Sedangkan menurut Mbah Wiki begini ..

Persiapan untuk keadaan darurat

1. Menentukan tempat-tempat berlindung yang aman jika terjadi gempa bumi. Tempat berlindung yang aman adalah tempat yang yang dapat melindungi anda dari benda-benda yang jatuh atau mebel yang ambruk, misalnya di bawah meja.
2. Menyediakan air minum untuk keperluan darurat. Bekas botol air mineral dapat digunakan untuk menyimpan air minum. Kebutuhan air minum biasanya 2 sampai 3 liter sehari untuk satu orang.
3. Menyiapkan tas ransel yang berisi (atau dapat diisi) barang-barang yang sangat dibutuhkan di tempat pengungsian. Barang-barang yang sangat diperlukan dalam keadaan darurat misalnya:
   1. Lampu senter berikut baterai cadangannya
   2. Air minum
   3. Kotak P3K berisi obat menghilangkan rasa sakit, plester, pembalut dan sebagainya
   4. Makanan yang tahan lama seperti biskuit
   5. Sejumlah uang tunai
   6. Buku tabungan
   7. Korek api
   8. Lilin
   9. Helm
   10. Pakaian dalam
   11. Barang-barang berharga yang harus dibawa di saat keadaan darurat
4. Mengencangkan mebel yang mudah rubuh (seperti lemari pakaian) dengan langit-langit atau dinding dengan menggunakan logam berbentuk siku atau sekrup agar tidak mudah rubuh di saat terjadi gempa bumi
5. Mencegah kaca jendela atau kaca lemari pakaian agar tidak pecah berantakan di saat gempa bumi dengan memilih kaca yang kalau pecah tidak berserakan dan melukai orang (Safety Glass) atau dengan menempelkan kaca film
6. Mencari tahu lokasi tempat evakuasi dan rumah sakit yang terdekat. Jika pemerintah setempat tidak mempunyai tempat evakuasi, pastikan anda tidak pergi ke tempat yang lebih rendah atau tempat yang dekat dengan pinggir laut/sungai untuk menghindaritsunami

Ketika Terjadi Gempa Bumi

1. Matikan api kompor jika anda sedang memasak. Matikan juga alat-alat elektronik yang dapat menyebabkan timbulnya api. Jika terjadi kebakaran di dapur, segera padamkan api dengan menggunakan alat pemadam api. Jika tidak mempunyai pemadam api gunakan pasir atau karung basah
2. Membuka pintu dan mencari jalan keluar dari rumah atau gedung
3. Cari informasi mengenai gempa bumi yang terjadi lewat televisi atau radio
4. Utamakan keselamatan terlebih dahulu, jika terjadi kerusakan pada tempat Anda berada, segeralah mengungsi ke tempat pengungsian terdekat
5. Tetap tenang dan tidak terburu-buru keluar dari rumah atau gedung. Tunggu sampai gempa mereda, dan sesudah agak tenang, ambil tas ransel berisi barang-barang keperluan darurat dan keluar dari rumah/gedung menuju ke lapangan sambil melindungi kepala dengan helm atau barang-barang yang dapat digunakan untuk melindungi kepala dari benturan reruntuhan.
6. Jika anda harus berjalan di tengah jalan raya, berhati-hatilah terhadap papan reklame yang jatuh, tiang listrik yang tiba-tiba rubuh, kabel listrik, pecahan kaca, dan benda-benda yang berjatuhan dari atas gedung
7. Pastikan tidak ada anggota keluarga yang tertinggal pada saat pergi ke tempat evakuasi. Jika bisa ajaklah tetangga dekat Anda untuk pergi bersama-sama
8. Jika gempa bumi terjadi pada saat Anda sedang menyetir kendaraan, jangan sekali-kali mengerem dengan mendadak atau menggunakan rem darurat. Kurangilah kecepatan secara bertahap dan hentikan kendaraan anda di bahu jalan. Jangan berhenti di dekat pompa bensin, di bawah kabel bertegangan tinggi, atau di bawah jembatan penyeberangan.

Sharing teman-teman bagaimana yg anda lakukan ..

Ini boleh nyomot di mailist sebelah sepertinya sih yang kirim temen baik saya – sori bos – :

Beberapa hari setelah gempa di Jogya beredar e-mail yang berisi tips dari Doug Copp, kepala American Rescue Team International Inc. (ARTI), tentang bagaimana menyelamatkan diri pada saat terjadi gempa. Kemudian setelah gempa Pangandaran dan Cilacap terjadi, Metro TV menayangkan beberapa tips Doug Copp yang menurut Metro TV penting (bukan semua tips). ARTI ini adalah sebuah perusahaan swasta, yang tidak berafiliasi dengan pemerintah atau sebuah lembaga. Karena tips dari Doug Copp ini sudah ditayangkan oleh Metro TV maka amat penting untuk mencermatinya dengan melihat apa komentar dari ahli bencana lainnya tentang Doug Copp itu.

Tips yang diberikan Doug Copp kelihatannya masuk akal dan bisa diterapkan. Misalnya berbaring di samping tempat tidur (bukan di bawah tempat tidur) atau merunduk di samping meja ketika gempa terjadi bisa mengurangi resiko terhimpit atau tertindih tempat tidur yang dijatuhi langit-langit kamar. Berbaring di samping tempat tidur mungkin juga tertimpa potongan-potongan langit-langit, namun ada ruang kosong berbentuk segitiga yang tidak terlalu menghimpit orang yang berbaring di sana. Segitiga kosong ini juga terbentuk di samping meja, sofa, lemari dan lain-lain.

Tips dari Doug Copp ini boleh dibilang menentang tips menghadapi gempa yang sudah diterapkan di banyak tempat di seluruh dunia, terutama Jepang yang memang gempa sering terjadi di sana.

Tetapi Rocky Lopes, PhD, Manager, Community Disaster Education, American Red Cross National Headquarters menyatakan bahwa tips Doug Copp ini tidak tepat. Tips Doug Copp tidak bisa diterapkan di
Amerika karena standar bangunan berbeda dengan di negeri lain (Turkey). Bahkan Kimberly Shoaf, Public Healt Expert dari UCLA menyebut di Knight Ridder Newspapers, November 2004, bahwa beberapa tips dari Doug Copp bisa membahayakan, seperti keluar dari mobil dan berbaring di sampingnya.

Seperti Doug Copp menyebut sendiri, teorinya ini memang berdasarkan percobaannya membuat gempa buatan pada sebuah sekolah dan rumah dengan menggunakan 20 mannequins di Turkey tahun 1996. 10
mannequins yang menerapkan teori lama “drop, cover and hold on” (yang berlaku dan sudah diterapkan dimana-mana sejak lama) ternyata tidak selamat. Sedangkan 10 mannequins lainnya bisa selamat karena
menerapkan teori Doug Copp, “Triangle of Life”.

Mantan deputy director of the California Office of Emergency Services, Mark Ghilarducci, bahkan mempertanyakan klaim Doug Copp, bahwa dirinya seorang “disaster expert”, karena meragukan.

The Red Cross tetap konsisten dengan tipsnya di http://www.disastereducation.org/guide.html. Salah satunya misalnya adalah tetap tinggal di atas tempat tidur ketika gempa terjadi, karena berbaring di lantai di samping tempat tidur lebih memiliki resiko terluka. Tips yang selama ini sudah diterapkan adalah tips yang paling sederhana, andal, dan paling mudah diajarkan, terutama kepada anak-anak.

Meski demikian American Red Cross, sebagai organisasi yang berbasis di Amerika tidak merekomendasikan untuk mengaplikasikan tipsnya di negeri lain. Mengidentifikasi area berbahaya dalam sebuah bangunan atau rumah adalah amat penting bagi semua individu, meski pada saat panik seringkali sulit untuk mengingatnya. Sehingga juga amat penting untuk memiliki tips sendiri yang dibuat oleh organisasi SAR di tiap-tiap kota atau negara.

American Red Cross response to “Triangle of Life” by Doug Copp
Sent from
Rocky Lopes, PhD
Manager, Community Disaster Education
American Red Cross National Headquarters

Recently it has been brought to my attention that an email from Doug Copp, titled “Triangle of Life,” is making its rounds again on the Internet. “Drop, Cover, and Hold On” is CORRECT, accurate, and
APPROPRIATE for use in the United States for Earthquake safety. Mr. Copp’s assertions in his message that everyone is always crushed if they get under something is incorrect.

Recently, the American Red Cross became aware of a challenge to the earthquake safety advice “Drop, Cover, and Hold On.” This is according to information from Mr. Doug Copp, the Rescue Chief and Disaster Manager of American Rescue Team International (a private company not affiliated with the U.S. Government or other agency.) He says that going underneath objects during an earthquake [as in
children being told to get under their desks at school] is very dangerous, and fatal should the building collapse in a strong earthquake. He also states that “everyone who gets under a doorway when a building collapses is killed.” He further states that “if you are in bed when an earthquake happens, to roll out of bed next to it,” and he also says that “If an earthquake happens while you are watching television and you cannot easily escape by getting out the door or window, then lie down and curl up in the fetal position next to a sofa, or large chair.” These recommendations are inaccurate for application in the United States and inconsistent with information developed through earthquake research. Mr. Copp based his statements on observations of damage to buildings after an earthquake in Turkey. It is like “apples and oranges” to compare building construction standards, techniques, engineering principles, and construction materials between Turkey and the United States.

We at the American Red Cross have studied the research on the topic of earthquake safety for many years. We have benefited from extensive research done by the California Office of Emergency Services, California Seismic Safety Commission, professional and academic research organizations, and emergency management agencies, who have also studied the recommendation to “drop, cover, and hold on!” during the shaking of an earthquake. Personally, I have also benefited from those who preceded me in doing earthquake education in California since the Field Act was passed in 1933.

What the claims made by Mr. Copp of ARTI, Inc., does not seem to distinguish is that the recommendation to “drop, cover, and hold on!” is a U.S.-based recommendation based on U.S. Building Codes and construction standards. Much research in the United States has confirmed that “Drop, Cover, and Hold On!” has saved lives in the United States. Engineering researchers have demonstrated that very few buildings collapse or “pancake” in the U.S. as they might do in other countries. Using a web site to show one picture of one U.S. building that had a partial collapse after a major quake in an area
with thousands of buildings that did not collapse during the same quake is inappropriate and misleading.

According to the Centers for Disease Control and Prevention (CDC),which collects data on injuries and deaths from all reportable causes in the U.S., as well as data from three University-based studies performed after the Loma Prieta (September, 1989) and Northridge (January, 1994) earthquakes in California, the following data are indicated: Loma Prieta: 63 deaths, approximately 3,700 people were injured. Most injuries happened as a result of the collapse of the Cypress Street section of I-880 in Oakland. Northridge: 57 deaths, 1,500 serious injuries. Most injuries were from falls caused by people trying to get out of their homes, or serious cuts and broken bones when people ran, barefooted, over
broken glass (the earthquake happened in the early morning on a federal holiday when many people were still in bed.) There were millions of people in each of these earthquake-affected areas, and
of those millions, many of them reported to have “dropped, covered, and held on” during the shaking of the earthquake. We contend that “Drop, Cover, and Hold On” indeed SAVED lives, not killed people. Because the research continues to demonstrate that, in the U.S., “Drop, Cover, and Hold On!” works, the American Red Cross remains behind that recommendation. It is the simplest, reliable, and easiest method to teach people, including children. The American Red Cross has not recommended use of a doorway for earthquake protection for more than a decade. The problem is that many doorways are not built into the structural integrity of a building, and may not offer protection. Also, simply put, doorways
are not suitable for more than one person at a time.

The Red Cross, remaining consistent with the information published in “Talking About Disaster: Guide for Standard Messages,” (visit http://www.disastereducation.org/guide.html ) states that if you are in bed when an earthquake happens, remain there. Rolling out of bed may lead to being injured by debris on the floor next to the bed. If you have done a good job of earthquake mitigation (that is, removing
pictures or mirrors that could fall on a bed; anchoring tall bedroom furniture to wall studs, and the like), then you are safer to stay in bed rather than roll out of it during the shaking of an earthquake.

Also, the Red Cross strongly advises not try to move (that is, escape) during the shaking of an earthquake. The more and the longer distance that someone tries to move, the more likely they are to
become injured by falling or flying debris, or by tripping, falling, or getting cut by damaged floors, walls, and items in the path of escape. Identifying potential “void areas” and planning on using them for earthquake protection is more difficult to teach, and hard to remember for people who are not educated in earthquake engineering principles. The Red Cross is not saying that identifying potential voids is wrong or inappropriate. What we are saying is that “Drop, Cover, and Hold On!” is NOT wrong — in the United
States. The American Red Cross, being a U.S.-based organization, does not extend its ecommendations to apply in other countries. What works here may not work elsewhere, so there is no dispute that
the “void identification method” or the “Triangle of Life” may indeed be the best thing to teach in other countries where the risk of building collapse, even in moderate earthquakes, is great.

http://urbanlegends.about.com/library/bl_triangle_of_life.htm

‘Triangle of Life’ Earthquake Survival Measures

Netlore Archive: Doug Copp’s emailed advice on earthquake survival
tactics entitled ‘Triangle of Life’ is disputed by search-and-rescue
experts from the American Red Cross and elsewhere

===============================================

Email example contributed by Marc G., 25 August 2004:
EXTRACT FROM DOUG COPP’S ARTICLE ON THE “TRIANGLE OF LIFE”, Edited
by Larry Linn for MAA Safety Committee brief on 4/13/04.

My name is Doug Copp. I am the Rescue Chief and Disaster Manager of the American Rescue Team International (ARTI), the world’s most experienced rescue team. The information in this article will save
lives in an earthquake.

I have crawled inside 875 collapsed buildings, worked with rescue teams from 60 countries, founded rescue teams in several countries, and I am a member of many rescue teams from many countries. I was
the United Nations expert in Disaster Mitigation (UNX051 -UNIENET) for two years. I have worked at every major disaster in the world since 1985, except for simultaneous disasters.

In 1996 we made a film which proved my survival methodology to be correct. The Turkish Federal Government, City of Istanbul, University of Istanbul, Case Productions and ARTI cooperated to film
this practical, scientific test. We collapsed a school and a home with 20 mannequins inside. Ten mannequins did “duck and cover,” and ten mannequins I used in my “triangle of life” survival method.
After the simulated earthquake collapse we crawled through the rubble and entered the building to film and document the results.The film, in which I practiced my survival techniques under directly observable, scientific conditions, relevant to building collapse, showed there would have been zero percent survival for those doing duck and cover. There would likely have been 100 percent survivability for people using my method of the “triangle of life.” This film has been seen by millions of viewers on television in
Turkey and the rest of Europe, and it was seen in the USA, Canada and Latin America on the TV program Real TV.

The first building I ever crawled inside of was a school in Mexico City during the 1985 earthquake. Every child was under their desk. Every child was crushed to the thickness of their bones. They could have survived by lying down next to their desks in the aisles. It was obscene, unnecessary and I wondered why the children were not in the aisles. I didn’t at the time know that the children were told to hide under something.

Simply stated, when buildings collapse, the weight of the ceilings falling upon the objects or furniture inside crushes these objects, leaving a space or void next to them. This space is what I call the “triangle of life”. The larger the object, the stronger, the less it will compact. The less the object compacts, the larger the void, the greater the probability that the person who is using this void for safety will not be injured. The next time you watch collapsed buildings, on television, count the “triangles” you see formed. They are everywhere. It is the most common shape, you will see, in a collapsed building. They are everywhere. I trained the Fire Department of Trujillo (population 750,000) in how to survive, take care of their families, and to rescue others in earthquakes.

The chief of rescue in the Trujillo Fire Department is a professor at Trujillo University. He accompanied me everywhere. He gave personal testimony: “My name is Roberto Rosales. I am Chief of Rescue in Trujillo. When I was 11 years old, I was trapped inside of a collapsed building. My entrapment occurred during the earthquake of 1972 that killed 70,000 people. I survived in the “triangle of life” that existed next to my brother’s motorcycle. My friends who got under the bed and under desks were crushed to death [he gives more details, names, addresses etc.]…I am the living example of the “triangle of life”. My dead friends are the example of “duck and cover”.

TIPS DOUG COPP PROVIDES:

1) Everyone who simply “ducks and covers” WHEN BUILDINGS COLLAPSE is crushed to death — Every time, without exception. People who get under objects, like desks or cars, are always crushed.

2) Cats, dogs and babies all naturally often curl up in the fetal position. You should too in an earthquake. It is a natural safety/survival instinct. You can survive in a smaller void. Get next to an object, next to a sofa, next to a large bulky object that will compress slightly but leave a void next to it.

3) Wooden buildings are the safest type of construction to be in during an earthquake. The reason is simple: the wood is flexible and moves with the force of the earthquake. If the wooden building does
collapse, large survival voids are created. Also, the wooden building has less concentrated, crushing weight. Brick buildings will break into individual bricks. Bricks will cause many injuries but less squashed bodies than concrete slabs.

4) If you are in bed during the night and an earthquake occurs, simply roll off the bed. A safe void will exist around the bed. Hotels can achieve a much greater survival rate in earthquakes, simply by posting a sign on the back of the door of every room,telling occupants to lie down on the floor, next to the bottom of the bed during an earthquake.

5) If an earthquake happens while you are watching television and you cannot easily escape by getting out the door or window, then lie down and curl up in the fetal position next to a sofa, or large chair.

6) Everybody who gets under a doorway when buildings collapse is killed. How? If you stand under a doorway and the doorjamb falls forward or backward you will be crushed by the ceiling above. If the
door jam falls sideways you will be cut in half by the doorway. In either case, you will be killed!

7) Never go to the stairs. The stairs have a different “moment of frequency” (they swing separately from the main part of the building). The stairs and remainder of the building continuously bump into each other until structural failure of the stairs takes place. The people who get on stairs before they fail are chopped up by the stair treads. They are horribly mutilated. Even if the building doesn’t collapse, stay away from the stairs. The stairs are a likely part of the building to be damaged. Even if the stairs are
not collapsed by the earthquake, they may collapse later when overloaded by screaming, fleeing people. They should always be checked for safety, even when the rest of the building is not damaged.

Get Near the Outer Walls Of Buildings Or Outside Of Them If Possible – It is much better to be near the outside of the building rather than the interior. The farther inside you are from the outside perimeter of the building the greater the probability that your escape route will be blocked;

9) People inside of their vehicles are crushed when the road above falls in an earthquake and crushes their vehicles; which is exactly what happened with the slabs between the decks of the Nimitz Freeway. The victims of the San Francisco earthquake all stayed inside of their vehicles. They were all killed. They could have easily survived by getting out and sitting or lying next to their vehicles, says the author. Everyone killed would have survived if they had been able to get out of their cars and sit or lie next to
them. All the crushed cars had voids 3 feet high next to them, except for the cars that had columns fall directly across them.

10) I discovered, while crawling inside of collapsed newspaper offices and other offices with a lot of paper, that paper does not compact. Large voids are found surrounding stacks of paper.

Comments: The American Red Cross took the unusual step of contacting me directly to refute the above text, which a representative of the group politely characterized as “incorrect.”

According to Red Cross community disaster education manager Ricky Lopes, author Doug Copp’s earthquake survival suggestions don’t apply in the United States because they’re based on observations
made in Turkey, where engineering and construction standards are different. “Much research in the United States has confirmed that ‘Drop, Cover, and Hold On!’ has saved lives in the United States,” writes Lopes. “Engineering researchers have demonstrated that very few buildings collapse or ‘pancake’ in the U.S. as they might do in other countries.”

Other experts concur, even to the point of suggesting that some of Copp’s advice could endanger people’s lives rather than save them. “Some of the things he recommends are absolutely dangerous,
like getting out of your car and lying down next to the car,” UCLA public health expert Kimberley Shoaf told Knight Ridder Newspapers in November 2004. A former deputy director of the California Office
of Emergency Services, Mark Ghilarducci, agreed that “duck, cover and hold on” remains the best overall strategy for survival during an earthquake.

I should also point out that although Mr. Copp has proclaimed himself a disaster expert, his credentials are in question.

Ah Edan ! Ada-ada saja pengalaman sore ini …

Tadi saya jalan-jalan sama isteri dan anak-anak ke salah satu swalayan besar di Kota Kraksaan Probolinggo. sampai di dalamnya, sang pemilik yang kenal baik dengan saya langsung menawarkan produk barunya “ROKOK HERBAL”, seraya lewat ke tempat barang belanjaan yang kami tuju, saya berpikir mungkin sayanya yang salah dengar ..

Dan iseng, sambil menunggu proses pembayaran dan pengepakan barang-barang belanjaan kami, saya samperi lagi sang juragan.. ternyata telinga saya memang masih benar, otak saya yang belum pernah dikasih masukan tentang apa itu rokok herbal. Karena nyatanya produk ini masih tergolong baru.

Mulailah proses promosi berlangsung .. saya diminta mengerti bahwa sekarang herbal sudah mulai merambah ke dunia rokok. Seingat saya produk 567 (atau apasajalah urutan angkanya) yang katanya bisa mengobati batuk itu saja sudah membuat saya mual memikirkannya, apalagi ROKOK HERBAL ini janjinya bisa mengobati :

• Menetralisir zat-zat berbahaya yang terkandung dalam tembakau.
• Membantu menyembuhkan penyakit Kencing Manis, Liver, Lambung, Pencernaan, Ginjal dan Impotensi.
• Asap ROKOKHERBAL mampu menetralisir kandungan racun-racun yang terdapat dalam darah dan organ tubuh.
• Menormalkan tekanan darah, membantu menyembuhkan kecanduan Narkoba, Ganja dan Minuman Keras.
• Menurunkan tingkat Kolesterol, Asam Urat, dan Gula Darah.
• Membantu meringankan dan menyembuhkan Penyakit Herbalusitis dan Polip. dengan bodohnya saya memasukkan herbalusitis ke ICD-10 untuk meyakinkan keberadaan penyakit tersebut wakakaka ..
• Meringankan dan menyembuhkan penyakit Asma. Asma? sembuh? dengan Asap Rokok .. duuh enaknyaaa kalo bisa begitu..

Dengan menguraikan berbagai elemen dalam bahan dasarnya yang sangat bermanfaat untuk menyembuhkan penyakit memang cara yang paling masuk akal untuk membuat rokok ini bisa kelihatan gunanya .. sayangnya kita ngga pernah tahu apakah bahan dasar tadi masih utuh dalam pembakaran, jangan-jangan yang dihasilkan adalah bahan2 yang tidak kalah berbahayanya… wekekeke ..
Katanya promosi tersebut ..rendahnya bahan nikotin pada rokok ini dst dst bla bla bla .. berarti tetap ada campurannya tembakaunya .. dan konon rokok yang sudah banyak dikonsumsi saja yang paling ringan kadar nikotinnya tetap ditempeli peringatan bahaya merokok .. artinya rokok yang satu ini juga ngga lepas dari bahaya yang sama ..

Lagipula dengan mengartikan herbal tersendiri sebagai segala jenis tumbuhan dan seluruh bagian-bagiannya yang mengandung satu atau lebih bahan aktif yang dapat dipakai sebagai obat bukankah rokok biasapun sekarang bisa disebut sebagai rokok herbal ..

Dan akhirnya pada saat saya pulang malam ini dan menyempatkan diri survey sebentar sebelum menulis postingan ini barulah saya mengerti apa inti kegiatan ini .. tak lain tak bukan pyramid scheme dengan type 2 kaki .. Hayyah .. kirain yang mau ditonjolkan produknya seperti beberapa MLM yg berbasiskan produk2 kesehatan ternyata upaya penggalian uang dengan money game saja rupanya .. Baik sodara-sodaraku .. silahkan amati baik-baik produknya dihttp://www.rokokherbal.com dan kalo anda ikuti program piramidnya mungkin sekarang anda masih bisa berada di puncak2 piramidnya ..(loh malah menganjurkan?) hihihihi .. dan larangan merokoknya tetap yang ini saja .. ngga usah ditambah-tambahi kata-kata lain dibawahnya ..

lebih bermanfaat bila anda mau menjenguk http://stopmerokok.com/

Salam,

Saking asyik dengan acara carnaval pembangunan 2009 .. sampe lupa paginya ada demo kader ke kantor saya .. wekekeke … 9 orang kader datang ke Puskesmas karena mereka ngga mau Bidan Di Desa yang sekarang dipindahkan …
Wah namanya ibu-ibu, ada yang bawa anak juga .. rame pas mulai ngomong ..
Tapi saya layani dengan memberikan pertanyaan disana dan disini dulu untuk memperjelas dari mana mereka tahu berita, kemudian kenapa ada penolakan dll ..
Intinya ada 3 hal yang mereka keluhkan :

1. Mereka masih sayang dengan bidan yang lama dan belum yakin apa bidan yang baru akan sama baiknya dengan yang lama
2. Mereka merasa ngga diikutsertakan dalam memindahkan bidan yang lama
3. Mereka merasa Dinas Kesehatan atau Puskesmas ngga memperhatikan keluhan dari BDD tersebut

Masalah pertama sukses saya tangkis dengan bilang belum tahu rasanya kecap kok udah bilang pasti sepedes sambel .. lagipula bidan yang saya pindahkan adalah bidan dengan kinerja baik dan saya mengusulkan kepindahannya ke Puskesmas sebagai bidan koordinator.

Untuk masalah kedua saya harus menjelaskan hak dan kewajiban PNS .. apalagi yang berkaitan dengan sumpah .. bahwa rela ditempatkan dimana saja .. dan itu ngga ada kaitannya dengan menanyakan apakah kader harus diberitahu dulu atau ngga, namun demikian saya menceritakan rapat yang kami lakukan sebelum bidan tersebut diputuskan untuk ditarik ke induk. Dengan demikian justru ini adalah “kenaikan pangkat” yang harusnya disyukuri oleh semua .. termasuk bidan yang bersangkutan ..

dari masalah terakhir saya jadi tahu bahwa sedikit banyak meskipun mereka bilang ngga diminta oleh BDD yang bersangkutan namun BDD tsb pasti rasan-rasan ke kader2 tersebut .. Saya bilang bahwa kenyataannya saya sudah meminta BDD ybs untuk menghadap ke dinas dan menawar sebelum menjadi SK .. dari yang saya ketahui karena setelah ybs menghadap saya juga dipanggil kadinkes, BDD saya ini mau dipindahkan tapi menunggu Bulan September .. dengan demikian masalah klir .. SP tetap dibuat namun pemindahan ke Puskesmas ditangguhkan sampai dengan September.
Saya teringat saya sudah 2 kali mau dipindahkan dari Puskesmas ini .. tapi saya selalu melalui tawar menawar yang memang diberikan ke saya : dan dalam pikiran saya kalau memang saya masih diperkenankan menawar saya memang masih punya ilmu yang belum tuntas saya berikan untuk puskesmas .. namun demikian bila itu sudah turun sebagai perintah ber-SK .. saya prajurit .. apa katanya kumendan mo ditaro dimana ..

Beberapa orang kader yang agak2 tua sepertinya sudah mengerti dan menyebutkan beberapa hal yang rasional .. yang muda2 ada yang manggut2 ada yang masih ngengkel .. padahal waktunya makin bergerak ke jadwal saya harus sudah standby di pos jaga ..
Akhirnya merekapun bubar ..

Benar-benar edan cara orang mengais rejeki bahkan dengan cara yang absurd kayak gini .. persis disebelah mobil ambulance yang diparkir siang ini untuk mengawal berjalannya acara carnaval pembangunan 2009 ada gerobak minuman yang memang sangat menggiurkan ..

Kalo ngeliat yang dah terhidang sih emang banget menggiurkan apalagi mengingat jam 11 itu suhunya bener-bener bikin gosong ..

Baru tahu cara pengolahannya setelah bolak-balik masuk mobil ambulans karena ngga tahan panas .. weew .. itu air dari ember jelas biarpun tadinya mateng kontaminasinya udah ngga ketulungan .. kemudian jelas es yang digunakan untuk bikin pun asal airnya tidak bisa dipertanggungjawabkan .. setelah dia bikin tuh es jadi serpihan kecil-kecil dengan memukulnya dengan menggunakan palu besi yang kalo lagi ngga kepake ditaro di trotoar .. mulailah dia mengeluarkan dari bagian bawah gerobak tersebut sebotol plastik cairan kental yang keluarnya kayak saos sambel agak encer gitu, ngga lancar kayak kalo kita nuang sirop .. subhanallah .. apaan itu .. berhubung istri juga liat dia langsung ngerti itu pewarna yang dicampurkan ke pemanis ..

Pas pulang perawat saya 2 orang ngasih tahu bahwa mereka dah nyoba 2 warna .. karena ngira yang dijual fanta merah dan coca cola .. ternyata manisnya kok pahit gitu .. ya cocok sakarin ! .. semoga aja ngga ada yang sakit perut gara-gara beli .. sayang sekali mereka agak curiga dengan saya dan istri jadi ngambil gambarnya yang sukses cuma itu ..

Pesan sponsor :
Kalau anda di tengah cuaca panas dan ada keramaian jangan beli sembarang minuman .. carilah brand yang terkenal saja di toko atau kalau perlu swalayan .. hayyah ..

Image by Getty Images via Daylife

Lagi seru-serunya mengumpulkan Tawon Hindi, hari ini adalagi peristiwa seru di depan Puskesmas ini, sedikit konyol dan mungkin juga kontroversial.

Sedikit mengalihkan kami dari kesibukan dari dunia sihir .. :)

Sebuah mobil polisi tiba-tiba memasuki halaman parkir puskesmas dan seperti biasa kami langsung menyambut pasien dengan membukakan pintu UGD lebar-lebar, kali ini teman-teman di UGD lebih taat aturan .. semua menggunakan Universal Precaution yang pantas (sarung tangan, appron plastik) untuk membawa pasien masuk UGD .. 3 pasien anak sekolah SMA berpakaian seragam pramuka dengan wajah luka dan beberapa bagian badannya juga terluka …

Satu orang saya tahan tetap berada di atas mobil polisi di pangkuan beberapa penduduk desa yang kebetulan membantu proses evakuasi korban. Korban yang satu ini langsung kelihatan mengalami fraktur di bagian tungkai bawah kanan (tibia fibula dextra). Gambar disebelah saya ambilkan dari situs yang menggambarkan patah tulang dibagian yang sama.

Kami mempersiapkan papan keras (demikian kami menyebut long spine board kami) .. dari observasi saya pasien ini akan membutuhkan operasi tulang. Dan tentu saja karena saat ini kami juga sedang melakukan perawatan terhadap 3 (tiga) orang maka saya memutuskan untuk langsung melakukan rujukan ke RS.

Kamipun membawa pasien menuju ambulans puskesmas ….

Tiba-tiba bapaknya anak ini yang ikut juga membawa anak ini bertanya :

“Lho, kok dibawa kesini .. Anak saya ini perlu disuntik”

“Pak, anak bapak ini tulang kakinya patah, jadi yang perlu kita lakukan sekarang membawa ke Rumah Sakit”

“Ngga!! Anak saya ini mau saya bawa ke sangkal putung (dukun patah tulang, paraji)”

entah apa yang membuat bapak ini tiba-tiba berubah pikiran.. padahal sejak dari mobil polisi itupun sudah dijelaskan bahwa anak ini tidak bisa dilakukan perawatan di Puskesmas, selain bed UGD kami yang cuma 3 itu sudah terisi semua, petugas terpakai semua menanggulangi yang nyata-nyata luka, dan anak ini pun lebih maksimal ditatalaksana di rumah sakit.

Negosiasi tetap kami – saya dan pak polisi yg membawa korban tadi – lakukan menggali kenapanya. Saya mengemukakan kalau alasan ekonomi, itu akan dibantu oleh jasa raharja sampai dengan 10 juta rupiah dan masih ada pula tambahan bantuan dari pemda untuk operasi-operasi mahal melalui BagSos, K3S dan Jamkesda (untuk keluarga tidak mampu).

“Ngga!! anak saya mau saya bawa ke sangkal putung saja, tolong antarkan anak saya kesana!”

“wah maaf, kalo untuk merujuk ke dukun sudah bukan wewenang kami lagi, kalau bapak menolak dibawa ke rumah sakit, kami tidak bisa mengantarkan”

“ya sudah ! saya akan cari mobil sendiri”

Saya yang memang tidak fasih bahasa ibu daerah ini, dan takut saya kurang bisa menyampaikan meminta kepada supir dan petugas imunisasi saya yang kebetulan ada untuk menyampaikan maksud saya tadi ..

Tapi ternyata nego merekapun sama gagalnya ..

Dan bapak itupun meninggalkan anaknya di halaman depan puskesmas tanpa basa-basi lagi langsung naik sepeda motor mencari mobil sewaan .. dan anaknya dibiarkan terbengkalai di halaman puskesmas. Untung bukan gedebog pisang .. jadi tetap kami selamatkan ke dekat UGD. Semua orang yang melihat geleng2 kepala melihat kemuskilan sikap bapak tersebut ..

Syahdan suatu kala, tersebutlah suatu kerajaan sihir yang begitu terpandang seantero negeri .. Raja Sihir, demikian kita menyebutnya, adalah seorang yang sangat sepuh dan dihormati oleh penduduk negeri ..

Sepak terjang Raja Sihir sudah sangat terkenal .. Kaisar negeri ini saja sangat menghormati kedudukan Raja Sihir, juga karena  ilmu-ilmunya yang nampaknya memang lebih mumpuni dari sang Kaisar, maupun sekolah-sekolah sihir yang didirikannya .. Kaisar konon pernah mempercayakan pengembangan pendidikan ksatria-ksatrianya dibawah bimbingan sang Raja Sihir. Dan tentu saja Raja Sihir sangat menikmati pemberian hak ini ..

Akhir-akhir ini Raja Sihir menjadi terlalu berlebihan dengan mulai mencampuri urusan dan berbagai kegiatan Tabib-Tabib di negeri ini .. bahkan Eyang Putri Tabib Ternama yang berkedudukan di Negri Tugu-Tugu, meskipun sudah memberikan beberapa kendaraan perang kepadanya.. tidak menjadikan Raja Sihir merasa perlu untuk bekerja sama dengan Tabib-Tabib bawahan sang Eyang Putri ..

Dan bencanapun datang .. Raja Sihir seharusnya mendapat pelajaran tentang sikap seenaknya yang sudah mulai membuat mual .. dan inilah peristiwa itu ..

Sudah beberapa minggu ini sejenis tawon dari jenis Hindi dibicarakan komunitas tabib dan penyihir .. Wabah Tawon Hindi kemudian dikenal dengan nama Penyakit Harimau. Penyakit ini konon karena tertular di harimau yang diharamkan oleh sang Raja Sihir .. seluruh dunia sudah mewartakan melalui bola ajaib penyihir sehingga masyarakatpun kenal dengan baik nama Penyakit Harimau yang konon menyebabkan mata menjadi merah, keluar lendir dari hidung, dan mereka mengaum karena badannya sakit-sakit ..

Seorang penyihir muda yang baru saja pulang dari Negri Para Penari .. ternyata membawa Tawon H1Nd1 dibadannya .. dan tawon yang menakutkan inipun beranak-pinak dan keluar dari badan si penyihir muda dan menyerang penyihir lainnya yang juga belajar sihir di kerajaan itu .. Raja Sihir mulai ketakutan melihat bayang-bayang harimau di Kerajaannya dan ternyata kebal terhadap sihir .. satu demi satu penyihir muda berjatuhan menjadi seperti harimau .. Raja Sihir-pun minta pertolongan Tabib-Tabib di sekitar .. dan berupaya agar kabar ini tidak tersiar ..

Segera Bunda Tabib Putri  .. yang mengomandoi tabib-tabib negeri ini mengirim beberapa kendaraan perang dan tabib ksatria yang sudah terlatih .. Penyakit Harimaupun mulai dijinakkan .. 2 markas ksatria digunakan untuk berperang .. pos-pos di pedesaan pun yang dihuni 1-2 Tabib ikut berdiri berjajar melawan sang Harimau ..

Namun apa daya sang Raja tidak ingin kehilangan pamor .. mulailah dia minta kepada tabib-tabib yang berperang agar mereka mengakui tidak berhadapan dengan harimau .. tapi hanya dengan penyakit kucing yang ngga menakutkan … kepentingannya jelas .. kalau tersiar di Kerajaan Sihir ada Penyakit Harimau .. orang tua mana yang akan mengijinkan anaknya digembleng disana?

Benar-benar raja yang menyebalkan .. demi kerajaannya direlakannya berita bohong tersebar luas .. tentu saja jadi tertawaan para Tabib yang mengerti .. Dan tersebarlah sekarang bagaimana kerajaan sihir sebenarnya .. dimana kstaria2 digembleng .. puri untuk 800 ksatria dihuni 2000 .. dapatlah dimengerti Penyakit Harimau meraja lela ..

Sungguh negeri konyol dan sekelumit cerita yang tidak pantas anda baca ..

[edited 25-07-09]

Dan benar saja .. setelah tawonnya dibawa ke peternak lebah di Negeri Dekat Banjir Lumpur .. mereka bilang ini “Ini tawon Hindi” .. Bunda Putri baru saja meningkatkan jumlah pasukan dan kesiagaan untuk berperang .. lucunya adalah kami disuruh pake kutang separo menutup mulut .. ah dasar sihir .. ya harus dilawan dengan sihir ..

[edited 28-07-09]

ahh sudahlah berakhir duhai wabah tawon yang mengganas …
ini sudah jadi pelajaran .. bahkan bagi kami para tabib ..
raja sihir meringkuk kesakitan disisi singgasana ..
kutang mantra tidak digunakan sebagaimana mestinya ..
maka lenyaplah sudah jejampi ..

berhenti bernyanyi raja sihir pergi menyepi …

Wah akhirnya ada juga yang mengabarkan bahwa kopi itu meningkatkan daya ingat, ngga sia-sia jadi penggemar kopi .. wekeke .. dan masih ada beberapa lagi makanan yang bisa memberikan manipulasi tertentu kepada otak. Mulai dari memperkuat daya ingat, memberikan kecepatan berpikir dll.

FOR SHORT-TERM MEMORY
Drink This!: COFFEE
Fresh-brewed joe is the ultimate brain fuel. Caffeine has been shown to retard the aging process and enhance short-term memory performance. In one study, British researchers found that just one cup of coffee helps improve attention and problem-solving skills.

FOR LONG-TERM MEMORY
Eat This!: BLUEBERRIES
Antioxidants in blueberries help protect the brain from free-radical damage and cut your risk of Alzheimer’s and Parkinson’s diseases. They can also improve cognitive processing (translation: thinking). Wild blueberries, if you can find them, have even more brain-boosting antioxidants than the cultivated variety, so book that vacation in Maine now. The berries will ripen in July.

TO THINK FASTER
Eat This!: SALMON OR MACKEREL
If the Internal Revenue Service picks you for some up-close-and-personal auditing, you’ll want to be on your toes when they vet your deductions list. So put salmon or mackerel on the grocery list. The omega-3 fatty acids found in fatty fishes are a primary building block of brain tissue, so they’ll amp up your thinking power. Salmon is also rich in niacin, which can help ward off Alzheimer’s disease and slow the rate of cognitive decline.

TO ENERGIZE:
Eat This!: HIGH-PROTEIN SALAD WITH VINAIGRETTE
The oil in the dressing will help slow down digestion of protein and carbs in the salad, stabilizing blood-sugar levels and keeping energy levels high. Build your salad on a bed of romaine and spinach for an added boost in riboflavin, and add chicken and a hard-boiled egg for more energizing protein.

TO CALM DOWN
Eat This!: LOW-FAT YOGURT OR MIXED NUTS
Scientists in Slovakia gave people 3 grams each of two amino acids—lysine and arginine—or a placebo, and asked them to deliver a speech. Blood measurements of stress hormones revealed that the amino acid-fortified guys were half as anxious during and after the speech as those who took the placebo. Yogurt is one of the best food sources of lysine; nuts pack loads of arginine.

TO CONCENTRATE
Eat This!: PEPPERMINT TEA
The scent of peppermint helps you focus and boosts performance, according to researchers. Need to reach Chicago before nightfall, and you’re stuck in traffic around Cleveland? One study found that peppermint makes drivers more alert and less anxious.

FOR GOOD MOODS AND GRINS
Eat This! ARUGULA OR SPINACH SALAD
Leafy greens—arugula, chard, spinach—are rich sources of B vitamins, which are key components on the assembly line that manufactures feel-good hormones such as serotonin, dopamine, and norepinephrine. According to a study published in the Journal of Neuroscience Nursing, a lack of B6 can cause nervousness, irritability, and even depression.

FOR SHARPER SENSES
Eat This!: 1 TBSP OF GROUND FLAXSEED DAILY
Flax is the best source of alphalinoleic, or ALA—a healthy fat that improves the workings of the cerebral cortex, the area of the brain that processes sensory information, including that of pleasure. To meet your quota, sprinkle it on salads or mix it into a smoothie or shake.

Beberapa makanan sudah tersedia di mini market. Dan beberapa masih ngga gitu jelas gimana dapatnya :

• Kopi, low fat yogurt dan peppermint tea gampang. low fat yogurt bahkan dah ada yang bikin dalam kemasan sekali santap gitu.
• Arugula, spinach, salmon dan high protein salad ada juga, cuma kayaknya perlu merogoh kocek lebih lebar ..
• Blueberries kadang ada kadang sulit .. mungkin ada musimnya ? Nah Flaxseed ini konon adalah pohon linen yang diambil untuk bahan pakaian sedangkan bijinya bisa dimakan dan dibuat obat. Hmm ini ngga yakin ketemu. Tapi kayaknya ada yang jual udah dikemas.

Flax is grown both for its seeds and for its fibers. Various parts of the plant have been used to make fabric, dye, paper, medicines, fishing nets, hair gels and soap. It is also grown as an ornamental plant in gardens.

Silahkan mencoba !

post ini dibuat dengan windows live writer ® yg dapat anda temukan di blog pom | opm | pkm

Saya baru ingat kalo tanggal 24 Maret itu adalah harinya TBC .. ingetnya malah hari yang lain-lain .. Tapi slogan brantas tuntas TB ini harus tetap jadi pedoman apalagi kami yang ada di kecamatan-kecamatan kantong TB seperti ini .. gairah ini harus tetap dijaga.

diambil dari pesan yang disampaikan tbcindonesia.or.id

Semoga tahun ini semakin banyak penderita TB yang bersedia memeriksakan diri dan mengobati penyakitnya sampai tuntas.

post ini dibuat dengan windows live writer ® yg dapat anda temukan di blog pom | opm | pkm

Ya, sudah lama pengen nulis ini, bersama satu topik lagi yang masih jadi angan-angan mo ditulis, ponari.

Masalah Puyer sudah begitu berkembang sehingga menjadi tidak nyaman manakala harus menjelaskan dengan memihak satu sisi. Saya akan coba untuk tidak memihak dalam tulisan ini .. ah tapi saya manusia biasa

1. Masalah Polifarmasi
2. Masalah Hygienis
3. Masalah Sisa Pada Mortar dan Dosis Tidak Sesuai
4. Masalah Interaksi Antar Obat
5. Masalah Efek Samping Salah Satu Komponen
6. Masalah Harga Obat

Masalah Polifarmasi

Puyer disebutkan sebagai membuka kemungkinan terjadinya peresepan obat yang banyak sekali dan tidak perlu. Bila kita mau jujur dengan obat kapsul atau dengan syrup pun bisa saja terjadi polifarmasi. Apakah dengan puyer jadi lebih banyak, jawabannya sepertinya kembali pada individu dokter yang meresepkan.

Dan bahkan di Luar Negeri yang dibangga-banggakan dalam tayangan itu pun tidak lepas dari kemungkinan ini .. tidak sedikit cerita dari teman, pasien yang sudah nyicipin berobat di Singapore misalnya dan mendapatkan 7-8 macam obat.

Sebagai kebalikannya saya dulu malah cuma meresepkan 2 – 3 macam obat untuk dipuyer.  Jadi tuduhan polifarmasi tampaknya harus betul-betul dikaji ulang.

Masalah Hygienis

BPOM mengeluarkan aturan tentang bagaimana membuat obat secara massal. Cara Pembuatan Obat yang Baik. Ingat ini adalah aturan untuk obat massal, puyer tentu saja tidak termasuk di dalamnya. Namun demikian segi kebersihan memang tidak bisa ditawar untuk penyediaan obatt. Tapi apakah ini hanya berlaku untuk puyer? Nanti dulu .. bagaimana dengan syrup apa lantas tidak mungkin terjadi kontaminasi ?

Bagaimana dengan fakta bahwa puyer memungkinkan terjadinya kontaminasi, saya rasa ini juga harus dikembalikan kepada masing-masing apoteker. Lihat apakah betul yang dilakukan oleh apoteker, dan itu absurd untuk digeneralisir. Belum lagi kenyataan berapa banyak di Indonesia ini apotek yang bener2 dijagain sama apotekernya? Jangan-jangan cuma pajang nama dan terima gaji buta tiap bulan. Sementara yang kerja disana AA (asisten apoteker) atau bahkan lebih nelangsa lagi SMA yg ngga ada kerjaan atau karena hubungan keluarga. Jadi pekerjaan tidak standarnya juga karena memang tidak ada kompetensi.

Masalah Sisa Pada Mortar dan Dosis Tidak Sesuai

Juga disebutkan dalam kontroversi puyer ini adalah puyer mungkin salah takar karena tersisa di mortar atau alu penumbuknya. Hmm .. betul juga. Beberapa kali saya dulu sempat mencontohkan kepada staf di Apotek kami mencuci mortar yang sudah dipakai.

Apakah itu yang ditakutkan .. meskipun ada terjadi saya rasa berlebihan kalau ditakutkan merubah takaran dosis. On the contrary, bagaimana dengan menakar sediaan sendok syrup yang tidak standar, tumpah sebelum masuk mulut, diludahkan karena rasanya tidak enak. Ah kan jadinya banyak faktor yang harus dikhawatirkan mengenai dosis. Dan rasanya berlebihan kalau ini yang dijadikan masalah. Di setiap obat ada yang disebut margin safety. sehingga obat yang digunakan misalnya bisa sedikit berada diatas angka hitungan dosis selama masih aman. Ini juga yang ditemukan oleh penelitian tentang jumlah obat di syrup, saya lupa siapa penelitinya, tapi seingat saya seharusnya obatnya ada dalam jumlah belasan gram, tapi dipermudah dengan memberikan sebanyak puluhan. Dan itu penelitian di syrup lho. Notebene yang disebutkan sebagai dosis terukur.

Masalah Interaksi Antar Obat

Obat yang berinteraksi tidak hanya ada di Puyer tapi di segala macam jenis sediaan, tidak adil rasanya menghakimi puyer hanya karena mengetahui bahwa puyer terdiri dari berbagai zat obat di dalamnya. Bagaimana dengan yang mengkonsumsi obat beraneka ragam ?

Interaksi obat adalah tugas dokter untuk mencarikan yang tidak menyebabkan bahaya. Bila terjadi interaksi antara obat dan nekat diberikan juga itu sih bukan karena sediaannya yang salah, tapi dokternya yang memberikannya tanpa kompetensi.

Masalah Efek Samping Sulit Dideteksi

Apa susahnya meminta kopi resep? Sama saja kan dengan tulisan di dinding botol syrup? Dan itu hak pasien. Kalo kita minta kopi resep harus dibuatkan.

Ngga ada yang ngga bisa dideteksi. Kalau masalahnya sulit menentukan efek samping dari komponen yang sama, wajar ! karena anda tidak belajar efek samping obat. Tanyakan kepada dokter yang meresepkan atau second opinion apakah efek samping yang tiba-tiba timbul dalam pengobatan suatu penyakit berasal dari salah satu obat yang diresepkan. Tidak peduli itu sediaannya puyer, pil atau syrup.

Masalah Harga Obat

Nah ini yang agak-agak menyebalkan .. bayangan obat dengan harga mahal tentu aja bukan bergantung sediaan. Puyer meskipun bisa menggunakan obat-obat paten yang mahal tapi juga menggunakan dalam jumlah sedikit. Bagaimana dengan yang selalu meresepkan dengan 1 R/ bisa ratusan ribu ? Mintalah untuk meresepkan dengan obat generik, kalau anda merasa keberatan membayar mahal. Apakah anda tahu harga syrup bahkan lebih mahal ? Sama saja .. kalau anda diberi syrup generik juga pasti bisa murah. Jadi harga harus dipertanyakan mesti dikontroverikan? Di Puskesmas saya, setiap pasien periksa dikenakan retribusi 3.000,- dan bila diresepkan puyer maka menurut perda retribusi ditambah lagi dengan 2.000,- padahal sekarang obat yang disediakan sudah mulai bagus-bagus. 5.000! Mahal ?

Pendapat Saya

Pertama, saya sebel sekali lihat tayangan itu. Karena di dalamnya ada pembocoran rahasia pasien, meskipun itu dianggap sebagai pengungkapan, tapi tidak etis. Entah karena profesi saya yang “dikerjai”, tapi saya ngga suka RCTI melakukan itu kepada teman sejawat saya.

Kedua saya heran dengan kenyataan memilih bentuk sediaan obat yang ingin diresepkan dipermasalahkan, bukankah sekarang sudah zamannya konsumen diutamakan. Sepanjang tentu saja itu tidak menyalahi aturan dan keilmuan. Kalau ada pasien datang dengan Gastritis Akut dan minta diresepi Asam Mefenamat dan Dokternya nurut, coba dicek lagi itu dokter atau bukan. Tapi kalo yang diminta adalah sediaan puyer atau syrup saya rasa sudah sewajarnya didengarkan. Dilaksanakan sepanjang itu masih benar berdasarkan faktor-faktor diatas yang sudah kita bicarakan/

Ketiga, bila pertanyaannya ditanyakan kepada saya, apakah anda akan meresepkan puyer? Ah anda kan sudah tahu, mortar saya sudah diparkir, saya akan memilih syrup karena lebih mudah, tapi saya juga tidak akan menghakimi TS saya yang masih menggunakan puyer. Saya justru tidak akan pergi ke dokter anak yang memusuhi ‘sodara’ sendiri untuk mengkonsulkan anak saya yang sakit, misalnya. Huh!

post ini dibuat dengan windows live writer ® yg dapat anda temukan di blog pom | hkn | idi | pkm

Di sebuah diskusi di Facebook tentang bisakah kita memiliki Pendidikan dan Rumah Sakit yang gratis ada tret begini dari seorang ibu :

Sebetulnya dengan ada askin cukup membantu rakyat tidak mampu dalam pengobatan, tetapi mental para medisnya masih payah, maaf yaaa pak dan bu Dokter, saya bicara karena kenyataan, selain itu fasilitas juga tidak memadai, kebersihan fasilitas tidak dipikirkan. Kalo saja ada Patch Adam di Indonesia..

Sayapun akhirnya tertarik ikutan komentar :

Patch Adam yg ada dalam film itu (saat itu masih) bukan dokter. Anda mau diperiksa oleh orang yang tidak kompeten? Itu akan mengembalikan pertolongan dukun dan tabib dengan ilmu turun-temurun ke tengah2 masyarakat kita. Meskipun demikian kami sama percaya bahwa kegembiraan akan membawa pada kepuasan dan kesehatan holistic, walaupun kami tidak mengenakan hidung merah dan celana gedombrangan.

Saya harus setuju dengan pendapat tentang fasilitas, but be realistic. Memang banyak saat ini RS, Puskesmas dan fasilitas kesehatan lain yg tidak dikelola dengan profesional. Tapi banyak juga yang sudah standar bahkan melebihi. Siapapun yang sekarang ada di jajaran manajemen kesehatan pasti mengerti bahwa perbaikan mutu pelayanan saat ini sedang terus ditingkatkan. Program yang ada di dinas instansi lain yang merupakan peningkatan mutu pasti juga ada di kesehatan.

Sayangnya kalo sudah bicara program perbaikan mutu, pemerintah kita menggebu-gebu tapi giliran mulai menggulirkan dana akan terjadi restriksi disana-sini .. mulai beranggapan kesehatan kan bisa cari uang sendiri dst dst .. mari kita lihat sesuai dengan idealisme yang ingin dicapai oleh pemerintah pusat .. Dana Pendidikan dari APBD adalah 20% dan Kesehatan sebanyak 15%. Berapa banyak pemerintah daerah yang rela mengeluarkan uang sebanyak itu untuk kepentingan pendidikan dan kesehatan. Biasanya bila prosentase sedang tinggi pasti karena adanya proyek mercu suar .. bangunan rumah sakit yang mewah dll. Berapa banyak yang dianggarkan oleh pemda untuk memberikan pelatihan kepada karyawan RS dalam penanggulangan kegawatan di pasien, pelayanan prima? sedikit sekali jika dibandingkan dengan proyek fisik. Anehnya hal ini bisa dimaklumi mengingat fasilitas kesehatan yang memang perlu sekali diperbaiki karena bangunan yang seharusnya mendapat pemeliharaan fisik tiap 5 tahun itu sama sekali tidak tersentuh pemeliharaan berpuluh2 tahun sejak didirikan.

Belum lagi proyek-proyek yang tidak sesuai dengan kenyataan karena harus ada “setoran” kepada pelaksana proyek. Dan itu jelas bukan untuk kepentingan kesehatan. Kita belum bicara masalah bencana yang sekarang memang banyak terjadi, penyakit menular dan gizi buruk yang juga merupakan tanggungjawab dan menyedot perhatian pemerintah kita. Apakah masyarakat kita sudah terlindung semua dengan Asuransi dan Dana Sehat, seberapa banyak kontribusi yang dibuat oleh masyarakat dalam melaksanakan Perilaku Hidup Bersih dan Sehat – buang sampah tidak sembarangan, tidak merokok dll – Apakah kita juga memberikan yang terbaik untuk putera-puteri kita? Apa kita peduli dengan lingkungan kita?

Jadi untuk bicara ini masalah mental dari tenaga medis harus dipilih dulu apa memang itu masalah utamanya. Saya tidak menutup mata, ada saja teman sejawat yang masih malpraktek. tapi saya rasa itu bukan masalah global, itu personal. Justifikasi bahwa setiap tenaga medis punya mental pelayanan yang tidak baik kepada keluarga miskin sangat tidak adil bagi kami yang juga melaksanakan program perbaikan mutu. Itu kan sama saja mengatakan semua guru menghajar dan menendang murid, semua Guru suka bolos mengajar dst.

Apakah kita punya Patch Adam yang bener-bener dokter? Ada, Bu. Setiap tahun, 30-an Patch Adam dihadirkan dari tiap propinsi untuk nonton upacara pengibaran sang saka. Dan masih ada 3-5 kali lipat lagi yang ada di propinsi, bahkan mungkin puluhan kali lipat lagi bila pengalinya adalah kabupaten dan kota. Begitu pula perawat, petugas promosi kesehatan dan lainnya. Maaf kalo saya membela profesi saya dan temen2 di kesehatan. Semata-mata supaya ini jangan jadi stigma. Mari kita mulai dengan semangat memperbaiki bukan dengan dasar prasangka..

Semoga masukan ini bermanfaat. Terima kasih

Audzubillahi minassyaithanirrajiim

Posisi Koitus adalah hal yang biasanya sangat tabu untuk dibicarakan. Bahkan antara dua sahabat biasanya mereka tidak benar-benar menceritakan bagaimana posisi yg dilakukan. Pengertian yang didapatkanpun akhirnya hanya mengandalkan bahwa posisi bermacam-macam akan menimbulkan kenikmatan yang berbeda-beda .. kamasutra banget ..

Posisi koitus meskipun menunjukkan banyak variasi, mulai dari yang berhadapan muka (vis a vis) dengan wanita di bawah atau diatas, atau keduanya tidur miring, sampai pria menghadap ke punggung wanita (vis a targo), untuk klinik hanya 3 posisi yang mempunyai arti, yaitu :

1. wanita baring telentang, pria di atas;
2. pria baring telentang, wanita di atas; dan
3. wanita dalam posisi lutut-siku, pria di belakang (doggy style)

Pada pasangan yang mengingini anak dengan rahim yang normal (rahim yang normal adalah bila kantung rahim berada ke arah depan atau ke dinding perut), maka posisi pertama inilah yang paling baik. Dalam masa setelah orgasme, mulut rahim terbenam dalam air mani yang terkumpul di ujung vagina (fornix posterior). Penempatan bantal di bawah panggul dapat memperbesar lagi kemungkinan terjadinya kehamilan, karena sperma tidak lekas keluar dari vagina.  Lain lagi bila wanita sedang hamil tua, bulan ke 6 – 9, maka posisi ini tidak dianjurkan. Karena sentuhan langsung pada berulang-ulang dari penis pada mulut rahim akan menyebabkan iritasi. Posisi ini juga tidak baik untuk pria yang menderita sakit jantung, karena pada posisi ini pria yang aktif.

Pada posisi ke-2 akar penis bersentuhan dengan klitoris dapat menguntungkan dalam mencapai orgasme wanita. Karena wanita yang aktif maka posisi ini baik untuk pria yang gemuk atau yang menderita penyakit jantung. Namun ditinjau dari sudut ingin punya anak, posisi ini kurang bermanfaat, karena air mani lekas keluar dari vagina.

Pada posisi ke-3 perineum (daerah antara dubur dan kemaluan) pada wanita kurang tertekan. Posisi ini dianjurkan apabila koitus dirasakan nyeri oleh wanita akibat perlukaan perineum atau akibat episiotomi pada waktu persalinan, dan setelah penjahitan pada vagina dan perineum. Selanjutnya pada uterus yang menghadap ke belakang, ditemukan pada beberapa wanita, posisi ini menguntungkan, karena sperma ditempatkan di forniks anterior (dinding depan ujung vagina) sedangkan mulut rahim menghadap dinding depan. Juga pada wanita hamil tua, karena penis tidak terlampau keras menyentuh mulut rahim, 

Di samping ini adalah arah penis terhadap sumbu vagina dalam ketiga posisi yang telah dijelaskan. Semoga untuk bapak-ibu yang sudah –ehm– sering melakukan hal ini menambah pengetahuan. Dan menjadi ilmu yang berguna untuk yg eh .. belum boleh ..

Post Sebelum Ini : Hubungan Kelamin Normal

Memang sulit kalo yang namanya gizi buruk karena sebab-sebab sosial di masyarakat, maka pasti tidak akan sama dengan persamaan yang umum terjadi : Keluarga Miskin –> Asupan Kurang –> Gizi Buruk. Kemaren ini contohnya saya menerima pasien An. J, perempuan, 13 bulan, BB = 6 kg, TB = 67,8 cm. Kalau dimasukkan ke dalam perhitungan BB/U-nya sudah masuk dalam Gizi Buruk (sedangkan untuk BB/TB masuk dalam kriteria Kurus. Anak memang kurus kering, mulai dari truncus (=badan), ekstremitas (tangan dan kaki) dan menyisakan lemak di sekitar mata dan pipi saja yang masih terlihat agak berisi. Anak ini sudah tergolong marasmus.

Nah keluarga dari an. J ini adalah keluarga yang tidak mendapatkan kartu Jamkesmas. Berarti pada saat dinilai oleh tim desa keluarga ini tergolong dalam keluarga mampu. Memang sejak saat masuk perawatan pun mereka tidak menuntut untuk ‘mengurus kartu’ demikian istilah masyarakat sini bila tergolong dalam gakin (keluarga miskin).

Sebagai puskesmas yang sudah mengklaim mampu menjadi TFC (Therapeutic Feeding Center) tentu saja melihat kasus ini dan melihat kondisi infeksi yg diderita tergolong ringan, kami menyarankan rawat inap di puskesmas saja. Di TFC kami melaksanakan standar penanganan gizi buruk terbitan Depkes 2007. Kemudian bila ternyata pasien sudah masuk dalam gizi kurang kami akan melaksanakan Community-based Feeding Care. Konsep ini digagas tahun lalu 2007 dengan menambahkan Pos Pelayanan Gizi dan Public Health Nursing pada konsep yang telah dibuat oleh depkes. Dengan demikian kami merasa menjaga dengan baik anak yang gizi buruk. Apalagi dana APBN (baca dana JPKMM) bisa dipergunakan untuk menolong gizi buruk meskipun tidak berasal dari keluarga miskin.

Kembali pada cerita kasus ini .. hari ini pada saat visite asupan susu F-75 sebagai standar pemberian anak gizi buruk yang dirawat pertama kali ternyata ditolak oleh anak. Kata ibunya, anak meminumnya tapi kemudian disembur-semburkan. Biasanya bila asupan sulit dimasukkan melalui mulut maka kami mengambil langkah tindakan sonde, dan memasukkan susu langsung ke lambung anak melalui selang sonde tersebut. Berhubung keluarga ini adalah keluarga mampu, yang berarti tidak ditanggung jamkesmas, maka tentu saja biaya perawatannya akan menjadi lebih tinggi.

Saya mencoba menghubungi dinas kesehatan dan direktur RSUD untuk menanyakan apakah masih ada dana yang digunakan untuk memberikan pertolongan pada masyarakat kelas tanggung seperti diatas. Karena bila ada maka pasien bisa dirawat di Rumah Sakit.

Ternyata setelah mengetahui anaknya akan dibawa ke rumah sakit, si ibu dan keluarganya memutuskan membawa anak langsung pulang ke rumah. Dengan berbagai macam motivasi sudah diberikan tapi keluarga tetap menolak. Maka akhirnya dengan sangat terpaksa Surat Penolakan rujukan pun kami mintakan keluarga untuk menandatangani.

Sedikit tentang Program Peningkatan Gizi Masyarakat

Tidak sedikit kasus seperti ini terjadi, meskipun tentu saja ini tidak didiamkan saja namun kebanyakan kasus seperti ini berbuah kegagalan pengelolaan yang komprehensif kasus gizi buruk. Selain di puskesmas rawat inap, kasus gizi buruk selalu dicoba tangani dengan melakukan rawat jalan terhadap pasien-pasien yang memang tidak mau dilakukan rujukan. Alasan jauh dari rumah, tidak ada uang dan berbagai alasan klise lainnya sudah sering kami terima. Banyak kasus berhasil bila penanganan cukup sampai di Puskesmas saja, dalam arti anak tidak mengalami komplikasi yang cukup berat. Tapi bila sudah dengan penyakit penyerta yang berat biasanya terpaksa di rawat di RS dan berujung pulang paksa karena kehabisan uang bagi penunggu pasien.

Di beberapa program penanggulangan gizi buruk terdahulu dengan sumber dana APBN pernah ada perhatian kepada penunggu (orangtua, biasanya) dengan memberikan biaya makan pada saat perawatan.

Selain memperhatikan masalah teknis medis, pemberdayaan masyarakat dan program terkait lainnya juga seharusnya menjadi perhatian. Pemberdayaan masyarakat melalui desa siaga sudah mungkin bisa memberikan umpan balik positif dengan makin banyaknya penemuan gizi buruk. Hal ini bukan berarti angka kesakitan meningkat. Akan tetapi dulu ada tapi tidak terdeteksi. Tidak sedikit yang diantarkan oleh orang tuanya, kader, atau tokoh masyarakat ke puskesmas untuk diobati gizi buruknya.

Gangguan Akibat Kekurangan Yodium

Dari sekian banyak hal salah satu yang cukup permanen dari tahun ke tahun menduduki peringkat 5 besar masalah adalah tidak digunakannya garam beriodium di masyarakat yang berujung beberapa masalah kesehatan (masih prediksi) misalnya : kejadian abortus yg selalu ada, gondok endemik itu sendiri, berat bayi lahir rendah (BBLR) dll. Hal ini tentu saja cukup menggemaskan mengingat betapa mudahnya sekarang ini mendapatkan garam yang sudah difortifikasi iodium. Namun demikian beberapa perusahaan garam yang masih memproduksi garam untuk hewan ternyata masih kelolosan mengeluarkan garam tersebut untuk disantap manusia. Kadang-kadang dari pabrik garam ada yang membawa dengan becak tumpukan garam yang belum difortifikasi ke rumah tangga dan dibagikan di tetangga-tetangganya.

Sehubungan dengan BBLR merupakan faktor resiko terjadinya Gizi buruk pada balita maka tentunya penegakan perda tentang produksi garam ini sudah harus benar-benar ditegakkan.

Positive Deviance

Dalam masyarakat miskin, ada saja yang balitanya tumbuh dengan gizi baik. Ini tentu saja suatu keuntungan tersendiri. Keluarga miskin dengan balita gizi baik inilah yang disebut sebagai simpangan positif, positif deviance. Keluarga miskin dengan pola makan dari produk lokal ini tentu patut ditiru, karenanya program ini pun dikemas dengan bentuk suatu Pemberian Makanan Tambahan kepada balita dari keluarga miskin. Ibu dan balita diundang dalam suatu pertemuan rutin kemudian disana sang ibu dari balita gizi baik tadi diminta memberikan testimoni dan demo memasak bersama makanan lokal tadi.

Biasanya meskipun secara kebetulan, makanan yang dimasak memenuhi menu seimbang yang menyebabkan keluarga tersebut tidak mengalami kekurangan gizi. Misalkan saja meski tanpa sengaja ibu memasak sayuran, buah dan makanan yg mengandung vitamin larut dalam lemak (A, D, E, K) dengan masakan yang mengandung santan. Nah dengan demikian bisa terjadi asupan vitamin tersebut. Demikian seterusnya.

Sebagai penutup postingan ini .. untuk menanggulangi gizi buruk, perlu sekali adanya berbagai program terpadu dalam menangani secara teknis balita gizi buruk tadi, melakukan pencegahan dan rehabilitasi kembali gizi buruk.

Frekuensi hubungan kelamin (coitus) sangat bervariasi : rata-rata 1-4  kali seminggu bagi orang-orang yang berumur 30-40 tahun. Koitus menjadi makin jarang dengan meningkatnya umur. Pada wanita, libido meningkat dalam masa reproduksi sampai dicapainya umur 35 tahun, kemudian menetap sampai umur 45 tahun. Dan dapat bertahan sampai jauh setelah menopause.

Pada Pria, libido dicapai pada umur  20-30 tahun dan libido bertahn sampai umur 50 tahun, kemudian berangsur kurang, akan tetapi tetap ada sampai umur lanjut; namun keinginan (libido) relatif lebih besar dari prestasi seksualnya. Kenyataan ini perlu diketahui orang-orang yang sudah lanjut umurnya untuk menghindari dari kesalahpahaman dan untuk mencegah akibat-akibat negatif dari anggapan bahwa orang-orang dalam umur lanjut tidak bisa berprestasi seksual lagi.

keinginan (libido) relatif lebih besar dari prestasi seksualnya.

Pusat libido letaknya di korteks serebri (otak). Karena itu keadaan jiwa yang positif dapat menahan libido, keadaan jiwa yang tidak tenang dapat menghambatnya.

Pria biasanya lebih mudah terangsang dan lebih cepat mencapai orgasme dari wanita. Kenyataan ini harus diketahui baik oleh terapist (dokter) maupun oleh pasangannya. Keluhan lama-kelamaan akan timbul karena kesalah-pahaman dan ketidakcocokan dalam tercapainya orgasme tersebut. Perbedaan lain juga bahwa pria “selalu sampai” (selalu mencapai orgasme dalam siklus seksualis), apabila hal ini tidak dengan sengaja dihindari.

Sebaliknya wanita tidak selalu orgasme atau jarang mengalaminya pada koitus, bahkan ada wanita yang tidak pernah mengalami orgasme walaupun sudah mempunya beberapa anak. Tidak tercapainya orgasme dalam siklus seksual tidak banyak mengganggu wanita.

Miss V yang paling kecilpun dapat cukup melar untuk menampung Mr. P yang besar dan panjang.

Dalam keadaan ideal sebaiknya wanita dan pria kedua-duanya mencapai orgasme, kalau bisa bersamaan waktunya. Dengan saling pengertian, saling mengenal tanda bahasa tubuh dan pemberian isyarat – hal demikian dapat tercapai – misalnya dengan memperpanjang masa rangsangan, dibantu dengan rangsanagan digital pada klitoris, atau setelah ejakulasi si pria melanjutkan rangsangan klitoris dengan jari-jarinya. **woops ilmu .. ilmu.. ilmu .. but but but .. ** Manipulasi demikian masih dianggap dalam batas-batas normal.

Ukuran Mr P dan Miss V dalam berhubungan tidak mempunyai arti penting dalam fisiologis coitus. Miss V yang paling kecilpun dapat cukup melar untuk menampung Mr. P yang besar dan panjang. Pada kasus “ketidaksesuaian” yg ekstrem memang bisa terjadi robekan di dinding posterior, dinding bagian belakang dari Miss V. Begitu pula tentang sirkumsisi – tidak berpengaruh thd rangsangan glans penis (kepala Mr. P)

post ini dibuat dengan windows live writer ® yg dapat anda temukan di blog pom | opm | pkm

Kalau puskesmas ini diibaratkan kapal, maka nahkodanya beberapa bulan belakangan ini dipercayakan mengomandoi kapal lain yang dinamakan HKN. Saya sudah cukup lama tidak bisa memberikan pemikiran terbaik saya untuk puskesmas Krejengan. Karena itu mengawali tahun ini kemudi saya ambil alih lagi.

Demikian saya mengawali amanat apel pagi hari ini Senin, 5 Januari 2009. Diiringi senyum beberapa penanggungjawab program yg memang pasti merasakan banyak ketidakhadiran saya.

Sesudah Apel Pagi, maka rapat program pertama di tahun 2009 pun dimulai. Meski mengambil tema khusus Sosialisasi Kegiatan Jamkesmas, namun kegiatan kali ini lebih pada perencanaan kegiatan-kegiatan.

Jamkesmas memang anehnya selalu berubah setiap tahun. Tidak pernah ada satu tahun tanpa ada penerbitan petunjuk pelaksanaan (manlak) dan 2 tahun terakhir ini malah muncul juga petunjuk teknisnya (juknis) yang dibuat oleh Depkes. Sebelumnya juknis hanya dibuat oleh kabupaten dan aturan-aturan semua diatur di pedoman pelaksanaan.

Tahun 2008 juga tidak luput dari dikeluarkannya juknis Jamkesmas. Juknis terbit pertengahan Oktober 2008 dan diminta dilaksanakan surut dari 1 Oktober. Dan beberapa hal berubah tidak meng-enak-kan pelaksana di lapangan.

Dampak Keluarnya Juknis Jamkesmas 2008

Satu hal penting yang digarisbawahi pada juknis tersebut adalah pemindahan pedoman aturan menjadi bernuansa kabupaten/kota. Jadi tidak berdasarkan lagi ASKES atau keputusan Menteri Kesehatan, akan tetapi penganggaran kegiatan jamkesmas didasarkan pada perda masing-masing kabupaten/kota. Tahun lalu sebenarnya sudah dirintis begitu. Jadi pada beberapa kegiatan sudah didasarkan pada perda kabupaten.

Sebenarnya hal tersebut tentu saja bukan masalah bila perda 12/2005 tentang Tarif Retribusi Pelayanan Kesehatan sudah cukup pantas untuk mendukung kegiatan puskesmas. Seperti misalnya untuk anggaran biaya makan dalam paket akomodasi rawat inap jauh dari standar meskipun sudah dibantu dengan subsidi APBD. Dalam perda misalnya kelas III tarif retribusi hanya sebesar 12.500 yg terdiri dari komponen jasa sebesar 2.500, administrasi sebesar 1.000, dan 9.000 berupa operasional (termasuk di dalamnya biaya makan). Dalam kenyataannya dari 9.000 operasional itu kami mengambil biaya jasa sarana dan prasarana (listrik, PDAM, Kebersihan, BMHP harian) sebesar 3.000-3.500 per hari rawat dan kumulatif per bulannya. Sisanya sebesar 5.500-6.000 harus dibuat makan pasien sebanyak 3 kali. Tentu saja jadi musykil mengadakan makan pasien dengan standar 2000 kkal perhari.

Dan hal ini lebih jauh dihambat pula dengan adanya keharusan melakukan setoran biaya akomodasi ini ke dinas pendapatan daerah terlebih dahulu dan baru mendapatkan 50% dari yang disetorkan tadi setelah tenggang waktu 3 bulan. Padahal mengingat apa yg diamanatkan tujuan pembangunan kesehatan, pendapatan dari puskesmas bukan merupakan pendapatan asli daerah. Ini yang agak menyulitkan operasional puskesmas.

Mengingat pentingnya hal tersebut tentu saja yg dipentingkan adalah merubah aturan yg sudah tidak lagi sesuai dengan pelaksanaan kegiatan-kegiatan puskesmas. Perubahan perda memang sudah selayaknya dilakukan tahun ini.

Daerah-daerah erogen tubuh ialah daerah-daerah yang dapat menimbulkan rasa erotik nikmat apabila dirangsang dengan sentuhan-sentuhan. Reaksi terhadap rangsang seksual pada wanita dan pria sangat bervariasi, baikk dalam intensitasnya maupun secara individual. Biasanya reaksi dimulai dengan pikiran (fantasi, niat, keinginan) atau penglihatan. Kemudian menyusul pendekatan badaniah melalui melalui sentuhan-sentuhan dan kontak yang lebih intensif di daerah-daerah erogen. Apabila tegangan seksual sudah mencapai puncaknya, baru hubungan diteruskan dengan immisio penis.

Kok susah .. yah intinya daerah-daerah yang mudah dilakukan perangsangan baik pada wanita maupun pria ..

Daerah erogen pada wanita :

• kuping bagian bawah (oorlel), tengkuk leher.
• mulut, bibir dan lidah.
• payudara (terutama puting susu).
• bahu, tulang punggung, bokong dan daerah sekitar pusat.
• bagian dalam paha, alat kelamin, mons pubis (daerah tempat tumbuhnya rambut kemaluan) dan perineum (daerah diantara kemaluan dan dubur).

Daerah erogen pada pria :

• mulut
• payudara (bagian disekitar puting susu)
• bagian dalam paha
• skrotum dan kemaluan

Ujung-ujung syaraf perasa di daerah-daerah tersebut terangsang oleh sentuhan-sentuhan yang lembut dibandingkan dengan manipulasi-manipulasi yang kasar dan tekanan yang keras.

post ini dibuat dengan windows live writer ® yg dapat anda temukan di blog pom | opm | pkm

Post sebelum ini : Pembukaan Pelajaran Seksologi

Seksologi diartikan sebagai ilmu pengetahuan tentang reaksi dan tingkah laku seksual manusia yang sifatnya universal dan multidisipliner. Disebut universal karena memang berlaku untuk belahan dunia yang manapun dan disebut multi disipliner karena ini kerja bareng berbagai ilmu pengetahuan. Dari semua perilmuan ngeseksologi pastilah masalah ini yang paling jadi perhatian ..

Hubungan Kelamin

Di dunia ini manusia dan hewan akan lenyap dari permukaan bumi apabila mereka  tidak dibekali dengan naluri berkembangbiak (vita sexualis, sexual instinct) demi untuk meneruskan keturunan. Dorongan/keinginan bersetubuh (koitus) disebut libido seksualis atau nafsu birahi atau nafsu syahwat. Ini yang kalo di piramidanya om Maslow biasanya diletakkan barengan dengan keinginan untuk makan (lapar) dan minum (haus). Lapar dan haus untuk mempertahankan hidup perseorangan sedangkan libido diperlukan untuk mempertahankan hidup kelompok yang disebut manusia (Homo sapiens). Disamping itu seperti halnya rasa puas atau kenyang bagi lapar dan haus, maka kenikmatan yang tercapai dan memuncak pada orgasme merupakan kondisi yang memang dicari pada hubungan kelamin.

Istilah seks dan seksualitas sendiri seharusnya tidak bisa diartikan sebagai hubungan badan saja. Mengartikan sebagai koitus saja akan mengurangi makna pencetusan hubungan itu yang juga didasari oleh daya tarik rohaniah (inner beauty) dan daya tarik badaniah yang menjadikan dua insan ini menjalani kebersamaan.

So as to fully appreciate the entire significance of love life for the individual and for society, as wel as for the entire cultural development of humanity, its study has to be arranged with the study (Wissenschaft) of man as such, in which and towards which all disciplines combine; general biology, anthropology, ethnology, phylosophy, psychology, medicine, and the histories of literature and of culture intheir entirety

(disarikan dari tulisan Suwito Tjondro Hudono)

Wheew .. banyak .. baiklah .. karena saya bisanya cuma kedokteran saya akan tulis yang saya tahu tentang hal-hal ini dari sudut pandang kedokteran. Ada yang mo sumbang coretan tentang seksologi dari sudut pandangnya sendiri .. silahkeuuun ..

Salam.

post ini dibuat dengan windows live writer ® yg dapat anda temukan di blog pom | hkn | idi | pkm

Next Post : Daerah-Daerah Erogen :)

Panas di Jawa Timur dan sekitarnya sekarang mendidih .. berjalan-jalan di udara terbuka Surabaya bikin kepala serasa pecas ndahe. Di Surabaya suhu bisa berkisar 33-35 °C Bahkan di beberapa titik seperti di kawasan Tanjung Perak Surabaya, serta di beberapa kawasan perairan suhu bisa mencapai 37 °C. Meningkatnya suhu di kawasan laut ini lebih disebabkan terjadinya pantulan sinar matahari yang mengakibatkan cuaca semakin panas.

Suhu panas ini bukan saja terjadi siang hari tapi juga malam hari. Tingginya suhu di malam hari disebabkan karena energi panas matahari yang terserap bumi baru keluar dimalam hari. Padahal jika malam banyak ditemui awan yang mengakibatkan panas yang keluar dari bumi terpantul kembali ke bumi. Atau yang sering kita sebut efek rumah kaca. Surabaya katanya saat ini sampai dengan tanggal 24 Oktober, matahari akan berada persis di atasnya. Matahari di atas kepala, kayak judul film aja .. tapi emang rasanya gitu .. Rapat IDI wilayah kemaren sia-sia banget macak pake jas IDI, pasalnya sampe di dalam ruangan yang “ber-AC” itu saja rasanya masih panas ..

Jangankan di Surabaya, di Probolinggo aja yang ngga persis titik kulminasi aja rasanya udah panas banget .. Konon sekarang adalah jarak terdekat antara bumi dan matahari sedang sebagai titik terdekatnya, jawa timur khususnya Surabaya. Mungkin itu sebabnya sekarang celana makin pendek aja .. hehehe

Kemaren seorang pejabat menelepon kabid yankes pada waktu kami sedang diskusi tentang HKN44 di kantor beliau. Pak Pejabat rupanya sedang ditanya oleh wartawan tentang bagaimana cara mengatasi panasnya suhu udara  bagi kesehatan perorangan. Pak Pejabat memberikan waktu 5 menit untuk cari jawaban. Sontak pembicaraan berubah untuk mencarikan solusi. Sedikitnya ada beberapa hal yang diusulkan :

• Keluar rumah dengan payung, bagi petani di sawah pake baju dan tudung.
• Hindari terkena sinar matahari bila memang bisa dihindari
• Jangan lupa bila harus terpapar lama sinar matahari, gunakan sun block
• Malam hari gunakan cream pelembab
• Matikan AC bila ruangan sedang kosong.

Ada lagi yang bisa disarankan ?

post ini dibuat dengan windows live writer ® sebagaimana dapat anda temukan di blog puskesmas | opm | bljrblog | balita

Anda mestilah termasuk generasi penyedia peralatan makanan yang praktis di rumah. Saya yakin generasi internet termasuk dalam sana. Kecuali anda tinggal dengan orangtua yang masih kolot menggunakan alat makan dari gelas atau bahan lainnya, maka anda terselamatkan dari bahaya “ketakutan terhadap Melamin.com”

Oh ya … anda tidak salah baca. Melamin mesti ditelan dalam jumlah yang signifikan seperti yang dicampurkan dalam susu bayi, baru akan terjadi yang dinamakan gagal ginjal. Kecuali anda adalah pemakan piring melamin sebaiknya anda jaga saja piring-piring anda di rak makan.

Ini biangnya melamin buatan china yang katanya dicampurkan kedalam susu bayi sehingga bisa menyebabkan protein yang dikandungnya seolah-olah banyak. Padahal kandungan nitrogennya lah yang banyak. Menurut mas Rovicky – yang senang mendongeng itu – ternyata :

Perusahaan penghasil susu yang nakal banyak memanfaatkan kesulitan atau kompleksitas pengukuran kandungan protein ini. Karena yang dideteksi oleh laboratorium itu kandungan nitrogen, maka dicarilah bahan-bahan yang mengandung nitrogen, untuk mengelabuhi supaya seolah-olah proteinnya tinggi.

Selanjutnya Mas Rovicky menganjurkan ini :

GUNAKAN BAHAN PLASTIK / MELAMINE HANYA UNTUK MAKANAN DINGIN

So, gimana ibu-ibu ? 

Related Articles :

• Melamin, apa benar toxic semua ?
• Melamin oh Melamin ..

Melamine by itself is nontoxic in low doses, but when combined with cyanuric acid it can cause fatal kidney stones due to the formation of an insoluble melamine cyanurate.^[12] Melamine is described as being “Harmful if swallowed, inhaled or absorbed through the skin. Chronic exposure may cause cancer or reproductive damage. Eye, skin and respiratory irritant.” However, the toxic dose is on a par with common table salt with an LD₅₀ of more than 3 grams per kilogram of bodyweight. FDA scientists explained that when melamine and cyanuric acid are absorbed into the bloodstream, they concentrate and interact in the urine-filled renal microtubules, then crystallize and form large numbers of round, yellow crystals, which in turn block and damage the renal cells that line the tubes, causing the kidneys to malfunction. [wiki]

Jadi melamin saja tidak akan bersifat toxic, yang perlu kita perhatikan sebenarnya senyawanya yang ternyata adalah cyanuric acid, bahan yang ternyata digunakan untuk membersihkan kolam renang .. Makanya “jangan makan di dalam kolam renang” mungkin sebelum keracunan anda akan kelelep.

Melamin formaldehid sulfonat juga berbahaya karena bahan ini digunakan untuk mencampur semen agar mudah digunakan pada saat pembentukan bahan semen tadi. Tentu saja anjurannya adalah “jangan makan semen!”

Satu macam penyakit yang ada di Afrika (african trypanosomiasis) dapat dengan baik diobati dengan salah satu derifat melamin .. “jangan kebanyakan tidur ..  nanti dikira terkena trypanosomiasis afrika, bisa-bisa diguyur orang pake melamin”

Hohohoho .. apa ngga berlebihan kalo kita mengeliminasi semua melamin? 

Related Articles :

• Melamin oh Melamin ..
• Jangan Buang Piring-Mangkok Melamin

Info Produk yang ditarik dari peredaran:

1. Jinwel Yougoo Susu Fermentasi Rasa Jeruk
2. Jinwel Yougoo Aneka Buah
3. Jinwel Yougoo tanpa Rasa
4. Guozhen susu bubuk full cream
5. Meiji Indoeskrim Gold Monas Rasa Cokelat
6. Meiji Indoeskrim Gold Monas Rasa Vanila
7. Oreo Stick Wafer
8. Oreo Stick Wafer (beda ukuran)
9. Oreo Cokelat Sandwich Cookies
10. M&M’s Kembang Gula Cokelat Susu
11. M&M’s Cokelat Susu
12. Snicker’s (biskuit-nougat lapis cokelat)
13. Dove Choc Kembang Gula Cokelat
14. Dove Choc
15. Dove Choc
16. Natural Choice Yoghurt Flavoured Ice Bar
17. Yili Bean Club Matcha Red Bean Ice Bar
18. Yili Bean Club Red Bean Ice Bar
19. Yili Prestige Chocliz
20. Yili Chestnut Ice Bar
21. Nestle Dairy Farm UHT Pure Milk
22. Yili High Calcium Low Fat Milk Beverage
23. Yili High Calcium Milk Beverage
24. Yili Pure Milk 205 ml
25. Yili Pure Milk 1 L
26. Dutch Lady Strawberry Flavoured Milk
27. White Rabbit Creamy Candy
28. Yili Choice Dairy Frozen Yoghurt Bar (kembang gula)

Sumber:
Tempointeraktif
PUSAT KOMUNIKASI PUBLIK SEKRETARIAT JENDERAL DEPARTEMEN KESEHATAN RI

Semoga informasi ini bisa bermanfaat.
Apakah makanan anda hari ini sudah bebas melamin?

Related Articles :

• Jangan Buang Piring-Mangkok Melamin
• Melamin, apa benar toxic semua ?

Hari ini ikut rapat IDI, dan memberikan laporan sehubungan dengan adanya kejadian ini dengan kaitannya mau mengadakan acara seminar ini. Tapi kok di dalamnya jadi acara bicarain masalah hak dan kewajiban ka puskesmas. Hal ini jadi agak “anget” karena sejak beberapa waktu lalu Kabupaten Probolinggo mulai menerapkan kebijakan yang sering jadi masalah ini ..

Mulai diangkat lagi ke permukaan berhubung sekarang harus ada “pembagian jatah” yang jelas, rumah dinas untuk siapa, mobil puskesmas keliling boleh dipakai untuk rapat dinas atau ngga, dokter ke-2 atau ka TU yang mewakili bila ka puskesmas berhalangan rapat .. n so on ..

Karena di Puskesmas Krejengan ini saya single fighter maka masalah ini belum terasa banget membebani pikiran .. malah rasanya lebih baik cepet-cepet dapat dokter ke-2, biar bisa sering nge-blog karena hitungan beban tugas dengan menggunakan WISN (workload indicator staff need) ternyata untuk saya 1,87. Yg berarti memang harus ada sedikitnya dua orang dokter di puskesmas ini.

Tadinya sih masalah itu udah agak terlupakan kalo nda ngeliat perbincangan Cakmoki dan Bu Astri di sini, jadi kepikiran pengen nulis masalah ini..

Latar belakang Sekitar bulan-bulan di akhir tahun 2007 mulailah bermunculan wacana akan terjadi pergantian peran kepala puskesmas yang selama ini hanya dipegang oleh dokter dan dokter gigi menjadi sarjana kesehatan apapun itu. Sebenarnya ya bukan barang baru juga sih .. karena dari mulai PTT tahun 1999-2001 itu juga udah pernah jadi masalah yang berakhir dengan tergusurnya Kepala Dinas Kabupaten Tabalong yang merupakan babak akhir perseteruan dokter yang masih ingin bertahta sebagai ka pus dan kadinkes. Isue itu pula yang digulirkan di Kabupaten Probolinggo ini. Hanya saja kali ini terlihat beberapa motif lain yang ikut mewarnai.

• Mulai diberlakukannya PP41/2007 yang memaksa dinas kesehatan harus “merampingkan” strukturnya. Sehingga waktu hitungan, orang yang terdepak ada 19 orang. Tidak semuanya SKM, ada beberapa orang yang sarjana teknik dll yang entah kenapa dulu bisa diterima ke lembaga teknis spt dinkes. Dalam keadaan demikian tentu saja kepala dinas tidak tinggal diam. Langkah penyelamatanpun dipersiapkan.
• Perlawanan terjadi. Berdasarkan produk hukum Kepmenkes 128/2004 yang mencantumkan bahwa yang boleh menjadi ka puskesmas adalah sarjana kesehatan, maka bagi staf dinas kesehatan yang latar belakang pendidikannya bukan kesehatan. Mulai upaya nego ringan berupa bincang santai sampai dengan pendekatan kepada Sekda yang berakibat teguran keras kepada kepala dinas dilakukan IDI, yang memperkirakan dengan dilengserkannya anggotanya hanya menangani fungsional side, akan mengurangi rejeki.
• Pelantikan pun terjadi juga. Kebanyakan puskesmas masih dipimpin dokter atau dokter gigi, sedangkan beberapa teman-teman yang kena perampingan harus pindah ke dinas lain dan sisanya seperti yang telah dipertengkarkan berbulan-bulan, masuk ke puskesmas sebagai kepala puskesmas dan dokter yang ada di puskesmas tersebut sebagai dokter puskesmas saja. Keputusan ini nampaknya juga berkaitan dengan beberapa orang dokter yang juga telah ditanya oleh kepala dinas dan tetap memilih pekerjaan sebagai fungsional, ada juga yang memilih struktural tapi tetap dilengserkan, dan ada juga yang memilih struktural tapi sekarang malah sekolah PPDS.
• Babak barupun dimulai. Pergesekan ringan macam duduk rapat ka pkm yang pada nggerombol mana sisi dokter mana yang bukan, persaingan dalam setoran retribusi, laporan dan perolehan program, sampai dengan yang segera akan diatur oleh dinkes yaitu hak dan kewajiban dokter dan kepala puskesmas, karena berkaitan dengan pemanfaatan rumah dinas dan mobil puskesmas keliling yang untuk sementara ini baru satu-satu untuk kebanyakan puskesmas.

Bahasan

Mencermati kejadian-kejadian yang mau tidak mau menimbulkan rasa takut, miris dan sedih terhadap perpecahan yang sempat terjadi di jajaran kesehatan. Langkah-langkah yang penuh perhitungan sudah selayaknya harus dilakukan demi tidak merosotnya kinerja kesehatan yang saat ini selalu dalam sorotan.

• Menurut saya pasca pelantikan adalah masa untuk melaksanakan tugas, disini sudah bukan masalah lagi siapa ka puskesmas dan siapa dokter yang seharusnya sudah diatur sesuai SK masing-masing. Dengan memperpanjang masalah dan pergesekan dokter  dan non-dokter akan menurunkan semangat kerja baik di kalangan yang berkonflik, maupun di jajaran staf puskesmas yang ditempati oleh ka puskesmas baru.
• Pada saat seperti ini seharusnya IDI lebih bisa legawa merangkul teman-teman yang berjuang bersama menjamin kesehatan bagi rakyat probolinggo bukan malah menciptakan konflik horizontal.
• Pada saat terjadi konflik, akhirnya tujuan aslinya menjadi hilang. Andaikan memang yang diperjuangkan adalah kesejahteraan, maka tujuan ini menjadi hilang karena, kesejahteraan pimpinan puskesmas yang pernah direncanakan menduduki eselon 3b sekarang hanya eselon 4a. Kesejahteraan hanya diukur dari SHU yang dihasilkan oleh puskesmas setiap tahunnya.
• Memperjuangkan undang-undang harusnya juga dilandasi kaidah hukum yang berlaku. Kalau dilihat secara sendiri-sendiri, memang selama belum dikeluarkannya aturan yang berlaku maka aturan yang ada bisa digunakan. Misalnya dengan kepmenkes 128/2004 ini. Namun demikian seharusnya juga disadari bahwa aturan ini secara legal sebenarnya sudah tidak berlaku lagi. Dilihat dari bahwa PP 41/2007 yang lebih tinggi (dikeluarkan presiden) bertentangan dengan kepmenkes 128 ini. Otomatis kepmenkes ini sebenarnya tidak bisa lagi dijadikan rujukan. Pemakaian Kepmenkes 128/2004 mestinya hanya sebagai asumsi tidak bisa lagi sebagai dasar hukum. [Bener ngga temen-temen yg belaja hukum?].
• Masalah keberhasilan manajemen puskesmas. Tugas seorang manajer puskesmas adalah menjamin agar kegiatan dapat terlaksana, artinya sebelum proses terjadi unsur input harus terpenuhi semua. Manajer yang baik harus bisa menjamin ini. Ketenagaan harus terpenuhi, anggaran berbasis kinerja sudah tersusun, sarana prasarana sudah mencukupi dan kelengkapan aturan-aturan, juklak-juknis yang digunakan untuk melaksanakan kegiatan ada. Setidaknya untuk mengambil hati staf, kemudahan pelaksanaan kegiatan yang didasari pemenuhan input tersebut menuju pada kesempurnaan.
• Masalah keberhasilan program adalah tanggungjawab bersama antara manajer puskesmas dan pelaksana teknis pelayanan (dokter). Seorang manajer yang sudah menentukan perencanaan dengan memberikan unsur input yang baik demi terlaksananya kegiatan, membagitugas (organizing) dengan merata, ikut mengawasi pelaksanaan kegiatan -termasuk didalamnya pembuatan pertanggungjawaban kegiatan – dan memberikan kesempatan untuk evaluasi kegiatan seharusnya dapat dikatakan sudah melaksanakan fungsinya sebagai kepala puskesmas.
• Apakah dengan demikian tugas seorang dokter akan tidak ada? Berkurang ya, tidak ada mustahil! Seorang dokter puskesmas yang baik tahu persis bahwa di puskesmas ada kegiatan yang berupa UKP dan UKM. Upaya Kesehatan Perorangan adalah kegiatan medis teknis untuk memberikan pelayanan kesehatan kepada individu yang membutuhkan, kuratif-rehabilitatif, masuk didalamnya kegiatan rawat jalan, rawat inap dan kegiatan-kegiatan yg menunjangnya. Upaya Kesehatan Masyarakat adalah kegiatan membina kemandirian masyarakat agar bisa hidup sehat (promotif=diwujudkan dengan promokes dan kesling, serta program-program inovatif) dan menanggulangi permasalahan-permasalahan yang sudah ada dan atau yang kemungkinan berkembang (preventif=diwujudkan dalam kegiatan P2M, Peningkatan Gizi Masyarakat dan Kesehatan Keluarga). Peran dokter disini di UKP dan UKM. Ya! di keduanya. Berbeda dengan teman-teman yang menganggap bahwa UKM itu miliknya Ka PKM dan Poli miliknya dokter, saya melihatnya seperti ini :
  • Disinilah letak kerjasamanya bisa dibina antara dokter dan manajer puskesmas (dokter atau bukan dokter). Manajer menyediakan kebutuhan pelaksanaan kegiatan pelayanan dan program, mengawasi pelaksanaan dan bersama-sama mengevaluasi. Dokter melaksanakan koordinasi kegiatan pelayanan UKP dan teknis pelaksanaan program UKM.
  • Alasan pelaksanaan tugas manajer dan dokter seperti ini adalah didasari manajer tugasnya manajemen, POAC tapi berangkat dari umum menuju khusus, sedangkan dokter adalah fungsional sejak awalnya, kerjanya fungsional berangkat dari khusus menuju umum. Dengan demikian puskesmas akan punya tim yang tangguh dalam melaksanakan kegiatan sehari-harinya.
  • Apakah dokter akan kekurangan penghasilan karena biasanya dapat ceperan dari kegiatan-kegiatan program yang selalu kental dengan proyek-proyek? Kata siapa? Dengan bentuk remunerasi jasa medis seperti sekarang ini, seorang dokter akan dapat jasa 50% dari jasa medisnya. Ini banyak bila yang duduk di pelayanan adalah dokter bukan mantri atau bidan. Karena dengan demikian media promosi praktek sorenya pun bisa dari situ.
  • Apa kepala puskesmas akan kekurangan rejeki? Dari remunerasi ka pkm langsung dapat 5% dari total dan itu sah. Kemudian dari kegiatan-kegiatan program pasti akan ada sisihan karena tanggungjawab peng-spj-an ada di ka pkm.
  • Tentang siapa yang turun ke lapangan untuk kegiatan UKM, dua-duanya kalo mampu, bila dokter puskesmas pandai menyuluh [ada yang ngga, lho] dan ka pkm jago advokasi [ada juga ka pkm yang tinggal di dpn meja aja] wah itu berkah banget buat pkmnya, dan bisa giliran. Kalo hanya satu orang yang jago ngomong ke masyarakat ya udah pada tempatnya kalo dia yang dapat rejeki uang jalan ke desa.
  • Pasal siapa yang blh menggunakan ambulans pusling, ya kalo cuma 1 ya berbagi saja, bila ada rujukan ya pelayanan, kalo ngga ada ka pkm mau pake untuk rapat ya diikhlaskan, karena dia juga mengemban amanat yang sama pentingnya ..  menjamin pelaksanaan kegiatan dan monitoring evaluasinya, toh bisa sekalian ke dinas ka pkm ngebon obat yang habis atau kurang, bawa laporan, minta alat minta orang dst dst.
  • Siapa yang tinggal di rumah dinas? Ya kalo dokter belum punya rumah di sekitar kecamatan dan mau praktek. Ya mestinya untuk dokternya ya.. Lha kalo 2-2nya dokter dan masing-masing ingin praktek, ya mestinya yang dokter pertama yang dikasih kesempatan kan dia pada kegiatan sehari-hari hanya ngurusi manajemen. Dokter ke-2 pada tempatnyalah mengalah.
  • Siapa yang mewakili ke rapat kepala puskesmas, menurut saya yang bener sih untuk urusan ini adalah ka TU, karena dia seharusnya jadi orang ke 2 yg paling tahu manajemen puskesmas.
  • Kalo saya ditanya kombinasi yang paling saya senangi karena saya dokter saya lebih senang ada dokter pertama dan dokter kedua. Satu jadi ka pkm, yang kedua jadi penanggungjawab pelayanan dan program. Lho, SKM-nya kemana. SKMnya jadi ka TU, itukan yang saya senangi.

Ok deh kayaknya udah waktunya nanya pendapat temen-temen .. gimana ? ada yang punya pengalaman serupa?

Hari ini rapat yang cukup memalukan ..  setelah diumumkan ternyata masih ada tunggakan laporan-laporan yang masih belum disetorkan :

• Laporan JPS baik kegiatan dan keuangan belum masuk.
• Ditanyakan angka pencapaian KB kenapa cukup rendah.
• Kemudian ada 1 desa yang angka pencapaian masih 0
• Laporan SST 3 bulan, laporan ISPA dan Diare  dan laporan BOR Rawat Inap masing-masing 2 bulan

How embarrassing is that??

Tapi ternyata ada penjelasan di balik semua itu :

• Laporan JPS 5 bulan dikembalikan karena belum sesuai dengan format dinas kesehatan.
• Angka pencapaian Keluarga Berencana rendah tahun 2007 karena ternyata memang terjadi angka kegagalan, komplikasi dan efek samping yg lumayan signifikan sehingga ada angka pengurangnya .
• Yang 4 laporan BOR, SST, ISPA dan DIARE ini yang perlu dapat jeweran petugasnya.
• 1 desa yang angka pencapaian imunisasi Polio-4 masih 0 adalah :  Desa RAWAN. Wah yang ini memang gelap. Masih anak mama gitu. Jadi mungkin enaknya ditunggu sampai ada pergantian aja kali ya baru beres.

Life is suck!

05:57 saya: Saya punya ide, yang saya mau konsultasikan. Boleh?

06:03 Anis: gimana? ide pak Agus mesti luar biasa nih..

06:08 saya: hehehe bisa aja.. gini mas anis .. biasanya disini tiap oktober selalu dokter puskesmas yang jadi ketua panitia perayaan HKN, kbetulan tahun ini saya. Tahun ini juga puskesmas-2 dilkenalkan dengan internet [meskipun sebenernya ini karena telkom yang gratiskan pelatihan internet]

Anis: wah selamat pak Ketua..

06:09 

saya: Tadi malam jadi punya ide kayak SEO contestnya para blogger terkenal itu .. tapi saya sih nda muluk-muluk cuma pengen supaya mereka mulai tertarik mewartakan puskesmas masing-masing di dunia maya

Idenya LOMBA BLOGGING antar PKM

Anis: wah bagus…

06:10 

saya: tapi saya minim pengetahuan tentang teknis pelaksnaannya dan bagaimana supaya ini bener2 manfaat

Anis: mereka dikenalkan dulu..trus dilatih terus beri waktu untuk update

saya: Ya .. sampe oktober nopember gitu kan ada waktu skitar 4-5 bulan lagi

06:11 

Anis: nanti tinggal minta mas Dani atau yg deket utk jadi pengajar…trus ada juga yg diminta untuk jadi juri

saya: barusan mau ditulis .. ya penjuriannya misalnya gimana nentuin pemenang, apa yang paling banyak traffic?

06:12 

Anis: juri komposisinya ada yg ahli, ada yg awam nilai tidak hanya traffic tapi juga isinya, jangan copy paste…

saya: awam dalam hal?

06:13 

Anis: misalnya mereka yg bukan blogger tetapi dari kalangan kesehatan….

saya: ya .. mestinya sih ngga kopipast ya .. soalnya kalo bikin blog puskesmas sendiri kan bahan tersedia, laporan tahunan ditambah foto kegiatan mestinya udah bisa jadi 1 blog sendiri.

Anis: kan tidak harus cerita tentang puskesmas sendiri

06:15 

saya: Idenya justru menampilkan puskesmas.

Anis: maksud saya, jangan hanya dibatasi menampilkan puskesmas, artinya boleh juga menuliskan yg lain, misalnya ide mengomentari kebijakan depkes..

06:16 

saya: yaa .. mungkin isinya bisa diatur ada seperti itu ..

maksud saya sih sekarang ini biar puskesmas jadi nongol di internet sebanyak mungkin, berani bikin inovasi yang bisa disumbangsarani orang sedunia setelah itu mereka bisa jadi komunitas kesehatan yang lebih adopt terhdp teknologi. Pendapat saya itu akan membuka banyak kemungkinan, sesedikitnya ide.  

—- end of chat

Itu bincang-bincang saya dengan mas anis, saya perlu tahu apakah kegiatan seperti ini tidak salah secara teknis perbloggingan. jangan sungkan-sungkan ngajari saya yaa, anggap aja anak umur 5 tahun yang dikasih tahu .. :)

Trims sebelumnya

[logonya garing banget ..] :(

post ini dibuat dengan windows live writer ® sebagaimana dapat anda temukan di blog puskesmas | opm | bljrblog | balita

Image by LuisVallecillo via Flickr

By Kristi Patrice Carter

Although every woman’s body responds uniquely to the hormonal changes brought on by nursing their babies, there are certain constants that are associated with the monthly menstrual cycle and breastfeeding. Many women will experience irregular periods while nursing, while others will not menstruate at all until they stop breastfeeding their babies altogether.

As a general rule, breastfeeding causes a delay in the return of menstruation following pregnancy for most women. Also, the frequency of breastfeeding plays a large role as to how soon the menstrual cycle is regulated and once again normal. Women who nurse their babies exclusively may not have a period for as long as a year or more after their pregnancies and will soon discover that the menstrual cycle and breastfeeding seem to be directly related to one another.

Some new mothers will have their menstrual period after cutting down to nursing only two or three times per day, supplementing the other times with formula. Most women who start off formula-feeding their babies will usually begin menstruating anywhere from one to three months following delivery.

The absence of menstruation is actually considered to be a normal occurrence while breastfeeding provided the woman is doing the following:

- Breastfeeding exclusively without using formulas, cereals, or baby foods
- Nursing at least six times per day while alternating breasts
- Breastfeeding at least every four hours during the daytime hours
- Nursing at least every six hours during the nighttime hours

If you find that you aren’t breastfeeding that often, or if several months have gone by and you still aren’t having your usual menstrual cycle, consult with your healthcare provider for their assessment and evaluation.

The technical term for a lack of menstruation due to breastfeeding is known as lactational amenorrhea. Some women rely upon breastfeeding as a means of postponing ovulation in what’s referred to as the lactational amenorrhea method (LAM) for as long as six months after giving birth. It’s important to remember that you should consider yourself fertile once your monthly menstrual cycle has returned. However, since this isn’t necessarily true for each and every woman, especially those with irregular periods, one should always make sure to use a safe means of birth control if they aren’t interested in having another baby right away.

Consult with your own family doctor or gynecologist for their recommendations as to which method is best for you. Many mothers who are breastfeeding choose to use a barrier method, such as condoms or the diaphragm, until they are no longer nursing their babies to avoid the risk of passing on any of the hormones contained in the birth control pill.

Often times, menstruation will begin again once the baby is eating solid foods, or has been weaned from the breast, or is nursing from a bottle more frequently. Once baby begins sleeping throughout the night, or at least for four to six hours at a time, this may affect the menstrual cycle when breastfeeding.

Besides nursing, a woman’s menstrual cycle may even be affected by factors such as a new mother sleeping with her baby, which is never a safe practice as babies can be accidentally suffocated, or fall from a bed risking serious injury. Also, if a mother wears her baby close to her body in a sling on a frequent basis, that may even alter the hormones responsible for causing menstruation as well.

Always remember that the menstrual cycle and breastfeeding are different for every woman, and also for every pregnancy. It’s also not uncommon for women to report having an entirely different experience from one pregnancy to the next. If you have questions or concerns, don’t hesitate to contact your doctor and make an appointment as soon as possible. Most new mothers faithfully take their babies to receive check-ups and immunizations when necessary, but often neglect their own health during the important months following childbirth.

For quality information and tips on breastfeeding and weaning your child, please visit http://www.breastfeedingweaning.com

Article Source: http://EzineArticles.com/?expert=Kristi_Patrice_Carter
http://EzineArticles.com/?The-Menstrual-Cycle-and-Breastfeeding&id=1019218

Image via Wikipedia

By Ben E. Anderson

If you have been considering purchasing a new salt water pool or if you want to convert your existing chlorine system with a salt system, then you should consider a few common misconceptions. With the sudden popularity of these pools there are a lot of myths that have been propagated by owners and sellers alike.

No more worrying about pH levels.

Keeping salt pools clear of germs and algae requires a balance of germ killing chemicals. Chlorine is the primary disinfectant used in a pool. Many homeowners though find that they are needing to add more chlorine to effectively kill germs. This can be attributed to high pH levels. A balanced pH and alkaline level is essential to maintaining optimum chlorination. Not only that but pH levels will also affect the comfort of swimmers. Levels about 7.8 could lead to eye and skin irritation. Most pool owners convert to salt water pools because they are told they are maintenance free. This is not true. Balanced water is essential and this requires frequent testing.

You can taste both the salt and the chlorine.

A properly maintained salt water pool has a salinity level around 10 per cent of water from the ocean. Most salt water pool owners can attest to the fact that the water in a salt water pool is very similar to that of water that has been softened. Soft water has a better feel and is less harsh on skin and clothing. Salt water pools with the proper level of salt will not have a noticeable difference in taste.

Salt water pools don’t require maintenance.

New owners of salt water pools quickly discover that these systems do require maintenance. While you do not have to continually add chlorine as with standard pools you do need to maintain the chlorine generation cells. Most salt water pools use titanium plates that are electronically charged to turn salt water into chlorine. Calcium builds up in the ‘cells’ and must be cleaned. Failure to do so will result in reduced chlorine generation and your pool will no longer be able to fight off germs and algae. Maintaining proper salt levels will also shorten the life of the chlorine generation cells. So there are times when either water or additional salt will need to be added to the pool.

Salt water pools are cheaper then regular pools.

There is a lot of confusion on this point. So let’s clear things up. The cost savings on one of these pools is based primarily on how long you own the pool and how well it is maintained. This is because salt pools are initially more expensive to install. Over a short period of time a standard chlorine system is cheaper. However continued operation costs over the next couple of years will begin to surpass that of a salt water pool. Chlorinated pools are constantly losing chlorine. Sunlight, splash outs and inclement weather are usually reducing the amount of chlorine requiring the use of chlorine pucks and pool shock systems. These can be expensive and dangerous to handle. There are other costs associated with salt water pools. Replacing pave stones, pump parts and chlorine generators can be expensive. In the end salt water pools aren’t very cheap at all.

To see the problems with salt water pools, please visit us at ecosmarte.

Article Source: http://EzineArticles.com/?expert=Ben_E._Anderson
http://EzineArticles.com/?Fact-vs-Fiction—A-Salt-Water-Pool-Review&id=1010414

By Alice Langley

Smokers wanting to stop smoking, often try everything they can to quit the habit and become smoke free. Quit smoking aids like pills, creams and patches can help, but many have not been successful with these types of products.

A new aid to help stop smoking has now become available. These are the stop smoking magnets. Featuring two specially designed bio-magnets worn on the upper ear, the gentle yet precise pressure created by these magnetic anti smoking aids, stimulate specific nerve points in the smokers ear. By applying this gentle acupressure, these magnets induce the production of the neurotransmitter dopamine in the smokers’ brain.

Dopamine is a natural chemical produced by the human brain producing feelings of calm, pleasure and satisfaction. Stop smoking magnets encourage the production of this natural brain chemical and reduce the desire to smoke in the process, slowly eliminating the smokers need to light up.

This bio-magnetic anti smoking device is worn on the left ear by the smoker for at least two hours a day, during which he or she can continue to smoke as usual. Quitting “cold turkey” is not required when using stop smoking magnets which are FDA registered medical devices. Smokers wishing to quit have reported reduction in their desire to light up a cigarette after using the magnets for seven days.

Stop smoking magnets are a form of auricular therapy, which is the science of applying acupuncture to the ear. As auricular therapy devices, these magnets, which are usually 24 karat gold plated, are similar in effect to reflexology and iridology.

Currently it is reported that over 2 million people have used stop smoking magnets to cure their smoking habit. Smokers trying to quit, often complain about the ongoing cost of aids such as pills, patches and creams. The magnets are reusable and require a onetime investment by the smoker.

If you would like to learn more about stop smoking magnets, the technology behind them and their effectiveness, please click on over to: http://www.discover-more.info/about/stop-smoking-magnets.

Alice Langley writes about stop smoking aids helping smokers choose the right product in their quest to become smoke free.

Article Source: Alice_Langley
Ezine Articles

Image via Wikipedia

By Ruth Tan

Looking for a home remedy for cough? One that is natural and perhaps easy to go down? Consider the sweet liquid from nature – pure honey.

Now, when you are down with a bout of sickness, for instance, cold, sore throat, or fever, I am sure at one point or another, you have wondered and questioned what’s going on in your body, what has gone wrong and is causing those symptoms of discomfort…

An extremely common ailment which probably all of us have experienced before, cough is a vital bodily function and can be technically defined as an involuntary reflex signalled and triggered by our brain to clear a blockage or irritant (e.g phlegm, cigarette smoke, pungent gas, dust, etc) from the air passage. What is visible or audible to us when this happens is a sudden expulsion of air from the lungs that helps clear airway very quickly.

When you complain of having a cough, doctors or pharmacists often like to ask this question: is it chesty or dry? Chesty cough or productive cough is characterised by the presence of mucus or phlegm on the chest, whereas in a dry cough where the throat and upper airways are inflamed or irritated, no phlegm is produced or expelled. In some cases, a cough can be chesty but is not productive. This happens when the phlegm is not loose enough to be coughed up.

Many smokers can have a continual dry cough throughout their lives. A cough caused by a viral infection such as the flu or common cold usually disappears within two weeks; if it does not, it may be a symptom of a more serious problem and x-rays may be necessary to diagnose the problem. Persistent or chronic cough could be caused by environmental irritants or even stress (such a cough disappears while sleeping), but it could also be a sign of viral infection like bronchitis or pneumonia, whereby antibiotic medicine would be required. Signs and symptoms that point to an infection include fever, chills, body aches, sore throat, nausea, vomiting, headache, sinus pressure, runny nose, and night sweats. When cough is a warning sign of an underlying cancer of the lung or air passage, other symptoms may also be present, including worsening fatigue, loss of appetite, weight loss, or decreased ability to swallow solid or liquid foods.

Cure

Over-the-counter cough syrups for minor coughs are easily accessible. There are two primary goals in treating a cough: one is to suppress the cough reflex, especially when a cough causes pain or affects with sleep; the other is to thin the mucus, making it easier to bring up and be flushed from the body. It’s beneficial to drink lots of water, warm broth, tea, and room-temperature fruit or vegetable juice to help thin and loosen the mucus.

I notice that across different cultures, home remedy for cough can vary a lot. There is obviously an interesting vast array of recipes for treating cough, but you may not be very comfortable with some of them depending a lot on the beliefs you grow up with (such as the concept of “heaty and cooling foods” which I tend to believe in). Here I would mention a few using honey, one of nature’s most precious gifts:

1. Mix equal amount of honey and lemon grass juice then drink to reduce the coughs.

2. Mix a syrup consisting of 1/4 teaspoon cayenne pepper, 1/4 teaspoon ground ginger, 1 tablespoon honey, 1 tablespoon apple cider vinegar, 2 tablespoons water, mix and drink.

3. Boil some water with 2 garlic cloves, 1 table spoon of oregano. Pour into a cup add 1 tablespoon of honey and drink.

4. Make a lemon and honey drink. Active Manuka honey and propolis have been commonly used as ingredients in the home remedy for cough because of their strong antibacterial properties.

Some researchers believe that honey, a traditional, natural home remedy for cough can offer a “safe and legitimate alternative” to dextromethorphan (DM), which can occasionally cause severe side-effects in children, including muscle contractions and spasms. A study (2007) by researchers from Penn State College of Medicine, US, involved 105 children with coughs between the ages of 2 and 18. Before bed, the children were given artificial honey-flavoured DM cough syrup, buckwheat honey or nothing at all. Results revealed that parents of children who received the honey rated their children’s sleep and symptoms as better! Honey’s ability as a home remedy for cough may be due to the way it soothes on contact and stimulates saliva. However, please note that honey should not be given to children under age 1 because of a rare but serious risk of botulism.

Source: http://www.benefits-of-honey.com/home-remedy-for-cough.html

R. Tan is the owner of the website http://www.benefits-of-honey.com which is a rich honey resource community specially built for all the honey lovers and fans in this world. She has packed this website with a wide range of quality contents on honey based on her knowledge and experience with honey, so as to promote its invaluable benefits which she believes could bring many positive spin-offs in everyone’s daily life.

Article Source: Ruth_Tan
Ezine Articles

Image via Wikipedia

By Milos Pesic

Just because you get a headache doesn’t mean that you have high blood pressure. Headaches CAN be an indication of very high blood pressure, but more often that not, a headache is just a headache. Take an aspirin or a Tylenol and move on. Hypertension isn’t called “the silent killer” for no reason. There are no symptoms that you or anybody else would recognize as symptoms of high blood pressure.

If you or someone you love is having a SEVERE headache, blurred vision, and nausea all at the same time, you should without any hesitation, get to a doctor or an emergency room. Those symptoms could indicate a blood pressure that is high enough to cause a heart attack or a stroke, or worse.

However, most people discover that their blood pressure is elevated in one of two ways: (1) they go to their doctor for some other problem and the nurse finds the readings high. He or she reports the finding to the doctor, who then reports the finding to the patient; or (2) they wake up in the emergency room after they have had a heart attack or a stroke without having experienced any symptoms at all.

Readings that are 140 (systolic) and 90 (diastolic) indicates hypertension. Now, just having ONE reading at that level is NOT an indication that you have hypertension. Blood pressure fluctuates all the time. Immediately after you have done strenuous exercise, your blood pressure will be higher. If you are suddenly stressed or frightened, your blood pressure will rise.

However, several readings at various times that are consistently as high as 140/90 or higher do indicate that you have high blood pressure — with or without a headache.

Milos Pesic is an expert in the field of Hypertension an High Blood Pressure and has helped thousands of high blood pressure sufferers lower their score in weeks. For more articles and resources on hypertensions symptoms, cures and natural medications visit his site at: http://myhypertension.info/

Article Source: Milos_Pesic at Ezine

Image via Wikipedia

By Brandon Walsh

What Should My Cirrhosis Diet Plan Look Like?

An important part of your cirrhosis diet plan is to implement a complete abstinence from alcohol. Alcohol simply destroys your liver and will have serious consequences if consumed with cirrhosis.

Your liver has the very important role of converting your food into stored energy that can be used by the body to function properly. When the liver is damaged, it needs to be treated especially well to assume its normal functionality. Part of treating your liver well, is to keep sodium, and simple sugar intake low, and your protein intake high. We’ll get into further detail as to what that means below.

Low Sodium

Your sodium intake typically needs to be regulated and/or restricted with cirrhosis. Unfortunately, this means no salt on your eggs, steak, or ice cream! However, salt is an acquired taste, so, just like any difficult habit it will get easier as time goes on.

The biggest and most difficult hurdle could also be the foods that come pre-packaged with masses of sodium. Foods to be on the lookout for would be your processed meats and cheeses, canned soups, and frozen dinners. Most experts will tell you that 2000 milligrams of sodium per day would be the max you would want to ingest, but always consult your doctor or health professional for the best advice in this regard.

Adequate Protein

Another important aspect of your cirrhosis diet plan will be to ingest an adequate, but not excessive, amount of protein in your diet. Protein is necessary in repairing and maintaining your body tissue, especially your liver!

Many persons dealing with cirrhosis tend to better absorb and use protein from plant and dairy sources rather than from meat and poultry. And, consequently, your diet should reflect that tendency, being comprised of nuts, seeds, yogurt, etc. Large amounts of animal proteins in your diet can lead to a condition called encephalopathy, so your protein intake with cirrhosis should be handled with great caution.

Low Fat

As the largest organ in your body, your liver plays a greatly multi functional role. And, as such, persons dealing with cirrhosis often experience difficulty digesting fat in their diet as well. A good guideline to use for your fat intake would be to try and keep the total calories of fat in your diet to around 25%. And, as a general principle for a healthy diet, and for it’s liver protecting qualities, try to ingest a good portion of that fat from Omega-3 fatty acids, found in food such as salmon, walnuts, and flaxseed oil.

So, What Now?

Now you know what elements of the your cirrhosis diet plan you need to look for, but how do you ensure that you are getting the right nutrition, eating at the right times of the day, and consuming the right foods?

Here are a few basic suggestions:

• Eat several smaller portioned meals throughout the day (4 -7), rather than 3 large meals. (much less taxing on your liver)

• Look for a good multi-vitamin that’s easily soluble, organic, and contains the nutrients your body needs. (to replace those vitamins your liver couldn’t handle)

• Replace your intake of animal fat and animal protein with some good supplements, such as nutritional bars, shakes, and spirulina.

• Drink lots of water, get normal rest, and lots of sunshine.

But, if you’re still looking for a specific diet plan to work with your cirrhosis, check out this new system by FITworks: Cirrhosis Diet Plan & get a personal diet coach, accountability with others, and tons of valuable meal plans.

Brandon Walsh is considered an expert author in the fields of nutrition, homeopathy, and kinesiology and is the owner of a popular website dedicated to providing Healthy Dieting Tips which publishes a free informational healthy living newsletter.

Article Source: Brandon_Walsh
Ezine

Image via Wikipedia

By Jitesh Arora

There are many factors which are responsible for irregular periods some of them you can find in following article.

• A woman can have irregular periods due to significant weight loss or weight gain.

• Over exercise can also result in irregular menstruation.

• Poor nutrition and diet which is rich in carbohydrates is also related to hormonal imbalance and menstrual disturbances.

• Some drugs can also cause irregularities in menstruation.

• Many women who are smokers experience irregular periods.

• Excessive intake of coffee is also a cause of irregular menstruation.

• Some specific drugs can also cause menstrual irregularities.

• Use of excessive alcohol can also disturb hormonal metabolism which also disturbs menstrual cycle.

• Drug abusers can also have some irregularities in their periods.

• Some eating disorders like bulimia nervosa and anorexia nervosa also cause menstrual cycle irregularities.

• In some cases increased stress is cause of irregular menstruation.

• A disease called Polycystic Ovarian Syndrome can cause estrogen dominance in the blood which can be the cause of irregularities in the menstrual cycle.

• One of the cause can be uterine abnormalities like polyps, cysts, fibroids and endometriosis.

• Recent child birth or miscarriage are also one of the causes of irregularity.

• Some women have period irregularities when they breast feeding.

• There can be some changes in menstrual cycle if there is beginning of menopause in a woman.

The above reasons can cause irregularities in menstrual cycle. If you find some reasons of irregular periods in yourself or your relatives and friend then it is a good idea to visit your doctor.

Are you looking for the sure short treatment of Irregular Periods? If yes then feel free to visit Irregular Periods Treatment

Article Source: Jitesh_Arora
Ezine

Image via Wikipedia

By Mark G. Winston

If you’ve read any of my articles on arm training you know I’m all about building big, muscular arms that ooze power and look great! But to look and feel your very best you’ve got to balance those GUNS with a thick, muscular chest.

Many beginning bodybuilders mistakenly believe that barbell bench press is all they need to build a massive chest. And some guys love to impress themselves by bragging about how much they can “bench.” Hopefully you’re not in this crowd because you simply can’t build truly awesome pecs with barbell bench press alone. The standard bench press is a compound exercise that involves coordinated work from the chest, triceps and shoulders. While this exercise is great for building overall upper body strength, it’s not enough for getting maximum growth, shape and muscularity in the entire pectoral region.

If you really want a big, muscular chest with well defined pecs that look like tectonic plates, you should try the 5 chest building exercises I’ve listed below. I’ve chosen these exercises because they’re simple and effective for beginners who need a solid foundation in chest-building fundamentals to achieve long-term bodybuilding success. The equipment needed for each exercise is generally available at any gym or health club. Each of my Top 5 chest-building exercises will help you simultaneously build mass, shape and power in your chest. The entire pectoral area is directly targeted during each exercise to maximize growth and efficiency from your workouts.

Now, here’s my list of the Top 5 starter exercises for building the big, muscular chest that you desire! They’re not listed in any particular order, so there’s no reason to think that one particular exercise is better than another. You must decide what works best for you by experimenting with each exercise. But rest assured that any chest-building program that includes all of these exercises will definitely add inches, symmetry and power to your pecs.

1. Dumbbell Bench Press

Dumbbell Bench Press is one of my favorite exercises for building mass, shape and power in my pecs. Try it and you’ll soon feel this way too! Unlike barbell bench press which often causes shoulder pain and risks rotator cuff injury, this exercise allows you to comfortably stretch your pecs through a greater range of motion to stimulate more muscle fibers for enhanced growth and shape.

And if you really want to build strength in your chest, balancing and controlling each dumbbell during high intensity sets requires considerably more power than it does to complete the same motion with a barbell. If you don’t believe me, consider the following. If your one-rep maximum in the barbell bench press is 250 pounds, you might logically assume that you could work with two 125 dumbbells for your Dumbbell Bench Press. But if you actually tried to do this you’d be in for a big surprise! Bench press with dumbbells is harder and requires more strength than the barbell variety. I recommend it for beginners because the difficulty lies not in the technical aspects of the lift, but in the strength required to complete it. And the sooner you start developing the strength in your chest necessary to effectively complete this exercise, the better.

2. Incline Dumbbell Bench Press

The size, shape and strength building benefits of Incline Dumbbell Bench Press are basically the same as discussed in Exercise #1 above. The basic difference is that these benefits are concentrated in the upper portion of your pecs. If you’ve never done this exercise before or if you’ve only done it with a barbell, remember that Incline Dumbbell Bench Press requires and builds more strength than doing the same movement with a barbell. That means you’ll need to experiment initially with different poundage to find the amount of weight that you can lift with proper training technique. Remember, don’t try to impress or keep up with anyone else in the gym – especially when you’re first starting out. And don’t worry about those guys doing nothing but incline barbell bench press. They’ll be shocked when they see your chest after disciplined and consistent training with this exercise.

3. Parallel Bar Dips

Parallel Bar Dips are great for shaping and building mass in the entire pectoral region. Grasp the handles of a parallel dip apparatus and hold your body suspended between them. For primary training emphasis on your chest, lean forward as you perform this exercise (holding your torso erect puts primary resistance on your triceps). Inhale as you lower yourself as far down as you can comfortably descend and then exhale as you push yourself back up to the starting position. This exercise is a great bodyweight chest builder as long as you watch your technique and lean forward throughout the movement.

For an overload effect or to pyramid your work sets, use a harness to hang a barbell plate or dumbbell from your waist for added resistance. Most commercial gyms and some health clubs have these harnesses, so if you need one, ask for it.

4. Flat Bench Dumbbell Flys

Flat Bench Dumbbell Flys are designed to build well defined, massive pecs by isolating resistance on the chest as much as possible with strict training technique. Such technique requires the controlled movement of the dumbbells over your chest with your back and shoulders planted firmly on a flat or incline workout bench. This means you shouldn’t try to do this exercise with excessively heavy weight (I suggest poundage that allows you to do 10-12 reps). Make sure that you don’t jerk the dumbbells together with bodyweight or shoulder assistance. This type of cheating on training technique deprives the chest of the work it needs to grow and simply wastes time. If done properly, this exercise will thicken and shape the “pec-delt tie-ins” where your chest and shoulders meet to give your pecs a full and wide frontal appearance.

5. Weighted Pushups

Standard pushups are a compound exercise that involves the triceps, chest and shoulders in the “pushing” motion. If you can do 3 sets of 15-20 pushups with little or no difficulty, you should try Weighted Pushups to increase resistance on your chest. For proper performance, take a standard pushup position with your hands and arms extended and shoulder-width apart. Have a training buddy gently place a 5-10 pound barbell plate on your back to force your chest to work harder than it would with a standard pushup (you can increase the amount of weight as needed).

Make sure you keep your back straight and your head up to balance the weight and put maximum resistance on your chest. Slowly lower your chest to nearly touch the floor and then push yourself back up to the starting position. Try this and you’ll be amazed at the results you can get from such a simple exercise!

So, there you have it – my Top 5 list of chest-building exercises for beginning bodybuilders. When you try them, make sure that you use safe amounts of weight and proper training technique with every exercise. Have fun and start making plans to buy some bigger shirts!

Mark G. Winston, “The Master Gunslinger,” is author of the ground-breaking training manual, “GO For Your GUNS – 7 Simple Secrets to AWESOME ARMS.” He has also created GOforyourGUNS.com, a bodybuilding and fitness website dedicated entirely to helping you build big, muscular arms. Mark’s forthcoming book will be jammed with workouts and training techniques to help you build the big, muscular arms that you deserve! To learn about the GO For Your GUNS bodybuilding system and get free arm training tips that really work, visit http://www.GOforyourGUNS.com

Article Source: Mark_G._Winston
Ezine

Image via Wikipedia

By John Davenport

The Master Cleanse, which was created over 50 years ago, is one of the most renowned detox diets in the world. The benefits of doing a detox diet are many and include weight loss, pain relief, chronic ailment alleviation, increased energy levels, allergy alleviation, and increased sex drive and potency. Since the Master Cleanse is so widely used, there’s a great deal of discussion of this diet even though the basic Master Cleanser recipe is in fact very simple indeed.

Here is the basic Master Cleanse recipe which is good for 1 serving:

1. 2 Tablespoons of organic lemon Juice (about 1/2 a Lemon)

2. 2 Tablespoons of Organic grade B maple syrup

3. 1/10 Teaspoon Cayenne pepper powder

4. Ten ounces of filtered water

Here is a Master Cleanse recipe which is good for 1 day’s worth of serving:

1. 60 ounces of filtered water

2. 12 Tablespoons of organic grade B maple syrup

3. 12 Tablespoons of organic lemon juice

4. 1/2 Teaspoon cayenne pepper powder

Indeed, the Master Cleanse recipe isn’t that appealing when you first look at it. The thing to remember is that the Master Cleanse isn’t a diet you need to stick to for long. The maximum recommended length of using this diet is 10 days. Anymore than that and it may be a bit unhealthy. You can also spice up the Master Cleanse recipe with certain herbal teas and other “safe” foods which won’t take away from the detoxification effects of the diet.

Another benefit of the Master Cleanser recipe is that it’s easy to get all the ingredients and that they are all very affordable so that you are in fact saving money on groceries on the days you use this diet.

Click here to read more Master Cleanse Secrets.

John Davenport lost over 30 pounds in his twenties after being overweight most of his life. To read more about the benefits of the master cleanser, click here: Master Cleanser Benefits and Results.

Article Source: John_Davenport
Ezine

Image via Wikipedia

By Brandon Johnsonn

What is a normal resting heart rate? The short answer: about 50 to 100 beats per minute. Unless you fall dramatically above or below these numbers, then you’re probably “normal.”

But, to understand more about heart rate and what factors can affect your beats per minute, let’s look at how the heart works.

Whether you’re Lance Armstrong or Larry Buttbig, your heart is constantly pumping blood, oxygen, and nutrients throughout your entire body.

Theoretically, the higher your resting heart rate, or the more times it beats per minute, the harder and more often your heart has to work to do its job.

Conversely, a lower heart rate implies that it’s more efficient and doesn’t need to pump as often. Lance Armstrong’s is said to be about 30-35 beats per minute!

There are several other variables that affect your heart rate, so don’t feel bad if you’re ticker is working two or more times harder than Lance’s. Physical fitness, exercise intensity, training frequency, and of course — the uncontrollable — genetics.

How to Measure Your Heart Rate

You may have no point of reference for the above BPM numbers, so to give you an idea, try measuring your own resting heart rate now.

For an optimal measurement, you should check it first thing in the morning while still lying in bed. This will provide you with the truest “resting” rate, but as long as you haven’t been overly active in the last hour or so, the number shouldn’t vary by more than 5 or 10 beats.

1. Find a pulse point, either on the inside of your wrist or your neck.
2. Stand in front of a clock with a second hand, or use a stopwatch.
3. Count your pulses for 60 seconds (this number is your BPM, or normal resting heart rate).
4. Repeat 2-3 more times, and take the average for more accurate results.

So, what’s your normal resting heart rate? For more tips you can use to track your fitness progress and overall health, check out http://www.fitbuff.com

Article Source: Brandon_Johnsonn
Ezine

Image via Wikipedia

By Elizabeth Hartley

Bloating is an extremely common problem. Consider the surge of probiotic yogurt and drinks that have flooded the market in recent years, all aimed at reducing abdominal bloating. Scan the newsagent’s shelves and you’re sure to find several glossy magazines with headlines featuring articles on “HOW TO BEAT THE BLOAT!” Television commercials are peppered with advertisements promoting products containing ‘friendly bacteria’ challenging us to eat our way to a flat stomach within 14 days. So many products, so many solutions. But what causes the bloating in the first place?

Well almost certainly the problem lies in the food we eat. Although it should be pointed out that in some cases bloating can be an indicator of a more serious underlying condition, for most people, bloating is due to sensitivity to particular foods. The reasons why are unclear. It would be easy to blame modern day living and a diet of junk food however sometimes some of the healthiest products can turn out to be the worst culprits. Broccoli, cabbage, beans and pulses are among the most common offenders. However some people find themselves bloating up after even the most innocent of snacks for example, a cheese sandwich or a bowl of mushroom soup.

So how do you discover the cause of your bloating and can you ever get rid of it? Well you could continue with the usual remedies such as:

• eating the probiotic yogurts

• taking charcoal tablets

• and drinking peppermint tea which will almost certainly soothe the discomfort.

All of these can make you feel better in the short term however they won’t help you get to the root of the problem and find a more permanent solution. For this you will need to take a more philosophical approach when considering what you eat and drink on a regular basis.

The easiest place to start is by trying an elimination diet. This involves following a strict, bland diet and keeping an accurate account of everything you consume and recording any reaction you may have. Provided the diet you follow is restrictive enough you should notice an improvement within a few days. Once your bloating has settled down you can begin re-introducing foods one at a time which will help you identify those causing you the problem. Elimination diets are not the most exciting eating plans however when followed properly they can produce quick results and set you on your way to overcoming bloating for good.

If you would like to reprint this article you may do so provided the text remains unchanged and you include the “Author Bio” statement below:

Elizabeth Hartley is the author and creator of The Flat Stomach Diet. This diet plan is the result of many years of research after consultation with doctors and professional nutritionists in an effort to discover the causes of painful abdominal cramps and bloating. The findings are based on personal experience after undergoing numerous medical tests and procedures and failing to find any other alternative long term solution. Details of The Flat Stomach Diet can be found at http://www.flatstomachplan.com

Article Source: Elizabeth_Hartley
Ezine

Image via Wikipedia

By Benjamin Wise

As you know there is tons of weight loss plans out there to choose from some good and some not so good. Always proceed with caution when anything is directly related to your health. The worst kind of programs offer almost immediate success. As they say “if it is too good to be true then it probably is”.

One thing you always need to apply is plain and simple common sense. The first thing you can do is make small changes rather than a dramatic shift in lifestyle. While taking these small practical steps understand what you need to do in order to achieve the most success.

Do simple things like cutting out cream in your coffee this is easy and effective. Try and exchange sugar for honey in your coffee or if that does not work for you try to replace the sugar with something you are comfortable with. Remember it’s what you do everyday that counts.

Tip number two is easy also. In the morning eat fresh fruit. By the way vary your fruit. Cut up some grapefruit. Before you eat it – drink warm water with lemon. Then eat some whole bran cereal and have whole wheat toast with honey. You can also eat porridge as this will help fill you up. As they say “breakfast is the most important meal of the day”.

As for your main meal eat more veggies and good starch like from sweat potatoes and Yams. Stay away from heavily processed foods and cut down on dairy.

Tip number three is this. Do exercise that you enjoy. I like to golf for example. Choose activities that you enjoy this way you will want to do it. At the gym vary your exercise routines and do scissor kicks and crunches to specifically target that area.

To learn more on how to lose abdominal fat select one of the links below. You will also get a Free Bonus ebook – “Training & Nutrition Insider Secrets for a Lean-Body”.

Learn more about Hoodia & Weight Loss Finally The Right Way To Lose Belly Fat – starting today! You can also learn how to get Six Pack Abs.

Article Source: Benjamin_Wise
Ezine

Image via Wikipedia

By Anne Cresacre

Itchy flaky scalp getting you down? If you’ll give me a couple of minutes of your time I’ll show you how a simple and little known herbal remedy can get rid of your itchy flaky scalp once and for all.

An itchy flaky scalp can be caused by any number of things but often has to do with lifestyle, nutrition, infection or even an allergic reaction to the products you normally put on your hair. You see, most off-the-shelf products these days are so loaded with chemicals that in some cases they actually do more harm than good. Many anti-dandruff shampoos contain strong chemicals like Sodium Laureth Sulphate (the same ingredient used in engine degreasers), Propylene Glycol (found in antifreeze), and Silicone which is often found in leading brand conditioners and is used to add an artificial shine to your hair.

Apple Cider Vinegar is an excellent little home remedy that has been used for many, many years to get rid of an itchy flaky scalp and dandruff.

Try the following recipe:

Wash hair with a mild, pH-balanced shampoo. There’s no need to use a dandruff shampoo because the apple cider vinegar will gradually disperse and get rid of the dandruff and itchy flaky scalp problem.

Mix together the apple cider vinegar with some warm water (2 parts vinegar to one part water). By adding a few drops of essential oils such as lavender or rosemary you will help to cleanse the scalp further and add a little fragrance to your hair. (Always remember to patch test oils in case of allergies, and always consult your doctor if you are pregnant).

Pour the mixture directly on to clean hair or alternatively put it in a bottle and spray onto your scalp. Massage it in and let the mixture dry on your hair. There’s no need to rinse it out (unless the smell bothers you).

In case of more stubborn dandruff and itchy flaky scalp you can try a stronger mixture of vinegar to water, such as a one-to-one ratio. You could even try using the vinegar undiluted and applying it directly to the scalp. Leave it on for about 15 minutes and then wash the cider out with a mild, pH-balanced shampoo.

You’ll get the best results if you use raw, unfiltered apple cider vinegar to treat your dandruff. If you don’t happen to have any apple cider vinegar, lemon juice can also be used instead.

Essential oils can be used to soothe the itching. Mixing together Lavender, German Chamomile and Eucalyptus Oils with water (4 parts water to 1 part oil), and applying locally to affected areas will help to relieve your itchy flaky scalp.

**Bonus Itchy Flaky Scalp Remedy**

Ok, I’m feeling kind today, so here’s an extra little home remedy for you. :)

Fenugreek seeds are excellent for getting rid of dandruff:

• Take 2 tablespoons of fenugreek seeds and soak overnight in water

• In the morning grind the soft seeds into a fine paste

• Apply this paste all over scalp and leave for half an hour

• Rinse off thoroughly with soap nut solution

• A teaspoon of lime juice on the last rinse will work wonders

There are many remedies for an itchy flaky scalp and dandruff that you can make in the comfort of your own home.
Check out my Itchy Scalp Remedies Website which will give you tons more information on the causes of your itchy flaky scalp and dandruff and how to cure them.

For a Free ebook telling you some little known herbal cures that your doctor never told you about, go to my website and download a copy now http://www.natural-remedy-help.info/signup.html

Article Source: Anne_Cresacre
Ezine

Image via Wikipedia

By Dr. Frank Thomnpson

Blurred vision can be an entirely unpleasant experience. Not to mention the fact that it can be a symptom of serious diseases and disorders. The most common cause of blurred vision is the weakening of muscles which misshapes the lens of your eyes. When the lenses also lose their elasticity, it can also occur. Loss of elasticity is quite inevitable with aging, but this process can be slowed down by antioxidants.

Cataracts are another cause of blurred vision. Driving at night can be particularly difficult for patients with cataracts because the headlights of vehicles may blind or dazzle them. Another cause of is macular degeneration. Macular degeneration occurs when neurons at the back of our eyes lose their light. Unfortunately, blurring of this type cannot be corrected by glasses alone because the neurons themselves are damaged. Some patients still find some relief from this disorder when their doctors correct micronutrients such as selenium, zinc and magnesium in their eyes.

It can also be caused by myopia, which is the medical term of near or short-sightedness. This occurs when there is too much curving of the cornea or if the eye itself is too long. Myopia is when objects from a distance will seem blurry. They appear blurry because they are too focused in front of the eye’s retina. Nearsightedness is a common disorder and affects approximately 25 percent of American adults.

Another mild eye disorder that can be a cause of it is hyperopia or farsightedness. This is the opposite of myopia and occurs when objects from a distance look clear while objects up close look blurry. In contrast to myopia, hyperopia happens when the eye is too short and when the images are focused beyond the eye’s retina.

If you have dry eyes, you may also be experiencing blurry vision. Dry eyes occur when you don’t actually produce enough tears, or when your tear ducts produce poor quality tears. This is an uncomfortable sensation, because it can cause burning, itching and even loss of vision in some patients. Eye specialists suggest using special eye drops, or “artificial tears” to treat dry eyes. A humidifier in the home can also help regulate your tear ducts. In some serious cases, surgery may be needed to treat this disorder.

Blurry vision is not something to take lightly. It may be something as seemingly harmless as myopia or hyperopia, which can be treated by corrective glasses, lenses or laser eye surgery, or it may be a symptom of something more serious. Either way, when you experience blurry vision, have your eyes checked immediately by your doctor.

Click Here To >> Improve Your Vision Fast & See Without Glasses

Article Source: Dr._Frank_Thomnpson
ezine

Image via Wikipedia

By Jared Lee

Listed below are some important health complications caused due to sumptuous consumption of junk food.

Lack of energy:
Junk foods do not contain any nutrients that are beneficial to the human body. In most cases, these foods are filled with harmful carbohydrates, fats and cholesterol that do not provide any useful energy. As a result, somebody consuming junk food has reduced level of essential nutrients thereby causing weakness in the body.

Poor Concentration:

One disadvantage of consuming junk food is that it contains high amount of oil and fat. As a result, human body finds this food difficult to digest and needs to spend high amount of blood and enzymes. When a person consumes junk food in excess, a major portion of blood in the body is diverted to the intestine. As a result, the person feels drowsy and suffers with reduced concentration.

Heart Diseases:

Junk foods have been identified as a major cause of heart diseases including myocardial infraction, cardiac arrest and atherosclerosis. This is due to the fact that junk food contains excessive amount of low-density lipoproteins and cholesterol that get deposited on the inner linings of blood vessels. This result in formation of plaques and the heart is required to put an extra effort for pumping blood through the arteries. Presence of fat in the blood also causes reduced oxygen levels. Another harmful factor present in junk foods is excess concentration of sugars and salt. Excessive concentration of sodium ions causes an increased heart blood pressure.

Liver Failure:

Even liver gets damaged due to presence of ingredients such as fat, cholesterol and salt inside the junk foods.

Diabetes:
Junk foods also cause damage to the pancreas resulting in insulin-dependant diabetes mellitus (IDDM).

Check Out More Articles :

Nutritional Healthy Eating And Healthy Recipes, Foodborne Diseases Associated With Cheese Manufacturing, Decorating Kitchen with collectable kitchen plates

Article Source: Jared_Lee
Ezine

Image via Wikipedia

By Della Franklin

The skin around your eyes is extremely thin and sensitive. It is here that you will notice your first fine lines and wrinkles. It is here that you will first see signs of exhaustion and illness. Yes, there are many reasons why you can learn a lot about a person by simply looking at their eyes, and many reasons why you do not want to tell all of your secrets with yours. One of the most bothersome conditions that you may encounter when it comes to your eyes is dry skin around the eyes.

Wrinkles develop after skin becomes dry and loses elasticity. Considering that this will first occur around your eyes, there is good reason for you to address any dry skin issues as soon as they occur especially if they occur around the region of your eyes. You can do this either as a preventative measure or a curative measure.

Preventing Dry Skin around Eyes

If you follow a good skin care routine, it probably involves using moisturizers and products that do just fine at preventing dry skin on your face. But the skin on your eyes often needs a little more. Here are a few eye products that you should have in your makeup bag:

* Eye Makeup Remover – When you were 16, it was okay to sleep in your eye makeup all night, but not anymore. Leaving eye makeup on indefinitely is not good for your skin, but many products are waterproof. This tempts many to remove their eye makeup using a hot washcloth with soap and water. There are two things wrong with this scenario: soap is drying and a harsh washcloth can irritate and further dry your skin. To remove your eye makeup properly, you should use an oil-based or moisturizing eye makeup remover. These products work much better than soap and water without drying your skin.

* Spot treatments – It is never too early to start preventing wrinkles around the eyes. You can do this by using an antioxidant eye cream. There are two types of eye creams: a lighter treatment that can be used during the day and a heavier one that is used overnight.

* Sunglasses – The sun is the number one culprit when it comes to causing dry skin around the eyes. Be sure to wear sunscreen and cover the sensitive skin of your eyes up with sunglasses whenever you go outdoors.

* Health – If you are in poor health, your skin will show it. Be sure to drink plenty of water, eat a good diet, and exercise regularly to prevent dry skin. If you have any underlying health conditions that may cause dry skin, you should also take extra care to keep these under control and follow all of your doctor’s instructions.

Curing Dry Skin around Eyes

If you experience dry skin around your eyes even after all of your attempts at preventing it, you may need to take a different approach. There are many intense eye therapies out there that might be the perfect solution to your problem. Here is a brief guide to help you decide:

* Hydrating Eye Serums – Many people experience dry skin around their eyes simply because there are not that many oil glands in the skin of the eyes to help keep it moisturized. Without these vital oils, your skin quickly dries out when it comes into external factors such as the sun, cigarette smoke, dry furnace heat, and harsh weather conditions. To replenish these oils, use a hydrating eye serum. These can be applied directly underneath or even on top of your makeup several times throughout the day. Many also have added ingredients to help firm skin and fight dark circles.

* Intense eye treatments – If the dry skin on your eyes is particularly bothersome, you can use an intense eye treatment 2 to 3 times per week. These are similar to intense hydrating masques that you purchase for your face but are formulated for the sensitive skin of your eyes. Look for these in the same aisle that you would find face creams.

Dry skin on the eyes can be extremely itchy and easily irritated. The thin skin of the eye is also easily torn. This is why it is very important to address eye issues as soon as they occur. Avoid scratching and tugging on the skin and be sure to use enough moisturizers to get your skin into shape as quickly as possible.

http://www.dryskinsite.com brings you all the latest information you need to combat your dry skin problems. There’s nothing to buy, just really helpful information. Be sure to check out pages like Dry Skin Around the Eyes also Dogwood Square © 2007 copyright by DSquare Marketing and Della Franklin.

Article Source: Della_Franklin
Ezine

Image via Wikipedia

By Gerrard Mackenzie

We have all experienced being tired at one point or another- after a hectic day at work, following a vigorous aerobic exercise, after playing a sport. To feel tired after a highly physical activity is normal. But many people experience tiredness even upon waking up in the morning, despite a seemingly long sleep. Are you one of them? Do you often feel a lack of energy for apparently no reason at all? In order to address this problem, the first step is to know what is causing it.

Here are the 4 most common causes of extreme tiredness:

4th Most Common Cause: Medical Conditions
Many diseases and disorders can trigger fatigue, including the flu, anemia, and sleep disorders, such as sleep apnea or restless leg syndrome. Hormonal problems, heart ailments, and cancer are also known to cause fatigue. Certain medications, especially those used to treat chronic illnesses, also bring about extreme tiredness. The source of one’s extreme tiredness can be even harder to trace if one has undiagnosed medical problems. When experiencing abnormal physiological conditions, it is best to see a doctor.

3rd Most Common Cause: Emotional concerns and stress.
Studies suggest that psychological factors are present in at least 50% of fatigue cases. Emotional concerns may include depression, chronic anxiety, emotional stress, and excessive grief, especially that due to loss of a loved one.

2nd Most Common Cause: Workplace issues

This is widespread especially in the working population who juggle their work priorities, family concerns, and social life. Examples of tiredness triggers in the workplace are shift work and poor workplace practices such as working long hours, hard physical labor, irregular working hours (such as rotating shifts), stressful work environment, and even boredom. Social factors at work such as working alone with little or no interaction with others and fixed concentration on a repetitive task are also known culprits. Workplace stress caused by a wide range of factors including job dissatisfaction, heavy workload, conflicts with superiors or colleagues, bullying, constant and unwanted change, and threats to job security are also known culprits. Recently, burnout among workaholics, the result of striving too hard in the work area while neglecting everything else, tends to drain all their energies from other aspects of their lives. Even among the unemployed, financial pressures, feelings of failure or guilt, and the emotional exhaustion of prolonged job hunting can lead to fatigue.

And finally the most common cause of extreme tiredness: Unhealthy lifestyle choices

In the absence of a medical illness, psychological problems, and work-related stress, lifestyle choice is the most prevalent cause of extreme tiredness among all ages. Common lifestyle choices that can cause fatigue include: lack of sleep, too much sleep, intake of alcohol and drugs, sleep disturbances, absence or lack of regular exercise, and poor diet. In some cases, extreme tiredness is caused by a combination of these factors.

Diagnosis can be difficult making treatment even harder. Consequences of extreme tiredness can even be worse. To avoid this plague, it is best that we know the triggers and avoid them at all cost. As they say, an ounce of prevention is worth a pound of cure.

Gerrard Mackenzie is the author of the Special Sleep Report and has taught thousands of the stressed-out, tired and overworked how to overcome their sleeping difficulties and get a better night’s rest. He also writes for the website Supercharge Your Sleep. He no longer suffers from extreme tiredness.

Article Source: http://EzineArticles.com/?expert=Gerrard_Mackenzie
http://EzineArticles.com/?Top-4-Causes-of-Extreme-Tiredness&id=939405

Image via Wikipedia

By R. West

In addition to the many benefits of standard push ups (elevated heart rate, total body conditioning, etc.), there are many variations on the simple exercise that will allow you to specifically target different muscle regions. None of the push up variations require extra equipment, with the exception of the elevated push up, which requires a chair or some other means of elevating your feet.

The Standard Push up:

Proper position is with your body in a straight, horizontal position, with you hands shoulder-width apart. One proper repetition involves lowering your body to the point that your chest touches the ground, and then lifting yourself back to starting position.

Wide-stance Push up:

This type of push up is designed to place more emphasis on your chest than the standard push ups. This is very similar to a butterfly machine. By placing your hands in a wide position, i.e. wider than shoulder width, you will be forcing your chest to do more of the work. This push up also lightens the load on your triceps, so it is a good substitution towards the end of your workout, if your triceps are too exhausted to continue, and you feel like trudging on.

Diamond Push up:

Place your body in a straight, horizontal position. Slide your feet apart to approximately shoulder-width. Place your hands together, directly under your sternum, with the tips of your index fingers and thumbs touching. Your fingers and thumb should form sort of a diamond or triangle shape. This type of push ups puts a heavy emphasis on the triceps, and lightens the load on the pectoral muscles.

Elevated Push up:

The elevated push up is exactly the same as a standard push up, but it involves elevating your feet by placing them on a chair, or surface. By lifting your feet, you will be accomplishing two things: increasing the amount of weight being lifted, and shift emphasis to the upper pectorals. This is very similar to an inclined bench press.

The elevated push up can also involve elevating your chest and upper body while leaving your feet on the ground. This is significantly easier. By doing this, the load is shifted to the lower chest, similar to a declined bench press. Wide-stance and diamond push ups can also be done in an elevated position for chest and triceps isolation training.

Richard West writes a lot of articles. Click here for more information about different types of push ups, including examples

Article Source: http://EzineArticles.com/?expert=R._West
http://EzineArticles.com/?Different-Types-of-Push-Ups-and-Their-Unique-Benefits&id=944264

Image via Wikipedia

By Tyler Samuelson

If you’re wondering how does smoking affect your body, you might be surprised how many negative health effects result from this habit. There are many ailments proven to be caused by smoking. I’ll discuss the major effects on the body here.

First, smoking decreases the amount of oxygen received by the body, which contributes to numerous health problems. Oxygen helps cleanse the body of all disease and impurities. That’s why some people use oxygen therapy to actually treat disease.

Inhaling smoke immediately starts damaging the cilia in your body. Cilia are hair like extensions that help move cells around your body through fluid such as blood. So your circulation is affected greatly by smoking.

Since your circulation is affected, skin is damaged by smoking too. A common trait of older smokers is their wrinkled, old looking skin. Many smokers have more wrinkles than they would if they didn’t smoke. This is because of the damage to skin cells caused by smoking.

Smoking damages the alveolus in your lungs immediately. These are tiny air sacs in the lungs that help the transfer oxygen and carbon dioxide from the body. Once these are damaged, new alveoli are produced which aren’t as healthy as previous alveoli.

This damaging cycle in the lungs is the major cause of emphysema and some other chronic lung related illnesses. Like many other diseases, emphysema results in many other collateral illnesses because the person doesn’t get enough oxygen into the body.

If you’re still asking how does smoking affect your body, hopefully you’re beginning to understand the numerous risks. Smoking also affects your body by creating an addiction for nicotine, which must be fulfilled or it creates side effects in the person. The withdrawal process and need for more nicotine actually starts immediately after a person stops smoking a cigarette or other tobacco product.

The craving intensifies until nicotine is provided to the body again. When stopping, common side effects are irritability, lack of concentration, and headaches. Nicotine addiction is very powerful. Many compare it to being a slave to a deadly substance.

Studies have shown that one milligram of nicotine placed on the skin of a rat will kill the rodent. People inhale approximately one milligram of nicotine when smoking a cigarette. This helps put in terms the toxicity of nicotine on the human body.

In conclusion, since smoking decreases the amount of oxygen in your body, every part of your body that depends on oxygen is negatively affected. Basically, your whole body needs plenty of oxygen. Besides the major problems I already discussed, smoking also affects your teeth, fat deposits, and many other areas of the body.

Hopefully you’ve learned how does smoking affect your body and you’ll choose to not smoke or quit if you’ve already been smoking for a while.

Click Here to Get a Discount and Learn About the Top Quit Smoking Aids

Article Source: http://EzineArticles.com/?expert=Tyler_Samuelson
http://EzineArticles.com/?How-Does-Smoking-Affect-Your-Body&id=912907

Image via Wikipedia

Author: Lynn Fugaro

TMD stands for the condition Temporomandibular Joint Disorder. Sometimes, you will hear people or doctors refer to TMJ, which is the acronym for the temporomandibular joint, itself. The jaw joint, in front of the ear, is a ball and socket joint where the lower jaw (mandible) connects with the temporal bone of the skull. Between the two bones is a cartilage pad for cushioning. The jaw joint can be out of alignment. This gives what dentists call malocclusion, or a bad bite.

Neuromuscular dentistry

General dentistry, which we are all familiar with, treats teeth and gums, filling cavities, doing crowns, dentures, root canals etc. In recent years, with computers and lasers, dentistry has taken giant strides forward and expanded its conception of how to treat teeth. One of the new dentistry areas is neuromuscular dentistry, which looks at the jaw joint and its related structures – muscles, nerves, blood vessels, ligaments, and other soft tissue – as well as teeth and gums. A neuromuscular dentist considers the whole face, head, neck and shoulder area when examining or treating dental problems.

Misaligned jaw joint

The causes of TMJ are not fully understood. It can be caused by trauma to the head that knocks the joint out of alignment, moving the cartilage pad or mandible from their correct positions. Sometimes it’s slowly caused by chronic tooth grinding, and sometimes by misaligned teeth. Genetic factors can play a part, and some systemic diseases and developmental abnormalities. It is thought that a majority of Americans suffer from TMJ to some degree or other, without knowing it.

When the upper and lower teeth do not meet correctly, the jaw muscles become strained. We open and close the jaw so many times each day, and this continual strain builds up in the muscles and related tissues, creating inflammation and swelling. This in turn can compress the nerves in the area, and the result is pain.

TMJ symptoms

The most common and painful symptom is headaches. They are often thought of as migraines, and the sufferer may visit several doctors in search of relief. A series of pain medications helps temporarily, but does not treat the cause. A physician will not usually look at headaches as having a dental cause.

Each case of TMJ is unique, and there may be any combination of these symptoms:

· Jaw pain
· Neck and shoulder pain
· Earache
· Ringing in the ears
· Popping or clicking sounds in the jaw
· Limited jaw movement
· Tingling in the arms or fingers
· Stiffness and fatigue in the jaw muscles
· Chewing discomfort
· Unexplained dental pain
· Unexplained tooth wear or chipping

It may seem mysterious that a jaw joint problem could cause symptoms in the shoulders or hands or ears. There are several large nerves in the facial areas, with many branches running through the entire head, face, neck, shoulder, and arm areas. One is the trigeminal nerve, the largest nerve in the body. These nerves with their many branches, register sensation in all the areas where they extend. When one part of a nerve branch is compressed, the resulting pain can be felt by other parts of that nerve.
About the Author:

If you would like to learn more about TMD and how you can be treated, please contact Dr. Brock Tekin at Art of the Smile today to schedule your initial consultation.

Article Source: ArticlesBase.com – Jaw Pain, Ear Aches? you May Have Tmd

Image via Wikipedia

Author: Eric Cho

Sleeping pills are sedatives that depress the central nervous system of the human body. This results in tranquility, relaxation, less anxiety, sleepiness, slowed breathing, slurred speaking, staggering gait, poor judgment and slow, uncertain reflexes. They are also called downers, tranquillizers, depressants, anxiolytics, soporifics or sedative hypnotics.

Most sleeping pills are usually prescribed for patients with anxiety problems. However, those described as sedatives are also used to help people sleep. Long term use of sleeping pills is discouraged as they are addictive and could be dangerous to the health of the patient.

The human body has two basic drives which is the waking drive and the sleeping drive. During the day, the waking drive is strong and the brain remains active. As the day wears on, the waking drive becomes weaker and the sleeping drive strengthens. As evening approaches, the sleeping drive builds up and by the time night approaches, the body is ready to go to sleep. What a sleeping pill does is that it strengthens the sleeping drive in the human body. A person with insomnia has imbalanced sleeping and waking drives.

In normal people, the onset of darkness induces the pineal gland in the brain to secrete a hormone called melatonin which prompts the body to go into the sleep drive. The melatonin makes the body less alert, it slows down the body mechanisms and the person begins to feel the need to sleep. The action of sleeping pills is similar. It sends signals to the brain that approximate to the symptoms produced by the hormone melatonin. The central nervous system is dampened and its ability to function is diminished. This makes the person sleepy. Sleeping pills work less effectively when the patient has had long term insomnia or has had trouble staying asleep for a long time.

Most sleeping pills are Benzodiazepines. Benzodiazepines are minor tranquilizers that belong to a class of drugs that are used to induce sleep. There are several drugs such as Nitrazepam, Loprazolam and Flurazepam that are categorized under Benzodiazepines. However, benzodiazepines are also used to tackle problems relating to anxiety, epileptic seizure and amnesia and it is important to choose the right benzodiazepine as a sleeping pill. Some of the trade names of benzodiazepines drugs are Mogadon, Remnos and Somnite. The natural herb Mandrake is also a common ingredient in these drugs. Mandrake is traditionally known as a drug that helps people sleep.

However, there are possibilities of side effects when taking sleeping pills. Most benzodiazepines have the same side effects- headaches, drowsiness, light-headedness, unsteadiness, confusion, forgetfulness, dependence, withdrawal, increase in aggression and muscle weakness. There are many drugs that one might be consuming that may interfere with the effectiveness of sleeping pills. These drugs themselves may be sleep inducing and taking sleeping pills in addition to such drugs will result in the effect of these pills lasting longer. People with respiratory problem, muscle problems, a history of drug or alcohol abuse or personality disorder, who are consuming sleeping pills, are advised to use it with caution and to consult their physician before taking any sleeping pill.

Moreover, some sleeping pills are known to cause amnesia. Patients have been known to perform several physical activities-even going on a binge on food-while completely asleep under the effects of the sleeping pill. Patients must, therefore, ensure that the instructions are followed meticulously and go to bed immediately after taking the sleeping pill.

About the Author:
Pills Sleeping

Article Source: ArticlesBase.com – How Do Sleeping Pills Work?

Image via Wikipedia

Author: Jerry Leung

Most men would still like to have sex during the periods of women. However, you may have a lot or questions before you actually do that. And one of the biggest questions you would ask or the most essential issue you would like to know is probably whether if it is safe to have sex during menstruation of women.

In fact it is extremely safe to have sex during the period of women. The main problem, if you think it is, is sex during menstruation may result in a mess. At the point you may probably understand what mess means here.

Although it is safe to have sex during the period, there are some basics you should know and be well aware. Without any surprise, blood is a medium in which certain infectious agents multiply, so you might want to consider that before starting. Also, the chance of getting HIV is probably sky-high with all that blood around. As a result, it will be better if you can use a condom. However, using a condom should be a must if you are not sure of your partner (may be it is just the first time you meet), no matter it is during menstruation or not.

And of course, if your partner is your one and only one partner and you are also her only partner, there is no reason why having sex during menstruation is unsafe.

Talking about the notion of mess again, although there is not problem to have sex during menses, in terms of medical reasons, it is better not to have that during the worst day of the woman. It is because there may be too much blood that will make everything a mess.

When you are having sex with your lady, you can consider putting a towel, preferably black or red colored, on the bed. This is done so that you can keep the blood of the sheets. And the dark colored towel will make you feel better psychologically. There is no limitation in sex positions. However, it may be better for you to stay on top. If the lady is on top, you will expect there will be quite a large flow of blood.

Although having sex during menstruation is safe medically, it is not without problem. There is still a chance of getting pregnant. Of course it will not be any problem if you already have plans to have children. Otherwise you are still advised to use a condom even if both of you are the only sex partner with each other.

About the Author:

Jerry Leung is an author. To enhance your sex life, you can visit his website on the Best Sex Positions. Be sure to check his sharing on Free Massage Technique. and Making a bigger penis free tips.

Article Source: ArticlesBase.com – Can I Have Sex During Menstruation?

Image by Getty Images via Daylife

Author: Wangeci Kinyanjui

As human being created in the image and likeness of God himself, there is not much we could do to the configuration of neither body structures nor the way they were set to function. To be precise the appearance of our private parts whether male or female. There was a reason that vaginal environment must always be wet and warm and the same thing that applies to a male genitalia being different. Well, they say that we as members of the human race must tolerate our imperfections behavior-wise and I say that we must tolerate our vaginal imperfections when this happens to hurt us.

Normally the vaginal discharge smell is just mild and odorless when the organ is said to be at its best functioning mechanism. But other times, when the discharge changes texture, smell causing pain and itchiness, then this can be an alarming yeast infection disorder and medical analyst intervention could be the most important thing to do at that point. Vaginal discharge is typical and fluctuates during your menstrual cycle.The things to be troubled about include if the discharge has a yellow or green color, is clumpy like cottage cheese, or has an awful odor.

If the vaginal discharge is White and thick, that is common at the beginning and end of your cycle it is normal and is not accompanied by itching. If itching is present, thick white discharge can indicate a yeast infection. Plain and elastic vaginal discharge is “fertile” mucous and means you are ovulating. Lucid and dilute vaginal discharge arises at diverse times of your cycle and can be mostly heavy after exercising.

Yellow or Green vaginal discharge may point to an infection, chiefly if thick like cottage cheese or has a stinking odor.Brown vaginal discharge may happen right after periods, and is just “clearing out” your vagina where Old blood that looks brown flows out causing some discomfort on your lower belly.Spotting Blood or Brown vaginal Discharge may crop up when one is ovulating or the mid-cycle. Sometimes early in pregnancy you may have spotting or a brownish discharge at the time your period would usually appear.

A normal vaginal discharge is white or transparent, thick to thin, and odorless. This is produced by the normal bacteria and fluids the vaginal cells put off. The discharge can be more noticeable at different times of the month depending on ovulation, menstrual flow, sexual activity and birth control.

It is not unusual for the typical discharge to be dark, brown or discolored a day or two subsequent to the menstrual period.If you are having ANY of the symptoms such as Pain, Itching Discomfort Rash or sores alone or with a vaginal discharge then seek your doctor’s advice.

Since we are saying that harmful vaginal discharge could be as a result to yeast infections, it is important to take precautions to ensure that at least one is free of yeast fungi. This starts by making sure that one practicing good hygiene routine every day and wearing clean, absorbent and loose clothing. One should also take care of his or her diet so that it does not contain yeast bacteria and should also be very healthy.

About the Author:

Wangeci Kinyanjui has been researching and reporting on Health Matters for years. For more information on Vaginal Discharge visit her site at VAGINAL DISCHARGE

Article Source: ArticlesBase.com – Can you Tolerate your Vaginal Discharge

Image via Wikipedia

Author: Corwin Brown

The mango originated in Southeast Asia where it has been grown for over 4,000 years. Over the years mango groves have spread to many parts of the tropical and sub-tropical world, where the climate allows the mango to grow best. Mango trees are evergreens that will grow to 60 feet tall. The mango tree will fruit 4 to 6 years after planting. Mango trees require hot, dry periods to set and produce a good crop. Most of the mangos sold in the United States are imported from Mexico, Haiti, the Caribbean and South America. Today there are over 1,000 different varieties of mangos throughout the world.

Vitamin Content: Mango is rich in Vitamin C and Vitamin A. Vitamin C content is more in raw mango as compared to that in ripe mango. It also has traces of Vitamin E, Vitamin B and Vitamin K.

The dulcet, juicy insides of the mango pack a nutritional punch. Its characteristic orange color is a clue to its storehouse of beta carotene (Vitamin A). Ripe mangos hold the highest levels of beta carotene, while green mangos are higher in Vitamin C. These antioxidant carotenoids are known for their protective power against certain cancers. Mangos also supply ample potassium, making them ideal for hypertensive patients or anyone looking to replenish energy after physical activity.

Mangoes are high in antioxidants, low in carbohydrates (although they are about 15% sugar – but good sugar!) and like other yellow/orange fruit such as pumpkin and carrot, they are an excellent source of beta-carotene (Vitamin A). They also contain Vitamin E and selenium which help protect against heart disease and cancer. You can obtain 40% of your daily fibre intake from a mango.

We all know the importance of fiber in our diets. If you are eating your mango-a-day, irregularity is not a problem for you and so we’ll spare the gruesome details regarding constipation, piles and spastic colon. Research has shown that dietary fiber has a protective effect against degenerative diseases, especially with regards to the heart; may help prevent certain types of cancer, as well as lowering blood cholesterol levels.

The nutritional value of mango makes it good for weight gain, eye disorders, hair loss, heat stroke, prickly heat, diabetes, bacterial infections, sinusitis, piles, indigestion, constipation, morning sickness, diarrhea, dysentery, scurvy, spleen enlargement, liver disorders, menstrual disorders, leucorrhea, and vaginitis.

Mango, being high in calories and carbohydrates, is good for those who are trying to gain weight. The phenolic compound found in mangoes has been found to have powerful antioxidant and anticancer properties. Being high in iron, mango is said to be very good for pregnant women as well as for people suffering from anemia. Mango is believed to be effective in relieving clogged pores of the skin.

Mangoes are a good source of vitamins and minerals essential for the human body. It is an affordable and seasonal fruit. In India mangoes are grown widely in the southern belt. ‘Alphonso‘ variety of mango which is exported world wide is cultivated in ‘Ratnagiri’ in the southern part of India. Mangoes can be eaten both raw and ripe. Raw mangoes have a sharp sour taste, while the ripe mangoes are juicy and sweet to eat. The fragrance of ripe mangoes tingles ones taste buds.

About the Author:

Read about Arthritis Relief Back Pain Relief Joint Pain Relief . Also Read about Tribulus Terrestris and Liver Disease Liver Damage Supplement

Article Source: ArticlesBase.com – Eating Mango is Really Beneficial for Health

Image via Wikipedia

By Dr. Eswararamanan VR

As a diabetic, it is ultimately important for you to have a list of foods for diabetic to eat. There are some things that can work against your diabetes and make you extremely ill and there are some things that you should be including in your diet that you may not have been aware of. Because we know just how difficult it can be to determine what foods you should or should not eat, we have devised this article, complete with a list of foods for diabetic to eat to help you out.

Before we get into what you should eat, let’s have a look at some of the things you should not eat. You want to make sure you avoid or restrict your intake of carbohydrates, either simple or refined. This might include items such as corn syrup, honey, sweets, sugar, white bread, white rice, or items that contain fructose, glucose, or sucrose.

Diabetics should also avoid foods that are extremely high in fat or sodium. The less you have of either of these items, the better off you will be. It is also suggested that you limit your intake of alcohol. Drinking heavily could lead to a greater heart disease risk, as well as liver damage.

With that being said, here is a list of foods for diabetic to eat:

• Make sure you include starches – While white breads can be bad for your diabetes, you still want to make sure that you include plenty of starches in your diet. This should be vegetables, pasta, cereal, grains, and breads.

• Vegetables – Vegetables are important to any diet, diabetic or otherwise. These provide a great source of fiber, minerals, and vitamins. Particularly good vegetables for your diet include cabbage, spinach, broccoli, green beans, carrots, tomatoes, and peppers.

• Fruits also provide you with fiber, minerals, and vitamins. They are also a source for carbohydrates, but should be taken in moderation. Depending on your calorie count, you should include two to four servings of fruits such as apples, bananas, mango, fruit juice, oranges, raisins, and grapefruit each day.

• Milk is also a much needed source of critical elements that your body needs. Fat free sources of milk is good, such as yogurt or low fat milk.

• Meats, though necessary, should only be eaten in moderation. This includes meat substitutes as well. This category includes all red meats and poultry, as well as cheese, cottage cheese, tofu, peanut butter, eggs, and fish.

Knowing what you should and should not eat while dealing with your diabetes is the best way to get it under control, lose weight, and maintain a healthier lifestyle at the same time. We hope this list of foods for diabetic to eat has helped you on your journey to monitoring your diabetes.

Discover more list of foods for diabetic to eat, Learn what are the causes of diabetes and read the list symptoms of diabetes

Dr.Eswararamanan VR is the author of this article. This article can be used for reprint on your website provided all the links in the article should be complete and active including this message.

Article Source: Dr._Eswararamanan_VR
Ezine