Warung Bebas

Jumat, 07 Desember 2012

Cara Mendidik Anak Balita Yang Baik

Tahap Balita tumbuh mulai dari 12 bulan. Semuanya bagi mereka adalah sesuatu yang baru dan membuat mereka penasaran. Pengajaran yang benar dan tepat memungkinkan mereka untuk belajar lebih cepat dan lebih mudah. Jika Anda tidak mendidik balita Anda dengan baik ketika mereka masih muda, akan sulit jika anda ingin memperbaikinya nanti. Jadi mengapa tidak mulai mendidik mereka dari sekarang?Tidak pernah terlalu dini untuk memulai pendidikan. Ingat, balita adalah anak kecil, nyaris tidak mengerti Anda. Jadi, Anda harus bersabar. Mulailah mendidik balita Anda dengan mengajarkan hal-hal berikut ini:  

Ajarkan mereka tata krama
Setiap kata yang Anda katakan atau setiap tindakan yang Anda lakukan akan diingat dan diikuti. Anda dapat mengajar mereka tata krama yang sederhana, Silahkan dan Terima Kasih. Contoh, bila Anda ingin balita Anda untuk memberikan sesuatu, Anda bisa mengarahkan pada objek dan mengatakan tolong. Dan ketika objek diberikan kepada Anda, mengucapkan terima kasih. Ketika Anda marah, ingat untuk tidak mengatakan kata-kata kasar di depan anak Anda.  

Ajarkan mereka tentang warna
Belajar warna bisa menyenangkan! Mengumpulkan beberapa mainan warna atau bola untuk bermain. Pilih mainan dan meminta anak Anda untuk menyebutkan nama warna jika dia tidak bisa menjawab, beritahu mereka jawaban yang benar. Ulangi proses ini sampai balita Anda dapat mengenali warna.  

Ajarkan mereka untuk berjalan
Langkah berjalan tepat adalah suatu keharusan untuk menghindari perubahan struktur tubuh. Ketika anak Anda mulai merangkak, lalu ke posisi berdiri. bantu dia berjalan dengan berpegangan tangan. Pastikan bahwa anak Anda tidak bungkuk ketika berjalan.  

Ajarkan mereka untuk makan
Jika balita diajarkan untuk makan pada waktu yang tepat, mereka tidak akan meminta di antara makanan ringan kecuali mereka benar-benar lapar.  

Ajarkan mereka untuk tidur
Ajarkan anak untuk tidur lebih awal dan pastikan mereka memiliki waktu tidur yang cukup. Biasakan agar balita Anda tidur di siang hari, Anda mungkin perlu botol susu, dot tidak dianjurkan, bercerita, dan apa pun yang bisa membuat balita Anda tidur. Ketika balita tertidur lelap, orang tua juga dapat tidur lelap pada malam hari.  

Ajarkan mereka untuk membereskan mainan 
Menempatkan mainan kembali ke tempat yang tepat akan membuat mereka bertanggung jawab ketika mereka tumbuh dewasa.

Koleksi Pola Foto Sampul Facebook yang Keren !


Limit Komputer | Dalam kesempatan ini saya ingin membagikan beberapa koleksi foto sampul facebook yang keren serta unik. seperti yang kita ketahui ? facebook sudah memiliki fitur timeline, yang di dalamnya terdapat dua buah tempat foto yang besar dan kecil. fungsi foto kecil gunanya untuk menampilkan avatar atau foto pribadi kita dan untuk foto besar gunanya untuk foto sampul atau cover.

Dengan adanya foto sampul, facebook makin terlihat keren dan elegan sebab tampilannya yang semakin modern serta lain dari pada yang lain. namun dari satu sisi banyak orang yang meninggalkan facebook akibat di terapkannya fitur timeline di profil, karena menurut mereka fitur timeline itu sangat sulit dan ribet. tapi itu hanya pendapat sebagian orang saja kalau kamu gimana ? 

Tertarik?

Quotations: Jimmy Moore on Exercise

In a review of a diet book,
One final thought: What about exercise? Strikingly silent on the subject, don’t you think? Shamblin openly and proudly shuns exercise in the Weigh Down Diet approach and Hawks makes no mention of the role of exercise in discussing “intuitive eating.” If you’re going to be serious about losing weight and keep it off, then you have to talk about exercise. It has been an instrumental part of my success on the low-carb lifestyle. That’s why I devote an entire chapter to it in my book.
~Jimmy Moore, November 2005 

Fred Schulte on Investigative Journalism: "Race to electronic health records may come with a price"

Investigative reporter Fred Schulte of the Center for Public Integrity has written up his experiences on his investigation of upcoding and Medicare billing inflation due to the effects of EHRs.

The piece is of interest in regard to, at the very least, the personal recollections of how an investigation comes to be and is conducted.

I thought his piece would be of interest to HC Renewal readers.  It is at the site of the American Association of Healthcare Journalists and entitled "Race to electronic health records may come with a price."

(The result of the investigation is the series entitled "Cracking the Codes.)


Fred Schulte

This work contributed substantially and materially to a reluctant HHS and ONC deciding it was time to actually investigate the issue.

(Perhaps sometime soon HHS and ONC may also seriously investigate health IT safety, and take more than Milquetoast action.)

-- SS



my week got away from me....i hope you will forgive me.  i hope your weekend is filled with lots of laughter and fun times w/ the ones that matter most.  i'm taking tay to the nutcracker w/ my mom!!  see y'all next weekend.

I Wonder if Dr. Bob Wachter Has An IP Audit Trail For Comment Submissions To His Blog?

In my Jan. 2010 post "More on Perversity in the Healthcare IT World: Is Meditech Employing Sockpuppets?" I described how I found that perverse, defamatory and even deranged comments were submitted to comment threads on this blog and elsewhere about my posts. 

Unfortunately for the writer, the IP's of his submissions recorded in the Sitemeter IP audit trail for HC Renewal were of a health IT vendor, Meditech, as described in the post.  Even after the post, the abuse continued.  Only after I contacted the General Counsel of that organization did the abuses stop.

At Bob Wachter's blog "Wachter's World" I have been following a quite serious Sept. 2012 post entitled "Putting the “A” Back in SOAP Notes: Time to Tackle An Epic Problem".  The post concerns the effects EHRs have on clinician cognition.  Dr. Wachter thoughfully concludes:

... All in all, I am pleased that UCSF went with the Epic system and I remain a fan of electronic health records. And Larry Weed was right: we must have a structure to record what is happening to our patients, and his problem-oriented approach remains the most appealing one. (Ultimately, one wonders whether natural language processing will make such a structure less important, in the same way that I no longer pay much attention to filing documents on my Mac now that its search function is so powerful.)

But the time is now – before our trainees build habits that will be awfully hard to break – to recognize that electronic medical records do more than chronicle our patients’ histories, exams, and labs. They are also cognitive forcing functions, ever-so-subtly modifying our approach and language into something that can either improve our clinical care and teaching, or not. Let’s show these computers who’s boss, and put the “A” [clinician assessment - ed.] back in SOAP.

The post is followed by a largely thoughftul comment thread of dozens of comments.

A new comment has appeared as follows, from an anonymous user "EPIC" whose self-submitted URL is "epic.com":

Epic December 7, 2012 at 9:48 am #
 
Physicians – thanks for your thoughts. However, we are not mind-readers and we can only work within the bounds of our archaic code. If you think you have it rough, you should hear what we hear from the nurses, you know, the underpaid ones that actually provide patient care and have to put up with your whining, bossiness, and superiority complexes. Anybody can memorize A&P. It takes common sense to use a computer. Perhaps time spent complaining could be more effectively be used in Epic ClinDoc training. Gotchya…

The problems of health IT are all due to whining, complaining, bossy, conceited physicians who just won't learn how to use the EHR properly...who, by the way, lack common sense and should just shut up and read the manual ... gotchya!

The response I've left requires no additional comment:

S Silverstein, MD December 7, 2012 at 3:18 pm #
 
To whomever left the reply “Physicians – thanks for your thoughts” under the pseudonym “EPIC”… Your comment is, quite simply, perverse. It reflects an unfitness for you, if the comment is serious, to be involved in any aspect of healthcare.

Your comment might have been at least humorous if it referred to, say, IT issues in a nail parlor or pizza shop.

We are discussing, however, IT problems in patient care, that affect everyone, including the most ill of patients who expect the healthcare system to focus on their needs.

Further, you show a lack of understanding of what the National Institute of Standards and Technology (NIST) has recently made plain: the concept of “use error”:

——————–
… The EUP (EHR usability protocol) emphasis should be on ensuring that necessary and sufficient usability validation and remediation has been conducted so that use error [3] is minimized.

[3] “Use error” is a term used very specifically to refer to user interface designs that will engender users to make errors of commission or omission. It is true that users do make errors, but many errors are due not to user error per se but due to designs that are flawed, e.g., poorly written messaging [or lack of messaging, e.g., no warnings of potentially dangerous actions - ed.], misuse of color-coding conventions, omission of information [or poorly presented information - ed.], etc.
——————–

Take your perverse attitudes and ignorance elsewhere. Preferably far from your nearest healthcare facility.

Scot Silverstein, MD
Drexel University, Philadelphia
http://hcrenewal.blogspot.com


I am curious if the IP audit trail, if any, of Dr. Wachter's blog shows the IP of "Mr. Epic" and whether the IP shows the comment was truly coming from EPIC itself.

-- SS

‘Out In Sport’ Cardiff by Jack Oakley and Cari Davies

“Out In Sport” at Cardiff began as a small, grassroots campaign by members of the student unions’ LGBT+ association during the last academic year. The aim of the campaign was to promote an inclusive sporting environment for LGB students and also to change the common perception that sports clubs are homophobic. At Cardiff, we believe that the problem isn’t that those taking part in sport are homophobic; the problem is a perception that they are, creating a barrier for LGB students who would otherwise participate. 

The campaign involved meeting with and talking to the various sports clubs at Cardiff University, raising awareness and also offering guidance where necessary. We created a video which allowed clubs to demonstrate their support for the campaign and their inclusion of all students, regardless of sexual orientation. We also worked with LGBT+ students, encouraging those who may otherwise be put off from taking part to attend LGBT+ only sport taster sessions. It allowed these students to try something new, in an environment they felt comfortable in. Many students went on to continue taking part in the sports they tried and by getting sports clubs involved in running the taster sessions, the fears of homophobic attitudes of were abated.

This year the Out in Sport campaign is set to grow even bigger with a strong partnership between the Athletic Union and the LGBT+ Officer at Cardiff University Students’ Union. We’ve already included LGBT+ awareness in compulsory sports club committee training and clubs have approached us looking for ways they can improve their own provision, with some asking for extra training on the subject.

We’re going to use both the reports from the National Union of Students and Sport Wales to shape our campaign and build a detailed action plan for the future; continuing the work from the previous year, increasing awareness on campus and getting more clubs involved.

There are some exciting plans for the campaign, including tying it into the huge event that is The Welsh Varsity, a day of competitive sport between Cardiff and Swansea University culminating in a televised rugby match in the Millennium Stadium. There will be an “Out in Sport” logo design competition, the winner’s design being printed on all supporter t-shirts and on the rugby shirts of the players from both Cardiff and Swansea. A new campaign video with input from our sports clubs will play before the game and we may even have a very special guest speaker!

One of our long term plans is building an accreditation scheme approved by the likes of Stonewall and Sport Wales, which sports clubs at Cardiff University (and perhaps beyond!) can be awarded. A club would have to meet certain criteria in order to be awarded the accreditation, including attending certain training events, being involved in raising awareness of the campaign and adopting and implementing a no tolerance policy. Not only educating those involved but also allowing LGB students to easily identify sports clubs that have actively championed a friendly and inclusive environment.
Jack Oakley LGBT+ Officer Cardiff University Students’ Union 

Cari Davies Athletic Union President Cardiff University Students’ Union

Stossel Food Bunk II ~ Just Some Notes on Other Guests

Just some notes on the non-Taubes/Attia portions of John Stossel's Food Bunk program.  I managed to catch and tape a rerun of it and watched in the background the other day. It still may be rerun (or watch online?) for anyone interested on FNC or FBC. It was on food freedom, government regulations, laws/bans and all that. 

It began with Joel Salatin v. Felix Ortiz a NYC Councilman responsible for transfat ban, posting calorie counts, etc. Salatin came off rather well here in my opinion. Stossel shows video of a raid on a food coop. Scary. Ortiz was challenged on juices -- if you limit soda sizes, how about juice? His answer was more like "I ate my orange today" which disturbs me in spite of my recent defense of OJ.  So many of the politicians and folks like Lustig and Diet Doc Eenfeldt are all in for banning and regulating and taxing their pet dietary peeves.  They believe butter cannot be fattening, so Denmark's misguided butter tax was foolhardy, but tend to support idiotic things like Nanny Bloomie's cup size limits.  In this regard, kudos to Salatin!  I've had some less than favorable reactions to his notions of supermarket addiction.  Unlike some, he comes off unhypocritical here -- I'm sure to say he's no fan of junk food would be an understatement, but he focused on the overarching unintended consequences of many of these regs/taxes supported by Ortiz.
Read more »

Remember LIRKO? Grey & Kipnis?

So a recent research paper has been making the rounds.  It has a "red meat" title for the die hard TWICHOOB:  Hyperinsulinemia Drives Diet-Induced Obesity Independently of Brain Insulin Production.  This paper was brought up in my comments section as well.   Every time this happens I really do feel like I'm in some sort of nutritional remake Groundhog Day.    I'm a bit backlogged at the moment, but luckily Stephan Guyenet has weighed in with his analysis and included some additional studies in support of his position.  

Whenever I think hyperinsulinemia causes obesity,  I'm reminded of the LIRKO mouse.  LIRKO is normal except its liver lacks insulin receptors.  The result is a mouse with raging hyperglycemia and hyperinsulinemia throughout much of its young life until its liver poops out.  I blogged on this mouse here:  Bloggo Science ~ LIRKO Wars Edition.  (Incidentally that post links to an older post by Stephan on the role of hyperinsulinemia here.)     Here's the rundown on LIRKO:
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Food Reward Friday

This week's "winner"... Kellogg's Krave cereal!



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3 Kompleks Pemakaman (Astana) Raja-Raja Mataram dan Presiden Indonesia di Surakarta

1. Astana Giribangun 

     Adalah sebuah mausoleum bagi keluarga mantan presiden Indonesia ke-2, Suharto. Lokasinya berada di sebelah timur kota Surakarta, Indonesia, tepatnya di Desa Girilayu, Kecamatan Matesih, Kabupaten Karanganyar, sekitar 35 km dari Surakarta.


2. Astana Girilayu 

     (giri: gunung/bukit, layu=mati) adalah kompleks pemakaman untuk penguasa ("Mangkunagara") dan kerabat dekat (dhalem) Praja Mangkunegaran. Di kompleks ini dimakamkan Mangkunagara IV, Mangkunagara V, Mangkunagara VII, dan Mangkunagara VIII (penguasa terakhir yang mangkat); masing-masing dengan mausoleum tersendiri.


3. Astana Mangadeg 

     (ngadeg: berdiri) adalah kompleks pemakaman untuk penguasa awal ("Mangkunagara") dan kerabat dekat (dhalem) Praja Mangkunegaran. Di kompleks ini dimakamkan Mangkunagara I (MN I), MN II, dan MN III; masing-masing dengan mausoleum tersendiri. Selain itu di dalam kompleks ini juga dimakamkan sejumlah kerabat dekat dan para pembantu perjuangan dalam peperangan melawan Kesultanan Mataram dan VOC hingga berakhir dengan disepakatinya Perjanjian Salatiga (1758).

     Komplek pemakaman ini berada di puncak bukit kecil (bernama Bukit Mangadeg) di kaki Gunung Lawu, di sebelah timur pusat Kecamatan Matesih. Tempat ini sendiri sebelumnya adalah tempat Mangkunagara I bersemedi pada masa perjuangannya (sebelum menjadi raja ia bernama R.M. Said).


Sport's Big Society Influence by Adele Baumgardt


Adele Baumgardt is vice-chair of Sport Wales and has previously worked at the Equal Opportunities Commission. Now a self -employed consultant on all aspects of equality and diversity, Adele's experience includes delivering equality strategies in public, private and voluntary sectors with particular expertise in the new 'positive' equality duty.



The reasons why people participate in sport and get hooked on it for life are as wide and varied as people themselves. And so are the reasons why people don’t.

For many of us it is the first or most memorable experience that defines whether we will ever try to participate in any kind of activity let alone a more formalised sporting opportunity.

The research that Sport Wales have done in partnership with Stonewall Cymru has shown what  I think many of us always thought was the case, that for gay, lesbian and bi sexual people, those experiences are often profoundly negative and linked to their sexuality.

We believe in the transformational potential of sport for people, not just in terms of health outcomes but in how rich their lives can be. Sport is about activity in all its forms but it is also about who you meet, play with and socialise with around the activity.

If we have a culture in the places where sporting opportunities are offered which prevents or puts certain people off, simply because of their sexuality, at school, at the leisure centre or in a club environment, it is incumbent on all of us involved in sport to change how we deliver it.

If we truly want to see sport for all then we have to do this. And this research helps us understand what happens and what needs to be done. It is of course only the first step to both understanding and changing things, but by genuinely investigating and seeking individuals experience we have taken the first step towards understanding. Now we have to act – across the whole of the sporting community.

In my experience changing cultures is the most difficult, frustrating and time intensive work in meeting equality challenges. People’s attitudes and beliefs are profound, personal and deeply held. Beliefs and values come from school, society, media, experience, our parents and of course our sporting heroes among other things. And our behaviour is undoubtedly based on our beliefs.

Organisations display ‘group’ behaviour based on values which can be led from the top or the bottom. And it seems to me that sport has more potential than most sectors to influence what kind of a society we become. ‘Group’ behaviour is certainly more clearly and often displayed in sport than in most other environments. In many ways political correctness and equality legislation has driven discrimination ‘underground’. So if an organisation doesn’t want to employ women or black people, they don’t - but their policies and recruitment procedures won’t be explicit about that – it is the culture and beliefs of the leaders and the front line staff that create an office where women or black people are not represented and not welcome. The culture often manifests itself in the banter, humour and ‘feel’ of the organisation.

So our sporting hero’s and role models have a fantastic opportunity to influence particularly our young people on how they feel about sport and activity. How our clubs and sporting venues manage and address inappropriate behaviour matters beyond the people on the terraces.  I don’t want to take my grandchildren to a football or rugby match at a weekend where they hear regular homophobic chanting from the stands. I don’t want them to grow up thinking that that kind of behaviour or belief is what being involved with football or rugby means.

And I certainly don’t want them, or any other child in Wales to have their opportunity to participate or excel in sport dictated to by the attitude and behaviour they encounter because of their sexuality.

So I think this research is a really important step in helping us understand what causes gay, lesbian and bi sexual people to be excluded from sport for life.
All sectors across sport from clubs, governing bodies, local authorities, role models and casual spectators now all have good reason why we should challenge behaviour and tackle barriers. Challenging banter and inappropriate behaviour can be uncomfortable and difficult – but without it we won’t change culture.

Coming home from Plas Menai last week through the floods and storms meant I ended up on a train to Birmingham with some football supporters on their way to an evening match. Listening to them enthusing about sport and their knowledge of football, their teams, and technical ‘sport’ issues was inspiring. But what they all said was that no women or any of their gay friends would come to the match because they didn’t feel safe and they were able to cite several instances where verbal abuse had made their friends feel so unsafe they would never risk going to a match again.

Sporting experiences enrich all our lives. If we allow behaviour, attitudes or language to intimidate or frighten people from attending or taking part then we will continue to deliver sporting opportunities in the ways we always have to the people who have always participated. Unintentional offence or threat is no excuse and has the same effect of excluding people as deliberate ones. The solutions to challenging and changing this lies with us all – if we are brave enough to face it!
 

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