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Sunday, April 7, 2013
Timeline penghantaran Salindah
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Penggunaan
Sunday, April 3, 2011
Salindah.com outlet cemerlang
Salindah.com telah memenangi anugerah "Outlet Cemerlang" atau "Excellent Outlet" sempena Perayaan ke-10 EEMSB di Kedah pada 02-April-2011 lepas.
Labels:
Berita Salindah,
Berita Semasa,
Testimoni
Sunday, February 20, 2011
Crib Injuries Land Thousands of Toddlers in ER Each Year

Crib Injuries Land Thousands of Toddlers in ER Each Year
Study shows most involve children trying to climb out and falling on floor
By Steven Reinberg
HealthDay Reporter
THURSDAY, Feb. 17 (HealthDay News) -- Each year in the United States, nearly 10,000 children under the age of 2 arrive in emergency rooms with injuries suffered while in cribs, playpens and bassinets, a new report shows.
Most of these injuries involve cribs and are usually caused by kids climbing out and falling on the floor, said the researchers from Nationwide Children's Hospital in Columbus, Ohio.
"The most surprising thing to me was the number of crib-related injuries we found being treated in hospital emergency departments," said lead researcher Dr. Gary A Smith, a professor of pediatrics and director of the hospital's Center for Injury Research and Policy.
"This is an underestimate," he said. "We know that children are taken to their private physician and urgent care centers."
Smith noted that only about 1 percent of the injuries involved a parent or sibling: "It appears that most of these falls are children climbing out of the crib and falling."
In most cases, the children landed head first, Smith noted, which "really makes this an issue that we should pay attention to." Children at that age are top-heavy, so when they fall they fall head first and don't have the ability to break their fall these injuries can be serious, he explained.
Smith added that as the children became more mobile, the number of injuries increased. "So, parents need to be cautious when a child is in a crib and can start to pull himself up," Smith said.
When that happens, according to the U.S. Consumer Product Safety Commission, you need to lower the height of the mattress in the crib so there is at least 26 inches between the top of the mattress and the top of the rail, Smith said.
And when the child reaches about 35 inches in height he or she should be taken out of the crib and start using a toddler bed, Smith added.
The report is published in the Feb. 17 online edition of Pediatrics.
For the study, Smith's team used data from the National Electronic Injury Surveillance System to identify the number of children injured in cribs, playpens and bassinets from 1990 to 2008.
During that period, the researchers identified almost 182,000 children under 2 who were treated in emergency rooms for injuries associated with these devices. That came to roughly 9,651 such injuries a year.
The researchers found that 83.2 percent of the injuries involved cribs, while playpens accounted for 12.6 percent of the injuries and bassinets accounted for 4.2 percent.
The most common cause of injury was falling from the crib, playpen or bassinet. These falls accounted for two-thirds of the injuries, Smith's group found.
The head and neck were the areas of the body that were most commonly injured, making up 40.3 percent of the injuries. Most injuries were soft tissue injuries (34.1 percent).
Kids with fractures were kept in the hospital 14 percent of the time and were more than five times more likely to be admitted than children with other injuries, Smith's group noted.
Smith believes the findings are a call to action to build better-designed cribs that protect children and make falls less likely.
Right now, parents should only use cribs that meet current standards. That includes cribs with no drop sides, which have been banned by the Consumer Product Safety Commission. So, parents have to be particularly careful with hand-me-down cribs, Smith said.
Smith also advises that when putting the baby in the crib be sure there is no bedding, stuffed toys or bumpers in the crib. "All these products have been associated with suffocation deaths," he said.
"Young infants need to be placed in a crib that's bare, just the child and the crib," he said. "Just dress the child warmly in a sleeper and place him into a bare crib."
"Despite these findings, cribs are still the safest sleeping environment for infants and young babies," Smith added. Having the baby sleep with the parents increases the risk of suffocation, he noted.
Amy Chezem, a spokeswomen for the Juvenile Products Manufacturers Association, said that "each year hundreds of deaths occur when children are placed in a sleep environment that is not specifically designed for children. The safest place for a child is in a fully functional, properly assembled crib."
In addition, the association "reminds parents of how important it is to carefully follow the manufacturer instructions, recommendations and restrictions on all sleep-related products to ensure the safest environment possible."
Labels:
Berita Semasa,
Motherhood
Wednesday, February 16, 2011
Berhati-hati dengan BONJELA

DOCTORS are calling for mandatory warnings on teething gels after children were hospitalised with potentially life-threatening poisoning.
The authors of a study conducted by two Sydney hospitals and two New Zealand hospitals, published in the Medical Journal of Australia, found that chronic salicylate intoxication could occur in children using over-the-counter teething gels, even at intakes close to the recommended doses.
Symptoms of such poisonings include gastrointestinal problems, hyperventilation, tremor and memory lapses, and the risk of death.
In Britain, the ingredient salicylate was removed from Bonjela teething gel after a 2002 study by the Commission on Human Medicines.
In Australia and New Zealand, several teething gels marketed to infants, including Bonjela, still contain salicylate and do not have warning labels.
Related Coverage
- Too many bottles will rot baby teeth Adelaide Now, 9 days ago
- Letters: Bottle feeding won't rot teeth The Daily Telegraph, 10 days ago
- Top hospital urges end to bottle-feeding The Daily Telegraph, 5 Feb 2011
- Bid to banish bottles an over-reaction The Daily Telegraph,5 Feb 2011
- Rudd in hospital after flood mishap Herald Sun, 14 Jan 2011
Some products recommend applying as much as a third of a tube every 24 hours, which the study's authors say equates to more than two 15g tubes a week.
The Therapeutic Goods Administration (TGA) considers teething gels to be therapeutic products, so the study's authors, including Sydney Children's Hospital pediatric intensivist Gary Williams and Prince of Wales Hospital consultant pediatrician Caroline Meadows, recommend that they be subject to the requirements of other over-the-counter medication, such as aspirin, and include warnings.
Dr Williams said parents should not assume that just because teething gels were marketed to children and available over the counter, they were perfectly safe.
"Teething can be disruptive and there is no doubting that ... but here is a commonly used solution that is widely thought of as being completely benign and one needs to be aware that that is not necessarily the case and that there is a safety issue here," Dr Williams said.
He said that parents would be better off using teething rings that had been cooled in the fridge as there was no scientific evidence of any beneficial effect of salicylate.
A spokeswoman for the NSW Poisons Information Centre, based at The Children's Hospital at Westmead, said calls to the centre in relation to teething gels were either about children who had accidentally ingested the contents of a tube, or parents who had used the product on children younger than the recommended age.
Two children had been referred to hospitals after calls to the centre's hotline last year, she said.
A TGA spokeswoman said the authority would consider extra warnings on the gels.
"Parents and carers are reminded to always use the product according to product instructions," she said.
In 2009, the TGA investigated links between the use of teething gels containing salicylate and Reye's syndrome, a potentially fatal disease that causes fatty liver and brain damage, after a study was published in the British Medical Journal.
The investigation found the study case was more likely a result of salicylate intoxication than Reye's syndrome.
Info produk Bonjela di Malaysia dari laman web Biro Pengawalan Farmaseutikal Kebangsaan... Ia mengandungi salicylate
| Product Detail Information for MAL19910207X | |||||||||||||||||||||||||||||||||||||||||||||
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Labels:
Berita Salindah,
Parenting
Monday, February 14, 2011
How do you teach your children?
Yale law Professor and self-described 'tiger mother' Amy Chua provoked international debate when her book 'Battle Hymm of the Tiger Mother' was published recently. The Chinese-American was called nuts, a despot and a monster for her extreme parenting methods, which among others involved calling her daughters 'garbage' and hours of Mathematics and spelling drills. Sonia Ramachandran and Chandra Devi Renganayar find out if tiger parenting is the way to raise cubs that will rule the world
Datuk Farshila Emran, managing director:
One of my daughter's teachers told her that she had better be careful because the discipline teacher was a "tiger".
My daughter replied, "She may be a tiger but my mum is a lion."
I have three children. When my eldest daughter Khalesa was slightly over a year old, I sent her to play school. She cried the first two days and I gave in. When she cried on the third day, I slapped her in front of the teacher.
My action shocked Khalesa and she immediately stopped crying. That was when I realised that the soft approach does not work.
If any one of my children is rude, I will slap them no matter where they are. I don't care if they are embarrassed.
Some parents do not want to take action immediately when their children misbehave. They prefer to do so in private. But if you take action later in the day, the child might have forgotten what she did.
My youngest daughter, Lubna, wanted to accompany me out one day but her brother Mukhlis was not allowed to do so.
She turned to her brother and said, "Na na na na neh! You can't come with us." I immediately slapped her.
When she asked me why, I told her it was because she was rude to her brother. Children are not mature. If you slap, pinch or cane them, they know they have done something wrong.
If you use the soft approach by explaining to them what they did wrong, they might not understand. I once caned my daughter because she did not complete her homework. It is for her own good.
I told her that the moment I receive anything from her school telling me she had not completed her homework, I would slap her in front of the school assembly. I have to put fear in them, otherwise they will not know I'm the boss.
My husband, Dr Mohd Sharif Abu Hassan, is not strict.
If I shout at the children and he comes out of his room, I will look at him and he will immediately return to his room.
I never, however, use harsh words on my children.
Children will forget the pain of a beating but they will not forget the pain caused by harsh words.
For example, if your mother hit or pinched you when you were young, would you still feel the pain now?
Of course not. But if your mum had called you 'garbage' when you were younger, won't you still remember that?
Once, my daughter's piano teacher came to the house to give her lessons. She was sleepy, so she just banged on the piano. I went over and slapped her and she immediately woke up.
Then I told her why I slapped her in front of the teacher.
I explained that the piano teacher had travelled all the way to our home to teach her so that she could earn a living.
I told them I don't care if I beat them in front of their friends because their friends are not going to be there when they're in trouble. I told them they should be proud that their mother cares about them, looks at their homework and hires tuition teachers for them instead of saving that money for make-up, etc.
Nobody can nurture them better than their own mother. We are 'tiger' but we are not "tiger gila". (mad tiger).
My children are allowed to go to the playground in front of the house on Fridays, Saturdays and Sundays.
On other days, they will just look at the other children playing but will not dare to ask if they can go out.
Khalesa always comes first in class.
If she is performing on stage (Khalesa is in the Permata Seni Choir), I send a professional make-up artist to do her make-up and if she goes outstation, I put her, together with her friends, in one of the better hotels.
I make sure Khalesa studies five hours every day. She has a packed schedule every single school day with a maximum of 30 minutes gap between activities.
Besides tuition, there are classes for mengaji (reading of the Quran), Bahasa Malaysia, vocal training, creative writing by a tutor whose mother tongue is English, art, piano, as well as sight reading. She also has English classes at the British Council on Saturdays.
I know Khalesa's capability and I know she can achieve 100 per cent in her examinations. So, if she comes home with 96 per cent, she would be afraid to enter the house to face me. I will evaluate the questions and if the mistake is due to carelessness, I will spank her.
Lubna, who is 5, has a teacher who comes over every day for three hours to teach her living skills, storytelling and to help her with her homework. She also goes to the British Council for English classes during the weekends and to the gym for classes three times a week to lose weight.
People have criticised the way I handle my children but I told them that these are my children and I will do what I like. My husband respects the way I do things. Although he does sometimes think I am too harsh, he understands that I am not doing it for fun.
When I beat, I really beat. I do feel bad about it later and cry in the shower. However, I never show them I am upset.
Dr Leow Mei Ling, housewife:
My only daughter, Emma Ooi, is 13 this year. She is a straight-A student as well as a gymnast who is gearing up for the Commonwealth Games in 2014.
Her Mathematics capabilities are that of a 17-year-old. She can also play the piano and speak Latin. Emma is also a fantastic chess player and has represented her school.
I believe discipline is necessary for a child to have a disciplined outlook in life, whether in sports or education. This is the kind of training I gave her from the time she was a toddler. I insisted she has her own table and chair from the time she could sit. I don't believe in children running around the house.
I quit my job when she was born and I drive her to all her classes and activities.
Emma's schedule is packed, straight from the moment she wakes up to the time she goes to bed, with no time for television, play or anything else.
Her day begins at 6am, with preparations for school. She leaves school at 2pm to go for gymnastics training, where she is in the national team. That ends at 6pm.
Then it's home, dinner, homework and bed. This is her routine seven days a week, with music and Latin classes squeezed in as well.
Emma is also not allowed to sleep late and is up by 8.30am.
She started kindergarten at 4 and was enrolled in the Shichida Right Brain Training Method, developed by Professor Makoto Shichida.
I also monitor her diet strictly. I restrict fatty foods and salt.
My husband (Ooi Khean Min) agrees with me and feels that a rigid and regimented schedule equips a child with the tools for the future as it teaches them to multi-task.
If you don't guide your children, they will not know what to do with their time. I would rather Emma play chess than watch television for hours during her free time.
I think watching television is a waste of time. I would not allow her to go to the playground to indulge in normal play as it is not safe.
I do not believe in harsh words or caning.
I don't feel that I am depriving her of a normal childhood. Play is doing something you enjoy.
I feel she enjoys this. Otherwise, she would not have been able to survive this long.
I don't think I'm a tiger mum but I believe there should be discipline.
Faridah Hamzah, housewife:
I have been labelled a very fierce mother by my family members and friends but I won't change my ways in bringing up my two daughters. I have to be strict to bring out the best in them. It is to ensure that they have a better future.
I cannot start to structure them when they are older, can I?
My 14-year-old daughter, Fatin Zakirah, is a national gymnast and she is training for the Commonwealth Games. Her school teacher introduced her to gymrama when she was 7.
Since she liked it, I decided to push her to excel in the sports. Her 10-year-old sister is interested in singing, so I enrolled her for choir training.
My girls are talented and I want to show them the right path to improve their lives and be successful. I believe you can only achieve results if there is discipline and order at all times.
Their daily routine starts at 6am on weekdays and on weekends, it begins at 7am. Their days are occupied with school, religious classes and training sessions.
Their daily schedule primarily involves studying and training. Yes, there is television time but it's very limited. There is also not much time for computer games or hanging out with friends.
I make sure they are in bed by 11pm after they have done their homework. Fatin has shown her frustrations about not being able to spend time with her friends. However, I have advised her about getting her priorities right. Now, she understands why she needs to focus and work hard.
Since she is with the national gymnastics team, her schedule is much more hectic compared to her sister's. The only time I allow her to play computer games is when I drive her for training daily.
I also control my children's diet, especially Fatin's. As a gymnast, she needs to maintain a lean physique to perform well in the sports. I don't buy or keep any other food in my refrigerator except for fruits and juices. Initially, I had to guide her but now Fatin has disciplined herself to eat the right food. To support and encourage her, I also follow a strict diet rule in the house -- no sweets, chocolates or chips.
My husband supports my approach in bringing up our daughters. Yes, I rule with an iron fist but that does not mean I don't show affection.
My style of parenting is injected with lots of love and words of advice.
I don't believe in using harsh words or degrading my children's efforts to make them better. I show appreciation every step of the way and it has borne fruit.
Read more: Confessions of tiger mothers http://www.nst.com.my/nst/articles/a13tigermother1a/Article/#ixzz1E0oCubBx
My daughter replied, "She may be a tiger but my mum is a lion."
I have three children. When my eldest daughter Khalesa was slightly over a year old, I sent her to play school. She cried the first two days and I gave in. When she cried on the third day, I slapped her in front of the teacher.
My action shocked Khalesa and she immediately stopped crying. That was when I realised that the soft approach does not work.
If any one of my children is rude, I will slap them no matter where they are. I don't care if they are embarrassed.
Some parents do not want to take action immediately when their children misbehave. They prefer to do so in private. But if you take action later in the day, the child might have forgotten what she did.
My youngest daughter, Lubna, wanted to accompany me out one day but her brother Mukhlis was not allowed to do so.
She turned to her brother and said, "Na na na na neh! You can't come with us." I immediately slapped her.
When she asked me why, I told her it was because she was rude to her brother. Children are not mature. If you slap, pinch or cane them, they know they have done something wrong.
If you use the soft approach by explaining to them what they did wrong, they might not understand. I once caned my daughter because she did not complete her homework. It is for her own good.
I told her that the moment I receive anything from her school telling me she had not completed her homework, I would slap her in front of the school assembly. I have to put fear in them, otherwise they will not know I'm the boss.
My husband, Dr Mohd Sharif Abu Hassan, is not strict.
If I shout at the children and he comes out of his room, I will look at him and he will immediately return to his room.
I never, however, use harsh words on my children.
Children will forget the pain of a beating but they will not forget the pain caused by harsh words.
For example, if your mother hit or pinched you when you were young, would you still feel the pain now?
Of course not. But if your mum had called you 'garbage' when you were younger, won't you still remember that?
Once, my daughter's piano teacher came to the house to give her lessons. She was sleepy, so she just banged on the piano. I went over and slapped her and she immediately woke up.
Then I told her why I slapped her in front of the teacher.
I explained that the piano teacher had travelled all the way to our home to teach her so that she could earn a living.
I told them I don't care if I beat them in front of their friends because their friends are not going to be there when they're in trouble. I told them they should be proud that their mother cares about them, looks at their homework and hires tuition teachers for them instead of saving that money for make-up, etc.
Nobody can nurture them better than their own mother. We are 'tiger' but we are not "tiger gila". (mad tiger).
My children are allowed to go to the playground in front of the house on Fridays, Saturdays and Sundays.
On other days, they will just look at the other children playing but will not dare to ask if they can go out.
Khalesa always comes first in class.
If she is performing on stage (Khalesa is in the Permata Seni Choir), I send a professional make-up artist to do her make-up and if she goes outstation, I put her, together with her friends, in one of the better hotels.
I make sure Khalesa studies five hours every day. She has a packed schedule every single school day with a maximum of 30 minutes gap between activities.
Besides tuition, there are classes for mengaji (reading of the Quran), Bahasa Malaysia, vocal training, creative writing by a tutor whose mother tongue is English, art, piano, as well as sight reading. She also has English classes at the British Council on Saturdays.
I know Khalesa's capability and I know she can achieve 100 per cent in her examinations. So, if she comes home with 96 per cent, she would be afraid to enter the house to face me. I will evaluate the questions and if the mistake is due to carelessness, I will spank her.
Lubna, who is 5, has a teacher who comes over every day for three hours to teach her living skills, storytelling and to help her with her homework. She also goes to the British Council for English classes during the weekends and to the gym for classes three times a week to lose weight.
People have criticised the way I handle my children but I told them that these are my children and I will do what I like. My husband respects the way I do things. Although he does sometimes think I am too harsh, he understands that I am not doing it for fun.
When I beat, I really beat. I do feel bad about it later and cry in the shower. However, I never show them I am upset.
Dr Leow Mei Ling, housewife:
My only daughter, Emma Ooi, is 13 this year. She is a straight-A student as well as a gymnast who is gearing up for the Commonwealth Games in 2014.
Her Mathematics capabilities are that of a 17-year-old. She can also play the piano and speak Latin. Emma is also a fantastic chess player and has represented her school.
I believe discipline is necessary for a child to have a disciplined outlook in life, whether in sports or education. This is the kind of training I gave her from the time she was a toddler. I insisted she has her own table and chair from the time she could sit. I don't believe in children running around the house.
I quit my job when she was born and I drive her to all her classes and activities.
Emma's schedule is packed, straight from the moment she wakes up to the time she goes to bed, with no time for television, play or anything else.
Her day begins at 6am, with preparations for school. She leaves school at 2pm to go for gymnastics training, where she is in the national team. That ends at 6pm.
Then it's home, dinner, homework and bed. This is her routine seven days a week, with music and Latin classes squeezed in as well.
Emma is also not allowed to sleep late and is up by 8.30am.
She started kindergarten at 4 and was enrolled in the Shichida Right Brain Training Method, developed by Professor Makoto Shichida.
I also monitor her diet strictly. I restrict fatty foods and salt.
My husband (Ooi Khean Min) agrees with me and feels that a rigid and regimented schedule equips a child with the tools for the future as it teaches them to multi-task.
If you don't guide your children, they will not know what to do with their time. I would rather Emma play chess than watch television for hours during her free time.
I think watching television is a waste of time. I would not allow her to go to the playground to indulge in normal play as it is not safe.
I do not believe in harsh words or caning.
I don't feel that I am depriving her of a normal childhood. Play is doing something you enjoy.
I feel she enjoys this. Otherwise, she would not have been able to survive this long.
I don't think I'm a tiger mum but I believe there should be discipline.
Faridah Hamzah, housewife:
I have been labelled a very fierce mother by my family members and friends but I won't change my ways in bringing up my two daughters. I have to be strict to bring out the best in them. It is to ensure that they have a better future.
I cannot start to structure them when they are older, can I?
My 14-year-old daughter, Fatin Zakirah, is a national gymnast and she is training for the Commonwealth Games. Her school teacher introduced her to gymrama when she was 7.
Since she liked it, I decided to push her to excel in the sports. Her 10-year-old sister is interested in singing, so I enrolled her for choir training.
My girls are talented and I want to show them the right path to improve their lives and be successful. I believe you can only achieve results if there is discipline and order at all times.
Their daily routine starts at 6am on weekdays and on weekends, it begins at 7am. Their days are occupied with school, religious classes and training sessions.
Their daily schedule primarily involves studying and training. Yes, there is television time but it's very limited. There is also not much time for computer games or hanging out with friends.
I make sure they are in bed by 11pm after they have done their homework. Fatin has shown her frustrations about not being able to spend time with her friends. However, I have advised her about getting her priorities right. Now, she understands why she needs to focus and work hard.
Since she is with the national gymnastics team, her schedule is much more hectic compared to her sister's. The only time I allow her to play computer games is when I drive her for training daily.
I also control my children's diet, especially Fatin's. As a gymnast, she needs to maintain a lean physique to perform well in the sports. I don't buy or keep any other food in my refrigerator except for fruits and juices. Initially, I had to guide her but now Fatin has disciplined herself to eat the right food. To support and encourage her, I also follow a strict diet rule in the house -- no sweets, chocolates or chips.
My husband supports my approach in bringing up our daughters. Yes, I rule with an iron fist but that does not mean I don't show affection.
My style of parenting is injected with lots of love and words of advice.
I don't believe in using harsh words or degrading my children's efforts to make them better. I show appreciation every step of the way and it has borne fruit.
Read more: Confessions of tiger mothers http://www.nst.com.my/nst/articles/a13tigermother1a/Article/#ixzz1E0oCubBx
Labels:
Parenting
Tuesday, January 25, 2011
Be more aware of post-natal depression

MCA Public Service and Complaints Department chief Michael Chong has highlighted a very important area of mental health affecting women who have recently given birth (The Star, Jan 22).
Post-natal blues, where mothers experience spells of irritability followed by bouts of crying due to hormonal changes are fairly common but post-natal depression is more serious and requires treatment.
The symptoms of post-natal depression are more severe and prolonged. It is frequently undetected and untreated, resulting in devastating consequences.
It affects not only the woman experiencing it but also the family, in particular the newborn.
We are happy to note that the issue of early detection of post-natal depression was discussed at the recent Mental Health Promotion Advisory Council meeting (the Malaysian Mental Health Association being a member).
The council was informed of plans to strengthen training for front-line staff at community and health clinics, and also of putting a mechanism in place to ensure proper screening of post-natal mothers for any depressive illness.
In relation to this, the Health Ministry should consider including the topic of post-natal depression at its ante-natal classes.
As a large proportion of deliveries and post-natal care occur outside the ministry’s facilities, it is essential that private maternity homes and private hospitals also institute a similar mechanism.
Greater public awareness of depressive illness and mental illness in general as medical conditions will help those suffering from them seek early treatment.
DATIN DR ANG KIM TENG,
President,
Malaysian Mental Health Association.
Labels:
Berita Semasa,
Parenting
Wednesday, December 8, 2010
Kertas kabinet mengenai cuti bersalin swasta dibentang Januari ini
KUALA LUMPUR -- Cadangan cuti bersalin selama 90 hari mengikut pilihan bagi pekerja sektor swasta akan dibawa ke kabinet pada Januari depan, kata Menteri Pembangunan Wanita, Keluarga dan Masyarakat Datuk Seri Shahrizat Abdul Jalil.Beliau berkata kertas kabinet mengenainya akan dibentangkan untuk mendapatkan kelulusan Jemaah Menteri bagi membolehkan Kementerian Sumber Manusia meminda Akta Pekerjaan 1955 dalam usaha memberi jumlah cuti bersalin yang sama kepada pekerja swasta, seperti yang ditetapkan bagi pekerja sektor awam.
"Kita sedang menyediakan kertas kabinet dan selepas dua minggu dalam bulan Januari ini ia akan dibentangkan. Jadi selepas itu mereka (Kementerian Sumber Manusia) kena bawa ke Parlimen," katanya kepada pemberita selepas majlis perasmian Sidang Kemuncak Wanita 2010 oleh Timbalan Perdana Menteri Tan Sri Muhyiddin Yassin di sini hari ini.
Shahrizat berkata kementeriannya juga akan membawa satu lagi kertas kabinet berkenaan isu meningkatkan penyertaan wanita dalam lembaga pengarah syarikat-syarikat.
"Saya amat tidak puas hati bila tengok wanita yang diberi tempat dalam board (lembaga) termasuk GLC (syarikat berkaitan kerajaan). Kenapa tidak (diberi tempat) walhal wanita ramai sekali yang mempunyai kebolehan.
Beliau berkata perincian kertas kabinet itu juga akan memasukkan pelan strategi dalam masa beberapa tahun tentang jumlah peratus wanita yang mesti berada di dalam barisan anggota lembaga pengarah syarikat di bursa saham.
"Kita akan mengambil kira tentang situasi pasaran dan strategi dalam perkara ini. Contohnya dalam masa lima tahun di mana wanita akan berada dalam tempoh berkenaan.
"Bukan (permintaan secara) mendadak, sebab tak boleh buat macam itu kerana ia akan menjejaskan pasaran dan lain-lain. (Cadangan ini) supaya semua pihak boleh membuat persiapan," katanya.
Beliau berkata selepas 10 tahun kementerian itu diwujudkan, agenda wanita semakin dipandang serius di mana ia sudah menjadi satu agenda kritikal di dalam kerajaan, politik, ekonomi dan semua aspek pembangunan negara. -- BERNAMA
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Saturday, November 27, 2010
Duty of all to stop child abuse
2010/11/28
Hans Olsen
EARLIER this year, the life of a small child was cut short. She died from injuries to her brain, stomach and kidneys inflicted by an adult who was taking care of her, a person she should have been able to trust and depend on.
An autopsy conducted found cuts and bruises all over her body, believed to have resulted from previous instances of abuse. Her case was, and is, not an isolated incident.
According to 2008 statistics from the Welfare Department, the number of abuse cases is increasing and now, an average of seven children are abused in different ways every day in Malaysia.
But these figures are only based on reported incidents. Many more children are hidden behind these numbers and if they eventually get recorded, it may already be too late.
Can we prevent these abuses from happening at all? Yes, I believe we can. But to achieve this, everyone must regard child abuse as unacceptable and be prepared to take action and intervene.
In the case of this child, there were witnesses who saw her being abused close to her home. No one interfered. I can't believe that this was because they condoned what they saw. I think there is a widespread uncertainty about how to interpret what you see and how to act. Had these witnesses known how to act and be prepared to do it, the small Malaysian child may still be alive today.
There are mechanisms in place to support such action. Police and government agencies are trained to handle this kind of cases. An immediate report would have mobilised a team of law enforcers to save the child from further abuse and, in this case, death. Intervention depends on family members, neighbours and bystanders who have the knowledge and spirit to intervene and put a stop to the abuse before it is too late.
In line with the Convention on the Rights of the Child, Malaysia has introduced the Child Act 2001 to guarantee the protection for children. With this legislation, not only can abusers be held accountable for their actions, informers are guaranteed anonymity and protection by law.
Furthermore, Childline Malaysia, a civil society initiative, has collaborated with the government to set up the dedicated hotline, 15999, where the public, as well as children themselves, can call for advice or report abuse. It is crucial that people know and utilise these services, and that they feel they can make a difference.
We need to empower ourselves with knowledge about child abuse and what we can do as individuals or in groups to stop it. To provide an opportunity for this, Unicef has set up a dedicated website, www.uniteagainstabuse.my, where people can learn more about the issue and what to do to protect a child from abuse.
This website is part of the larger Get on Board campaign by Unicef to encourage people to break their silence and take responsibility for the children around them -- be it in their home and families or in their communities. We each have an important role to play.
The Get on Board campaign clearly recognises the challenges parents go through in raising children, and provides a link to special services provided by the government to help cope with the stresses of parenting.
Unicef also urges communities to provide support activities for parents to manage the stress they face. By focusing on efforts to stabilise families and provide support for healthy child development, we are collectively creating an environment around us that reduces the likelihood of child abuse.
Every child has the right to grow up in a safe environment and to be sheltered from all forms of abuse, be it physical, emotional, sexual or neglect. This environment is only possible when society unites around children's basic rights, openly confronting violence and defending their right to protection.
While the government is primarily accountable for translating the Convention on the Rights of the Child into reality, parents and other caregivers, like teachers, health workers, youth leaders as well as children themselves, have a crucial role to play every day to protect the rights of children.
Very young children who lack the capacity to report abuse, or older children who fear reprisals by perpetrators should be able to rely on the people around them to take action.
What we see in statistics of reported cases only tells us a small part of the truth about child abuse in Malaysia. We need to know more. Thorough research is needed to help the government establish benchmarks for measurement of child abuse.
Data from this research would also make it possible to monitor future trends in abusive behaviour towards children and society's attitude towards it. This kind of evidence-based intervention is equally important for individual interventions by family members and the community.
We cannot wait for more children to die or be scarred for life. Everyone must be ready to take action. The silence must be broken. I invite the people of Malaysia to get on board and unite against child abuse.
The writer is Unicef representative to Malaysia
http://www.nst.com.my/nst/articles/27hansomea/Article/
Read more: Duty of all to stop child abuse http://www.nst.com.my/nst/articles/27hansomea/Article/#ixzz16YpBkPi5
Labels:
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Wednesday, November 17, 2010
Call to extend breast screening
By Helen BriggsHealth reporter, BBC News
Annual screening for women in their 40s with a family history of breast cancer may save lives, research suggests.
The NHS breast screening programme currently offers mammograms to women aged between 50 and 70.
But UK researchers say a pilot study suggests regular mammograms should be given to younger women who have relatives with breast cancer.
A cancer charity said more data was needed to weigh up risks and benefits.
The study, published in the journal Lancet Oncology, looked at women deemed at moderate risk of breast cancer because they have relatives with the disease.
Screening is considered unjustified in women with no family history of breast cancer because of the risk of a false-alarm.
Women at high-risk - because they are thought to have a gene mutation associated with the disease - are already closely assessed, with many given MRI scans or offered early surgery.
False alarms
The study recruited 6,710 moderate risk women across the UK who were given mammograms to check for signs of breast cancer every year for four years.
These women are not currently included in the main NHS breast screening programme, which offers mammograms to women aged 50-70 every three years.
The researchers, led by Professor Stephen Duffy of Barts and The London School of Medicine and Dentistry, Queen Mary, University of London, compared cancer rates and deaths in this group with women from other trials who were not given annual screening.
They say the women given screening were significantly more likely to be alive 10 years after a diagnosis of cancer than women in the two control groups.
Professor Duffy told the BBC: "It means that annual mammography does reduce the risk of dying of breast cancer in this group of moderate risk women.
"It means they can go and seek medical help knowing that there is something that can be done."
Rough figures suggest that it would probably save an extra 50 lives a year, he added.
"It doesn't sound like much but it means alot to the people who are in that group because they have relatives who have had breast cancer," he explained. "It's not a huge expense to the NHS."
Surveillance
But Hazel Nunn, senior health information manager at Cancer Research UK, said the full picture was not yet clear.
"Since it seems 5,000 women would need to be screened to save one life, it will be important to weigh up these benefits carefully against potential risks of routine mammography before deciding whether screening really is the best course of action for this group," she said.
"We await the results of further research measuring the risks."
The NHS Breast Screening Programme said plans were in place to extend screening to women with a family history of breast cancer in the future.
Assistant Director, Sarah Sellars, said current guidelines for women at risk of breast cancer because of their family history recommend that certain women should be offered surveillance.
She said these services were currently commissioned locally but in the future would be run by them.
"In the future, the NHS Breast Screening Programmes will be taking on responsibility for routinely screening higher risk women under 50," she said.
"Several breast screening sites are currently testing the software to be able to manage these women effectively.
"This service will sit alongside our current breast screening programme for women aged 50 years old and over."
http://www.bbc.co.uk/news/health-11780186
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Friday, November 12, 2010
Sarawakian woman rescues lost child on bus

NOBLE DEED: Nur Asyikin receiving a letter of commendation from Abdul Rahim for rescuing the lost toddler
KUALA LUMPUR: If it was not for a mother-of-two, three-year-old Mohd Amin Rozi may have disappeared forever after boarding a bus alone on Wednesday morning with a milk bottle in hand.
Nur Asyikin Rufi became concerned when she noticed the boy looking lost and restless as he was constantly changing seats.
The Sarawakian, in her 40s, was sitting at the back of the bus and became suspicious when she saw a foreigner speaking to the boy.
"I did what any mother would have done," she said, walking forward to rescue the child. "The boy was unresponsive when I asked him questions. So, I called 999."
Nur Asyikin then got off at Jalan Tun Hussein and carried the boy to the police station, as advised over the phone. She also lodged a report after handing the child to police officers.
"I hope this is a serious lesson learnt by every parent as such young children are naive and vulnerable."
Expressing disappointment that no one aboard the bus tried to help Amin, she said: "We should also look out for other children around us."
The police took photographs of the boy before handing him over to the Welfare Department in Jalan Pahang. Copies of his photo were distributed at the Sri Sabah flats area, where the boy was seen waiting before boarding the bus.
At 5.30pm on Wednesday, a couple arrived at the Cheras district police station, claiming their grandchild had gone missing. The boy, whom they called Amin, had apparently been sleeping while the grandfather was washing his car.
Neither of them realised the boy had woken up and wandered off. Amin's mother also arrived at the police station later to retrieve her child, but police refused to release him until a DNA test was conducted.
When the test results confirmed the grandparents and mother were indeed related to the boy and the necessary documentation were produced, Cheras acting police chief Supt Abdul Rahim Hamzah Othman allowed the child to be reunited with his family yesterday.
"What happened here is typical curiosity of children at such an age. As adults, we should be more aware of their tendencies and look out for them," said Abdul Rahman, who gave a letter of commendation to Nur Asyikin yesterday.
It was learnt the bus driver was not aware of the boy's presence as Mohd Amin was hidden among the passengers when he boarded the bus. The bus had travelled 10km before he was noticed by Nur Asyikin.
Meanwhile, Bernama reported the boy was suffering from a hyperactive disorder. His mother, Norhaslinda Hashim, 23, said she was working when informed by her mother about her missing child at about 1pm.
Norhaslinda said she would try to keep a close watch on her son from now.
http://www.mmail.com.my/content/54869-sarawakian-woman-rescues-lost-child-bus
THASHA JAYAMANOGARAN
Friday, November 12th, 2010 04:51:00
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Motherhood,
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Sunday, November 7, 2010
Kisah menyayat hati

Semoga Allah merahmati roh-roh mereka dan semoga kita semua dijauhkan dari dugaan berat seperti ini.
Rentung bersujud
Oleh Ibrahim Isa
MUSNAH...Rusidah dan Asaari melihat katil mangsa yang rentung dalam kebakaran, semalam.
BATU PAHAT: “Tolong mak, tolong Nini mak,” itulah jeritan akhir ibu tunggal, Lenny Mariyana Daud, 29, sebelum ditemui rentung dalam kedudukan bersujud sambil memeluk anak tunggalnya, Nur Sabihah Qasreena Mohd Nizam, 3, yang turut maut dalam kebakaran di Kampung Seri Paya Darat, Ayer Hitam di sini, awal pagi semalam.
Dalam kejadian jam 1.30 pagi itu, Lenny dipercayai hanya sempat menjerit meminta bantuan buat beberapa saat disertai tangisan kuat Sabihah ketika cuba menyelamatkan diri dari biliknya.
Lenny yang bakal mendirikan rumah tangga buat kali kedua hujung tahun ini dipercayai gagal melarikan diri dengan anaknya melalui pintu dan tingkap bilik akibat asap tebal selain api marak.
Melihat api marak selain kesukaran menyelamatkan diri, Lenny dipercayai hanya mampu membongkok seperti bersujud sambil memeluk anaknya sebelum dua beranak itu ditemui rentung di sudut tepi katil oleh anggota Bomba dan Penyelamat, kira-kira jam 4 pagi.
Kakaknya, Ratna Dewi, 35, berkata Lenny pulang ke rumah selepas membawa ibu mereka, Saringatin Jalal, 65, berurut di kampung bersebelahan pada kira-kira jam 12 tengah malam.
“Selepas itu, Lenny membasuh baju dan bersolat sebelum tidur di biliknya pada jam 1 pagi. Kira-kira setengah jam kemudian, ketika berehat di ruang tamu, saya terdengar bunyi hentakan kaki ke lantai.
“Pada mulanya, saya ingatkan dia mengigau dan tidak mengendahkan bunyi berkenaan, namun ia semakin kuat diikuti jeritan Nini meminta tolong serta tangisan anaknya.
“Saya dan ibu bergegas ke bilik dan membuka pintu, namun api marak menyebabkan kami gagal membawa mereka keluar,” katanya di lokasi kejadian, semalam.
Ratna berkata, tidak lama kemudian jeritan meminta tolong dan tangisan anak saudaranya itu tidak lagi kedengaran dan dia terus menjerit meminta enam lagi ahli keluarga yang lain menyelamatkan diri apabila melihat api semakin merebak.
Ratna berkata, abangnya cuba memadamkan api dengan menyimbah air di tingkap bagi membolehkan Lenny terjun menyelamatkan diri, namun api terlalu marak.
Sementara itu, adik bongsu mangsa, Seri Rusidah, 25, berkata, dia hanya sedar berkaitan kejadian apabila terdengar jeritan ibunya mengatakan rumah terbakar.
“Ketika itu saya dan suami, Asaari Mohd Muji, 26, nyenyak tidur sebelum pintu bilik di ketuk ahli keluarga yang meminta kami melarikan diri kerana rumah dijilat api.
“Saya bersama suami terus keluar untuk mendapatkan bantuan, malangnya apabila kembali, rumah sudah hangus manakala kakak serta anaknya gagal diselamatkan.
“Sayu hati kami melihat dua beranak berkenaan rentung dengan arwah kakak dalam keadaan bersujud memeluk arwah Sabihah,” katanya.
Oleh Ibrahim Isa
MUSNAH...Rusidah dan Asaari melihat katil mangsa yang rentung dalam kebakaran, semalam.
BATU PAHAT: “Tolong mak, tolong Nini mak,” itulah jeritan akhir ibu tunggal, Lenny Mariyana Daud, 29, sebelum ditemui rentung dalam kedudukan bersujud sambil memeluk anak tunggalnya, Nur Sabihah Qasreena Mohd Nizam, 3, yang turut maut dalam kebakaran di Kampung Seri Paya Darat, Ayer Hitam di sini, awal pagi semalam.
Dalam kejadian jam 1.30 pagi itu, Lenny dipercayai hanya sempat menjerit meminta bantuan buat beberapa saat disertai tangisan kuat Sabihah ketika cuba menyelamatkan diri dari biliknya.
Lenny yang bakal mendirikan rumah tangga buat kali kedua hujung tahun ini dipercayai gagal melarikan diri dengan anaknya melalui pintu dan tingkap bilik akibat asap tebal selain api marak.
Melihat api marak selain kesukaran menyelamatkan diri, Lenny dipercayai hanya mampu membongkok seperti bersujud sambil memeluk anaknya sebelum dua beranak itu ditemui rentung di sudut tepi katil oleh anggota Bomba dan Penyelamat, kira-kira jam 4 pagi.
Kakaknya, Ratna Dewi, 35, berkata Lenny pulang ke rumah selepas membawa ibu mereka, Saringatin Jalal, 65, berurut di kampung bersebelahan pada kira-kira jam 12 tengah malam.
“Selepas itu, Lenny membasuh baju dan bersolat sebelum tidur di biliknya pada jam 1 pagi. Kira-kira setengah jam kemudian, ketika berehat di ruang tamu, saya terdengar bunyi hentakan kaki ke lantai.
“Pada mulanya, saya ingatkan dia mengigau dan tidak mengendahkan bunyi berkenaan, namun ia semakin kuat diikuti jeritan Nini meminta tolong serta tangisan anaknya.
“Saya dan ibu bergegas ke bilik dan membuka pintu, namun api marak menyebabkan kami gagal membawa mereka keluar,” katanya di lokasi kejadian, semalam.
Ratna berkata, tidak lama kemudian jeritan meminta tolong dan tangisan anak saudaranya itu tidak lagi kedengaran dan dia terus menjerit meminta enam lagi ahli keluarga yang lain menyelamatkan diri apabila melihat api semakin merebak.
Ratna berkata, abangnya cuba memadamkan api dengan menyimbah air di tingkap bagi membolehkan Lenny terjun menyelamatkan diri, namun api terlalu marak.
Sementara itu, adik bongsu mangsa, Seri Rusidah, 25, berkata, dia hanya sedar berkaitan kejadian apabila terdengar jeritan ibunya mengatakan rumah terbakar.
“Ketika itu saya dan suami, Asaari Mohd Muji, 26, nyenyak tidur sebelum pintu bilik di ketuk ahli keluarga yang meminta kami melarikan diri kerana rumah dijilat api.
“Saya bersama suami terus keluar untuk mendapatkan bantuan, malangnya apabila kembali, rumah sudah hangus manakala kakak serta anaknya gagal diselamatkan.
“Sayu hati kami melihat dua beranak berkenaan rentung dengan arwah kakak dalam keadaan bersujud memeluk arwah Sabihah,” katanya.
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Am I ready for another baby?
Non-daily contraceptive options available include the levonorgestrel intrauterine system, copper intrauterine device, progestogen implants, and sterilisation.
JULIE, 33, is a senior manager at an accounting firm. She has been married for five years and recently gave birth to her second child, Jayden, 10 months ago. Her first child, Caitlin, is two years old.
Although Julie and her husband are very happy to have a son, they did not plan on adding to the family so soon as they are both still focused on building their careers. Julie’s unplanned pregnancy happened when she forgot to take her oral contraceptive pills, and she does not want to run the risk of being surprised with another child in the next few years.
For couples such as Julie and her husband, deciding whether to expand your family by one more – whether this would be your second child or your fourth – is one of the most significant decisions you will make in your lifetime. Assuming that you have struck a happy balance with your present family size, it is understandable that mothers can be pulled between the joys of having another child and a reluctance to upset the balance that currently exists.
While you and your husband are still deciding on whether you wish to have more children, it is essential to have effective and reversible contraception.
Non-daily contraceptive options available today include the levonorgestrel intrauterine system, copper intrauterine device, progestogen implants, and sterilisation.
The advantages of these methods are that they require less action by the user, and for levonorgestrel and progestogen implants, create steady blood hormone levels due to continuous release of a low dose of hormones.
A ‘fit and forget contraception’
The levonorgestrel intrauterine system or LNG-IUS is one of the most effective contraceptive options available when compared with other methods such as condoms, oral contraceptive pills, and hormone injections. Most importantly, this method does not require daily patient compliance as it provides continuous and effective contraception for up to five years.
The LNG-IUS is a small, T-shaped device made of impregnated plastic that is placed inside the uterus (womb) to provide continuous contraceptive protection. The LNG-IUS releases a progestogen called levonorgestrel (LNG), which acts directly on the lining of the uterus to make it thin and unreceptive to implantation of a fertilised egg, and changes the lining of the fallopian tubes and the mucous produced by the cervix to make it difficult for sperm to swim.
In some women, it also stops ovulation from occurring.
The insertion of LNG-IUS can be carried out in your doctor’s clinic within minutes. Once inserted, you should not be aware of the system. The device is removed by your doctor after five years, or earlier if contraception is no longer required. If further contraception is needed, a new system is inserted at the same time as removal of the previous system.
The most common side effect of the LNG-IUS is a change in the pattern of your periods. This can include an increased time between periods or longer periods, but the longer the LNG-IUS is in place, the more likely that periods will become fewer (further apart) or, for some women, absent altogether.
The LNG-IUS is useful for women who need effective long-term contraception, have just had a baby, who need a reversible alternative to sterilisation, and those who are dissatisfied with other methods of contraception. Compliance is good as it is a “fit and forget” method, which makes it convenient to use. The LNG-IUS is also becoming an increasingly preferred alternative to the irreversibility of sterilisation among women in developed nations.
An advantage of the LNG-IUS is that it can provide effective contraception for a mother who is breastfeeding as the hormone effect is contained within the womb and will not affect the composition or volume of breast milk produced. Other benefits of the LNG-IUS include reduced menstrual flow and pain, a shorter duration of menstrual bleeding, as well as increased haemoglobin and serum ferritin (iron) levels.
Normal menstruation generally returns within 30 days after removal of the LNG-IUS, and a woman’s usual level of fertility returns quickly after removal, with conception rates becoming equal to before IUS use (90% within the first year). Pregnancies progress as normal with no increased risk of foetal abnormalities.
The Copper IUD (Cu-IUD)
A Cu-IUD is also inserted into the uterus and may be left in the uterus for up to 10 years. However, it is different from the LNG-IUS in that it does not release hormones, but copper, into the uterus. Copper is toxic to sperm. The presence of an IUD interferes with the movement of sperm, fertilisation of eggs, and implantation. Cu-IUDs may sometimes cause increased menstrual flow, cramps, or backaches.
A Cu-IUD is a small plastic device that has a stem wound with fine copper wire. It looks like a small anchor with two side branches. Attached to the base of the stem is a nylon string. The string hangs out from the uterus through the cervix and can be felt with the fingers high in the vagina.
The insertion procedure for the copper IUD is similar to the LNG-IUS. Fertility will also return with the removal of the copper IUD.
The implant
The contraceptive hormonal implant is inserted under the skin of the inner, upper arm to provide three years of contraceptive protection. The implant is made of plastic containing a progestogen, and is 2mm wide and 4cm long – similar in shape and size to a match stick.
Your doctor will remove the implant after it has been in place for three years, or at any time prior to this if the contraceptive effect is no longer required. Normal fertility returns soon after removal of the implant. To continue contraception, a new implant must be inserted at the time of removal of the previous one.
The contraceptive hormonal implant will continuously release a progestogen hormone called etonogestrel, which prevents ovulation from occurring each month. This means that no egg is available for fertilisation, so pregnancy is avoided. The contraceptive hormonal implant also changes the mucous produced by the cervix, which makes it difficult for sperm to enter the uterus.
Even though the contraceptive hormonal implant is inserted and removed with just a local anaesthetic, you need to be comfortable with the idea of having an implant placed under your skin if you plan to use this contraceptive option. Prolonged, irregular or absent periods, acne, weight gain, headache, and breast tenderness are among the side-effects that have been reported in some women using the contraceptive hormonal implant.
Sterilisation
This is an irreversible method of contraception which can be performed on either the male or female. In tubal ligation for the female, the Fallopian tubes are cut and stitched to prevent the ovum (egg) from reaching the uterus. It is a surgical procedure requiring a general anaesthetic.
In the male, a vasectomy is a minor surgical procedure that interrupts the vas deferens (tube that connects the testes to the urinary tract), preventing the sperm from entering the urinary tract, so that semen is ejaculated without sperm. A vasectomy is usually done under local anaesthetic. Sterilisation results in permanent infertility in the female or male in which the procedure is done and cannot be reversed.
Deciding on whether your family is complete or not is a personal decision and one that needs to be discussed thoroughly with your partner and other family members. Family members bond through the process of being considered in the decision making process. Discussing and gathering input will help you and your children prepare for the challenges and the joys of adding a new member to the family.
Nevertheless, until you and your husband decide that the family is ready, effective contraception is a vital consideration in avoiding an unplanned pregnancy.
By Dr S.Y. CHONG
http://thestar.com.my/health/story.asp?file=/2010/11/7/health/7348379&sec=health
> This article is contributed by Dr S.Y. Chong, medical advisor with Bayer Schering Pharma. This information is provided for educational purposes only and should not be taken in place of a consultation with your doctor. Bayer Schering Pharma disclaims any and all liability for injury or other damages that could result from use of the information obtained from this article.
JULIE, 33, is a senior manager at an accounting firm. She has been married for five years and recently gave birth to her second child, Jayden, 10 months ago. Her first child, Caitlin, is two years old.
Although Julie and her husband are very happy to have a son, they did not plan on adding to the family so soon as they are both still focused on building their careers. Julie’s unplanned pregnancy happened when she forgot to take her oral contraceptive pills, and she does not want to run the risk of being surprised with another child in the next few years.
For couples such as Julie and her husband, deciding whether to expand your family by one more – whether this would be your second child or your fourth – is one of the most significant decisions you will make in your lifetime. Assuming that you have struck a happy balance with your present family size, it is understandable that mothers can be pulled between the joys of having another child and a reluctance to upset the balance that currently exists.
While you and your husband are still deciding on whether you wish to have more children, it is essential to have effective and reversible contraception.
Non-daily contraceptive options available today include the levonorgestrel intrauterine system, copper intrauterine device, progestogen implants, and sterilisation.
The advantages of these methods are that they require less action by the user, and for levonorgestrel and progestogen implants, create steady blood hormone levels due to continuous release of a low dose of hormones.
A ‘fit and forget contraception’
The levonorgestrel intrauterine system or LNG-IUS is one of the most effective contraceptive options available when compared with other methods such as condoms, oral contraceptive pills, and hormone injections. Most importantly, this method does not require daily patient compliance as it provides continuous and effective contraception for up to five years.
The LNG-IUS is a small, T-shaped device made of impregnated plastic that is placed inside the uterus (womb) to provide continuous contraceptive protection. The LNG-IUS releases a progestogen called levonorgestrel (LNG), which acts directly on the lining of the uterus to make it thin and unreceptive to implantation of a fertilised egg, and changes the lining of the fallopian tubes and the mucous produced by the cervix to make it difficult for sperm to swim.
In some women, it also stops ovulation from occurring.
The insertion of LNG-IUS can be carried out in your doctor’s clinic within minutes. Once inserted, you should not be aware of the system. The device is removed by your doctor after five years, or earlier if contraception is no longer required. If further contraception is needed, a new system is inserted at the same time as removal of the previous system.
The most common side effect of the LNG-IUS is a change in the pattern of your periods. This can include an increased time between periods or longer periods, but the longer the LNG-IUS is in place, the more likely that periods will become fewer (further apart) or, for some women, absent altogether.
The LNG-IUS is useful for women who need effective long-term contraception, have just had a baby, who need a reversible alternative to sterilisation, and those who are dissatisfied with other methods of contraception. Compliance is good as it is a “fit and forget” method, which makes it convenient to use. The LNG-IUS is also becoming an increasingly preferred alternative to the irreversibility of sterilisation among women in developed nations.
An advantage of the LNG-IUS is that it can provide effective contraception for a mother who is breastfeeding as the hormone effect is contained within the womb and will not affect the composition or volume of breast milk produced. Other benefits of the LNG-IUS include reduced menstrual flow and pain, a shorter duration of menstrual bleeding, as well as increased haemoglobin and serum ferritin (iron) levels.
Normal menstruation generally returns within 30 days after removal of the LNG-IUS, and a woman’s usual level of fertility returns quickly after removal, with conception rates becoming equal to before IUS use (90% within the first year). Pregnancies progress as normal with no increased risk of foetal abnormalities.
The Copper IUD (Cu-IUD)
A Cu-IUD is also inserted into the uterus and may be left in the uterus for up to 10 years. However, it is different from the LNG-IUS in that it does not release hormones, but copper, into the uterus. Copper is toxic to sperm. The presence of an IUD interferes with the movement of sperm, fertilisation of eggs, and implantation. Cu-IUDs may sometimes cause increased menstrual flow, cramps, or backaches.
A Cu-IUD is a small plastic device that has a stem wound with fine copper wire. It looks like a small anchor with two side branches. Attached to the base of the stem is a nylon string. The string hangs out from the uterus through the cervix and can be felt with the fingers high in the vagina.
The insertion procedure for the copper IUD is similar to the LNG-IUS. Fertility will also return with the removal of the copper IUD.
The implant
The contraceptive hormonal implant is inserted under the skin of the inner, upper arm to provide three years of contraceptive protection. The implant is made of plastic containing a progestogen, and is 2mm wide and 4cm long – similar in shape and size to a match stick.
Your doctor will remove the implant after it has been in place for three years, or at any time prior to this if the contraceptive effect is no longer required. Normal fertility returns soon after removal of the implant. To continue contraception, a new implant must be inserted at the time of removal of the previous one.
The contraceptive hormonal implant will continuously release a progestogen hormone called etonogestrel, which prevents ovulation from occurring each month. This means that no egg is available for fertilisation, so pregnancy is avoided. The contraceptive hormonal implant also changes the mucous produced by the cervix, which makes it difficult for sperm to enter the uterus.
Even though the contraceptive hormonal implant is inserted and removed with just a local anaesthetic, you need to be comfortable with the idea of having an implant placed under your skin if you plan to use this contraceptive option. Prolonged, irregular or absent periods, acne, weight gain, headache, and breast tenderness are among the side-effects that have been reported in some women using the contraceptive hormonal implant.
Sterilisation
This is an irreversible method of contraception which can be performed on either the male or female. In tubal ligation for the female, the Fallopian tubes are cut and stitched to prevent the ovum (egg) from reaching the uterus. It is a surgical procedure requiring a general anaesthetic.
In the male, a vasectomy is a minor surgical procedure that interrupts the vas deferens (tube that connects the testes to the urinary tract), preventing the sperm from entering the urinary tract, so that semen is ejaculated without sperm. A vasectomy is usually done under local anaesthetic. Sterilisation results in permanent infertility in the female or male in which the procedure is done and cannot be reversed.
Deciding on whether your family is complete or not is a personal decision and one that needs to be discussed thoroughly with your partner and other family members. Family members bond through the process of being considered in the decision making process. Discussing and gathering input will help you and your children prepare for the challenges and the joys of adding a new member to the family.
Nevertheless, until you and your husband decide that the family is ready, effective contraception is a vital consideration in avoiding an unplanned pregnancy.
By Dr S.Y. CHONG
http://thestar.com.my/health/story.asp?file=/2010/11/7/health/7348379&sec=health
> This article is contributed by Dr S.Y. Chong, medical advisor with Bayer Schering Pharma. This information is provided for educational purposes only and should not be taken in place of a consultation with your doctor. Bayer Schering Pharma disclaims any and all liability for injury or other damages that could result from use of the information obtained from this article.
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Motherhood
Tuesday, November 2, 2010
Bayi dijual RM10,000 perkg.
KUALA LUMPUR: Mengejutkan, hospital swasta di Jalan Ipoh, yang diserbu polis kerana dipercayai terbabit dalam sindiket penjualan bayi petang kelmarin, didapati sudah tamat tempoh lesen operasinya sejak April lalu.
Selepas serbuan polis yang membongkar aktiviti haram itu, tinjauan Berita Harian semalam mendapati hospital berkenaan berkunci dan diletakkan tanda “ditutup”.
Tindakan itu dikatakan berikutan penahanan enam suspek termasuk pemilik hospital yang juga seorang doktor bergelar Datuk, isterinya dan anak perempuan mereka juga doktor serta tiga jururawat hospital itu. Mereka ditahan reman selama tiga hari mulai semalam.
Sumber Kementerian Kesihatan memberitahu, hospital itu kini pada peringkat rayuan untuk memperbaharui lesen, namun enggan mendedahkan sebab lambat mendapat kelulusan.
“Hospital itu ada membuat permohonan memperbaharui lesen, namun disebabkan beberapa isu, kita masih belum meluluskannya,” katanya yang enggan mendedahkan butiran lanjut.
Berita Harian semalam mendedahkan, Unit Anti Pemerdagangan Orang Bukit Aman menyerbu hospital itu dan menahan enam suspek berkenaan kira-kira jam 4.15 petang selepas selesai urusan menjual seorang bayi perempuan berusia seminggu di hospital itu kepada sepasang suami isteri dengan harga RM21,000.
Dalam kejadian itu, polis juga berjaya menyelamatkan seorang bayi lelaki berusia kira-kira empat bulan. Kedua-dua bayi yang diselamatkan itu kini diletakkan di se-buah pusat perlindungan Jabatan Kebajikan Masyarakat.
Sumber itu berkata, pihaknya banyak menerima aduan mengenai salah laku hospital dan klinik swasta yang dipercayai menjual bayi itu, namun sehingga kini tiada sebarang laporan diterima.
Katanya, jika hospital itu didapati bersalah menjual bayi, Kementerian Kesihatan mungkin menarik semula lesen operasinya, sementara pembatalan bagi lesen perubatan doktor berkenaan adalah di bawah kuasa Majlis Perubatan Malaysia (MMC).
“MMC akan membuat inkuiri dalaman dan akan memanggil doktor berkenaan untuk membela diri. Jika terbukti bersalah, mereka akan membuat keputusan sama ada untuk menggantung atau membatalkan lesen terbabit,” katanya.
Sementara itu, jurucakap MMC berkata, doktor itu sememangnya berdaftar di bawah majlis berkenaan.
Dalam operasi polis kelmarin, polis turut merampas sijil lahir bayi perempuan itu dan wang tunai RM21,000 dipercayai dibayar suami isteri berkenaan.
Siasatan awal polis mendapati pasangan itu, membeli bayi perempuan berkenaan selepas berurusan sejak sebulan lalu.
Hospital itu dipercayai memalsukan maklumat ibu bapa kandung bayi itu bagi membolehkan pasangan suami isteri terbabit mendapatkan sijil kelahiran yang mereka perolehi pada hari yang sama dengan dibantu kakitangan hospital itu.
Difahamkan, harga bayi dijual sindiket itu boleh mencecah lebih RM30,000 mengikut bangsa dan jantina. Harga bayi lelaki dikatakan lebih mahal yang biasanya dijual antara RM15,000 ke RM20,000. Bayi berbangsa Cina pula paling mahal dan dijual mengikut berat, iaitu RM10,000 sekilogram berikutan permintaannya tinggi dan sukar diperoleh.
http://www.bharian.com.my/bharian/articles/LesenhospitaltamatAprillalu/Article/
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Berita Semasa
Saturday, October 23, 2010
Pantau anak marah
Pakar psikologi Universiti Teknologi Mara, Prof Dr Amelia Abd Aziz berkata, remaja sememangnya mudah terpengaruh dengan apa yang mereka lihat dan dengar serta akan mengaplikasikan perilaku itu apabila berdepan perkara yang membuat mereka marah.
“Baik remaja mahupun orang dewasa, apabila diselubungi perasaan marah, mereka akan bertindak di luar pemikiran waras sehingga melakukan sesuatu yang buruk tanpa sedar.
“Mereka sedikit sebanyak akan mengikuti perlakuan yang pernah dilihat sebelum ini,” katanya.
Beliau mengulas muka depan akhbar ini semalam yang melaporkan kejadian remaja berusia 14 tahun mati akibat terkena serpihan kaca yang diacukan oleh kakaknya selepas pertengkaran berebutkan alat kawalan jauh televisyen.
Menurutnya, mungkin suspek tidak berniat membunuh mangsa namun apabila berada dalam keadaan marah dan tertekan, dia terdorong untuk bertindak sedemikian.
Katanya, pertengkaran yang berlaku sehingga terjadinya cabar mencabar juga mungkin menyentap kesabaran suspek sehingga bertindak mengacukan serpihan kaca kepada mangsa.
“Keupayaan untuk mengawal kemarahan adalah penting supaya mereka dapat mengendalikan emosi dengan baik.
“Justeru, ibu bapa perlu memahami perilaku anak mereka dan perubahan yang berlaku terhadap tingkah laku mereka perlu dipantau,” katanya.
http://www.hmetro.com.my/articles/Pantauanakmarah/Article
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Berita Semasa,
Parenting
Wednesday, October 20, 2010
Reports over bosses mistreating pregnant staff on the rise
KUALA LUMPUR: There has been an increase in the number of reports from women workers who claim their employers discriminate against those who are pregnant.
Among complaints normally given by employers is that pregnant women under-perform in their duties.
MCA public services and complaints bureau head Datuk Michael Chong said he has received six complaints from women who alleged their bosses gave them a hard time, leading them to resign from their jobs.
Citing an example, Chong said one woman complained that her employer always nagged her for going to the toilet so often.
“She had to explain that she could not avoid it as she was pregnant,” he said, adding that the complainant also alleged she was put in “cold storage” by not being assigned the tasks she usually did before her pregnancy.
“Unable to take it any more, she resigned from her job,” Chong told a press conference here yesterday.
He said it was traumatic for pregnant women, who had worked to support their husband or family, to eventually lose their source of income.
“The department is contemplating legal action against employers who harass pregnant women under their payroll,” he said, adding that among those who had lodged complaints with his department were women who were still under probation at the work place.
Others had worked for two or more years with their employers.
Chong said he was worried that with the extension of maternity leave to 90 days for working mothers, there would be an increase of such victimisation.
http://www.thestar.com.my/news/story.asp?file=/2010/10/21/nation/7259530&sec=nation
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Berita Semasa,
Motherhood
Sunday, October 17, 2010
Jangan ganggu emak memasak ya (English)
Thursday arrived accompanied by rising anticipation. I rushed home from work, quickly changed my clothes, and sat at the kitchen table with pad and pen. "Don't worry, Mom. I'll stay out of your way. You won't even know I'm here."
Mom gave me a look that said, "I already know you're here." She set an empty pot on the stove and began chopping an onion. I watched her and asked my first question. "How big is that onion?"
"What do you mean, ‘How big?' It's an onion."
Her back was to me, but I was sure she rolled her eyes.
"I know it's an onion, but is it a small, medium, or large onion?"
She sighed. "Let's just say it's a medium one."
I wrote that down: one medium onion, finely diced.
Then she reached for the garlic, broke off a couple of cloves, and crushed them.
"How many cloves was that?"
"Two... unless of course they're large, then you only need one."
I wrote that down as well.
Mom poured some olive oil into the pot, and then added the onion and garlic.
"Wait! How much oil did you use?"
"I don't know. Enough for the pot."
I ignored the growing annoyance in her voice. "Well, how much is that?"
"It depends on the size of the pot. Just enough to coat the bottom. Use your judgment."
I didn't want to use my judgment. I wanted a recipe.
Mom emptied a can of pureed tomatoes into the blender. Then she added the blended mixture to the onions.
I grabbed the empty can and noted the size. "But why did you bother to blend tomatoes that are already pureed?"
"Because this is the way I make it. Are you here to tell me how to prepare my sauce, or to learn?"
Next, she poured one can each of tomato soup, tomato sauce, and tomato paste into the blender. I wrote down the size of each empty can when she finished.
While I wrote, Mom took a bunch of parsley and began chopping. Scooping up a handful of the chopped parsley, she moved toward the blender.
"Wait!" I jumped up and reached for her wrist. "How much parsley is that before you add it to the tomatoes?"
"A handful."
"But, Mom, how much is a handful? Your hands are smaller than mine!"
I grabbed a large measuring cup and had her empty the parsley into it, noting the amount. After blending the parsley and tomatoes, she added the mixture to the pot. I could see she was beginning to get a little rattled, but thankfully we seemed to be near the end.
"Mom, I forgot to ask. How long were the onions cooking before you added the other things?"
"Once the oil begins to bubble, simmer for about five minutes."
Then she sprinkled some oregano into the palm of her hand and walked over to the stove, only to be intercepted by me once again. I carefully emptied the contents of her hand into a measuring spoon. "Aha. Just about one teaspoon." I dashed back to my pad and wrote it down.
"That's it. Simmer the whole thing for about an hour."
"Uh... Mom? That's the second time you said ‘simmer.' Exactly what does that mean?"
She counted to ten before she answered. "It means cook over a low flame."
The sauce was simmering, and so was Mom.
I waited a few moments before venturing to ask my final question. "Are we done?"
"Yes, we're done. Now it just cooks — simmers — for an hour. There's nothing more for you to write down, so please get out of my kitchen before you drive me completely crazy!"
An hour later, we all sat down to dinner. My sister was the first to speak up. "Mom? This sauce doesn't taste like you usually make. Did you do something different?"
"Of course not. It has the same ingredients I always... wait a minute." Mom grimaced and shot me one of her patented looks. "I forgot the sugar... and the salt and pepper."
The rest of the family laughed as I shrunk down in my seat.
I learned an important lesson that day. We've now been married more than thirty years, and my very special husband has always been served a very special spaghetti sauce.
Ragu.
http://www.chickensoup.com/bulletin.asp?newsid=newsletter-101016-2
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Motherhood
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