Showing posts with label health articles. Show all posts
Showing posts with label health articles. Show all posts

Friday, April 4, 2014

Prevention of dental erosion

Prevention of dental erosion
The goal of prevention programs is to prevent tooth erosion of workers against dental erosion due to the acidity in the mouth in the form of a plan of protection to workers who work in an acidic environment . In general, prevention programs should have thought of dental erosion when in an acidic environment workers complain as follows

    
1 . Sour taste in the mouth
    
2 . Tooth ache
    
3 . Environmental smelling sulfuric acid
To get the productivity and quality of products is high, then a company that has to do with sulfuric acid to be thought of a program that is effective prevention of dental erosion . Benefits for workers is to maintain the health of teeth so as not to interfere with his time . Tooth erosion prevention programs not only detect early tooth erosion due to the acidity of the mouth but jugai prevent digestive tract disorders ( Gilleland , 1986) . In general, four methods are discussed in the literature to control erosion are:

    
1 . Rinsing the mouth with a solution of taking antacids or antacid tablet as soon as possible after an episode of erosion occurs , such as sour or after vomiting .
    
2 . Rinsing with fluoride neutral as soon as possible after receiving acid exposure .
    
3 . The combination of the two. It is believed that the neutral fluoride rinse is done first followed by rinsing antacids . This can lead to more berinterporasi fluoride in the soft surface of the teeth , to begin the process of remineralization .
    
4 . It is also advisable to workers to brush your teeth with a soft toothbrush in the vertical direction and can also with toothpaste containing baking soda . In this study, researchers tried to create a program of prevention of dental erosion with baking soda 1 % in order to neutralize the acid levels in the mouth .

Definition and causes of dental erosion

Definition and causes of dental erosion
The structure consists of a network of dental hard tissue of teeth ( enamel , dentin , cementum ) clan dental soft tissue ( pulp ) . Components of enamel consists of 96 % inorganic materials , organic materials , and the rest is water . Inorganic material consisting of calcium in the enamel of 36.7 % , 17.4 % Phosphate . While dentin contains calcium phosphate 25.1 % and 13.9 % ( Smith , 1999) . Enamel is composed mostly of hydroxy apatite and fluor apatite fraction ( Meurman , 1996) .
Erosion is the process of demineralization of teeth by acids email solubility due process . Email solubility process that occurs as a result of the salt solubility in acidic solutions . Patogenese teIjadinya dental erosion is the result of acid etching ( Imfeld , 1996) . In the early stages of dental erosion teijadi only on the enamel surface , then a layer of enamel dissolves layer by layer . Tooth erosion occurs because demineralization of the enamel surface with decomposition peripheral prism ( Tuominen , 1992) .
Tooth erosion caused by the chemical industry generally only occur on the labial surface of the front teeth in the upper jaw and lower jaw . Tooth surfaces experiencing tooth erosion occurs on the surface of the incisal third of the labial surface of the tooth to half insicivus . Erosion on rare canines . The first signs of dental erosion is a result of the presence of chemical vapor etching on the surface of the labio - incisal that looks like glass honed . Enamel surface becomes smooth , rounded and shiny . In a further process , where erosion has occurred in the clink teeth , the dentin may experience staining , although the process of erosion in dentine is not as fast as in the enamel . Further to the pulp , may further lead to hypersensitivity of the teeth , especially due to cold stimuli . ( Nunn , 1996) .
Classification of dental erosion : Cate ( 1961) estimate of the degree of dental erosion :

    
1 . Etching ( Et ) : The surface of the tooth enamel shiny like glass without loss of tooth contour
    
2 . Erosion degree 1 ( G 1 ) : Missing layers of enamel
    
3 . Erosion degree 2 ( G2 ) : Missing enamel layer followed by a layer of dentin
    
4 . Erosion degree 3 ( G3 ) : Missing layers of enamel , dentin and secondary dentin
    
5 . Erosion degree 4 ( G4 ) : Missing layers of enamel , dentin and dental pulp .
Eccles , et al . ( 1982) classifies the causes of erosion in the form of inner and outer factors . One of the external factors cause tooth erosion is industrial environmental factors . Industrial environmental factors can cause erosion of teeth on the front teeth as a result of inhalation of acid vapors in the form of an aerosol or mist ( fume ) . Mc Intyre J.M. (1992 ) divides the causes of erosion :
1 . Is due to external factors :

    
1 . Diet ( fruit juice , citrus fruit , dangerous carbonate , acetic acid )
    
2 . Drugs ( hydrochloric acid , ascorbic acid , acetyl salicylic acid , iron preparations )
    
3 . Work ( acid -related industries )
    
4 . Sports ( swimming in water containing chlorite )
II . Internal factors :

    
1 . Belching of gastric fluid
    
2 . Psychological problems eg anorexia , severe alcoholics , severe stress .
    
3 . Side effects of the drug sitostatica ( medication for chronic asthma , overdoses or excess medications that can irritate the stomach ) .

The basic principles of nursing children

The basic principles of nursing children
There is a basic principle in a nursing child or that serve as a guide in understanding the philosophy of the nursing child . Nurses need to understand , considering there are several different principles in the application of care . Among the principles in the nursing care of the child is : First, the child is not a miniature adult but as a unique individual .
Principles and nursing view this means that the child should not be looked at from the physical size as adults but children as unique individuals who have a pattern of growth and development towards maturity process . The patterns of these are to be used as benchmarks , not only his physical form but the ability and maturity . Second , the child is a unique individual and have needs in accordance with the stage of development . As a unique individual children have different needs from one another in accordance with the age growth and development . These needs may include physiological needs such as nutrition and fluid requirements , activity , elimination , rest , sleep , and others . In addition to the physiological needs , children as well as individuals who are also in need of psychological needs , social , and spiritual . It can be seen on the stage of development of the child ages . At the same time need to look at the level of special needs experienced by children . Third , children's nursing services oriented towards disease prevention and health improvement , rather than just treating sick children . Disease prevention and health improvement aims to reduce morbidity and mortality in children , since children are the future generation .
Fourth , nursing child health is a discipline that focuses on the welfare of the child so that the nurse is responsible comprehensively in providing nursing care of children. Fifth , child nursing practice include contracts with children and families to prevent , assess , intervene , and improve the lives , using the nursing process in accordance with the moral aspects ( ethical ) and legal aspects ( legal ) .
Sixth , the goal of nursing children and adolescents is to improve maturation or maturation healthy for children and adolescents as a biopsychosocial and spiritual beings in the context of family and community . Seventh , the future trend of nursing science focuses on child growth and development since the development of the science that will study aspects of a child's life ( Aziz , 2005) .

The concept Haemoraghi Post Partum (HPP)

The concept Haemoraghi Post Partum (HPP)
Haemoraghi Post Partum (HPP) Definition of bleeding that occurs after childbirth glittering 24 hours of more than 500-600 cc.

    
Incidents In the case of developing countries reached 5-15% of the total number of births that occur.
    
Etiology
    
Atonic uterus (50-60%).
    
Retained placenta (16-17%).
    
The rest of the placenta (23-24%).
    
Lacerations of the birth canal (4-5%).
    
Blood disorders (0.5-0.8%).
    
Predisposition
    
Age (who are too old or too young at the time of birth), parity (or the Multi grandemulti), obstructed labor, obstetric oprastif and narcotics, and big too tense uterus, abnormalities in the uterus (myoma uteri), Socio-Economic less which can lead to malnutrition .
    
Diagnosis
    
Palpation: uterine contractions and the SFH.
    
Inspection: Uri, amniotic (complete or not), there is a tear in the vagina aapakah or the presence of varicose veins.
    
Exploration of the uterine cavity: residual uri and membranes, tearing the uterus, placenta suksenturiata.
    
Laboratory examination: DL (Hb), Physiology of hemostasis, Clot observastion test (COT).
    
Ultrasound examination if necessary.
    
Symptom
    
Bleeding more than 500-600 cc, weak uterine contractions, uterine mushy (Boggy), Sub involution (fundus rose), face pale / anemic.
    
Prognosis
    
The maternal mortality rate of 7.9% (Mochtar. R), and according Wignyosastro maternal mortality rate reached 1.8 to 4.5% of cases.
    
Management
    
In general, for the case of bleeding are:
    
Stop the bleeding.
    
Help prevent syock.
    
Replace blood lost.
    
Special Treatment:
    
Phase I (bleeding that is not too much): Give uterotonic, massage / massage the uterus, attach the octopus.
    
Phase II (more bleeding): Do the replacement fluid (transfusion or infusion), Prasat or maneuver (Zangemeister, frits), bimanual compression, aortic compression, uterovaginal tamponade, uterine artery clamping.
    
If all the above measures do not help: hypogastric artery ligation, histerekstomi.
Nursing diagnoses that may appear high risk of infection associated with impaired formation of white blood cells.

    
Objectives:
    
Infection did not occur during the period of treatment with the following criteria:
    
There are no signs of infection (tumor, ruborm calor, dolor and fungsiolaesa).
    
Vital signs within normal limits (blood pressure, temperature, pulse and respiration).
    
Results of laboratory tests (DL) within normal limits.
    
Plan:
    
Explain to the client about the signs of infection.
    
R / adequate knowledge enables clients cooperatively to nursing actions.
    
Observations of the amount of bleeding.
    
R / bleeding that causes many of the body's defense spending fell as a result of excessive leukocytes.
    
Motivation clients to maintain personal hygiene.
    
R / humid environment is a good medium for the growth of bacteria that increase the risk of infection.
    
Collaboration with physicians in the administration of antibiotics.
    
R / specific antibiotics can help to prevent the growth of bacteria that rely more progressive.
    
Observation for signs of infection and TTV (blood pressure, temperature, pulse and respiration).
    
R / Increased to reflect the occurrence of TTV infection.
The risk of anemia associated with the effects of bleeding.
Objectives:
Anemia did not occur during the period of treatment with the following criteria:
Hb> 10 g%.
The conjunctiva was not anemic.
Mucosa was not pale.
Plan:
Identification of patients' knowledge about anemia and explain the cause of the anemia.
R / Knowledge sufficient to facilitate cooperative patients to nursing actions.
Instruct the patient to bed rest.
R / activity will slightly reduce the metabolism so that the burden of oxygen supply to the tissues would be better.
Collaboration in the provision of adequate nutrition (diet TKTP).
R / Nutrition is especially Hb-forming materials as iron.
Collaboration with physicians in:
Giving koagulantia and roburantia.
Transfusion.
DL examinations periodically.
KU observation of patients, the conjunctiva and the patient's complaint.
The risk of bleeding associated with hypovolemic syock that occur continuously.
Objectives:
Shock does not occur during the period of treatment with the following criteria:
No loss of consciousness occurs.
Vital signs within normal limits.
Good skin turgor.
Good peripheral perfusion (akral warm, dry and red).
Fluid balance in the body.
Plan:
Instruct the patient to drink more.
R / Increasing fluid intake can increase the volume intrvaskuler which can increase tissue perfusion.
Observation of vital signs every 4 hours.
R / TTV changes to an early indicator of dehydration.
Observation for signs of dehydration.
R / Dehydration is the beginning of the syock when hands are not properly hydrated.
Observation of fluid intake and output.
R / adequate fluid intake to compensate for the excessive discharge.
Collaboration in:
Intravenous fluids or transfusions.

 
Giving koagulantia and uterotonic.
CVP custom installation.
Plasma BJ examination.
The risk of metabolic acidosis associated with a decreased amount of blood in the capillaries.
Objectives:
Metabolic acidosis did not occur during the period of treatment with the following criteria:
BGA results within normal limits.
Vital signs within normal limits.
Plan:
Observation of vital signs within normal limits.
R / TTV Change detection is an early sign of acidosis.
Instruct the patient and the motivation to drink sweet.
R / Reduce protein breakdown and excess fat to meet metabolic needs.
Collaboration in:
BGA Inspection.
Intravenous fluid administration.
Self care deficit related to physical weakness
Objectives:
During the treatment period of daily activity needs are met.
Plan:
Explain to patients about the importance of maintaining personal hygiene.
R / adequate knowledge enables clients cooperatively towards maintenance actions performed.
Assist clients in meeting the nutritional needs (eating and drinking).
R / weakness of the body requires to help clients meet the needs of others.
Assist clients in meeting personal hygiene needs.
R / weakness of the body that occurs can lead to an inability to meet the needs of individual hygiene.
Fulfillment observation of daily activities.
R / Improved ability to fulfill daily needs may reflect reduced body weakness.

Nursing Patient With Eclampsia

Nursing Patient With Eclampsia
Definition : Eclampsia is a serious complication of pregnancy , and can be characterized by the presence of seizures . Usually eclampsia is a continuation of pre - eclampsia though sometimes - sometimes not known in advance . Another definition of eclampsia is new onset gestational hypertension followed by a grand mal seizure ( Zeeman , Fleckenstein , twickler , & Cunningham , 2004) , and seizures in pre - eclampsia which can not be attributed to other causes ( Abbrescia & Sheridan , 2003) . Seizures in eclampsia is not associated with a brain condition and usually occurs after 20 weeks of pregnancy .
etiology
Eclampsia can occur if left untreated pre - eclampsia , eclampsia same so that the cause of the different causes of pre-eclampsia . There are several risk factors that predispose certain known , among other things :
primigravida status
Family history of pre - eclampsia or eclampsia
Ever eclampsia or pre - eclampsia
new husband
Extremes of maternal age ( < > 35 years )
Since the beginning of suffering vascular hypertension , kidney disease or autoimmune
diabetes Mellitus
multiple pregnancy
manifestations Kinis
Symptoms and signs found in patients with organ -related eclampsia affects, among others, namely : Oliguria ( less than 400ml/24 hours or urine remained less than 30 ml / hour , epigastric pain , blurred vision , dyspnea , Headache , Nausea and vomitting , scotoma , and seizures .
Most cases are linked with hypertension and proteinuria due to pregnancy but one - the only real sign of eclampsia is the occurrence of seizures eklamtik , which is divided into four phases .

    
premonitory stage
    
This phase is usually not known except by constant monitoring , rotating eye - turn when muscles tense face and hands .
    
Stadium Tonic
    
As soon as the premonitory phase turned into a tense hands clenched . Sometimes the mother along with the mother tongue biting teeth clenched , while the hands and feet become stiff . Respiratory muscle into spasm , which can cause the mother to stop breathing . This stage lasts for about 30 minutes .
    
Stadium clonic
    
In this phase, but the muscle spasms stop start jerked violently . Frothy , blood-tinged saliva on the lips and sometimes - sometimes could draw breath . After about two minutes to stop seizures , coma heading , but some cases leading to heart failure .
    
Stadium coma
    
Mother unconscious , noisy breath sounds . This situation may last only a few minutes or even a few hours to settle dpat .
pathophysiology
In normal pregnancy , vascular volume and cardiac output increased . Despite increased , abnormal blood pressure in normal pregnancy . This may be because women hhamil become resistant to the effects of a vasoconstrictor , such as angitensin II . Prisoners increased peripheral vascular effects of some vasodilators such as prostacyclin ( PGI 2 ) , prostaglandin E ( PGE ) , and endothelium -derived relaxing factor ( EDRF ) . Tromboxan and PGI 2 ratio increased . Tromboxane produced by the kidneys and trophoblastic tissue , causing vasoconstriction and platelet aggregation .Vasospasm decrease the diameter of the blood vessels , which would damage the endothelial cells and degrade EDRF . Vasoconstriction will also disrupt the blood and improve blood pressure . As a result, the circulation to all organs of the body including the kidneys , liver , brain , and placenta decreases . Changes - changes that occur are as follows :

    
Decreased renal perfusion caused a decrease in glomerular filtration rate ( GFR ) ; so that blood urea nitrogen , creatinine , and uric acid increased.
    
Decreased blood flow to the kidneys causing kidney damage . This causes the protein to pass through the glomerular membrane is normally impermeable to large protein molecules . Loss of protein colloid osmotic pressure causes decreased and the fluid can move to interstitial space . This can lead to edema and a decrease in intravascular volume , which increases blood viscosity and hematocrit meningktanya . Response to reduce the intravascular volume , angiotensin II and aldosterone will be released to trigger the water and sodium retention . Tempers circle pathological processes : the addition of angiotensin II and hypertension increasingly lead to vasospasm ; aldosterone increase retention and edema lookups will get worse .
    
Decreased blood flow to the liver resulting in liver damage and hepatic edema and hemorrhage sibcapsular , which can lead to hemorrhagic necrosis . Manifested by an increase in liver enzymes in maternal serum .
    
Vasoconstriction of the blood vessels causes the pressure will destroy the thin capillary walls , and a small cerebral hemorrhage . Artery vasospasm symptoms are headache , visual disturbances , such as blurred vision , spots , and hyperactive deep tendon reflexes .
    
The decrease in colloid oncotic pressure may cause leakage of the pulmonary capillaries resulting in pulmonary edema . The primary symptom is dyspnea
    
Decreased placental circulation resulting in infarction risk factors that drive the placental abruption and DIC . When maternal blood flow through the placenta is reduced , resulting in intrauterine fetal growth restriction and fetal hypoxemia and acidosis experience .
WOC ( telampir )
examination Support
a. Laboratory Studies
Albuminuria : +2 or +4
Proteinuria ( 5 g in 24- hour urine or +3 or more on dipstick )
Blood urea nitrogen ( BUN ) : less than 10
Serum creatinine : increased
Creatinine clearance : 130-180
thrombocytopenia
Nursing care of patients Eclampsia
I. Assessment
1 . Client identity
name :
age :
address :
Occupation :
No. . Telephone:
husband :Occupation :No.Telephone :
2 . Health History
a. Formerly Medical History : Have had pre - eclampsia , eclampsia Experienced , vascular hypertension , diabetes mellitus , kidney disease .
b . Health History Now : Pregnancy Doubles , hydatidiform mole , in the frontal headache , blurred vision , scotoma , Vomiting , Nausea hard , pain in the epigastric , hyperreflexia , seizures , dyspnea
c . Family Health History

         
- There is a family who also had pre - eclampsia

         
- Families experiencing eclampsia
d . Obstetric History
G2 P1 A0 H1 , Son Ke , Born , BB , Complaints
Menstrual history :
- Mother's first menstruation at the age of 12 years
- After 3 months she started menstruating regularly , the mother did not have complaints during menstruation
History KB : I do not use family planning
Consumption History : Mother love salty foods
3 . physical examination
Vital Signs : BP : systolic > 160 mmHg P : < > 110 mmHg S : 40 ◦ C
MAP : 160/110 = 127
N : < > watery vaginal discharge
· The liquid dripped periodically or radiated suddenly
· Fluid seen at introitus
· There is no contraction in 1 hour
amnionitis
· Watery vaginal discharge and foul smelling after 22 weeks gestation
· Fever / chills
· Abdominal pain
· History of fluid loss
· Uterine tenderness
· DJJ fast
· Bleeding light pervaginavaginitis
· Foul smelling vaginal discharge
· No history of fluid loss
· Itching
· Discharge foaming / color boiling
· Abdominal pain
· Dysuria
Possible delivery term / preterm
Vaginal discharge watery or bloody mucus
· Opening and softening of the cervix
· contraction
antepartum hemorrhage
Bloody vaginal discharge
· Abdominal pain
· Loss of fetal movements
· Vaginal Bleeding
4 . examination Support
· Place the pads on the vulva and check the pads ( visually and through scent ) one hour later
· Use a high -level disinfection speculum for examination pervagina :
o Liquids can be seen coming from the cervix or forming puddles in the posterior fornix .
o Ask the mother to cough as this can cause fluid gushing .
· Examination of blood leukocytes : > 15.000/mm3 case of infection ( N : 5000-9000 ) , temperature > 38 ° C, tachycardia .
· Examination nitrazin : relies on the fact that vaginal secretions and urine is acidic while alkaline amniotic fluid . Hold a sheet of paper nitrazin the hemostat and touch the paper into a pool of liquid at the end of the speculum . Paper changes color yellow to blue indicates alkalinity ( amniotic fluid ) . Blood and vaginal infections give some false positive results .
· Amniocentesis
· Ultrasound : determining gestational age and decreased amniotic fluid index .
· Determination of the volume of amniotic fluid may help in identifying patients with an increased risk of fetal distress .
· Examination of the cervix when it has no pain and irregular contractions .
5 . therapy
General Management :
- Confirm the accuracy of the calculation of gestational age
- Use of high -level disinfection speculum examines untik vaginal discharge ( amount , color , odor ) and singkirka diagnosis of urinary incontinence
- If there is a per - vaginal bleeding with constant abdominal pain , suspected occurrence of placental abruption
- If there are signs of infection ( fever , foul-smelling vaginal discharge ) give antibiotics
- If there are signs of infection and less than 37 weeks gestation ( fetal immature ) :
o Give antibiotics to reduce maternal and neonatal morbidity due to infections and slow delivery
Ø Erythromycin 250 mg orally three times daily for 7 days
Ø Plus amoxicillin 500 mg orally three times daily for 7 days
o Consider moving beyi to the most appropriate services for newborn care if possible
o Give corticosteroids to the mother to improve fetal lung maturity
o Make use of induction of labor with oxytocin at 37 weeks gestation and given prophylactic antibiotics to help reduce streptococcal infection in neonates although the mother has received prior antibiotics .
o If the contraction is palpable and there is a mucous discharge mixed with blood , suspected labor occurs preterem
- If there are signs of infection and gestational age 37 weeks or more ( mature )
- If the membranes rupture more than 18 hours , give penicillin or ampicillin profilksis to reduce the Formatting group B streptococcal infection in neonates . If there are signs of infection after delivery to stop the administration of antibiotics
- Assess the cervix :
o If the cervix good condition ( soft , thin , partially opened ) did induce labor using oxytocin
o If the cervix is not a good condition ( hard , thick , closed ) , matangkan cervix using prostaglandins and oxytocin infusion or fetuses born via cesarean .

Thursday, April 3, 2014

papers factors affecting food production stages , Nugget

papers factors affecting food production stages , Nugget
Nugget is one of the frozen meat processed products . This product has a long shelf life , with storage in the freezer can reach 2 weeks . The meat must be ground before being used , making it easier to set up at a later stage . The main materials used are fish , which will give the desired product texture , because it has a protein content of myofibrils .
Other supporting materials , namely salt , water , fillers ( filler ) , emulsifiers , and spices . Works to increase the solubility of salt , because the existing myofibrils proteins in the meat just dissolved in saline solution . Water is useful to provide an aqueous properties and also increase the yield .
Fillers and emulsifiers are used in these products are tapioca flour and egg yolk which serves to bind water and fat . Spices such as pepper and garlic in addition to providing a distinctive smell and taste , is also able to extend the shelf life .
A. Purpose Umun
1 . Common purpose .
The purpose of this is as diversified nagget processed meat products , for mengatuhi nagget manufacturing process and add economic value and to preserve food over the
Frozen food ( frozen food ) has been around since about 3000 BC , when the ancient Chinese society started using ice to keep foods in all winter . Similarly, the Romans were using the snow to freeze food . For the first time in 1930 in Springfield , Massachusetts , a man named Clarence Birdseye introduced frozen foods such as vegetables , fruits , seafoods , and meats are sold to the public under the trademark Birdseye Frosted Foods ? . In Indonesia, the frozen food was introduced by the Chinese and Japanese .
In general, the manufacture of frozen products through several stages ranging from preparation of raw materials ( raw materials ) , the process of molding / forming ( for products such as meatballs , nuggets ) , coatings ( coatings ) , menggorengan ( frying ) , membekuan ( freezing ) and packaging (packaging ) . One example of a frozen meal that is mostly found in the market nuggets, especially chicken nuggets with a variety of forms. The raw materials are being used more in the form of frozen meat (beef , fish or chicken ) .
Nugget making process begins with the preparation of the raw materials that do tempering / withering , frozen meat stored in a cold room ( chill room ) to raise the temperature of the meat is desired , with certain standards . The next process is milled with a tool minced meat ( meat grinder ) to get the desired size of the meat . At this point also made ​​by mixing the emulsion of oil, water and soy protein . The tools used for the manufacture of emulsions such as chopper engine , the same tools in the making of pasta meatballs . Furthermore, emulsions and mixed ground meat along with other spices to form a dough ( meat mix ) . At this stage of industrial -scale sometimes used CO2 gas or similar to get the meat mix to a certain temperature to be easy to be printed , or stored in advance in the cold room .
Factors affecting food production stages ( nugeth )
1 . Acceptance of food and preparation .
Fish freshness could be determined by observing the physical appearance , eyes , gills , texture , and smell . While still fresh , the fish looks bright , shiny silvery suit type . Mucus on the surface of the body did not exist until a thin , clear , and watery . Scales firmly entrenched and not easily separated , intact stomach , and anus closed . Eyes convex , bright , clear white , black pupil , not bloody . Bright red gills are not slimy or slightly slimy . The texture of the meat is solid , flexible , and if pressed quickly recovered . The smell of fresh or slightly fishy .
However , once the fish dead fish began a process of destruction . The first occurred is autolysis caused by the activity of enzymes that exist in fish . These enzymes work uncontrolled causing a reshuffle in the body of the fish , especially protein . Quality fish began to fall . The appearance of the fish becomes more bleak , not bright , easily dislodged scales , eye redness , brown or opaque . This process produced simple compounds like bacteria .
Materials needed to make fish nuggets that fish meat , tapioca flour , ice , and spices .
* Meat fish
The main ingredient for fish is fish meat nuggets from one type of fish or meat mix several types of fish . More delicious taste of the fish meat more savory flavor nuggetnya anyway . Fish meat is used only white meat only. White meat can be obtained from white-fleshed fish , such as snapper , grouper , mackerel , fish cunang or dimly ( Congresox talabon ) .
Red -fleshed fish species are not good nuggets made ​​unless the fish also have white meat and red meat mudahdipisahkan . For example tuna , skipjack , tuna , and bloating . In addition , the type of fish used also determines the texture and yield nuggets obtained . Species of fish fat and slightly prickly produce a high yield .
* Starch and wheat flour
In order nuggetnya delicious , good tekstumya , and high quality , the amount of flour used should be approximately 10-15 % of the weight of the meat . Wheat flour is used as a dye for nuggets .
* Wheat bread
Bread flour is used to bind nuggets taste half so when they are cooked or stored in the freezer .
* Cooking oil
Cooking oil is used for cooking or frying frozen nuggets that have been sprinkled with bread crumbs and so ready to be served .
* Ice
Another important ingredient in the manufacture of nuggets is ice or ice water . Ice should be used ice cubes .
* Seasoning
Seasoning salt in the form of fine , while the flavor is made from a mixture of garlic and pepper . Salt used about 2.5 % and about 2 % penyedapnya seasoning of the meat weight . As flavorings can also be used seasoning mixture of garlic , and onions . Should not use food flavoring rnonosodium glutamate or MSG .
2 . Processing .
* Fish weeded so that the stomach contents are a source of enzymes and bacteria do not damage the fish meat . Once washed and weeded fish filet made ​​.
* Meat sliced ​​fish towards the tail until the meat is separated from the bone . Furthermore , fish and meat sliced ​​from behind the tail to the head . That not a lot of meat left on the bone , bone sticking a knife somewhat suppressed .
* Having a separate meat from bones , fish skins are separated in order to obtain meat -free bones and skin . However , not all types of fish easily skinned.
* Filet of fish washed thoroughly with running water or washed in a bath to remove impurities and residual blood . Always add sufficient ice to retard degeneration because of the freshness of the fish fresh fish nuggets produced the better .
* Handling ( sorting , weeding , manufacture filet , leaching ) fish should be done in a clean , protected from the sun and protected from the possibility of physical damage ( eg trampled , squashed ) .
* Spices - Seasonings (garlic , onions , salt and flavoring destroyed ) .
* Seasoning crushed mixed with ground beef and then milled starch and added with ice water .
* Shape dough nuggets to taste ( round , oval , stick , etc. ) and then frozen ( at least 12 Hours )
* When it is frozen then thawed flour and starch with water , then grab the frozen nuggets and dip them into the flour mixture .
* Sprinkle with bread crumbs .
* Fry in hot oil .
* Ready to be served before being fried or save it back in the freezer
3 . Packaging and Storage .
Further nuggets passed into the oven . At this stage , given the nugget of saturated steam heat / steam so that the full maturation . This process is also useful to help improve the texture of the final product . The next stage of the freezer frozen nuggets individually quick freezing ( IQF ) freezes up perfectly . Freezing temperature plays an important role to save power nuggets .
If you have not had first sent nuggets can be stored in a refrigerator or a refrigerator at 5 ° C. Such storage , temperature of 5 ° C. awake For long-distance transmission , need to be packaged and frozen nuggets in the freezer and kept in cold storage .
do attractive packaging so that the consumer interest . Good packaging is plastic and using the vacuum so it can last a long time . Packaging is designed to be able to represent our products . It is important to show the nugget in the packaging so that people are interested in our products when new saw . In the package we should include raw materials and expiry dates .
4 . Marketing .
After the technological aspects , the most decisive aspect of the success of a business before the business starts is marketing planning . Marketing is also a determinant factor after the business is run . To create a marketing plan , required knowledge of the planned product marketing . Therefore, this aspect should be studied well .
Marketing issues that need to be learned especially is an area of marketing and market demand . Equally important is knowledge about the nature and absorbency of each market to the desired product , the requirements are required , the number of suppliers or competitors and the entire supply volume , distribution channels and marketing systems , payment methods , and so on .
PROBLEM WHICH OFTEN HAPPENS
1 . Effect of the addition of flour type on the quality of the product .
The breading is starchy used to coat food products ( coatings ) . The breading is an essential part of the process of making frozen food , franchise industry and other food industries .
Crispness products dibreading make the product more palatable danlezat . Moreover coatings can be used to protect the product from dehidrasiselama penyimpanan.Pre - frying is the most important step in the application process breading.Tujuan pre - frying is to attach teping on the product so that the product can be further processed by the freeze to be distributed to consumers . In addition , pre - frying will give color to the product , forming a crust on the product after frying , giving penampakkangoreng ( fried ) on the product , as well as contributing to flavor the product .
2 . Effect of the addition of meat to the quality of the product
The meat is divided into red and white meat types , depending on histology and biochemical differences . Red meat has the smooth muscle fibers and contains a lot of myoglobin , mitochondria , enzymes respirsi associated with high levels of muscle activity and glycogen content is low . Therefore, the addition of a lack of good meat can affect the quality of food products produced
3 . Effect of heating process on product quality nuggets .
The process of decomposition products of meat or fish may occur due to changes in the effects of a certain enzyme activity , bacterial activity and other MO .
Usually the cause of the above activities can be reduced or inhibited growth when the environmental temperature is lowered , for example by the use of low temperature . In practice includes the use of low temperature refrigeration and freezing . Products are refrigerated or frozen fish has awetyang temporary power , meaning that the fish products will remain in good condition if tetapdisimpan at low temperatures , where it has been moved to a place yanglebih high temperature will cause lasting power of the product it will turuh drastically .
Basically the process of cooling or freezing fish or dagingmempunyai same principle of reducing or stopping at sekaliaktivitas cause decay . The second difference lies in the process used suhuakhir , but can cause lasting power different . Suhuakhir used in the cooling process is 0 ° C , whereas at the end of the freezing temperatures can reach - 42oC . Effect of cooling on food products is divided into two , namely : 1 ) . The decrease in temperature will result in a decrease in chemical processes , microorganisms , and biochemical related damage ( decay ) , and other decay - elsewhere.2 ) . At temperatures below 0 ° C , the water will freeze and form ice separated from the solution are similar in terms of water evaporated suhu.Perubahan drying or a decrease in the chemical and food products during freezing penyimpanandingin can be maintained to a minimum , then the quality of frozen food dapatdipertahankan term long time ( Eddy , 1989) .
REFERENCES
http://norisk85.wordpress.com/2008/11/21/pembuatan-nugget-ikan/
file :/ / / C :/ Users/agus/Desktop/d0C/percobaan-pembuatan-Nugget.htm
http://www.kulinologi.biz/preview.php?view&id=52

Mother Concept In Family experts say

Mother Concept In Family experts sayMother Concept In Family

    
According Kartini Kartono (1999 ) family is the most important organization in the family social group is the most important institutions and the first responsibility in the community in ensuring social welfare and the preservation of human biologicalMost of the human children grow and develop and matured in a family environment . And since infancy child will inhale climate of affection and loyalty to the ideology of the family . This ideology begins with the name / customs, traditions , values ​​and emotions so thatserves as a binding unity in the family . It is not independent of the mother 's role as the main pillar of affection in the family . While the primary function of the mother for the family are :2.2.1 The role of wife and mother as a life partnerThis includes a robust attitude to life , to accompany her husband in that situation anyway . With mercy , love , loyalty and fidelity to his spouse , also encouraged her to pursue a career in a healthy way .2.2.2 The role of the mother as a sexual partnerWhich implies a variety of ways, as follows :1 ) The presence of sexual intercourse satisfactory Netero2 ) Signs dysfunction / sexual gergetan

    
There is an excess of sexual relations4 ) Do not hypersexual , nor lessThen established sexual life caused by psychological life healthy , well-balanced without any serious inner conflict and the willingness of partners to understand and are willing to sacrifice2.2.3 The role as mother and educateAs an educator for their children can be properly fulfilled , if the mother is able to create a healthy climate practical , joyous and free , so that the home atmosphere became lively and can provide a sense of security , free , warm and fun , along with affection . With so children and husband will feel at home , psychological climate loving , patience and calmness will give encouragement to the family , especially children growing up to stimulate a natural and happy .2.2.4 The role as a regulator of the householdIn this case there is a formal reactions and some sort of division of labor , which acts as a breadwinner husband . But the most important is the division of roles and mutual understanding between the two sides .2.2.5 Role as a life partnerHusband will definitely need people who can be invited to live forever , as career support and harbor discretion . That would look the same views , the feeling that there is blame in such a balanced and fidgety .

Free Radicals & ; antioxidants

Free Radicals & ; antioxidantsFree Radicals
Free radicals are defined as atoms / molecules / compounds containing one or more unpaired electrons . Because of chemical , molecular unpaired , free radicals tend to react with a molecule of the cell body . Then the compounds cause abnormal ( free radical new, more reactive ) and start a chain reaction that can damage vital cells . Some parts of the body that are susceptible to free radical attack , among others ; damage DNA , cell membranes , proteins , lipid peroxide , and autoimmune human aging process . In the medical field , it is known that free radicals are the culprit various pathological conditions such as liver disease , coronary heart disease , cancer , diabetes , cataracts , heart disease , and premature aging processes .
Examples of free radicals are superoxide ( O2 - ) , hydroxyl ( OH - ) , nitrous oxide ( NO ) , hydrogen peroxide ( H2O2 ) , hypochlorous acid ( HOCl ) , Thill ( RS - ) and others . The degree of strength of each different free radicals , and the most dangerous compounds are hydroxyl radical ( OH - ) because it has the highest reactivity . Free radicals present in the body over a variety of ways , but generally arise due to a variety of biochemical processes in the body , a byproduct of the process of cell oxidation or combustion takes place at a time breathing , cell metabolism , excessive exercise , inflammation , or when the body is exposed environmental pollutants such as car exhaust , cigarette smoke , pollutants and solar radiation .
antioxidants
Based on the above explanation, it means our bodies are highly susceptible to free radical attack , especially from free radicals in the body's natural and environmental pollution . But why not all of us get diseases that harm the body ?
This is because of the presence of neutralizing free radicals in our bodies or are called antioxidants . These antioxidants will stop the chain reaction of free radicals in the body depends on the type of antioxidant . Primary antioxidants will work to prevent the formation of new free radicals by converting free radicals into molecules that have less negative impact . Examples of primary antioxidants are Superoxide Dismustase ( SOD ) , glutathione peroxidase ( GPx ) , and metal -binding proteins . The second is a secondary antioxidant which works by mengkhelat metal that acts as a pro - oxidant , capturing radicals and prevent the occurrence of a chain reaction . For example : Vitamin E , Vitamin C , b -carotene . And lastly tertiary antioxidants that work to repair the damage caused by free radicals biomolecules . Examples of enzymes that repair DNA and methionine reductase sulfosida .
That is why our bodies are still healthy even though very susceptible to free radical attack at every second . And that should continue to be considered is the supply of antioxidants in the body must be available in sufficient quantities . For that antioxidant supplements from outside is needed to prevent the ill effects of free radicals .
But you should not worry too much , beyond antioxidant supplements in question here does not merely mean synthetic supplements or supplement the results of human products that are sold on the market such as butylated hydroxyanisole , vitamin supplements , minerals , food supplements or polyphenols are widely available in beverage products . because basically consciously or unconsciously , every day you have to consume antioxidants . Various antioxidants have been found naturally mainly in vegetables , fruits , spices , and a little in animal products .
Natural antioxidantsHere are some plants that potentially contains natural antioxidants and is all around us :plantKind of Efficacious AntioxidantsVegetablesBroccoli , Cabbage , Radish , Carrots , Tomatoes , Spinach , Chili , Beans , Pare , Leunca , Corn , Kale , takokak , CucumberFruitsGrapes , Avocado , Orange , Kiwi , Watermelon , Passion Fruit , Apple , Carambola , Papaya , CoconutspiceGinger , Ginger , Turmeric , galangal , Temumangga , Temuputih , Powder , Cardamom , Bangle , temugiring , Pepper , Clove , Nutmeg , Tamarind , Kandis acidother plantsTea , Sweet Potato , Soybean , Potato , Keluwak , Yellow Pumpkin , Pete China

         
Source: Hernani and Mono Rahardjo (2006 )
From the above table it is known that a lot of plants that we eat every day contain antioxidants . The antioxidant compounds scattered in various parts of plants such as roots , stems , bark , twigs , leaves , flowers , fruits , and seeds . This natural antioxidant function as a reducing agent , suppressing singlet oxygen , free radical trapper , and as metal chelators . Chemically natural antioxidants found in plants is mainly derived from the class of phenolic compounds such as flavonoids derivatives , derivatives hidroksiamat acid compound , coumarin , tocopherol and organic acids .
The antioxidant activity of various plants above are estimated to have moderate to high strength . Some plant extracts that have been known to have high antioxidant activity , among others from the class of spices such as clove extract , ginger , turmeric , ginger , cinnamon , and nutmeg . Then offcinalis Rosmarinus flower extract , cayenne extract , tea leaf , leaf god , red fruit is also known to have high antioxidant activity . Especially for spices , antioxidant activity of dried spices are generally more active than fresh herbs .
REFERENCES
Dinna Sofia . , 2005. Adan Antioxidants Free Radicals . ACID Magazine , State University of Lampung Edisis III / Year V / May 2005 , ISSN : 1410-1858 . Lampung
Fesenden and Fesenden . , 1982. Organic Chemistry Volume 2 . Erland . Jakarta
Hernani and Mono Rahardjo . , 2006. Antioxidants Efficacious plants . Self spreader . Jakarta
Online Mind . , 2008. Antioxidants , Antiaging Din Magical Substances