Warung Bebas

Jumat, 05 Oktober 2012

Manfaat Tidur Siang Bagi Kesehatan

Kali ini You'll Never Walk Alone akan memberikan informasi tentang manfaat yang dapat kita peroleh dari tidur siang bagi kesehatan tubuh kita. Manfaat tidur siang ternyata cukup berpengaruh bagi kesehatan.Berdasarkan beberapa study yang dilakukan oleh para ahli, mereka berhasil menemukan beberapa manfaat tidur siang salah satunya untuk mengura
ngi kemungkinan kematian akibat serangan jantung.

Sebuah penelitian yang dilakukan di Yunani juga menunjukkan bahwa tidur siang kurang lebih selama setengah jam, dapat mengurangi risiko serangan jantung sebesar 37% jika dilakukan minilmal 3 kali seminggu. Selain itu penelitian lain juga mengemukanan ternyata manfaat tidur siang baik untuk kesehatan mental seseorang.

1. Meningkatkan Kewaspadaan
Saat Anda merasa mengantuk, maka Anda tidak bisa melakukan dengan semestinya. Oleh karena itu luangkanlah sedikit waktu untuk tidur siang baru kemudian melanjutkan pekerjaan. Sebuah penelitian berhasil mengungkap jika tidur siang 20 menit lebih efektif daripada mengkonsumsi 200 mg kafein.


2. Meningkatkan Kerja Memori
Kelelahan yang diakibatkan otak menampung informasi yang berlebihan dapat mengganggu daya konsentrasi anda. Jika anda berfikir untuk tidak tidur siang karena memiliki terlalu banyak tugas yang harus dilakukan, maka asumsi anda salah. Karena sebuah penelitian telah menunjukkan tidur siang setidaknya 30 menit dapat meningkatkan daya ingat Anda karena otak kembali fresh.

3. Meningkatkan Kreatifitas
Menurut seorang ilmuwan terkemuka yang bernama Sara C. Mednick, tidur siang dapat meningkatkan persepsi sensorik Anda.Namun hal ini justru tidak terjadi saat anda tidur di malam hari.

4.Meningkatkan kesehatan.
Setiap orang normal membutuhkan tidur setidaknya 8 jam sehari. Kurang tidur dapat menyebabkan meningkatnya hormon kortisol dalam tubuh. Kortisol adalah hormon yang dikenal sebagai hormon pemicu stres, dengan tidur siang diharapkan hormon horsitol dapat berkurang dan anda dapat kembali beraktifitas.

5. Meningkatkan Mood
Kadar neurotransmitter serotonin yang kita peroleh saat tidur siang dapat membuat suasana hati menjadi tenang dan menghilangkan rasa cemas yang berlebihan. Menurut Mednick salah seorang ahli kesehatan, tidur siang dapat menciptakan pandangan yang lebih positif dan menenagkan pikiran anda.

Separuh Aku (Lipe)

Separuh Aku (Lipe) - Hai sobat, bagaimana kabarnya hari ini? Semoga baik-baik saja. Kali ini saya akan berbagi sebuah video orang Brazil bernama Felipe Valdes yang menyanyikan lagu band fenomenal NOAH, Separuh Aku. Bagaimana suaranya, dibawah ini adalah videonya plus lirik Separuh Aku.

Lirik "Separuh Aku"
Dan terjadi lagi
Kisah lama yang terulang kembali
Kau terluka lagi
Dari cinta rumit yang kau jalani
Aku ingin kau merasa
Kamu mengerti aku mengerti kamu
Aku ingin kau sadari
Cintamu bukanlah dia
Dengar laraku
Suara hati ini memanggil namamu
Karena separuh aku Dirimu
Ku ada disini
Pahamilah kau tak pernah sendiri
Karena aku selalu

Di dekatmu saat engkau terjatuh
Aku ingin kau merasa
Kamu mengerti aku mengerti kamu
Aku ingin kau pahami
Cintamu bukanlah dia
Dengar laraku
Suara hati ini memanggil namamu
Karena separuh aku Dirimu
Dengar larakuSuara hati ini memanggil namamu
Karena separuh aku Menyentuh laramu
Semua luka telah menjadi lirihku
Karena separuh aku Dirimu






Bagaimana aksi dan suara Felipe Valdes? Jangan lupa leave your comment di bawah.

ISL Siapkan Kick Off 121212



Seolah ingin beradu cepat dengan LPIS untuk mengawali kompetisi, PT Liga Indonesia menyiapkan konsep tanggal 121212 untuk menggulirkan kick off Indonesia Super League (ISL) 2012-13.

Sebelumnya sesuai dengan keputusan Joint Committe (JC), liga baru digelar setelah Kongres Luar Biasa rampung yang rencananya baru diadakan di akhir tahun. Namun demi menggunakan konsep 121212 CEO PT LI, Joko Driyono tak mempermasalahkan jika ISL harus bergulir terlebih dulu daripada pelaksanaan KLB.

"Kalau overlaping dengan KLB ya kita pikirkan kick off lain. Entah Inter Island Cup, Charity Game atau pun kick off dari real game. Kami sih inginnya ada pertandingan di hari itu," pungkasnya.

Kata mutiara motivasi: Buah Pengetahuan

 Kata mutiara motivasi:

Buah Pengetahuan

Kata kata indah bergambar dan kata mutiara :Tindakan adalah buah pengetahuan yang paling tepat
Kata kata indah bergambar dan kata mutiara kehidupan : Tindakan adalah buah pengetahuan yang paling tepat
Kata kata bijak kehidupan,Gambar Motivasi, Kata Mutiara kehidupan, Kata kata Indah

Klik untuk mengetahui berapa resolusi monitor anda









Kata Bijak Motivasi: Cara terbaik menjadi cerdas

Kata bijak motivasi:

Cara terbaik menjadi cerdas

Kata kata indah bergambar dan kata mutiara :Cara terbaik menjadi cerdas adalah tidak menjadi Bodoh
Kata kata indah bergambar dan kata mutiara kehidupan : Cara terbaik menjadi cerdas adalah tidak menjadi Bodoh
Kata kata bijak kehidupan,Gambar Motivasi, Kata Mutiara kehidupan, Kata kata Indah


Klik untuk mengetahui berapa resolusi monitor anda







Kata kata Indah bergambar: Hadapi saja

 Kata kata Indah bergambar:
Hadapi saja


Kata kata indah bergambar dan kata mutiara : Satu-satunya cara lepas dari masalah adalah dengan menghadapinya
Kata kata indah bergambar dan kata mutiara kehidupan : Satu-satunya cara lepas dari masalah adalah dengan menghadapinya
Kata kata bijak kehidupan,Gambar Motivasi, Kata Mutiara kehidupan, Kata kata Indah

Klik untuk mengetahui berapa resolusi monitor anda








Don't Cry for Me, Brazil - UnitedHealth May Buy Brazilian Managed Care Company

While Health Care Renewal's bloggers are at the moment all Americans, and hence tend to focus on the wild and crazy US health care system, we have suggested that many of the issues we discuss have global implications.  In fact, the first article I managed to publish on health care dysfunction was in a European journal, and framed the US experience as a cautionary tale for other countries. [Poses MD. A cautionary tale: the dysfunction of American health care.  Eur J Int Med 2003; 14: 123-130.  Link here.]

The Possible Acquisition by UnitedHealth of Brazil's Leading Managed Care Company

However, sometimes it appears that the US experience might be directly exported.  Today Bloomberg reported,

UnitedHealth Group Inc., the biggest U.S. health insurance company, is in talks to buy a stake or all of the Brazilian insurer and hospital operator Amil Participacoes SA, according to people familiar with the matter.
Acquiring all or part of Brazil’s biggest managed-care company, which carries a market value of 9.01 billion reais ($4.47 billion), would give Minnetonka, Minnesota-based UnitedHealth access to a growing private-insurance market in the world’s second-biggest emerging economy. It also may generate more opportunities for UnitedHealth’s Optum unit, which provides technology and consulting to health systems in India, China, the U.K. and elsewhere.
UnitedHealth's Ethical Record

UnitedHealth would be the company whose CEO once was worth over a billion dollars due to back dated stock options, some of which he had to give back, but despite all the resulting legal actions, was still the ninth best paid CEO in the US for the first decade of the 21st century (look here). UnitedHealth would be the company whose current CEO made a cool $106 million in 2009 (look here).

Moreover, UnitedHealth would also be the company known for a string of ethical lapses:
- as reported by the Hartford Courant, "UnitedHealth Group Inc., the largest U.S. health insurer, will refund $50 million to small businesses that New York state officials said were overcharged in 2006."
- UnitedHalth promised its investors it would continue to raise premiums, even if that priced increasing numbers of people out of its policies (see post here);
- UnitedHealth's acquisition of Pacificare in California allegedly lead to a "meltdown" of its claims paying mechanisms (see post here);
- UnitedHealth's acquisition of Sierra Health Services allegedly gave it a monopoly in Utah, while the company allegedly was transferring much of its revenue out of the state of Rhode Island, rather than using it to pay claims (see post here)
- UnitedHealth frequently violated Nebraska insurance laws (see post here);
- UnitedHealth settled charges that its Ingenix subsidiaries manipulation of data lead to underpaying patients who received out-of-network care (see post here).
- UnitedHealth was accused of hiding the fact that the physicians it is now employing through its Optum subsidiary in fact work for a for-profit company, not directly for their patients (see post here).

Exporting Health Care Dysfunction

So while the deal discussed above might be good for UnitedHealth, it is not so clear that it would be good for Brazil, as it would give a big toe-hold in Brazil to a US company whose actions have not always been exemplary, and hence may give Brazil a whiff of US health care dysfunction.


Health care dysfunction in the US has been manifested by continuously rising costs while access and quality have been threatened.  While it is possible that our recent Affordable Care Act reforms will improve access, and perhaps quality, it is likely the country will continue to lag other developed countries in providing health care value (for examples, look at this Commonwealth Fund site including international comparisons.) 

Moreover, health care dysfunction may have resulted in a uniquely distressed physician population in the US compared to those in other countries.  Here we discussed a recent large-scale survey showing nearly half of all US physicians, and more than half of generalist physicians are burned-out.  Here we discussed another recent large-scale survey showing that more than a third of US academic physicians want to quit their institution and/or academia. That survey may have suggested that their dissatisfaction was due to concerns that their leaders did not share their values about patient care and academics, their leaders may put revenue ahead of these values, their leaders may have suppressed dissent, free speech, academic freedom, and whistle-blowing, and their leaders may have acquiesced to a culture of dishonesty and deceit.

 On Health Care Renewal, we have postulated that our unique mix of health care misery may be due to a witch's brew of  concentration and abuse of power in health care, bad (that is, ill-informed, incompetent, mission-hostile, self-interested, conflicted or corrupt) leadership of health care, tactics used by bad health care leadership such as use of perverse incentives, creation of conflicts of interest, deception, disinformation, propaganda, intimidation, etc

Thus we would not recommend that other countries look to our health care system as a role model, and that their citizens should be very skeptical of US health care organizations, particularly large, for-profit health care corporations with spotty ethical records, when they come calling. Meanwhile, we in the US must do a better job solving our own health care problems, and should avoid trying to export them.

House Ways And Means, and Energy and Commerce, Note EHRs Not What They Were Made Out To Be, Calls For HITECH Moratorium

I have called numerous times for a moratorium on ambitious national health IT programs.  See 2008 and 2009 posts here and here for example.  My calls are due to the prevalence of bad health IT (BHIT) in 2012, hopelessly deficient if not deranged talent management practices (especially when compared to clinical medicine) in the health IT industry, and complete lack of regulation, validation and quality control of these potentially harmful medical devices. 

I also called the HITECH stimulus act in its present form social policy malpractice.  (See my Sept. 2012 post "At Risk in the Computerized Hospital: The HITECH Act as Social Policy Malpractice, and Passivity of Medical Professional".)

Congress is starting to catch on:


Letter from House Ways and Means, and Energy & Commerce, to Secretary Sebelius of HHS.  Click here to download.

The letter to HHS secretary Sebelius is from Congressmen Dave Camp (Chairman, Ways and Means), Wally Herger (Chariman, Ways and Means Subcommittee on Health), Fred Upton (Chairman, Energy and Commerce) and Joe Pitts (Chairman, Energy and Commerce Subcommittee on Health).

In the letter the following is noted:

Dear Secretary Sebelius:

We are writing to express serious concerns about the final Electronic Health Record (EHR) Stage 2 Meaningful Use rules recently issued by HHS and ONC.  We believe the Stage 2 rules are, in some respects, weaker than the proposed Stage 1 regulation released in 2009.  The results will be a less efficient system that squanders taxpayer dollars and does little, if anything, to improve outcomes for Medicare.

The letter then notes that the "Stage 2 rules ask less of providers and do less for program efficiency" and that the Stage 2 rules fail to achieve comprehensive interoperability in the face of
warnings that:

..".failure to set a date for certain interoperable standards would put as much as $35 billion in Medicare and taxpayer funds in the hands of providrrs who purchase and use EHR systems that are not interoperable."

They note the Stage 2 rules fail to achieve interoperability in a timely manner and that "more than four and a half years and two final MU rules later, it is safe to say that we are no closer to interoperability in spite of the nearly $10 billion spent."

A major reason for this, I believe, is regulatory capture by the IT industry as I outlined in my somewhat rhetorically-entitled posts "Health IT Vendor EPIC Caught Red-Handed: Ghostwriting And Using Customers as Stealth Lobbyists - Did ONC Ignore This?" and "Was EPIC successful in watering down the Meaningful Use Stage 2 Final Rule?"

The House letter also notes:

It is highly counterproductive for providers to have purchased EHR systems that "cannot talk with one another" and cannot perform basic functions because of the insufficient standards set by your agency.

One of the critical "basic functions" is the note search capability upon which the vendors used their influence during the "public comments" period to have written out of existence, as in the above posts.  The influence became apparent due to serious public comment editing mistakes by customers.  One wonders what other episodes of vendor influence did not make it into the public spotlight.

The house committee members also note:

Perhaps not surprisingly, your EHR inventive program appears to be doing more harm than good.  A recent analysis of Medicare data by the New York Times explains the costly consequences.

Unfortunately, the letter did not spotlight the excellent analysis done by the Center for Public Integrity and published before the NYT article ("Cracking the Codes" by Fred Schulte et al.)

Finally, the letter calls for HHS to:

... Immediately suspend the distribution of incentive payments until your agency promulgates universal interoperable standards.  Such a move would also require a commensurate delay of penalties for providers who choose not to integrate HIT into their practice"  and to "significantly increase what's expected of Meaningful Users."


It is unfortunate the letter seems to make the assumption that health IT in its present form, and the industry in its present state of anarchy, can produce good health IT (GHIT) that is safe and effective.  (As I've written, we need ease-of-use, reliability and safety - basic "operability" - before interoperability.)  Perhaps the congresspeople need to read my recent post "Honesty and Good Sense on Electronic Medical Records From Down Under".

Financial issues are one major concern, but patient harm and death due to the disruptive influences of BHIT are, in fact in many respects more important.

Finally, to those who would suggest a political angle to this letter (I note comments on sites such as on the Histalk blog that the authors are Republicans), I note that ONC was started in 2004 by George W. Bush, and that health IT has always had broad bi-partisan support.

Reality in healthcare is more often than not apolitical, and injured and dead patients really don't care much about ideology.

-- SS
 

ZOOM UNIK::UNIK DAN UNIK Copyright © 2012 Fast Loading -- Powered by Blogger