsia on 26 July 2015 at 15:10 http://2.bp.blogspot.com/-R668Njbi6F4/VbV0MoApxhI/AAAAAAAAgvU/RKSNMHwNvok/s1600/diana-bregende-scdf-data.jpg http://www.channelnewsasia.com/blob/2008716/1437893180000/diana-bregende-scdf-data.jpg http://www.channelnewsasia.com/news/singapore/16-lauded-for-boon-keng/2008300.html Ms Bregente, 36, told Shin Min Daily News that when they found out Mr Kim had been trapped, he was close to being rescued from under the truck by other passers-by. She quickly opened an umbrella to shade Mr Kim and a man who pulled him out, as it was very warm that day. Ms Er, 32, called for an ambulance, checked how serious Mr Kim's injuries were and helped him to retrieve his mobile phone to contact his family. Among those who helped to lift the truck was software engineer Asif Iqbal, 33, The Straits Times reported. The Singapore permanent resident from India was one of two men who ducked underneath the truck to pull Mr Kim out. PHOTO: Sixteen members of the public were commended by the Singapore Civil Defence Force for help to rescue a man trapped under a truck Posted by Diane Leow, Channel NewsAsia on 26 July 2015 at 15:10 http://1.bp.blogspot.com/-9_lVN3bMSiA/VbV0NshyYJI/AAAAAAAAgvg/77y0p8FbDhw/s1600/scdf-awards.jpg http://www.channelnewsasia.com/image/2008700/1437892659000/large16x9/768/432/scdf-awards.jpg http://www.channelnewsasia.com/news/singapore/16-lauded-for-boon-keng/2008300.html "We were all pushing the truck, then I realised, someone (had) to go underneath to pull him out," he said. "This was an incident where everyone stopped worrying about work stress and concerns, we put everything aside. We just wanted to help the man." By mypaper, myp@sph.com.sg, Published on Jul 27, 2015 PHOTO: On Wednesday, more than 30 people rushed to a man’s rescue after hearing his cries for help. He had been pinned under a truck at the corner of Bendemeer and Boon Keng Road that morning. The 35-year-old man was eventually freed after the passersby managed to lift the truck's wheels high enough. He was eventually sent to Tan Tock Seng hospital with a fractured leg, according to authorities. The incident was recorded by Mr Foo Suan Wang who uploaded the video online, which quickly went viral. By Sunday morning, the video has been viewed more than 347,000 times and garnered 5,900 shares. Commenters lauded the rescuers for stepping forward, calling them “Heroes!” and praising them for a job well done. Mr Mohamed Zakaria, a senior technician who happened to be passing by, said there was a man in his 60s who led the efforts. However, he was not present at the ceremony on Sunday. Mr Asif Iqbal receiving his certificate from the SCDF. (Photo: Diane Leow) Mr Iqbal, a software engineer from India who was one of two men who pulled the victim to safety, said everyone spontaneously gathered to help. "You could see people from different countries, but (all) the thoughts (were) of saving the man on the spot," Mr Iqbal said. Those who helped said it took about 10 to 15 minutes to get the victim out. Sixteen members of the public were recognised for their efforts on Sunday morning (Jul 26) by the Singapore Civil Defence Force (SCDF) after helping to rescue a man trapped under a truck earlier in the week. Texts posted by Diane Leow, Channel NewsAsia on 26 July 2015 at 15:10 http://1.bp.blogspot.com/-nH7_k0HBI2M/VbV0MvpDhOI/AAAAAAAAgvM/IIo3aHLYKNA/s1600/boon-keng-accident.jpg http://www.todayonline.com/sites/default/files/styles/photo_gallery_image_lightbox/public/photos/43_images/boon-keng-accident.jpg?itok=F70qXRwz www.todayonline.com Reference ## Sunday, July 26, 2015 ### Rolls-Royce honours Singapore with an incredible limited-edition car Source Website: http://www.businessinsider.sg/rolls-royce-honors-singapore-with-an-incredible-limited-edition-car-2015-7/#.VbRjrLWYQz8 Posted by Steven Benna (REV Asia), Transportation on 25 July 2015 at 2:59 AM PHOTO: SG50 Ghost Series II, the one-of-a-kind vehicle created a car to honour the 50th Anniversary Singapore Photo by Rolls Royce http://3.bp.blogspot.com/-sGSt7lqOyUM/VbTcPO5nNyI/AAAAAAAAguo/fmswd9gVNnM/s1600/sg50%2Bghost%2Bsii%2B%25284%2529.jpg https://static-ssl.businessinsider.com/image/55b253a52acae717448b72b7-5703-3802/sg50%20ghost%20sii%20%284%29.jpg http://www.businessinsider.sg/rolls-royce-honors-singapore-with-an-incredible-limited-edition-car-2015-7/#.VbRjrLWYQz8 For the first time ever, Rolls-Royce has created a car to honor the anniversary of a country. The luxury car brand announced this week that it will be selling a SG50 Ghost Series II in connection with the 50th anniversary of Singapore’s independence, which will be celebrated during Jubilee Weekend on August 7-10. This SG50 Ghost Series II, a unique celebratory Rolls-Royce, will sit as a timeless masterpiece in a client’s care to reflect on this significant milestone,” Paul Harris, Asia Pacific regional director of Rolls-Royce, said in a press release. A price for the limited edition Ghost has not been announced, but the Singapore dealer is already speaking with a few potential buyers, according to Rolls-Royce. The base price for a normal Ghost Series II is about$290,000.

The car boasts an all-white exterior that’s decorated with a red coachline to honor the Singapore flag, according to Rolls-Royce.

PHOTO: On the vehicle’s tread plate is an intricate sketch of Singapore’s skyline with the words “Hand Built in Goodwood, England for Singapore’s 50th Anniversary.
Photo by Rolls Royce
http://4.bp.blogspot.com/-zOnQCcU3Ph0/VbTcO-hO99I/AAAAAAAAguk/tsTyLO05HfE/s1600/sg50%2Bghost%2Bsii%2B%252810%2529.jpg