NOVEMBER !!
Senin, 02 November 2009
jd sesungguhnya gw udah lama bgt pengen nulis tp g sempet, kerjaan menyita waktu . Yep !! gw udah kerjaaaa !! ALHAMDULILLAH ;)
banyak bgt yang mau gw ceritain, tp ntar deh kalo gw mood . hahahahahah . . LOVE YOU, BLOGGIE !!
♥ usaha oh usahaaaaa ♥
Minggu, 11 Oktober 2009
Karena gw pikir gw g mungkin g punya modal apa-apa kalo misalnya dipanggil buat interview (amieeenn) maka gw browsing deh nyari-nyari berita apa ajj sih yang harus gw lakuin pas seleksi ?? Gw baru sekali nyobain seleksi dan gw terlalu sombong buat ambil kesempatan dengan alasan kuliah, sekarang gw udah lulus dan gw panik mau dimanaaaaaaaa :((
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Tips seleksi calon penyiar radio
Oleh Alex Santosa 46 Komentar
Kategori: sumber daya manusia
Tags: calon penyiar, narasumber, penyiar, Program Director, radio, sdm, siaran, station manager, sumber daya manusia, tips, wawancara
Seleksi calon penyiar adalah pekerjaan yang sudah akrab dilakukan oleh para program director, manager siaran atau station manager sebuah radio. Dalam posting kali ini saya akan berbagi pengalaman menyeleksi penyiar radio. Semoga bisa bermanfaat, juga bagi anda yang berminat menjadi penyiar radio.
Kemampuan dasar yang harus dimiliki Broadcaster / Newscaster
1. Kemampuan vokal:
* memiliki kualitas vokal yang bagus, bulat dan tidak pecah
* memiliki artikulasi yang jelas
* bisa berekspresi melalui suara
* bisa memainkan intonasi suara
* bisa mengatur kecepatan bicara
* cukup memiliki kemampuan verbal
2. Kemampuan personal:
* suka bicara dan bisa menjadi pendengar yang baik jika berhadapan dengan narasumber / saat melakukan wawancara
* memiliki spontanitas yang baik
* memiliki kepekaan terhadap situasi
* mampu menjaga emosi, terutama pada saat siaran
* percaya diri saat berbicara / siaran
* memiliki rasa ingin tahu
* bisa berkonsentrasi
* memiliki sense of humor
Point-point ini bisa kita temukan di awal seleksi melalui wawancara dan mendengarkan rekaman calon penyiar. Perlu diperhatikan, kualitas vokal yang baik, suka berbicara dan suka mendengar tidak bisa dilatih. Seseorang yang tidak bisa memiliki kemampuan tersebut sulit menjadi seorang penyiar radio. Sedangkan pelamar yang bisa memenuhi kemampuan dasar, akan lebih mudah untuk dilatih menjadi penyiar yang baik.
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There you go . .
Gw rasa sih gw cukup qualified buat kerjaan ini . . Semua nunjuk ke gw, tapi kembali lagi ke rejeki ama hoki yeekan ?? Aahahahahahaahha ;))
Best Wishes :D
DIET ?? Nih, Ada 8 Makanan AJaib yang Bisa Bantu Diet Kalian ;)
Sabtu, 10 Oktober 2009
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8 Foods That Fight Fat

by Lucy Danziger, SELF Editor-in-Chief a Yahoo! Health Expert for Women's Health
Want to lose weight as you chow down? Your wish is granted! (I promise, this is no fairy tale.) Your supermarket is filled with foods that studies show have lipid-melting powers to help melt fat and keep you slim. Stock up on these fat-fighting super bites, and you'll be trimmer even as you indulge. Read on to discover the eight foods that deserve a permanent spot in your fridge—and in your diet!
Almonds These yummy nuts are high in alpha-linolenic acid, which can accelerate your metabolism of fats. In fact, dieters who ate 3 ounces of almonds daily slashed their weight and body-mass index by 18 percent, while those who skipped the nuts reduced both numbers less— just 11 percent—a study in the International Journal of Obesity revealed. Chomp almonds à la carte (limit yourself to 12 per serving to keep calories in check). I get a pack at Starbucks and nibble throughout my day. Or sprinkle them into a recipe such as Black Bean–Almond Pesto Chicken. Go nuts!
Berries I tell my daughter, "These are nature's candy!" Turns out they're also your body's best friends. Strawberries, raspberries and other vitamin C–spiked fruit can supercharge your workout, helping you burn up to 30 percent more fat, research from Arizona State University at Mesa has found. If they're not in season, buy the little gems frozen in a bulk-sized bag so you'll always have them on hand to whip up a Berry Bliss Smoothie or Strawberry-Sunflower Pops, regardless of whether berries are in season.
Cinnamon Adding 1/4 teaspoon to your plate may prevent an insulin spike—an uptick that tells your body to store fat. Sprinkle it on your morning cereal or coffee or on your yogurt in the A.M., or savor it in Apple-Cinnamon-Raisin Oatmeal.
Mustard It's heaven on a soft pretzel, but mustard may also be a weight loss wonder. Turmeric, the spice that gives mustard its color, may slow the growth of fat tissues, a study in the journal Endocrinology finds. Use it on sandwiches instead of mayo, or sprinkle turmeric on cauliflower pre-roasting to give it a kick. Try it on tuna salad—I promise it adds zest.
Oranges This citrus fruit, which contains fat-blasting compounds known as flavones, deserves to be your main squeeze. Women who ate the most flavones had a much lower increase in body fat over a 14-year period, a study in The American Journal of Clinical Nutrition notes. Eat oranges sliced or swig fresh OJ (including pulp!) to get the best benefit from the fruit.
Soybeans Reason to toss a half cup on your salad? Soybeans are rich in choline, a compound that blocks the absorption of fat and breaks down fatty deposits. Oh, and they're addictively delish! But if breast cancer runs in your family, experts suggest you should talk to your doc before adding soy to your diet.
Sweet potatoes The colorful spuds' high-fiber content means they keep your insulin steadier than their white sisters, which means less fat packed on your hips, research finds. Top a small baked tater with lowfat cottage cheese for a tempting side dish, or whip up Miso Soup With Sweet Potato Dumplings.
Swiss cheese Calcium-rich foods reduce fat-producing enzymes and increase fat breakdown, and Swiss has more calcium than many of its cheesy peers. Choose the reduced-fat variety, such as Sargento. Slip it into your sandwich, put it on top of high-fiber crackers or use it for a healthier grilled cheese. Yum!
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ayooo cek deh supply, kira-kira bahan-bahan ini ada g dkulkas kalian ?? Kalo g ada yea beli lah, cyiiinnnn ;p
RAAAAWWRR !!
Untuk menghindari hal-hal yang g diinginkan, gw iseng aje browsing liat-liat berita . . dan gw nemu satu berita yang rada WAW juga kalo dibaca . .
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Jumat, 09/10/2009 16:05 WIB
Kisah Wanita Pecandu Aborsi
Nurul Ulfah - detikHealth
Irene Vilar adalah wanita yang terlahir di Puerto Rico pada tahun 1974, dimana saat itu sebanyak 37 persen wanita yang sudah berkeluarga dimandulkan untuk berpartisipasi dalam sebuah studi yang dilakukan Amerika tentang pemakaian pil aborsi.
Wanita yang mengaku telah melakukan 15 kali aborsi dalam 15 tahun itu dilahirkan dari keluarga berantakan. Ibunya adalah seorang pecandu dan pernah menjalani operasi saluran kemih yang memicunya depresi dan akhirnya meninggal dunia karena bunuh diri. Ayah dan kedua kakak laki-lakinya pun merupakan pecandu heroin.
Pada saat duduk di bangku kuliah, Vilar bertemu dengan seorang profesor berumur 50 tahun yang akhirnya menjadi suaminya. Pernikahannya tidak berjalan dengan baik karena sang suami tidak pernah ingin memiliki anak. Ia percaya bahwa memiliki anak hanya akan menghilangkan keinginan dan kemampuan seksualnya.
Selama pernikahannya dengan sang suami yang lebih tua 34 tahun darinya, vilar sudah melakukan 12 kali aborsi. Sejak awal, suaminya selalu berkata bahwa ia menyukai wanita muda dan tidak gampang sakit hati. Ia pun mengatakan bahwa wanita yang punya anak hanya akan menjadi korban gender dan tidak bisa menikmati kebebasan.
Vilar pun menjadi stres dan selalu mencoba membunuh jabang bayi yang dikandungnya setiap kali ia hamil. Namun anehnya, ketika ia sudah berhasil menggugurkan kandungannya, ia jadi ketagihan untuk melakukannya lagi. Ia merasa harus melakukan sesuatu untuk melukai dirinya sendiri.
"Saya selalu mengonsumsi pil aborsi setiap kali hamil. Tapi setelah aborsi yang ke-9 dan 10, saya merasa ada sesuatu yang kurang jika tidak melakukannya lagi. Lalu ketika hamil lagi, saya merasa senang karena dapat melakukan aborsi lagi," ujar Vilar seperti dikutip dari Jezebel, Jumat (9/10/2009).
Vilar akhirnya mengakhir perkawinannya dengan sang professor pada tahun ke-8 pernikahannya. Ia merasa tidak tahan lagi dengan sikap suaminya yang narsis dan suka mengatur.
Ia pun mengaku bahwa keberaniannya membuat buku yang berjudul Impossible Motherhood terinspirasi dari kisah keluarganya yang sebagian besar pecandu narkoba dan juga keadaan ekonominya yang terpuruk.
Namun dalam bukunya itu banyak pertanyaan yang tidak terjawab seperti bagaimana ia bisa hamil beberapa kali? Apa yang terlintas di kepalanya saat melakukan aborsi atau sudah pernahkah ia mencoba cara lain untuk mencegah kehamilan seperti pemakaian kondom?
Para ahli mengatakan bahwa Vilar mungkin mengalami gangguan mental. Namun mereka tidak terlalu terkejut dengan kasus yang dialami Vilar, karena hampir 10 persen wanita yang melakukan aborsi berulang-ulang, biasanya akan kecanduan dan terus melakukannya lagi.
Meskipun Vilar merasa tindakannya sudah membuatnya ketagihan, namun ia merasa sangat terganggu dan tidak ingin ada orang lain yang melakukan hal yang sama seperti dirinya.
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Jadi singkatnya, si Ibu Vilar ini awalnya ngelakuin aborsi karna suaminya g mau punya anak, dan setelah aborsi yang ke-9 dan ke -10, doski malah ketagihan buat ngebunuh bayinya . . quote, cyiiinnn . . "ngebunuh bayi" !! Diantara begitu banyak hal yang bisa jadi candu, dan dia kecanduan bunuh bayi . . Padahal diluar sana banyak bgt yang usaha mati-matian biar bisa punya anak . . ckck !! Emang sih diduga Ibu Vilar ini ngalamin gangguan jiwa, tapi kepikiran g sih nyawa anak-anaknya yang g berdosa, brojol kedunia aja belom, eh udah dibunuh . . Ngerenggut hak buat liat dunia . . Ya Allah . .
ISU, dan itu isu yang JAHAT !!
Selasa, 06 Oktober 2009
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Ini berita yang gw copas dari www.detik.com
Surabaya Digoyang Isu Gempa, BMKG Minta Warga Tidak Percaya
Budi Sugiharto - detikSurabaya

screenshot facebook
Surabaya - Sejumlah warga Kota Surabaya resah. Sebab ada kabar jika Kota Pahlawan berpotensi gempa berkekuatan besar.
Sumber kabar itu berasal dari situs jejaring sosial faceboook. Seorang facebooker mengirimkan pesan di dinding seorang jurnalis Surabaya Hendro D Laksono yang pesannya membuat siapapun yang membaca bakal meradang.
Bunyi pesan dari Qusnul Tauhid itu adalah: "Surabaya Berpotensi Gempa Pukul 01.00 kekuatan 8,8 SR (Sumber BMKG)". Entah dari mana asal usul kabar itu, apalagi menyebut waktu akan terjadinya gempa.
Benarkah? Hendro mendapat kabar itu kontan terkejut. Dia yang menghubungi detiksurabaya.com mencoba mengklarifikasi kebenaran kabar itu.
"Info itu bener?" tanya Hendro, Rabu (7/10/2009). "Apa benar?" tanya seorang facebooker ini kembali.
Selain itu, facebooker lainnya juga deg-degan. Sebab mereka juga menerima informasi bahwa Jawa Timur berpotensi gempa besar. Di facebook, isu gempa akan terjadi lagi ini telah meluas.
Dari penelusuran detiksurabaya.com, isu itu sudah dibantah oleh Badan Meteorologi Klimatologi dan Geofisika (BMKG). Dalam situs resminya BMKG mengklarifikasi isu yang meresahkan tersebut.
"Badan Meteorologi, Klimatologi dan Geofisika menyatakan bahwa isu akan terjadi gempabumi dengan skala besar adalah isu belaka. Masyarakat diharapkan tidak percaya akan isu tersebut. Sampai saat ini, belum ada teknologi yang mampu mendeteksi kapan, dimana serta kekuatan gempabumi akan terjadi".
Seperti dilansir situs BMKG, bahwa prediksi gempa bumi masih dalam taraf penelitian. Parameter prediksi adalah lokasi, besarnya dan waktunya. Perkiraan lokasi dan besarnya gempa dapat saja dilakukan, namun tantangan yang paling sulit adalah menjawab kapan gempa tersebut terjadi.
(gik/gik)
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Gempa di Jawa Selatan dan Bali ??
DAMN !! Gw langsung mikir, bener juga !! 7,6 ajj udah buat Padang kek gini, gimana 8,8 skala Richter ?? Sumpah yah, khawatir ma nasib sodara-sodara kita yang tinggal di Jawa Selatan ma Bali, dan dengan gempa sebesar itu, bukan g mungkin kita yang tinggal di Jawa Barat juga kena imbasnya kan ?? Belum beres penderitaan korban gempa di Padang dan sekarang ditambah lagi ini ?? Astagfirulloh, what are You trying to tell us, dear God ?? :((
Gw coba cek di BMG, g ada warning gempa, tapi MetroTV bilang bakal ada gempa berkekuatan 8,0 skala Richter . Okay, meleset dari yang gw baca di twitter, tapi 8,0 bukan gempa yang kecil !! Tapi katanya itu cuma isu, dan gw berdoa sepenuh hati kalo itu cuma isu .
Gw sekarang lagi nunggu detik-detiknya, sekarang jam 12.20 . . 40 menit lagi .
INSOMNIA raaawwrr !!
Senin, 05 Oktober 2009
gw insomnia . .
kadang ilang kadang g .
gw pernah g bisa tidur 5 hari,
dan hasilnya gw kek org bego dkampus,
bengong,
bego,
g connect . .
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ini artikel yg gw copas dr http://en.wikipedia.org/wiki/Insomnia#Types_of_insomnia
Insomnia is a symptom of any of several sleep disorders, characterized by persistent difficulty falling asleep or staying asleep despite the opportunity. Insomnia is a symptom, not a stand-alone diagnosis or a disease. By definition, insomnia is "difficulty initiating or maintaining sleep, or both" and it may be due to inadequate quality or quantity of sleep. It is typically followed by functional impairment while awake. Both organic and non-organic insomnia without other cause constitute a sleep disorder, primary insomnia.
Types of insomnia
Although there are several different degrees of insomnia, three types of insomnia have been clearly identified: transient, acute, and chronic.
- Transient insomnia lasts from days to weeks. It can be caused by another disorder, by changes in the sleep environment, by the timing of sleep, severe depression, or by stress. Its consequences - sleepiness and impaired psychomotor performance - are similar to those of sleep deprivation.
- Acute insomnia is the inability to consistently sleep well for a period of between three weeks to six months.
- Chronic insomnia lasts for years at a time. It can be caused by another disorder, or it can be a primary disorder. Its effects can vary according to its causes. They might include sleepiness, muscular fatigue, hallucinations, and/or mental fatigue; but people with chronic insomnia often show increased alertness. Some people that live with this disorder see things as though they were happening in slow motion, whereas moving objects seem to blend together. Can cause double vision.
Patterns of insomnia
The pattern of insomnia often is related to the etiology. Insomnia affects 1 in 3 people.
- Onset insomnia - difficulty falling asleep at the beginning of the night, often associated with anxiety disorders.
- Middle-of-the-Night Insomnia - Insomnia characterized by difficulty returning to sleep after awakening in the middle of the night or waking too early in the morning. Also referred to as nocturnal awakenings. Encompasses middle and terminal insomnia.
- Middle insomnia - waking during the middle of the night, difficulty maintaining sleep. Often associated with pain disorders or medical illness.
- Terminal (or late) insomnia - early morning waking. Often a characteristic of clinical depression.
Causes
Insomnia can be caused by:
- Psychoactive drugs or stimulants, including certain medications, herbs, caffeine, cocaine, ephedrine, amphetamines, methylphenidate, MDMA, methamphetamine and modafinil
- Fluoroquinolone antibiotic drugs, see Fluoroquinolone toxicity, associated with more severe and chronic types of insomnia
- Restless Legs Syndrome can cause insomnia due to the discomforting sensations felt and need to move the legs or other body parts to relieve these sensations. It is difficult if not impossible to fall asleep while moving.
- Any injury or condition that causes pain. Pain can preclude an individual from finding a comfortable position in which to fall asleep, and in addition can cause awakening if, during sleep, the person rolls over and puts pressure on the injured or painful area of the body.
- Hormone shifts such as those that precede menstruation and those during menopause
- Life problems like fear, stress, anxiety, emotional or mental tension, work problems, financial stress, unsatisfactory sex life
- Mental disorders such as bipolar disorder, clinical depression, generalized anxiety disorder, post traumatic stress disorder, schizophrenia, or obsessive compulsive disorder.
- Disturbances of the circadian rhythm, such as shift work and jet lag, can cause an inability to sleep at some times of the day and excessive sleepiness at other times of the day. Jet lag is seen in people who travel through multiple time zones, as the time relative to the rising and setting of the sun no longer coincides with the body's internal concept of it. The insomnia experienced by shift workers is also a circadian rhythm sleep disorder.
- Estrogen is considered to play a significant role in women’s mental health (including insomnia). A conceptual model of how estrogen affects mood was suggested by Douma et al. 2005 based on their extensive literature review relating activity of endogenous, bio-identical and synthetic estrogen with mood and well-being. They concluded the sudden estrogen withdrawal, fluctuating estrogen, and periods of sustained estrogen low levels correlated with significant mood lowering. Clinical recovery from depression postpartum, perimenopause, and postmenopause was shown to be effective after levels of estrogen were stabilized and/or restored.
- Certain neurological disorders, brain lesions, or a history of traumatic brain injury
- Medical conditions such as hyperthyroidism and rheumatoid arthritis
- Abuse of over-the counter or prescription sleep aids can produce rebound insomnia
- Poor sleep hygiene, e.g., noise
- Parasomnia, which includes a number of disruptive sleep events including nightmares, sleepwalking, violent behavior while sleeping, and REM behavior disorder, in which a person moves his/her physical body in response to events within his/her dreams
- A rare genetic condition can cause a prion-based, permanent and eventually fatal form of insomnia called fatal familial insomnia
- Parasites can cause intestinal disturbances while sleeping.[citation needed]
- Sometimes a rare case of insomnia is also seen in individuals who have long hours of consistent television watching or computer surfing.[citation needed]
Sleep studies using polysomnography have suggested that people who have insomnia with sleep disruption have elevated nighttime levels of circulating cortisol and adrenocorticotropic hormonepositron emission tomography (PET) scans indicate that people with insomnia have higher metabolic rates by night and by day. The question remains whether these changes are the causes or consequences of long-term insomnia. They also have an elevated metabolic rate, which does not occur in people who do not have insomnia but whose sleep is intentionally disrupted during a sleep study. Studies of brain metabolism using
Insomnia can be common after the loss of a loved one, even years or decades after the death, if they have not gone through the grieving process. Overall, symptoms and the degree of their severity affect each individual differently depending on their mental health, physical condition, and attitude or personality.
A common misperception is that the amount of sleep required decreases as a person ages. The ability to sleep for long periods, rather than the need for sleep, appears to be lost as people get older. Some elderly insomniacs toss and turn in bed and occasionally fall off the bed at night, diminishing the amount of sleep they receive.
Epidemiology
The National Sleep Foundation's 2002 Sleep in America poll showed that 58% of adults in the U.S. experienced symptoms of insomnia a few nights a week or more. Although insomnia was the most common sleep problem among about one half of older adults (48%), they were less likely to experience frequent symptoms of insomnia than their younger counterparts (45% vs. 62%), and their symptoms were more likely to be associated with medical conditions, according to the 2003 poll of adults between the ages of 55 and 84.
Diagnosis
Specialists in sleep medicine are qualified to diagnose the many different sleep disorders. Patients with various disorders including delayed sleep phase syndrome are often mis-diagnosed with insomnia.
If a patient has trouble getting to sleep, but has normal sleep pattern once asleep, a circadian rhythm disorder is a likely cause.
Sleep duration and mortality
A survey of 1.1 million residents in America conducted by the American Cancer Society found that those who reported sleeping about 7 hours per night had the lowest rates of mortality, whereas those who slept for fewer than 6 hours or more than 8 hours had higher mortality rates. Getting 8.5 or more hours of sleep per night increased the mortality rate by 15%. Severe insomnia - sleeping less than 3.5 hours in women and 4.5 hours in men - also led to a 15% increase in mortality. However, most of the increase in mortality from severe insomnia was discounted after controlling for comorbid disorders. After controlling for sleep duration and insomnia, use of sleeping pills was also found to be associated with an increased mortality rate.
The lowest mortality was seen in individuals who slept between six and a half and seven and a half hours per night. Even sleeping only 4.5 hours per night is associated with very little increase in mortality. Thus mild to moderate insomnia for most people may actually increase longevity and severe insomnia has only a very small effect on mortality.
As long as a patient refrains from using sleeping pills there is little to no increase in mortality associated with insomnia but there does appear to be an increase in longevity. This is reassuring for patients with insomnia in that despite the sometimes unpleasantness of insomnia, insomnia itself appears to be associated with increased longevity.
It is unclear why sleeping longer than 7.5 hours is associated with excess mortality.
Insomnia versus poor sleep quality
Poor sleep quality can occur as a result of sleep apnea or clinical depression. Poor sleep quality is caused by the individual not reaching stage 4 or delta sleep which has restorative properties. There are, however, people who are unable to achieve stage 4 sleep due to brain damage who lead perfectly normal lives.
Sleep apnea is a condition that occurs when a sleeping person's breathing is interrupted, thus interrupting the normal sleep cycle. With the obstructive form of the condition, some part of the sleeper's respiratory tract loses muscle tone and partially collapses. People with obstructive sleep apnea often do not remember awakening or having difficulty breathing, but they complain of excessive sleepiness during the day. Central sleep apnea interrupts the normal breathing stimulus of the central nervous system, and the individual must actually wake up to resume breathing. This form of apnea is often related to a cerebral vascular condition, congestive heart failure, and premature aging.
Major depression leads to alterations in the function of the hypothalamic-pituitary-adrenal axis, causing excessive release of cortisol which can lead to poor sleep quality.
Nocturnal polyuria, excessive nighttime urination, can be very disturbing to sleep.
Treatment for insomnia
In many cases, insomnia is caused by another disease, side effects from medications, or a psychological problem. It is important to identify or rule out medical and psychological before deciding on the treatment for the insomnia. Attention to sleep hygiene is an important first line treatment strategy and should be tried before any pharmacological approach is considered.
Non-pharmacological strategies
Non-pharmacological strategies are superior to hypnotic medication for insomnia because tolerance develops to the hypnotic effects as well as dependence can develop with rebound withdrawal effects developing upon discontinuation. Hypnotic medication is therefore only recommended for short term use. Non pharmacological strategies however, have long lasting improvements to insomnia and are recommended as a first line and long term strategy of managing insomnia. The strategies include attention to sleep hygiene, stimulus control, behavioral interventions, sleep-restriction therapy, patient education and relaxation therapy.
The latter can include meditation. For example Siddhārtha Gautama, 'The Buddha', recommended the practice of 'loving-kindness' meditation, or mettā bhāvanā as a way to produce relaxation and thereby, sound sleep.
A powerful non-pharmacological relaxation technique is floatation therapy which involves floating in a warmed salt solution in a float centre or personal float tank. The physiological relaxation effect is often effective in allowing natural sleep in the float tank and/or afterwards in bed rest. Those people who have experimented with floating as a treatment for insomnia, have sometimes found that one session is enough to initiate a normal sleep pattern.[citation needed]
Cognitive behavior therapy
A recent study found that cognitive behavior therapy is more effective than hypnotic medications in controlling insomnia.[citation needed] In this therapy, patients are taught improved sleep habits and relieved of counter-productive assumptions about sleep. Hypnotictolerance. The effects of cognitive behavior therapy have sustained and lasting effects on treating insomnia long after therapy has been discontinued. The addition of hypnotic medications with CBT adds no benefit in insomnia. The long lasting benefits of a course of CBT shows superiority over pharmacological hypnotic drugs. Even in the short term when compared to short term hypnotic medication such as zolpidem (Ambien), CBT still shows significant superiority. Thus CBT is recommended as a first line treatment for insomnia. medications are equally effective in the short term treatment of insomnia but their effects wear off over time due to
Medications
Many insomniacs rely on sleeping tablets and other sedatives to get rest. All sedative drugs have the potential of causing psychological dependence where the individual cannot psychologically accept that they can sleep without drugs[citation needed]. Certain classes of sedatives such as benzodiazepines and newer nonbenzodiazepine drugs can also cause physical dependence which manifests in withdrawal symptoms if the drug is not carefully titrated down. The benzodiazepinenonbenzodiazepine hypnotic medications also have a number of side effects such as day time fatigue, delayed reaction time, cognitive impairments and falls and fractures. Elderly people are more sensitive to these side effects. and
In comparing the options, a systematic review found that benzodiazepines and nonbenzodiazepines have similar efficacy which was not significantly more than for antidepressants.[25] Benzodiazepines did not have a significant tendency for more adverse drug reactions.[25] Chronic users of hypnotic medications for insomnia do not have better sleep than chronic insomniacs who do not take medications. In fact, chronic users of hypnotic medications actually have more regular nighttime awakenings than insomniacs who do not take hypnotic medications.[26] A further review of the literature regarding benzodiazepine hypnotic as well as the nonbenzodiazepines concluded that these drugs caused an unjustifiable risk to the individual and to public health and lack evidence of long term effectiveness. The risks include dependence, accidents and other adverse effects. Gradual discontinuation of hypnotics in long term users leads to improved health without worsening of sleep. Preferably hypnotics should be prescribed for only a few days at the lowest effective dose and avoided altogether wherever possible in the elderly.
Benzodiazepines
The most commonly used class of hypnotics prescribed for insomnia are the benzodiazepines. Benzodiazepines bind unselectively to the GABAA receptor. These include drugs such as temazepam, flunitrazepam, triazolam, flurazepam, midazolam, nitrazepam and quazepam. These drugs can lead to tolerance, physical dependence and the benzodiazepine withdrawal syndromeREM sleep. A further problem is with regular use of short acting sleep aids for insomnia, day time rebound anxiety can emerge. upon discontinuation, especially after consistent usage over long periods of time. Benzodiazepines while inducing unconsciousness, actually worsen sleep as they promote light sleep whilst decreasing time spent in deep sleep such as
Non-benzodiazepines
Nonbenzodiazepine sedative-hypnotic drugs, such as zolpidem, zaleplon, zopiclone and eszopiclone, are a newer classification of hypnotic medications. They work on the benzodiazepine site on the GABAA receptor complex similarly to the benzodiazepine class of drugs. Some but not all of the nonbenzodiazepines are selective for the α1 subunit on GABAA receptors which is responsible for inducing sleep and may therefore have a cleaner side effect profile than the older benzodiazepines. Zopiclone and eszopiclone like benzodiazepine drugs bind unselectively to α1, α2, α3 and α5 GABAA benzodiazepine receptors. Zolpidem is more selective and zaleplon is highly selective for the α1 subunit, thus giving them an advantage over benzodiazepines in terms of sleep architecture and a reduction in side effects. However, there are controversies over whether these non-benzodiazepine drugs are superior to benzodiazepines. These drugs appear to cause both psychological dependence and physical dependence though less than traditional benzodiazepines and can also cause the same memory and cognitive disturbances along with morning sedation.
Antidepressants
Some antidepressants such as amitriptyline, doxepin, mirtazapine, and trazodone can often have a very strong sedative effect, and are prescribed off label to treat insomnia.[33] The major drawback of these drugs is that they have antihistaminergic, anticholinergic and antiadrenergicsleep architecture. As with many benzodiazepines, the use of antidepressants in the treatment of insomnia can lead to physical dependence; withdrawal may induce rebound insomnia and actually further complicate matters in the long-term. properties which can lead to many side effects. Some also alter
Mirtazapine is known to decrease sleep latency, promoting sleep efficiency and increasing the total amount of sleeping time in patients suffering from both depression and insomnia [34] [35]
Melatonin and melatonin agonists
The hormone and supplement melatonin is effective in several types of insomnia. Melatonin has demonstrated effectiveness equivalent to the prescription sleeping tablet zopiclone in inducing sleep and regulating the sleep/waking cycle. One particular benefit of melatonin is that it can treat insomnia without altering the sleep pattern which is altered by many prescription sleeping tablets. Another benefit is it does not impair performance related skills.
Melatonin agonists, including ramelteon (Rozerem) and tasimelteon, seem to lack the potential for abuse and dependence. This class of drugs has a relatively mild side effect profile and lower likelihood of causing morning sedation. While these drugs show good effects for the treatment of insomnia due to jet lag, the results for other forms of insomnia are less promising.
Natural substances such as 5-HTP and L-Tryptophan have been said to fortify the serotonin-melatonin pathway and aid people with various sleep disorders including insomnia.
Antihistamines
The antihistamine diphenhydramine is widely used in nonprescription sleep aids such as Tylenol PM, with a 50 mg recommended dose mandated by the FDA. In the United Kingdom, Australia, New Zealand, South Africa, and other countries, a 25 mg to 50 mg recommended dose is permitted. While it is available over the counter, the effectiveness of these agents may decrease over time and the incidence of next-day sedation is higher than for most of the newer prescription drugs. Dependence does not seem to be an issue with this class of drugs.
Cyproheptadine is a useful alternative to benzodiazepine hypnotics in the treatment of insomnia. Cyproheptadine may be superior to benzodiazepines in the treatment of insomnia because cyproheptadine enhances sleep quality and quantity whereas benzodiazepines tend to decrease sleep quality.
Atypical antipsychotics
Low doses of certain atypical antipsychotics such as quetiapine, olanzapine and risperidone are also prescribed for their sedative effect but the danger of neurological and cognitive side effects make these drugs a poor choice to treat insomnia. Over time, quetiapine may lose its effectiveness as a sedative. The ability of quetiapine to produce sedation is determined by the dosage. Higher doses (300 mg - 900 mg) are usually taken for its use as an antipsychotic, while lower doses (25 mg - 200 mg) have a marked sedative effect, e.g. if a patient takes 300 mg, he/she will more likely benefit from the drug's antipsychotic effects, but if the dose is brought down to 100 mg, it will leave the patient feeling more sedated than at 300 mg, because it primarily works as a sedative at lower doses.
Eplivanserin is an investigational drug with a mechanism similar to these antipsychotics, but probably with less side effects.
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there you gooooooo, peeps !!
Katanya Bangga Sama Produk Indonesia ??
Contoh nyata dari kekonyolan mereka adalah :
- Kalo kalian sadar, banyak juga produsen iklan yang make salah satu tokoh besar negara adidaya itu di iklan mereka, bawa-bawa namanya segala . Please deh, dia itu cuma numpang tinggal di negara kita beberapa taun, cuma numpang belajar di sekolah dasar kita berapa taun, kalopun kita pake nama dan figur dia di iklan kita, apa lantas dia jadi peduli ma negara kita ?? g kan ?? terus kenappaaaaaa begitu bangga ?? emang apa sih yang dia lakuin buat kita ? lunasin utang-utang kita ?? g kan ?? ckck !!
- Kalo yang buat sh*tnetron, ditengah-tengah hujatan kita buat negara tetangga kita yang seenak udel nge-claim kebudayaan kita, kuliner kita, terus kenapa dengan cerdasnya kita punya sh*tnetron yang make bahasa itu, kalo g salah itung ada 3 sh*tnetron . . okelah kalo terinspirasi, tapi gimana kalo ntar mereka balik nunding kita nge-claim milik mereka ?? wayoloh, bingung kn ??
Jangan cuma bisa ngehujat, mikir duluuuu . . Jangan cuma banyakin ngomong, react doonnnggg !! G mau kan negara kita ditunding jadi negara yang NATO (No Action Talk Only) ?? Kalo emang kita sayang negara kita, kita lakuin ajj hal yang kita bisa, g perlu ikut-ikutan nge-kritik kalo g ngerti, toh kalo kita yang jalanin posisi dia juga belum tentu kita bisa sebaik dia, bukan ?? :)
EARTHQUAKE PHENOMENON
Dapet info dari temen yang ngubek-ngubek om gugel, katanya sebenernya dibumi TIAP HARI DISERANG GEMPA !! KYAAAAA !! *eidih heboh z* ya tapi gempanya g besar, Cuma 2 ato 3 skala richter, g bisa dibandingin sama gempa yang terjadi di salah satu provinsi dinegara kita, yep, PADANG . hemm*
Gempa di Padang emang dasyat, diberitain ampe sekarang udah ada 775 korban yang meninggal dunia . Bangunan rubuh . Bau mayat udah mulai menyengat dari mana-mana. Dan yang lebih nyereminnya lagi, ternyata fenomena gempa ini dicantumin di AL-QUR’AN !! Subhannallah . . merindiiinnnnngggggg nii pas nulis >,<
Udah banyak bantuan yang disalurkan buat korban, artis-artis juga bikin lelang di Twitter buat ngumpulin dana untuk para korban gempa, dari mulai: makanan instant, obat-obatan, pakaian, tapi sayangnya g ada satu yang amat crucial, AIR BERSIH . Ya Allah g kebayang kalo gw yang kena musibah itu . . Alhamdulillah semua temen-temen gw yang tinggal di Padang masih selamet, masih bisa OL malah . Jadi gw anggep itu sebagai good sign :D
Tapi yang gw g abis pikir, diantara segitu banyak orang yang berusaha nolong, masih adaaaaaaaaa aja orang yang nyari keuntungan buat pihaknya sendiri . Maskapai penerbangan yang ngeliat kesempatan buat ngeruk keuntungan lebih banyak karena ngeliat begitu banyak orang yang mau ke Padang buat nyari sodara-sodaranya atau sekedar ngasih bantuan . Yang ada diotak gw sih, KO TEGAAAAAAAAAAAAAAAAAAAAAAAA ??!! Gila yah, ibaratnya sodara sendiri lagi kesusahan tapi masih aja dipersulit, g ngaca apa kalo kejadiannya nimpa mereka sendiri ?? EMOSI JIWA !!
KOMPOR meleduk !!
Sabtu, 03 Oktober 2009
dulu tuh temenan dekeeettt deh tapi ternyata they stabbed me in my back . . WHOAAA !!
and they seems to be okay with that .
ckckck !!
yang paling memprihatinkan,
dari orang-orang yang saya sebut "mereka" ini, ternyata juga saling nusuk dari belakang . . ASTAGA !!
ular berbisaaaaaa ~
g pandang gender, g pandang umur, sama ajj semuanya .
it's not like gw g pernah ngmgin orang dibelakang,
tapi gw g pernah so' baik didepan mereka,
g mau juga ah bermuka dua .
satu ajj udah caem ko ;p
mau bukti ??
dan sebenernya gw g bangga ma apa yang gw lakuin,
tapi gw rasa gw emang harus lakuin itu pada saat itu .
didalem komunitas gw ini,
ada 1 cowo, dya udah punya pacar, 1 komunitas sama gw ma cowo itu jg,
dan dya masih berani dooonnggg flirting-flirting ma cewe laen yang notabene masih 1 KOMUNITAS JUGA !!
astagaaaa . .
akhirnya yah gw serang ajj,
pertamanya nyindir,
eh doi g ngeh,
tau-tau muncul cewe-cewe yang emang pernah jadi mangsa keganjenan dya juga,
dan akhirnya cowo itu g pernah flirting ma cewe-cewe dkomunitas lagi,
setidaknya g terang-terangan ;p
dan masalah gw ama kompor-kompor ini,
sebenernya dimulai dari 1 orang, trus ngerembet karena kompor yang ternyata g suka ma gw ini emang ratu kompor . . 10 JARI TENGAH BWT LO, BIATCH !!
dan LUCUNYA,
masalahnya sepele yang sebenernya g harus ada kalo dya g ikut campur urusan gw .
ngerasa kalah, eh, jadi kompor deh .
PATHETIC !!
dan kebetulaaannnnn,
dya deket sama 1 cowo kompor juga,
jadi deh RATU SAMA RAJA KOMPOR BERSATU :)
perlahan-lahan orang-orang yang gw anggep temen itu menghilang,
gw tanyan kenapa ngilang ?
jawabnya ba-bi-bu . .
dan gw sadar,
pasti gw difitnah .
tapi ya udah c,
gw juga jadi bisa bedain mana real friends ma backstabber . .
lo udah ngeringanin kerja gw,
thanks dari dasar hati gw bwt lo :D
walopun gw g bisa jamin kalo orang-orang yang saat ini gw anggep real friends g bakal jd backstabber juga,
but hey,
trust is beatiful, dan lo g ngehargain hal itu .
lo emang g pantes jd temen gw .
lo dan anak-anak buah yang udah lo ketekin,
semua g pantes jadi temen gw .
gw malah iba ama anak-anak buah lo,
dan karena gw g ngerasa gw punya masalah ma mreka,
gw bakal tetep berusaha baek ma mereka . .
kecuali mereka yg mulai maen api ma gw,
gw g akan diem ajj .
ati-ati milih temen,
atu-ati sebelom lo naro kepercayaan lo bwt orang laen,
karena ternyata backstabber masih merajalela :)
take care, peeps !!
Random Thoughts
Jumat, 02 Oktober 2009
Today I’m so in the mood of writing, so I’m writing the 3rd post :p Hello, Hello . . Is there anyone who’s still awake ?? It’s about 5 A.M now, so I guess not . . heheheh !! While I was reading some books, my thought’s always branches into several thoughts . Silly, huh ??
Rite now, I’m reviewing my relationship with my boyfriend . It’s beautiful . But sometimes, I felt like he doesn’t enjoying the moments as mush as I do . Is it common ?? Sometimes I felt like he’s so out of reach, then he’s so close . I realize that we had so difference, but that difference shouldn’t be a big problem, rite ?? We can’t expect someone to be EXACTLY like you want to be . . hhh . . but why do I still complain about it ??
Back then, I was so darn insensitive . Even he did said that . I used to think that being sensitive is troublesome . Being sensitive made me think about everything in several ways . . and that ways, sometimes are not so good . We that so-not-good thought come up, I might’ve get jealous . I really hate getting jealous . . because I too, doesn’t like to be jealous on . The main reason about me being insensitive is I just don’t wanna get hurt like I did back then . But he demands me to become sensitive, he should be the one whose responsible about me being like this L
Rite now, I’m being sensitive, maybe the hormone does affect my actions . Well you know, we women having periods and all . I don’t want to start a fight by being jealous, that’s not cute at all . But hey, boys could be really insensitive too, rite ?? What should I do T.T
History of a Name
- Widy, sebenernya amat sangat obvious sih, nama gw aja Widy Yurianisah, jadi orang manggil gw pake nama depan gw dah .
- Galuh, ini panggilan dari embah gw . Katanya artinya INTAN ato PERMATA ato BERLIAN gitu lah . Intinya biar gw gedenya cantik, dan gw rasa, gw cukup menarik ko . . ahahahahahah :)
- Bubu, ini panggilan waktu SMA . Tragis sebenernya sih . Jadi, waktu gw jaman SMA, cewe-cewe lagi kena sindrom demen bgt ama semua hal yang berhubungan ma babi . DAN YESSSS !! GW JUGA KENA !! Akibat gw suka ngmg dan tulis-tulis Bubu sebagai kata yang gw ucapin tiap liat barang-barang yang ada babinya, jadi yah, gw dipanggil Bubu . *I swear, I don’t look like a pig !! I’m a little bit cuter :p*
- Crestia, naaahhhh !! Nama ini nih yang eksis ampe sekarang . Ceritanya luar biasa breathtaking !! Seru bgt !! Jadi gini, gw adalah pencinta bulan sabit, soalnya canttiiikkk bgt, tapi misterius . Eh, ada 1 orang yang bilang gw kaya bulan sabit looohhhhh !! *kedipikedip* tapi crita tentang doi ntar aje kalo lagi mood :p Lanjut, bahasa Inggrisnya bulan sabit apaaaaaa, anak-anak ?? YAP, CRESCENT !! See the connection ?? No ?? Geez . . Okay, I’ll tell you more . Jadi, gw kan demen bgt maen Pokemon, karakternya bisa pilih cewe ato cowo, sebagai cewe yang sangat wanita, lady, princessa, maka gw pilih karakter cewe dooonnnnggg !! Pas gw mau masukin nama Crescent tau-tau g cukup . Hati gw pedih bgt saat itu, hancur, rasanya seperti dipukuli Mike Tyson setelah 3 hariiiiiiiiiii !! Maka, dengan segala kreatifitas yang tersisa, gw hapus huruf C dan E *soalnya N ama T-nya g cukup* dan gw berpikir keras buat membuat nama itu jadi lebih wanita, dan YESSS !! Dengan tangan gemetar menahan kebahagiaan yang mendadak membuncaaaaahhhhh, gw ketik huruf T, I dan A dibelakang CRES . . jadilah, TA-DAAAAA !! CRESTIA !! huhuy !! Nama ini gw pake di FS gw, dan abang gw juga manggil gw pake sebutan ini, jadi yah gitu deh, gw lebih terkenal dengan nama Crestia dibanding Widy kalo didunia maya . Nama ini tetep gw pake di account FB ma twitter gw . WHOOOOAAA !! Nama ini merubah idup gw !!! *lebay*
- Terakhir, Cle . Nama ini gw dapet waktu gw pacaran ma mantan gw . Dia Chinesse dan dia bilang nama gw ribet, jadi dia panggil gw Cle . Dia bilang it stands for CLEOPATRA . Seharusnya gw tau sih hal yang terlalu indah tuh bakal cepet ato lambat berakhir . So it ends after 3 months . Tapi gw bakal simpen nama ini . Thank You . Don’t get too sentimental, gw cuma demen aje dia panggil gw Cleopatra, secara Cleopatra terkenal ma kecantikannya kan ?? Jadi gw GR !! ahahahha :DD
Nah, itu semua nama panggilan gw beserta sejarah yang ada dibelakang nama itu . Yang paling panjang ternyata yang Crestia yah ?? Well it’s meaningful . Heheh . Well, see you in my next post :)