Sunday, February 28, 2010

Mirror – Mirror Who’s the most Beautiful in The World?

At some point, the mirror betrays you. It shakes your sense of youth with vivid signs of aging – little wrinkles around the eyes or lips, age spots, maybe some sagging skin. There used to be few options for turning back the clock without going under the knife. But today, you can soften the signs of aging with a wide range of non-surgical procedures for the face. Learn how these techniques work – and see before-and-after photos.

Botox Basics
If forehead creases are bringing you down, Botox and Dysport injections can provide a temporary fix. Botox is the purified toxin of botulism bacteria. In tiny doses, this toxin relaxes the clenched facial muscles that cause crow’s feet, frown lines, and the like. The injections take only a few minutes and cause minimal discomfort.

Botox: Before and After
Botox injections usually take three to seven days to reach their full effect. The result is smoother skin in the treated area. As the muscles slowly regain the ability to contract, lines and wrinkles reappear. To maintain the desired effect, injections must be repeated every four to six months.

Chemical Peel Basics
Chemical peels use an acid solution to exofliate the outer layers of skin. The solution often contains a combination of glycolic acid, lactic acid, salicylic acid, or trichloro acetic acid (TCA). Application can take as little as 15 minutes and may cause some stinging and irritation. Over the next few days, the upper layers of skin will peel, revealing newer, younger and smoother looking skin.

Chemical Peel: Before and After
A series of treatments can reduce age spots, fine lines around the mouth and eyes, acne scars, and wrinkles caused by sun damage or aging. Mild peels, like the one shown here, have more subtle results. The application may be repeated every few weeks until the desired effect is reached. Deeper peels initially cause swelling and crusting but ultimately have more dramatic results. Moderate to deep peels may be repeated in six to twelve months.

Microdermabrasion Basics
You may have heard of dermabrasion, a procedure that sands away the top layer of skin. It's an effective way to treat severe sun damage, but it causes bleeding and requires a week of recovery time. Microdermabrasion is a non-surgical alternative. Often called a “power peel,” it blasts the skin with tiny crystals that exfoliate the outer layer. This can reduce fine lines, brown spots, and mild acne scars -- usually with no recovery time.

Microdermabrasion: After
As the outer layer of skin is exfoliated, the powdery dead skin cells are suctioned from the face (shown on left). Immediately following microdermabrasion, the newly revealed skin looks pink and feels tight, like a sunburn (shown on right). The irritation usually subsides in about 24 hours leaving subtle improvements in tone and texture. It can take up to 10 sessions, several weeks apart, before the differences are clearly visible.

Thermage Basics
For saggy, crepe-like skin, thermage can come to the rescue. This device uses radio frequency energy to heat the skin. The heat stimulates the body’s production of collagen, tightening the skin. Thermage can be painful, but one treatment is usually enough for good results.

Thermage: Before and After – Eyelids
Droopy eyelids respond particularly well to Thermage. The results won’t appear until four to six months after the procedure, but the difference can be dramatic.

Nonablative Laser (Fraxel) Basics
Nonablative lasers, such as Fraxel, penetrate beneath the surface of the skin without damaging the outer layer. This stimulates collagen production, reduces fine lines, and improves skin tone and firmness. The procedure can be painful, so a topical anesthetic is applied. Because nonablative lasers do not damage surface skin, there is no recovery time.

Nonablative Laser: Before and After
Nonablative laser therapy is a good option for people hoping to improve both skin tone and texture without taking time off from work. Each session may cause mild redness, which improves quickly. For the best results, plan on four to six treatments with several weeks in between.

Nonablative Laser for Melasma
Non-ablative lasers are especially effective in treating melasma, the splotchy brown patches that often develop during pregnancy. This image shows a striking difference in the cheek area after four treatments with a Fraxel laser.

Diode Laser Basics
People with severe acne are experiencing dramatic results from another laser procedure. Diode lasers can destroy the oil-producing glands that feed acne. Like Fraxel, diode lasers penetrate below the surface without damaging the skin’s outer layer. The main side effect is short-term redness and inflammation, but patients usually do not require a recovery period.

Diode Laser: Before and After
Diode laser therapy may require several sessions to maximize results. In this image, acne has improved significantly six months after a series of five diode laser treatments.

Intense Pulse Light (IPL)
Like lasers, IPL goes below the surface to a deeper layer of skin called the dermis. Short pulses of light are administered to heat and destroy targeted cells and stimulate rejuvenation. Unlike a laser, IPL delivers a broad spectrum of light which can treat a variety of skin imperfections at the same time and causes only moderate sensation.

IPL: Before and After
IPL can reduce the redness associated with Rosacea or lighten dark circles under the eyes caused by clusters of blood vessels showing through the skin. Several sessions of IPL vaporize the blood vessels, leaving the surface skin undamaged. IPL can also remove unwanted pigmentation (like melasma and age spots) by destroying pigmented cells.  IPL also stimulates collagen production, which can reduce fine lines and wrinkles.

Cosmetic Filler Basics
Cosmetic fillers are substances that help smooth facial wrinkles and folds by bulking up the tissue underneath. The fillers are injected directly into problem areas in hopes of reducing wrinkle lines and facial creases. Collagen, a natural firming fiber, is the oldest and best-known cosmetic filler. Newer alternatives include hyaluronic acid, calcium hydroxyapatite, and ordinary fat harvested from your own thigh or belly.

Cosmetic Filler: Before and After
The results of hyaluronic acid injection, shown here on the right, can last nine months or longer. The results of collagen injections vary but may need to be repeated every three to six months. The effects of injecting a wrinkle with fat cells are often permanent. Another filler that yields permanent results is polymethyl methacrylate or PMMA. PMMA has long been used by surgeons in bone cement for joint replacement, but is now approved for cosmetic procedures.

Cosmetic Filler: Beyond Wrinkles
Today’s cosmetic fillers have become sophisticated enough to treat problems beyond fine lines and wrinkles. Here, a middle-aged woman’s “sunken cheek” is plumped up with a filler made from human tissue.

Cosmetic Filler for Dark Circles: Before & After
Fillers can also mask tired-looking “bags” and dark circles under the eyes. By filling in the hollow area around the eye socket, this strategy reduces shadows, puffiness, and sunken eye appearance.

Cosmetic Filler for Lips: Before and After
Many of the same cosmetic fillers used to treat wrinkles and dark circles can also plump up the lips. Collagen and hyaluronic acid injections have a temporary effect. Injecting the lips with fat cells sometimes achieves permanent results.

Making the Decision
Non-surgical cosmetic procedures are not without risks. There’s the possibility of an allergic reaction to topical anesthetics or injectable fillers. Chemical peels and microdermabrasion can result in scarring or uneven skin color. But these procedures are generally considered less risky than cosmetic surgery. To assess your personal risks and benefits, talk to your dermatologist.

Friday, February 26, 2010

Sleep and you ( Secrets of sleep )


If you're confiding in a friend about sleep problems, the conversation might turn to topics like not getting enough rest or tossing and turning at night. But what about things your body does during sleep - like drooling, snoring, bedwetting, or passing gas - that you might be embarrassed to talk about by the light of day?

For example, take Kindra Hall, vice president of sales at a network marketing firm in Phoenix. She admits that drooling excessively while sleeping is a major source of embarrassment, especially when she's been caught in the act. Soaked bed pillows and stained throw pillows are constant reminders of her humiliating habit.

"I'm very conscious about saliva control," Hall tells WebMD via email, "but as soon as my eyes are closed and I enter dreamland, all bets are off."

You might not even be aware of your sleeping habits -- until your bed partner clues you in. Sometimes, these behaviors are a part of the natural sleep process. Other times, what you might consider a nuisance -- like snoring -- could be a sign of an underlying sleep problem.

"It's important for people to realize what is a normal phenomenon versus something that needs further evaluation," says William Kohler, MD, medical director of Florida Sleep Institute in Spring Hill, Fla.

Here is the lowdown on your nighttime habits - why they happen and when they could be a sign of something more serious.

Habit #1: Snoring

An estimated 37 million American adults snore on a regular basis, according to the National Sleep Foundation.

Snoring is caused by airway narrowing and tissue vibrations in the nasal passages and throat. Snoring can be associated with colds and allergies, but can also be a sign of a more serious problem, like obstructive sleep apnea.

"It's not really the loudness [that's concerning], it's whether the obstruction that's causing snoring is also causing respiratory impairment at night," Kohler says.

The verdict: Snoring is a common problem, but if you suspect that it's disrupting your sleep, you should get a medical evaluation.

Habit #2: Drooling

Drooling in your sleep can be a normal phenomenon or it can occur in medical conditions that increase salivation, Kohler says. If you drool regularly, you may want to find out if you are at risk for a blocked airway at night or sleep apnea. The verdict: Drooling can be normal, but it can also be associated with other medical conditions.


Habit #3: Sleepwalking

"The odd things that happen in the night that get people's attention tend to be things that are scary or potentially dangerous, like complicated episodes of sleepwalking," says Helene Emsellem, MD, medical director of the Center for Sleep & Wake Disorders in Chevy Chase, Md.

"We should be paralyzed while we're in the dream phase of sleep. If there's a failure of the normal paralysis that protects us from acting out our dreams, then we can potentially be dangerous and inadvertently hurt ourselves or a bed partner," Emsellem says.

In extreme cases, someone might go into the kitchen, turn on the stove, and forget to turn it off without any memory of the incident.

The verdict: If you're acting out complex behaviors during sleep, it's time to see a doctor to figure out what's going on.

Habit #4: Talking in Your Sleep

Talking in your sleep, whether it sounds like a conversation or just mumbling, is usually harmless by itself. But screaming and yelling with intense fear are associated with night terrors, which are more common in children than adults. They occur during REM sleep, so you will not remember it in the morning. The verdict: Don't lose sleep over talking in your sleep.

Habit #5: Bedwetting

Bedwetting is embarrassing and distressing, but a once-in-a-blue-moon episode is not particularly concerning, especially if you're dreaming about going to the bathroom, Emsellem says.

However, repeated bedwetting could indicate a problem, such as nocturnal seizures. Bowel movements during sleep are unusual, Emsellem says, so one instance should merit a visit to the doctor.

The verdict: You can write off one bedwetting episode, but you should see a doctor if you have repeat performances.

Habit #6: Nocturnal Orgasms

Nocturnal orgasms, sometimes referred to as wet dreams, can occur on a regular basis for men and women, typically during REM sleep. That's a normal phenomenon that occurs throughout our life, Kohler says. The Verdict: Completely natural.

Habit #7: Flatulence

Passing gas can occur during sleep, but most people aren't aware of it. "It depends a lot on the GI tract and what you're eating," Kohler says. "There's nothing pathologic, but it can be embarrassing if your partner tells you about it." The verdict: Examine your diet if you're gassing up the entire room.

Habit #8: Twitching

When you're nodding off, you may experience a release phenomenon known as a hypnic jerk. Your body may twitch, or you may experience a visual or audio component like seeing flashing lights or hearing a popping sound. The verdict: Hypnic jerks are generally benign.


By Jennifer Soong
WebMD Feature

Reviewed by Louise Chang, MD

Thursday, February 25, 2010

Curahan Hati Ibu (Untuk Sepupuku yang telah pergi)


  • Kulahirkan anak ini, tetapi dia bukanlah anakku. Kata seorang penyair besar . Baru saat ini kupahami kata-kata tersebut. Karena begitu sakit dan menyedihkan kehilangan seseorang yang sangat dicintai dan dikasihi yaitu seorang anak.


  • 23 tahun yang lalu tepatnya 15 Maret 1986 lahirlah seorang anak laki-laki dari Boy Tampone dan Anintje Adinus yang diberi nama Michael Rusly Tampone…. Begitu muda umurmu anakku sampai kami hampir tak percaya bahwa kau telah tiada….


  • Rusli atau biasa dipanggil Uci merupakan bungsu dari 4 bersaudara yaitu Vecky, Raimond dan Roland… Tak pernah kusangka hal ini begitu cepat berulang, kenapa kau meninggalkan ibu juga anakku setelah kedua kakakmu Vecky dan Roland terlebih dahulu meninggalkanku.., ibu tak pernah menyangka bagaimana bisa kau pergi secepat ini. Tubuhmu kuat kau seorang pelari waktu SMP dulu, kau tahan banting karena kau seorang Paskibraka waktu SMA dulu, kau juga tahu akan kesehatan karena kau seorang anggota Palang merah… Tapi ibu menyadari bahwa rancangan Tuhan adalah yang terbaik dalam hidupmu….


  • Kau pernah bilang bahwa kau ingin menyenangkan ayah dan ibu, kau ingin membantu orang tua. Maka kau merantau untuk bekerja. Kau bekerja di perusahaan pelayaran Taurus tahun 2006-2007, lalu kau bekerja di PT. BIMM tahun 2007-2008 dan terakhir kau kembali pulang dengan bekerja di PD. Tritis Airmadidi tahun 2008-2009… Ibu sangat senang kau kembali pulang dan tak ingin kau pergi lagi… Tapi ibu tahu kau orang yang sangat berambisi kau ingin sukses dan ingin menyenangkan orang tua. Maka kembali kami orang tua harus merelakan kau pergi untuk kedua kalinya ke Samarinda.


  • Tak pernah terlintas dalam pikiranku bahwa kepergianmu kali ini adalah untuk selamanya, ..yah, untuk selamanya... Sekarang kau tertidur kaku ribuan kali kupanggil namamu tapi kau tak pernah menjawab, apa yang harus aku lakukan?... Sekarang usiamu tepat 23 tahun 8 bulan 11 hari setelah melawati perjuangan selama 2 jam di ruang gawat darurat Rs. Dirgahayu samarinda…

  • Uci anakku Kulahirkan engkau tapi engkau bukan milikku, engkau adalah titipan yang Maha Esa dan Dia berhak mengambilmu kapan saja. Kurelakan engkau anakku kurelakan engkau buah hatiku…


  • Kenanglah dia sebagai UCI yang kuartikan sebagai UNTUKMU CINTAKU INI. Cinta untuk ibuku, cinta untuk ayahku, cinta untuk saudara-saudaraku dan cinta untuk sahabat-sahabatku, aku akan selalu ada untuk kalian semua dan aku percaya bahwa aku terus hidup didalam kenangan dan hati kalian semua...


  • Sewaktu aku lahir aku menangis sedangkan orang lain tersenyum melihatku sekarang aku mati aku yang tersenyum dan orang lain yang menangis bagiku. Selamat jalan semuanya, relakan aku dan teruslah hidup agar kenanganku akan terus ada bersama kalian

Friday, February 19, 2010

Benjamin Franklin's Thirteen Virtues

1. TEMPERANCE. Eat not to dullness; drink not to elevation.
2. SILENCE. Speak not but what may benefit others or yourself; avoid trifling conversation.
3. ORDER. Let all your things have their places; let each part of your business have its time.
4. RESOLUTION. Resolve to perform what you ought; perform without fail what you resolve.
5. FRUGALITY. Make no expense but to do good to others or yourself; i.e., waste nothing.
6. INDUSTRY. Lose no time; be always employ'd in something useful; cut off all unnecessary actions.
7. SINCERITY. Use no hurtful deceit; think innocently and justly, and, if you speak, speak accordingly.
8. JUSTICE. Wrong none by doing injuries, or omitting the benefits that are your duty.
9. MODERATION. Avoid extreams; forbear resenting injuries so much as you think they deserve.
10. CLEANLINESS. Tolerate no uncleanliness in body, cloaths, or habitation.
11.TRANQUILLITY. Be not disturbed at trifles, or at accidents common or unavoidable.
12. CHASTITY. Rarely use venery but for health or offspring, never to dulness, weakness, or the injury of your own or another's peace or reputation.
13. HUMILITY. Imitate Jesus and Socrates.