Definition and Characteristics of Constitutional State

Definition and Characteristics of Constitutional State

Many experts have explained about the definition of constitutional state, the followings are the definitions of constitutional state according to some experts:

1. According to Wirjono Prodjodikoro

- All equipment of state, especially equipment of government in the action both to the citizens and the state are interconnected respectively, should not be arbitrary, but must pay attention to the applicable regulations.

- All persons (residents) in public relation should obey to the applicable regulations.

2. According to Aristoteles

It is a state that stands above the law that guarantees justice to the citizens.

3. According to Hugo Krabbe

State should be constitutional state (rechtsstaat) and each state action must be based on law or should be accountable to the law.

4. According to F.R. Bothlingk

A state which the freedom of power holder will is restricted by law.

Characteristics of constitutional state, among others:

1. According to Friedrich Julius Stahl from Continental European legal experts:

a. Human rights

b. Separation or division of powers to ensure human rights that is commonly known as Trias Politica

c. Government based on rules

d. Administration of justice in disputes

2. According to AV Dicey of Anglo-Saxon legal experts:

a. Supremacy of law, it means that there must be no arbitrariness, so one can only be punished if they break the law.

b. Equal footing in the law, both for ordinary people and officials

c. Ensuring human rights in legislation or court decisions

Sovereignty Theory

There are four theories that explain about kinds of sovereignty; Theory of God Sovereignty (Theocracy), Theory of People Sovereignty (Democracy), Theory of State Sovereignty, Theory of Law Sovereignty.

1. Theory of God Sovereignty (Theocracy)

It comes from God sovereignty given to a king or ruler. Because of king or ruler is God's representative, the power is absolute. Ruler can set rules in any form that must be obeyed by people. Moreover, a ruler has authority to determine the entire life of people, as if he is God. In practice, this form of sovereignty is many done by the royal government in earlier times.

2. Theory of People Sovereignty (Democracy)

It is a theory which teaches the highest power in the hands of people. People give the power to the authority to run the government through an agreement called social contract. In return, the authority recognizes and protects the rights of people and runs the government by the people's mandate as well as possible. This sovereignty practice is many run by democratic countries today.

3. Theory of State Sovereignty

This theory teaches that law and government activities are the state�s will. The state's will allow the law and government authorities obeyed by people.

4. Theory of Law Sovereignty

According to this theory, law is the source of sovereignty. Every action of the authorities should be accountable to the law.

Forms and the Origin of State

State can be seen as an association of human living and cooperating to pursue some common goals. It can be said that the ultimate goal of every state is creating the happiness of the people, Budiharjo Miriam (2010).

Forms of State

Here are some state forms in the world:

1. Unitary

2. Federation

3. Confederation

4. Union, it is divided into 2; Real Union and Personnel Union 

5. Dominion

6. Colony

7. Protectorate

8. Mandate

9. Trust

The origin of a State

Based on the fact, a state occurs due to some causes:

1. Occupation - It is an area occupied by a group of people

2. Separation - It is an area that originally is a territory of specific area then escaping.

3. Merger, It is some countries that merge into one

4. Splitting, it is the disappearance of a country and the emergence of new state

Based on the theory, a state occurs because:

1. Godhead Theory, a state occurs because of the will of God

2. Theory of community agreements, a state occurs because of the agreement of the individuals (social contract)

3. Theory of Power, a state is formed due to the power / strength

4. Theory of Natural Law, a state occurs because of the desire to meet various human needs.

Functions and Natures of State

State functions are as follows:

1. Defense and Security

State shall protect the state elements (people, territory, and government) from all threats, obstacles, and interference, and other challenges that come from internal or external.

2. Justice

State must be fair in law without any discrimination or particular interests. For example: A person who performs a criminal must be punished regardless of position and title.

3. Regulation and Justice

State takes all legislation to implement the policy with solid foundation to form the order of society, nation and state 

4. Welfare and Prosperity

State can explore the natural resources owned to improve people's life to be more prosperous and wealthy.

Natures of State

1. Coercive

State can impose the will by law or rule. State has power to force so that people are submissive and obedient to the state without no physical coercion.

The state right is legal in order to create an orderly society and no anarchy. Physical coercion can be made to proprietary.

2. Monopolistic

State sets common goals in the community. State can master things, such as important resource for people interests. State overcomes individual and group understanding.

3. Totality nature

Everything without exception becomes the authority of state.

Definition and Elements of State

Definition of State According to some Experts

According to Prof. Sumantri, state is an organization of power. Therefore, in every country, it is always encountered organ or tools that have the ability to impose the will to anyone residing in the territory.

According to John Locke and Rousseau, state is an agency or organization as the result of public agreement.

According to Max Weber, state is a community that has monopoly on the use of physical force legitimately in certain area.

According to Mac Iver, a state should have three main elements; territory, people, and government.

According to Roger F.Soleau, state is a tool or authority to control and regulate issues that are shared in the name of community.

According to Prof. Mr. Soenarko, State is a community organization that has certain area where state authority applies absolutely as sovereignty.

Prof. Miriam Budiardjo provided the definition of State that is the organization in an area that can legitimately impose the authority on all other power groups and can set goals of the life together. 

Elements of state according to experts:

According to G. Pringgodigdo

1. Must be a sovereign government

2. Have a specific region

3. There are people who live regularly as the nation of state

According to Oppenheimer and Lauterpacht

1. United people 

2. Area or region

3. Sovereign government

4. Recognition of other countries

According to Montevideo Convention 1933

1. There are people

2. There is ??permanent area

3. The existence of sovereign power

4. Undertaking associated with other countries

5. Recognition of other countries

Factors Influencing Attitude

An attitude is not automatically realized in an action. For the realization of attitude to become a real act, it is required supporting factor or possible condition, such as facilities.

For example, a positive attitude of a mother towards the immunization should receive confirmation of her husband, and there is an immunization facility easily reached in order to make the mother immunizing the child. Besides facility factor, it also needed supporting factor (support) from other parties, such as the parents of wife or husband that are very important to support.

Factors that influence attitudes:

1. Personal experience

To be able to be the basis of attitude formation, personal experience should make strong impression. Therefore, the attitude will be more easily formed if the personal experience occurs in situation involving emotional factors.

2. Influence of others that are considered important

In general, people tend to have a conformist attitude or be unidirectional of the others attitude who are considered important. This tendency is motivated by a desire to affiliate and avoid conflict with the people who are considered important.

3. Cultural influence

Unwittingly, culture has instilled a steering line our attitude towards various issues. Culture has colored attitudes of community members, because it gives patterns of individual experiences in community. 

4. Mass media

In the newspapers, radio, television and other mass media, the news that should be factual delivered objectively tends to be influenced by the attitude of the author; consequently it influences the attitude of the consumers.

5. Educational and Religious Institutions

Moral concepts and teachings of educational and religious institutions determine the belief system. It is not surprising that in turn the concept influences the attitude.

6. Emotional Factor

Sometimes, a form of attitude is statement based on emotion that serves as frustration distribution or alienation of ego defense mechanism.

Cara Mengukur Motivasi

Ada beberapa cara untuk mengukur motivasi menurut Notoatmodjo (2005) yaitu :

1. Tes Proyektif

Salah satu teknik proyektif yang banyak dikenal adalah Thematic Apperception Test (TAT). Dalam tes ini klien diberikan gambar dan klien diminta untuk membuat cerita dari gambar tersebut.

Dalam teori Mc Leland dijelaskan, bahwa manusia memiliki 3 kebutuhan yaitu kebutuhan untuk berprestasi (n-ach), kebutuhan untuk power (n-power), kebutuhan untuk berafiliasi (n-aff). Dari isi cerita tersebut kita dapat menelaah motivasi yang mendasari diri klien berdasarkan konsep kebutuhan tersebut.

2. Kuesioner

Caranya adalah dengan meminta klien untuk mengisi kuesioner yang berisi pertanyaan-pertanyaan yang dapat memancing motivasi klien.

Contohnya adalah EPPS (Edward's Personal Preference Schedule). Kuesioner ini terdiri dari 210 nomer dimana pada masing-masing nomer terdiri dari 2 pertanyaan. Klien diminta untuk memilih salah satu dari kedua pertanyaan tersebut yang lebih mencerminkan dirinya. Dari pengisian kuesioner tersebut maka akan diketahui motivasi dari klien.

3. Observasi

Cara lain untuk mengukur motivasi adalah dengan membuat situasi sehingga klien dapat memunculkan perilaku yang mencerminkan motivasinya.

Contohnya, untuk mengukur keinginan untuk berprestasi, klien diminta untuk memproduksi origami dengan batas waktu tertentu. Perilaku yang diobservasi adalah, apakah klien menggunakan umpan balik yang diberikan, mengambil keputusan yang berisiko dan mementingkan kualitas daripada kuantitas kerja.

Definition and Purposes of Work Motivation

Flipo (1984) theorized that motivation is a direction of employees in an organization to cooperate in achieving wishes of the employees in order to achieve organizational success. According to Terry G (1986), motivation is a desire contained in an individual encouraging him to perform action (behavior).

In a person, there is a need or desire (wants) of situation outside the object, then how one connects between the needs and the situation outside the object in order to meet the needs intended. Therefore, motivation is a reason (reasoning) of a person to act in order to meet the needs.

In general, the goal of motivation is to move or inspire someone in arising the desire and willingness to do something so as to obtain results or achieve certain goals.

The success of an institution or organization is determined by two main factors; human resources, employee or labor, supporting facilities and infrastructure or work facility. Human resource or employee is more important than supporting infrastructure. Motivation in the organization has very broad intent and purpose.

The purposes of motivation

1. Encourage passion and spirit of employee 

2. Improve employee satisfaction which ultimately will improve the performance

3. Improve employee productivity

4. Improve employee loyalty and integrity

5. Improve employee discipline

6. Improve employee attendance

Definisi Perilaku Kesehatan

Pengertian Perilaku Kesehatan (Notoatmodjo, 2005) adalah respons seseorang terhadap stimulus atau objek yang berkaitan dengan sehat-sakit, penyakit, dan faktor-faktor yang mempengaruhi kesehatan, misalnya lingkungan, makanan, minuman dan pelayanan kesehatan.

Atau dengan kata lain, perilaku kesehatan adalah semua aktivitas seseorang, baik yang dapat diamati (observable) maupun yang tidak dapat diamati (unobservable).

Perilaku Kesehatan dikelompokkan menjadi 2 yaitu :

1. Perilaku orang yang sehat agar tetap sehat dan meningkat

Perilaku ini disebut perilaku sehat, yang mencakup perilaku-perilaku (overt dan covert behavior) dalam mencegah atau menghindar dari penyakit dan penyebab penyakit.

Contoh :

Makan dengan gizi yang seimbang, olahraga teratur, tidak merokok, tidak minum minuman keras, menghindari gigitan nyamuk, menyikat gigi sebelum tidur dan setelah makan, mencuci tangan dengan sabun sebelum makan, dll.

2. Perilaku orang yang sakit 

Perilaku ini disebut health seeking behavior. Perilaku ini mencakup tindakan-tindakan yang diambil seseorang ketika sakit untuk memperoleh kesembuhan.

Contoh :

Berobat ke rumah sakit, klinik dll.

Perilaku Kesehatan yang dilakukan oleh seseorang terkait dengan pengetahuan, semakin baik pengetahuan seseorang maka akan baik pula perilaku kesehatannya.

Perilaku Kesehatan antara individu satu dengan yang lainnya juga berbeda-beda karena dipengaruhi oleh banyak faktor, misalnya faktor ekonomi, faktor lingkungan, faktor sarana, dan pengetahuan itu sendiri.

Di era modern seperti sekarang ini dimana tuntutan aktivitas yang sangat banyak, seharusnya kita semua menyadari akan pentingnya kesehatan, sehingga akan tercipta perilaku kesehatan yang baik dan optimal, dengan demikian maka kondisi kesehatan kita akan lebih baik.

Definition and Causes of Halitosis

Breath odor or bad breath (halitosis) is a term used to describe a bad odor coming out of the mouth while exhaling, both when speaking and breathing. The emergence of odor is caused by several things, but the most is problem with the bad digestive organs and oral health conditions.

Causes of bad breath (halitosis):

1. Low Dental health and Oral Health

Leftovers and tartar which are not cleaned regularly will accumulate on tooth surface and the tartar gets into the gums, then can decompose and cause bad breath.

2. Gum disease

Gingivitis, Periodontitis

3. Bacteria

If the teeth are not cleaned regularly, the bacteria will accumulate in the mouth and wedged between the teeth. The compound of these bacteria makes bad breath.

Oral bacteria found between the teeth, cavities, and tongue surface or tonsils (tonsillitis), if they are left too long without cleaning, it will emit bad smell gas that affects the odor released by mouth.

4. Tonsil

A hole on the inside of tonsil (tonsillitis) called crypts is one culprit of the emergence of oral odor. On the swollen tonsil, It is often wedged leftovers and germs that cause bad breath. 

5. Stomach Disorder

Stomach disorder or intestines can cause bad breath, especially when burping.

6. Dry mouth

Lack of drinking water and dry mouth are also contributor to the cause of bad breath problem. Therefore, when waking up in the morning, the smell of the mouth is bad.

7. Broken Teeth 

Cavities, a lot of plaque, tartar, and broken teeth that are not treated can be the cause of bad breath. Such teeth become a nest of germs and leftovers that cannot be cleaned thoroughly until eventually rot, and can spread mouth odor. Tongue and swollen gums can also be the sources of bad breath if never cleaned.

8. Disease

Bad breath as a sign of disease symptom is bad breath caused by the absence of disease or inflammation of the organs.

Pentingnya Kesehatan Bagi Kita

Sehat adalah kondisi tubuh yang bebas dari sakit, bebas dari stress sehingga mampu menjalankan aktivitas dengan optimal dan mampu berpikir dengan baik.

Kesehatan tubuh sangat menunjang gerak aktivitas yang kita jalankan, tanpa kesehatan fisik yang baik maka aktivitas sehari-hari kita akan terganggu. Kesehatan fisik saja tidaklah sempurna jika tidak didukung oleh kesehatan pikiran atau mental kita, karena fungsi tubuh akan menurun apabila kesehatan pikiran kita terganggu.

Akibat terganggunya kesehatan antara lain adalah menurunnya kinerja tubuh. Dalam kondisi seperti ini maka akan sangat mengganggu pekerjaan sehari-hari yang kita jalani. Apabila situasi atau kondisi ini berlangsung lama maka akan berbahaya bagi kita, misalnya kita tidak lagi mampu untuk bekerja.

Kesehatan fisik dan mental itu sangat penting, namun banyak orang yang mengabaikannya. Banyak orang yang tidak menyadari jika tubuh memiliki keterbatasan dalam fungsinya. 

Jika kita ingin mendapatkan kualitas kesehatan yang baik maka kita harus mengetahui kapan tubuh harus berhenti bekerja, kapan tubuh butuh penyegaran, dan harus mengetahui pula asupan makanan yang baik untuk untuk tubuh.

Aktivitas yang seimbang harus benar-benar kita jalankan, karena jika tidak maka akan berdampak buruk bagi kita.

Satu hal lagi yang sering diremehkan adalah kesehatan mental kita yang bersumber dari aktivitas spiritual. Orang terlalu sibuk dengan materi dan lupa dengan rohani, itulah yang terjadi sekarang ini. Padahal jika kesehatan rohani kita tidak baik maka kita tidak akan bisa merasakan kenyamanan pikiran kita.

Keberhasilan kita sangat ditentukan oleh kinerja yang baik dari diri kita dan semua itu hanya bisa tercapai jika kesehatan tubuh dan kesehatan mental kita terjaga.

Definition and Pathophysiology of Shock

Shock is a syndrome of perfusion and cell oxygenation disruptions thoroughly so that tissue metabolic needs are not met. With the disruption of oxygenation results in impaired function of cells or tissues or organs, such as disturbances of consciousness, respiratory function, digestive system, urinary and circulatory system itself. In response to the decrease in oxygen supply, energy metabolism of cells will turn into anaerobic metabolism.

This situation can only be tolerated for a while, and if it continues, the damage of vital organ tissue happens that can lead to death. Shock is not a disease and not always accompanied by the failure of tissue perfusion. Shock can occur at any time to anyone. The handling is based on early right diagnosis.

Pathophysiology of shock

General:

Hypoperfusion in shock leads to the disruption of oxygen supply to cells, resulting in impaired cell metabolism and consequently the formation of ATP is reduced. Hypoperfusion also triggers reflex of sympathetic system activation that increases cardiac output. In addition, there is expenditure of ketokolamin, angiotensin, vasopressin and endothelia which will increase vascular tone so that perfusion pressure can be maintained and enough.

Hypoxia makes the tissue trying to extract O2 as much as possible so that the metabolic needs are met. When all the defense reflexes to the limit of tolerance and hypoxia are not resolved, it will disturb mitochondria, and decrease ATP formation. All systems in the body are not functioning, resulting in complete organ failure, such as brain failure, heart failure, vasoplegia, the buildup of lactic acid, kidney failure, digestive system failure followed by germ and toxic materials transfer into the bloodstream (translocation), and ending with death. Multiple organ failures and death are proportional to the duration and severity of hypoxia.

Specific:

Shock is divided into four types; hypovolemic, obstructive, cardiogenic, and distributive.

According to the value of cardiac output, shock is divided into two; hypodynamic and hyperdynamic shocks. In hypodynamic shock, cardiac output is below normal and central venous pressure is more than normal. Hypovolemic, cardiogenic, and obstructive shocks are included in this type of shock. In hyperdynamic shock, cardiac output value is more than the normal and central venous pressure is less than normal, e.g distributive shock.

Oral Lesions

Lesion is a term that indicates the state of abnormal body tissues. It can occur due to disease process either caused by infection, metabolic problems, autoimmune, or trauma (physical, electrical, chemical).

Oral mucosal lesion:

It is a lesion contained and on the body tissues of oral cavity. The terms used to describe the oral mucosal lesion are:

1. Erosion: the loss of partial surface of epithelium without opening the deeper layers or the connective tissue underneath.

2. Ulcer: The loss of the entire thickness of epithelium and the opening of the tissue underneath.

3. Vesicle: accumulation of clear bounded fluid, having a large diameter, which is more than 5 mm. It can be intraepithelial and singular or plural.

4. Bulla: accumulation of clear bounded fluid, having a diameter of 5 mm. It maybe intraepithelial or sub epithelial and singular or plural

5. Papule: narrow elevated area; clear bounded (the term is more often used to describe cutaneous abnormality of the mucosa lesions)

6. Macula: the area change clear bounded color. It may be small or large and singular or plural.

Forms of Dental Topical Anesthetic

Forms of Dental Topical Anesthetic:

1. Spray Form

It contains certain local anesthetic agents that may be used for this purpose because of the action goes pretty fast. The active ingredient contained in the solution is 10% lignocaine hydrochloride in water base released in small amounts of aerosol container.

The addition of a variety of fruit flavors is intended to make the preparation more tolerated by children, but it can actually cause problems due to stimulation of excessive salivation. When anesthesia is done by using spray, the solution can generally be easier distributed and the effect will be more extensive than we want. Anesthetic onset time is 1 minute and the duration is 10 minutes.

2. Ointment

It contains 5% lignocaine hydrochloride that can also be used for the same purpose, but it takes 3-4 minutes to give the effect of anesthesia. Some pharmaceutical industries even include hyaluronidase enzyme in their products in hopes of helping the penetration of local anesthetic agent in the tissue. Amethocaine and benzocaine are generally added in this preparation.

3. Emulsion

It contains 2% lignocaine hydrochloride that can also be used. This emulsion will be very useful if we want to print the entire oral cavity of a patient who is very easy to get nausea. A teaspoon of emulsion can be used by the patient to gargle around the oral cavity and oropharynx and then allowed one to two minutes; the rest is spat right before printing. The emulsion can also be useful for reducing postoperative pain after gingivektomidan that is not harmful if swallowed accidentally.

4. Ethyl chloride

It is sprayed on the skin or mucosa that will evaporate quickly so as to cause anesthesia through cooling effect. Clinical benefit only happens if the spray is directed to limited area by cotton or a cotton bud until ice steam arises.

Definition and Purposes of Work Motivation

Flipo (1984) theorized that motivation is a direction of employees in an organization to cooperate in achieving wishes of the employees in order to achieve organizational success.

According to Terry G (1986), motivation is a desire contained in an individual encouraging him to perform action (behavior).

In a person, there is a need or desire (wants) of situation outside the object, then how one connects between the needs and the situation outside the object in order to meet the needs intended. Therefore, motivation is a reason (reasoning) of a person to act in order to meet the needs.

In general, the goal of motivation is to move or inspire someone in arising the desire and willingness to do something so as to obtain results or achieve certain goals.

The success of an institution or organization is determined by two main factors; human resources, employee or labor, supporting facilities and infrastructure or work facility. Human resource or employee is more important than supporting infrastructure. Motivation in the organization has very broad intent and purpose.

The purposes of motivation

1. Encourage passion and spirit of employee 

2. Improve employee satisfaction which ultimately will improve the performance

3. Improve employee productivity

4. Improve employee loyalty and integrity

5. Improve employee discipline

6. Improve employee attendance

Wound Healing Phases

Definition of wound is partially lost or damaged body tissue.

Causes of Wound: trauma of sharp or blunt objects, temperature changes, chemicals, explosion, electric shock, or animal bites.

Wound Forms: cuts, puncture wounds, lacerations, abrasions, burns and others.

Wound Healing phases are as follows:

1. Inflammation Phase

It occurs since the injury until about the fifth day. Severed blood vessels in the wound will cause bleeding, and the body tries to stop it with vasoconstriction, shrinkage in broke up vessel edges (retraction), and hemostasis reaction. Hemostasis occurs because platelets out of the blood vessels attach to each other, and together form fibrin net, freeze the blood from the blood vessels. Adjacent platelets will granulate, release chemoattractant pulling inflammatory cells, and activate local fibroblasts and endothelial cells as well as a vasoconstrictor. Meanwhile, the inflammatory reaction happens.

After hemostasis, coagulation process will activate complement cascade, and then it will be released bradykinin and anaphylatoxin. Clinical signs and symptoms of inflammatory reaction become clear, in the form of redness due to dilated capillaries (rubor), warm sense (heat), pain (dolor) and swelling (tumor).

2. Proliferation Phase

It is called fibroplasia phase because the prominent part is proliferation of fibroblast.

It takes place from the end of inflammation phase until about the end of the third week.

Collagen fibers are formed and destroyed again to adjust the tension on the wound which tends to shrink. This trait together with miofibroblast contractile trait cause the pull on the wound edges.

The wound is filled by inflammatory cells, fibroblasts, and collagen, and the formation of new blood vessels (angiogenesis), forming reddish tissue with smooth protruding surface called granulation tissue.

With the covering of the wound surface, fibroplasia process with the formation of granulation tissue will also stop and start the process of maturation in remodeling phase.

3. Remodeling Phase

Maturation process happens which consists of re-absorption of the excess tissue, proper shrinkage according to the gravity, and finally re-formation of new tissue. Body tries to re-normalize all abnormal things because of healing process. Edema and inflammatory cells are absorbed, young cells become mature, new capillaries close and reabsorbed, excess collagen is absorbed and the rest shrinks according to the amount of strain. During this process, it is resulted pale scar tissue, thin, and flexible, and easily moved from the base.

Approaches in Dental Health Education

Approaches in Dental Health Education are divided into four (4):

1. Persuasively Approach 

The goal of this approach is making sustainable behavior change within the educational targets, although the process takes relatively longer time.

In this approach, it can be done by giving positive remuneration for the educational target that the behavior has changed as we want, by giving gifts, praise, and certain incentives.

2. Pervasively approach

This approach provides real examples and repetition of every event that needs to be learned or imitated by educational target. Here, there is imitation process that is changes in behavior caused by the repetition of events or actions. This educational approach is suitable for educational targets with low educational level or toddlers.

3. Compulsively Approach 

Indirect approach to the educational targets we mean.

4. Coercively approach 

Approach by means of coercion, instructive or by threats or specific sanctions if it is not implemented the behavior wanted.

How to Maintain Healthy Teeth

How important the role of mouth for us, it can give pleasure and be a source of unpleasant. Have you ever felt pain of toothache?

Dental and mouth diseases still become problem because of high prevalence of dental disease. Both in developed and developing countries, dental disease is many still suffered.  

Actions required:

1. Maintaining oral hygiene

2. Tooth filling

3. Tooth revocation

4. Making denture

We can maintain dental hygiene by brushing teeth.

Why brushing teeth?

1. To maintain oral health

2. Breathing becomes fresh

3. Brushing removes leftovers required for the formation of plaque on the tooth surface. Plaque is a thin layer, sticky leftovers, attaching to the tooth surface, containing bacteria, the main cause of tooth decay and gum disease, growing 20 minutes after eating. Wrong way in brushing may result in tooth abrasion.

How to brush your teeth:

1. Move the toothbrush with a soft movement and rotation.

2. Brush the outside and inside surfaces of teeth, each upper and lower tooth with the bristles position 45 degree opposite to the gum line.

3. Brush all parts of the tooth surface that is used for chewing

4. To clean the inside front teeth (upper jaw teeth, the palate / lower jaw teeth, tongue), brush with an upright position and move slowly through the gum line towards teething.

5. To clean the outside front teeth (lips), brush with a little horizontal position and move slowly through the gum line towards teething.

6. Brush your tongue to remove bacteria and make the breath fresher

7. Choose a toothbrush with soft bristles, because the hard one can make gums hurt and cause abrasion of the teeth, thinning of the tooth structure especially around the gum line

8. Replace toothbrush if the bristle has broken

Goa Kreo Semarang

Sudah lama saya tinggal di Semarang, tapi belum pernah datang ke Tempat Wisata Goa Kreo. Karena yang dibenakku tempat yang terkenal dengan hewan keranya itu pastilah tidak menarik.

Hari ini kebetulan diajak temen kantor untuk datang ke tempat wisata yang terletak di Gunung Pati Semarang tersebut....eeee ternyata tempatnya ciamik.

Letak goa di perbukitan, di kelilingi waduk Jati Barang, di tambah banyaknya hewan kera yang berkeliaran membuat tempat ini cukup menawan.

Namun bukan goa, bukan kera, dan bukan pula waduknya yang membuat tempat wisata ini begitu spesial dan indah dimata saya.

Yang membuat spesial bagi saya adalah tanaman liarnya disekitar goa. Di sekitar goa itu tumbuh banyak sekali pohon serut, mulai dari yang kecil sampe yang besar tumbuh bertebaran dimana-mana.

Pohon serut adalah salah satu tanaman hias mahal yang banyak digunakan untuk taman maupun untuk bonsai. Saya jadi berpikir andai saja pohon-pohon serut tersebut tidak berada disitu pastinya sudah habis diambil dan diperjual belikan. Harga pohon serut ini juga tidak main-main lho...mulai 500 ribu hingga puluhan juta rupiah perpohonnya.

Itulah sekilas tentang Tempat Wisata Di Semarang Jawa Tengah...klo anda ke Semarang patut rasanya datang ke Goa Kreo.

Definition, Purpose and Mechanism of Inflammation

Inflammation is a complex reaction that begins to occur in the blood vessels in response to injury or wound, followed by accumulation of fluid and leukocytes in extravascular tissues. Inflammatory response takes place together with repair process.

Image : en.wikipedia.org

The purpose of inflammation is ruining, dissolving, or limiting the cause of injuries, and this process can in turn be transformed into a series of processes in order to repair the damaged tissue and healing. Repair is begun in the early phase of inflammation and finished when the injury effects are successfully neutralized. During the repair process, the injured tissue, parenchymal cell regeneration and filling the damaged areas by fibroblastic tissue occur.

Inflammation is a protective process to clean or remove the cause of injury (such as toxins or microbes) and the damage (such as cells or necrotic tissue). Without inflammation, infection can occur without control, the wound would not heal, and injured organ will remain sick. However, inflammation and repair processes are still potentially harmful, such as hypersensitivity reaction which can cause life-threatening, such as insect bites, drugs or toxins effects. 

Inflammatory reaction also underlies the development of many chronic diseases, such as atherosclerosis, rheumatoid arthritis, and pulmonary fibrosis. By this basic, it is developed a variety of anti-inflammatory which aims to improve the positive effects of inflammation and control the adverse effects.

The inflammatory response in vascularized connective tissue will involve plasma component, circulating blood cells (such as neutrophils, monocytes, eosinophil, lymphocytes, basophils, and platelets), blood vessels, and cellular components (such as mast cells, fibroblasts, macrophages, lymphocytes) and extracellular (such as collagen, elastin, fibronectin, laminin, etc.) connective tissue. The component parts form strong cellular communication tissues that end by increasing inflammatory response.

Vascular and cellular responses in acute and chronic inflammation are mediated by chemical mediators derived from plasma or cells that induced by inflammatory stimulus.

Definition and Types of Small Business

Small Business is a pillar of the economy of a country. For example, in United State, more than 80% of the business is small business.

John Naisbitt in his lecture on global entrepreneur forum 95 in Singapore stated that there is a tendency towards 2000. The tendency includes shifting world activities and great players or conglomerates to the direction of small players that use a business in small and medium scale.

He also mentioned that the small players will be major players in the great economy.

Definition of business is all activities that seek profits by obtaining the necessities of goods and services to others (Nickels, McHugh, and McHugh, 1996).

The definition of small business is a business owned independently and the activities are not dominant and meet certain standards (Luthans and Hodgetts, 1989).

Types of small business are as follows:

1. Services Business 

2. Retail Business 

3. Wholesale Business 

4. Manufacturing Business 

5. Agricultural Business 

References:

Nickels, W.G., McHugh, J.M., McHugh, S.M, 1996, Understanding Business, Chicago : Irwin.

Luthans, F, Hodgetts, R.M, 1989, Business, Chicago : The Dryden Press.

Tips for Starting a New Business

An entrepreneur must have a thorough plan of planning in order to avoid a failure to execute new business. The plan includes: What business is owned, Starting your own or buying an existing company, Knowing what and where the market for the product or the service.

Starting is not easy because of many challenges that must be faced. Note Tips for Starting a New Business below. 

To be successful at the beginning according to Harper (1991), it requires:

1. Very solid business opportunities.

2. Skills and abilities in the field that will be practiced.

3. The correct approach in running the business.

4. Sufficient funds to start and operate a business, so that can stand alone.

In starting a new business, we have to study the market situation and industry situation that will be entered. The market situation may have been met by other competitors, so that not easy to get into, maybe also the target market has been saturated.

Production and marketing orientation era likely soon pass into new era that is competition era. For that, it is essential to analyze the situation of the competitor forces existing in the market carefully.

Michael Porter (1895) stated that there are five competition forces determining in the industrial sector:

1. Threat of newcomers.

2. Threat of substitute goods or services.

3. Bargaining power of supplier.

4. Bargaining power of buyer,

5. Competition among existing competitors.

To deal with the market situation in the industry, Porter also suggested some generic basic strategies.

For the industrial market with a wider target, it can be applied the following strategies:

1. Different products (product differentiation).

2. The advantages of cost (cost leadership).

3. Cost of focus (cost focus).

4. The difference in focus (focused differentiation).

Companies can launch a product that is different from other competitors by producing innovative products or at least no differences but more beneficial as compared to other competing products. Another strategy is to take advantage of the cost.

This cost advantage can result in lower production costs so that we can sell at a more competitive price.

Definition of Doping and Reasons for Using Doping In Athlete

Doping is provision / use by competitors, such as material that is foreign to the organism through any way or physiological material in abnormal amounts or given through an abnormal way in order to improve achievement. (International Congress of Sport Sciences; Olympiade Tokyo 1964).

Image : labtestsblog.com

There are several reasons why an athlete uses doping:

1. Psychosocial Aspect

Every individual has potential in doing offense, moreover, when the environment provides an opportunity for the offense.

2. Personality

Individual who has negative or low self-concept and self-esteem, in the face of competitive situation, he has a tendency to seek personal gain by the use of unfair ways, one of them is doping usage.

3. Individual Social Environment 

a. Victory Social value 

In each competition, victory, achievement, or medal sometimes become the only dreams of every individual or group without considering the other things that allow athletes to justify any way, including doping.

b. Community Environment

Society is also a significant stressor. Defeat in a play always gets response from the community in the form of scolding, criticism, anger and even disproportionate rage, so that athlete must "win" in every event. 

c. Player environment

The desire to win is always present in the environment of players; either coach or official even family, so it can cause uncontrolled desire and sense of responsibility.

4. Lack of information about the dangers of doping for themselves and others.

5. Intense competition.

6. Commercialization, athletes or coaches are often less selective to face the incessant offer of drugs from manufacturer.

7. Propaganda, the competition to win a bonus for instance, is one of boosters for athletes to be able to grab honors in every event encountered, which unfortunately sometimes by any way, including the use of doping.

8. Frustrated because the exercise done does not produce achievement.

Definition and Aspects of Health Law

The definition of health law is all legal provisions that are directly related to health care and the application.

It concerns to the rights and obligations of individuals and all levels of society as the recipients of the health care or health care providers in all aspects, organization, means, standard guidelines for medical services, health sciences and law and other legal sources. Medical law is part of health law, concerning to medical care / service.

At present, it can be agreed upon scope of the legal regulations for health services according to medical science including aspects in the field of criminal, civil law, administrative law, even the aspects of constitutional law. Skill education requirements, performing profession, procedure in opening medical practice, and various restrictions and supervision of medical profession are included in administrative law section.

Rights and obligations arising from the relationship of health services, the agreement between doctors and patients and their families, due to the civil negligence and the claim in health care are included in civil law. Witness, truth of health certificate, keeping secrecy, abortion, drugs or narcotics prescription, help the sick resulting in danger of death or injury are included in criminal law section.

Government health efforts involving health workers as competent state authorities are the development of constitutional law aspects in medical health law. All legal aspects in medical health legislation become legal devices that specifically define the behavior of order or necessity command or prohibitions that apply to the parties concerned with health efforts as specified in legislation. Besides the legal norms contained in medical health law, it also applies ethical norms of health / medical ethical norms as guides about the good and bad things in the daily moral life. 

Structure and Function of Plant Root

Structure and Function of Plant Root

Anatomically, root of plant is composed of 3 layers or tissue systems; epidermis, cortex and central cylinder (stele).

1. Epidermis

Root epidermal cells are flattened and thin-walled, generally one layer. In the area near to the root tip, the epidermal cells are modified into root hairs. Cuticle layer of the root hair is very thin, because the function is as water absorbent.

2. Cortex

It is the area between epidermis and central cylinder. Cortex is mainly composed of parenchyma cells structured circular. In monocot plants, usually there is sclerenchyma. In some aquatic plants, the parenchyma cells have air space, this parenchyma is called aerenkima. The cortex location in root is outer than in stem. 

a. Exodermis

The outermost layer of cortex that is directly adjacent to epidermis can be a hypodermic that the cell wall contains suberin or lignin, called exodermis.

b. Endodermis

The innermost layer of the root cortex develops into endodermis. Endodermis consists of a thick single cell layer, which marks the boundary of the cortex. In young endodermis cells, there are thickened cell walls by suberin or lignin substances. The thickening forms the ribbon-shaped series called Caspary ribbon. Caspary Ribbon prevents water from entering across the cell wall. To get into the central cylinder, water gets into endodermis that the walls are not thickened, called pelalu cells or impregnation cells. Endodermis helps maintaining substance traffic into the root vessels.

3. Central Cylinder (Stele)

Central cylinder is located on the inside of endodermis layer. Root central cylinder is composed by xylem, phloem and perisikel tissues. Perisikel consists of parenchyma cells that are between endodermis and vascular tissue. Perisikel evolves from procambium. Perisikel will evolve to form cambium and pith. In monocot plants, primary xylem is interspersed with primary phloem; with the xylem location is deeper than phloem. While in dicotyledonous plants, xylem is located in center roots and shaped like a star.

Root functions are as follows:

1. Water and minerals entrance, root hairs take water and mineral salts from the soil by osmosis. Water and mineral salts are taken to the leaves for photosynthesis.

2. To embed and sustain the plant body in order to be upright and sturdy.

3. In some plants, root is also a place to store food.

4. Helping breathing, oxygen can enter through the roots by diffusion.

Definition of Socialization Process

Separately, socialization process consists of two syllables, process and socialization. 

The definition of process is stages in an event in the formation, while Socialization is the process of child�s attitude or behavior forming in accordance with the behavior or norms in a group or family.

Thus, socialization process is stages in the formation of child�s attitude or behavior in accordance with the behavior or norms in a group or family.

The definition of socialization process according to some experts:

1. According to Krathwohl (1981)

Socialization process is a process that exploits someone to be sensitive to society stimulation and adapt and behave like others in the group society or culture.

2. Laurence (1988)

It is the process of education or training of someone who has not experienced in a culture of learning and tries to master the culture as behavior aspects.

3. Guire (1974)

It is the process of presenting the individual behavior possibilities with positive or negative sanctions that would lead to acceptance or rejection by others.

4. Lawang, Robert M.Z (1985)

It is the process of studying the norms, values, roles, and all other requirements necessary to enable effective participation in social life.

Being a Good Listener in Communication

Communication is a daily activity either at home or at the office with colleagues. At the time of the communication process, sometimes we become speakers and sometimes we are listeners.

Activity as a listener who listens to the message in the communication looks so easy, but not everyone can be a good listener.

In communication with others, it won�t feel warm and meaningful if it is not done properly; becoming a good speaker and a good listener.

Tips to be a good listener in the communication include:

1. Listen by concentration

It means listening to the talks with full concentration, not just silent, not think about other things beyond the conversation.

2. Listen attentively

It means paying attention seriously to the speaker�s words, such as by the eye expression to the speaker.

3. Listen with pleasure

It means that in communication we remain to do with pleasure although whether the communication interests us or not, this feeling will usually be reflected in smile along communication, not in forced smile.

4. Listen by feedback cues

The point is that we should not interrupt before other person finishes speaking, this feedback cues can be done by a nod to respond interlocutors.

Bahan Berbahaya Dalam Kosmetik

Badan Pengawas Obat dan Makanan melarang beberapa produk kosmetik yang terbukti mengandung bahan-bahan yang berbahaya.

Bahan-bahan berbahaya dalam kosmetik ini memiliki efek samping pada kulit misalnya iritasi ringan sampai iritasi berat dan pewarnaan kulit yang tidak rata alias kulit menjadi belang-belang.

Kemungkinan besar kesehatan lain selain kulit juga menemukan masalah keracunan sistemik bahan pemutih itu karena merkuri termasuk logam berat yang dapat mengakibatkan kerusakan pada ginjal, otak dan liver atau hati.

Produk kosmetik yang mengandung Merkuri (Hg) atau air raksa bila pada tubuh dapat mengakibatkan perubahan warna pada kulit yang akhirnya dapat menyebabkan bintik-bintik hitam pada kulit, menyebabkan alergi, iritasi kulit, kerusakan permanen pada susunan saraf, otak, ginjal, dan dapat mengganggu perkembangan janin.

Adapula produk kosmetik dari bahan pewarna sintesis yang umumnya digunakan sebagai zat warna kertas, tekstil atau tinta. Bahan pewarna merah K.10 (Rhodamin B) dan merah K3 dapat menyebabkan kanker. Rhodamin yang digunakan dalam konsentrasi tinggi juga dapat menyebabkan kerusakan hati (Dokter Kita).

Causes of Doing Crime

I feel bored watching criminal report on television, almost every day there are innumerable cases of crimes. 

Image : antarafoto.com

Sad to hear crime cases happen around us because of increasingly brutal crimes committed resulting in murder and others.

Currently, soul is like no means, robbery with murder, stealing with violence as if it never stops.

Is the police unable to cope with the crimes occurred? Why do the evildoers never be wary to the presence of the police?

Why do many crimes happen?

I will answer this question with the classic answer. The cause is economy demand. It is true if poverty will blind the hearts and minds so that short cut is used to meet the economic demand without considering others.

But actually the most basic sources of the problem that cause someone doing criminal act are mental and education.

Good mental and education are absolute unity that exists in a person if he wants to be a humane person. With hard economic demand, good mental and education will certainly prevent a person to do crime.

Good education and mental can be formed through a good family, good kids come from good father and mother, without a good family it is not possible to create a good personal.

If the role of the family cannot afford, then it should be the government�s role who is obliged to build mental and education for its citizens.

Health Promotion Methods and Techniques

Methods and techniques of health promotion are combination of ways or methods and aids or media used in any health promotion implementation.

Based on the targets, methods and techniques of health promotion are divided into three:

a. Individual health promotion method

This method is used when health promoter and the target can communicate directly, either face to face or through other means of communication, such as telephone. In explaining his client's health problems, health workers can use visual or relevant aids. This is commonly called counseling.

b. Group health promotion method

This is used to groups as the targets. Group target is divided into two; small group (6-15 people) and large group (15-50 people).

The examples of methods and techniques of health promotion for small group are group discussions, brainstorming, snowball method, role play, game simulation, and so on.

The examples of methods and techniques of health promotion for large group are lecture followed by question and answer, seminars and so on.

c. Mass health promotion method

Methods and techniques for mass health promotion that are often used:

1. Public Speaking in public places

2. The use of electronic mass media (radio, television), for example, talk show

3. The use of print media, such as newspapers, magazines, posters

4. The use of outdoor media, such as billboards and banners

Khasiat Dan Manfaat Buah Alpukat

Baik lah,kali ini saya akan membahas tentang Khasiat dan Manfaat Buah Alpukat

         Sinonim : Persea americana Mill, atau Persea gratissima Gaertn.

         Nama Daerah : avokat, advokat, apokat, adpokat, apuket.

         Klasifikasi :

         Bangsa : Laurales

         Suku : Lauraceae

         Marga : Persea

         Jenis : Persea Americana M.

         Deskripsi : 

               Tanaman ini berbentuk pohon, tinggi 3-10 meter. Daun banyak menumpuk di ujung ranting, bentuk oval sampai lonjong, panjang 10-20 cm, lebar 3 cm. Bunga tersusun malai, berwarna putih keunguan. Buah berbentuk bola sampai bulat telur, warna hijau atau hijau kekuningan, berbintik ungu. Biji satu berbentuk bola, berwarna coklat.

Berasal dari Amerika Tengah. Tumbuh didaerah tropik dan sub tropik dengan curah hujan antara 1800-4500 mm per tahun. Tanaman ini cocok hidup didaerah yang sejuk dan basah diketinggian 1-1000 m dpl.

Perbanyakan tanaman menggunakan biji. Pemeliharaan tanaman ini mudah, seperti tanaman lain, dibutuhkan cukup air dengan penyiraman atau menjaga kelembaban tanah dan pemupukan terutama pupuk dasar. Tanaman ini menghendaki tempat yang cukup sinar matahari.

Buah Alpukat

Kendungan Alpukat :

- Buah dan daun mengandung : Saponin alkaloioda dan flavonoid

- Buah mengandung tanin, daun mengandung polifenol, quersetin dan gula alkohol persiit kurang lebih 4,7%

Efek Farmakologi :

Daun : Kelat (adstringent), peluruh kencing (diuretik)

Biji : Anti radang, analgesik

Manfaat Alpukat :

1. Mengobati Sariawan

Sebuah isi (daging buah) alpukat yang sudah masak diberi 2 sendok makan madu murni, diaduk merata lalu makan. Lakukan setiap hari sampai sembuh.

2. Mengobati Kencing Batu

Daun alpukat 4 lembar, 3 buah rimpang teki, 5 tangkai daun randu, setengah biji pinag, 1 buah pala, 3 jari gula enau, dicuci lalu direbus dengan 3 gelas air sampai tersisa 2 1/4 gelas, setelah dingin disaring, minum 3 kali 3/4 gelas.

3. Mengobati Darah Tinggi dan Sakit Kepala

Tiga lembar daun alpukat dicuci bersih lalu diseduh dengan 1 gelas air panas. Minum setelah dingin.

4. Kulit Muka Kering

Buah diambil isinya lalu dilumatkan sampai seperti bubur. Dipakai untuk masker, dengan cara memoles muka yang kering. Muka dibasuh dengan air setelah lapisan masker tersebut mengering.

5. Mengobati Sakit Gigi Berlubang 

Lubang Pada Gigi dimasuki biji alpukat.

6. Mengobati Bengkak Karena Peradangan

Bubuk dari biji secukupnya ditambah sedikit air sampai menjadi adonan seperti bubur, balurkan kebagian tubuh yang sakit.

7. Mengobati Kencing Manis

Biji dipanggang diatas api, dipotong kecil-kecil, kemudian digodok dengan air sampai airnya menjadi coklat. Saring, minum setelah dingin.

8. Mengobati Sakit Kepala, Bengkak Pada Saluran Napas, Rasa Nyeri Syaraf (Neuralgia) dan Datang Haid Yang Tidak teratur.

Daun alpukat dibuat seperti halnya teh, diseduh lalu diminum.

9. Mengobati Nyari Syaraf dan Nyeri Lambung

Daun 3-6 lembar diseduh atau direbus, lalu minum.

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Khasiat Dan Manfaat Alang-Alang

Baik lah,kali ini saya akan membahas tentang Khasiat dan Manfaat Alang-Alang
        Sinonim dari Alang-Alang

        Nama latin Alang-Alang : Imperata cylindrica (L.) Beauv. var. mayor (Nees) C.E.Hubb.,               atau Imperata arundinacea Cyrillo, atau Lagurus cylindricus L.

        Nama Daerah : Ilalang, hilalang, atau kambengan

        Klasifikasi Alang-Alang :

       Bangsa : Poales

       Suku : Gramineae atau Poaceae

       Marga : Imperata

       Jenis : Imperata cylindrica (L.) Beauv. van. mayor (Nees.) C.E.hubb

       Deskripsi Alang-Alang :

             Tanaman semak, menahun, tingginya 1-1,5m. Batang lunak, bulat, pendek, beruas-ruas, berwarna putih keunguan, pada tiap buku terdapat rambut berwarna putih. Daun tunggal berbentuk lanset, tepi rata, ujung meruncing, pangkal menyempit, panjang kurang lebih 1m, lebar kurang lebih 1,5cm, berwarna putih. Akar serabut berwarna putih kotor.

Alang-Alang / Ilalang

Perbanyakan tanaman menggunakan rimpang atau akar tunggal. Tetapi tumbuhan ini tidak perlu ditanam karena akan tumbuh dengan sendirinya ditempat-tempat yang memungkinkan dan tidak memerlukan penanganan khusus. Bisa hidup dikondisi tanah dan iklim yang kurang baik. Merupakan tanaman gulma yang menyerap Nitrogen dan mengakibatkan menurunnya kesuburan tanah.

Kandungan Alang-Alang / Sifat Kimia :

Akar (Rimpang) berasa manis. Saponin, tanin, polifenol, manitol, glukosa, sakharosa, malic acid, citric acid, coixol, arundoin, cylindrin, fernenol, simiarenol, anemonin, asam kersik, damar, logam alkali.

Bagian Tanaman Yang Digunakan :

Akar (Rimpang). Dapat digunakan yang segar atau dikeringkan.

Efek Farmakologi Alang-Alang:

Tumbuhan ini bersifat : Anti Piretik (Menurunkan Panas), Diuretik (Peluruh Kemih), Hemostatik (Mengkentikan Pendarahan), Menghilangkan Haus.

Khasiat Alang-Alang :

1. Muntah Darah : Akar segar 30-60 gram, dicuci bersih, dipotong-potong, digodok dengan 3 gelas air bersih sampai tersisa 1 Gelas.

2. Mimisan : Akar Segar ddicuci bersih, ditumbuk dan diperas airnya sampai terkumpul 100cc, minum. Atau 30 gram akar segar dicuci bersih lalu digodok dengan 3 gelas air sampai tersisa 1 gelas, minum.

3. Air Kemih Berdarah : Rebus 100 gram akar segar dengan 2000cc air 1000cc.

4. Kencing Nanah : Akar segar 300 gram dicuci bersih, dipotong-potong seperlunya, digodok dengan 2000cc air bersih sampai tersisa 1200cc, ditambah gula batu secukupnya. Dibagi 3 kali minum atau sebagai teh. Sepuluh hari untuk 1 cure.

5. Hepatitis Akut Menular : Akar kering 60 gram digodok dengan 3 gelas air bersih sampai tersisa 1 gelas. Dibagi 2 kali minum. 10 hari untuk 1 cure.

6. Rasa Haus Pada Penyakit Campak : Rebus 30 gr akar, minum sebagai teh.

7. Radang Ginjal Akut : Cuci bersih 60-120 gram akar segar, dipotong-potong seperlunya dan digodok dengan 3 gelas air sampai tersisa 1 gelas air. Dibagi untuk 2-3 kali minum. Rebus 60-120 gram pegagan segar, minum secara rutin.

Hasil Penelitian :

Uji pra klinik dilakukan oleh Didik Supriyadi K.B (1998) membuktikan bahwa terjadi peningkatan pengeluaran urine secara bermakna seiring dengan peningkatan dosis air rebusan alang-alang, hal ini menunjukkan adanya efek diuretik pada alang-alang.

Kontra Indikasi : ------

Toksisitas : ------

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