Tanda-Tanda Kehamilan Kembar dapat Diketahui sejak awal Kehamilan

Tanda-Tanda Kehamilan Kembar, untuk
beberapa orang menjadi hal yang tidak diinginkan. Tentu dengan alas an repot
untuk mengurus, biaya yang lebih banyak untuk perawatan anak kembar. Namun apabila
saat ini anda hamil bayi kembar, tentu harus disyukuri sehingga tidak
menimbulkan kecemasan dan kekhawatiran. Bayangan anda akan mempunyai anak yang
sehat dan lucu-lucu, tidak hanya satu namun

Cara Menghilangkan Karang Gigi Secara Alami

Cara Menghilangkan Karang Gigi – Gigi adalah aset kita yang harus kita jaga dengan baik. Karena dengan gigi kita bisa merasakan nikmatnya menggigit dan mengunyah. Kebayang jika gigi sudah rusak maka kenikmatan itu akan hilang. Nah permasalahan yang sering dihadapi orang Indonesia saat ini adalah adanya karang gigi yang belum diketahui bahayanya bagi kesehatan gigi. Pendidikan tentang kesehatan gigi pada saat ini (tahun 2013) memang belum merata kesemua kalangan masyarakat. Masyarakat yang terdidik saja belum tentu tahu cara merawat gigi yang baik dan benar apalagi kalangan masyarakat yang pendidikannya masih kurang. Lalu bagaimana jika anda sudah terlanjur mempunyai karang gigi? Nah itu akan kita bahas di tulisan ini.

Karang gigi itu adalah plak atau sisa-sisa makanan yang tidak terbersihkan dengan baik ketika kita membersihkan gigi lalu lama kelamaan menempel pada gigi dan jadilah karang gigi. Karang gigi ini akan menggerogoti kesehatn gigi kita dan akan membuat gigi keropos. Selain itu karang gigi merupakan tempat yang sangat asyik untuk berkembangnya kuman di mulut. Ketika anda tahu ada karang gigi di mulut maka Anda harus segera melakukan tindakan. Tindakan paling aman adalah segera periksa ke dokter gigi, karena urusan menghilangkan karang gigi ini terbilang sulit jika tidak ditangani oleh ahlinya.

Alternatif Cara Menghilangkan Karang Gigi Dengan Cara Alami

Jika anda tidak mau ke dokter atau meskipun sudah kedokter lakukan cara menghilangkan karang gigi secara alami di bawah ini :

Menggunakan cengkeh

Cengkeh adalah salah satu bahan alami yang bisa digunakan untuk menghilangkan karang gigi. Cengkeh ini merupakan campuran dari ramuan leluhur untuk menjaga giginya tetap bersih. Mungkin anda pernah melihat nenek yang suka ngemut ramuan cengkeh dan daun sirih,lalu digosok-gosokan keseluruh permukaan gigi, di sunda namanya sisig. Biasanya gigi mereka tetap bersih meskipun mereka tidak menggosok gigi. Jika anda ingin menggunak cengkeh maka ambillah biji cengkeh kering secukupnya lalu tumbuk halus. Setelah halus lalu gosokan keseluruh bagian gigi. Efek lain dari cengkeh adalah nafas terasa segar.

Menggunakan biji asam kawak

Car menghilangkan karang gigi berikutnya adalah dengan menggunakan biji asak kawak. Cara membuatnya adalah ambil biji asam kawak secukupnya lalu sangria. Setelah disangrai lalu tumbuk biji asam sampai halus. Lalu gunakan asam kawak ini sebagai pasta bisa dibantu dengan menggunakan sikat gigi. Kalo mau tahu seperti apakah asam kawak itu, cari aja gambarnya di google ya.

Sering makan apel

Menurut beberapa pengalaman orang bahwa dengan memakan apel tanpa dikupas itu akan membantu membersihkan plak dan karang gigi. Tentunya sebelum dimakan dicuci dulu ya apelnya. Sifatnya adalah membantu mengurangi karang gigi.

Menggosok gigi

Nah inilah senjata utama dalam perawatan gigi yaitu dengan disiplin menggosok gigi. Akibat malas menggosok gigi inilah penyebab terbesar kenapa banyak orang mengalami masalah karang gigi. Menggosok gigi minimal sehari 2 kali yaitu setelah makan dan sebelum tidur. Cara menggosok giginya yaitu untuk membersihkan gigi atas gosokkan sikat gigi dari atas kebawah sedangkan untuk gigi bagian bawah gosokkan sikat gigi dari bawah keatas.

Supaya karang gigi tidak muncul yang paling penting adalah perawatan yang serius dan berkala. Harus rajin sikat gigi, membersihkan sela-sela gigi, makan buah dan sayuran dan gunakan mouth wash atau obat kumur yang tanpa alkohol ya.  Namun sekali lagi yang terbaik ketika menjalankan terapi di atas sambil anda periksa rutin gigi anda dan konsultasikan sama dokter gigi Anda. Ingat karang gigi itu tidak akan hilang hanya dengan gosok gigi, sehingga cara menghilangkan karang gigi terbaik adalah ke dokter gigi. Dokter gigi punya alat khusus untuk membersihkannya. Gosok gigi lebih berfungsi untuk pencegahan dari timbulnya karang gigi.

Itulah cara menghilangkan karang gigi, semoga bermanfaat

What Sorts of People are "Most Influential in Healthcare?"

Modern Healthcare just put out their list of the "100 Most Influential People in Healthcare" for 2013.  A look at what sorts of people are on this list says a lot about who runs US health care, and raises questions about who should.

Some Health Care Professionals, Lots of Hired Managers

I did some quick descriptive categorizations. (Counts were double checked but I am not guaranteeing accuracy.  Categorizations were sometimes difficult for highly diversified organizations.)

First, less than one third of list members are physicians (31% by my count).  I did not see any other health professionals on it (although I confess I did not look up the biographies of all 100).

Of these physicians, most are now functioning as hired managers, usually at the CEO level, of big health organizations.  I found only a few who could be characterized as somewhat academic: Dr Atul Gawande, professor at Harvard Medical School, Dr Eric Topol, chief academic officer at Scripps Health, Dr Harvey Fineberg, President, Institute of Medicine, Dr Brent James, chief quality officer and executive director, Institute for Health Care Delivery Research, Intermountain Healthcare,  and probably Dr Jeffrey Drazen, editor-in-chief of the New England Journal of Medicine. 

My counts of hired managers on the list included

CEOs of For-Profit Health Insurers - 5%

CEO of For-Profit Hospital Systems - 8%

CEOs of Non-Profit Hospital Systems - 21%

CEOs of Other For-Profit Care Delivery Corporations - 7%

CEOs of Drug/ Device/ Medical Supply Corporations - 2%

CEOs of Health Care Information Technology Corporations - 1%

CEOs of Non-Profit Trade Associations - 14%

CEOs and other Leaders of Professional or Medical Association - 5%

CEOs of Health Care Charities - 4%

CEOs of Other Non-Profit Organizations - 15%

Elected Government Leaders - 6%

Leaders of Government Agencies, Departments - 10%

Union Leaders - 2%

People Whose Organizations Have Issues

The list included quite a few people who lead organizations which have had issues of the sort we discuss on Health Care Renewal.  For example, the list included the following among its top 10 most influential, in order of listed influence -

4.  Stephen Hemsley, CEO of UnitedHealth Group - We have discussed concerns about his executive compensation and how it does not fit his organization's stated mission, or his organization's long list of ethical misadventures (most recently summarized here)

6. Mark Bertolini, CEO, Aetna - We most recently discussed how Aetna's leaders' pontifications on health policy seem mainly based on self-interest (here)  We also discussed various other management, ethical and legal issues.

7.  Richard Bracken, CEO, HCA - A long time ago, HCA was one of the first big health care corporations to have to make a billion dollar plus settlement for fraud, among other issues (look here).  The company has had legal, ethical, and management issues since.

8.  Joseph Swedish, CEO, WellPoint - He is new as CEO, but under previous leadership, the company amassed a record of misadventures while making its leadership very rich (summarized here, and look here for details.)

The list also included many other people whose organizations have been frequent fliers on Health Care Renewal.  For example, the CEOs of Epic Systems (ranked 13),  Tenet Healthcare (18), Cigna (20), McKesson Corp (24), Sutter Health (42), Johnson & Johnson (46), Pharmaceutical Research and Manufacturers of America (PhRMA) (48), HealthSouth (59),  UPMC (69), and  Steward Health Care System (86).

There are many other people on the list who lead organizations that have gotten unfavorable notice on this blog, and a few whose own extreme executive compensation garnered comment.  As my science professors used to say, I leave their identification as an exercise for those interested.

Who Is Not on the List

It is interesting who is not on the list.  There are no physicians in private practice.   I would argue there are no physicians who are "pure" academics at the moment.  There are no other health care research, health policy research, or public health academics.

I saw only one person on the list (Senator Charles Grassley - R, Iowa) who has been identified with the sorts of real health care reforms we discuss here.  (Senator Grassely has investigated many instances of alleged conflicts of interest and fraud, and sponsored the Sunshine Bill to disclose better physicians' conflicts of interest.)  I do not see anyone else who in my humble opinion is identified as a dissident within the current environment. 

Many of the media accounts we have noted include people identified as experts who decried such issues as excessive executive compensation, mission-hostile management, conflicts of interest, ethical issues leading to legal settlements, or crime and corruption in health care.  None of them save Senator Grassley  are on this list. 

Summary

The Modern Healthcare list of 100 most influential people in health care demonstrates the enormous influence of hired managers in modern health care.  The vast majority of list members were hired managers.  While the list did include some physicians, most of them were currently working as hired managers.

It also demonstrates the influence of the for-profit, industrial part of health care.  It included 5 for-profit insurance CEOs, 8 for-profit hospital corporation CEOs, 7 for-profit health care delivery corporation CEOs, 2 for-profit drug/device company CEOs, and 1 for-profit health care IT CEO, a total of 23.  It also included CEOs of multiple trade associations, some of which represent the for-profit side of health care (e.g., PhRMA, America's Health Insurance Plans).  While it included leadership of many non-profit organizations as well, some of these organizations have clear financial links to the for-profit industrial side.  These ties may include significant financial support from industry, significant holdings of health care corporate stock, or managers or board members with their own relationships to industry.  (For example,  see this discussion of conflicts of interest affecting the Gates Foundation, whose co-chair is 76 on the Modern Healthcare list.)  Many of the large, non-profit hospital systems, 21 of whose CEOs are on the list, have major institutional conflicts of interest, and have many people with individual conflicts of interest among their leadership and on their boards of trustees.

As opposed to the influence of the for-profit industrial part of health care, the influence of government seems muted.  The list included only 6 politicians and 10 government managers.  Some of the politicians are notable proponents of smaller government, e.g. Senator Grassley, and specifically of a smaller role of government in health care, e.g., Governor Bobby Jindal, R, Louisiana.    Nor do unions have much influence.  Only two union leaders were on the list.  There was little counterweight provided to industrial influence from academia, and an almost complete absence of those who might question the current US status quo of dominance of health care by commercial interests. 

So here is the latest evidence that US health care is dominated by commercial interests (in an era of regulatory capture, revolving doors, and financialization) and professional, if often generic managers.  This suggests why our health care system seems more about revenue (and thus is very expensive), and less about improving patients' and the public's health.  True health care reform would require increasing the influence of people who have different priorities than the currently most influential. 

Daily Blog #65: Understanding the artifacts EMDMgmt

Howdy Reader,
            Another good Sunday Funday come and gone. I want to make these contests fun and accessible for you and for those vendors who have graciously provided prizes worth your time and effort! Have an idea of how to make Sunday Funday better? Comment here or email me dcowen@g-cpartners.com. Also remember that this Friday we will be doing another Forensic Lunch and we will be showing the first alpha of our Plist parsing tool. You can register for the Forensic Lunch here to be notified when it begins and any changes and ask questions! If you want to be on the video chat for Forensic Lunch and have something to talk about email me dcowen@g-cpartners.com!

Today we are going back to the understanding series before I get more side tracked and wanting to write another topic. We've covered 6 artifacts so far in stitching together what it takes to really show usage but we are not done yet! Now we need to talk about a registry key first introduced in Windows Vista called EMDMgmt. Harlan has talked about it here: http://windowsir.blogspot.com/2013/04/plugin-emdmgmt.html and earlier in his blog as well. EMDMgmt or External Memory Device Management is part of the 'Readyboost' service first provided in Vista. Whether Readyboost is enabled or not the EMDMgmt key will be populated with all available external storage devices where it could write Readyboost data. In order to make sure it can uniquely identify a volume it includes both the driver identification and volume serial number of the attached device.

This is important for us in our investigations because it is the only key outside of Mountpoints to be able to link which external device found in the system registry corresponds to which volume serial number/volume name stored in the LNK files/Jump lists. To quote the Microsoft technet article found here:

ReadyBoost consists of a service implemented in %SystemRoot%\System32\Emdmgmt.dll that runs in a Service Host process, and a volume filter driver, %SystemRoot%\System32\Drivers\Ecache.sys. (Emd is short for External Memory Device, the working name for ReadyBoost during its development.) When you insert a flash device like a USB key into a system, the ReadyBoost service looks at the device to determine its performance characteristics and stores the results of its test in HKEY_LOCAL_MACHINE\Software\Microsoft\Windows NT\Currentversion\Emdmgmt, seen in Figure 1.

Now many times you will see USB mentioned here but its not just USB devices you will find in this key. I find eSATA, USB, Firewire, local disks, anything non system drive storage that is plugged in will be stored here with the driver identification, volume label and volume serial number. This can be very helpful when you are trying to understand why a device you know was accessed does not appear in the USBStor. There are times when either a) a device isn't USB b) the driver loads a hybrid driver (cdrom/storage) and the drive will be appear as a local disk instead.

The one problem for analysts is that Readyboost is disabled by default on SSD drives on at least Windows 7 (part of the Windows 7 optimization for SSDs). This can lead to a lot of false positives of anti-forensics or spoliation from an inexperienced examiner. So you are back to timeline analysis to determine which drives were plugged in at what time if you have a SSD user.

Now if the system is Vista or 7 (Have not checked 8) and your suspect does not have a SATA drive this key is created by default. If it does not exist check to see if the readyboost service was disabled (some users complain about its performance) but that disable would have to have occurred before the first external storage device was plugged in. Otherwise you have a good indication of anti-forensics if this is missing.

EMDMgmt is something I've learned to rely on and tools like Woanware's USBDeviceForensics and TZworks USBStor Storage Parser relies on to uniquely match drives. If you haven't looked at it before I would encourage you to do so, it will make your life much easier!

Tomorrow we continue to wrap up the current understanding series!

Cara Menghilangkan Lemak Di Perut Tapi Ada Syaratnya

Cara Menghilangkan Lemak di Perut – setelah sebelumnya kit berbicara tentang olahraga mengecilkan perut, kali ini kita akan membicarakan tentang bagaimana cara menghilangkan lemak di perut. Tulisan ini sengaja di buat karena ternyata banyak sekali yang mengalami masalah dengan lemak di perutnya. Lemak di perut akan menyebabkan penampilan kurang indah. Bagi Anda yang sangat mengutamakan penampilan, maka dengan adanya lemak di perut bisa membuat anda stress. Tentunya Anda akan berupaya sekuat tenaga untuk mengurangi bahkan menghilangkan lemak di perut bukan? Selain tidak indah di pandang mata, lemak di perut juga tidak baik jika dilihat dari segi kesehatan. Berdasarkan hasil penelitian, dengan adanya lemak diperut itu meningkatkan resiko terkena serangan jantung, hipertensi, stroke dan diabetes.

Sebelum kita membahas cara menghilangkan lemak di perut maka kita harus tahu dulu penyebab utamanya. Penyebab perut berlemak dan buncit itu adalah akibat dari perilaku kita sendiri. Secara umum ada dua hal yaitu karena pola makan yang tidak tepat dan karena kurangnya aktifitas olah raga. Dari dua penyebab umum saja tentunya anda bisa menebak solusi untuk menghilangkan lemak diperut.

Beberapa cara menghilangkan lemak di perut

1. Disiplin Berolahraga

Disiplin dalam berolahraga berarti melakukan olahraga secara rutin dan teratur. Kenapa ada kata disiplin? Karena tanpa adanya disiplin maka semua keinginan untuk mengurangi lemak di perut akan sia-sia saja. Banyak yang semangat di awal lalu setelah beberapa kali lantas berhenti. Memang untuk mendapatkan kesehatan itu harus bisa konsisten dan inilah yang menjadi kesulitan kebanyakan dari kita. Olahraga tidak harus yang berat-berat, cukup dengan berlari sehari minimal 15 menit saja itu sudah bisa membakar lemak yang ada di perut. Selain berlari bisa juga dengan olahraga bersepeda atau bahkan jalan kaki. Intinya harus mengeluarkan keringat, dan keringat itu adalah tanda bahwa adanya lemak yang terbakar.

2. Mengatur Pola Makan dan Menu Makanan

Jika Anda ingin menghilangkan lemak diperut anda tidak cukup hanya berolahraga tapi harus diatur pula pola makannya. Pola makan yang sehat adalah 3 kali sehari, pagi sarapan, siang makan berat, menjelang malam makan tapi tidak terlalu banyak. Porsi makan yang berlebihan akan meimbulkan penimbunan lemak di perut. Ketika nafsu makan anda menggila ditambah banyak ngemil Anda harus bisa mengendalikan nafsu makan Anda jika anda ingin sehat. Kebanyakan dari kita selalu tergoda dengan makan-makanan yang mengandung lemak dan tidak bisa menahan diri untuk terus makan. Apalagi jika banyak makan tapi tidak berolahraga maka cadangan karbohidrat akan ditimbun dalam bentuk lemak di perut karena karbohidrat tidak terbakar.  

Perhatikan juga  jenis makanan yang kita konsumsi. Perbanyaklah makan-makanan yang mengandung protein tinggi tapi mengandung lemak yang rendah. Contoh seperti daging merah, putih telur dan ikan. Perlu juga menambahkan makanan berserat seperti sayuran dan buah-buahan untuk memperlancar pencernaan.

3. Perbanyak Minum Air  Bening /air mineral

Kenapa harus minum air bening? Fungsi air bening / mineral adalah melarutkan lemak atau membantu pembakaran lemak dalam tubuh. Minumlah air 2, 5 liter atau 8 gelas sehari untuk mencukupi kebutuhan pembakaran lemak dan membantu mengeluarkan lemak melalui urin dan keringat.

4. Istirahat Yang Cukup

Ada sebuah penelitan dari journal sleep yang menunjukkan bahwa orang yang tidur 6 sampai 7 jam sehari dia menimbun lemak lebih sedikit dibandingkan dengan orang yang tidurnya kurang atau lebih dari 6 sampai 7 jam.  Banyak kasus orang yang sering bergadang mengalami perut buncit, hal ini dikarenakan ketika bergadang apalagi suhu dingin menyebabkan ingin makan terus. Kebiasaan bergadang ini tidak baik ya, seperti kata Bang Haji : “Bergadang jangan bergadang, kalo tiada artinya..”  silahkan lanjutkan sendiri lagunya ya.. J

5. Minum Perasan Air Jeruk Lemon

Asam berfungsi membantu mengurai lemak yang ada dalam tubuh. Salah satu yang memiliki asam yang juga segar adalah perasan jeruk lemon. Minumlah perasan jeruk lemon setelah makan siang terutama. Supaya tidak asem maka dicampurlah sama madu secukupnya dan diseduh dengan air hangat. Itu rasanya ajib bin mantaf deh..

Tambahan untuk cara menghilangkan lemak di perut

Jangan terlalu banyak makan-makanan yang asin atau yang mengandung garam. Soalnya kalo kita makan makanan yang banyak mengandung garam pastinya kita akan cepat haus lalu minum, lalu haus lagi lalu minum lagi. Nah kalo begitu maka tidak lama lagi perut akan membengkak kembali. 

Nah itulah cara menghilangkan lemak di perut, syarat lakukan dengan konsisten dan teratur maka lihat hasilnya.. semoga bermanfaat.