Monday, September 7, 2009

Choosing a Good Hospital

Growth in Indonesian hospitals today can be said booming. After a lot of people complain about hospital services that are too long-winded, now appears many private hospitals with a mission to promote the service. Various efforts they take. Ranging from using tools that supercanggih to use foreign terms in the naming of these hospitals. For the price matters, is certain that such hospitals are more expensive than my level of public hospitals. Everything is done solely to attract enthusiastic patients. That way, expected to increase hospital revenues.

But, do they guarantee the quality of treatment for the disease you suffered. Or you'll get a more expensive facility? Do not until you "hit the ladder had fallen too". Therefore, there is nothing wrong if you start now to be critical in choosing a hospital that will determine the safety of your soul or your family members. How? Here are some tips that you can make reference to when to use hospital services.

Finding Info
So you do not either choose a hospital, surely the first thing you should do is to find information about the hospital you want to go. Information that you can get from anywhere. As a neighbor of the information, browsing the Internet, by asking the people who have used the hospital services, or by asking directly to some of his patients. Then, after getting a resource, what are the must you ask? Yes! You have to find out about the first service process when the patient came to the hospital. Here can be seen whether the patients are given direct service (which is recommended) or just "parking" patients for some time to come (which is not recommended). Find out if the nurse while the patient cool and whining as told in his song Jasmine Trias (who is very not recommended).

Five Great Service
Although not an absolute requirement, at least it can describe the site's ability to provide services in the health field. If for basic types of services alone was not available, whether you will believe in the quality of the hospital? A good hospital has at least minimal services "big five". Among other services in internal medicine, child services, surgical, gynecological, neurological, eye, ENT, skin and teeth. If necessary, consider also whether there subspesialistik services. For example, in the field of disease in a subspecialty of heart, kidney, hypertension, lung, and so on. Then in the field of surgery as a surgical urology, bone, and so on. Similarly, in other areas.

Having accreditation
Not only the school or college course that must be accredited. In order to improve hospital services to patients, the Ministry of Health has established Commission on Hospital Accreditation (Kars). As for the things that surveyed included 16 service. Among other things: 1) Administration & Management, 2) Media, 3) Emergency Emergency, 4) Record Media, 5) Nursing, 6) Radiology, 7) Laboratory, 8) operating room, 9) Pharmacy, 10) K3, 11) infection control, 12) Perinatal Risk, 13) medical rehabilitation, 14) Nutrition, 15) Intensive, 16) Blood. In conducting the survey, Kars will reduce the administrative Surveyor 1 team, 1 or 2 Surveyor Medical and Nursing Surveyor 1. So, you should not doubt that the hospital had put the accreditation certificate at one of the hospital walls. The certification is only valid for 3 years. So, look at all whether the certification is still valid or not? Do you actually stunned by the sight of his frame good.

Paramedics and Patient Communication
It is the right as a patient if you want as complete information about what actually happened to you. Therefore, when you search for information about the hospital, do not forget to ask also whether the communication between doctors, nurses, and nurse well enough? Do not you regret it after the treatment the doctor or nurse had just given the answer "yes and no" every time you ask.

Achievements
Like a soldier, he must fight to gain experience and know the ins and outs of the war. The same with hospitals. During the stand whether the proud achievements of the hospital? If no, it will be similarly equipped but never fought. Hospitals, too, though the tools that the latest super had never or rarely experience handling cases of the disease, you certainly do not want you to make an experiment?

Information Center
This is the part that should never be forgotten from a hospital. Because not everyone is so understanding about the world of health and other things that are still relevant. The role of information center is to help people who need good information concerning the medical and non-medical services.

Environtment Support
The hospital is the most convenient place for patients to rest and be free from interference from the surrounding environment. Therefore a good hospital, will consider environmental aspects as one of the aspects included in management control. This means that a good hospital will care for the environment and make it as comfortable as possible start in terms of cleanliness, tranquility, comfort, and so on.
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Saturday, September 5, 2009

nutrition in pregnancy

For a young couple just married, pregnancy is God's grace invaluable. We are given confidence by the Lord to give birth and care for God's creatures is the most perfect human being. Of course we should not be arbitrary in this noble task. We must prepare for the birth of that cute man in the best possible, so that what God entrusted to us we were wrong not to use aliases to be treated carelessly.

One of the preparations carried out during pregnancy is to maintain good nutrition for mothers and babies in the womb, because during pregnancy, the fetus inside the mother's body grew rapidly. This development was strongly influenced by maternal nutritional adequacy. when less nutrients, growth can also be affected.

Before we discuss more about the kinds of nutrition for pregnant women, we find out first how to know the nutritional status of pregnant women. One of the parameters to determine the nutritional status of this is to look at weight gain during pregnancy. Ideally, in the first 5 months there was 1 kg increase in maternal body weight per month. In the next month is expected to increase by 2 kg per month.

Confused? Okay, we conclude it. During pregnancy, an expected increase in maternal body weight of:

*
7 to 11.5 kg for those with weight> 65 kg during pregnancy began.
*
12 to 15 kg for those weighing 45 to 65 kg during pregnancy begin
*
12.5 to 18 kg for those with body weight <45 kg during pregnancy begin

After finding out the nutritional status of pregnant women, then now we are stepping into the subject of calculating nutritional needs of pregnant women. A pregnant woman needs for 2485 calories per day, which consists of:

1.
Carbohydrates: Carbohydrates are the source of power / energy (1g carbohydrate = 4 calories of energy), other uses of neural networks of health care and essential in the formation of red blood cells. Requirements: 1292 calories less or equal to 323 grams of carbohydrates (about 5 plates of rice). Sources of carbohydrates include rice, noodles, potatoes, bread, etc.. Advice: consume 9 servings of carbohydrate (1 serving = 1 slice of bread or a half cup of cereal) every day.
2.
Protein: Protein is needed as a building material to build alias fetal tissue (protein intake is less able to inhibit the growth of the fetus). Requirements: 60 grams per day. Source: meat, fish, milk, eggs, tofu, tempeh, and nuts. Recommendation: the consumption of 3 servings of protein each day (1 serving of protein = 2 eggs or 200 grams of chicken meat / fish)
3.
Fat: its usefulness among others as the body's energy reserves when the mother later gave birth (fat is the energy-rich nutrients, 1 gram fat = 9 calories), solvent vitamins a, d, e, k, in addition, fatty acids such as omega-3 fatty acids and 6 are also required for the development of the nervous system, visual function and growth of the baby's brain. The main sources of fat are meat, milk, eggs, butter, vegetable oils, etc.. Recommendation: consumption of less than 1 tablespoon of fat substances at each meal, in order to provide energy and increase in fetal brain development.
4.
Vitamins and Minerals: Sources of vitamins and minerals are vegetables, fruits and milk. Consumption of 4 servings of vegetables per day (1 portion = half a cup cooked vegetables or 1 cup raw vegetables) and 3 servings of fruits a day (1 serving = 1 medium apples or half a glass of strawberry). Do not forget to fill out with a glass of milk.

The function of vitamins and minerals alone are:

*
Vitamin A: Helps the growth of skin, bones and teeth. It is important for normal visual function.
*
Vitamin C: Helps the formation of fetal tissue. Important in the metabolism process.
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Vitamin D: basic materials of bone and teeth formation.
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Calcium: Building bones and teeth.
*
Iron: Helps the formation of red blood cells.
*
Folic Acid: Preventing congenital defect in the spine.
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early detection of cancer

Preventing certainly better than cure. Prevention of disease will also keep us from medical expenses extraordinary expense. None of the existing disease on this earth who could not afford to be prevented. Conversely, many diseases that until now have not found a cure.

One of the diseases that until now very difficult to treat the cancer. Because it is difficult to treat cancer of course became one of the most deadly diseases.

Like other diseases, even cancer can be prevented with early detection. The earlier cancer treatments known to do so going to get better results. Here I write all the steps of early detection of some cancers enough cause death.

Cervical Cancer (Cervical Cancer)

Pap smear tests done regularly, especially for women who are sexually active. Pap smears should begin after 3 years of sexual activity and the re every three years.

A Pap smear is not necessary for those who have over 65 years old who previously had done a routine check and for those who had her womb removed.

Ovary cancer

Routine examination for early detection of ovarian cancer is by ultrasound. Measurement ca125 levels and pelvic examination is not recommended because the results obtained are not very satisfactory and not practical.

Breast cancer

Early detection of breast cancer is to perform self breast exams (breast self-examination). This examination can be done routinely every day with a feeling whether there is a lump in the breast.

Another inspection is to do a mammogram every 1 to 2 years for women aged over 40 years, especially those who have relatives who have had breast cancer.

Colon Cancer

Routine examination for early detection of colon cancer should be done for those who have aged over 50 years. The tests include blood tests disguised in dirt (Occult blood test) and colonoscopy every ten years.

Early detection should be done early to say they have a high risk that there is a family history of colon cancer.
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Information About Breast Cancer


Breast cancer is a malignant tumor that grows in the breast tissue. Cancer can begin to grow in the milk glands, milk ducts, fatty tissue and connective tissue in the breast.

Causes
The cause is unknown, but there are some risk factors that cause a woman to be more likely to have breast cancer.

Risk Factors
Several factors influencing risk are:

1. Age. Approximately 60% of breast cancer occurs in over 60 years of age. Greatest risk found in women aged over 75 years.
2. Never had breast cancer. After the affected breast removed, then the risk of breast cancer in healthy increased by 0,5-1% / year.
3. Family history of breast cancer. Women are mothers, sisters or children suffering from cancer, a risk 3 times more likely to have breast cancer.
4. Genetic and hormonal factors.
5. Disease had non-cancerous breast.
6. Menarche (first menstruation) before age 12 years, menopause after age 55 years, first pregnancy after age 30 years or had never been pregnant.
7. Kb pills or estrogen replacement therapy.
8. Obesity after menopause.
9. Use of alcohol.
10. Consumption of alcohol more than 1-2 cups / day can increase the risk of breast cancer.
11. Chemicals. Several studies have mentioned the chemical exposure that resemble estrogen (contained in pesticides and other industrial products) may increase the risk of breast cancer.
12. DES (diethylstilbestrol). Women who take DES to prevent miscarriage have a higher risk of breast cancer.
13. Radiation.

Symptoms and Signs
The initial symptoms in the form of a lump that is usually perceived differently from the surrounding breast tissue, painless and usually have an irregular edge.

In the early stages, when driven by a finger, a lump can be moved easily under the skin. Pada stadium lanjut, benjolan biasanya melekat pada dinding dada atau kulit di sekitarnya. In advanced-stage cancer, can form a swollen lump or breast skin ulcers. Sometimes the skin over the lump shrank and looked like an orange peel.

Other symptoms that may be found in a lump or mass in the armpit, change the size or shape of the breast, an abnormal discharge from the nipple (usually bloody or yellow to green, may also be pus), change in skin color or texture in the breasts, nipples and areola (dark brown berwana area around the nipple), breast looks red, the skin around the nipple scaly, nipples are interested in or feel itchy, painful swelling of the breasts or one breast. At an advanced stage may arise bone pain, weight loss, swelling of arms or ulcerated skin.

Prevention
Many risk factors can not be controlled. Some experts diet and cancer experts believe that the changes in diet and lifestyle in general can reduce the incidence of cancer.

Endeavored to make early diagnosis of breast cancer easier to treat and can disembuhan if still in early stages.

Be aware, examine the clinical breast and mammography as a screening procedure to detect the 3 instruments at an early stage cancer.

Management
Treatment usually begins after the comprehensive assessment of the condition of the patient, ie about 1 week or more after the biopsy. The treatment consists of surgery, radiation therapy, chemotherapy and hormone inhibitors.

Radiation therapy used to kill cancer cells in the tumor removal and the surrounding area, including the lymph nodes.

Chemotherapy (a combination of drugs to kill cells that multiply quickly or pressing breeding) and drug-hormone inhibitors (drugs that affect the hormones that support the growth of cancer cells) are used to suppress the growth of cancer cells throughout the body.
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Red beans Vegetable Protein Source The Free Fat And Low Calorie


Did you know if the red beans is one of the peas the most famous in the world? Yes, red beans are the subject of a variety of delicious cuisine in the world of mainstream.

Red beans used to be consumed when it was actually a cook dried beans. In Indonesia, dried beans are cooked into porridge, or mixed vegetable soup, rice or ice team. Red beans are often cooked in a sweet jelly that is used as filler some cakes as bakpau, moon cakes, cookies moci, Dorayaki cakes, donuts content, and others.

Red beans belong to a group of plant foods pea (legume); a family with green beans, soya beans, peanuts Tolo, and nuts uci. There are several types of beans of which is red bean, adzuki beans (small red beans), and kidney beans (red beans).

Red Bean Nutrient

In addition to a variety of cooked food, red beans nutrition is also incredibly rich. Red beans are rich in folic acid, calcium, complex carbohydrates, fiber, and protein is high. Content of complex carbohydrates and high in fiber beans can lower her blood cholesterol levels. Levels of red beans glycemic index also includes low that benefit people with diabetes and reduce the risk of diabetes.

Dry red beans are a source of complex carbohydrates, dietary fiber (fiber), vitamin B (especially folic acid and vitamin B6), phosphorus, manganese, iron, thiamin, and protein. Every 100 grams of dried beans that have been boiled can provide 9 grams of protein, or 17 percent of the adequacy of protein daily.

Protein content and amino acid profiles in 100 grams of red beans (kidney beans) from the majority is glutamic acid (1323 mg), aspartic acid (1049 mg), leucine (693 mg), lysine (595 mg), arginine (537 mg) , Serine (472 mg), phenylalanine (469 mg), Valine (454 mg), Isoleucine (383 mg), Proline (368 mg), Threonine (365 mg), alanine (364 mg), Glycine (339 mg), and Other remaining below 300 mg.

Protein content of legumes, including red beans, have long recognized its contribution to the diet daily. Even the red beans supply the protein needs almost as much meat. Although vegetable proteins contained in the beans belonging to an incomplete protein because of lack lengkanya essential amino acid profile, but is easily equipped with eating red beans with padi-padian/sereal, dairy products, or a small amount of meat. So it's not difficult to complete deficiency of protein components (amino acid) found in beans.

Nutritional vitamin in beans which of them is sufficient folate daily needs by 33 percent, 11 percent of thiamin, 10 percent of vitamin C, 6 percent of vitamin B6, and others remaining below 3 percent.

Mineral content sufficient beans respectively 24 percent of the daily needs of the mineral manganese, 16 percent of the iron minerals, 14 percent of the minerals phosphorus, 12 percent of the minerals potassium and copper, 11 percent of the mineral magnesium, 7 percent of the mineral zinc, and other -Other remaining below 3 percent. Mineral content in small red beans (adzuki bean) more than the kind of big red beans (kidney bean).

Red beans almost free of fat, sodium, cholesterol and sodium. Also the red beans are low in calories (only 6 per cent per 100 grams), and the cheap price. Even the red beans can provide 30 percent of dietary fiber (fiber) and contains 168 mg of omega-3 and 107 mg of omega-6.

Red Beans Nutrition Benefits

Seeing the red beans nutritional above, it can be described many benefits, namely:

* Prevent bad cholesterol and facilitate digestion (anti-constipation). Fibernya a high content of fermented in the large intestine and produce fatty acids of short-chain, which can inhibit liver cholesterol synthesis. Not to mention the content of Omega-3 and Omega-6 also will be helpful;
* Preventing the risk of diabetes because a completely berglikemik carbohydrate content of low index and includes slow digestion;
* Assist the maturation of red blood cells, helps the synthesis of DNA and RNA, and lower levels of homocysteine in the arteries (thus reducing the risk of heart disease) that contains folate and vitamin B6;
* Helping a diet because fibernya will make you feel full and also very low calorie. Moreover nabatinya proteins would be useful for the development of body muscle mass;
* Keeping your nervous system function, carbohydrate metabolism, and prevent beri-beri with thiamin content;
* To help the process of metabolism of amino acids, fatty acids, lipids, gluconeogenesis, synthesis of the neurotransmitter, histamine synthesis, synthesis and function of hemoglobin as well as maintaining healthy skin with vitamin B6;
* To help the process of blood clotting in wounds
* Helps the formation of the main components of cell-red blood cells, the formation of the enzyme, the formation of bone, preventing the risk of anemia (low blood) with the mineral content of zinc, iron, and copper;

Red Beans Cooking Tips

To reduce the toxin content (lectin phytohaemagglutinin) and gas produced in the gut by oligosaccharide beans, there are some steps that can be done. After the beans are soaked, remove rendamannya water, boiled with water in a saucepan lid for 2-3 minutes, then let stand for 2 hours. Discard the cooking water, add new water at room temperature until the beans completely submerged. After two hours, discard the water again and add more water and let soak overnight before actually going to be cooked.
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