ASUHAN KEPERAWATAN

Atrial fibrillation or disruption
heart rhythm is one of
the risk of stroke. There is one drug
antipembekuan more new blood
effective than standard drugs.
Many cardiac rhythm disturbances
encountered in clinics and hospitals in
Indonesia. This condition also
experienced
more than 6 million people in Europe,
more
of the 2.3 million population of the
United States,
and more than 800,000 people in Japan.
In patients with rhythm disturbances
heart, heart rate did not
regularly makes them vulnerable
experienced the formation of
blood clotting, which can
move forward toward the brain, and
potentially lead to attacks
stroke.
Is an anticoagulant drug or
vitamin K antagonists, such as warfarin,
which is widely regarded as
standard drug for the prevention
blood clotting (coagulation) . Although
effective, warvarin have some
risk.
"Some of the drawbacks of warfarin, in
between drug levels in blood
difficult to predict and should be
monitored
routinely, easily 'bullied' drug-
Another drug when ingested, the patient
restricted eating foods that
contain as much vitamin K
on vegetables given warfarin
is a vitamin K antagonist when
vegetables needed by the body, and
because
difficult to control, blood may be too
thin
the risk of bleeding or
too viscous which increases the risk
stroke, "said Dr. RWM Kaligis SpJP (K )
in a media briefing "Prevention
Stroke in Patients with Impaired
Heart Rhythm: A recent study "by
Bayer HealthCare in Hotel
Intercontinental Jakarta MidPlaza,
Jakarta, Tuesday (16 / 8 / 2011).
A recent study found the Rocket AF
antipembekuan drug new blood
minimal risk compared to warfarin,
standard drug which has been
consumed. Studies comparing
between Rivaroxaban and warfarin
Rivaroxaban demonstrated that
proved better at reducing
the risk of stroke in patients
cardiac rhythm disturbances during
Rivaroxaban consume (on
treatment) with the risk of bleeding
and fatal bleeding intrakarnial the
low.
"With approximately 20 mg dose
a day, Rivaroxaban can prevent
stroke by 21 percent in patients
heart rhythm disturbances and proven
comparable with warfarin.
Rivaroxaban effectively prevent
blood clots 'walk ' that
create a blockage somewhere else, "
he continued.
Rivaroxaban has been approved by 110
countries
around the world while at
Indonesia, Rivaroxaban is being
approval process of the Board
Food and Drug Administration
(BPOM).
Rocket AF own studies have
presented at the meeting
American Heart Association Congress
in 2010 and published in the journal
New England Journal of Scientific
Medicine in August 2011

E . Coli Outbreak in Oregon Linked
to Strawberries
An
elderly
woman
died and
at least
nine
other people were sickened after
eating fresh strawberries from an
Oregon farm contaminated with E .
coli , officials said on Monday .
The strawberries were produced at
the Jaquith Strawberry Farm in
Newberg , about 20 miles southwest
of Portland, and sold at farmers'
markets and roadside stands , said
the state 's public health division.
Officials stressed that strawberries
sold at supermarkets are not linked
to the outbreak , which has caused
illnesses in several northwest Oregon
counties .
An 85 year-old woman died from
kidney failure associated with the
infection , officials said. Among the
other nine confirmed cases , four
individuals were hospitalized .
State health officials believe that
another six people who developed
an E . coli infection could be part of
the outbreak .
All the victims fell ill between July 10
and July 29, but Oregon public health
officials did not begin their
investigation until August 3 , said Dr.
Paul Cieslak , communicable disease
manager for Oregon Public Health .
That is because sickened individuals
must first go to the doctor , and
medical laboratories must report the
cases to the state .
" There is a lag built into the system, "
Cieslak said .
There are about 265 , 000 infections
from E . Coli every year in the United
States , and about 36 percent of them
come from the strain known as
Escherichia coli 0157: H 7 that Oregon
officials blame for this latest
outbreak , according to the U .S .
Centers for Disease Control and
Prevention .
There is no recall of strawberries
from Jaquith Strawberry Farm ,
because that produce is no longer
being sold.
But officials advised anyone who
believes they may have bought
strawberries from the Oregon farm
to throw them away , and warned
that fruits which have been frozen or
made into uncooked jam are of
particular concern.

E . Coli Outbreak in Oregon Linked
to Strawberries

Genetically-Engineered
Spermless Mosquitoes
Offer Malaria Hope

Where mosquito netting and bug
spray fail, European scientists are
turning to a unique solution to stem
the tide of malaria infection
worldwide : they're breeding boy
bugs that shoot blanks .
In a study release Monday in the
Proceedings of the National Academy
of Sciences, researchers in Italy and
the U . K. showed they were able to
genetically modify male Anopheles
mosquitoes so that they wouldn't
produce sperm . The bugs would still
produce seminal fluid, so mating
rituals would go on per usual , but
the fruit of coupling would be sterile
eggs that don't hatch.
" If mosquitoes [don' t] produce any
progeny ... the number of mosquitoes
in the wild will be reduced , eventually
reducing the chances of malaria
transmission , " says co- author on the
study Dr. Flaminia Catteruccia , of the
Imperial College in London.
Though there are thousands of
mosquito species , only a handful of
them can transmit malaria,
Catteruccia says, so targeting these
species has the potential to reduce
the spread of disease and is less
likely to negatively impact the local
ecosystem .
The fact that the Anopheles species
of mosquito tends to be
monogamous only enhances the
effect , as those females who mate
with sterile males tended to not seek
out other , potentially virile mates.
Sterility may even prove a
reproductive boon for sperm- less
males , authors note, because making
sperm is energy -consuming, thus the
modified males may appear to be
stronger mates .
More than 225 million people
worldwide suffer from malaria. Each
year , nearly 800 ,000 people will die
from the disease, many of whom are
children living in Africa.
" Given the constant spread of the
disease, alternative approaches to
the use of insecticides are urgently
needed, " the study 's authors wrote.
Modifying Mosquitoes to Stem
Malaria
Monday 's research is just the most
recent example of a number of
mosquito -modifying techniques
tested in the past few years in hopes
of limiting the mosquito population
or the bugs ' disease transmission
capabilities .
In 2009, Australian researchers used
a modified bacteria to cut the
lifespan of mosquitoes in half.
Researchers hoped this would
reduce the extent to which the bugs
spread Dengue fever , an infection
that afflicts tens of millions of people
each year and kills 20,000 .
Why might this work? Both Dengue
fever and malaria require time to
incubate within the bug before they
can be transmitted by a bite. This
means that shorter -living mosquitos
can still be a source of food and
serve their purpose in the ecosystem,
but they don' t live long enough to
pass on these diseases .
In 2010, between 2 ,000 and 3, 000 of
these short -lived mosquitos were
released into the environment in
Malaysia as a trial run for reducing
Dengue fever rates .
Other mosquito-limiting tactics have
included modifying males to be
unable to fly ( and who have offspring
who also cannot fly) and injecting
mosquitos with a special fungus that
is thought to reduce the bug's ability
to pass malaria to humans , even
when the bugs themselves become
infected .
The hope with these various
methods is that disease rates can be
lowered without negatively impacting
the surrounding ecosystems, which
often include several species of
insects and animals that rely on
mosquitoes for food .
Genetically-Engineered
Spermless Mosquitoes
Offer Malaria Hope