Former Minister of Health Achmad Sujudi, big chance to run behind bars disappear in a possible corruption case. During his tenure he has 105 billion rupiah (7.7 million euros) in damages from the state caused by a project to outsource, but the candidates themselves immediately be identified. The Managing Director of PT. Kimia Farma, Gunawan Pranoto, and the Director of PT. Rifa Mulia Jaya, Rinaldi Yusuf, are involved in the case.
The prosecutor in the corruption court said that the then Minister of Health Sujudi PT. Kimia Farma immediately pointed out as the supplier for a project to eastern Indonesia and the Indonesian Red Cross. This was not the standard pre-selection which is standard for such contracts.
Later he also PT. Rifa Mulia Jaya personally selected by the Minister for the same project. Gunawan made in October 2003 and Rinaldi agreements on asking prices of medical equipment. Ultimately, both companies opened at Rp 194 billion, but after negotiations it was Rp 190 billion.
Gunawan and Rinaldi in turn attracted four other companies for the project: PT. Berca Indonesia, PT Prima Semesta Internusa, PT Arun Prakarsa Indonesia and PT Penta Valent. PT. Rifa Mulia Jaya Rp 28 billion would ultimately have earned from this illegal construction. PT. Berca Indonesia around Rp 5.4 billion, PT. Prima Semesta Internusa about 6.6 billion and PT. Penta Valent 91 million Rupiah. Gunawan also paid about 200 million to Achmad Sujudi, while Rinaldi gave him Rp 500 million, said prosecutor Risma Ansyari.
Saturday, December 18, 2010
Overcrowded prisons spread TB source
Overcrowded prisons, a shortage of medical staff and a shortage of money ensure that the efforts to combat tuberculosis (TB) in prisons fail. The 422 prisons in Indonesia are currently more than 140,000 prisoners, but while these were designed for only 80,000 prisoners, according to the Ministry of Justice.
The government already began in 2004 with a program to combat TB in prisons by using the so-called Directly Observed Treatment, Short-course or DOTS, a strategy for detention and treatment from the World Health Organization.
But to date, only 17 of the 122 prisons in 33 provinces in the country benefited from the DOTS program, which receives support from the Global Fund, said Daniel Rashid, head of TB control in the prison system.
"The biggest problem is overpopulation," says Rashid. "Overcrowding in prison makes it easier for diseases to spread. It spreads a disease like TB is much simpler than, for example HIV because TB is no direct physical contact is necessary." The fight against drugs caused a significant increase in the number of prisoners, especially so in large cities, most inmates convicted of drug-related offenses, he said.
If a person is not treated, can in turn 10 to 15 people per year infect others. Data from the Ministry of Justice, deceased in 2009 a total of 90 persons on TB in Indonesian prisons. This was in 2008 150. Indonesia has the third highest TB burden in the world, according to the WHO.
Every year some 140,000 Indonesians die of TB, Stop TB Partnership Indonesia said. TB in Indonesia This is the second biggest killer after heart disease for all ages in the country, according to the Ministry of Health.
Although little is known about the current state of TB in Indonesian prisons, showed a survey of the Ministry of Health from 2005 show that 1.7 percent of the prisoners had TB, said Tjandra Yoga Aditama, head of infectious diseases of the Ministry. That number was 16 times higher than the rate measured sick throughout the population, he said.
Aditama said that outside the overcrowded prisons is also a shortage of medical staff, poor hygiene, poor control of prisoners and lack of awareness among employees of prisons for spread of TB care. "Prevention and control of TB can not be performed adequately because of poor condition of the buildings and infrastructure," said Aditama.
The government already began in 2004 with a program to combat TB in prisons by using the so-called Directly Observed Treatment, Short-course or DOTS, a strategy for detention and treatment from the World Health Organization.
But to date, only 17 of the 122 prisons in 33 provinces in the country benefited from the DOTS program, which receives support from the Global Fund, said Daniel Rashid, head of TB control in the prison system.
"The biggest problem is overpopulation," says Rashid. "Overcrowding in prison makes it easier for diseases to spread. It spreads a disease like TB is much simpler than, for example HIV because TB is no direct physical contact is necessary." The fight against drugs caused a significant increase in the number of prisoners, especially so in large cities, most inmates convicted of drug-related offenses, he said.
If a person is not treated, can in turn 10 to 15 people per year infect others. Data from the Ministry of Justice, deceased in 2009 a total of 90 persons on TB in Indonesian prisons. This was in 2008 150. Indonesia has the third highest TB burden in the world, according to the WHO.
Every year some 140,000 Indonesians die of TB, Stop TB Partnership Indonesia said. TB in Indonesia This is the second biggest killer after heart disease for all ages in the country, according to the Ministry of Health.
Although little is known about the current state of TB in Indonesian prisons, showed a survey of the Ministry of Health from 2005 show that 1.7 percent of the prisoners had TB, said Tjandra Yoga Aditama, head of infectious diseases of the Ministry. That number was 16 times higher than the rate measured sick throughout the population, he said.
Aditama said that outside the overcrowded prisons is also a shortage of medical staff, poor hygiene, poor control of prisoners and lack of awareness among employees of prisons for spread of TB care. "Prevention and control of TB can not be performed adequately because of poor condition of the buildings and infrastructure," said Aditama.
Thursday, December 16, 2010
Superficial relationships lead to feelings of detachment
University of Arizona published two new studies suggest that superficial relationships may not only lead to feelings of detachment, but also contribute to certain health-related problems.
"There is a link between social networks and health, but the exact mechanism is not understood," said Stacey Passalacqua, who recently earned her doctorate in UA and interpersonal health communication with a minor in psychology.
Passalacqua and Chris Segrin, the UA communication department and lead author of the paper, decided to individual perceptions of stress and social support to examine how loneliness can be linked to the health study to understand.
In their study of 265 adults aged 19 to 85, and Passalacqua Segrin found that stress serves a vital function for those who are reported to be lonely.
They found that lonely people tended to have less close relationships were less likely to properly manage daily stressors and tended not to maintain their health. Lonely people do not even have enough sleep.
Segrin noted that age does not predict whether a person would be lonely and living away from friends and family had no negative effect. With relationships mediated by digital modes is not necessarily problematic, although relations were established before the distance is probably the strongest.
Together is not shield a person from feelings of loneliness, Segrin added. Instead, with close friends and relatives appeared to be more important.
"The mere presence of a relationship is not always something that will lead to happy and feel supported," he said.
Another remarkable conclusion: The team found that, above all, loneliness is a matter of perception.
"Loneliness is the difference between your and reaches the desired level of social contact, and has important implications," said Segrin. "The portrait of a lonely person is very difficult to paint, because what is really important is what happens in your head."
So people can experience the same stressors - maybe the car breaks down or a bank account draws, or maybe a relationship goes wrong and someone just needs airing - and have completely different answers.
It is therefore not surprising that some people with large social networks also to express feelings of loneliness. When it comes to relationships, quality, not quantity, is the decisive factor, Passalacqua said.
"There are so many people we have in our day-to-day interactions," she said. "But the lack of close relatives and close friends is something that should be taken seriously. Sometimes we do not realize how important these relationships are close to our health."
The findings were published in an article co-author "Functions of loneliness, social support, health behaviors, and stress in association with poor health," in a June issue of Health Communication.
Segrin also worked with Tricia Domschke, doctoral candidate in communication, in another study to look into such details.
The co-author article, "social support, loneliness, regenerative processes and their direct and indirect effects on health," has been accepted for publication in Health Communication.
Segrin Domschke and found that lonely people do not enjoy leisure activities or to regenerate effects of sleep on a similar level as others did. So when it came to taking a vacation, getting a good night's sleep, or going swimming, lonely people do not as much of a charge.
What both studies suggest that people not only need better care of themselves, but to learn to cherish the relationships.
"We know that chronic stressors are very harmful to the human system," said Passalacqua.
"Perceptions are everything needed, and when you experience stress, it has a physiological effect on the body," she added. "The mind is such a powerful effect on the body, and really, our observations are shaping our world."
Pain in body
Last year in March I was awake at night, after half an hour jogging and fitness machines that earlier that day with a pain just below my buttocks. Could not identify exactly where it was, but while walking the next day I felt as if a nerve or something klemzat.
It became gradually worse, and after many treatments chiropractors, osteopaths and physiotherapists, and combined with stretching exercises (ie the money in buckets on the bar throwing since I live in England and have no private insurance), the conclusion is it has only gotten worse.
So now I'm still in pain and sometimes my buttocks, and further my whole buttock and hip pain, stiffness and weakened, other muscles and as more and more begins to offset more muscle to expand . Actually it's already sunk to past my knee.
It must be something of piriformis syndrome or something, probably caused by my running and buttock exercises fitness equipment (where I was all just started), one or more years have been neglected piers Fine overloaded.
I have also tried many tennis balls to sit or roll over it to release massage, but it just does not help. Also, my whole workplace is again re-evaluated and now I have a dynamic cushion (some wobbly-cushion) and a rugrol on my chair. The next step is to allow fitting of orthotics, which I at worst will cost around 600 euros. I am really desperate now ... I have spent so much money, and now I can no longer walk ten minutes without the nagging pain.
It became gradually worse, and after many treatments chiropractors, osteopaths and physiotherapists, and combined with stretching exercises (ie the money in buckets on the bar throwing since I live in England and have no private insurance), the conclusion is it has only gotten worse.
So now I'm still in pain and sometimes my buttocks, and further my whole buttock and hip pain, stiffness and weakened, other muscles and as more and more begins to offset more muscle to expand . Actually it's already sunk to past my knee.
It must be something of piriformis syndrome or something, probably caused by my running and buttock exercises fitness equipment (where I was all just started), one or more years have been neglected piers Fine overloaded.
I have also tried many tennis balls to sit or roll over it to release massage, but it just does not help. Also, my whole workplace is again re-evaluated and now I have a dynamic cushion (some wobbly-cushion) and a rugrol on my chair. The next step is to allow fitting of orthotics, which I at worst will cost around 600 euros. I am really desperate now ... I have spent so much money, and now I can no longer walk ten minutes without the nagging pain.
Wednesday, December 15, 2010
Possible health problems in a premature
Premature infants have their premature birth more likely to have health. They mainly suffer respiratory problems and brain haemorrhage. Circulatory problems and digestive system are also found. Sometimes, this ensures that a premature reduction develops a lasting, but not necessary. Because not every premature baby (severe) complicaties.Hoe longer the baby in the womb has spent (duration of pregnancy) even more beneficial! Later in life distinguish preterm children with little or no 'on time' births. The following health concerns are among the most common problems.
• Respiratory
Premature infants often irregular and shallow breathing, or they sometimes forget to breathe (apnea). Apnea of prematurity is caused by an incomplete development of the brain area that controls breathing. In addition, respiratory distress syndrome (RDS) often. (Read more about RDS Merck: http://www.merck.com/mmhe/sec23/ch264/ch264g.html)
In this case, the baby will need extra oxygen, it will sometimes surfactant (a = complex proteins and fats) administration and in severe cases, premature mechanical ventilation. Of breathing to keep a close eye on the baby is connected to a monitor respiration and heart rate monitors. Severe RDS can (among others) lead to bronchopulmonary dysplasia (BPD) BPD is a common lung disease in premature infants, especially in those of less than 1000 grams birth weight.
• Heart
The transition from the fetal circulation to a normal circulation in premature infants can cause problems. If the ductus arteriosus (a blood vessel that connects the pulmonary artery) does not close, the fetal circulatory system remain. This will be treated with medication, oxygen therapy or surgery.
• Gastrointestinal
In premature infants, the peristalsis (the movement of the intestine) less. The stool can therefore irregular. Depending on the gestational age will total parenteral nutrition (intravenous) or enteral nutrition should be administered with a bottle. Breast milk is also great on the tube or bottle should be given.
• Liver
The liver of a premature baby is often not ripe. Hyperbilirubinaemia (physiological jaundice) is therefore very common. Treatment may include phototherapy, the baby is placed under a blue light. Bilirubin is a breakdown product of red blood cells from the blood by the liver is removed. Because the liver is immature, this process is affected. Bilirubin in the skin rather than going through the bowel removed. Thus, the baby yellow. Also in 'on time' for children born will see yellow. High levels of bilirubin can cause irreversible neurological damage. In rare cases a blood transfusion necessary.
• Infections
The immune system is often a premature less than full-term babies, and thus has a lower resistance to infections. Hygiene in the NICU is very important.
• Regulating Temperature
In premature infants the temperature regulation requires extra attention. These kids have a relatively large skin surface area, low fat and a thermo-regulating system is not functioning properly. Premature infants are therefore in an incubator. This can create the ideal room temperature. This fluid loss and infection in the baby's limited. Is not optimal they can cool down very quickly and even under refrigeration.
• Premature infants Rethinopathie
ROP is a condition that can develop in the retina of premature babies. A disturbance occurs in the retina in the growth of normal blood vessels. This can lead to abnormal blood vessels in the retina which can attract local and eventually making it completely loose. Indeed, the retina begins to develop in the sixteenth week of pregnancy and after nine months. In preterm infants, the development or not yet completed and therefore the chance of pregnancy increases with shorter Rethinopathie has geduurd.Toeding of surfactant (see respiratory problems) would reduce the risk of severe retinopathy.
• Respiratory
Premature infants often irregular and shallow breathing, or they sometimes forget to breathe (apnea). Apnea of prematurity is caused by an incomplete development of the brain area that controls breathing. In addition, respiratory distress syndrome (RDS) often. (Read more about RDS Merck: http://www.merck.com/mmhe/sec23/ch264/ch264g.html)
In this case, the baby will need extra oxygen, it will sometimes surfactant (a = complex proteins and fats) administration and in severe cases, premature mechanical ventilation. Of breathing to keep a close eye on the baby is connected to a monitor respiration and heart rate monitors. Severe RDS can (among others) lead to bronchopulmonary dysplasia (BPD) BPD is a common lung disease in premature infants, especially in those of less than 1000 grams birth weight.
• Heart
The transition from the fetal circulation to a normal circulation in premature infants can cause problems. If the ductus arteriosus (a blood vessel that connects the pulmonary artery) does not close, the fetal circulatory system remain. This will be treated with medication, oxygen therapy or surgery.
• Gastrointestinal
In premature infants, the peristalsis (the movement of the intestine) less. The stool can therefore irregular. Depending on the gestational age will total parenteral nutrition (intravenous) or enteral nutrition should be administered with a bottle. Breast milk is also great on the tube or bottle should be given.
• Liver
The liver of a premature baby is often not ripe. Hyperbilirubinaemia (physiological jaundice) is therefore very common. Treatment may include phototherapy, the baby is placed under a blue light. Bilirubin is a breakdown product of red blood cells from the blood by the liver is removed. Because the liver is immature, this process is affected. Bilirubin in the skin rather than going through the bowel removed. Thus, the baby yellow. Also in 'on time' for children born will see yellow. High levels of bilirubin can cause irreversible neurological damage. In rare cases a blood transfusion necessary.
• Infections
The immune system is often a premature less than full-term babies, and thus has a lower resistance to infections. Hygiene in the NICU is very important.
• Regulating Temperature
In premature infants the temperature regulation requires extra attention. These kids have a relatively large skin surface area, low fat and a thermo-regulating system is not functioning properly. Premature infants are therefore in an incubator. This can create the ideal room temperature. This fluid loss and infection in the baby's limited. Is not optimal they can cool down very quickly and even under refrigeration.
• Premature infants Rethinopathie
ROP is a condition that can develop in the retina of premature babies. A disturbance occurs in the retina in the growth of normal blood vessels. This can lead to abnormal blood vessels in the retina which can attract local and eventually making it completely loose. Indeed, the retina begins to develop in the sixteenth week of pregnancy and after nine months. In preterm infants, the development or not yet completed and therefore the chance of pregnancy increases with shorter Rethinopathie has geduurd.Toeding of surfactant (see respiratory problems) would reduce the risk of severe retinopathy.
chronic gastritis issues
In the long term workers in teams have chronic gastritis, gastric enteritis, stomach ulcers and colitis. Gastric ulcers are a fairly serious threat and are eight times more common in shift systems with night than day shifts and shift systems without nights. The biggest culprit of all these complaints - in addition to stress - the poor eating habits of shift workers generally. They often eat the wrong foods in wrong quantities wrong times. One of the main meals eaten at home but is either an earlier or later hours than usual or it is eaten in the workplace where the quality of the food is often unsatisfactory and the meal is consumed quickly in uncomfortable places. The cafeterias at night usually closed, if there are pre-packaged sandwiches available without nutritional value. There is an insufficient consumption of starches and complex carbohydrates such as pasta and rice. Mayonnaise and cakes are then often offered so that the power imbalance as a hit and people can feel tired and lethargic. Coffee and cola are machines galore, and a potable water tap is often impossible to find. The coffee consumption is at night 16% higher than during other shifts. Furthermore, the lunch at 25% of shift workers have beaten, usually not to interrupt their sleep. Smoking at night also made 13% more than during the day.
Health Issues
Rotterdam to take your health insurance card along with personal liability and travel insurance is included.
Young people under 18 years must bring a completed form in which their parents give written permission to participate in the meeting. In form, the name of a supervisor mentioned legally responsible for them during their stay and for decisions regarding medical treatment that may be necessary. Send an email to meetings.nl @ taize.fr for a copy of this form.
People living within the European Union must bring their European Health Insurance Card for reimbursement of medical expenses.
Make sure your vaccinations up-to-date, especially for measles, mumps, rubella and pertussis, as well as tetanus and polio. If you recently had a contagious disease, make sure that you are no longer contagious before your arrival in Rotterdam.
There will be a first aid station at Ahoy (Plaza) during the meeting.
Young people under 18 years must bring a completed form in which their parents give written permission to participate in the meeting. In form, the name of a supervisor mentioned legally responsible for them during their stay and for decisions regarding medical treatment that may be necessary. Send an email to meetings.nl @ taize.fr for a copy of this form.
People living within the European Union must bring their European Health Insurance Card for reimbursement of medical expenses.
Make sure your vaccinations up-to-date, especially for measles, mumps, rubella and pertussis, as well as tetanus and polio. If you recently had a contagious disease, make sure that you are no longer contagious before your arrival in Rotterdam.
There will be a first aid station at Ahoy (Plaza) during the meeting.
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