Many ways can be done to tackle TB. One of them with a routine examination. (Photo: Google)

COMMITMENT and cooperation of all parties to fight tuberculosis (TB) should be increased. Therefore, the spread of the disease in Indonesia is bigger and more massive.

TB is a disease that one health problem in Indonesia. Big and extent of TB problem in Indonesia was exacerbated by an increase in HIV infection / AIDS is growing rapidly and the emergence of problems TBMDR (Multi Drugs Resistant / resistant to multiple drugs).

We have found every year about 500,000 new cases TB.Separuh include infectious TB cases, causing 100,000 deaths. Approximately 70 percent of TB patients are productive age. Prevention and eradication of TB is a shared responsibility between government, both across sectors and across programs and communities, including the private sector.

“To fight TB is needed commitment and cooperation of all parties together to fight TB need to be increased,” said Director of Direct Transmitted Disease Control Ministry of Health, Dr. Iwan M Muljono MPH at the press conference welcoming the World TB Day is commemorated every March 24, in Jakarta , recently.

Currently, light Iwan, Indonesia has been in the right direction in the implementation of TB control programs. This is evidenced by the global targets have been achieved since 2006, the discovery of new cases more than 70 percent and cure rate of more than 85 percent.

“This national strategy has been consistent with international guidelines (WHO DOTS and the new Stop TB strategy), and consistent with the Global Plan for TB Control aimed at achieving global targets of TB in 2005 and 2015 Millennium Development Goals,” he explained.

He explained that the recommended strategy for controlling TB DOTS / Directly Observed Treatment Shortcourse) itself consists of five components, namely the government’s commitment to maintain control of TB, case detection of TB among people who have symptoms by sputum examination and regular treatment for 6-8 months supervised.

In addition, the availability of TB drugs is routine and not broken and reporting system for monitoring and evaluation of treatment and program development. “Global Plan of TB control is supported by the six components of the new TB Control Strategy developed by WHO,” said Iwan.

New TB Control Strategy developed by the WHO, said Iwan, the pursuit of improvement and expansion of high-quality DOTS, case co-infected TB-HIV, immune anti-double against TB and other challenges, contribute to strengthening health systems, the same perception of all service providers, empower TB patients and the community, and to realize and promote research.

But, he added, there are new challenges which requires all parties to move faster and to strengthen the network of innovative services for TB patients with a spirit of partnership, both with various government and private sectors, as well as public institutions. “This is very important to support the program’s success in expanding and continuity,” said Iwan.

On World TB Day this year the plan was commemorated with a series of advocacy, communication and social mobilization to involve all parties to support the commitment to TB control.

Series of commemoration activities of World TB Day 2010 will be supported by social organizations, nongovernmental organizations (NGOs) that become government partners in TB control in the community such as PPTI (Indonesian Tuberculosis Control Society), PP Aisyiyah,
KNCV, NU, and other organizations.

Highlight World TB Day on March 24, 2010 was marked by a national seminar which took the theme as the theme of World TB Day this year, which is “Increase Innovation, Speed of Action Against TB”. The seminar scheduled to be opened by Coordinating Minister for People’s Welfare (Coordinating Minister for People’s Welfare) Agung Laksono.

Topics covered include access to the breakthrough efforts of TB services is universal, high-quality DOTS strategy services at all levels of services, TB control challenges in the future, and the mobilization efforts of community participation in TB control. In this event also signed cooperation with PT Jamsostek to include TB as one that will be borne diseases in Jamsostek insurance scheme.

The day before, namely on March 23, 2010, executed the launch of MDR-TB services in Indonesia. Services for MDR-TB patients has started since August 2009 in two hospitals (Hospital) ie Friendship Hospital, East Jakarta, and Dr Soetomo Hospital, Surabaya. Planned service expansion will be done this year to other areas.

Besides the seminar, a series of activities this warning will be enlivened by his own motion Healthy Walk organized by the Central Board Aisyiyah will take place at the Senayan East Parking on March 28, 2010. Subtema raised in this activity is the “Save the Family from Tuberkulsosis”.

This event was attended by Health Minister (Menkes) Endang Rahayu Sedyaningsih, Minister of Youth and Sports (Menegpora) Andi Mallarangeng, Minister of Women Empowerment and Child Protection (State Minister of PP & PA) Linda Amalia Sari Gumelar, and Chairman of the National Family Planning Coordinating Board (BKKBN) Sugiri Sharif.

TREATING skin should be done as a baby. Because adult skin condition depends on the treatment since childhood. One way care is to choose a convenient fashion, with a sweat absorbing material.

Skin is the largest organ located on the surface but covered almost the entire surface of the body, also has a variety of functions with disorder problems that can be local or local, and can be a severe disease symptoms.

“The skin of children and parents as a whole were different. The difference can be seen from selsel skin. In children, skin cells are still close together,” said pediatrician at The Children’s Health Sciences Faculty University of Indonesia Kedokt eran Cipto Mangunkusumo RSUPN, Dr. Rini Sekartini Dr. Sp . AK.

Rini said, in looking after the baby’s skin this must be considered from the smallest things, because the baby’s skin is very sensitive. Baby’s skin is more easily absorbed substances attached to the surface of the skin. The existence of friction with the substance or substances from the outside will facilitate the occurrence of skin irritation.

“The baby’s skin contains high levels of lipids, making it easier irritants through the skin. Friction occurs in between the clothes and skin, or it could be diapers and skin,” said Rini, who also joined the Association of Indonesian Pediatric Unit Growth working group – Social Paediatrics.

Therefore, continued Rini, kids clothing material selection must be rigorous. Make no mistake in choosing baby clothes, because it is also associated with health.

“Because the dress or clothing contact not only on the hand, but also almost the entire body, a skin disorder when medical attention is not the clothes, can occur in all parts of the body. Like in the chest or abdomen, especially in the close and humid,” he explained .

Rini said, there are two main factors to consider in choosing clothes or clothes for babies and children, are safe and comfortable. Secure in the sense of danger, judging from the material used clothing, the best materials are cotton, then do not wear off because the coloring is not right, not itchy or allergic skin and noteworthy use of accessories, clothing should not harm the body .

Rini said, why the different baby clothes to children or other adults, except for a thermostat (temperature regulator) is not working optimally, also because the layer of fat that have not been there in the early weeks. We recommend that you wear warm clothing during cold weather and thin in hot weather, and adjust the child’s environmental conditions.

Another factor is comfortable clothing must have good air circulation, not too tight, soft, and can easily absorb sweat. In addition, the model must also be noted clothing, adjusting to the age of your baby or child is comfortable using it.

“Find a simple model of clothing, with a very safe material to children and avoid using many of accessories, clothing and child endangering,” Rini said while attending the certification ceremony Oeku-Tex ® Standard 100 class 1 to the Velvet Junior Kidsport Pondok Indah, Jakarta South, last week.

“Use the appropriate model age of the child, not to hinder the movement of children, especially the gross motor skills. According to experts, the factors leading to infant crying or fussing sudden discomfort caused by the outfit,” said Rini.

In the meantime, Sales & Marketing Manager said Chodijah Junior Velvet, Velvet Junior as one brand of baby clothes and kids, now get the product out the standardization of the Oeko-Tex ® Standard 100 class 1 (read: okotex).

“Standardization is a guarantee that the product is very comfortable Velvet fashion for babies and children, and do not cause skin irritation,” he said while speaking at the certification ceremony Oeku-Tex ® Standard 100 class 1 to Velvet Junior Jakarta.

“The parents have to choose a comfortable outfit in choosing baby clothes and children and also consider the material for skin health,” said Chodijah.

YEARS ago, in June, has the smallest premature babies born in the world. Babies born at 25 weeks gestation has a weight of only 275 grams and roughly the same length with a paper size of A4 (21 cm). Miraculously, the baby survived.

At that time, every day, he experienced a critical period in an incubator equipped with breathing equipment and heart monitors. He also must wear a catheter and electronic fletora to monitor vital signs deal selebral bleeding or organ failure.

Thankfully, after 9 months of treatment in hospital, the baby managed to achieve weight loss (BB) normal. Hmm, Low Birth Weight Babies (BBLR) does require special care. What should be considered?

Term BBLR

Babies born with BB less than 2500 grams and gestation (pregnancy age) is not enough known BBLR months, while a normal pregnancy ranges from 37 to 42 weeks. Well, this BBLR true known as premature.

BBLR divided into two types, namely BBLSR (Infant Very Low Birth Weight) where BB <1500 grams; and BBLASR (Birth Weight Babies Very Very Low), where BB <100 grams.

Many causes BBLR, among others: BuMil experiencing malnutrition, there is a history BBLR birth, giving birth to twins, BuMil smoking or BuMil age under 16 years old. It could also be from the baby’s own factors (genetic factors) or environmental (for the content of a small baby’s cord that disrupt the food supply).

Must have hospital treatment

Usually, a baby with BB less than 1800 grams must get care hospitals. Therefore, in infants BBLR, maturity, immature organs, mainly lungs and heart. Thus, no wonder if the baby BBLR respirator assistance.

Then, in order to smooth food intake, given intravenous fluids because he was not able to suck milk. In addition, the baby’s body is very sensitive BBLR with changes in temperature – easy experience hipotermi (body temperature below normal) – so need to be treated in the incubator. How long treatment in this hospital depends on the condition of the baby.

Go home, home …

Although to be admitted to hospital, Moms do not get discouraged. After all, it was the right thing baby. He just may go home with the condition:

BB ? 1800 grams

At this age, usually the baby’s body temperature to normal, close to 36.5 degrees Celsius from the normal temperature of neonates (36.5 -37.5 degrees Celsius).

Condition stable

That is, babies are able to adapt to their environment. Like, he was able to suck properly, there is no breathing problems, and normal body temperature.

Good growth

Body weight, body length and head circumference to normal. Usually it will adjust to his age.

Baby care tips BBLR

Not easy to look after the baby is BBLR. In order to make it easier for Moms, try following these tips!

Make a kangaroo method

BBLR baby warm by touching the skin of a baby in the mother. It is also believed to increase the bonding between mother and child.

Consider breastfeeding

In breast milk DHA and ARA are important for intellectual development, eyesight and immune system for infants. And milk ingredients proven adaptable to the needs of infants.

But unfortunately, breast milk only lasted 4 weeks to catch up growth. After 4 weeks, turned into breast milk for babies. Therefore, in the 4 weeks, intake of milk added with Human Milk Fortifier or premature infant formula.

Maintain cleanliness

Because the disease-prone body, remember to keep cleaning it, Moms!

Note alarm

Do not forget to note the condition of the baby’s body. For example, baby blue, limp, forgot my breath, not urinating, moaning, choking. If suspicious, immediately contact the DSA.

Immunization

Conduct immunization immunization schedule in infants born just months.

7 benefits of Kangaroo Mother Care (KMC)

Ever seen a baby kangaroo? Apparently, mini-sized baby, unlike her mother who was tall. No wonder, when the kangaroo keeps her warm in his pocket. The goal, so that the baby had a normal body temperature.

Adopt the habits of this kangaroo, the same thing also applies to baby BBLR, namely by putting them on her mother’s chest. Thus, there was skin to skin contact. In this case the mother’s chest is a natural incubator for the baby.

Apparently, this KMC method many benefits, among others:

• Implement the bonding between mother and child

• Babies like to feel comfortable in the womb. And the baby can feel the mother’s heartbeat.

• Prevent hipotermi.

• Reduce infection.

• Easy to feed your baby.

• Baby BB increased. As evidence, the baby who was in an incubator for his BB increased around 20 – 30 grams per day. Meanwhile, infants who received KMC has a higher BB, which is 50 to 60 grams per day.

Baby risks BBLR

As a result of immaturity organs, can occur for BBLR various risks, such as:

• respiratory disorders. This happens due to surfactant layers – layers of alveoli in the lung tissue has not fully developed.

• Metabolism disturbed infants, ie, having low blood sugar (hypoglycemia). In fact, this blood sugar to function as a brain food and bring oxygen to the brain. If intake is less glikemi, as a result of nerve cells in the brain die and affect the baby later intelligence.

• Because of the little baby’s skin is still thin, easily occur as a result the body heat of vaporization. If the excess heat of vaporization, the baby has a temperature very low weight (hipotermi). Thus, infants easily run out of energy.

• Easy to infection due to low immune system.

• Retinopathy of prematurity (ROP). Infants may experience blindness. Typically, ROP was attacked with a BB BBLR babies <1500 g and gestation <30 weeks.

• Disturbance patent ductus arteriosus (PDA)

Some kind of heart problem, usually recorded in the first few weeks or months of birth.

• Disturbances in the brain, among others:

1. Intraventricular Hemorrhage, intracranial hemorrhage (brain) in neonates. Babies suffered neurological problems, such as muscle control disorder (cerebral palsy), delays in development, and seizures.

2. Periventricular Leukomalacia (PVL), damage and softening of the white material – part of the brain that transmits information between nerve cells and spinal cord, as well as from one part of the brain to other parts of the brain. Damaged brain tissue affects the nerve cells that control motor movements, as a result the baby grows with damaged nerve cells and cause the muscles to spasm. Infants with PVL at risk of cerebral palsy, or perhaps intellectual problems (learning difficulties). This disorder usually occurs in infants with gestation <32 weeks.

Everyone knows that the eyes are the window liver. Through his eyes, what is reflected in one’s heart can be read.

Optemtric Adviser The Collage of Optometrists Dr Susan Blakeney said, sometimes we have to remember how important it is owned to the eyes daily. Caring for the eyes not only makes a person constantly radiating charm, but also keep the eyes always healthy. If you believe in love at first sight, you should give more attention to vision and your eyes to attract someone.

Now, to take care of your eyes is always beautiful, The College of Optometrist provides interesting tip that was launched Femalefirst:

Use makeup that is not outdated

Do not use make up more than six months, especially mascara. Also, do not also wear makeup around the eyes when you are on vacation in the outdoors. Because, can make you scratch my eyes and let the bacteria in the hands of spread into it. If you use eye contact, look clean.

Stop smoking!

Smoking is bad for the eyes, because it can damage the cells contained in the retina, and other risks, which is affected by AMD (Age-Related Macular Degenaration),

Eat wisely

Reducing junk food, watch your intake of vitamins and minerals with the right amount of food, can keep your eye appearance.

The study recommends a diet rich in beta carotene good for eye health. This intake is found in many green vegetables like broccoli and spinach. Also, do not forget to multiply the carrot to reduce the risk of suffering from various eye diseases.

Diligent checking eyes

Visited an eye doctor regularly to check the health of your eyes, it has a beautiful and captivating eyes were not just a dream

ALL women would feel fashionable when wearing high heels. The reason this model is the shoes make your feet look more slender and levels. But any expensive or high heels shoes you wear, it will be in vain if you do not have good posture and a strong leg bones.

Did You Know? Your feet receive a heavy burden of pressure when wearing high heels. Wearing high heels as high as 3 inches increase pressure on the bottom of your front foot by 76 percent, especially when you walk.

So, “Beauty is a Pain” is a long story! You need healthy bones and strong to look fabulous with your high heels.

Nutrition Research Based on the data shows, two out of five people at risk of osteoporosis Indonesia. The condition occurred because most women lack calcium Indonesia 50 percent each day based on the results of joint research between SEAMEO TROPMED Regional Center for Community Nutrition, University of Indonesia and the Univerisity of Otago, New Zealand. Than 1,000 milligrams of daily calcium requirements, most Indonesian women only consume between 270 to 500 milligrams of calcium every day.

For that, the PT Fonterra Brands Indonesia Anlene product offering One-a-Day. The first liquid milk products and the only one that contains calcium 4 times higher than ordinary milk. By comparison 125 ml regular milk provides calcium +125 mg while Anlene One-A-Day 125 ml contains 500 mg of calcium.

“Anlene One-A-Day to help meet 100 percent of the daily calcium requirement Indonesian women, while ensuring that they can continue activities as a new generation of lifestyle that is very dynamic,” said Marketing Director of PT Fonterra Brands Kuntjoro Indonensia Heru in a press release.

To further motivate women to watch Indonesia bone health and daily calcium needs, Anlene make the program “50 per cent SALE on Branded Shoes on Latest Collection” in cooperation with Credit Card BCA.

The purpose of the program above is that the problem of calcium deficiency have 50 percent higher attention from women in Indonesia. In addition, appearance and good posture is to be supported with good nutrition.

A unique combination of programs that educate about the need for calcium and the appearance of this beautiful who is a magnet for Indonesian women to participate in this event.

Simply by buying Anlene One-a-Day, the Indonesian women have the opportunity to meet 100 percent of their calcium kebutuham and get a pair of famous brand shoes with only paying 50 percent of the normal price.

“We hope that Indonesian women continue to do activities they enjoy as continue to work with dynamic, also wearing the shoes they like. To sustain active living, healthy, dynamic, and beautiful, Indonesian women have to realize that they need a healthy bone and strong, “Heru said.

It takes strong bones so she can use the high heels without endangering their bone health. Calcium is one answer.

Unfortunately, research says that most women lack Indonesia 50 percent of their daily calcium. But now, just by taking Anlene One a day every day, you can meet 100 percent of the daily calcium requirement for calcium milk contains 4 times more than ordinary milk.

If you have adequate calcium, bones become stronger and posture will be more beautiful, it is no longer needed to worry about wearing high heels. In fact, you are the woman will look fabulous with the high heels that makes bones so strong.

High Heels did make us look taller, beautiful, and sexy so that makes us more confident in our activities

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