Buy Fluke Vibration Meter FLUKE FC. Browse our latest vibration-meters offers. Free Next Day Delivery. Fluke FC with Crest Factor + Takes the Confusion Out of Bearing Assessment. The original Crest Factor is used by vibration analysts to identify bearing. Description. Make go or no-go maintenance decisions with confidence. The Fluke Vibration Meter is the most reliable vibration screening device available.

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Please make sure that you are posting in the form of a question. When vibration increases beyond normal levels, it may be a sign of alignment issues or source of trouble and you need fast and actionable answers. Fluke Vibration Testing and Laser Shaft Alignment Equipment and Systems were designed specifically for maintenance professionals who need to quickly perform vibration analysis and evaluate alignment to understand the root cause of equipment condition.

The fast, easy-to-use Fluke FC Vibration Meter eliminates the confusion of vibration screening so you can make go or no-go maintenance decisions with confidence. Frontline mechanical troubleshooting teams have a highly reliable, repeatable and accurate way to check bearing and overall machine health.

Instantly upload your data to the Fluke Connect app rluke share vibration measurement results with your maintenance team in real time – all without vibratoon the field. Fluke Connect with ShareLive is one of the wireless measurement system that lets you stay in contact with your entire team without leaving the field.

Fluke 805 Vibration Meter

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The original Crest Factor is used by vibration analysts to identify bearing faults. A key limitation of using Crest Factor to identify bearing faults is that the Crest Factor does not increase linearly as the bearing degrades. In fact, the Crest Factor can actually decrease as a bearing nears catastrophic failure due to large RMS values. To keep things simple, Fluke has also included a fluie severity scale that identifies flkke bearing health as Good, Satisfactory, Unsatisfactory or Unacceptable.

Trending, or repeated vibration measurements kept in a spreadsheet over time, allows you to better track machine health.

With FC you can easily:. The user may not know what is normal or what indicates a problem.

Technical Details

If measurements taken on the operator rounds are easily loaded into Fluoe, then the trend will show patterns of something that is becoming abnormal. The user can now see a clear picture of the changing bearing condition and deteriorating health of the machine. Make go or no-go maintenance decisions with confidence.

The Fluke FC Vibration Meter is the most reliable vibration screening device available for frontline mechanical troubleshooting teams that need repeatable, severity-scaled readings of overall vibration and bearing condition. Share Facebook Twitter Pinterest.

Loading recommendations for this item Item is in your Cart. View Cart Proceed to checkout. Sorry, we’re having trouble vjbration recommendations right now. Please try again later. Only viration left in stock more on the way. Ships from and sold by Amazon. Fluke FC Vibration Me Turn on 1-Click ordering for this browser. Other Sellers on Amazon. Online Components – com. Have one to sell? Image Unavailable Image not available for Color: Fluke FC Vibration Meter.

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Please try your search again later. Fluke FC Vibration Meter The reliable way to check bearings and overall vibration The fast, easy-to-use Fluke FC Vibration Meter eliminates the confusion of vibration screening so you can make go or no-go maintenance decisions with confidence.

Use the Fluke FC to check machines in these categories: All the facts, right in the field. Exporting and Trending with the FC Trending, or repeated vibration measurements kept in a spreadsheet over time, allows you to better track machine health.

Fluke Vibration Meter – CETM

With FC you can easily: Find errors in work process: Screen with the Fluke FC Flluke Meter – Easily added to operator rounds to give early warning of impending failures. Correct with the Fluke Laser Shaft Alignment Tool – Intuitive guided user interface for quick and complete alignments without extensive alignment education or complicated programs.

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As one of the key texts in my research for this topic, Haraway’s Teddy Bear Patriarchy describes the inherent bias in creating the African Hall of. Reading: Teddy Bear Patriarchy – Donna Haraway This essay is not difficult, but is not short. Please devote time and take notes. This is. Donna Haraway’s work, “Teddy Bear Patriarchy: Taxidermy in the Garden of Eden, New York City “, demonstrates the ability of.

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The basic idea behind the exhibit was to design a space within an urban environment that would foster the value and nobility of nature that were presumed to be intrinsic of the non-civilized world. Stuffing the pelts of animals, killed for the purpose of exhibition, would foster a respect for the natural world, and as well instill a sense of masculinity in the young men who would frequent the space.

Teddy Bear Patriarchy

The man charged with the task of designing such a space was Carl Aekely. He wanted to display animals within their own habitats. Instead of featuring a white tailed deer patriachy on a pedestal separated form its natural context, the deer would instead be featured behind glass, surrounded by plants made of wax and wire, and appear to be frozen in time.

By placing the animals in specific positions they could transmit desired messages to the patrons. For Aekely this was to transmit the virtue of nature, and this would not only shape the young men who would see it, patriafchy also instill a sense of respect for it as well. Of course this is beat tied up into theories of eugenics, and how to bring about a better society through social hygiene.

Who will be the citizens who populate these new nations? How will Brazil be able to produce citizens who are not doomed by African heritage? How will France produce ideal children through schools? Most harasay who will be selected to even participate in these projects, and who will be left out and what will happen to them Similarly who makes the cut to be shown behind glass?

Leading into WWII, ;atriarchy the advancement into modernity, revealed a certain fervor for control that had never truly been possible beforehand. Entering into a new century with nation states trying to govern, and modern science revealing new origins to Humans the stage was set for eugenics to become a bold new field in governing for the future.

Certain individuals could be sent into certain spaces, and come out virtuous. In this way these spaces are almost like churches of the state. A Church, as in the building, is an instrument of a larger Church, as in the institution, which instills values upon parishioners. It is a center patruarchy community and authority.

Teddy Bear Patriarchy | The Rolling Blackout

With the rise of nation-sates in Europe, the fall of the Aristocratic nature of the Southern Slavocracy after the American Civil War, and ever growing number of new subjects to be governed in the expanding empires something new had to come up as a way of instilling values that commanded obedience to the state.

The Church is a powerful tool to instill this, but it also demands obedience to the Bible and to an all powerful God above obedience to the state. Of course national churches, such as the Anglican Church where Queen Elizabeth II is in charge, do serve the function of installing the virtue of the state, but so do museums, libraries, public school and war memorials like the tomb of the unknown soldier.

These new spaces claim and uphold the virtue of the state by claiming it to be enlightened. It knows best, and as such it knows in what direction the people should move. The state proclaimed virtue of nature stresses the finding of virtue outside of the realm the church, and in the sacred landscape of the nation.

The ultimate question once again though is what are these redeemed citizens going to look like, and more importantly who is a candidate for redemption? Of course following WWII the appeal of eugenics faded, and rightfully so, but ideas of programing remained.

With computers, television and the rest of what is mass media programing teedy seeming more and more so a part of our lives. The ideal citizen is increasingly the citizen who can operate within the cybernetic world, which of course means the citizen who has access to the this world.

How will these new machines, smart spaces, and portable devices alter the way tedey act as citizens, and how will it shape our governments?

And as well, who are the programers and what is that they intend to create? The painting shows the ideal transformation of citizens from black ancestors, typically women, to white grandchildren. The idea was that a whiter society would be a prosperous society, thus white men were encouraged to marry Afro-Brazilian women to produce mixed race children, who would marry other white men to eventually produce white children.

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Fashion Source Book [Kathryn Mckelvey] on *FREE* shipping on qualifying offers. Fashion Source Book-Wiley- Kathryn MckelveyEDN Fashion students are enrolling in increasing numbers but they come from differing This unique and comprehensive source book gives students all the. Results 1 – 22 of 22 Fashion Source Book by McKelvey, Kathryn and a great selection of related books, art and collectibles available now at

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In addition, a range of useful fashion poses is provided for women, men and children from birth to teenage with instructions on how these may be developed by readers and used as templates for their own illustrations. All the illustrations are copyright-free, enabling readers to use and adapt as they wish. All the illustrations have been redrawn traditionally then subjected to contemporary computer graphics techniques with a view to clearly communicating shape and detail.

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Please read our Privacy Policy. Print this page Share. Description This comprehensive source book sets out over working drawings of garments, accessories and their details, which can be used for reference while designing.

Each drawing, which may be a historical, classical, ethnic or inspirational example, is correctly named and fully described in the extensive glossary, thus providing the visual information that is lacking from fashion dictionaries.

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This is a ‘s Mixtape – Duration: 54 minutes. Nar Music. 6, views; 3 weeks ago. Play next; Play now. Wham! – Everything She Wants (Official Video). Međunarodni ambijentalni pozorišni festival Tvrđava teatar 04 PAN-TEATRIKUM: BEKSTVO. Get this from a library! Krađa i prekrađa zvona ; Kanjoš Macedonović. [Stjepan Mitrov Ljubiša].

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Kanjos Macedonovic

There is sincerity, we believe in what a character says. I am confident that the language will provide for long stage lives of these plays. In environment, costumes and in rhythm. From the lamenting concept of history.

Kanjos Macedonovic / Stjepan Mitrov Ljubisa. – Version details – Trove

We will mourn after you beautifully! Each and every one of us will visit your grave when we come to Venice! The secret of a tragic misunderstanding between David and Goliath.

In such circumstances, fascism becomes even more obvious, it seems increasingly cruel and crude. Tremendous importance is in the story of lack of recognition, of indifference, regarding fascism that grows like a cancer.

Moreover, it grinds our lives. And defence and or last days. Time for new idols.

The world has changed so much, it tilted towards evil, malice and wrong, that even tomorrow, everything could disappear if we do not stand tall. The language of fascism gaining momentum is squealing, mumbling and talking nonsense, belching while singing.

A group consists of cashiers, conductors, literary classics, scholars. Therefore, at times, just close your eyes and listen.

KANJOŠ MACEDONOVIC – Performances – National Theatre in Belgrade

Let us reinstate shame, as an aesthetic category and that will make an immense step forward. Nowadays, it is a sign of Venetian charity and kindness. Fascism strives to represent death camps as places of mercy, or as places that never existed. She finished elementary school in Vrbas and grammar school in Sremski Karlovci.

Krađa i prekrađa zvona ; Kanjoš Macedonović

She worked as an assistant at the Faculty of Dramatic Arts in Belgrade from until Inshe was nominated Head of the Drama of the National Theatre in Belgrade and after that stayed as a director in that same theatre.

On her lecturing tours, she visited all the major Universities in the USA, She holds tenure as a professor at the Academy of Art in Novi Sad.

She wrote twelve dramas, which were produced and performed many times, and published by different publishing houses, in addition she wrote many successful dramatisations. As a director, she was a guest in many theatres throughout former Yugoslavia Montenegro, Slovenia, Croatia and also put up various productions abroad. She directed varied repertoire of plays, including Yugoslav and foreign classics as well as contemporary dramas, out of which many were world premieres.

Awards for achievements in theatre For her work she received all the significant theatre awards: She wrote three novels: Literary awards She also received many significant literary awards: Currently, she holds the post of Serbian Ambassador to Denmark.


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This data sheet and its contents the. Pruebe sus configuraciones visitando: Upgrade uw browserversie of -instellingen om weer toegang te krijgen tot de website van Mouser.

2NA Datasheet(PDF) – STMicroelectronics

These operations include microcomputer, logic, analog and discrete devices, and 2na datasheet chips. For definitions of compliance please see www. Testen Sie Ihre 2na unter: Enhanced 2na datasheet, new generation, high-voltage, high-speed switching npn transistor in 2na datasyeet plastic full-pack envelope intended 2na datasheet use in horizontal deflection circuits of colour television receivers and computer monitors.

Logic level threshold Very low on-state resistance Cel rated Surface mounted package. The device very low on-state resistance and has integral zener diodes datasyeet datasheet ESD protection It is intended 2na datasheet use in automotive and general purpose switching applications.

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Case summary of Balfour v Balfour [] 2 KB relating to intention to create legal relations in contract law. 2 K. B.. KING’S BENCH DIVISION. [IN TBE COURT OF Al’l’EAL.] BALFOUR v. however on the doctor’s advice remained in England. On. c. A. Balfour v. Balfour [] 2 KB (Consideration-Intention to create legal relations) Facts: A husband was employed in Ceylon. He returned.

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Balfour v Balfour [1919] 2 K.B. 571 (25 June 1919)

Consideration-Intention to create legal relations. A husband was employed in Ceylon.

He returned with his wife to England on leave, but she was unable to go back to Ceylon with him due to medical reasons. He consequently promised orally to make her an allowance per month until she rejoined him.

Balfour v Balfour | Case Brief Wiki | FANDOM powered by Wikia

He failed to make the payment and she sued him. If however, instead of doing so, she agrees to give up that right and to accept an allowance instead, she is entitled to sue for it. Therefore, consideration for the promise by the husband to pay the allowance was that Mrs.

The husband has a right to withdraw the authority from his wife to pledge his credit. Giving up of that which was not a right was not a consideration. There must be intention of parties to create legal relations while entering into any agreement so as to make it enforceable by law.

This intention is to be determined objectively Smith v. If a reasonable person in the position of offree would consider that the offer made by the offeror was intended to create legal relations, then offeror will be so bound by contract subject to fulfilment of other requirements.

In case of social engagements and family arrangements, there is a strong presumption that parties therein have no intention to enter into legally enforceable contract. Such agreements are made in amity, grounded on domestic relations between the parties and obligations arising out of those relations; and no legal consequences could reasonably have been contemplated by them for breach of such agreements.

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Balfour v. Balfour [1919] 2 KB 571

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Glutton for Pleasure (Pleasure Series Book 1) – Kindle edition by Alisha Rai. Download it once and read it on your Kindle device, PC, phones or tablets. Dear Ms. Rai: cover This is the first book of yours that I have read. I picked it because it featured a non caucasion protagonist; it had to do with. Read “Glutton for Pleasure” by Alisha Rai with Rakuten Kobo. They’re craving something sweet. She likes it spicy. Devi Malik knows how to heat things up.

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She likes it spicy. Devi Malik knows how to heat things up. Her love life, though, is stuck in Exceptions will be made for reviewers with a large number of Goodreads, Twitter or Facebook followers Her flesh was golden and her nipples were brown Remember Me on This Vor.

REVIEW: Glutton for Pleasure by Alisha Rai | Hot Sauce Reviews

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Contact Get Help About Blog. Pub Date ofr Mar This title was previously available on NetGalley and is now archived. Her love life, though, is stuck in the subzero freezer. Lately, though, his brother Jace has been making noises about craving something more. Yet Marcus is too haunted by the pain of their shared past to give love a chance.

Glutton for Pleasure by Alisha Rai

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Glutton for Pleasure

The sex scenes were spicy and well done. Average rating from 15 members. See alishz member reviews. Readers who liked this book also liked: The Princess Diarist 22 Nov Entertainment.

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Check out Koyunbaba, Suite for Guitar, Op Cantabile (Domeniconi) by Aaron Brock on Amazon Music. Stream ad-free or purchase CD’s and MP3s now on. Check out Koyunbaba Suite for Guitar, Op. IV. Presto by Martin Pramanik on Amazon Music. Stream ad-free or purchase CD’s and MP3s now on. Check out Koyunbaba Suite for Guitar, Op. I. Moderato by Martin Pramanik on Amazon Music. Stream ad-free or purchase CD’s and MP3s now on.

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Post by Adam S. Classical Guitar Skip to content. Forum guitare classique – Forum chitarra classica – Foro guitarra clasica – Free sheet music for classical guitar – Delcamp.

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Domeniconi, Koyunbaba – Grade of Difficulty? It would help me to figure out whether it would make sense for me to attempt that piece.

Koyunbaba, suite for guitar, Op. 19 | Details | AllMusic

Okyunbaba a bit of work, I can learn pieces in the area between or around D06 and D08, if I take my time. It takes me a couple of weeks to get through, say, three pages, memorized, at speed okyunbaba reasonably clean, but certainly not to any kind of recital standard.

More to the point where getting a piece ready for a recital starts, perhaps. Would that be enough for Konyunbaba without getting too frustrated?

Thanks for any hints on this.

Carlo Domeniconi

It sounds harder than it is. The first three movements are certainly not harder kkyunbaba D The fourth movement is harder, if you play it fast. The biggest problem is the tuning. You should have an extra guitar only for this piece, to avoid annoying retuning.

I tried to learn this piece. Hope this is really true!

Find classical music concert, opera, ballet and dance reviews | Koyunbaba Suite, Op.19

Ooyunbaba still say, that Koyunbaba is not harder than D08 pieces. Luckily I do have a second guitar in the house. Looks like I have at least a chance, although the right hand is not one of my strenghts at the moment I changed something recentlyand descenting slurs are sometimes a challenge.

On the other hand, maybe that gives me incentive to work on those things more effectively.

It would be nice to be able to play that piece, because I like to listen to it, and I suspect it would be a good piece to play for others, who have nothing to do with classical music or guitar.

More palatable to the non-guitarist than some other stuff. Koyunbba transcription do you mean?

It sounds to me just like a medium length improvisation but I don’t really hear it as an exceptional piece of music. The disadvantage is a lengthy score. You should definitely buy or download his own performance if you find it somewhere. Board index All times are UTC.


Antibiotik golongan Makrolida dapat digunakan sebagai profilaksis Impetigo dan infeksi kulit, seperti Eritromisin dan Klindamisin. Beberapa strain S. pyogenes. for you start studying azithromycin tab 30s tiap kapsul mezatrin mengandung mg azithromycin dihydrate yang termasuk antibiotik golongan makrolida. hormon, enzim, antibiotik, dan kemoterapetik lainnya, antihistamin . Additive); dan b. golongan beta 1 –adrenergic agonist, 3) Makrolida. 4) Golongan.

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Menjadi hal yang menarik untuk dikupas, karena Antibiotik selalu menjadi lima besar obat yang digunakan di rumah sakit, selalu menjadi penjualan terbanyak pula di apotek, dan menjadi bahan obat utama yang diproduksi masal oleh Industri Farmasi.

Hal ini memang berasal dari masih tingginya mzkrolida Antibiotik sebagai salah satu obat yang digunakan untuk menyembuhkan infeksi. Dan golonggan tingginya penggunaan antibiotika, sepertinya menjadi masalah baru untuk dunia terutama dengan masalah resistensi Antibiotik. Dan kekhawatiran lain yang muncul adalah, penemuan antibiotik yang baru jauh lebih lambat daripada penemuan bakteri penyebab infeksi yang berbeda atau nama lainnya adalah menjadi resisten. Jadi bisa dibayangkan jikalau semua bakteri menjadi resiten tidak bisa dibunuh oleh ABmaka generasi kita selanjutnya tidak bisa disembuhkan dari infeksi bakteri.

Dan hal ini sangat bisa dan sangat mungkin terjadi karena penggunaan AB yang tidak rasional mejadi salah satu penyebabnya.

Dalam tulisan ini ada beberapa yang akan saya bahas, dan saya khususkan untuk Infeksi yang disebabkan bakteri dan bisa disembuhkan dengan Antibiotik secara rasional, meliputi definisi AB, bagaimana AB bekerja membunuh bakteri, klasifikasi bakteri apa itu bakteri, bakteri apa saja yang bisa menyebabkan penyakit, dan bagaimana cara memilih AB untuk makrollida infeksi. Dan saya yangat berharap ini bisa menjadi bahan pembelajaran untuk kita, untuk bisa menjadi lebih wise saat akan menggunakan antibiotika.

Antibiotic is a chemical substance produced by a microorganism that inhibits the growth of or kills other microorganisms. Antibiotika adalah bahan kimia yang diproduksi oleh mikroorganisme yang dapat menghambat atau membunuh mikroorganisme lain. Antimicrobial agent is a chemical substance derived from a biological source or produced by chemical synthesis that kills or inhibits the growth of microorganisms.

A chemical substance derivable from a microorganism or produced by chemical synthesis that kills or inhibits microorganisms and cures infections. Yang disebut dari alam: Yang disebut Semisintetis adalah bahan kimia yang berasal dari alam kemudian ditambahkan beberapa struktur penting yang berguna untuk meningkatkan aktivitas antibiotika, atau mengurangi toksisitas dari Antibiotika, Contohnya Ampisilin dan Amikacin.

Proses menghambat pertumbuhan atau membunuh bakteri melalui cara menghambat komponen penting untuk proses kehidupan bakteri seperti sintesis dinding sel, DNA, RNA, Ribosomes dan proteins.

Jika kita bandingkan dengan penyakit Hipertensi, penggunaan obat Captopril digunakan untuk menjaga pengaturan tekanan darah.

Dan sepuluh tahun yang akan datangpun, Captopril masih digunakan sebagai salah satu option druga untuk menurunkan tekanan darah. Hal ini tidak berlaku untuk Golngan, karena antibiotika yang kita gunakan saat ini, sepuluh tahun kemudian akan berkurang potensi khasiatnya atau mungkin tidak memiliki efek terapi sama sekali. Hal ini dikarenakan AB menyerang bakteria, dan bakteria adalah mikroorganisme hidup yang berevolusi dimana bakteri akan melakukan segala daya upaya untuk mengembangkan metode dalam tubuhnya untuk menghambat atau bahkan merusak AB, sehingga AB akan kehilangan potensinya.

Antibiotika secara umum dibagi kedalam 2 kelaspembagian, berdasarkan stukturdan berdasarkan mekanisme kerja. Berdasarkan mekanisme aksinya, yaitu mekanisme bagaimana antibiotik secara selektif meracuni sel bakteri, antibiotim dikelompokkan sebagai berikut:.

Bakteri adalah makhluk hidup bersel satu yang berukuran sangat kecil dan mempunyai bentuk yang beraneka ragam. Bakteri berbentuk batang, spiral, atau bola. Bentuk tubuh ini dijadikan sebagai salah satu dasar klasifikasi bakteri. Ukuran bakteri yang paling besar kira-kira mikron. Bakteri hanya dapat diamati dengan menggunakan mikroskop.

Ukuran bakteri yang lebih kecil dari 0,1 m hanya dapat diamati dengan mikroskop elektron. Antibiotikk bakteri dapat membentuk koloni. Sehingga klasifikasinya dikategorikan sebagai berikut:.

Bakteri adalah gopongan organisme yang jumlahnya paling banyak dan tersebar luas dibandingkan dengan organisme lainnya di bumi. Bakteri memiliki jumlah spesies mencapai ratusan ribu atau bahkan lebih. Mereka ada di mana-mana mulai dari di tanah, di air, di organisme lain, dan lain-lain juga berada antubiotik lingkungan yang ramah maupun yang ekstrim.

Namun, tidak semua bakteria adalah bakteri yang merugikan manusia, karena ada beberapa bakteri yang menguntungkan manusia, berikut adalah makrolisa bakteri untuk manusia:.

Dari semua spesies bakteri, hanya beberapa yang bersifat patogen terhadap manusia. Seperti terlihat di gambar di bawah ini:. Dibawah ini adalah beberapa jenis bakteri patogen yang dapat menimbulkan penyakit kepada manusia. Terbagi berdasarkan proses penyebaran penyakitnya.

Untuk memilih antibiotika yang baik dan tepat adalah dengan mengetahui bakteri penyebab infeksi dan juga berdasarkan hasil uji sensitivitas Antibakteri. Sehingga antbiiotik terpai pengobatan terbagi ke dalam dua bagian, yaitu antibioti empiris dan secara klinis. Arti empiris adalah dengan mengamati diagnosa ppenyakit dan tanda gejala yang mucul, kemudian ditentukan diagnosa penyakit kemungkinan disebabkan golonggan bakteri apa. Misalnya saja pasien mengalami gejala di bawah ini:. Dan dari Antibogram pula kita mengetahui dengan jelas, tidak bisa satu AB membunuh semua bakteri patogen, karena AB memiliki sifat dan kekhasannya sendiri untuk membunuh bakteri yang mana.

Dari hal ini, sangat jelas dapat diungkapkan, janganlah membeli obat AB secara bebas, karena penyakit kita perlu didiagnosis dengan baik oleh ahlinya, sehingga diagnosa penyakit bisa ditegakkan sesuai dengan keadaan pasien. Dan kalimat ini yang harus kita ingat:.

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Ini untuk memastikan bahwa pasien menerima obat AB yang tepat untuk kebutuhan kliniknya, dan sangat mungkin mengurangi terjadinya kegagalan pengobatan. Dinyatakan masih sensitif jikalau masih terdapat daerah bening yang berdiameter lebih besar. Sehingga AB tersebut yang kita pilih. Dari hasil Uji sensitivitas, kita juga bisa tahu AB mana yang resistant untuk pasien tersebut, sehingga dapat ditulis dalam rekam mediknya, dan bisa dijadikan acuan untuk terapi obat AB yang lain. Namun yang terjadipemilihan AB secara empiris dilakukan lebih banyak.

Dari ketiga hal tersebutmenjadikan bakteri tetap dalam keadaan hidup, dan sebagai makhluk hidup, dia akan berusaha untuk membuat tubuhnya lebih kuat dengan berbagai mekanisme resistensi, seperti terlihat di video ini.

Dari gambaran di video, kita bisa mengatakan… bakteri mampu bertahan hidup dan bakteri akan melakukan segala upaya untuk memastikan dia tetap hidup. Sehingga yang terbaik adalah wise menggunakan AB, hindari infeksi bukan menghindari bakteri, tapi berusaha teteap hygiene di setiap langkah kitaplus tingkatkan sistem imun kita… nanti saya bahas bagaiman kita bisa meningkatkan sistem imun yaaa…. If we discuss about tuberculosis, there are many information about this infection.

Tuberculosis become a world problem, and handling with care at WHO as one of disease that caused a death in worldwide.

The emergence of new casesthe increased incidence of multi-drug resistant strains of M. One of the the reason to write thisis to gain the knowledge of patient about Tuberculosis, so it will impact to their compliance abour their medicine. Tuberculosis or TB short for tubercles bacillus is a common and often deadly infectious disease caused by various strains of mycobacteriausually Mycobacterium tuberculosis in humans.

Tuberculosis usually attacks the lungs but can also affect other parts of the body. It is spread through the air, when people who have the disease cough, sneeze, or spit. Mycobacteria are Gram-positive no outer cell membranenon-motileleomorphic rods, related to the Actinomyces.

Most Mycobacteria are found in habitats such as water or soil. However, a few are intracellular pathogens of animals and humans. Mycobacterium tuberculosisalong with M. Each member of the TB complex is pathogenic, but M. There is archaeological evidence of human infection by M. So, thats why, we need to boiling a fresh milk, to avoid infection by M.

Tuberculosis is transmitted by airborne droplet nuclei containing tubercle bacilli. Many holongan nuclei are capable of floating in the immediate environment for several hours.

Large particles may be inhaled by a person breathing the same air and impact on the trachea or wall of the upper airway As the bacilli multiply, they spread through lymphatic channels to regional lymph nodes, and through the blood stream to the rest of the body.

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Most patients present as cases of pulmonary tuberculosis with gollongan, asthma. Weight loss and fatigue are more likely to lead to medical attention than is fever usually in the afternoon, which is often unrecognized. Hemoptysis may be due to cough of a caseous lesion or bronchial ulceration. Particularly in late chronic disease, bleeding may be copious and sudden owing to rupture of an artery within the fibrous walls of a cavity.

A patient with tuberculosis pulmonary disease will come to the physician for one of three reasons:. Direct smear examination is only positive when large numbers of bacilli begin to be excreted, so that a negative smear by no means excludes tuberculosis. A negative smear in the presence of extensive disease and cavitation makes the diagnosis less likely, particularly if the negatives are frequently repeated.

A positive tuberculin test although it is of great use in children, has limited diagnostic significance in older age groups.

The white golongaj count is usually normal. When the patient is less ill and the radiological shadowing less extensive the count is Often normal or high normal. Non-compliance of patients on chemotherapy is the most difficult problem in TB control. The principles of antituberculous chemotherapy involve earlier,combination, appropriate drugs and durations. Isoniazia is a principal agent used to treat tuberculosis.

It is universally accepted for initial treatment. This is the newest drug effective against tuberculosis. This was the first trully effective drug for the treatment of tuberculosis. It is administered only parenterally. Pyrazmamide is a major oral agent used against mycobacteria but can produce gastro intestinal and liver toxicity.

Because of concern over the rising prevalence makolida drug resistance, recent CDC recommendations advocate a four-drug regimen for most cases of known or suspected tuberculosis. antibiotlk


INH and RFP are the central agent of any regimen based on their superior bactericidal activity and low toxicity. PZA has special utility in promoting rapid, early reduction in bacillary burden; in drug-susceptible cases. PZA need be given only for the initial 2 months to produce this effect. EMB is useful primarily to protect against the emergence of drug resistance in cases with unknown initial susceptibility patterns and large mycobacterial burdens; EMB may be terminated if susceptibility is reported or be continued throughout the duration of treatment if resistance is noted.

Streptomycin SMparenteral agent, has found a diminishing role in modem therapy due to problems with regularly administering intramuscular injections; however, for patients with very extensive tuberculosis, SM may accelerate initial bactericidal activity. We can select five kinds of antitubercule drugs in the stage of extensive. These drugs include aminoglycosides amikacin, kanamycin, capremycincycloserine, EMB, quinolones levofloxacin, ofloxacinPZA, ethionamide.

In the stage of consecutive, we can select three kinds of drugs,including ethionamide, quinolones and EMB. The whole therapy lasts at least 18 months. Calmette Guerin is a strain of M. BCG Vaccination can obtain immunity acquired for tubercle bacillus, therefore.