Seoul Forrest

Bldg 63

Bldg 63

Directions: From Yeouinaru Station, take the Free Shuttle across from Sambu APT, 80m away from exit no. 4 or Yeoido station, take the Free Shuttle or bus no.62 in front of St. Mary’s Hospital Platform from exit no. 5

63 Sky deck: KRW 1500

Nami Island

Nami Island

Watch the Video

Schedule: 930-1600

Directions:
Option 1 (Join the Package Tour)
KRW 23,000 = P 900 (roundtrip fare + ferry + entrance)

Option 2 DIY

Directions: myungdong to dongdaemun history park (line 4) dongdaemun history park to wangsimni (line 2) wangsimni to sangbong (jung-ang line),  gapyeong station, bus infront of the gapyeon station (900won) or cab (3,000won) drop to naminara, ride a ferry cost 8,000won entrance and roundtrip ticket included

Option 3 with Petit France Visit

Activities:
Bike rental KRW 3,000 (30minutes) 5,000 (1hour) = P 120/ 200

Hepatitis B Vaccination of Hemodialysis Patients

Hepatitis B Vaccine

"Hepatitis B vaccination is recommended for all susceptible chronic hemodialysis patients. Vaccination is recommended for pre-end-stage renal disease patients before they become dialysis dependent and for peritoneal and home dialysis patients because they might require in-center hemodialysis.

“Patients with uremia who were vaccinated before they required dialysis have been shown to have higher seroconversion rates and antibody titers. The response may also be better in children.”

Dosage and Schedule

"For patients undergoing hemodialysis and for other immunosuppressed patients, higher vaccine doses or increased number of doses are required. A special formulation of one vaccine is now available for such persons (Recombivax HB, 40 μg/mL)".

“If an adult patient begins the vaccine series with a standard dose before beginning hemodialysis treatment, then moves to hemodialysis treatment before completing the series, complete the series using the higher dose recommended for hemodialysis patients. No specific recommendations have been made for higher doses for pediatric hemodialysis patients. If a lower than recommended vaccine dose is administered to either adults or children, the dose should be repeated.”

Immunogenicity and Duration of Immunity

"Although data concerning the response of pediatric hemodialysis patients to vaccination with standard pediatric doses are lacking, protective levels of antibody occur in 75% -97% of those who receive higher dosages (20-μg) on either the 3- or the 4-dose schedule."

"Limited data are available on the duration of immune memory after hepatitis B vaccination in . . . dialysis patients. No clinically important HBV infections have been documented among immunocompromised persons who maintain protective levels of anti-HBs. . . .However, among hemodialysis patients who respond to the vaccine, clinically significant HBV infection has been documented in persons who have not maintained anti-HBs concentrations of >10 mIU/mL."

Serologic Testing

Testing after vaccination is recommended for persons (including hemodialysis patients) whose subsequent clinical management depends on knowledge of their immune status. "Testing should be performed 1-2 months after administration of the last dose of the vaccine series by using a method that allows determination of a protective level of anti-HBs (>10 mIU/mL)."

"Persons found to have anti-HBs levels of <10 mIU/mL after the primary vaccine series should be revaccinated. Administration of three doses on an appropriate schedule . . ., followed by anti-HBs testing 1-2 months after the third dose, is usually more practical than serologic testing after one or more doses of vaccine."

"Persons who do not respond to revaccination should be tested for HBsAg. If the HBsAg test result is positive, the persons should receive appropriate management . . . and any household, sexual, or needle-sharing contacts should be identified and vaccinated. Persons who test negative for HBsAg should be considered susceptible to HBV infection and should be counseled about precautions to prevent HBV infection and the need to obtain HBIG postexposure prophylaxis for any known or likely parenteral exposure to HBsAg-positive blood."

Booster Doses

"For hemodialysis patients, the need for booster doses should be assessed by annual antibody to hepatitis B surface antigen (anti-HBs) testing. A booster dose should be administered when anti-HBs levels decline to <10 mIU/mL."

Reference

Guidelines for Vaccinating Kidney Dialysis Patients and Patients with Chronic Kidney Disease

summarized from
Recommendations of the Advisory Committee on Immunization Practices (ACIP)

Mount Apo Climb Itinerary

MT. APO (KIDAPAWAN-MAGPET TRAIL)

Kidapawan City and Magpet, North Cotabato
Entry point: Brgy. Ilomavis, Kidapawan City
Exit point: Brgy. Kisandal, Magpet

LLA: 7°0′30″N, 125°16′33″E, 2,956 MASL (#1)
Days required / Hours to summit: 3 days / 10-11 hours
Specs: Major Climb, Difficulty 7/9, Trail class 3

Feb 2, 2011
0500 Early breakfast
0600 At Davao Ecoland Terminal, take bus to Digos
0730 ETA Digos; take tricycle to Digos market
0800 Breakfast / Buy supplies
0900 Take Kapatagan-bound van
1100 ETA Kapatagan; Registration. Arrange guides.
1130 Take habal-habal to Mainit jumpoff
1200 Arrival at jumpoff; start trek
1730 ETA Camp 1 (Goodygoody camp). Set up camp
1830 Dinner / socials

Feb 3, 2011
0600 Breakfast / Break camp
0800 Commence trek to crater via Boulder trail.
1200 Arrival at crater. Lunch
1300 Arrival at Mt. Apo summit; Set up camp
1400 Explore vast summit area

Feb 4, 2011
0600 Breakfast / Break summit camp
0700 Start descent
0900 ETA Lake Venado
1200 ETA Mainit Hot Spring; start river crossing
1500 End of trek, Lake Agko
1600 Take habal-habal to Kidapawan City
1700 ETA Kidapawan City; take van to Davao City
2000 Back in Davao City

What to Bring:

Backpack

Raincover

Tents/ pegs/ flysheet/ sleeping bag/ groundsheet/ earthpad

Sets of clothes  For multi-day, rainy climbs, you can have two sets: the wet set during climbing and dry set during camping, just add a pajama or sweater for the camp itself if it will be cold.
Waterproofing/ poncho or raincoat
Cold protection (warm insides and a waterproof outside (a Gore-Tex jacket)/ Body warmers (bonnets, gloves, socks)
Thin, long-sleeved shirts or rashguard, they are worn with shirts/ leggings are worn with shorts

sunblock
sunglasses/shades/ trekking pole

Hiking shoes / plus optional slippers/sandals

Trekking pants/light pants
Sweater
Windbreaker/Jacket

Water/ hydration pack
Trail food
Meals
Stove one butane cylinder usually lasts for 1-2 meals
Cooking and eating utensils

Trowel /tissue paper

Soap/ Shampoo
Toothbrush / toothpaste
Alcohol
Mirror
flashlight or headlamp

digital camera

Insect repellant / Sunscreen or sunblock (>SPF 30)

First aid kit / Personal medications
ID with emergency phone numbers

Apo Reef - Pandan Island Itinerary

Start:	Apr 19, 2011
End:	Apr 22, 2011

Day 0: (April 19)
930PM: Assembly in Pasay
1000PM :ETD Pasay to Batangas Port

Day 1: (April20)
0030H: Arrival in Batangas Port
0030H – 0200H: Assembly/Buy Ticket/Board Ferry
0200H – 0400H: Batangas to Abra de Ilog via Montenegro Lines
0400H – 0700H: Abra de Ilog to Sablayan by Dimples Bus
0700H – 1000H: Arrival in Sablayan/Register and Settle Payments at Sablayan Eco-Tourism Office/Breakfast/Shop for camping supplies
1000H – 1300H: Sablayan to Apo Reef by boat
1300H – 1430H: Arrival in Apo Reef/Setup Camp/Prepare Lunch/Lunch
1430H – 1800H: Explore Apo Reef: Trek the lighthouse, rafting in lagoon, swim, snorkel, photo ops, prepare dinner
1800H – 1900H: Dinner
1900H: Socials, Bonfire, Lights off

Day 2: (April 21)
0500H – 0630H: Call time/Watch Sunrise/Prepare Breakfast
0630H – 0800H: Breakfast/Prepare for Snorkeling Tour
0800H – 1000H: Guided Snorkeling
1000H – 1030H: Break Camp
1030H – 1330H: Apo Reef to Pandan Island
1330H – 1430H: Lunch in Pandan Island
1430H – 1600H: Explore Pandan Island/Swim/Snorkel/Photo Ops
1600H – 1630H: Pandan to Sablayan
1630H – 1800H: Wash up in Eco-Tourism Complex
1800H – 2100H: Buy bus ticket to Batangas/Dinner/Rest
2100H: Wait for Bus/Depart from Sablayan to Batangas

Day 3: (April 22)
0400H: Arrival in Batangas (Diversion Road)
0400H – 0730H: Transfer to Pasay bound bus, Batangas to Pasay
0730H – 0830H: Pasay to Home
0830H: Home