eK0n0mi taK seriU$ d/h ekonomitakserius@blogspot.com

Agustus 24, 2012

beautiful: emaaa($1662)aa$ … 240812

Filed under: EMAS or GOLD...ce'ileh... — bumi2009fans @ 12:17 am

TREN HARGA EMAS
Emas terangkat sentimen stimulus AS
Oleh Harry Febrian – Jumat, 24 Agustus 2012 | 06:43 WIB

kontan

JAKARTA. Emas makin berkilau. Penyebabnya adalah potensi the Federal Reserve (The Fed) akan menggelontorkan stimulus lanjutan makin besar untuk menggairahkan perekonomian di Amerika Serikat (AS). Itu terlihat dari makin banyak anggota The Fed yang menganggap AS memang membutuhkan akomodasi moneter.

Sentimen ini mengangkat harga emas hingga mencapai harga tertingginya dalam 16 minggu terakhir. Kemarin (23/8), harga kontrak emas untuk pengiriman Desember 2012 hingga pukul 18.45 WIB di Bursa Comex, menguat 1,32% menjadi US$ 1.662,10 per ons troi dari harga sehari sebelumnya. Bahkan, kemarin, harga emas sempat menyentuh US$ 1.667,15 per ons troi.

Dalam sebulan, harga kontrak emas telah naik 5,06%, tapi harga saat ini belum menembus level tertinggi pada tahun ini di posisi US$ 1.798,90 per ons troi.

“Penguatan emas juga didukung oleh analisa teknikal yang cukup positif,” ujar Bayram Dincer, analis LGT Capital Management kepada Bloomberg.

Pasar emas saat ini tampaknya sedang ada dalam tren bullish. Kondisi menjelang Pemilihan Umum di AS membuat tekanan untuk perbaikan ekonomi jangka pendek semakin tinggi. “Itu membuat kemungkinan Quantitave Easing tahap ketiga menjadi lebih besar,” ujar David Govett, Global Head of Precious Metals dari Marex Spectron Group.

Bisa terus naik

Analis Senior Harvest International Futures, Tonny Mariano, menilai, emas memang sangat diuntungkan dengan sentimen dari The Fed itu. Adanya indikasi untuk terus memberikan kelonggaran kebijakan akan membantu emas terus naik. “Belum lagi jika tindakan pelonggaran ini juga diikuti lembaga keuangan lain seperti European Central Bank (ECB),” kata dia.

Selain itu, kebutuhan fisik emas juga berpeluang naik. Permintaan emas dari India akan meningkat menjelang festival Mumbai yang salah satu agenda utamanya adalah memamerkan berbagai jenis model perhiasan emas. “Biasanya di Agustus sampai Oktober nanti permintaan akan cukup baik,” kata Tonny.

Head of Research and Analyst Monex Investindo Futures, Ariston Tjendra, menambahkan dalam risetnya, harga emas secara teknikal kembali menyentuh area batas atas segitiga yang terbentuk sejak tahun lalu, di kisaran US$ 1.660 – US$ 1.670 per ons troi. Itu menunjukkan tahanan atau resisten untuk penguatan harga emas selanjutnya.

Menurut Ariston, bila tidak ada lagi berita yang mendukung, emas masih berpeluang terkoreksi ke level US$ 1.645 per ons troi. Namun, bila tren naik terus berlanjut, harga emas bisa melewati level resistance pertama di US$ 1.665 dan resistance kedua di level US$1.670 per ons troi.

Sedangkan, hitungan Tonny, dalam sebulan ini harga emas akan bergerak di kisaran US$ 1.600 hingga US$ 1.690 per ons troi.

Agustus 23, 2012

beautiful: emaaa($1641)aa$ … 230812

Filed under: EMAS or GOLD...ce'ileh... — bumi2009fans @ 12:56 am

Harga emas di London tertinggi sejak 7 Mei
Oleh Asnil Bambani Amri, Bloomberg – Rabu, 22 Agustus 2012 | 00:11 WIB

pasca Soros dan Paulson, 2 milyarder amrik BELI EMAS

, maka tampaknya pergerakan harga emas menjadi LEBIH MENARIK …

LONDON. Harga emas makin mengkilau di bursa London. Harga produk investasi tersebut menjulang ke harga US$ 1.641,28 per ounce pada pukul 15:01 waktu setempat (21/8). Ini merupakan harga tertinggi sejak 7 Mei.

Sebelumnya, harga emas melambung karena ada spekulasi tentang rencana Amerika Serikat (AS) yang akan meluncurkan stimulus lanjutan untuk memacu ekonomi.

“Pemilik modal sementara memindahkan portofolio investasinya ke emas sebelum The Fed mengeluarkan pengumuman kebijakan akhir bulan ini,” ujar Phil Streible, broker senior R.J O\’Brien & Associates di Chicago.

Agustus 11, 2012

beautiful: turut ber$1mpati @pesepeda Yunani … 110812

Filed under: GLOBAL ECONOMY — bumi2009fans @ 1:12 am

Greeks turn to cycling to avoid crisis squeeze
8 Aug 2012
athens news
The crisis may be killing the automotive trade, but it's working wonders for cycling culture (Eurokinissi)
The crisis may be killing the automotive trade, but it’s working wonders for cycling culture (Eurokinissi)
The country’s economic plight has forced thousands of businesses to close, thrown one in five out of work and eroded the living standards of millions. But for bicycle-maker Giorgos Vogiatzis, it’s not all bad news.

The crisis has put Greeks on their bikes – once snubbed as a sign of poverty or just plain risky – and manufacturers are shifting into fast gear.

The high cost of road tax, fuel and repairs, is forcing Greeks to ditch their cars in huge numbers. According to the government’s statistics office, the number of cars on roads declined by more than 40 percent in each of the last two years. Meanwhile, more than 200,000 bikes were sold in 2011, up about a quarter from the previous year.

Shops selling bicycles, and equipment ranging from helmets to knee pads, are spreading fast across the capital, popping up even between souvenir shops on the cobbled pedestrian streets of the touristy Plaka district.

“They’re sprouting up like mushrooms,” said Vogiatzis, who designs and builds tailor-made bicycles in his workshop on the Aegean island of Rhodes.

A former cyclist on Greece’s national team, Vogiatzis opened his business in the mid-80s, combining his love for drawing and mathematics, but only recently watched sales boom from a modest 40 bikes a year to over 350.

“There’s no more money for luxuries and that helps,” said Vogiatzis, who works away furiously with two other staff to meet demand for all sorts of bikes – some lavishly hand-painted in glitter, others flaunting the Greek flag.

“People who were never interested in cycling are buying bikes,” he added. Vogiatzis now exports to seven countries including Germany and the United States, and opened shops across Greece, including in Athens where competition is fierce.

A far cry from the shuttered shopfronts in the capital that have become a painful reminder of the country’s worst downturn since World War Two, bike shop owners estimate that at least one store opened every month in 2011.

Vogiatzis laughed: “Every neighbourhood has its bike shop just as it’s got its kebab shop.”

Potholes, traffic jams

The once lowly bike is now winning new fans every day, from middle-aged commuters who relied on their cars, to those who poked fun at former prime minister George Papanadreou’s penchant for cycling as not being macho enough.

The new national fashion has even prompted the Athens mayor to start working on a public bike hire scheme similar to those in other European capitals – a first for a city where the few cycling lanes are often dotted with pine trees or parked cars.

The lack of infrastructure and Athens’s mountainous landscape have not deterred Greece’s new cyclists who have begun pedalling through traffic jams, up and down steep hills and over potholed roads.

“This is not Berlin. Here it’s risky but you need to start thinking what you’ll cut back on – taxis, the metro,” said Elena Koniaraki, 39, a music saleswoman who joked about sticking a learner’s sign on her back for the first few bumpy rides.

A pay cut two years ago forced Koniaraki to give up her car under a “cash for clunkers” scheme as she could no longer afford to pay the road tax or fill up her tank. She also moved from her house in a leafy northern Athens suburb to the centre.

And to get through a cash squeeze in March, she picked up a second-hand bike for the first time since childhood.

“At first my friends would laugh at me and say: Oh, poverty!” said Koniaraki, who now cycles to work from the foothills of the ancient Acropolis, past shop-gazing tourists in Plaka and through the bustling Syntagma square.

“We’ve never had a bike culture in Greece. Sometimes I’ll leave my local street market on my bike, loaded with bags of tomatoes, and people will stop and wave at me,” she said.

The only way is up

With fuel prices catapulted by tax rises to about 1.72 euros per litre in July – one of the highest rates in Europe – a bike culture may just develop.

“A lot of people are starting to see it as an alternative,” said Tolis Tsimoyannis, a cycling aficionado who imports fold-up bikes from Taiwan.

Tsimoyannis, who opened his business in 2006, said he saw a steady increase in demand in the previous two years, many of his customers students and people in their 40s who were struggling to make ends meet. Lately, his business has started to level out – not because of a drop in demand, but because the opening of so many bike shops means they each get a smaller piece of the pie.

But even as prospects of Greece’s recession-mired economy remain glum and many fear the pain from the crisis will only intensify in the days ahead, bike enthusiasts are optimistic that the appeal of the bicycle will only grow.

“The only way is up,” Tsimoyannis said. (Reuters)

beautiful: turut bersimpAti @pesepeda CFD … 110812

Filed under: GLOBAL ECONOMY — bumi2009fans @ 1:03 am

Komunitas Sepeda Dukung Korban Busway
Sabtu, 11 Agustus 2012 | 06:45 WIB
.

JAKARTA, KOMPAS.com – Seluruh komunitas sepeda di Jakarta memberikan dukungan doa dan bantuan dana kepada korban busway (bus Trans Jakarta), Puji Prasetyo. Dalam acara buka bersama di Museum Mandiri, Kota, Jumat (10/8/2012), beberapa komunitas sepeda menyerahkan sumbangan dana untuk Puji yang diterima langsung oleh ayahnya, Mitarto.

Puji Prasetyo (13), tertabrak busway saat bersepeda pada Car Free Day (CFD), Minggu (5/8/2012), di depan Hotel Grand Cempaka, Cempaka Putih. Bus Trans Jakarta dengan nomor polisi B 7528 ZX itu tiba tiba meninggalkan jalurnya dan masuk ke jalur umum. Menghindari orang tua yang sedang bersepeda, bus tersebut membanting stir ke kiri dan menghantam Puji Prasetyo yang sedang asyik menikmati aktivitas bersepeda di masa CFD itu.

“Seluruh pesepeda, tak peduli dari kelompok mana dan dari kalangan apa adalah saudara. Maka, kita wajib saling membantu saudara yang sedang dalam kesulitan,” kata Ketua Umum Bike to Work, Toto Sugito, sebelum mewakili berbagai komunitas sepeda untuk menyerahkan sumbangan kepada Mintarto.

Mintarto sendiri mengaku tak menyangka kejadian yang menimpa anaknya langsung direspons oleh komunitas sepeda. Sementara, Pemda DKI justru belum merespons sama sekali, apalagi memberi bantuan.

Puji Prasetyo sendiri sampai sekarang masih berbaring di Rumah Sakit Islam Cempaka Putih. Akibat tertabrak bus Trans Jakarta tersebut, puji mengalami pendarahan otak.

“Kemarin (Kamis, 9/8/2012), tiba-tiba telinganya berdarah dan masih ada pendarahan di otak. Dokter belum memutuskan operasi. Masih akan dilihat perkembangannya dalam beberapa hari ini. Semoga tak sampai operasi dan segera sembuh,” tutur Mintarto terbata-bata.

Menurut Mintarto, anaknya yang kini duduk di kelas 6 sekolah dasar itu memang tak bisa lepas dari sepeda. Jika CFD, dia selalu keluar, tapi ayahnya selalu memantaunya. Minggu (5/8/2012) itu, Puji yang sebelumnya mengikuti ibunya, meminta izin bersepeda. “Kebetulan saya sedang tak bisa menemaninya dan terjadilah kecelakaan itu,” jelas Mintarto, warga Kelurahan Cempaka Baru, Kemayoran tersebut.

Sementara itu Toto Sugito menambahkan, kejadian Puji Prasetyo semakin menegaskan bahwa pemerintah harus segera melindungi dan memfasilitasi pejalan kaki dan pesepeda dengan sebaik mungkin. Sebab, hak pejalan kaki dan pesepeda dijamin Undang-undang No 2 Tahun 2009.

Editor :
Hery Prasetyo

Agustus 10, 2012

beautiful: statin atawa diabetes mellitus … 100812

Filed under: Medicine — bumi2009fans @ 4:45 pm

August 9, 2012, 7:38 p.m. ET
New Study Fine-Tunes Diabetes, Statin Link
wsj

By SHIRLEY S. WANG

A new analysis suggests that patients with risk factors for diabetes are significantly more likely than others to develop the disease when taking popular cholesterol-lowering drugs. But the benefits of these drugs, called statins, in preventing heart disease still outweigh the risk, according to the study published Thursday in the medical journal Lancet.

Statin use for heart disease prevention has come under scrutiny because of a growing body of data suggesting that the medicines, such as Lipitor and Crestor, also increase patients’ susceptibility to diabetes.

In February, the Food and Drug Administration announced that statin makers would be required to add language about diabetes risk to their labels.

Cholesterol regulators were the third-biggest class of drug in 2011, ringing up $38.7 billion in worldwide sales, according to IMS Health, which tracks prescription drug sales.

Thursday’s study involved number-crunching of existing data from a 17,000-patient trial known as Jupiter. It suggests that those with diabetes risk factors, such as obesity and higher blood-sugar levels while fasting, are the ones who appear at increased risk of developing the full-blown disease while taking a statin.

On the other hand, those without existing risk factors don’t show an elevated risk of getting diabetes over the five-year period, the report said.

The study was funded by Astra-Zeneca AZN +0.49% PLC, the maker of Crestor.

Among patients at high risk of diabetes, 134 heart attacks, strokes or deaths were estimated to have been prevented in the study, while 54 new cases of diabetes were diagnosed. In the low-risk group, 86 heart attacks, strokes or deaths were prevented, with no new cases of diabetes.

“For this [latter] group, there’s cardiovascular benefit and no diabetes risk,” said Paul Ridker, a cardiologist and professor of medicine at Harvard Medical School, who was the first author on the study. He added, “The cardiovascular benefits simply outweigh the diabetes risk, even among those with the highest risk for diabetes.

Previously, it wasn’t known which types of patients developed diabetes on statins, and this study provides a “positive contribution” by identifying a pool of patients who appear at greater risk, said Eric Topol, a cardiologist and chief academic officer of the Scripps Research Institute in La Jolla, Calif., who wasn’t involved in the study.

However, Dr. Topol said he remained concerned about the diabetes risk for all patients receiving a statin for preventive purposes.

“Although there is a narrow trade-off with the benefits of reducing heart disease, this paper doesn’t mitigate the [diabetes] concern to me,” said Dr. Topol. Statin use is appropriate in some patients, but many patients don’t know about the risks and need to be better informed, he said.

Dr. Ridker concured. “Our hope in these data is to better inform discussions between physicians and patients who are considering using statins,” he said.

Agustus 8, 2012

beautiful: REGENER4$1 sel sakit jantUng … 090812

Filed under: Medicine — bumi2009fans @ 6:33 pm

Updated August 8, 2012, 2:24 p.m. ET
Nanotechnology Holds Promise for Heart Patients
wsj

By GAUTAM NAIK

Scientists have used nanotechnology materials to repair vital tissues damaged in heart attacks, suggesting a new way to treat heart failure in people.

The experiments, done in rats and pigs, led to the growth of fresh blood vessels and improved heart function without harmful side effects, the scientists said Wednesday in the journal Science Translational Medicine.

“Currently, there are no approved therapies in regenerative medicine for heart failure,” said Karen Christman, assistant professor of bioengineering at the University of California San Diego, who wasn’t involved in the latest experiments. “These results are quite exciting.”

The World Health Organization estimates that more than 17 million people died from cardiovascular diseases in 2008. In the U.S., about 785,000 people will have new heart attacks this year and 470,000 will suffer recurrent ones. While more patients are surviving such events, about two-thirds don’t make complete recoveries and are vulnerable to heart failure.

Some researchers hope to treat patients by transplanting cells into the heart to promote the growth of new tissues. Animal tests have yielded promising results, and large-scale human trials are expected to kick off in coming months. But some of the early data suggest this approach may yield only small improvements in cardiac function.

An alternative technique is to deliver a protein called vascular endothelial growth factor, or VEGF, to promote blood-vessel growth in the heart. This method hasn’t worked well so far because the heart’s blood circulation tends to rapidly wash away the VEGF.

In their newly published experiments, researchers described an engineering fix for the problem. They made fibers from bits of protein and then assembled them into a lattice-like structure. Each fiber is just five nanometers wide and 100 nanometers long. (A nanometer is the length of three to six atoms placed side by side.)

The lattice structure is in the form of a sticky gel. The scientists mixed it with the VEGF and injected the combination into the hearts of two groups of test animals, rats and pigs, in which they had induced heart attacks. In both cases, instead of being washed away, the VEGF stayed on the lattice and slowly got released over several weeks.

Bone-marrow stem cells normally circulate in the blood and are part of the “repair crew” for damaged tissue. In the animal experiments, when those cells sensed the release of VEGF, they relocated to the heart and began to grow tiny blood vessels known as capillaries.

“The nanofibers create a special microenvironment in the heart for recruiting stem cells,” said Patrick Hsieh, a cardiac surgeon at the National Cheng Kung University in Taiwan and lead author of the paper.

However, fresh capillary formation isn’t enough to help a failing heart. For regeneration to continue, stem cells from both the bone marrow and the heart itself must be coaxed to grow a second layer of tissue that is necessary for the formation of arteries, which are bigger and thicker than capillaries.

To the scientists’ surprise, the prolonged release of VEGF achieved that result.

“This is the most striking finding of our approach,” said Dr. Hsieh. “We saw more than fivefold artery growth compared with the controls,” which included one group of animals that only got VEGF and another that got the nanofibers without the VEGF. The new artery growth contributed to improved heart function in the animals, Dr. Hsieh said.

The researchers also detected the creation of fresh heart muscle. This, too, is significant because the “scarring” tissue that naturally forms after a heart attack is thin and can get stretched in ways that alter the shape of the heart. In the latest experiments, the nanofiber gel appeared to strengthen these weak areas of the heart.

The beneficial results in pigs were particularly important, since their hearts bear a significant resemblance to human hearts, but two challenges remain before the same technique can be safely attempted in people.

“We need to determine the long-term effect in animals, and we need to determine the optimal time window” when the VEGF nanofibers need to be administered,” said Dr. Hsieh.

The researchers said they treated the rats and pigs immediately after a heart attack. When it comes to people, said Dr. Hsieh, it might be similarly effective to give the therapy in the first week after a heart attack, when stem-cell activity is highest.

The exact timing will now have to be pinned down. “While this therapy is promising,” said Dr. Christman, “it is important to see if the positive effect on cardiac function is maintained over the long term.”

beautiful: emaaa($1618)aa$ … 090812

Filed under: EMAS or GOLD...ce'ileh... — bumi2009fans @ 6:25 pm

Aug. 8, 2012, 1:29 p.m. EDT
Gold trades higher on data, stimulus hopes
By Claudia Assis and Barbara Kollmeyer, MarketWatch
SAN FRANCISCO (MarketWatch) — Gold futures turned higher Wednesday, garnering some support from positive U.S. productivity data and expectations of additional monetary stimulus, as well as further gains for crude oil.

Gold for December delivery (CNS:GCZ2) advanced $5.90, or 0.4%, to $1,618.30 an ounce on the Comex division of the New York Mercantile Exchange.

The metal ended lower in Tuesday’s session, holding in the tight range within which it has traded in recent months.

There’s some general feeling in the market that “Europe will need to act, and act in possible concert with the U.S.,” in providing further monetary stimulus, said Stephen Platt, analyst with Archer Financial in Chicago.

“The market is probably holding on to that as its primary bullish influence,” also helped by the recent rally in oil, he added.

Hopes of such move were heightened after comments Tuesday by Eric Rosengren, president of the Federal Reserve Bank of Boston and a non-voting member of the policy-setting Federal Open Market Committee this year, that he was open to more easing earlier this summer.

The range for gold, however, didn’t lose its grip. Gold has been trading between $1,550 and $1,625 an ounce for the better part of six months.

The metal continues to be hemmed in by currency moves and little physical interest, analysts at VTB Capital said in a note to clients.

“The investor side is likely to remain interested for as long as sentiment is upbeat and peripheral bond yields in the [euro zone] stay off their summer peaks. It might seem illogical, but so far gold has failed to attract any safe-haven inflows, instead trading as any other risk asset and in line with the broader market sentiment,” they wrote.

Earlier, government data showed U.S. productivity rose 1.6% in the second quarter. That contrasted with a decline of 0.5% for the first quarter, while outpacing analyst expectations of a 1.3% increase in the April-through-June period. Read more about the productivity report.

Dinging the metal on Wednesday, the dollar pushed higher against the euro (ICAPC:EURUSD) . The shared currency fell to $1.2355 against $1.243 late Tuesday.

The dollar index (NYE:DXY) , which measures the currency against a basket of six major rivals, rose to 82.328 from 82.185 late in the prior day. Read more on currencies.

A weaker dollar is generally perceived as positive for gold and other dollar-denominated currencies because it makes those assets cheaper to holders of other currencies.

Also Wednesday, crude-oil futures (NMN:CLU2) rose past $94 a barrel in energy trading in New York. Read more on oil futures.

Drawing a ‘red line’ for gold

Austin Kiddle, director with London-based gold broker Sharps Pixley, said gold is on the brink of moving toward a vital support level as it gets batted around by the global financial crisis. He said he’s drawn a red line at $1,525 an ounce.

“That red line is your brink. Gold has tested that line three times now. It has so far proved support. I see it as a big, big level. And I really hope it holds,” said Kiddle in a research note.

Among other metals, September copper (CNS:HGU2) fell 2 cents, or 0.6%, to $3.42 a pound. Silver for the same month’s delivery (CNS:SIU2) eased 2 cents, or 0.1%, to $28.06 an ounce.

Sister metals platinum and palladium also posted losses, with October platinum (NYMEX:PLV2) down 30 cents to $1,410.20 an ounce. September palladium (NMN:PAU2) fell 95 cents, or 0.2%, to $587.25 an ounce.

Agustus 5, 2012

beautiful: the $up3r … 050812

Filed under: GLOBAL ECONOMY — bumi2009fans @ 8:20 am

PERENANG SUPER Michael Phelps Butuh 12.000 Kalori Sehari!
5 August 2012 13:48
kabar24
Perenang asal Amerika Serikat Michael Phelps mengukir rekor dalam Olimpiade 2012 di London.

Dia meraih 4 medali emas dan 2 perak di perhelatan olimpiade tahun ini. Jika ditotal selama karirnya, perenang ini telah meraih 22 medali di ajang olimpiade.

Menurut Michael, untuk dapat tampil prima di Olimpiade London, dirinya harus mengatur diet. Sehari, dia membutuhkan 12.000 kalori.

Menurut laman medindia.net, menu sarapan pagi Michael mengandung kalori yang tinggi. Menu tersebut adalah tiga telur goreng plus sandwich, tiga pancake bertabur cokelat, omelet, semangkuk bubur jagung, dan tiga iris roti panggang Prancis.

Di siang hari, menu makan siangnya tak berbeda jauh dengan menu sarapan pagi. Dia makan setengah kilogram pasta (diperkaya vitamin dan serat), dua potong ham berukuran besar, dan sandwich keju bertabur mayonaise, dan beberapa minuman berenergi.

Untuk menu akhir, Michael menghabiskan sisa pasta 0,5 kg dan pizza, serta minuman energi.

“Setelah berlatih di pagi hari, saya punya sarapan besar: pancake, waffle, sereal, telur, bagel, dan lainnya,”ujarnya.

Pelatih pribadi Michael yang juga ahli gizi dan berat badan, Jenny Dawes yakin sekalipun menu atau diet yang dijalankan Michael bisa berbahaya bagi orang lain, namun bagi Michael tidak. Pasalnya, perenang ini memerlukan banyak energi untuk latihan.

“Saya merekomendasikan seorang perenang pria yang berkompetisi reguler membutuhkan sekitar 6.000 kalori sehari, tetapi karena Michael saat ini bertanding di Olimpiade, latihannya lebih keras, sehingga kalori yang masuk langsung dibakar,”ujar Dawes.

“Kolesterol yang masuk ke tubuhnya sangat tinggi, tetapi dia berenang secara teratur. Jadi tidak ada waktu untuk kolesterol menumpuk di pembuluh darah arterinya. Kadar kolesterolnya dicek secara teratur untuk memastikan tidak menimbulkan risiko penyakit kardiovaskular di masa depan,”tambahnya. (Kabar24/nj)

Food blog: Eating like an Olympian

The Guardian, Friday 15 August 2008

Here we go then: The Michael Phelps Diet for Health, Happiness and More Olympic Gold Medals Than Anyone Else Ever. We’ll ignore, momentarily, the fact that the best swimmer the world has seen stands 6ft 4in tall, has a wingspan – fingertip to fingertip – of 6ft 7in, and weighs in at 192lb. We’ll ignore also the fact that he spends most of his life in a pool, swimming at least 50 miles a week very fast indeed, and the rest of it in a gym. We’ll ignore, finally, the fact that I am not quite as big as him, and do not, most days, get quite as much exercise.

I am going to see what it is like to eat what Michael Phelps eats in a day.

“It just smells so horrible,” says the photographer, helpfully, as we survey the table before us. On it are a large bowl of porridge; three doorstep-sized sandwiches of white bread, butter, fried egg, fried onion, lettuce, tomato and mayonnaise; a five-egg omelette tastefully garnished with parsley; three slices of French toast liberally sprinkled with sugar; three pancakes topped with chocolate chips; and two large cups of coffee. That’s breakfast. Yummy.

Next to it is lunch, which consists of 1lb (that’s a very large bowl) of pasta with tomato sauce; two large ham-and-cheese sandwiches with more lettuce, tomato and don’t forget the mayo; plus four bottles of a proprietary high-energy sports drink that always makes me burp. For dinner, it’s another pound of pasta, a large cheese-and-tomato pizza, and another four bottles of the same proprietary high-energy sports drink that always makes me burp. “You poor thing,” says the photographer, generously. “I so don’t envy you.”

So we kick off with the porridge, which is the nearest we could get to the large helping of grits the 23-year-old reportedly consumes. It wasn’t bad, actually, a reasonably breakfasty kind of thing, and really rather comforting given the massive scale of the task ahead. I manage, I’d imagine, a normal-sized kind of a portion: 10 good spoonfuls. The fried egg, fried onion, lettuce, tomato and mayonnaise sandwiches are more of a challenge. It’s the mayo, I think; somehow, you don’t quite expect to be scarfing down mayo first thing in the morning. It’s greasy, and it smells.

I start to feel slightly queasy. But I struggle through half an egg sandwich – one-sixth of what Phelps manages – and push on to the five-egg omelette. Not bad either: under normal circumstances I might quite have enjoyed this. It was nice and fluffy on the outside and satisfyingly runny in the middle. Most importantly, it did not contain mayonnaise. Half the omelette consumed, and it was time for the French toast. I can’t remember the last time I ate French toast and I seem to have forgotten it was made with eggs. There are, I begin to think, rather a lot of eggs in this meal. I feel slightly more queasy.

Plus, I’m now chewing a lot. You know that feeling, when you have to chew an awful lot or you know you’ll never get it down? One mouthful at a time. Slowly. Don’t think eggs. Or mayonnaise. Which, obviously, contains eggs. And there are still the choc-chip pancakes to come. I force down one-and-a-half of those, very slowly, with the help of both mugs of coffee. I feel dreadful. Gross, bloated, uncomfortable, sick. The photographer, bless, makes little motherly clucking noises as I cram a serviette urgently to my mouth, breathing deeply. “You don’t look very well,” she observes. “Some water? A break?”

We pause. I make a few calls and write a bit, not very well (it shows). And hey, guess what: it’s lunchtime! I find I cannot so much as look at the mayo-plastered ham-and-cheese sandwiches without the bile rising, and manage a couple of forks of pasta before, finally, blissfully, calling it a day. Afterwards, six colleagues pile in and eat their fill for lunch, and it still doesn’t look like a dent has been made in the insane, obscene, illness-inducing mountain of food that America’s 11-time gold medal winner ploughs through every single day of his life.

Apparently, he worries about keeping his weight up. I’d worry about not sinking.

“I’m not surprised, dear,” says Professor Janice Thompson, head of Bristol University’s department of exercise, nutrition and health sciences, when, belching quietly, I return to my desk. “There’s no way you should be able to eat what Michael Phelps eats. This is not even a normal athlete. I would not recommend this kind of diet for even a fit and serious competitor in, say, a 10km road race. This man is in a very, very different place to the rest of us. He’s 6ft 4in and 192lb of pure joy. From a female perspective, obviously. Though I probably shouldn’t say that.”

I have here an example of a Phelps training programme from 2002. I don’t pretend to understand it fully, but it looks pretty awesome (“pull”, by the way, means arms only. No legs.) “After a 4,500 short-course yards moderate morning practice,” it reads, ”

warm-up: 800 mixer on 10:30, 4×150 kick on 2:30 (50 stroke-50 free-50 stroke), 400 pull with buoy on 5:00 (breathe 3-5-7-9 by 100), 200 stroke on 3:00, 10×50 on :45 (2-25kick/25drill 2-25free/25stroke 1-stroke). Main set: 4×50 on 1:30, 1×50 1:20, 1×50 1:10, 1×50 1:00, 1×50: 0:50, 1×50 0:40, 1×50 0:30. Long Swim Down: 100-200-300 pull (lungbusters by quarters), 400 choice kick, 300-200-100 IM Drills

.”

What that means, as far as I can work it out, is that Phelps swam seven or eight miles at assorted, gradually increasing speeds using a variety of strokes (or half-strokes). He then (and this is the real killer) got out of the pool and, according to the programme, did “500 abdominals, and some stretching”. Undeniably, the man expends a lot of energy. But can a diet like this one, made up essentially of eggs and cheese and bread and pasta, with a little bit of greenery thrown in for luck, really help him? I mean that’s not what most of us would call a healthy diet, is it?

The average adult man, depending on age, height and weight, requires between 2,200 and 2,800 calories a day. According to most media estimates, Phelps’s daily intake – the three meals described above – amounts to around 12,000 calories. Anita Bean, sports nutritionist and author of Food for Fitness, finds it slightly hard to believe even Phelps can be expending quite as many calories as that. “Say he’s doing about four miles a session, and a couple of sessions a day,” she says, “plus his land training – I’d say he’s burning maybe 5,000 calories in training, and maybe 2,500 simply to sustain himself. Something like 8,000 a day in all? Mind you, he is a very big bloke. I haven’t looked at his schedules, but 12,000 seems a lot.”

Thompson appears less surprised. “I’ve worked with extreme athletes, triathletes for example who work phenomenally hard, who expend between 6,000 and 10,000 calories a day,” she says. “I can believe someone like Phelps is getting through 12,000. And the point is, it’s plainly working for him, isn’t it? Nobody could say he’s not performing well. He’s quite clearly expending what he’s consuming, and – just like all of us – that’s what counts.”

Calories aside, Bean is concerned by the makeup of the swimmer’s diet. “It does look quite salty, quite fatty, not very high in good fibre or in fruit and veg – he’s certainly not getting his five a day,” she warns. “I would certainly have expected him to be eating a bit less fat – and it’s all saturated fat, the wrong kind. I suppose the point with an athlete like Phelps, though, is that he needs a very high calorie intake but a very low volume, whereas with the rest of us it’s the precise reverse: we need a low calorie intake and high volume.”

Thompson concurs. “Phelps’s primary fuel source is going to be carbohydrates,” she says, “and he’s going to be burning them at a truly phenomenal rate. There’s protein in there too, obviously, which he needs to maintain and repair muscle mass and tissue. But for someone like him, in a sport like his, it’s really a question of how many carbohydrates he can get in, as quickly as possible. So this diet might look very high in fat, but if he had to eat this same number of calories in a diet that contained, for example, more fruit and vegetables, he’d simply never manage it. His body just couldn’t hold it. His intestines would give up. He’s lucky as it is that he doesn’t have a sensitive digestive system. That’s one of the myriad factors that contribute to make him the exceptional performer he is.”

Phelps is indeed lucky: many top-level athletes have tremendous problems with their diets. Jennifer Sey’s were the reverse of Phelps’s; the former US gymnast revealed in a shocking book published in the run-up to the Beijing Olympics that young girl gymnasts routinely binge and purge their food and suffer from what most doctors would call eating disorders. Sey recounts how one coach picked up a loudhailer and berated one of her team-mates in public for putting on 2lb. Sey’s coach told her off for eating a whole bagel for dinner.

Only this week, a 4st 4lb Chinese gymnast revealed she had long ago stopped eating anything after lunch. Boxers, too, have their issues: British boxer Frankie Gavin, the world lightweight champion, failed to make his weight for the Beijing games and had to return home last week, while American bantamweight Gary Russell Jr has also had to leave the Olympic village after collapsing unconscious while trying to make his weight. Both were too heavy for their classes. Footballers, meanwhile, are a lot more diet-conscious now than they were when Gary Lineker played for Barcelona and discovered the benefits of pasta versus steak and chips. One of Arsene Wenger’s first moves as manager of Arsenal was reportedly to put the team on a strict diet, and Thierry Henry is said to have employed his own dietician. England manager Fabio Capello this week told striker Dean Ashton he will have to shed a couple of kilos if he wants to be considered for the national team.

Many sportsmen and women also balloon spectacularly once they retire: think Greg LeMond, Matthew Pinsent and most spectacularly of all, Maradona. Can a diet like Phelps’s possibly be healthy long-term? “”It’s very hard for athletes when they stop,” says Thompson. “Most have been training since they were children, remember, and it’s a very difficult transition to make. They have to be very, very careful because they’re going to be cutting their level of activity to maybe a fifth, and their diet has to change accordingly.”

“I’d worry he might be clogging up his system,” says Bean. “I might design him a similar diet but with a bit more fibre, maybe wholegrain pastas and bread. It’s plainly not affecting his performance, but many people would be constipated on a diet like that. That said, we all have different needs. The important thing for right now is that what he’s eating works. He’s like a turbo-powered engine revved up to maximum speed, and that’s the only reason he’s burning it all up. Different athletes handle carbohydrates differently. He’s obviously converting them very, very effectively, but it’s not a sustainable diet long-term.”

What both Thompson and Bean are clear about, however, is that Phelps’s gargantuan daily food intake is absolutely not suitable for a normal person to consider emulating. “Look, he needs these vast amounts of carbohydrates simply to get through the training sessions, let alone compete,” says Bean. “He eats, swims and sleeps, and that’s about it. When it comes to carbs, he’s in burn mode; most of us – particularly the couch potatoes- are in storage mode. And it really wouldn’t do to be storing what you’ve just eaten on a regular basis.”

Thompson manages to find a silver lining. “The good lesson for the rest of us in all this,” she says cheerily, “is that if we do increase our level of physical activity, we can afford to relax a little with the diet. If we go to the gym or exercise regularly, we can allow ourselves the odd little treat. A lot of people make that mistake – they think they’ve got to deny themselves everything vaguely sinful. It’s not the case.” The problem for anyone normal who eats like Phelps, of course, is that it would be physically impossible for most of them to expend anything like 12,000 calories a day. In a good hour of dedicated jogging, Thompson points out, “the average person is going to burn about 400 calories”.

So what do I need to do to burn off my bowl of porridge, half a fried-egg sandwich, half a five-egg omelette, slice of French toast, two choco-chip pancakes and several forkfuls of pasta (not to mention the lashings of mayonnaise, which I had, until now, forgotten)? Hard to say, really. Especially since at present I’d feel I was doing pretty well if I managed to walk slowly down the stairs. Let alone bend over and tie the laces of my trainers. On no account, in fact, thinking about it, will I do that. The consequences are too unseemly to contemplate.
Full stomach, empty pockets: What is costs to eat like Michael Phelps for a day

Breakfast

Three fried-egg sandwiches …

10 large eggs, £2.10

White bread, extra-thick sliced, £1.24

Olive oil, 500ml, £2.20

… accompanied by cheese, lettuce, tomatoes, fried onions and mayonnaise

Cheddar, 600g, £4.99

Round lettuce, 47p

Plum tomatoes, 500g, £1.29

Onions, 1kg, 95p

Olive oil, see above

Mayonnaise, 400g, £1.79

Two cups of coffee

Instant coffee, 100g, £2.14

Omelette with five eggs

Eggs, see above

Porridge

Porridge oats, 1kg, 69p

Three chocolate-chip pancakes

Plain pancakes, pack of six, 99p

Chocolate chips, 100g, 64p

Three slices of French toast

White bread, see above

Milk, two pints, 80p

Butter, 250g, £1

Maple syrup, 330g, £3.96

White sugar, 1kg, 94p

Lunch

Pasta

Pasta, 500g, 79p

Two ham and cheese sandwiches

Bread, see above

Ham, 140g, £2.26

Cheese, see above

Mayonnaise, see above

1,000 calories of energy drink (approx seven bottles of Lucozade Sport)

Two packs of four, 500ml each, £5

Dinner

Pasta

Pasta, 500g, 79p

Pizza

Cheese feast with stuffed crust, 465g, £3.29

1,000 calories of energy drink (approx seven bottles of Lucozade Sport)

Two packs of four, £5

Total cost £40.03

All prices from Sainsbury’s

· Jon Henley would like to thank chefs Tony Davis, Jimmy Dublin, Anita Faloye, Temmy Omitogun and Mark Stapley. But he can’t move his jaws right now.

· Could you stomach an Olympian diet? blogs.guardian.co.uk/food

Agustus 1, 2012

beautiful: DOKTER BISA BER$4L4h … 020812

Filed under: Medicine — bumi2009fans @ 8:45 pm

July 31, 2012
More Treatment, More Mistakes
By SANJAY GUPTA

DOCTORS make mistakes. They may be mistakes of technique, judgment, ignorance or even, sometimes, recklessness. Regardless of the cause, each time a mistake happens, a patient may suffer. We fail to uphold our profession’s basic oath: “First, do no harm.”

According to a 1999 report by the Institute of Medicine, as many as 98,000 Americans were dying every year because of medical mistakes. Today, exact figures are hard to come by because states don’t abide by the same reporting guidelines, and few cases gain as much attention as that of Rory Staunton, the 12-year-old boy who died of septic shock this spring after being sent home from a New York hospital. But a reasonable estimate is that medical mistakes now kill around 200,000 Americans every year. That would make them one of the leading causes of death in the United States. Why have these mistakes been so hard to prevent?

Here’s one theory. It is a given that American doctors perform a staggering number of tests and procedures, far more than in other industrialized nations, and far more than we used to. Since 1996, the percentage of doctor visits leading to at least five drugs’ being prescribed has nearly tripled, and the number of M.R.I. scans quadrupled.

Certainly many procedures, tests and prescriptions are based on legitimate need. But many are not. In a recent anonymous survey, orthopedic surgeons said 24 percent of the tests they ordered were medically unnecessary. This kind of treatment is a form of defensive medicine, meant less to protect the patient than to protect the doctor or hospital against potential lawsuits.

Herein lies a stunning irony. Defensive medicine is rooted in the goal of avoiding mistakes. But each additional procedure or test, no matter how cautiously performed, injects a fresh possibility of error. CT and M.R.I. scans can lead to false positives and unnecessary operations, which carry the risk of complications like infections and bleeding. The more medications patients are prescribed, the more likely they are to accidentally overdose or suffer an allergic reaction. Even routine operations like gallbladder removals require anesthesia, which can increase the risk of heart attack and stroke.

So what do we do to be safer? Many smart people have tackled this question. Peter Pronovost at Johns Hopkins developed a checklist shown to bring hospital-acquired infections down to close to zero. There are rules against disturbing nurses while they dispense medications and software that warns doctors when patients’ prescriptions will interact badly. There are policies designed to empower nurses to confront doctors if they see something wrong, even if a senior doctor is at fault.

What may be even more important is remembering the limits of our power. More — more procedures, more testing, more treatment — is not always better. In 1979, Stephen Bergman, under the pen name Dr. Samuel Shem, published rules for hospitals in his caustically humorous novel, “The House of God.” Rule No. 13 reads: “The delivery of medical care is to do as much nothing as possible.” First, do no harm.

One place where I have seen these issues addressed is in Morbidity and Mortality, or M and M — a weekly gathering of doctors, off limits to the public, which serves in most hospitals as a forum for the discussion of mistakes, complications, deaths and unusual cases. It is a sort of quality-assurance conference where doctors hold one another accountable and learn from one another’s mistakes. They are some of the most candid and indelible meetings I have ever attended.

I will never forget when one of our most talented surgeons operated on the wrong side of someone’s brain. The patient was bleeding internally; everyone was rushing, and someone had hung up the CT scans backward. Thankfully, the patient survived. The distraught doctor spent hours throwing up following the operation.

After he told the story in our M and M meeting, the hospital implemented a “time out” protocol in the operating room for everyone to stop and agree on what operation would be performed, on what side of the body, and whether the correct patient was indeed lying on the operating table, to make sure that kind of mistake would never happen again.

At my first M and M as a medical student, I heard the story of a patient who had received antibiotics for an upper respiratory tract infection. Two weeks later she developed joint pain and blisters on her chest and arms, a condition known as Stevens-Johnson syndrome, which can be caused by an allergic reaction to antibiotics. She ended up with sepsis, a bodywide infection, and spent two weeks in intensive care. She, too, survived, but most stunning was the doctor’s admission that her original ailment had been a mild viral illness — she hadn’t even needed the antibiotics that led to such a terrible reaction. Years later, that case still makes me think harder about every test I order and every medication I prescribe.

Hospitals are supposed to take care of the sickest members of our society and uphold the highest standards of patient care. But hospitals are also charged with teaching doctors, and every doctor has a first mistake. The only thing we can do is learn each time one happens, and reduce future errors in the process. Having a consistent gathering to talk about the mistakes goes a long way toward that goal, and just about any institution, public or private, could benefit from a tradition like M and M. It is not enough to stop the practice of defensive medicine, but when doctors are asked by their colleagues to justify the tests they ordered and the procedures they performed, perhaps they will be reminded that more is not always better.

Sanjay Gupta, the associate chief of neurosurgery at Grady Memorial Hospital and the chief medical correspondent for CNN, is the author of the novel “Monday Mornings.”

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