yulius hermanto

Yogyakarta, INDONESIA


Joined April 19th 2009

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Medicine is to heal from the inside

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Kegel Exercise

May 21st 2009 14:14
Introduction
Kegel exercise is an exercise for pelvic floor muscle, in order to strengthen the muscle that support pelvic organ such as bladder, urethra, womb, rectum, etc.

Kegel exercise becomes popular exercise among pregnant women in order to prepare the pelvic floor for physiological stresses of the later stages of pregnancy and vaginal childbirth.
Woman

Here, some benefits you can get by doing Kegel exercises:
- Improvement of sexual function both for man and woman.
For man, kegel exercise can give benefits for premature ejaculation and erection problem.
pelvis, and for woman Kegel exercise can make vagina tighter.
- Restore muscle tone after childbirth
Doing kegel exercise can restore pelvic floor muscle tone back to pre-pregnancy.
- Prevention and Conservative Treatment for Pelvic Organ Prolapse
Doing Kegel Exercise routinely can strengthen muscle of pelvic floor thus can sustain support function for Pelvic organ, so can prevent the prolapse and improve the symptoms for mild case of prolapse.
- Urinary incontinence
Micturition control involves the intraabdominal pressure and intraurethral pressure. Improving urinary incontinence also need to manipulate those components. Kegel exercise improve urethral sphincter tone thus will increase intraurethral pressure. So can improve symptoms in urinary incontinence but the underlying cause should be managed.
- Kegel exercise also can be used for treating prostate pain and swelling resulting from benign prostatic hyperplasia (BPH) and prostatitis in men.

How to do Kegel Exercise?
* Find the right muscles
To make sure you know how to contract your pelvic floor muscles, first you have to identify the right muscle by trying to stop the flow of urine while you're going to the bathroom. If you succeed, you've got the basic move. Or try another technique: Insert a finger inside your vagina and try to squeeze the surrounding muscles. You should be able to feel your vagina tighten and your pelvic floor move upward. Then relax your muscles and feel your pelvic floor move down to the starting position.

But don't make a habit of starting and stopping your urine stream. Doing Kegel exercises with a full bladder or while emptying your bladder can actually weaken the muscles. It can also lead to incomplete emptying of the bladder, which increases your risk of a urinary tract infection.

If you're having trouble finding the right muscles, don't be embarrassed to ask for help. Your doctor or other health care provider can give you important feedback so that you learn to isolate and exercise the correct muscles.

Perfect your technique
Once you've identified your pelvic floor muscles, empty your bladder and sit or lie down. Then:
* Contract your pelvic floor muscles.
* Hold the contraction for three seconds then relax for three seconds.
* Repeat 10 times.
* Once you've perfected three-second muscle contractions, try it for four seconds at a time, alternating muscle contractions with a four-second rest period.
* Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
Now, there is kegel exerciser a tool that help you to identify your muscle and evaluate its movement during exercise.

To get the maximum benefit, focus on tightening only your pelvic floor muscles or isolating your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Also, try not to hold your breath. Just relax, breathe freely and focus on tightening the muscles around your vagina and rectum.
Kegel Exercise


Repeat three times a day
Perform a set of 10 Kegel exercises three times a day. The exercises will get easier the more often you do them. You might make a practice of fitting in a set every time you do a routine task, such as checking e-mail or commuting to work.
When your muscle tire, then stop the exercise and resume later.

Is Kegel Exercise harmful?
Ths exercise isn't harmful. Even, this exercise can give relaxation. If you get back pain or
stomach pain after you exercise, you are probably trying too hard and using stomach or back muscles. If you have headaches, you are also tensing your chest muscles and probably holding your breath.

Will you Try it, Won't you?
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Blood is an important component of our body. It also unique and can't be manufactured or replaced by animal blood. But can be transfused from human to human.
Worldwide, blood shortage often can be saw. That's why blood banks organization such as Red Cross is keen on searching for blood donors. The demand of blood increase during holiday or disasters, related to trauma. In United States from 37% of all people who are eligible to donor, only 10% are donor annually.
With blood donation we can help others or maybe we can save others lives, because blood transfusion usually is used in life threatening cases. It's a rare chance, we save others, but we can do it with blood donation.
Blood donation


Benefits from Donated Blood

They need blood because they need to replace their blood lost. For example, surgery patients, trauma victims, hemophilia patients, cancer patients, etc.

Thanks to advances in medical technology, blood can be separated into its different components. Hence, a unit can be broken down into these components, which then can be given to people who have different blood needs.
* Red blood cells are used to treat anemia and blood loss resulting from trauma and surgery. Some heart operations can use up to 20 pints of red cells. Liver transplants normally use 10-20 pints and a hip replacement, 1-3 pints.
* Platelets are commonly used in treating cancers like leukemia. One patient can require the platelets from eight or more individual donations every day for weeks.
* Plasma is used for treating hemophilia, surgical shock, severe burns and immunodeficiency.

There are four major blood types: A. B. AB, and O. Each is divided into Rh positive or negative types. You maybe have learned during school period about O the universal donor, AB as the universal recipient, that's true but not correct. Ideally in deciding a match between donor and recipient must follow a cross-reaction test before the transfusion is gave.
'O' and 'A' blood type are common blood type, and the blood banks frequently run short of during their peak seasons.

Regardless of how rare or how common your blood type is, it's needed. Whatever your blood type, you are important to someone and should donate regularly.

Who are eligible to donor
The inclusion criteria is individual range from 17 to 76 years old, weight at least 110 pounds, younger donors is preferable because they are considered more healthy. Then when you come to blood bank organization you follow a screening before donate your blood.

Blood Donation includes three steps, taking at least an hour.
SCREENING
Before giving blood, you'll complete a health screening. The screening is done to ensure the safety of the blood supply. It requires you to provide your name, address, age, and proof of identification with photo or signature identification. Your pulse, temperature and blood pressure will be recorded, and a drop of blood is taken from your earlobe or finger to be analyzed for sufficient iron level. You'll also have to answer questions about your health, lifestyle and disease risk factors, including inquiries on sexual behavior, which is designed to prevent people with a high risk for HIV, hepatitis, and other infectious diseases from donating blood.

DONATING
After being screened, you'll be seated at a padded table or chair, your arm will be cleaned and a sterile needle will be inserted into a vein in your arm. Then, blood flows from the vein in your arm through a soft-plastic tube, attached to the needle, into a plastic bag at your side. In about 15 minutes, a unit which measures 500 milliliters or a little less than one pint, will have been collected. Then, the needle is removed and a bandage is applied to the wound.

RECOVERING
When you're done, you'll be asked to stay and relax, and have some cookies and refreshments to replenish fluids. While most people are fine immediately afterward, a few feel slightly weak; but the feeling passes quickly. Within a few minutes you can return to school, work, and most other activities.

You can help speed your body's recovery by:
* Drinking extra fluids for the next 24 hours.
* Not smoking for one hour.
* Refraining from heavy muscular or strenuous activity, such as lifting or pushing heavy objects, for at least four hours.
Blood Bank



Benefits for the Donor

Blood donation benefits extend beyond those who receive life-giving blood. Donors also receive numerous health benefits. Blood donation benefits to donors include:
* Free health screening: Every time you give blood, a medical technician, doctor or nurse will check your blood pressure and give you a free health screening.
* Reduced risk of heart disease: Some doctors and scientists believe that giving blood may prevent heart disease. Although no conclusive evidence is available, numerous physicians have noted that blood donors typically have fewer cases of heart disease than non-donors. Dr. Harvey Klein, in an article on USA Today, speculates that giving blood regularly reduces the amount of iron in the bloodstream. While iron is an important element and necessary for human life, too much iron may actually damage the heart and circulatory system. Dr. Klein and others believe that reducing blood iron through regular blood donation is a healthy way to potentially lower your risk of heart disease.
* Acts of altruism make you feel good! Giving feels great, especially when you understand that one hour of your time and one pint of blood can save so many people.

The demand for blood never lets up. Every day, thousands of people need donations to live. Before they can receive it, donated blood must go through time-consuming tests. Then, it must be used relatively quickly or it will perish-whole blood for instance, is no longer usable after 42 days. As a result, maintaining an adequate blood supply is a challenge-especially when a disaster occurs, which may cause the need for blood to soar. The only way to meet demand is to have regular donations from healthy volunteers.
Donate your Blood



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Uterine Fibroids

May 13th 2009 15:30
Definition
Uterine fibroids are benign tumors of uterine smooth muscles (leiomyoma). This tumor perhaps the most common tumor in female genital tract, about 20-50% of reproductive women have this disease.
Uterine fibroids also multiple lesions rather than solitary. They can range in size from very tiny (a quarter of an inch) to larger than a cantaloupe. Occasionally, they can cause the uterus to grow to the size of a five-month pregnancy. In most cases, there is more than one fibroid in the uterus.
This tumor also a major caused of hysterectomy.
Portrait of young woman


What cause it?
Like others tumors, exact explanation is not clearly defined. But mostly related loss control of cell growth caused by genetic rearrangement.
This tumor is estrogen-responsive. That explained, why this tumor occurs mostly at reproductive age, and rarely found at menopausal/post-menopausal age. In the pregnancy, this tumor can dramatically increase in size, because estrogen level is increased. And shrink back to pre-pregnancy size after pregnancy. In menopause, this tumor decrease in size dramatically.

Kinds of Uterine Fibroids, based on growth location:
1. Submucosal,
These are just under the lining of the uterus. These are the least common fibroids, but they tend to cause the most problems. Even a very small submucosal fibroid can cause heavy bleeding - gushing, very heavy and prolonged periods.
2. Intramural,
These develop within the lining of the uterus and expand inward, increasing the size of the uterus, and making it feel larger than normal in a gynecologic internal exam. These are the most common fibroids. Intramural fibroids can result in heavier menstrual bleeding and pelvic pain, back pain or the generalized pressure that many women experience.
3. Subserosal
These develop under the outside covering of the uterus and expand outward through the wall, giving the uterus a knobby appearance. They typically do not affect a woman's menstrual flow, but can cause pelvic pain, back pain and generalized pressure.
Uterine Fibroids Schematic


Signs and symptoms
Most are asymptomatic. Symptoms occur depend on location and size of tumor. Symptoms that can occur such as:
* Heavy, prolonged menstrual periods and unusual monthly bleeding, sometimes with clots.
* Pelvic pain and pressure
* Pain in the back and legs
* Pain during sexual intercourse
* Bladder pressure leading to a frequent urge to urinate
* Pressure on the bowel, leading to constipation and bloating
* Abnormally enlarged abdomen

Fibroids in pregnant women increase the frequency of spontaneous abortion, fetal malpresentation, uterine inertia, and postpartum hemorrhage. And malignant transformation to leiomyosarcoma is rare.

How to Diagnose this disease?
At first, your doctor gonna ask several questions related to your complaints and risk factors
to reach an initial hypothesize.
Then, your doctor will do a physical examination, especially around your abdomen and genital area, you may feel discomfort but it isn't harmful in order to find any abnormal signs.
After finishing the examination, your doctor will have clinical diagnosis for your disease, but you may need to have another procedure to get definite diagnosis. In this case, especially imaging such as USG, MRI, hysteroscopy, etc.


Treatment
Treatment of this tumor depends on location and size.
* Conservative
Patient with small and asymptomatic fibroids doesn't need intervention, but should be monitored.
* Medications
Therapy that can decrease volume or cease tumor growth permanently is not available yet. Medications is used as adjuvant therapy or temporary before surgery. Drugs being used is anti-estrogen. So you should ask about benefits and risks of using drugs for your general health condition.
* Uterine Fibroid Embolization
This procedure blocks blood supply to tumor thus caused degeneration of tumor
* Surgical
Uterine Fibroids Embolization




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Recently, there is a rumor in Indonesia that a lizard can cure HIV/AIDS. This rumor is spread from mouth to mouth. Is this just a hoax or not?
AIDS

AIDS (Acquired Immune Deficiency Syndrome is caused by HIV (Human Immunodeficiency Virus), this virus will infect our immune system thus make our immunity become weaken, can't encounter infectious agents. Until now, scientists especially in developed countries haven't discovered the cure for AIDS. The Latest invention is Anti Retro Viral (ARV) to limit virus spread or replication in our body, but can't eradicate the virus. Also until know, there is no vaccine for HIV, because the virus is highly mutability


[ Click here to read more ]
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Swine Flu, The next pandemic?

May 10th 2009 12:06
Introduction
Many resources and scientist warn us about next flu pandemic, possible cause by swine flu. World have ever had three previous influenza-pandemics — A/H1N1 from 1918 through 1919 also known as Spanish Flu, A/H2N2 from 1957 through 1963 also known as Asian Flu, and A/H3N2 from 1968 through 1970 also known as Hongkong Flu. And Spanish Flu become the worst ever flu pandemic, caused nearly 50-100 millions people death, worldwide. And from that pandemic, we learn about prevention, preparedness, management, and policies should be made to reduce the impact of the pandemic. It can be saw from total case and death of next pandemic was less than Spanish flu.
Spanish Flu

[ Click here to read more ]
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Iron Woman, A Rare Case

May 9th 2009 16:40
Introduction
I will report to you a rare case in my country, just like Dede 'the Root Man'. But this case is a different disease, maybe you can name her as Iron Woman. Why? You will know later on. It is also very interesting case because it challenge our knowledge, brain, science to explain the condition that happened.

[ Click here to read more ]
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Swine Flu, New Hazards

May 2nd 2009 14:42
About Influenza Virus
Actually, many kinds of influenza virus around the world. And not all strain can infect human. Because of mismatch antigen. Influenza virus also responsible for millions death worldwide. High mutability and high frequency of genetic reassortment and resultant antigenic changes in the viral surface glycoproteins make influenza viruses formidable challenges for control efforts.

[ Click here to read more ]
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Tree or Root Man, What cause it?

April 28th 2009 02:05
Introduction
It's a very rare case of disease. It happen in my country, Indonesia. I will describe the disease, explain what caused it.

[ Click here to read more ]
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Introduction
Fetal development is very crucial and highly sensitive to challenges, especially during first trimester any kind of disturbs will cause major effects for fetal life, from death to major defect of organ, The impacts will decrease if being given in late pregnancy, because critical phase has passed. Fetal development not only important for intrauterine live but also for next step of development to reach adult. Some evidences show that low birth weight baby has more risk to developing vascular disease and diabetic.
The most important factor that influence fetal development is intrauterine condition, so mother has to maintain good health and nutrition to ensure good intrauterine condition


[ Click here to read more ]
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Introduction
Hygiene is being known for long time as basic prevention of infectious disease. I also agree with that, because lots of evidence related with that. Infection cases are higher in poor hygiene area.
So, where is the point of bad? The cost? or what


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Recent Comments

Comment by yulius hermanto
on Kegel Exercise

May 25th 2009 14:01
Oh really, i don't know about that.
Thank you for the information.

Overall kegel is good exercise,
It is easy to do, but of course need practices.

Comment by yulius hermanto
on Let's have a History Lesson, Shall We?

May 22nd 2009 06:37
There is an aphorism.
The higher the tree, then the wind will be greater.
The higher your position, then you will face more temptations.

People need power, position, money and once they own them, they want more. Human civilization never change by knowing the history only without throw away basic greedy of human.

Comment by yulius hermanto
on Aung San Suu Kyi : What now?

May 22nd 2009 06:14
what does aung san suu kyi has that make him so special?
For me, choosing a leader of a nation, is based on the capabilities not the charismatic.

what a good description about reality.

Life is the way you choose.

Comment by yulius hermanto
on Flu Pandemics

May 21st 2009 14:23
Swine flu is not that dangerous, case fatality rate is still low. Eventhough you get it, the chance you will die from it is about 20% compare to Avian Flu about 80%.
Health policy also better than 1918, widespread transmission can be minimalized.



Comment by yulius hermanto
on Iron Woman, A Rare Case

May 20th 2009 16:01
Artikel ini sebenarnya ga murni bikin sendiri, tetap membutuhkan sumber dari artikel lain, cuman aku kumpulkan dan ku ubah dengan bahasaku dan kutambah dengan interpretasiku mengenai penyebabnya.

Ya aq juga yakin kalo ini bersifat gaib,
Thanks for your comment

Comment by yulius hermanto
on Iron Woman, A Rare Case

May 15th 2009 13:44
Sebenarnya, aq ga tw segalanya. Kebetulan dapat inspirasi ya aku tulis ini pun searching dulu sumbernya.
Ga ada kommen lain, jgn nanya aq donk. Nanya orang luar negeri, mungkin mereka tidak tertarik kali ya.

Wew, ga ngerti aku kasus ini. Bingung aku bagaimana ada besi bisa muncul dari dalam tubuh manusia.
Jangan2 Kanker atau tumor ajaib.
DD-nya: Debus yang gagal, Santet, Traumatic kena kawat,

Wew, aku bukan tidak percaya tuhan atau keberadaan yang mutlak. Tapi aku tidak percaya penciptaan oleh Tuhan. Aku lebih meyakini itu adalah hukum alam semesta. Bingung jelasinnya, tp ya memang begitu.

Comment by yulius hermanto
on Have you ever wondered about cancer?

May 15th 2009 06:54
Cancer also an expensive disease, because it involves many modalities to treat it.
For example, to diagnose from imaging, biopsy, and laboratory test

For treatment: surgery, radiation, and chemo

If you get this disease and don't have any insurance to cover it, you will be bankrupt.

So, prevention is a choice.

Comment by yulius hermanto
on Strange Business Card Ideas

May 15th 2009 04:36
Cool stuff,
man getting more creative lately.

Comment by yulius hermanto
on Inactive Blogs Reminder

May 15th 2009 04:31
Thanks for the information.

But do you how to apply a new domain?