What is Hand, Foot and Mouth Disease?
Hand, foot and mouth disease (HFMD) is a common disease of childhood, like chickenpox and measles. It is usually characterized by tiny blisters on the inside of the mouth and the palm of the hands, fingers, and sole of the feet. Blisters also commonly occur on the buttock and other parts of the body. It is commonly caused by Coxsackie virus A16 (an enterovirus), and less commonly by other types of viruses such as enterovirus 71. HFMD is not the same as foot-and-mouth disease of cattle and sheep. Foot-and-mouth disease is caused by different viruses.
What are the signs and symptoms of HFMD?
Young children are primarily affected, but it may be seen in adults. The most common age group affected is those below 10 years old. Outbreaks may occur among groups of children especially in child care centers or nursery schools. This is because these children are younger and their immune system is not well developed. In other countries, most cases occur in the summer and early fall. Symptoms usually appear 3 to 7 days after exposure.
HFMD begins with the child getting fever, poor appetite, tiredness and a sore throat. One or two days after the fever appear, the child begins to develop painful sores in the mouth and throat. These sores begin as small red dots which the blisters and develop into ulcers. They are usually located on the tongue, inner side of the cheek and at the back of the throat. The skin rash appears around the same time the oral ulcers appear. These rashes may be just red dots but some may proceed to develop into blister with fluid in the center. The rash are not itchy and is usually located on the palms of the hand, the soles of the feet and around the buttocks region .Mild cases may only has the rash or oral ulcers.
The fever and oral ulcers create a lot of discomfort for the child. They are usually irritable and would be unable to eat even though they are hungry and thirsty. In mild cases, the oral ulcers will begin to heal in about 3-5 days and the fever subsides around the same time. Most children recover without medical treatment in 7 to 10 days.
Complications of HFMD are rare. A few children with coxsackievirus A16 infection may develop meningitis with fever, headache and stiff neck. These children will need to be hospitalized for treatment. Another virus that causes HFMD, EV71 may also cause meningitis and also may cause more severe complications like encephalitis, myocarditis (heart involvement) and polio-like paralysis. EV71 encephalitis may be fatal. Outbreak of fatal encephalitis HFMD by EV71 occurred in Malaysia in 1997 and Taiwan in 1998.
How do HFMD spread?
HFMD spread from person to person by direct contact with nose and throat secretions, saliva, fluid form blisters or the stool of infected children. The infection spread most easily during the acute phase of illness when people are feeling ill, but the virus can spread for several weeks after the onset of infection.
Is there any treatment for HFMD?
There is no specific treatment for HFMD. There is also no vaccine for HFMD. Symptomatic treatment is reducing fever by use of paracetamol or ibuprofen and relief from the pain of oral ulcers. The child should be brought to see a doctor if high fever persists in spite of medication, totally unable to eat and was lethargic all the time.
Can HFMD be prevented?
HFMD cannot be prevented but the risk of infection can be lowered by good hygiene habits such as:
Washing hands well, especially after going to the bathroom and after changing diapers.
Covering the mouth and nose when coughing or sneezing.
Frequent washing of toys.
Excluding children from child care or kindergarten if there is a fever, or ulcers in the mouth.
What can kindergarten and childcare facilities do?
HFMD occurs commonly in children who are in childcare facilities or kindergarten. Even if the children are checked daily and sent home if they have fever and oral ulcers, it may be too late as the virus would have spread before the signs of HFMD appear or after the infection. Adults who have no symptoms may be carrier of the disease. Nevertheless, it would be good if the following measures are to be taken especially during an outbreak:
· Daily examination of children before school starts. If the child has fever and oral ulcers, they are to be quarantine in a separate room until their parents or guardians come to pick them up.
· Child with HFMD should not be allowed in the kindergarten or childcare for 10 days.
· Toys and furniture in the kindergarten and childcare facilities should be cleaned using diluted solution of chlorine-containing bleach (made by mixing approximately one quarter cup of bleach with one gallon of water).
Friday, March 10, 2006
Hand, Foot and Mouth Disease (HFMD)
What is Hand, Foot and Mouth Disease?
Hand, foot and mouth disease (HFMD) is a common disease of childhood, like chickenpox and measles. It is usually characterized by tiny blisters on the inside of the mouth and the palm of the hands, fingers, and sole of the feet. Blisters also commonly occur on the buttock and other parts of the body. It is commonly caused by Coxsackie virus A16 (an enterovirus), and less commonly by other types of viruses such as enterovirus 71. HFMD is not the same as foot-and-mouth disease of cattle and sheep. Foot-and-mouth disease is caused by different viruses.
What are the signs and symptoms of HFMD?
Young children are primarily affected, but it may be seen in adults. The most common age group affected is those below 10 years old. Outbreaks may occur among groups of children especially in child care centers or nursery schools. This is because these children are younger and their immune system is not well developed. In other countries, most cases occur in the summer and early fall. Symptoms usually appear 3 to 7 days after exposure.
HFMD begins with the child getting fever, poor appetite, tiredness and a sore throat. One or two days after the fever appear, the child begins to develop painful sores in the mouth and throat. These sores begin as small red dots which the blisters and develop into ulcers. They are usually located on the tongue, inner side of the cheek and at the back of the throat. The skin rash appears around the same time the oral ulcers appear. These rashes may be just red dots but some may proceed to develop into blister with fluid in the center. The rash are not itchy and is usually located on the palms of the hand, the soles of the feet and around the buttocks region .Mild cases may only has the rash or oral ulcers.
The fever and oral ulcers create a lot of discomfort for the child. They are usually irritable and would be unable to eat even though they are hungry and thirsty. In mild cases, the oral ulcers will begin to heal in about 3-5 days and the fever subsides around the same time. Most children recover without medical treatment in 7 to 10 days.
Complications of HFMD are rare. A few children with coxsackievirus A16 infection may develop meningitis with fever, headache and stiff neck. These children will need to be hospitalized for treatment. Another virus that causes HFMD, EV71 may also cause meningitis and also may cause more severe complications like encephalitis, myocarditis (heart involvement) and polio-like paralysis. EV71 encephalitis may be fatal. Outbreak of fatal encephalitis HFMD by EV71 occurred in Malaysia in 1997 and Taiwan in 1998.
How do HFMD spread?
HFMD spread from person to person by direct contact with nose and throat secretions, saliva, fluid form blisters or the stool of infected children. The infection spread most easily during the acute phase of illness when people are feeling ill, but the virus can spread for several weeks after the onset of infection.
Is there any treatment for HFMD?
There is no specific treatment for HFMD. There is also no vaccine for HFMD. Symptomatic treatment is reducing fever by use of paracetamol or ibuprofen and relief from the pain of oral ulcers. The child should be brought to see a doctor if high fever persists in spite of medication, totally unable to eat and was lethargic all the time.
Can HFMD be prevented?
HFMD cannot be prevented but the risk of infection can be lowered by good hygiene habits such as:
Washing hands well, especially after going to the bathroom and after changing diapers.
Covering the mouth and nose when coughing or sneezing.
Frequent washing of toys.
Excluding children from child care or kindergarten if there is a fever, or ulcers in the mouth.
What can kindergarten and childcare facilities do?
HFMD occurs commonly in children who are in childcare facilities or kindergarten. Even if the children are checked daily and sent home if they have fever and oral ulcers, it may be too late as the virus would have spread before the signs of HFMD appear or after the infection. Adults who have no symptoms may be carrier of the disease. Nevertheless, it would be good if the following measures are to be taken especially during an outbreak:
· Daily examination of children before school starts. If the child has fever and oral ulcers, they are to be quarantine in a separate room until their parents or guardians come to pick them up.
· Child with HFMD should not be allowed in the kindergarten or childcare for 10 days.
· Toys and furniture in the kindergarten and childcare facilities should be cleaned using diluted solution of chlorine-containing bleach (made by mixing approximately one quarter cup of bleach with one gallon of water).
Hand, foot and mouth disease (HFMD) is a common disease of childhood, like chickenpox and measles. It is usually characterized by tiny blisters on the inside of the mouth and the palm of the hands, fingers, and sole of the feet. Blisters also commonly occur on the buttock and other parts of the body. It is commonly caused by Coxsackie virus A16 (an enterovirus), and less commonly by other types of viruses such as enterovirus 71. HFMD is not the same as foot-and-mouth disease of cattle and sheep. Foot-and-mouth disease is caused by different viruses.
What are the signs and symptoms of HFMD?
Young children are primarily affected, but it may be seen in adults. The most common age group affected is those below 10 years old. Outbreaks may occur among groups of children especially in child care centers or nursery schools. This is because these children are younger and their immune system is not well developed. In other countries, most cases occur in the summer and early fall. Symptoms usually appear 3 to 7 days after exposure.
HFMD begins with the child getting fever, poor appetite, tiredness and a sore throat. One or two days after the fever appear, the child begins to develop painful sores in the mouth and throat. These sores begin as small red dots which the blisters and develop into ulcers. They are usually located on the tongue, inner side of the cheek and at the back of the throat. The skin rash appears around the same time the oral ulcers appear. These rashes may be just red dots but some may proceed to develop into blister with fluid in the center. The rash are not itchy and is usually located on the palms of the hand, the soles of the feet and around the buttocks region .Mild cases may only has the rash or oral ulcers.
The fever and oral ulcers create a lot of discomfort for the child. They are usually irritable and would be unable to eat even though they are hungry and thirsty. In mild cases, the oral ulcers will begin to heal in about 3-5 days and the fever subsides around the same time. Most children recover without medical treatment in 7 to 10 days.
Complications of HFMD are rare. A few children with coxsackievirus A16 infection may develop meningitis with fever, headache and stiff neck. These children will need to be hospitalized for treatment. Another virus that causes HFMD, EV71 may also cause meningitis and also may cause more severe complications like encephalitis, myocarditis (heart involvement) and polio-like paralysis. EV71 encephalitis may be fatal. Outbreak of fatal encephalitis HFMD by EV71 occurred in Malaysia in 1997 and Taiwan in 1998.
How do HFMD spread?
HFMD spread from person to person by direct contact with nose and throat secretions, saliva, fluid form blisters or the stool of infected children. The infection spread most easily during the acute phase of illness when people are feeling ill, but the virus can spread for several weeks after the onset of infection.
Is there any treatment for HFMD?
There is no specific treatment for HFMD. There is also no vaccine for HFMD. Symptomatic treatment is reducing fever by use of paracetamol or ibuprofen and relief from the pain of oral ulcers. The child should be brought to see a doctor if high fever persists in spite of medication, totally unable to eat and was lethargic all the time.
Can HFMD be prevented?
HFMD cannot be prevented but the risk of infection can be lowered by good hygiene habits such as:
Washing hands well, especially after going to the bathroom and after changing diapers.
Covering the mouth and nose when coughing or sneezing.
Frequent washing of toys.
Excluding children from child care or kindergarten if there is a fever, or ulcers in the mouth.
What can kindergarten and childcare facilities do?
HFMD occurs commonly in children who are in childcare facilities or kindergarten. Even if the children are checked daily and sent home if they have fever and oral ulcers, it may be too late as the virus would have spread before the signs of HFMD appear or after the infection. Adults who have no symptoms may be carrier of the disease. Nevertheless, it would be good if the following measures are to be taken especially during an outbreak:
· Daily examination of children before school starts. If the child has fever and oral ulcers, they are to be quarantine in a separate room until their parents or guardians come to pick them up.
· Child with HFMD should not be allowed in the kindergarten or childcare for 10 days.
· Toys and furniture in the kindergarten and childcare facilities should be cleaned using diluted solution of chlorine-containing bleach (made by mixing approximately one quarter cup of bleach with one gallon of water).
Raising Ebenezer
Robert Robinson had a rough beginning. His father died when he was young and his mother, unable to control him sent him to London to learn to be a barber, Instead he learned to drink and be a gangster. One night when he was about 17, he and his friends visited a fortune teller while drunk. They made fun of the fortune teller as she tried to tell their fortune. Something about the encounter disturbed Robert so he attended later that vening an evangelistic meeting by George Whitefield. Whitefield preached from Matthew 3:7. His words haunted Robert until he gave his heart to Jesus on December 10, 1755, nearly three years later. Here is a man who have turned from a sinful life and entered the ministry at 23 years old. He wrote the hymn, ‘Come, Thou Fount of Every Blessing’ in 1758 to remember the time when the Holy Spirit entered into his life and make all things new.
Read complete sermon
Read complete sermon
Raising Ebenezer
Robert Robinson had a rough beginning. His father died when he was young and his mother, unable to control him sent him to London to learn to be a barber, Instead he learned to drink and be a gangster. One night when he was about 17, he and his friends visited a fortune teller while drunk. They made fun of the fortune teller as she tried to tell their fortune. Something about the encounter disturbed Robert so he attended later that vening an evangelistic meeting by George Whitefield. Whitefield preached from Matthew 3:7. His words haunted Robert until he gave his heart to Jesus on December 10, 1755, nearly three years later. Here is a man who have turned from a sinful life and entered the ministry at 23 years old. He wrote the hymn, ‘Come, Thou Fount of Every Blessing’ in 1758 to remember the time when the Holy Spirit entered into his life and make all things new.
Read complete sermon
Read complete sermon
Wednesday, March 8, 2006
Simon and Garfunkel: The Sound of Silence
Hello darkness, my old friend,
I've come to talk with you again,
Because a vision softly creeping,
Left its seeds while I was sleeping,
And the vision that was planted in my brain
Still remains
Within the sound of silence.
In restless dreams I walked alone
Narrow streets of cobblestone,
'Neath the halo of a street lamp,
I turned my collar to the cold and damp
When my eyes were stabbed by the flash of
a neon light
That split the night
And touched the sound of silence.
And in the naked light I saw
Ten thousand people, maybe more.
People talking without speaking,
People hearing without listening,
People writing songs that voices never share
And no one deared
Disturb the sound of silence.
"Fools" said I,"You do not know
Silence like a cancer grows.
Hear my words that I might teach you,
Take my arms that I might reach you."
But my words like silent raindrops fell,
And echoed
In the wells of silence
And the people bowed and prayed
To the neon god they made.
And the sign flashed out its warning,
In the words that it was forming.
And the signs said, The words of the prophets
are written on the subway walls
And tenement halls.
And whisper'd in the sounds of silence.
.
Simon and Garfunkel: The Sound of Silence
Hello darkness, my old friend,
I've come to talk with you again,
Because a vision softly creeping,
Left its seeds while I was sleeping,
And the vision that was planted in my brain
Still remains
Within the sound of silence.
In restless dreams I walked alone
Narrow streets of cobblestone,
'Neath the halo of a street lamp,
I turned my collar to the cold and damp
When my eyes were stabbed by the flash of
a neon light
That split the night
And touched the sound of silence.
And in the naked light I saw
Ten thousand people, maybe more.
People talking without speaking,
People hearing without listening,
People writing songs that voices never share
And no one deared
Disturb the sound of silence.
"Fools" said I,"You do not know
Silence like a cancer grows.
Hear my words that I might teach you,
Take my arms that I might reach you."
But my words like silent raindrops fell,
And echoed
In the wells of silence
And the people bowed and prayed
To the neon god they made.
And the sign flashed out its warning,
In the words that it was forming.
And the signs said, The words of the prophets
are written on the subway walls
And tenement halls.
And whisper'd in the sounds of silence.
.
Tuesday, February 28, 2006
Henri Nouwen on Gratitude
Gratitude... goes beyond the "mine" and "thine" and claims the truth that all of life is a pure gift. In the past I always thought of gratitude as a spontaneous response to the awareness of gifts received, but now I realize that gratitude can also be lived as a discipline. The discipline of gratitude is the explicit effort to acknowledge that all I am and have is given to me as a gift of love, a gift to be celebrated with joy.
Henri Nouwen
Henri Nouwen
Spiritual Formation of the Disicples
A Learning Organisation in Action
A disciple is a ‘learner’. Hence, it may be assumed that a church, which is a community of disciples (learners) will be a learning organisation. Unfortunately it is not so. The church has always been slow to embrace changes and remain relevant in a rapidly changing world. Recently, mainly through the works of Peter Senge, ‘secular’ organisations has discovered that they need to be learning organisations if they are to survive in this rapidly changing socio-political and economic climate
read complete text at http://www.draltang02.blogspot.com
A disciple is a ‘learner’. Hence, it may be assumed that a church, which is a community of disciples (learners) will be a learning organisation. Unfortunately it is not so. The church has always been slow to embrace changes and remain relevant in a rapidly changing world. Recently, mainly through the works of Peter Senge, ‘secular’ organisations has discovered that they need to be learning organisations if they are to survive in this rapidly changing socio-political and economic climate
read complete text at http://www.draltang02.blogspot.com
Spiritual Formation of the Disicples
A Learning Organisation in Action
A disciple is a ‘learner’. Hence, it may be assumed that a church, which is a community of disciples (learners) will be a learning organisation. Unfortunately it is not so. The church has always been slow to embrace changes and remain relevant in a rapidly changing world. Recently, mainly through the works of Peter Senge, ‘secular’ organisations has discovered that they need to be learning organisations if they are to survive in this rapidly changing socio-political and economic climate
read complete text at http://www.draltang02.blogspot.com
A disciple is a ‘learner’. Hence, it may be assumed that a church, which is a community of disciples (learners) will be a learning organisation. Unfortunately it is not so. The church has always been slow to embrace changes and remain relevant in a rapidly changing world. Recently, mainly through the works of Peter Senge, ‘secular’ organisations has discovered that they need to be learning organisations if they are to survive in this rapidly changing socio-political and economic climate
read complete text at http://www.draltang02.blogspot.com
Sunday, February 26, 2006
Olivia Newton John: Please Mr Please
Please Mr. Please
Olivia Newton-John
(Welch/Rostill)
In the corner of the bar there stands a jukebox
With the best of country music, old and new
You can hear your five selections for a quarter
And somebody else's songs when yours are through
I got good Kentucky whiskey on the counter
And my friends around to help me ease the pain
'Til some button-pushing cowboy plays that love song
And here I am just missing you again
Please, Mr., please, don't play B-17
It was our song, it was his song, but it's over
Please, Mr., please, if you know what I mean
I don't ever wanna hear that song again
If I had a dime for every time I held you
Though you're far away, you've been so close to me
I could swear I'd be the richest girl in Nashville
Maybe even in the state of Tennessee
But I guess I'd better get myself together
'Cause when you left, you didn't leave too much behind
Just a note that said "I'm sorry" by your picture
And a song that's weighing heavy on my mind
Please, Mr., please, don't play B-17
It was our song, it was his song, but it's over
Please, Mr., please, if you know what I mean
I don't ever wanna hear that song again
.
Olivia Newton John: Please Mr Please
Please Mr. Please
Olivia Newton-John
(Welch/Rostill)
In the corner of the bar there stands a jukebox
With the best of country music, old and new
You can hear your five selections for a quarter
And somebody else's songs when yours are through
I got good Kentucky whiskey on the counter
And my friends around to help me ease the pain
'Til some button-pushing cowboy plays that love song
And here I am just missing you again
Please, Mr., please, don't play B-17
It was our song, it was his song, but it's over
Please, Mr., please, if you know what I mean
I don't ever wanna hear that song again
If I had a dime for every time I held you
Though you're far away, you've been so close to me
I could swear I'd be the richest girl in Nashville
Maybe even in the state of Tennessee
But I guess I'd better get myself together
'Cause when you left, you didn't leave too much behind
Just a note that said "I'm sorry" by your picture
And a song that's weighing heavy on my mind
Please, Mr., please, don't play B-17
It was our song, it was his song, but it's over
Please, Mr., please, if you know what I mean
I don't ever wanna hear that song again
.
John Denver: Country Roads Take Me Home
Almost heaven, west virginia
Blue ridge mountains
Shenandoah river -Life is old there
Older than the trees
Younger than the mountains
Growin like a breeze
Country roads, take me home
To the place I belong
West Virginia,
mountain momma
Take me home,
country roads
All my memories gathered round her
Miners lady, stranger to blue water
Dark and dusty, painted on the sky
Misty taste of moonshine
Teardrops in my eye
Country roads, take me home
To the place I belong
West Virginia,
mountain momma
Take me home, country roads
I hear her voice
In the mornin hour she calls me
The radio reminds me of my home far away
And drivin down the road I get a feelin
That I should have been home yesterday, yesterday
Country roads, take me home
To the place I belong
West Virginia, mountain momma
Take me home, country roads
Country roads, take me home
To the place I belong
West Virginia, mountain momma
Take me home, country roads
Take me home, now country roads
Take me home, now country roads
Words and music by bill danoff, taffy nivert and john denver
John Denver: Country Roads Take Me Home
Almost heaven, west virginia
Blue ridge mountains
Shenandoah river -Life is old there
Older than the trees
Younger than the mountains
Growin like a breeze
Country roads, take me home
To the place I belong
West Virginia,
mountain momma
Take me home,
country roads
All my memories gathered round her
Miners lady, stranger to blue water
Dark and dusty, painted on the sky
Misty taste of moonshine
Teardrops in my eye
Country roads, take me home
To the place I belong
West Virginia,
mountain momma
Take me home, country roads
I hear her voice
In the mornin hour she calls me
The radio reminds me of my home far away
And drivin down the road I get a feelin
That I should have been home yesterday, yesterday
Country roads, take me home
To the place I belong
West Virginia, mountain momma
Take me home, country roads
Country roads, take me home
To the place I belong
West Virginia, mountain momma
Take me home, country roads
Take me home, now country roads
Take me home, now country roads
Words and music by bill danoff, taffy nivert and john denver
Monday, February 20, 2006
Olivia Newton John: Have You Never Been Mellow
Have You Never Been Mellow
Olivia Newton-John
(Farrar)
There was a time when I was in a hurry as you are
I was like you
There was a day when I just had to tell my point of view
I was like you
Now I don't mean to make you frown
No, I just want you to slow down
Have you never been mellow?
Have you never tried to find a comfort from inside you?
Have you never been happy just to hear your song?
Have you never let someone else be strong?
Running around as you do with your head up in the clouds
I was like you
Never had time to lay back, kick your shoes off, close your eyes
I was like you
Now you're not hard to understand
You need someone to hold your hand
Have you never been mellow?
Have you never tried to find a comfort from inside you?
Have you never been happy just to hear your song?
Have you never let someone else be strong?
.
Olivia Newton John: Have You Never Been Mellow
Have You Never Been Mellow
Olivia Newton-John
(Farrar)
There was a time when I was in a hurry as you are
I was like you
There was a day when I just had to tell my point of view
I was like you
Now I don't mean to make you frown
No, I just want you to slow down
Have you never been mellow?
Have you never tried to find a comfort from inside you?
Have you never been happy just to hear your song?
Have you never let someone else be strong?
Running around as you do with your head up in the clouds
I was like you
Never had time to lay back, kick your shoes off, close your eyes
I was like you
Now you're not hard to understand
You need someone to hold your hand
Have you never been mellow?
Have you never tried to find a comfort from inside you?
Have you never been happy just to hear your song?
Have you never let someone else be strong?
.
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