Waspadalah! Musim Hujan, Nyamuk Demam Berdarah siap menyerang!

Musim penghujan datang , penderita demam berdarahpun terus berdatangan. Demam berdarah adalah penyakit menular yang disebabkan oleh virus Dengue dan ditularkan melalui gigitan nyamuk Aedes aegypti. Apa itu Demam berdarah? Bagaimana Menanganinya ataupun mencegahnya? ………..

Musim penghujan sudah mulai datang dengan tidak stabilnya kondisi alam dan iklim. Hal ini sangat memungkinkan untuk bertambahnya kasus demam berdarah, dan itu tidak pandang bulu menyerang siapa saja. Bahkan kadang rumah sakit harus menyediakan tambahan tempat tidur untuk pasien demam berdarah. Penyakit ini pun tidak mengenal usia dan dapat menyerang siapa saja dan bahkan untuk tingkat tertentu dapat menyebabkan kematian terutama pada anak-anak.

Demam berdarah adalah penyakit menular yang disebabkan oleh virus Dengue dan ditularkan melalui gigitan nyamuk Aedes aegypti.

NYAMUK AEDES aegypti

Nyamuk aedes ini hidup dan berkembang biak pada tempat-tempat penampungan air bersih yang tidak berhubungan langsung dengan tanah seperti : bak mandi/wc , minuman burung, air tempayan/gentong, kaleng dan ban bekas, dll.

Perkembangan hidup nyamuk ini dari telur hingga dewasa memerlukan waktu sekitar 10-12 hari. Hanya nyamuk betina yang menggigit dan menghisap darah serta memilih darah manusia untuk mematangkan telurnya, nyamuk jantan hidup dari sari bunga tumbuh-tumbuhan. Kemampuan terbang berkisar antara 40-100 meter dari tempat berkembang biaknya. Tempat istirahat yang disukainya adalah benda-benda yang tergantung yang ada di dalam rumah , seperti gordyn, kelambu, baju/pakaian di kamar yang gelap dan lembab.

GEJALA KLINIS DEMAM BERDARAH

- Biasanya ditandai dengan 4 gejala klinis utama; demam tinggi 2-7 hari, fenomena perdarahan, pembesaran hati dan kegagalan sirkulasi / syok.

- Gejala penyerta ; nyeri kepala, nyeri otot, timbul ruam / kemerahan di kulit, nyeri tulang, mual, nyeri ulu hati.

- Fenomena perdarahan yang sering terjadi adalah timbul bercak-bercak merah di muka dan lengan-tungkai dan langit-langit mulut. Mimisan dan perdarahan gusi juga dapat terjadi. Keadaan yang lebih berat dapat menyebabkan perdarahan organ dalam tubuh.

- Laboratorium yang mendukung: trombositopenia ( trombosit kurang dari 100.000/ mm3) , hemokonsentrasi ( kadar Ht lebih 20% dari normal).

- Fase kritis adalah saat suhu turun ,yaitu antara hari ketiga dan kelima. Resiko terjadinya syok meningkat ( keringat banyak, gelisah. Ujung kaki tangan dingin) dan dapat menjadi fatal.

Tidak semua penderita demam berdarah harus dirawat, jika keluhan hanya demam yang disertai salah satu gejala; nyeri kepala, otot,tulang cukup rawat jalan dan dianjurkan untuk istirahat selama masih demam. Obat penurun panas dan pemberian cairan dan elektrolit peroral , jus buah, sirop, susu disamping air putih , dianjurkan untuk memonitor suhu, jumlah trombosit dan hematrokit sampai normal kembali. Jika sudah terjadi perdarahan kulit baik yang timbul secara langsung atau melalui tes tourniquet harus di rawat dan diobservasi di rumah sakit.

STRATEGI PENANGGULANGAN DEMAM BERDARAH

Pencegahan yang efektif seharusnya dilaksanakan secara integral bersama-sama antara masyarakat, pemerintah dan petugas kesehatan.

Upaya pemberantasan meliputi :

- Pencegahan , yang dikenal dengan gerakan 3 M , yaitu;

1. menguras tempat penampungan air secara teratur sekurang-kurangnya seminggu sekali atau menaburkan bubuk abate kedalamnya.
2. menutup rapat-rapat tempat penampungan air
3. mengubur/menyingkirkan barang-barang bekas yang dapat menampung air hujan; seperti kaleng bekas , plastik, dll

- Pemberantasan vektor /nyamuk ; penyemprotan / fogging fokus pada lokasi ditemui kasus.

- Kunjungan ke ruamh-rumah untuk pemantauan jentik dan abatisasi.

- Penyuluhan dan kerja bakti melakukan kegiatan 3M.

Pesan untuk orang tua

- Jika anak anda mengalami demam tinggi lebih dari 2 hari segera periksakan ke dokter, dengan tetap memberikan cairan yang cukup dan obat penurun panas.

- Jika anak anda dinyatakan tersangka demam berdarah yang dipulangkan maka ;
1. control setiap hari ke rumah sakit selam masih demam.
2. berikan obat penurun panas bila diperlukan.
3. berikan minum sedikitnya 4-6 gelas perhari, disamping air putih dapat diberikan the manis, sirup, jus buah, oralit,dll.
4. apabila sewaktu-waktu dijumpai tanda kegawatan ,yaitu ; anak tampak lemas, badan dingin terutama tangan dan kaki, muntah terus menerus, kejang, mimisan, perdarahan lain. Segera anak dibawa kembali ke rumah sakit.

(c) Dr.SuriViana - www.infoibu.com

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How Businesses Fight for the Best Online Places

It is no longer enough to launch a website and wait for revenues. How are we sure it is correctly positioned among billions of aggressive competitors? Due to the amazing rate of development of the Internet and the continuous attempts of many companies to keep up with it, the degree to which companies depend on their position on the World Wide Web has now become impressive. Many businesses depend primarily on their relationships with websites and search engines. While several years ago everything came down to shiny premises and good reputation, now search engine optimization and internet relations have become the essential features of each successful modern business.

The Internet is a medium with enormous potential, but there are also billions of people and businesses which willing to take advantage of it. With the great number of websites live on the Internet, the task of getting one of them noticed often seems hopeless. Many businesses have realized this and are now able to offer solutions to help companies and people cut the time and efforts to maximize their position, often unsuccessfully. For instance, Ficstar Software, Inc. (ficstar.com), a successful Toronto-based provider of powerful web data extraction and data mining solutions, is now offering companies an easier solutions for all their web-related activities, including those intended to improve a firm’s or website’s standing and popularity within this vast medium.

Two of the company’s recent products are particularly worth paying attention to, because they go beyond traditional data mining solutions and offer the something extra needed to get a business’ contacts updated and make them work for it. These are the Ficstar Website Keyword Monitor and the Search Engine Ranking Tracker.

The Ficstar Website Keyword Monitor is a highly efficient solution which can be configured to monitor target sites for any content updates and modifications of text, metatags, keywords, page layouts, dates and times of posted content. The updated content can be retrieved in virtually any format, depending on customers’ needs or preferences. The Website Keyword Monitor uses pre-defined keywords and phrases to mirror and scan entire sites, and the digital files stored on them. Any page with the appropriate keyword combinations, or related forum threads or blogs, will be dynamically tracked for changes. This solution allows companies to monitor competition, news or field articles, any market data, or prevent unauthorized use of trademarks or any other violations – in short, anything a company needs to know about what is going on in the World Wide Web and concerns them.

And while this solution takes care you know what is going on around, the Search Engine Ranking Tracker makes sure others know you are out there, working, and successful. Now that many companies rely on search engine optimization (SEO) to help them increase visibility, improve branding, and boost sales, it is essential to monitor one’s own performance. Customer surveys are not as easy with the Internet as they are with real-life products and traditional services. A trouble-free and customized tool proves very helpful and efficient to meet this need. With Ficstar’s Search Engine Ranking Tracker, companies can automatically track rankings in all major search engines and directories, as well as positions in pay-per-click campaigns, thus easily gathering all the information necessary to an efficient business.

Services such as the Website Keyword Monitor and the Search Engine Ranking Tracker may now seem surprising solutions which make life easier. Given the fast rate of development of the Internet, the ever-increasing number of websites, and the growing competition among them, they will certainly soon become a must for every business which wants its website to find its right place on the web and keep it.

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Working From Home, Why not??!!

Have you ever worked from home? Do you know what it's really like?

If you've worked at home and know what it's like, you can skip to lesson #2. However, if this will be a new experience for you, here's some personal advice on what it was like for me.

Most people love the idea of working at home. No more traffic, no nine to five schedule, you're home with the kids, you have a flexible schedule. These are all great things but there are lots of distractions that can throw you off and it's the little things that can make for big distractions. Here's some of the things that got in my way:

Can't Talk Now, I got a business to run!
Don't let people who think that just because you are working at home, you're not working. I've run into this situation so often. Family members, friends, neighbors, they just assume I have tons of time on my hands because I'm at home. When a chatty neighbor or friend wants to shoot the breeze, kindly remind them that you are on a schedule and you'll have to resume your conversation at a later time.

I'm gonna do it all myself!
If at all possible learn to delegate as many of your tasks as you can. Things such as email, link building, writing ad copy, making phone calls, etc. It's often hard to justify paying someone else to do the work when business is slow, but it's a smart move of a business owner to focus on the tasks that will bring in the sales, and hand off the tasks that are less important so that you can work on the ones that make the money.

Schedules, schmedules, who needs em!
Working at home can be very distracting. There's housework, kids to tend to, phone calls, bills to pay and who knows what. The only way you can effectively get your work done in work out a schedule. Plan your time wisely. If you don't, you'll find that you will willy nilly work on things as you think of them. Before you know it you'll have nothing done.

On the first day of every week make a list of what you must do and make a schedule. Allot an amount of time for each task and stay focused. If you do this, you will be much more productive.

Get Out Of That Chair!
If you're like me, working hours on end in front of the computer is easy, but don't underestimate the power of a good stretch, a breath of fresh air or a walk in the park. Never underestimate the power of exercise, even in small amounts. I can't tell you how many times I've worked on something that I just couldn't get right when I got up, took a stretch or stepped outside for some fresh air. When I came back, I was amazed at how that problem I couldn't get right just magically transformed into something perfect. Your brain needs a diversion every so often to rejuvenate and clear your mind.

So ...go on, stand up and touch those toes. Better yet, have a look out the window.

Gratitude
Always take time to show your gratitude. It adds to the importance of your well being. Be thankful for what you have, be thankful for what you are, and be incredibly thankful for all you can become. Practicing gratitude keeps us from falling into arrogance, resentment, and the pressures of the day.

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