As clinicians, we are all challenged every day to demonstrate better assessments and interventions that are making a difference to our patients and families we serve. In effect, this case study enhances our thinking and begin to integrate the International Classification of Functioning, Disability and Health (ICF) framework. The ICF model of disablement goes beyond the impairment level and try to capture and report on the most important performances that truly has an impact for our patients overall
CHAPTER ONE INTRODUCTION 1.1 Background of the study Dengue is an arbovirus disease complex which includes dengue fever (DF) and dengue hemorrhagic fever (DHF) and its subsequent dengue shock syndrome (DSS). It is caused by four serotypes of dengue virus. A dengue virus infection may be asymptomatic or it may lead to undifferentiated viral fever syndrome, dengue fever, fever hemorrhagic fever or dengue shock syndrome. (World Health Organization 2003) The disease is often, though not exclusively
agriculture, climatic factors, pests and diseases. The inappropriate agrarian policies by government and development activities and poverty increase the migration of indigenous youth. The single most important reason for genetic erosion is the replacement of traditional varieties with modern, HYVs, and genetically uniform ones (Rosendal 1995). Although seed and gene banks play important role in conserving and maintaining the varieties, however, FAO (1998) reported that widespread genetic erosion