HealthyBruneiSihat1

Terbitan Kementerian Kesihatan & Brunei Press Sdn Bhd

PERCUMA / FREE

HBS 8 New LYT 10/4/06, 4:51 PM1

2HealthyBruneiSihat

Update

World Health Day, 7th April 2006

LEMBAGA PENYUNTING KESIHATANLEMBAGA PENYUNTING KESIHATANLEMBAGA PENYUNTING KESIHATANLEMBAGA PENYUNTING KESIHATANLEMBAGA PENYUNTING KESIHATANHEALTH EDITORIAL BOARDHEALTH EDITORIAL BOARDHEALTH EDITORIAL BOARDHEALTH EDITORIAL BOARDHEALTH EDITORIAL BOARD

World Health Day this year focused on the Health Workforce,with the slogan Working Together For Health. The WorldHealth Organisation advised the international communityand governments to pay attention to the global healthcareworkforce crisis currently affecting the world, such as theshortage of experienced healthcare professionals and themigration of local health experts to more developedcountries.

All these issues have affected the healthcare services beingprovided in most countries, especially developing ones. Theshortage of healthcare workers is making the work ofgovernments more difficult in their efforts to meet healthchallenges, such as the threat of an influenza pandemic, andmeet the Millenium Development Goal of reducing andcontrolling the occurences of deadly diseases.

Brunei Darussalam is also not immune from this shortage ofhealthcare workers, including doctors, specialists, nurses whoare experts in their fields, and others. Alhamdulillah, thisshortage has not disrupted the healthcare provided in ourcountry, and we continue to benefit from local healthcareservices which are on par with the best medically advancedcountries in the region.

Dr Hajah Kalsom bte Abd LatifDyg Hajah Fatmah bte PJDSMDSU Dr Hj Md JamilDr Hajah Norlila bte Dato Paduka Hj Abd JalilDr Hajah Rahmah bte Hj Md SaidDr Ramli bin HassanDr Hj Mohd Syafiq bin AbdullahDr Hjh Samsiah bte Hj Md SaidDr Hajah Mawarni bte Hj Abd HamidDr Hajah Norhayati bte Hj Md KassimPg Dr Hj Khalifah bin Pg Hj IsmailDyg Hjh Masni bte Hj IbrahimDyg Zainon bte Hj Mohd TahaDyg Asma Atiyah bte PDIDPSS Ustaz Hj Abd HamidAwang Ramlan bin Haji AhmadDyg Hajah Hamsah bte Datu Kerna Hj JayaDyg Hajah Mahanum bte Dato Paduka Hj Abu ZarAwg Bryan Keasberry

HBS 8 New LYT 10/4/06, 4:51 PM2

HealthyBruneiSihat3

Hari Kesihatan Sedunia pada tahun ini menumpukan perhatian terhadap Tenagakerja Kesihatan denganslogan Bersama Berkhidmat Untuk Kesihatan. Pertubuhan Kesihatan Sedunia menyeru masyarakat

antarabangsa dan juga kerajaan-kerajaan untuk mengambil perhatian mengenai krisis tenagakerja kesihatanyang sedang melanda seluruh dunia, seperti kekurangan tenagakerja profesional kesihatan yang mahir dan

penghijrahan pakar-pakar kesihatan tempatan ke negara-negara lebih maju.

Perkara ini menjejaskan perkhidmatan-perkhidmatan yang diberikan di kebanyakkan negara, terutamanyanegara-negara yang sedang membangun. Kekurangan tenagakerja ini menyebabkan usaha-usaha kerajaan

menjadi lebih sukar dalam menghadapi cabaran-cabaran kesihatan seperti ancaman pandemik influenza danke arah mencapai matlamat perkembangan millennium (Millenium Development Goal) serta mengurangkan

dan mengawal kejadian penyakit-penyakit merbahaya.

Negara Brunei Darussalam juga tidak terkecuali dari menghadapi kekurangan tenaga kerja kesihatan sepertidoktor, pakar, jururawat-jururawat, yang pakar dalam bidang masing masing dan yang lainnya. Alhamdulillah,

kekurangan ini tidak menjejaskan perkhidmatan penjagaan kesihatan yang diberikan, bahkan negara kitamempunyai perkhidmatan kesihatan yang sebanding dengan negara-negara yang mempunyai perkhidmatan

perubatan yang terbaik di rantau ini.

Isu Terkini

Hari Kesihatan

7 April 2006Sedunia,

HealthyBruneiSihat3

HBS 8 New LYT 10/4/06, 4:51 PM3

4HealthyBruneiSihat

WHAT ARE VACCINES?WHAT ARE VACCINES?WHAT ARE VACCINES?WHAT ARE VACCINES?WHAT ARE VACCINES?Vaccines are used to protect people from certain infectious diseasessuch as Tuberculosis, Hepatitis A, Hepatitis B, Typhoid, Diphtheria,Poliomyelitis, Mumps, Measles, Rubella, etc.

The vaccines, when administered will cause your body to produceantibodies to fight against the infection. This protective action is calledimmunity which can last for months or life long.

The National Immunisation Programme focuses primarily on childhoodinfections namely:

Tuberculosis Hepatitis B Poliomyelitis Haemophilus Influenza Type b Diphtheria Whooping Cough Tetanus Measles Mumps Rubella

VACCINES

VACCINATION CENTREVACCINATION CENTREVACCINATION CENTREVACCINATION CENTREVACCINATION CENTRE4th floor, Bandar Seri Begawan Health Centre, Jalan Ong SumPing, Telephone Number: 22300472230047223004722300472230047

These vaccines are available in all hospitals, health centres and health clinics in the country andadministered as per schedule recommended by the World Health Organization. Under the currentInfectious Disease Order 2003, parents and guardians are required to ensure that infants are giventhe vaccines according to schedule.

Adult vaccination is also recommended particularly for travellers visiting countries, where infectiousdiseases such as Meningitis, Typhoid, Hepatitis A and Yellow-fever are endemic. Travellers visitingSub-Saharan or South American countries, as per International Health Regulation, are required tohave Yellow-fever vaccination prior to travel. For adult vaccination, public are advised to contactthe Vaccination Centre for further information.

ARE VACCINES SAFE?ARE VACCINES SAFE?ARE VACCINES SAFE?ARE VACCINES SAFE?ARE VACCINES SAFE?In most cases, vaccines are safe and cause no side effects. In some cases, you may have mild reactionssuch as fever or soreness at the injection site. It is important to inform the doctor if you havehealth problems or known allergies to medications or food. If there is any reaction, report to thedoctor as soon as possible. It is important for you to keep a record of the vaccination given.

THE NATIONAL PROGRAMME OF IMMUNISATION, BRUNEI DARUSSALAMTHE NATIONAL PROGRAMME OF IMMUNISATION, BRUNEI DARUSSALAMTHE NATIONAL PROGRAMME OF IMMUNISATION, BRUNEI DARUSSALAMTHE NATIONAL PROGRAMME OF IMMUNISATION, BRUNEI DARUSSALAMTHE NATIONAL PROGRAMME OF IMMUNISATION, BRUNEI DARUSSALAM

AGE VACCINE DOSE

At birth Bacillus Calmette-Gurin (BCG) First Dose

At birth Hepatitis B First Dose

1 month Hepatitis B Second Dose

2 months Oral Poliomyelitis Vaccine (OPV), Tetra Haemophilus Influenzae Type b (Hib) First Dose

3 months Oral Poliomyelitis Vaccine (OPV), Tetra Haemophilus Influenzae Type b (Hib) Second Dose

4 months Oral Poliomyelitis Vaccine (OPV), Tetra Haemophilus Influenzae Type b (Hib) Third Dose

6 months Hepatitis B Third Dose

12 months Mumps, Measles and Rubella (MMR) First Dose

5 years Diphtheria Tetanus (DT), Oral Poliomyelitis Vaccine (OPV) Booster Dose

10-13 years Mumps, Measles and Rubella (MMR) Booster Dose

HBS 8 New LYT 10/4/06, 4:51 PM4

HealthyBruneiSihat5

VAKSIN

PROGRAM KEBANGSAAN PENGIMUNAN, BRUNEI DARUSSALAMPROGRAM KEBANGSAAN PENGIMUNAN, BRUNEI DARUSSALAMPROGRAM KEBANGSAAN PENGIMUNAN, BRUNEI DARUSSALAMPROGRAM KEBANGSAAN PENGIMUNAN, BRUNEI DARUSSALAMPROGRAM KEBANGSAAN PENGIMUNAN, BRUNEI DARUSSALAM

UMUR VAKSIN DOS

Lahir Bacillus Calmette-Gurin (BCG) Dos Pertama

Lahir Hepatitis B Dos Pertama

1 bulan Hepatitis B Dos Kedua

2 bulan Oral Poliomyelitis Vaccine (OPV), Tetra Haemophilus Influenzae Type b (Hib) Dos Pertama

3 bulan Oral Poliomyelitis Vaccine (OPV), Tetra Haemophilus Influenzae Type b (Hib) Dos Kedua

4 bulan Oral Poliomyelitis Vaccine (OPV), Tetra Haemophilus Influenzae Type b (Hib) Dos Ketiga

6 bulan Hepatitis B Dos Ketiga

12 bulan Mumps, Measles dan Rubella (MMR) Dos Pertama

5 tahun Diphtheria Tetanus (DT), Oral Poliomyelitis Vaccine (OPV) Dos Tambahan

10-13 tahun Mumps, Measles dan Rubella (MMR) Dos Tambahan

APA KAH VAKSIN?APA KAH VAKSIN?APA KAH VAKSIN?APA KAH VAKSIN?APA KAH VAKSIN?Vaksin digunakan untuk melindungi seseorang daripada penyakit-penyakit berjangkit yang tertentu seperti Penyakit Tibi, Hepatitis A, Hepatitis B,Tifoid, Dipteria, Poliomyelitis, Mumps, Campak, Rubella dan lain-lain.

Apabila vaksin diberikan, badan awda akan mengeluarkan antibodi melawan jangkitan. Perlindungan ini dipanggil imuniti yang boleh memberikanperlindungan untuk beberapa bulan atau seumur hidup.

Program Imunisasi Kebangsaan memberi tumpuan khusus kepada jangkitan-jangkitan dikalangan kanak-kanak seperti:

Penyakit Tibi Hepatitis B Poliomyelitis Haemophilus Influenza Type b Dipteria Batuk Kokol Tetanus Campak Mumps Rubella

Vaksin-vaksin tersebut boleh didapati di semua hospital-hospital, pusat-pusat kesihatan dan klinik-klinik kesihatan di negara ini dan diberikanmengikut jadual yang disarankan oleh Pertubuhan Kesihatan Sedunia. Di bawah Peraturan Penyakit Berjangkit 2003, ibu-bapa dan penjaga dikehendakimemastikan anak-anak mereka diberikan vaksin mengikut jadual.

Suntikan vaksin bagi orang dewasa adalah juga disarankan terutamanya bagi mereka yang akan melancong ke negara-negara yang terdapatpenyakit-penyakit berjangkit seperti Meningitis, Typhoid, Hepatitis A, bagi mencegah penyakit Yellow-fever dan sebagainya. Mengikut PeraturanKesihatan Antarabangsa, pelancong-pelancong yang melawat negara-negara Amerika Selatan dan Sub-Sahara perlu mendapatkan suntikan vaksinbagi mencegah penyakit Yellow-fever sebelum perjalanan. Orang-ramai dinasihatkan supaya berhubung dengan Pusat Suntikan untuk maklumatlanjut mengenai suntikan vaksin bagi orang dewasa.

PUSAT SUNTIKANPUSAT SUNTIKANPUSAT SUNTIKANPUSAT SUNTIKANPUSAT SUNTIKANTingkat 4, Pusat Kesihatan Bandar Seri Begawan, Jalan Ong SumPing, Nombor Telefon: 22300472230047223004722300472230047

ADAKAH VAKSIN SELAMAT?ADAKAH VAKSIN SELAMAT?ADAKAH VAKSIN SELAMAT?ADAKAH VAKSIN SELAMAT?ADAKAH VAKSIN SELAMAT?Dalam kebanyakan kes, vaksin-vaksin adalah selamatdan tidak menyebabkan kesan sampingan. Bagisebahagian kes, awda mungkin mengalami reaksi ringanseperti demam atau sakit di tempat suntikan. Adalahpenting untuk memaklumkan kepada doktor jika awdamempunyai masalah kesihatan atau sebarang alahankepada ubat-ubatan atau makanan. Jika berlakusebarang reaksi, segera laporkan kepada doktor. Adalahpenting bagi awda untuk menyimpan rekod suntikanvaksin yang diberikan.

HBS 8 New LYT 10/4/06, 4:51 PM5

6HealthyBruneiSihat

Body

Badan

Acne is a common condition that affects85%-100% of people sometime during theirlives. It generally occurs in young people duringpuberty and early adulthood. Twelve percent ofwomen and 5% of men above the age of 25years may have acne. Acne occurs on the facebut can occur on the chest, back, neck and upperarms.

Causes of acneCauses of acneCauses of acneCauses of acneCauses of acneSeveral factors contribute to the developmentof acne. The primary problem is the formationof a plug within the hair follicle. The plug canenlarge and rupture the hair follicle. A rupturedhair follicle spills its content of oil and debrisinto the skin where it leads to swelling andredness. Bacteria that live on the skin and certainhormones called androgens are additionalfactors that contribute to the development ofacne. Some cosmetics and medications cancause acne.

Acne is not a result of uncleanliness orinadequate washing.

Akne ia lah gejala biasa yang menjejas85%-100% orang pada satu tahap hidupmereka. Ia biasanya berlaku pada orang mudaketika baligh dan meningkat dewasa. Dua belasperatus wanita dan 5% lelaki melebihi umur 25tahun mungkin mempunyai akne. Akne terjadidi muka tetapi boleh berlaku di dada, belakang,leher dan lengan.

Punca akneBeberapa faktor menyebabkan berlakunya akne.Masalah utama adalah pembentukan plag dalamfolikel rambut. Plag boleh membesar danmenyebabkan folikel rambut pecah. Folikelrambut yang pecah mengeluarkan kandunganminyak dan kotoran di kulit di mana iamembawa kepada bengkak dan kulit menjadimerah. Bakteria pada kulit dan hormon androgenadalah faktor tambahan yang menyumbangkepada terjadinya akne. Beberapa kosmetik danubat boleh menyebabkan akne.

Akne bukan disebabkan keadaan tidak bersihatau kurang mencuci.

KNEKNEKNEKNEKNE

Types of acneTypes of acneTypes of acneTypes of acneTypes of acneComedonal acne: Comedones are black headsand white heads which usually occur on thenose, forehead and chin.

Inflammatory acne: When a comedone rupturesand the body mounts an immune responseagainst it, an inflammatory reaction occurs. Theacne lesions get red and pustular.

Nodulocystic acne: Nodules represent largetender swollen acne lesions. They heal with deepscarring.

When to seek medical careWhen to seek medical careWhen to seek medical careWhen to seek medical careWhen to seek medical care Severe acne Acne not improving with over the counter

preparations Women with acne, having irregular periods

and increase in facial hair

Acne treatmentAcne treatmentAcne treatmentAcne treatmentAcne treatment1. Self care at home:- Wash face once or twice daily with soap and

water- Avoid scrubbing too vigorously.

CNE VULGARISCNE VULGARISCNE VULGARISCNE VULGARISCNE VULGARIS2. Topical therapy for acne is indicated for mildforms of acne. The main agents in this categoryare retinoic acid, benzoyl peroxide and topicalantibiotics like clindamycin and erythromycin.

3. Systemic antibiotics in combination withtopical agents like retinoic acid and benzoylperoxide are indicated in moderately severeacne.

4. Isotretinoin is indicated for severe form ofacne. This medication causes birth defects inwomen who become pregnant while taking themedication. Contraception is thereforemandatory for women who are likely to getpregnant.

5. Oral contraceptives (birth control pills) maybe effective in women with acne.

6. Surgical correction of scars of acne is possiblein selected cases.

7. Studies have shown no conclusive evidencethat chocolates, fried and fatty foods canworsen acne. However, if there is a definite flareof acne by a particular food it may be avoided.

A

Aretinoic, benzoyl peroxide dan antibiotik seperticlindamycin dan erythromycin.

3. Antibiotik sistemik bergabung dengan ejensemasa seperti asid retinoic dan benzoylperoxide digunakan untuk akne yang sederhanateruk.

4. Isotretinoin digunaan untuk akne serius. Ubatini mengakibat kecacatan janin dalamkandongan bagi wanita mengandung ketikamengambil ubat ini. Dengan itu pencegahanhamil adalah perlu untuk wanita semasarewatan.

5. Pil perancang kelahiran mungkin berkesan bagiwanita yang menghidapi akne.

6. Pemulihan parut akne melalui pembedahanmungkin dilakukan dalam kes tertentu.

7. Kajian menunjukkan tidak ada buktimenunjukkan cokelat, makanan bergoreng danberlemak boleh memburukkan keadaan akne.Walaubagaimanapun, jika akne tercetus olehmakanan tertentu, elakkan memakannya.

Jenis akne:Akne komidon: komidon adalah bintik hitam danbintik putih yang biasanya berlaku di hidung,dahi dan dagu.

Akne Radang: Apabila komidon pecah dan badanmemberi tindak balas daya ketahananmelawannya, reaksi radang berlaku. Bahagianakne menjadi merah dan berbisul.

Akne Nodulocystic: Nodul adalah bahagianakne yang bengkak. Apabila sembuh mempunyaikesan parut.

Bila mendapatkan jagaan perubatan Akne yang teruk Akne yang tidak sembuh dengan ubat -

ubatan yang dibeli di kaunter Wanita yang menghidapi akne, yang

mempunyai haid tidak teratur dan bulu-bulumuka yang semakin banyak

Rawatan akne1. Penjagaan sendiri di rumah:- Cuci muka sekali atau dua kali dengan sabun

dan air- Elak daripada menggosok terlalu kuat

2. Terapi semasa untuk akne yang tidak serius.Ejen utama dalam kategori ini adalah asid

HBS 8 New LYT 10/4/06, 4:51 PM6

HealthyBruneiSihat7

A public service announcement brought to you by the Ministry of Health, Brunei Darussalam.

Lindungi anak awda daripada Penyakit Tangan, Kaki dan Mulut (HFMD)

For more information on Hand, Foot and Mouth Disease (HFMD), call our Health Line at 238 1967.

Protect your child fromHand, Foot and Mouth Disease (HFMD)

Be alert to the following symptoms: The patient may first feel unwell for a day and experience loss of appetite. Then rashes and blisters may appear at the hands, feet and buttocks. Ulcers may appear in the mouth.

Awasilah tanda-tanda penyakit berikut: Pada peringkat awalnya, pesakit akan merasa kurang selesa dan hilang selera makan. Ruam yang mungkin menjadi lepuh muncul pada tangan, punggung dan kaki, dan merebak ke bahagian lain badan. Ulser juga boleh timbul di dalam mulut.

Untuk maklumat selanjutnya tentang Penyakit Tangan, Kaki dan Mulut (HFMD),hubungilah kami menerusi Talian Kesihatan 238 1967.Pesanan kesihatan ini dibawa khas oleh Kementerian Kesihatan, Brunei Darussalam.

Photo Credits: KK Women's and Children's Hospital

HBS 8 New LYT 10/4/06, 4:51 PM7

8HealthyBruneiSihat

Mer

imbu

n W

alkw

ay

Walking is the exercise most recommended by doctors as aneffective way of achieving cardiovascular fitness. Convenient,inexpensive and easy on your joints. It helps reduce stress, burn fatand speed up your metabolism.

Along with the many health benefits commonly associated withwalking, trail walking has the added benefits of:

Shade from surrounding trees. Safety from road traffic. Better Air Quality. Relaxing / Stress free surroundings. A variety challenging trails to suit people with different levels

of fitness

8HealthyBruneiSihat

Lifestyle & Exercise

TRAILWALKING

Photos from Brunei Tourism

Taman Tasik lama-Bandar Seri Begawan Bukit Salelah-Bandar Seri Begawan Damuan Recreational Park-Bandar Seri Begawan Bumbungan 12-Kota Batu Bukit Marakuching-Subok Berakas Forest Reserve Bukit Shahbandar Recreational Park - Jerudong Jerudong Park

POPULAR WALKING DESTINATIONS IN BRUNEIPOPULAR WALKING DESTINATIONS IN BRUNEIPOPULAR WALKING DESTINATIONS IN BRUNEIPOPULAR WALKING DESTINATIONS IN BRUNEIPOPULAR WALKING DESTINATIONS IN BRUNEI

Sg Basong Recreational Park-Tutong Pantai Seri Kenangan-Kg Sengkarai,Tutong Tasik Merimbun-Tutong Bukit Ambok-Pancor Papan, Tutong Bukit Barun- Layong, Tutong Hutan Simpanan-Sg Liang-Belait Taman Jubilee Peranginan Anduki- Belait Bukit Patoi Forest Reserve-Temburong

HBS 8 New LYT 10/4/06, 4:52 PM8

HealthyBruneiSihat9

Gaya Hidup& Senaman

Berjalan kaki adalah cara yang efektif bagi memperolehi kesihatankardiovaskular dan senaman ini sering disarankan oleh paradoktor. Ianya mudah, tidak mahal dan tidak memudaratkan sendi-sendi awda. Ianya juga boleh mengurangkan stres, membakarlemak dan mempercepatkan metabolisme awda.

Disamping kebaikan-kebaikan yang selalu dikaitkan denganberjalan kaki, jejak berjalan kaki mempunyai beberapa kebaikanlain seperti:

Pepohon sekeliling yang teduh Selamat dari lalu lintas jalan raya Kualiti udara yang lebih baik Tenang / pesekitaran bebas stres Beberapa jejak yang mencabar yang mana sesuai bagi setiap

orang dengan tahap kecergasan yang berbeza

JEJAKBERJALAN KAKI

Taman Tasek Lama - Bandar Seri Begawan

Bukit Salelah Bandar Seri Begawan

Taman Rekreasi Damuan Bandar Seri Begawan

Bumbung 12 Kota Batu

Bukit Marakuching Subok

Hutan Simpan Berakas

Taman Rekreasi Bukit Shahbandar Jerudong

Taman Jerudong Park

Taman Rekreasi Sg Basong Tutong

Pantai Seri Kenangan Kg Sengkarai Tutong

Tasek Merimbun Tutong

Bukit Ambok Pancor Papan Tutong

Bukit Barun Layong Tutong

Hutan Simpan Sg Liang Belait

Taman Jubilee Peranginan Anduki Belait

Hutan Simpan Bukit Patoi - Temburong

TEMPAT-TEMPAT BERJALAN KAKI YANG SERING DI KUNJUNGI DI NEGARA INITEMPAT-TEMPAT BERJALAN KAKI YANG SERING DI KUNJUNGI DI NEGARA INITEMPAT-TEMPAT BERJALAN KAKI YANG SERING DI KUNJUNGI DI NEGARA INITEMPAT-TEMPAT BERJALAN KAKI YANG SERING DI KUNJUNGI DI NEGARA INITEMPAT-TEMPAT BERJALAN KAKI YANG SERING DI KUNJUNGI DI NEGARA INI

HealthyBruneiSihat9

HBS 8 New LYT 10/4/06, 4:52 PM9

10HealthyBruneiSihat

Mind

becoming verbally abusive.

falling to the ground in a trance like state.

Usually one person will first develop the symptoms which willspread rapidly to other individuals who have seen the first casehaving symptoms.

These symptoms would usually last only a short time, after whichthe individuals concerned would regain normal consciousawareness. Sometimes, they may be able to recall only some ofthe things that happened during the state of hysteria.

In many cultures, these conditions are believed to be due topossession by spirits. Because of this, the affected individualsand their families usually seek the help of traditional healers.

In general, the occurrence of symptoms of hysteria in anindividual or groups of individuals indicate they have problemsthat they need help. Because of this, treating the hysteriaessentially involves helping the individual or group concernedto deal with the problems. In the case of mass hysteria, the schoolor factory or hostel concerned may need to be closed temporarilywhile the problems are being resolved. This is necessary to avoidfurther spreading of the symptoms among the members of thegroup, to reduce the stress of the affected individuals as well asothers who are involved with them.

Hysteria can occur in an individual or in a group of individualswho live or work closely together. It occurs more commonlyamong women.

When it occurs in individuals, it is usually due to emotionalconflicts that are difficult to resolve. The conflicts are usuallyinterpersonal in nature such as conflicts in relationship betweenwife and husband. It may also be due to personal conflicts suchas guilt feelings about something that has been done or hashappened.

When it occurs in groups of individuals, it is usually calledepidemic or mass hysteria. Mass hysteria has been reportedin different cultural groups and its manifestations also vary withdifferent cultural groups. It has been reported among girls inresidential schools as well as female factory workers.

Basically, in hysteria there is an alteration in the state of consciousawareness which is associated with behaviours such as :

severe rapid breathing followed by muscular twitching andspasm of limbs which may resemble fits.

screaming, shouting and running aimlessly all over in terror,usually in response to seeing ghosts or other fearful figures.

Hysteria

HBS 8 New LYT 10/4/06, 4:52 PM10

HealthyBruneiSihat11

Minda

Histeria boleh terjadi pada seseorang atau sekumpulan individuyang tinggal atau berkerja sama-sama. Ianya sering terjadidikalangan wanita.

Ianya selalunya terjadi disebabkan oleh pertelingkahan emosiyang sukar diselesaikan. Pertelingkahan ini biasanya berkait rapatdengan hubungan peribadi seperti hubungan diantara suami isteri.Ianya juga boleh berlaku disebabkan pertelingkahan peribadiseperti rasa bersalah terhadap sesuatu yang telah dilakukan atauyang pernah berlaku.

Apabila histeria berlaku kepada individu-individu secaraberkumpulan, ianya biasanya dikenali sebagai wabak atau histeriabesar-besaran. Histeria secara besar-besaran telah dilaporkanberlaku kepada masyarakat pelbagai bangsa dan manifestasinyaberbeza diantara satu bangsa dengan yang lainnya. Terdapatlaporan ianya biasanya berlaku dikalangan penuntut-penuntutperempuan di sekolah berasrama dan pekerja-pekerja wanitakilang.

Biasanya histeria merubah tingkah laku seseorang seperti:

Penafasan yang kuat diiringi oleh otot-otot yang bergetar dankekejangan otot yang serupa seperti sawan.

Menjerit-jerit, berteriak dan berlari tak tentu arah, yangmenakutkan seperti ternampak hantu atau lembaga yangmenakutkan.

Bercakap dengan bahasa yang kasar/kesat

Terjatuh dalam keadaan berkhayal.

Pada mulanya tanda-tanda histeria terjadi kepada seorangindividu sahaja, dan kemudiannya melarat dengan cepat kepadaindividu lain yang melihat kes pertama berlaku.

Tanda-tanda sebegini biasanya hanya berlaku seketika sahaja,selepas itu individu-individu berkenaan akan kembali sedar.Kadang-kadang mereka hanya dapat mengingati sedikit sahajaapa yang telah berlaku semasa dalam keadaan histeria.

Dalam kebanyakan masyarakat, keadaan sebegini dipercayaiberlaku disebabkan dikuasai oleh semangat. Kepercayaan inimenyebabkan individu-individu yang mengalami histeria dankeluarga mereka biasanya mendapatkan rawatan tradisional.

Lazimnya, apabila berlaku histeria, ianya menandakan bahawamereka mempunyai masalah-masalah yang memerlukan bantuandari sesuatu pihak. Oleh yang demikian, adalah penting bagi kitauntuk menangani masalah individu-individu ini. Apabila histeriabesar-besaran terjadi, sekolah atau kilang atau asrama yangterlibat perlu ditutup sementara bagi menyelesaikan puncamasalah sebenar. Ini adalah penting bagi mengelakkanpenyebaran tanda-tanda pada kelompok yang lain, untukmeredakan tekanan pada individu-individu terbabit dan jugamereka yang berkaitan.

Apabila ianya berlaku padaindividu-individu ini, ianyaselalunya terjadi disebabkan olehpertelingkahan emosi yang manasukar diselesaikan.(gambar sekadar hiasan)

Histeria

HBS 8 New LYT 10/4/06, 4:52 PM11

12HealthyBruneiSihat

Cover Story

OONCOLOGYServicesThe Division of Oncology started its operation as a day care basis for cancer patients atspecialist building RIPAS Hospital in May 1999.

MISSIONMISSIONMISSIONMISSIONMISSIONTo improve the quality of care to cancer patients and their families using the latesttechnology, professional skills and knowledge available, to optimise therapy and to maximizepositive outcomes.

Division of Oncology staffDivision of Oncology staffDivision of Oncology staffDivision of Oncology staffDivision of Oncology staff 3 specialist 9 oncology nurses 1 breast care nurse 1 dietitian 1 pharmacist and

2 pharmacist technician 1 clerk, 1 medial record

and 2 amah/attendant

Role of Oncology NurseRole of Oncology NurseRole of Oncology NurseRole of Oncology NurseRole of Oncology Nurse Health education on cancer treatment

modalities, side effects and how to copewith it.

Counselling of patients and family. Delivery of chemotherapy. Care of Venous Access Devices. Assisting doctors during clinic

sessions.

Role of Breast Care NurseRole of Breast Care NurseRole of Breast Care NurseRole of Breast Care NurseRole of Breast Care Nurse Provide counseling to breast cancer

patients and their families regardingcancer treatment modalities, side-effects and how to manage the side-effects.

Iiase with occupational therapist tosee patient for cosmetic advice such asthe need of breast prosthesis andexercises to prevent lymphedema.

Conduct public seminars or talks.

Breast cancer nurse (BCN) is also involvedwith the breast cancer support group. Sheliase with another BCN from surgical site inRIPAS hospital.

Role of PharmacistRole of PharmacistRole of PharmacistRole of PharmacistRole of Pharmacist Ensure safe handling of cytotoxic

drugs especially in reconstitutingadministering and dispensing.

Ensure cytotoxic drugs used are timelyavailable before the initiation ofchemotherapy.

Provide drug information for medical,nursing staff, patients and family.

Ensure all cytotoxic drugs arereconstitute by using aseptic techniquewith correct patient, dose, time,medication and route.

Role of DietitianRole of DietitianRole of DietitianRole of DietitianRole of Dietitian Provide nutrition counseling and support

for cancer patients on individualrequirement and modification accordingto his / her lifestyle.

Monitor patients nutritional statusthroughout period oftreatment.

DIVISION OF ONCOLOGYDIVISION OF ONCOLOGYDIVISION OF ONCOLOGYDIVISION OF ONCOLOGYDIVISION OF ONCOLOGYUNIT WAS SET UP TO:UNIT WAS SET UP TO:UNIT WAS SET UP TO:UNIT WAS SET UP TO:UNIT WAS SET UP TO:Provide care, treatment and support toProvide care, treatment and support toProvide care, treatment and support toProvide care, treatment and support toProvide care, treatment and support tocancer patients and their families such as:cancer patients and their families such as:cancer patients and their families such as:cancer patients and their families such as:cancer patients and their families such as: Provide information about chemotherapy

and radiotherapy. Coordinate arrangement for treatment

overseas (abroad) eg. Radiotherapy. Carry out procedures eg. Bone marrow

aspiration or / and lumbar puncturein order to confirm the present ofcancerous cells or only lumbar punctureuse to administer cytotoxic drugs.

Provide information about caring ofvenous access devices eg. Port-a-cath,Hickman line and Peripherally insertedvenous catheter (PICC) line.

Clinical services are conducted:Clinical services are conducted:Clinical services are conducted:Clinical services are conducted:Clinical services are conducted: Every Wednesday afternoon:

- For referral / newly diagnosed cases.- Follow up cases for patient who have

undergo chemotherapy for the 1st time(1st cycle).

- Follow up for those patients whohave undergone treatment(radiotherapy) / examination overseas(abroad).

Every Saturday afternoon follow up caseswho had completed cancer treatment.

HBS 8 New LYT 10/4/06, 4:52 PM12

HealthyBruneiSihat13

Berita Muka Surat

Memberikan perkhidmatan klinik seperti:Memberikan perkhidmatan klinik seperti:Memberikan perkhidmatan klinik seperti:Memberikan perkhidmatan klinik seperti:Memberikan perkhidmatan klinik seperti: Setiap hari Rabu, tengahari menerima

perjanjian bagi kes:- Rujukan/baru.- Susulan bagi pesakit yang baru

menerima rawatan kemoterapi (1st

cycle).- Susulan bagi pesakit yang balik dari

luar negeri selepas rawatanRadioterapi.

Setiap hari Rabu, tengahari menerimaperjanjian bagi kes susulan biasa (follow-up).

ONKOLOGIPerkhidmatanBAHAGIAN ONKOLOGI DITUBUHKAN BAGI:BAHAGIAN ONKOLOGI DITUBUHKAN BAGI:BAHAGIAN ONKOLOGI DITUBUHKAN BAGI:BAHAGIAN ONKOLOGI DITUBUHKAN BAGI:BAHAGIAN ONKOLOGI DITUBUHKAN BAGI:Memberikan perkhidmatan penjagaan danMemberikan perkhidmatan penjagaan danMemberikan perkhidmatan penjagaan danMemberikan perkhidmatan penjagaan danMemberikan perkhidmatan penjagaan danrawatan bagi pesakit-pesakit kanser seperti;rawatan bagi pesakit-pesakit kanser seperti;rawatan bagi pesakit-pesakit kanser seperti;rawatan bagi pesakit-pesakit kanser seperti;rawatan bagi pesakit-pesakit kanser seperti; Menyalurkan maklumat berkenaan

dengan kemoterapi dan radioterapi. Bekerjasama dalam mengendalikan

pengurusan pesakit yang dihantar untukrawatan di luar negara (radioterapi /pemeriksaan).

Mengendalikan prosedur-prosedur bonemarrow aspiration dan lumbar puncturebagi memastikan penyakit kanserataupun untuk memberikan rawatan.

Menyalurkan maklumat mengenaicara penjagaan alat-alat saluran darahseperti Hickman line, port-a-cath danPeripherally inserted central catheter orPICC line.

Perkhidmatan onkologi mula beroperasi pada bulan Mei 1999, bagi pesakit-pesakit kanser.Ianya ditempatkan di Bangunan Klinik Pakar secara day care (pesakit luar).

MISIMISIMISIMISIMISIMeningkatan kualiti penjagaan kepada pesakit-pesakit kanser serta keluarga mereka yangmenjalani rawatan dengan menggunakan teknologi terbaru, kemahiran serta pengetahuanyang sedia ada dengan tujuan untuk mencapai terapi yang optima dan mendapatkan hasilpositif yang maksima.

Kakitangan Bahagian OnkologiKakitangan Bahagian OnkologiKakitangan Bahagian OnkologiKakitangan Bahagian OnkologiKakitangan Bahagian Onkologi 3 orang pakar onkologi. 9 orang jururawat terlatih di dalam

jurusan onkologi. 1 orang jururawat perkhidmatan

payudara. 1 orang pakar permakanan. 1 orang farmasi dan 2 orang teknikal

farmasi. 1 orang kerani, 1 orang bahagian fail-

fail pesakit dan 2 orang amah/attendan.

Peranan Jururawat OnkologiPeranan Jururawat OnkologiPeranan Jururawat OnkologiPeranan Jururawat OnkologiPeranan Jururawat Onkologi Pendidikan kesihatan mengenai

modaliti rawatan kanser, kesansampingan dan bagaimana untukmengatasi alahan obat jika ianya terjadi.

Kaunseling kepada pesakit dan keluargamereka.

Memberi rawatan kemoterapi. Penjagaan peralatan Venous Access

Device (Hickman line, Port-a-cath danPICC line).

Membantu doktor semasa sesi klinik. Membantu doktor di dalam

melaksanakan prosedur-proseduronkologi (bone marrow aspiration danlumbar puncture).

Peranan Jururawat Penjagaan PayudaraPeranan Jururawat Penjagaan PayudaraPeranan Jururawat Penjagaan PayudaraPeranan Jururawat Penjagaan PayudaraPeranan Jururawat Penjagaan Payudara Memberikan kaunseling kepada pesakit-

pesakit kanser payudara tentangrawatan-rawatan kanser, kesansampingan rawatan yang mungkin akandihadapi dan cara menangani alahan-alahan rawatan (terutamannyakemoterapi) jika ianya terjadi.

Bekerjasama dengan kakitanganbahagian pemulihan carakerja untukmemberi nasihat kosmetik terutamasekali berkenaan dengan pemakaianpayudara palsu dan latihan-latihanjasmani pemulihan terhadap tempatyang terlibat dengan penyakit kanser.

Memberikan taklimat atau ceramahkepada orang ramai mengenaipemeriksaan payudara.

Disamping itu jururawat penjagaan payudarajuga menyertai kumpulan sokongan kanserpayudara dan bekerjasama dengan jururawatdi bahagian pembedahan, RIPAS hospital.

Peranan FarmasisPeranan FarmasisPeranan FarmasisPeranan FarmasisPeranan Farmasis Memastikan kesemua ubat kemoterapi

dikendalikan dengan selamat terutamasemasa penyediaan dan pemberian ubat.

Memastikan bekalan ubat-ubatan sediaada sebelum rawatan dimulakan.

Memberi maklumat mengenai ubat-ubatan kepada pakar onkologi, jururawat,pesakit dan keluarga mereka.

Memastikan kesemua ubat kemoterapidicampur secara aseptic disamping itumemeriksa nama pesakit, dos ubat, namaubat, waktu dan diberikan dengan kaedahyang betul.

Peranan Pakar PermakananPeranan Pakar PermakananPeranan Pakar PermakananPeranan Pakar PermakananPeranan Pakar Permakanan Memberi kaunseling permakanan

kepada pesakit-pesakit kanserberdasarkan keperluan individu dandiubahsuai mengikut cara hidupseseorang.

Memberi sokongan permakanan yangtertangguh disebabkan oleh penyakityang dihadapi.

Memastikan dan menjaga statuspermakanan pesakit semasa tempohrawatan.

HBS 8 New LYT 10/4/06, 4:52 PM13

14HealthyBruneiSihat

1

Food

5PLAY YOUR PART:PLAY YOUR PART:PLAY YOUR PART:PLAY YOUR PART:PLAY YOUR PART:follow the

5

2

4

3

14HealthyBruneiSihat

Good hygiene practices can contribute towards preventing food poisoning. Everyone must take partGood hygiene practices can contribute towards preventing food poisoning. Everyone must take partGood hygiene practices can contribute towards preventing food poisoning. Everyone must take partGood hygiene practices can contribute towards preventing food poisoning. Everyone must take partGood hygiene practices can contribute towards preventing food poisoning. Everyone must take partin ensuring food safety by following simple safety practices:in ensuring food safety by following simple safety practices:in ensuring food safety by following simple safety practices:in ensuring food safety by following simple safety practices:in ensuring food safety by following simple safety practices:

GROCERY SHOPPINGGROCERY SHOPPINGGROCERY SHOPPINGGROCERY SHOPPINGGROCERY SHOPPINGFood safety begins when you do your shopping. This will help in reducing the risk of food poisoning.

DOsDOsDOsDOsDOs Buy food from a clean and reputable shop. Read labels carefully. Select fresh and wholesome foods.

WASH AND KEEP CLEANWASH AND KEEP CLEANWASH AND KEEP CLEANWASH AND KEEP CLEANWASH AND KEEP CLEANBacteria can be found everywhere. These bacteria are carried on our hands, wiping cloths and utensils. The slightest contact cantransfer them to food.

DOsDOsDOsDOsDOs Wash your hands with soap and water before handling and preparing food and after using the toilet. Wash and sanitize all surface and equipment used for food preparation. Wash dish clothes and towels frequently or use disposable towels. Keep your kitchen clean and protect from insects, pets and other animals.

SEPARATE RAW AND COOKED FOODSEPARATE RAW AND COOKED FOODSEPARATE RAW AND COOKED FOODSEPARATE RAW AND COOKED FOODSEPARATE RAW AND COOKED FOODRaw food may contain harmful bacteria. They may be transferred onto other foods during preparation and storage which maycause food poisoning.

DOsDOsDOsDOsDOs Keep raw food separately from cooked foods. Wash knives and chopping boards between uses. Where possible use separate chopping boards for raw and cooked food. Store food in covered containers to prevent cross contamination between raw and cooked foods.

COOK YOUR FOOD WELLCOOK YOUR FOOD WELLCOOK YOUR FOOD WELLCOOK YOUR FOOD WELLCOOK YOUR FOOD WELLProper cooking will help to kill all harmful bacteria.

DOsDOsDOsDOsDOs When cooking meat and poultry, make sure it is well-cooked and not pink. Cook them at higher temperature. If food requires reheating, cooked it thoroughly.

KEEP FOOD AT SAFER TEMPERATURESKEEP FOOD AT SAFER TEMPERATURESKEEP FOOD AT SAFER TEMPERATURESKEEP FOOD AT SAFER TEMPERATURESKEEP FOOD AT SAFER TEMPERATURESBacteria can multiply very quickly at room temperature. Food must be kept under the right conditions so that it is safe to eat.

DOsDOsDOsDOsDOs Hot food should be served hot, cold food should be

served cold. Keep cooked food piping hot prior to serving. Refrigerate promptly all cooked and perishable food.

DONTsDONTsDONTsDONTsDONTs Do not buy chilled or frozen food that is displayed at room temperature. Do not choose dented, bolted, blown or rusty canned food. Do not buy food beyond its expiry date.

DONTsDONTsDONTsDONTsDONTs Do not leave cooked food at room temperature for more than

2 hours. Do not store food too long even in the refrigerator. Do not thaw frozen food at room temperature. Thaw them

in the refrigerator overnight, or use the microwave oven. Do not leave marinated food at room temperature.

Keep them in a covered bowl in the refrigerator.

toKEYSSAFER FOOD

HBS 8 New LYT 10/4/06, 4:52 PM14

HealthyBruneiSihat15

ke arah

AWDA MEMAINKAN PERANAN

Ikuti5KUNCIMAKANAN YANG SELAMATMakanan

Amalan kebersihan yang baik boleh membantu mengelakkan keracunan makanan. Semua orang berperananAmalan kebersihan yang baik boleh membantu mengelakkan keracunan makanan. Semua orang berperananAmalan kebersihan yang baik boleh membantu mengelakkan keracunan makanan. Semua orang berperananAmalan kebersihan yang baik boleh membantu mengelakkan keracunan makanan. Semua orang berperananAmalan kebersihan yang baik boleh membantu mengelakkan keracunan makanan. Semua orang berperanandalam mempastikan keselamatan makanan dengan mengikuti amalan-amalan berikut:dalam mempastikan keselamatan makanan dengan mengikuti amalan-amalan berikut:dalam mempastikan keselamatan makanan dengan mengikuti amalan-amalan berikut:dalam mempastikan keselamatan makanan dengan mengikuti amalan-amalan berikut:dalam mempastikan keselamatan makanan dengan mengikuti amalan-amalan berikut:

HealthyBruneiSihat15

2

4

3

5

1MEMBELI BELAHMEMBELI BELAHMEMBELI BELAHMEMBELI BELAHMEMBELI BELAHKeselamatan makanan bermula semasa membeli belah. Ianya boleh membantu menggurangkan risiko keracunan makanan.

AMALKANAMALKANAMALKANAMALKANAMALKAN Beli makanan daripada kedai yang bersih. Baca label dengan teliti. Pilih makanan yang segar dan baik.

CUCI DAN SENTIASA DALAM KEADAAN BERSIHCUCI DAN SENTIASA DALAM KEADAAN BERSIHCUCI DAN SENTIASA DALAM KEADAAN BERSIHCUCI DAN SENTIASA DALAM KEADAAN BERSIHCUCI DAN SENTIASA DALAM KEADAAN BERSIHBakteria boleh didapati di merata-rata tempat. Bakteria ini berada di tangan kita, kain lap dan perkakas. Sentuhan bolehmemindahkan kuman ke makanan dan ini boleh menyebabkan keracunan makanan.

AMALKANAMALKANAMALKANAMALKANAMALKAN Cuci tangan dengan air dan sabun sebelum mengendalikan dan menyediakan makanan dan selepas menggunakan tandas. Cuci tangan dan basmi semua permukaan dan alat perkakas yang digunakan untuk menyediakan makanan. Cuci kain dan tuala dengan kerap atau gunakan tuala buang pakai. Pastikan dapur hendaklah sentiasa bersih dan bebas daripada serangga, binatang dan haiwan perosak.

ASINGKAN MAKANAN MENTAH DAN MASAKASINGKAN MAKANAN MENTAH DAN MASAKASINGKAN MAKANAN MENTAH DAN MASAKASINGKAN MAKANAN MENTAH DAN MASAKASINGKAN MAKANAN MENTAH DAN MASAKMakanan mentah mungkin mengandungi bakteria membahaya. Bakteria ini boleh berpindah kepada makanan lain semasapenyediaan dan penyimpanan, ianya boleh menyebabkan keracunan makanan.

AMALKANAMALKANAMALKANAMALKANAMALKAN Asingkan makanan mentah daripada makanan yang sudah dimasak. Cuci pisau dan sesaban pemotong setiap kali selepas digunakan. Jika boleh gunakan

sesaban pemotong yang berlainan lagi makanan yang telah dimasak dan makananyang mentah.

MASAK MAKANAN DENGAN SEMPURNAMASAK MAKANAN DENGAN SEMPURNAMASAK MAKANAN DENGAN SEMPURNAMASAK MAKANAN DENGAN SEMPURNAMASAK MAKANAN DENGAN SEMPURNAMemasak makanan dengan betul boleh membunuh bakteria yang merbahaya.

AMALKANAMALKANAMALKANAMALKANAMALKAN Apabila memasak daging dan ayam, pastikan ianya di masak dengan sempurna dan tidak kelihatan merah jambu. Masak makanan tersebut pada suhu yang tinggi. Jika makanan dipanaskan semula, masak dengan sempurna.

SIMPAN MAKANAN PADA SUHU YANG SELAMATSIMPAN MAKANAN PADA SUHU YANG SELAMATSIMPAN MAKANAN PADA SUHU YANG SELAMATSIMPAN MAKANAN PADA SUHU YANG SELAMATSIMPAN MAKANAN PADA SUHU YANG SELAMATBakteria boleh membiak dengan cepat pada suhu bilik. Makanan hendaklah disimpan pada suhu yang betul supaya ianya selamatdimakan.

AMALKANAMALKANAMALKANAMALKANAMALKAN Makanan panas hendaklah di hidangkan panas,

makanan sejuk dihidangkan sejuk. Biarkan makanan yang telah dimasak

panas sebelum dihidangkan. Simpan makanan yang telah dimasak

dan makanan yang mudah rosak di dalam peti sejuk.

ELAKKANELAKKANELAKKANELAKKANELAKKAN Jangan membeli makanan sejuk beku yang di simpan pada suhu bilik. Jangan beli makanan dalam tin yang kemek, kembong atau berkarat. Jangan beli makanan yang sudah mansuh tarikhnya.

ELAKKANELAKKANELAKKANELAKKANELAKKAN Jangan biarkan makanan yang telah dimasak berada pada suhu

bilik melebihi dua jam. Jangan simpan makanan terlalu lama walaupun di dalam peti

sejuk. Jangan cairkan makanan yang beku pada suhu bilik. Cairkan

makanan yang beku di dalam peti sejuk atau gunakanmicrowave oven.

Jangan biarkan makanan yang telah diperap pada suhu bilik.Simpan di dalam peti sejuk dalam bekas yang bertutup.

HBS 8 New LYT 10/4/06, 4:52 PM15

16HealthyBruneiSihat

Nutrition

CANCER PREVENTIONTHROUGH YOUR DIET

CANCER FACTSCANCER FACTSCANCER FACTSCANCER FACTSCANCER FACTS Cancer accounts for 7.1 million deaths (12.6% of the global total) annually.Cancer accounts for 7.1 million deaths (12.6% of the global total) annually.Cancer accounts for 7.1 million deaths (12.6% of the global total) annually.Cancer accounts for 7.1 million deaths (12.6% of the global total) annually.Cancer accounts for 7.1 million deaths (12.6% of the global total) annually. More than half of all cancer cases occur in developing countries.More than half of all cancer cases occur in developing countries.More than half of all cancer cases occur in developing countries.More than half of all cancer cases occur in developing countries.More than half of all cancer cases occur in developing countries. Cancer is the second main cause of death after heart disease in Brunei Darussalam.Cancer is the second main cause of death after heart disease in Brunei Darussalam.Cancer is the second main cause of death after heart disease in Brunei Darussalam.Cancer is the second main cause of death after heart disease in Brunei Darussalam.Cancer is the second main cause of death after heart disease in Brunei Darussalam.

Does our daily diet influence our risk of cancer?Does our daily diet influence our risk of cancer?Does our daily diet influence our risk of cancer?Does our daily diet influence our risk of cancer?Does our daily diet influence our risk of cancer? Yes, it does. In the west, dietary factors account for about 30% risk while

20% in developing countries. This makes diet second only after tobacco as a preventable

cause of cancer. Improving your daily diet can protect you against cancer.

Here are a few ways of preventing cancer through your daily intake:Here are a few ways of preventing cancer through your daily intake:Here are a few ways of preventing cancer through your daily intake:Here are a few ways of preventing cancer through your daily intake:Here are a few ways of preventing cancer through your daily intake:

1.1.1.1.1. Eat less (total) fatEat less (total) fatEat less (total) fatEat less (total) fatEat less (total) fat The breakdown of fat turns fat molecules into a harmful

substance that may cause cancer. High temperature in frying causes rapid oxidation of fat which

is carcinogenic. High fat diets can also lead to obesity which is a risk factor for

cancer.

2.2.2.2.2. Eat less saturated fatsEat less saturated fatsEat less saturated fatsEat less saturated fatsEat less saturated fats High-saturated fat diets is a risk factor for cancer. By substituting high saturated fat ingredients with low fat ones,

you can easily modify your diet without losing flavor.

Healthy fats to include in your diet - polyunsaturated fat andmonounsaturated fat such as corn oil, sunflower oil, olive oil,nuts and oily fish can help lower your cholesterol levels.

3.3.3.3.3. Eat more vegetable and fruits in your menuEat more vegetable and fruits in your menuEat more vegetable and fruits in your menuEat more vegetable and fruits in your menuEat more vegetable and fruits in your menu Vegetables and fruits contain natural substances which helps

destroy cancer-causing agents (carcinogens). These substances include, antioxidants (vitamins A, C and E) in

various types of fruits, lycopene found in tomatoes andflavanoids in onions and apples.

Eat 2-3 servings of fruits and 2-3 servings of vegetables in aday.

Vegetables and fruits cansignificantly reduce the risk ofdeveloping digestive tractcancers (including the mouth,pharynx, oesophagus, stomachand bowel).

4.4.4.4.4. Feast on fibreFeast on fibreFeast on fibreFeast on fibreFeast on fibre Scientific theory is that insoluble fibre adds bulk to stool, which

in turn dilutes carcinogens and speeds their transit throughthe lower intestines and out of the body.

Wholegrain and whole meal products are high in fiber. It also contains natural protective substances such as

antioxidants. Examples are whole meal bread and biscuits, brown rice and

oatmeal.

5.5.5.5.5. Eat less processed meatsEat less processed meatsEat less processed meatsEat less processed meatsEat less processed meats Some research suggested that diets high in red meat especially

processed meat are associated with a slight increase in risk ofbowel cancer.

Processed meat such as sausages, burgers,and hotdogs are high in fat, salt and nitrates.

6.6.6.6.6. Choose low salt foodsChoose low salt foodsChoose low salt foodsChoose low salt foodsChoose low salt foods Diets high in salt are associated with the

increased risk in stomach cancer. Change to a low-salt diet. Flavor foods with herbs and spices instead. Add less salt in your cooking and avoid MSG

(monosodium glutamate).

7.7.7.7.7. Cut down on coloring, additives &Cut down on coloring, additives &Cut down on coloring, additives &Cut down on coloring, additives &Cut down on coloring, additives &preservatives.preservatives.preservatives.preservatives.preservatives.

Food additives can be found in most our foods and drinks. Some are believed to be health hazards, causing everything

from allergic reactions to cancer. Avoid junk food. Eat more fresh or less processed foods. Eat a variety of foods. This will limit your exposure to any one

additive, should it have long-term risk factors for thedevelopment of cancer.

Maintain a healthy weight, beMaintain a healthy weight, beMaintain a healthy weight, beMaintain a healthy weight, beMaintain a healthy weight, beactive and eat healthily.active and eat healthily.active and eat healthily.active and eat healthily.active and eat healthily.

HBS 8 New LYT 10/4/06, 4:52 PM16

HealthyBruneiSihat17

Pemakanan

MELALUI PERMAKANAN AWDAPENCEGAHAN KANSER

HealthyBruneiSihat17

FAKTA KANSERFAKTA KANSERFAKTA KANSERFAKTA KANSERFAKTA KANSER Kanser menyebabkan 7.1 juta kematian (12.6% daripada jumlah global) setiap tahun.Kanser menyebabkan 7.1 juta kematian (12.6% daripada jumlah global) setiap tahun.Kanser menyebabkan 7.1 juta kematian (12.6% daripada jumlah global) setiap tahun.Kanser menyebabkan 7.1 juta kematian (12.6% daripada jumlah global) setiap tahun.Kanser menyebabkan 7.1 juta kematian (12.6% daripada jumlah global) setiap tahun. Lebih daripada separuh dari semua jenis kes kanser terjadi di negara membangun.Lebih daripada separuh dari semua jenis kes kanser terjadi di negara membangun.Lebih daripada separuh dari semua jenis kes kanser terjadi di negara membangun.Lebih daripada separuh dari semua jenis kes kanser terjadi di negara membangun.Lebih daripada separuh dari semua jenis kes kanser terjadi di negara membangun. Kanser adalah punca kematian yang kedua tertinggi selepas penyakit jantung koronariKanser adalah punca kematian yang kedua tertinggi selepas penyakit jantung koronariKanser adalah punca kematian yang kedua tertinggi selepas penyakit jantung koronariKanser adalah punca kematian yang kedua tertinggi selepas penyakit jantung koronariKanser adalah punca kematian yang kedua tertinggi selepas penyakit jantung koronari

di Negara Brunei Darussalamdi Negara Brunei Darussalamdi Negara Brunei Darussalamdi Negara Brunei Darussalamdi Negara Brunei Darussalam

Ia juga mengandungi bahan pencegah kanser semulajadi sepertiantioksidan.

Sebagai contoh: bijirin sarapan pagi wholegrain, roti dan biskutmil penuh, beras perang dan amping.

5.5.5.5.5. Kurangkan pengambilan daging terprosesKurangkan pengambilan daging terprosesKurangkan pengambilan daging terprosesKurangkan pengambilan daging terprosesKurangkan pengambilan daging terproses Sesetengah kajian mendapati bahawa diet tinggi kandungan

daging merah terutamanya daging yang diproses berkait denganpeningkatan risiko kanser usus.

Daging yang diproses seperti sosej, burger dan hotdogmengandungi lemak, garam dan nitrat yang tinggi.

6.6.6.6.6. Pilihlah makanan rendah garamPilihlah makanan rendah garamPilihlah makanan rendah garamPilihlah makanan rendah garamPilihlah makanan rendah garam Diet tinggi garam berkait rapat dengan peningkatan risiko kanser

perut. Kurangkan garam dalam diet. Gunakan herba dan rempah sebagai perisa. Garam yang berlebihan juga boleh membawa kepada tekanan

darah tinggi. Kurangkan penambahan garam dalam masakan dan elak

menambahkan MSG (monosodium glutamat).

7.7.7.7.7. Kurangkan pewarna, penambah perisa dan pengawetKurangkan pewarna, penambah perisa dan pengawetKurangkan pewarna, penambah perisa dan pengawetKurangkan pewarna, penambah perisa dan pengawetKurangkan pewarna, penambah perisa dan pengawetmakanan.makanan.makanan.makanan.makanan.

Bahan penambah perisa terdapat dalam kebanyakan makanan danminuman.

Sesetengah daripadanya boleh membahayakan kesihatan,menyebabkan alahan dan kanser.

Elakkan memakan junk food. Makan lebih makanan segar atau yang kurang melalui

pemprosesan. Makanlah pelbagai jenis makanan. Ini akan menghadkan

pendedahan awda kepada satu-satu jenis penambah perisa danpewarna sahaja, sekiranya ia mempunyai faktor risiko jangkapanjang dalam mengakibatkan kanser.

Adakah diet harian kita mempengaruhi risikomendapat kanser? Ya. Faktor pemakanan adalah faktor kedua selepas tembakau

sebagai penyebab kanser yang boleh dicegah. Dengan memperbaiki pemakanan awda setiap hari boleh

melindungi awda daripada kanser.

Antara cara-cara bagi mencegah kanser melalui pengambilan makanan:

1.1.1.1.1. Kurangkan Pengambilan (Jumlah) LemakKurangkan Pengambilan (Jumlah) LemakKurangkan Pengambilan (Jumlah) LemakKurangkan Pengambilan (Jumlah) LemakKurangkan Pengambilan (Jumlah) Lemak Pemecahan lemak menukarkan molekul lemak kepada suatu bahan

yang berbahaya yang boleh menyebabkan kanser. Menggoreng makanan dengan suhu tinggi mempercepatkan

oksidasi lemak menjadikan ia karsinogenik. Diet tinggi lemak boleh membawa kepada obesiti yang juga

merupakan faktor risiko bagi kanser.

2.2.2.2.2. Kurangkan pengambilan Lemak TepuKurangkan pengambilan Lemak TepuKurangkan pengambilan Lemak TepuKurangkan pengambilan Lemak TepuKurangkan pengambilan Lemak Tepu Diet tinggi lemak tepu adalah suatu faktor risiko mendapat kanser. Dengan menggantikan ramuan tinggi lemak tepu dengan ramuan

rendah lemak, awda dengan mudahnya boleh mengubahsuaimakanan tanpa mengurangkan rasanya.

Lemak yang sihat untuk diet awda - lemak politaktepu dan lemakmono tak tepu, contohnya minyak jagung, minyak bunga matahari,minyak zaitun, kekacang dan ikan yang berminyak boleh membantumenurunkan kolesterol darah awda.

3.3.3.3.3. Lebihkan sayur-sayuran dan buah-buahan dalam dietLebihkan sayur-sayuran dan buah-buahan dalam dietLebihkan sayur-sayuran dan buah-buahan dalam dietLebihkan sayur-sayuran dan buah-buahan dalam dietLebihkan sayur-sayuran dan buah-buahan dalam diet Sayur-sayuran dan buah-buahan mengandungi bahan semulajadi

yang membantu memusnahkan agen kanser (karsinogen). Antara bahan-bahan ini termasuklah, antioksidan (vitamin A, C dan

E) dalam pelbagai jenis buah-buahan, likopin dalam tomato danfalavanoid dalam bawang dan epal.

Makan 2-3 hidangan buah-buahan dan 2-3 hidangan sayur-sayuransehari.

Sayur-sayuran dan buah-buahan boleh mengurangkan risiko kansersaluran penghadaman (termasuk mulut, farinks, esophagus, perutdan usus).

4.4.4.4.4. Banyakkan seratBanyakkan seratBanyakkan seratBanyakkan seratBanyakkan serat Teori saintifik ialah serat tidak larut menambah kekentalan najis

yang akan melarutkan karsinogen dan mempercepatkanpergerakannya melalui usus seterusnya keluar dari badan.

Wholegrain dan mil penuh mengandungi serat yang tinggi.

Kekalkan berat badan yangKekalkan berat badan yangKekalkan berat badan yangKekalkan berat badan yangKekalkan berat badan yangsihat, tingkatkan aktivitisihat, tingkatkan aktivitisihat, tingkatkan aktivitisihat, tingkatkan aktivitisihat, tingkatkan aktivitifizikal dan amalkanfizikal dan amalkanfizikal dan amalkanfizikal dan amalkanfizikal dan amalkanpemakanan sihat.pemakanan sihat.pemakanan sihat.pemakanan sihat.pemakanan sihat.

HBS 8 New LYT 10/4/06, 4:52 PM17

18HealthyBruneiSihat

Mother & Child

WHAT IS AUTISM?WHAT IS AUTISM?WHAT IS AUTISM?WHAT IS AUTISM?WHAT IS AUTISM? Autism is a developmental disability, which begin in the

first 36 months of life. It is more common in males, especially the first-born male. In Brunei Darussalam, it is not an uncommon problem where

hundreds of cases are seen by the Child Development Centreand Non-Governmental Organisations.

HOW TO KNOW IF MY CHILD HAS AUTISM?HOW TO KNOW IF MY CHILD HAS AUTISM?HOW TO KNOW IF MY CHILD HAS AUTISM?HOW TO KNOW IF MY CHILD HAS AUTISM?HOW TO KNOW IF MY CHILD HAS AUTISM?They may display the following: Display indifference. Indicates need by pulling an adults hand. Repeat word mentioned by somebody like a parrot. Laughing and giggling inappropriately. Poor eye contact. Not tolerating changes in their usual activities Lack imaginative play. Like spinning objects. Abnormal behavior e.g. flapping hands. If speech is developed, will speak a lot only in one topic.

Isolated in a world of their own, childrenwith autism need help to fit in. The firststep is recognition of the condition. Earlydiagnosis is essential if they are toachieve full potential.

WHAT SHOULD BE DONE?WHAT SHOULD BE DONE?WHAT SHOULD BE DONE?WHAT SHOULD BE DONE?WHAT SHOULD BE DONE? A complete psychiatric assessment is necessary. Physical examination of the child is concerned with a search

for treatable medical conditions.

This includes: Psychological assessment. Speech therapist assessment. Occupational and physical therapy assessment.

YOU CAN GET THESE SERVICES AT THE FOLLOWING FACILITIES:YOU CAN GET THESE SERVICES AT THE FOLLOWING FACILITIES:YOU CAN GET THESE SERVICES AT THE FOLLOWING FACILITIES:YOU CAN GET THESE SERVICES AT THE FOLLOWING FACILITIES:YOU CAN GET THESE SERVICES AT THE FOLLOWING FACILITIES: Child Development Centre (CDC) at Kg. Kiarong At RIPAS Hospital

THE INTERVENTION AFTER ASSESSMENTTHE INTERVENTION AFTER ASSESSMENTTHE INTERVENTION AFTER ASSESSMENTTHE INTERVENTION AFTER ASSESSMENTTHE INTERVENTION AFTER ASSESSMENTEssentially educational services: Before school age, early intervention programme must be

started. This is available at CDC, Pusat Ehsan, Bengkurong andSMARTER Brunei.

At school age:

AUTISM

- Children with mild problems should be placed in themainstream school with the help from special educationteachers.

- Moderately severe problems should be handled in anintegrated class for special children within the mainstreamschool.

- More severe form must be managed in a special educationschool.

HBS 8 New LYT 10/4/06, 4:52 PM18

HealthyBruneiSihat19

Ibu & Anak

APA KAH AUTISME?APA KAH AUTISME?APA KAH AUTISME?APA KAH AUTISME?APA KAH AUTISME? Autisme ialah perkembangan yang terbantut, yang selalunya

bermula pada 36 bulan pertama dilahirkan. Ianya sering berlaku kepada anak lelaki, terutamanya anak

lelaki pertama. Di Negara Brunei Darussalam, terdapat banyak kes-kes

autisme yang dikendalikan di Pusat Perkembangan Kanak-Kanak(CDC) dan organisasi bukan kerajaan.

BAGAIMANA MENGENALI KANAK-KANAK YANG MENGALAMIBAGAIMANA MENGENALI KANAK-KANAK YANG MENGALAMIBAGAIMANA MENGENALI KANAK-KANAK YANG MENGALAMIBAGAIMANA MENGENALI KANAK-KANAK YANG MENGALAMIBAGAIMANA MENGENALI KANAK-KANAK YANG MENGALAMIAUSTISME?AUSTISME?AUSTISME?AUSTISME?AUSTISME?Mereka mungkin memperlihatkan sifat-sifat berikut:

Mempunyai sikap tidak ambil peduli. Menunjukan keperluan mereka dengan menarik tangan orang

dewasa.

Mengulangi perkataan yang diucapkan oleh orang disekelilingseperti burung nuri.

Ketawa dan mengekek tidak tentu pasal. Tidak memandang mata. Tidak dapat menyesuaikan perubahan dalam aktiviti seharian

mereka. Kurang daya imaginasi. Suka kepada objek-objek yang berpusing/berputar. Tingkah laku abnormal seperti mengkibar-kibarkan tangan. Jika percakapan kian berkembang, mereka akan banyak

bercakap tetapi pada satu topik sahaja.

APA YANG HARUS DILAKUKAN?APA YANG HARUS DILAKUKAN?APA YANG HARUS DILAKUKAN?APA YANG HARUS DILAKUKAN?APA YANG HARUS DILAKUKAN? Penilaian lengkap psikiatri adalah

diperlukan. Pemeriksaan fizikal kepada kanak-

kanak ini adalah bagi mengenalpastikes-kes yang dapat diberikanrawatan perubatan.

Ini termasuklah: Penilaian dari segi psikologi. Penilaian terapi pertuturan. Penilaian terapi fizikal dan carakerja.

AUTISMEAWDA BOLEH MENDAPAT PERKHIDMATAN KE TEMPATAWDA BOLEH MENDAPAT PERKHIDMATAN KE TEMPATAWDA BOLEH MENDAPAT PERKHIDMATAN KE TEMPATAWDA BOLEH MENDAPAT PERKHIDMATAN KE TEMPATAWDA BOLEH MENDAPAT PERKHIDMATAN KE TEMPATBERIKUT:BERIKUT:BERIKUT:BERIKUT:BERIKUT: Pusat Perkembangan Kanak-Kanak di Kiarong (CDC) Di Hospital RIPAS

LANGKAH-LANGKAH SETELAH PENILAIANLANGKAH-LANGKAH SETELAH PENILAIANLANGKAH-LANGKAH SETELAH PENILAIANLANGKAH-LANGKAH SETELAH PENILAIANLANGKAH-LANGKAH SETELAH PENILAIAN Sebelum umur persekolahan, program rawatan perlu

dijalankan. Rawatan ini boleh didapati di CDC, Pusat Ehsandan persatuan SMARTER Brunei.

Semasa alam persekolahan:- Kanak-kanak yang mengalami masalah ringan boleh

ditempatkan di sekolah-sekolah biasa dengan pertolongandari guru-guru pendidikan khas.

- Masalah sederhana teruk perlu ditangani didalam bilikdarjah yang mengabungkan kanak-kanak istimewa ini disekolah biasa.

- Masalah yang teruk perlu ditangani di sekolah pendidikan khas.

Terasing di dalam dunia mereka sendiri, kanak-kanak yangmengalami autisme memerlukan pertolongan untuk dirimereka. Langkah pertama adalah mengenalpasti keadaanmereka. Diagnosis awal adalah penting jika mereka sudahmencapai tahap perkembangan yang penuh.

HBS 8 New LYT 10/4/06, 4:52 PM19

20HealthyBruneiSihat

Q & A? Soal Jawab?

WHAT IS CONDUCT DISORDER?WHAT IS CONDUCT DISORDER?WHAT IS CONDUCT DISORDER?WHAT IS CONDUCT DISORDER?WHAT IS CONDUCT DISORDER? A pattern of behaviour in which the rights of others or societal

norms or rules are violated. Four categories of behaviour are described:

Aggression towards people and animals(e.g. fighting, killing animals).

Destruction to properties (e.g. vandalism). Deceitfulness or theft. Serious violation of rules.

WHO ARE AT RISK?WHO ARE AT RISK?WHO ARE AT RISK?WHO ARE AT RISK?WHO ARE AT RISK? Children and adolescents from

low income, low education, highly stressedor isolated families.

single parent families. families where there is discord,

maternal depression or drug abuse. Children whose parents

have inconsistent discipline approaches. are physically abusive or critical. are disengaged and uninvolved in

their childrens school experiences. Children whose teachers classroom

management strategies are critical. emotionally distant. lacking clear rules.

Children (due to their disturbed behaviour) who receive less encouragement and support and

more punishment from their teachers/parents. who experience peer rejection and social isolation

at school.

WHAT IS THE TREATMENT?WHAT IS THE TREATMENT?WHAT IS THE TREATMENT?WHAT IS THE TREATMENT?WHAT IS THE TREATMENT? The main mode of treatment is by psychological means to

reduce unwanted behaviour and to increase wanted behaviour. There is no specific medication for the main symptoms

for this disorder. Agitation and aggression may be treated with medication.

CONDUCT DISORDERSCONDUCT DISORDERSCONDUCT DISORDERSCONDUCT DISORDERSCONDUCT DISORDERSCHILDRENCHILDRENCHILDRENCHILDRENCHILDREN

in

ADOLESCENTSADOLESCENTSADOLESCENTSADOLESCENTSADOLESCENTSand

GANGGUANGANGGUANGANGGUANGANGGUANGANGGUAN

DI KALANGANDI KALANGANDI KALANGANDI KALANGANDI KALANGAN

APAKAH GANGGUAN TINGKAH LAKU?APAKAH GANGGUAN TINGKAH LAKU?APAKAH GANGGUAN TINGKAH LAKU?APAKAH GANGGUAN TINGKAH LAKU?APAKAH GANGGUAN TINGKAH LAKU? Tingkah laku dimana ianya mengganggu hak orang lain

atau menyalahi norma-norma sosial atau peraturan. Merangkumi 4 kategori tingkah laku:

Agresif terhadap orang ramai dan haiwan(pergaduhan, pembunuhan haiwan).

Merosakkan harta benda (pemugut). Menipu atau mencuri. Melanggar peraturan yang serius.

SIAPA BERISIKO MENGHADAPINYA?SIAPA BERISIKO MENGHADAPINYA?SIAPA BERISIKO MENGHADAPINYA?SIAPA BERISIKO MENGHADAPINYA?SIAPA BERISIKO MENGHADAPINYA? Kanak-kanak dan remaja dari

Keluarga yang berpendapatan rendah, pendidikan rendah,tertekan atau tersisih.

Ibu bapa tunggal. Keluarga yang terlibat dalam pergaduhan, tertekan atau

penyalah gunaan dadah. Kanak-kanak yang mempunyai ibu bapa yang

Mengamalkan kaedah disiplin yang tidak konsisten/teratur. Mendera secara fizikal atau sentiasa mengkritik. Tidak melibatkan diri dalam kegiatan persekolahan

anak-anak mereka. Kanak-kanak yang mempunyai guru-guru yang mengendali

pengurusan bilik darjah secara Kritikal. Kurang mesra. Tidak mempunyai peraturan yang jelas.

Kanak-kanak (kerana gangguan tingkah laku) Kurang mendapat galakkan dan sokongan daripada guru/

ibu bapa. Disisihkan oleh rakan sebaya dan penyisihan sosial di sekolah.

APAKAH RAWATANNYA?APAKAH RAWATANNYA?APAKAH RAWATANNYA?APAKAH RAWATANNYA?APAKAH RAWATANNYA? Rawatan utama adalah melalui rawatan psikologi untuk

mengurangkan tingkah laku yang tidak diingini danmeningkatkan tingkah laku yang baik.

Tidak terdapat ubat-ubatan khusus bagi simptom utama bagikeadaan ini.

Gangguan emosi dan tingkah laku agresif mungkin dirawatdengan ubat-ubatan.

TINGKAH LAKUTINGKAH LAKUTINGKAH LAKUTINGKAH LAKUTINGKAH LAKU

KANAK - KANAKKANAK - KANAKKANAK - KANAKKANAK - KANAKKANAK - KANAK

WHERE TO GET HELP?WHERE TO GET HELP?WHERE TO GET HELP?WHERE TO GET HELP?WHERE TO GET HELP?Please contact the Dept of PsychiatryRIPAS HospitalTel: 2242424 ext 725

DIMANA MENDAPATKAN BANTUAN?DIMANA MENDAPATKAN BANTUAN?DIMANA MENDAPATKAN BANTUAN?DIMANA MENDAPATKAN BANTUAN?DIMANA MENDAPATKAN BANTUAN?Sila hubungi Jabatan Psikiatri Hospital RIPASdi talian 2242424 sambungan 725

HBS 8 New LYT 10/4/06, 4:52 PM20

HealthyBruneiSihat21

Unit 11, Ground Floor, Jaya Setia Square, Berakas,Negara Brunei Darussalam

Tel: 233 2912 Fax: 233 2913 E-mail: kclab@brunet.bn

Perkhidmatan X Ray untukPas Kerja.

X Ray services forWork Permit.

Kesihatan di Tempat Kerja

Since the 1920s, GNC has been Americas largest nutraceutical product retaileroffering supplements, vitamins, herbs and functional foods. GNC Brunei has now 2outlets bringing you quality products available at your convenience.

Facilities:Specialist Outpatient ClinicDiagnostic FacilitiesCath LabOperating TheatresICU / General WardRehabilitation Centre

Services:Health & Cardiac ScreeningCoronary Angiogram / AngioplastyOpen Heart SurgeryCardiac Rehabilitation

HBS 8 New LYT 10/4/06, 4:53 PM21

22HealthyBruneiSihat

Jawab soalan-soalan ini dan 10 peserta pertama dengan jawapanyang betul akan memenangi BOUCHER bernilai $25.OO GNCBRUNEI

1. Berjalan kaki adalah cara yang efektif bagi memperolehikesihatan kardiovaskular dan senaman ini adalah yangsering disarankan oleh para doktor.Betul/Salah

2. Apabila memasak daging dan ayam, pastikan ianyadimasak dengan sempurna dan tidak kelihatan merah.Betul/Salah

KUiZKESIHATAN

Hantar jawapan awda ke:Healthy Brunei Sihat Kuiz KesihatanHealthy Brunei Sihat Kuiz KesihatanHealthy Brunei Sihat Kuiz KesihatanHealthy Brunei Sihat Kuiz KesihatanHealthy Brunei Sihat Kuiz KesihatanLot 8 & 11, Perindustrian Beribi II, Gadong BE1118 (BSB)atau88C Jln McKerron Kuala Belait KA1131 (KB)

Post your answers to:Post your answers to:Post your answers to:Post your answers to:Post your answers to:Healthy Brunei Sihat Health QuizHealthy Brunei Sihat Health QuizHealthy Brunei Sihat Health QuizHealthy Brunei Sihat Health QuizHealthy Brunei Sihat Health QuizLot 8 & 11, Perindustrian Beribi II, Gadong BE1118 (BSB)or88C Jln McKerron Kuala Belait KA1131 (KB)

Name:

Age: IC Number:

Occupation:

Address:

Contact: (home / office)

(mobile)

HealthQUiZAnswer these simple questions and the first 10 correct entrieswill win a S25.00 S25.00 S25.00 S25.00 S25.00 worth ofworth ofworth ofworth ofworth of VOUCHER FROM GNC BRUNEIVOUCHER FROM GNC BRUNEIVOUCHER FROM GNC BRUNEIVOUCHER FROM GNC BRUNEIVOUCHER FROM GNC BRUNEI

1. Walking is the exercise most recommended by doctorsas an effective way of achieving cardiovascular fitness.True/False

2. When cooking meat and poultry, make sure it is well-cooked and not pink.True/False

Nama:

Umur: Nombor IC:

Pekerjaan:

Alamat:

Telefon: (rumah / office)

(bimbit)

ASK THE DOCTOR

Q & A? Soal Jawab

If you have any questions on health which you would like answered, do write in tous. Our professional medical panel will try to answer whatever queries you mayhave. Email your letters to hbs@bruneipress.com.bn or post them to:

HEALTHY BRUNEI SIHAT ASK THE DOCTOR/TANYA DOKTORLot 8 & 11, Perindustrian Beribi II,Gadong BE1118 (BSB)or88C Jln McKerronKuala Belait KA1131 (KB)

Jika awda mempunyai soalan mengenai kesihatan awda, tulis surat kepada kami,pakar kesihatan kami akan cuba menjawab segala soalan awda. Email surat awdake hbs@bruneipress.com.bn atau hantarkan surat awda ke:

?

Asilahizzati Hj Suhaimi Chong Yun Shiau Ibrahim bin Hj Ismail Irene Yu Toh Eing Mohd Nor Hafiz hj Morshid Mohammad Khairul Barri bin Zakaria Nurul Azimah bte. Hj Muhammad Sambut bin Tarang Umi Kulsum bte Rodjali Zulhainee bte Hj Rahman

Congratulations to our 10 winners of the Healthy Brunei Sihat 7th Issue Quiz! You've won a GNC BRUNEI voucher worth B$25.00.

(Winners in alphabetical order)

Please collect your prize vouchers from the Brunei Press office and remember to bring along your IC for identification.

Terbitan Kem

enterian Kesih

atan & Brune

i Press Sdn B

hd

PERCUMA /

FREE

KELUARAN K

ETUJUH / SE

VENTH ISSUE

TANYA DOKTOR

HBS 8 New LYT 10/4/06, 4:53 PM22

HealthyBruneiSihat23

Start Your Financial Planning as low as $100Start Your Financial Planning as low as $100Start Your Financial Planning as low as $100Start Your Financial Planning as low as $100Start Your Financial Planning as low as $100

intointointointointo TAIBTAIBTAIBTAIBTAIB Deposit Certificate (TDC)Deposit Certificate (TDC)Deposit Certificate (TDC)Deposit Certificate (TDC)Deposit Certificate (TDC)

In an effort to inculcate savings habits and createawareness of financial planning, Perbadanan TabungAmanah Islam Brunei (TAIB) has recently introduced afixed deposit scheme called TAIB Deposit Certificate(TDC).

The scheme was officially launched on the 31st July 2006at TAIB Headquarter in the capital by the guest of honour,Dato Dr Haji Mat Suny, Deputy Minister of Developmentcum Chairman of TAIB. The launch was held in conjunctionwith His Majestys 60th birthday celebration, in line withHis Majestys recent titah on July 15, with regards to theincrement of salary and allowances to governmentservants.

According to TAIBs official, the TDC scheme is a shortterm Syariah compliant deposit with a period of one, twoand three years. It is based on the Al-Mudharabah concept(profit sharing) where semi-annual returns (Interim)would be distributed to depositors. The deposit isdenominated in Brunei Currency.

TDC is opened to Muslims and non-Muslims to start theirfinancial planning with a minimum deposit from as lowas B$100 per certificate. It acts as an alternative tointerest bearing deposits.

Individuals who participate in TDC scheme between 1st

August 2006 to 31st December 2006 are automaticallyeligible to participate in TDC lucky draws with B$91,000in cash prizes to be won.

Save for the future Deposit NOW and you could be a TDC Lucky Draw winner! Up to B$91,000in lucky draw prizes to be won!

For more information on how to participate

in the TDC scheme and the Lucky Draws,

please see this issues back cover.

HBS 8 New LYT 10/4/06, 4:53 PM23

24HealthyBruneiSihat

HBS 8 New LYT 10/4/06, 4:53 PM24