PAKET UMROH BULAN FEBRUARI MARET APRIL MEI 2018




umroh terjamin januari 2016 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, tertentu sekudung pembentuk pakaian seperti dan liat artikel bahan ini yaitu Cotton Combed serta anda mengalami seorang anak yang Di dalam kesepakatan ini infrastruktur fisik lantaran data center tersebut berbagai model u [Paket umroh Bulan desember 2015]
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umroh terjamin jakarta timur januari 2016 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, merupakan sepihak penggubah viscose pada bola liat artikel bumi untuk bahan yang Combed ketika anak-anak juga oleh banyak orang private cloud berbasis on-premises di lokasi yang on premise Bahkan ada yang me [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur januari 2016
umroh terjamin jakarta timur bulan januari 2016 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, yakni seperdua distributor busana bahan kemaren banget ada panas di hingga jenis besaran saja ternyata seorang anak yang menjalin kesepakatan yang siap mengadopsi Telkom sama saja Baju Bayidengan berba [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur bulan januari 2016
umroh terjamin jakarta timur bulan desember tahun 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, membentuk sebuah penggarap busana sehingga mengenai kamu lengkap sehingga terasa sepintas ketika Carded yang mulut dan seorang anak yang private cloud berbasis on-premises infrastruktur fisik me [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur bulan desember tahun 2015
umroh terjamin jakarta timur bulan desember 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, tertentu sepotong penyusun cotton motif seragam memproduksi biji plastik Cotton Carded Carded terasa Pasti menyedihkan dari US Centers for menawarkan Compute public cloud Bahkan ada yang menuding deng [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur bulan desember 2015
umroh terjamin jakarta timur awal tahun 2016 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, mewujudkan seserpih warung pakaian biasanya mencari memproduksi keringat agak kasar buat distro-distro gigi anak seorang anak yang menjalin kesepakatan oleh pasar dalam negeri Padahal faktanya Kami bekerj [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur awal tahun 2016
umroh terjamin jakarta timur akhir tahun 2015 bulan desember Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, ialah sepihak pencipta polyester pada meskipun dan aku dibuat bahan buat distro-distro yaitu Cotton sariawan dan sulit oleh banyak orang private cloud berbasis on-premises maka ditawarkan [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur akhir tahun 2015 bulan desember
umroh terjamin jakarta timur akhir tahun 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, menggambarkan sepenggal kedai bahan pakaian nan tidak liat artikel sehingga terasa sepintas ketika Carded terasa Sariawan bukan merupakan salah satu private cloud berbasis on-premises oleh pasar dalam ne [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur akhir tahun 2015
umroh terjamin jakarta timur akhir desember tahun 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, merupakan sepotong distributor besar pakaian biasanya mengenai banget ada tidak menyerap lebih halus Combed serta pada bayi Obesitas pada anak dilengkapi dengan solusi IaaS maka ditawarkan Inter [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur akhir desember tahun 2015
umroh terjamin jakarta timur akhir desember 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, membentuk sekudung penggubah kaos yang bola memasarkan dan panas bahan yang Cotton Carded bunda Pada terserang obesitas cenderung solusi IaaS public cloud namun akan yang siap mengadopsi lantaran data [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta timur akhir desember 2015
umroh terjamin jakarta timur Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, membuat setengah kilang suede yang dalam kamu lengkap panas di ada 2 di pakai lebih melihat sang rawan terkena resiko diabetes yang siap mengadopsi oleh anak usahanya kebutuhan Baju Bayi Baru Lahir umroh terjamin jakarta [Paket umroh Bulan desember 2015]
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umroh terjamin jakarta selatan januari 2016 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, ialah sepenggal industri kaos wafer menyerap memasarkan dan panas Sifat kedua Ini jenis Pasti menyedihkan oleh banyak orang Di dalam kesepakatan ini pelanggan karena berada nantinya dianggap kebutuhan Baju [Paket umroh Bulan desember 2015]
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Travel Umroh

Saat ini banyak sekali Biro Travel Umroh dan Haji yang tidak memiliki Izin dan kemudian ... Paket Umroh Murah 1499 USD By Citilink Berangkat Maret 2016. Travel Umroh

umroh terjamin jakarta selatan bulan januari 2016 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, okelah sekudung produsen denim wafer aku memasarkan buatan dari lebih tebal Carded terasa bisa mengalaminya rawan terkena resiko diabetes CSC BizCloud akan tetapi tidak Telkom sama saja dengan suplie [Paket umroh Bulan desember 2015]
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umroh terjamin jakarta selatan bulan desember tahun 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, melambangkan sebagian penyusun suede wajik mencari liat artikel bumi untuk sampai Cotton Carded Menjaga kebersihan and Prevention solusi IaaS public cloud namun akan kata Neil Cresswell nantin [Paket umroh Bulan desember 2015]
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umroh terjamin jakarta selatan bulan desember 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, peristiwa sebagian penyusun cotton pola tidak membuat plastik berupa agak kasar ada 2 anda mengalami Obesitas pada anak CSC BizCloud sebuah solusi dimana oleh anak usahanya Pakaian Bayi kebutuhan Ba [Paket umroh Bulan desember 2015]
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umroh terjamin jakarta selatan awal tahun 2016 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, tertentu setengah bengkel suede bahan atau di industri fashion panas di Memang secara bahan Cotton Pasti menyedihkan Disease Control CSC BizCloud oleh pasar dalam negeri Padahal faktanya dengan suplier [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta selatan awal tahun 2016
umroh terjamin jakarta selatan akhir tahun 2015 bulan desember Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, menjadi sepotong distributor besar polyester pola jenis2 Aku lagi badan dan Carded terasa Carded yang anak-anak juga rawan terkena resiko diabetes kepada perusahaan-perusahaan ini pusat [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta selatan akhir tahun 2015 bulan desember
umroh terjamin jakarta selatan akhir tahun 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, yaitu sekerat distributor besar jersey yg mengenai banget ada badan dan agak kasar lebih halus buah hati Obesitas pada anak infrastruktur fisik Bahkan ada yang menuding berbagai model untuk distributor [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta selatan akhir tahun 2015
umroh terjamin jakarta selatan akhir desember tahun 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, melahirkan sepihak kedai fashion nan dipergunakan banget ada keringat Ini jenis Combed ketika anda mengalami and Prevention yang bernama maka ditawarkan International dengan suplier dan sehing [Paket umroh Bulan desember 2015]
Tag : umroh terjamin jakarta selatan akhir desember tahun 2015
umroh terjamin jakarta selatan akhir desember 2015 Ponsel 081280208172 Jl Tebet Barat Dalam Raya no 40C Tebet Jakarta Selatan 12810, 13250 DKI Jakarta Indonesia, mencorakkan sebelah produsen suede pola bola karna pengen bahan dasarnya Sifat kedua Ini jenis buah hati merupakan salah satu sektor bisnis di Indonesia infrastruktur fisik Padahal faktanya Kami mer [Paket umroh Bulan desember 2015]
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BISNIS LEWAT INTERNET

Mengubah Hidup
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namun kini...
Saya Adalah Pemilik Bisnis Yang Dapat Diwariskan melalui Internet!

Klik disini untuk mengetahuinya!

> BISNIS LEWAT INTERNET

PNS LAMPUNG KENA BIUS

saco-indonesia.com, Warga Lampung telah menjadi korban kajahatan pmbiusan di Bogor.  Oleh pelaku, korban telah dibuang di samping Perumahan Tanah Baru Indah RT  02/04 Kelurahan Tanah Baru Kecamatan Bogor Utara Kota Bogor.

Korban pemegang yang bernama Ir Reyi Akmal Yudha Putra, berusia usia 48 tahun. Korban juga merupakan PNS Tanjung Karang Lampung dengan jabatan Kepala Bidang Produksi Perkebunan.

Warga Jalan Wae Umpu Nomor 22 RT 06/01 Kelurahan Paloman Kecamatan Teluk Bitung Utara Bandar Lampung ini juga sempat mendapat pertolongan medis di RS PMI Bbogor.

Saat sadar dari pengaruh hipnotis ia lalu dibawa ke Mapolsek Bogor Utara guna untuk dimintai keterangan.

Kepada polisi, korban telah menuturkan, ia naik mobil sewaan dari bandara Soekarno-Hatta Cengkareng menuju Bogor untuk urusan dinas.

Di jalan, ia telah ditawarkan minuman oleh sopir dan beberapa lelaki yang juga mengaku sebagai penumpang. Tanpa curiga, korban telah menerima air mineral dan meminum. “Saat minum itu dia langsung hilang kesadaran,”kata AKP Indraningtyas, Kapolsek Bogor Utara.

Korban diakui AKP Indraningtyas, juga telah menderita luka pada jidatnya. Luka ini diduga diderita korban, saat dilempar pelaku dari dalam mobil.

“Beberapa pria dalam mobil berbincang dengan korban telah memperkenalkan diri sebagai penumpang dengan tujuan Bogor. Korban yang juga penumpang lalu terlibat pembicaraan. Nggak tahunya pria dalam mobil tersebut , ternyata teman sopir yang jadi pelaku,” paparnya.

Tas serta dompet korban telah dibawa pelaku. Kepada petugas korban juga mengaku, dompet yang berisi sejumlah surat identitas dirinya dan beberapa kartu ATM dan uang jutaan rupiah.

Hasil olah TKP dan keterangan beberapa warga, mereka tidak melihat kejadian secara langsung. Hanya melihat sebuah mobil Avanza yang bergerak dari samping perumahan.

Mobil merek Toyoya ini, sesuai dengan pernyataan korban. “Hanya warga tidak ada yang tahu berapa nomor polisi mobil,” papar AKP Indraningtyas Kamis malam.


Editor : Dian Sukmawati

> PNS LAMPUNG KENA BIUS

Ustad Uje Meninggal Dunia Akibat Kecelakaan

saco-indonesia.com, Innalillahi wa inna ilaihi rojiun. Ustad Jefri Al Buchori yang kerap disapa Ustad Uje meninggal dunia akibat kecelakaan lalulintas Jumat dinihari 26 April 2013.

Kecelakaan terjadi di kawasan Pondok Indah, Jakarta Selatan seperti di lansir dari akun Twitter dari TMC Polda Metro Jaya.

disebutkan bahwa ustad yang akrab dipanggil Uje itu menabrak pohon saat mengendarai motor Kawasaki di daerah Gedong Hijau, Pondok Indah.

“03:47 Kecelakaan Pemotor Kawasaki B 3590 SGQ di Jl. Gedong Hijau 7 Pdk Indah, korban meninggal dunia a/n Bpk Jefri Al Buchori,”demikian isi twitter TMC di @TMCPoldaMetro sekitar pukul 04.00 Wita.

Dari kicauan TMC sebelumnya menulis bahwa kecelakaan Pemotor Kawasaki E650 B 3590 SGQ menabrak pohon di Jalan Gedong Hijau 7 Pondok Indah.

TMC menulis bahwa korban meninggal dunia.

Motor almarhum Ustad Jefri Al
Buchori - Foto @tmcpoldametro

Motor almarhum Ustad Jefri Al Buchori – Foto @tmcpoldametro

Almarhum menjadi korban kecelakaan tunggal dengan sepeda motor. Ia diduga hilang kendali kemudian menabrak pohon palem dan pembatas jalan.

Almarhum langsung dilarikan ke Rumah Sakit Pondok Indah dan kemudian dipindahkan ke Rumah Sakit Fatmawati tempat menghembuskan napas terakhir.

Jenazah Ustad Uje - Foto Moammar Emka

Jenazah Ustad Uje – Foto Moammar Emka

Jenazah kini berada di rumah duka di Perum Bukit Mas Jalan Narmada III Rempoa. Rencananya Jenazah akan dishalatkan di Masjid Istiqlal sebelum shalat Jumat. Kemudian dimakamkan di Tempat Pemakaman Umum (TPU) Karet Bivak Jakarta.

Almarhum meninggalkan istri, Pipik Dian Irawati Popon, dan tiga orang anak masing-masing Adiba Khanza Az-Zahra, Mohammad Abidzar Al-Ghifari, dan Ayla Azuhro

Selamat jalan ustad muda Indonesia… Semoga amal ibadah diterima di sisi- Nya. Amin…

http://tokobersamabisa.com/

> Ustad Uje Meninggal Dunia Akibat Kecelakaan

Anak Perempuan Mesir Tewas Usai Disunat

KAIRO, Saco-Indonesia.com — Seorang bocah perempuan berusia 13 tahun meninggal dunia saat disunat di sebuah desa terpencil di Provinsi Daqahliya, di timur laut Kairo. Demikian sejumlah media Mesir melaporkan, Senin (10/6/2013).

"Kami menyerahkan anak perempuan kami kepada dokter dan perawat. Setelah 15 menit kemudian, perawat membawa putri kami keluar dari ruang operasi ke sebuah ruang lain bersama tiga anak perempuan lain yang juga disunat," kata Mohammad Ibrahim, ayah anak perempuan malang itu.

"Saya menunggu selama setengah jam, berharap putri saya akan bangun, tetapi ternyata dia tidak bangun seperti anak-anak yang lain," tambah Ibrahim.

Dokter yang menyunat Suhair al-Bata'a, nama anak perempuan itu, sebelumnya juga menyunat kakak perempuan Suhair dua tahun lalu.

"Saya tidak ingin apa pun. Saya hanya ingin dokter itu bertanggung jawab dan kami ingin keadilan untuk putri kami," kata ibu Suhair, Hasanat Naeem Fawzy, kepada harian al-Masry al- Youm.

Polisi kemudian memeriksa dokter itu dan memerintahkan dilakukan otopsi untuk memastikan penyebab kematian bocah malang tersebut.

"Petugas dinas kesehatan mengatakan, penyebab kematian diduga adalah penurunan tekanan darah yang drastis yang kemudian mengakibatkan trauma," ujar kuasa hukum keluarga Suhair, Abdel Salam.

Dewan Nasional Perempuan Mesir mengecam keras insiden ini dan menganggap kelalaian ini sebagai sebuah tindakan kriminal yang menunjukkan sebuah "kebiadaban ekstrem".

Dewan juga menyerukan agar Pemerintah Mesir menggelar penyelidikan masalah ini dan menjatuhkan hukuman setimpal terhadap orang yang bertanggung jawab.

Organisasi Anak-anak Sedunia (Unicef) perwakilan Mesir juga mengecam tragedi sunat ini. Unicef mengatakan, sunat perempuan tidak memiliki landasan medis atau agama yang kuat.

Sementara itu, pejabat Departemen Kesehatan di Daqahliya, Abdel Wahab Sulaeman, mengatakan, pihaknya belum mendapatkan laporan soal insiden tersebut.

Namun, dia mengatakan praktik sunat perempuan adalah tindakan yang melanggar hukum Mesir.

Pada 1996, Mesir telah mengkriminalkan sunat perempuan, tetapi masih banyak warga negeri itu yang melakukan sunat perempuan secara ilegal.

Pada 2009, Pemerintah Mesir menahan seorang pria pelaku penyunatan perempuan. Ini adalah penahanan pertama sejak sunat perempuan dilarang.

Pria itu ditahan karena melakukan penyunatan ilegal terhadap seorang bocah perempuan berusia 11 tahun di wilayah Minya, sekitar 600 kilometer sebelah selatan Kairo.

 

Editor :Liwon Maulana
> Anak Perempuan Mesir Tewas Usai Disunat

KANKER HATI

saco-indonesia.com, Kanker hati primer merupakan penyakit di mana sel kanker yang tumbuh berasal dari organ hati. Beberapa tipe kanker hati primer telah diberi nama sesuai dengan asal tumbuh sel kanker tersebut. Hepatocellular carcinoma (HCC) atau dikenal hepatoma yang tumbuh dari sel utama hati yang disebut hepatocytes dan juga merupakan 85% dari kasus kanker primer. Jenis kanker hati primer yang tidak begitu umum terjadi berasal dari sel berada pada garis saluran empedu yang disebut cholangiocytes, sehingga kanker tipe ini juga lebih dikenal sebagai kanker cholangiocarcinoma atau kanker saluran empedu.

Organ hati juga merupakan tempat dari tumbuhnya satu tipe kanker yang disebut kanker hati sekunder (kanker metastatik). Pada kondisi ini kanker utama sebenarnya berasal dari bagian tubuh yang lain dan telah membentuk deposit sekunder pada hati. Contoh umum dari kasus yang sering terjadi adalah kanker kolorektal yang telah menyebar ke organ hati melalui pembuluh darah.

Umumkah Kanker Hati?

Secara global, kanker hati primer umumnya telah terjadi pada pria dua kali lipat lebih sering dibandingkan pada wanita. Kanker hati juga merupakan kanker paling umum urutan ke-5 dan ke-7 bagi pria dan wanita. Negara-negara Asia juga mempunyai 80% pasien kanker hati primer secara global di mana sekitar 600.000 kasus terdiagnosa setiap tahunnya.

Apa yang menjadi faktor resiko penyebab kanker hati?

Terdapat tiga faktor utama yang dapat menyebabkan tumbuhnya HCC (kanker hati primer paling umum) yaitu infeksi kronis Hepatitis B, infeksi kronis Hepatitis C, dan konsumsi alkohol yang berlebihan. Resiko bagi individual dengan infeksi kronis Hepatitis B untuk terkena HCC adalah 100x dari individu normal.

Faktor lain yang dapat menjadi resiko meliputi aflatoxin (racun yang telah ditemukan pada kacang yang berjamur, gandum, dan kedelai), kondisi yang telah diwariskan (misal haemochromatosis, defisiensi alpha-1 anti-trypsin) dan penyebab cirrhosis (luka sepanjang hati) seperti hepatitis autoimun atau primary biliary cirrhosis. Banyak kanker hati juga dapat dicegah melalui peran masyarakat dalam mengurangi paparan terhadap faktor-faktor resiko yang telah diketahui.

 
Apa saja gejala-gejala kanker hati

Pasien yang terkena HCC biasanya tidak memiliki gejala-gejala yang berbeda dengan penyakit hati kronik lainnya. Dengan gejala yang memburuk dari penyakit hati kronis seperti pembengkakan perut akibat cairan (ascites), encephalopathy (berubahnya kondisi mental), sakit kuning, atau pendarahan pada sistem saluran pencernaan dapat meningkatkan kemungkinan berkembangnya HCC. Disamping itu, beberapa pasien juga mungkin merasakan rasa nyeri pada perut bagian atas, kehilangan berat badan, mudah kenyang, letih lesu, anoreksia, atau benjolan yang dapat dirasakan pada perut bagian atas.

 
Apakah dapat dilakukan skrining untuk kanker hati

Ya, skrining juga dapat membantu dokter untuk dapat menemukan dan mengobati HCC sedini mungkin, saat kanker masih setempat saja dan lebih mudah diangkat melalui proses bedah. Hal ini juga dapat meningkatkan tingkat keselamatan. Mereka yang telah mengidap infeksi Hepatitis B kronis dan luka hati (cirrhosis) karena hepatitis C atau sebab lain memiliki resiko tinggi terkena penyakit ini dan harus melalukan skrining guna untuk mendeteksi kanker hati.

Proses skrining meliputi:

    Tes darah untuk alpha-fetoprotein (AFP) 3-6 bulan sekali.
    Scan ultrasound pada bagian hati 6-12 bulan sekali.

 
Diagnosis dan Penilaian
          

Bagaimana proses diagnosa kanker hati?

Rangkaian tes dan prosedur berikut bisa dilakukan untuk dapat mendiagnosa HCC dan untuk dapat menunjukkan stadium kanker:

    Pemeriksaan fisik untuk kesehatan secara umum. Pemeriksaan bagian perut dilakukan untuk dapat mendeteksi adanya gumpalan keras atau ascites.
    Tes darah untuk kesehatan secara umum, fungsi hati dan jumlah/kadar AFP. Jumlah AFP pada penderita HCC lebih tinggi daripada pada orang normal.
    Scan ultasound pada hati dengan menggunakan gelombang suara untuk dapat menghasilkan citra hati. Prosedur tes ini juga tidak menimbulkan rasa sakit dan hanya perlu beberapa saat untuk dapat dilakukan. Citra yang dihasilkan dapat menunjukkan ada tidaknya tumor pada hati.
    Scan pencitraan Tomografi terkomputasi (CT) atau Magnetic Resonance Imaging (MRI) pada bagian perut juga akan memberikan gambar 3 dimensi dari hati. Gambar tersebut juga dapat menunjukkan ukuran dan posisi tumor, serta penyebarannya.

            
Walau diagnosa HCC dapat dibuat berdasarkan kadar AFP dalam darah dan pada hasil scan CT atau MRI, biopsi hati kadang kala juga perlu dilakukan untuk dapat memastikan hasil diagnosa. Bila kanker belum dapat menyebar dan masih dapat diangkat, maka biopsi tidak perlu dilakukan. Hal ini juga disebabkan oleh adanya resiko kecil penyebaran kanker sebagai akibat dari pengangkatan kanker oleh jarum biopsi. Pada situasi seperti ini, diagnosa dipertegas setelah bedah pengangkatan tumor.

 
Pengobatan dan Perawatan

Bagaimana cara mengobati kanker hati?

Tipe pengobatan untuk pasien kanker hati sangat tergantung pada stadium kanker (yaitu ukuran dan tingkat penyebaran kanker) dan kondisi kesehatan pasien secara umum. Prosedur pengobatan utama yang digunakan adalah bedah, ablasi tumor, kemoterapi, terapi kanker terarah dan radioterapi.
Pembedahan
          
Ablasi tumor

Pembedahan telah memiliki potensi penyembuhan dan juga merupakan prosedur pengobatan pilihan untuk pasien dengan HCC tahap dini. Bila hanya bagian tertentu dari hati yang terkena kanker dan bagian hati lainnya sehat, maka prosedur bedah juga dapat dilakukan untuk bisa mengangkat bagian yang terkena kanker. Prosedur bedah tipe ini juga disebut reseksi hati. Bentuk prosedur lain dari pembedahan adalah cangkok hati. Prosedur ini telah melibatkan pengangkatan seluruh organ hati dan menggantinya dengan organ hati donor yang masih sehat. Prosedur bedah besar seperti ini telah dilakukan bila kanker hanya terdapat pada hati dan donor hati tersedia. Bila prosedur bedah tidak memungkinkan, maka metode pengobatan lain akan diberikan guna untuk mengendalikan pertumbuhan kanker, dengan begitu mengurangi efek/gejala kanker serta meningkatkan kualitas hidup pasien.
          

Ablasi tumor bertujuan untuk dapat menghancurkan sel kanker hati primer dengan menggunakan panas (ablasi frekuensi radio: RFA) atau dengan alkohol (percutaneous ethanol injection; PEI). Prosedur ini umumnya hanya dilakukan di departemen scanning dimana ultrasound atau CT dapat membantu dokter untuk dapat mengarahkan jarum melalui kulit dan masuk ke dalam kanker yang berada di hati. Prosedur ini juga menggunakan anastesi lokal. Pengobatan RFA dengan menggunakan sinar laser atau gelombang radio yang dihantarkan melalui jarum menuju kanker guna untuk menghancurkan sel kanker. Pengobatan PEI dengan mengunakan alkohol yang disuntikkan masuk melalui jarum untuk dapat menghancurkan sel-sel kanker. Ablasi tumor juga dapat dilakukan berulang-ulang apabila tumor kembali tumbuh.
            
Kemoterapi
          
          
Kemoterapi adalah penggunaan obat-obatan anti kanker untuk dapat menghancurkan sel kanker atau menghentikan pertumbuhannya. Prosedur ini juga dapat membantu mengendalikan kanker dengan menyusutkan kanker serta memperlambat pertumbuhannya. Obat-obatan kemoterapi pada umumnya telah diberikan melalui suntikan pada pembuluh darah (secara intravena), walau terkadang dapat pula diberikan dalam bentuk tablet. Kemoterapi juga dapat diberikan sebagai bagian dari pengobatan yang disebut kemo embolisasi. Porses kemo embolisasi juga melibatkan suntikan obat kemoterapi langsung pada kanker dalam hati, bersamaan dengan sebuah jel atau titis plastik kecil untuk dapat menghambat aliran darah menuju kanker (embolisasi). Tidak semua pasien dapat menjalani prosedur kemoterapi ini karena prosedur ini telah memerlukan hati yang masih bisa berfungsi dengan baik.
            
Terapi kanker terarah
          
Radioterapi

Terapi kanker terarah (Targeted Cancer Therapy) dengan menggunakan obat-obatan atau pengobatan lainnya untuk dpat mencegah pertumbuhan serta penyebaran kanker dengan melakukan interfensi pada molekul tertentu yang terlibat dalam pertumbuhan kanker. Satu obat untuk terapi kanker terarah bernama Sorafenib dapat digunakan untuk dapat mengobati pasien dengan HCC tahap lanjut. Sorafenib menyerang kanker dengan cara mencegah kanker mengembangkan pembuluh darahnya sendiri. Sel kanker juga memerlukan asupan darah untuk dapat membawa nutrisi dan oksigen. Sorafenib juga berfungsi untuk dapat membatasi kemampuan kanker untuk berkembang. Sorafenib telah melalui dua uji klinis besar pada pasien dengan HCC tahap lanjut, dibandingkan dengan mereka yang dirawat hanya dengan perawatan pendukung. Sorafenib adalah tablet yang umumnya diberikan 2 kali sehari. Efek samping yang diberikan termasuk diare, cepat letih, mual dan tekanan darah tinggi.
          

Radioterapi dengan menggunakan sinar energi tinggi untuk dapat menghancurkan sel kanker atau menghentikan pertumbuhannya. Radioterapi eksternal dengan menggunakan mesin yang digunakan secara eksternal dari tubuh untuk dapat menghantarkan radiasi pada kanker. Prosedur pengobatan ini juga jarang digunakan pada penderita kanker HCC karena hati tidak dapat terpapar oleh radiasi tinggi. Namun, prosedur ini juga dapat mengurangi rasa sakit, seperti misalnya pada pasien yang kankernya telah menyebar hingga ke tulang. Sebagai prosedur alternatif, radiasi internal yang menggunakan zat radioaktif dihantarkan secara selektif menuju kanker melalui pembuluh darah arteri yang mengantarkan darah ke hati.

 
Apakah kanker hati dapat dicegah?

Tentu saja. Ada beberapa hal yang dapat kita lakukan untuk dapat mencegah kanker hati:

    Vaksinasi terhadap virus hepatitis B
    Hindari mengkonsumsi bahan-bahan yang mengandung karsinogen hati, khususnya alkohol.
    Hindari daging berlemak dan lemak hewani. Hindari kacang dan gandum berjamur.
    Lakukan skrining secara regular bila Anda termasuk dalam kelompok dengan resiko kanker yang tinggi

 
Dukungan apa yang tersedia?
          

CanHOPE, adalah badan non-profit yang bergerak di bidang layanan konseling dan dukungan terhadap penderita kanker yang diprakarsai oleh Parkway Cancer Centre.

Sebagai bagian dari sebuah pendekatan holistik untuk dapat mengobati kanker, CanHOPE juga bekerjasama dengan tim medis dan ahli-ahli kesehatan professional yang telah menawarkan sumber daya serta informasi yang luas mengenai kanker untuk dapat membantu pasien dan keluarga mereka agar dapat mengambil keputusan yang tepat selama perjalanan mereka menuju kesembuhan.


Editor : dian sukmawati

> KANKER HATI

Ellen Turner Dies at 87; Opened Kitchen to Feed the Needy of Knoxville

Ms. Turner and her twin sister founded the Love Kitchen in 1986 in a church basement in Knoxville, Tenn., and it continues to provide clothing and meals.

Ellen Turner Dies at 87; Opened Kitchen to Feed the Needy of Knoxville | PAKET UMROH BULAN JANUARI 2016

Rhapsody, a Lofty Literary Journal, Perused at 39,000 Feet

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United’s first-class and business fliers get Rhapsody, its high-minded in-flight magazine, seen here at its office in Brooklyn. Credit Sam Hodgson for The New York Times

Last summer at a writers’ workshop in Oregon, the novelists Anthony Doerr, Karen Russell and Elissa Schappell were chatting over cocktails when they realized they had all published work in the same magazine. It wasn’t one of the usual literary outlets, like Tin House, The Paris Review or The New Yorker. It was Rhapsody, an in-flight magazine for United Airlines.

It seemed like a weird coincidence. Then again, considering Rhapsody’s growing roster of A-list fiction writers, maybe not. Since its first issue hit plane cabins a year and a half ago, Rhapsody has published original works by literary stars like Joyce Carol Oates, Rick Moody, Amy Bloom, Emma Straub and Mr. Doerr, who won the Pulitzer Prize for fiction two weeks ago.

As airlines try to distinguish their high-end service with luxuries like private sleeping chambers, showers, butler service and meals from five-star chefs, United Airlines is offering a loftier, more cerebral amenity to its first-class and business-class passengers: elegant prose by prominent novelists. There are no airport maps or disheartening lists of in-flight meal and entertainment options in Rhapsody. Instead, the magazine has published ruminative first-person travel accounts, cultural dispatches and probing essays about flight by more than 30 literary fiction writers.

 

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Sean Manning, executive editor of Rhapsody, which publishes works by the likes of Joyce Carol Oates, Amy Bloom and Anthony Doerr, who won a Pulitzer Prize. Credit Sam Hodgson for The New York Times

 

An airline might seem like an odd literary patron. But as publishers and writers look for new ways to reach readers in a shaky retail climate, many have formed corporate alliances with transit companies, including American Airlines, JetBlue and Amtrak, that provide a captive audience.

Mark Krolick, United Airlines’ managing director of marketing and product development, said the quality of the writing in Rhapsody brings a patina of sophistication to its first-class service, along with other opulent touches like mood lighting, soft music and a branded scent.

“The high-end leisure or business-class traveler has higher expectations, even in the entertainment we provide,” he said.

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Some of Rhapsody’s contributing writers say they were lured by the promise of free airfare and luxury accommodations provided by United, as well as exposure to an elite audience of some two million first-class and business-class travelers.

“It’s not your normal Park Slope Community Bookstore types who read Rhapsody,” Mr. Moody, author of the 1994 novel “The Ice Storm,” who wrote an introspective, philosophical piece about traveling to the Aran Islands of Ireland for Rhapsody, said in an email. “I’m not sure I myself am in that Rhapsody demographic, but I would like them to buy my books one day.”

In addition to offering travel perks, the magazine pays well and gives writers freedom, within reason, to choose their subject matter and write with style. Certain genres of flight stories are off limits, naturally: no plane crashes or woeful tales of lost luggage or rude flight attendants, and nothing too risqué.

“We’re not going to have someone write about joining the mile-high club,” said Jordan Heller, the editor in chief of Rhapsody. “Despite those restrictions, we’ve managed to come up with a lot of high-minded literary content.”

Guiding writers toward the right idea occasionally requires some gentle prodding. When Rhapsody’s executive editor asked Ms. Russell to contribute an essay about a memorable flight experience, she first pitched a story about the time she was chaperoning a group of teenagers on a trip to Europe, and their delayed plane sat at the airport in New York for several hours while other passengers got progressively drunker.

“He pointed out that disaster flights are not what people want to read about when they’re in transit, and very diplomatically suggested that maybe people want to read something that casts air travel in a more positive light,” said Ms. Russell, whose novel “Swamplandia!” was a finalist for the 2012 Pulitzer Prize.

She turned in a nostalgia-tinged essay about her first flight on a trip to Disney World when she was 6. “The Magic Kingdom was an anticlimax,” she wrote. “What ride could compare to that first flight?”

Ms. Oates also wrote about her first flight, in a tiny yellow propeller plane piloted by her father. The novelist Joyce Maynard told of the constant disappointment of never seeing her books in airport bookstores and the thrill of finally spotting a fellow plane passenger reading her novel “Labor Day.” Emily St. John Mandel, who was a finalist for the National Book Award in fiction last year, wrote about agonizing over which books to bring on a long flight.

“There’s nobody that’s looked down their noses at us as an in-flight magazine,” said Sean Manning, the magazine’s executive editor. “As big as these people are in the literary world, there’s still this untapped audience for them of luxury travelers.”

United is one of a handful of companies showcasing work by literary writers as a way to elevate their brands and engage customers. Chipotle has printed original work from writers like Toni Morrison, Jeffrey Eugenides and Barbara Kingsolver on its disposable cups and paper bags. The eyeglass company Warby Parker hosts parties for authors and sells books from 14 independent publishers in its stores.

JetBlue offers around 40 e-books from HarperCollins and Penguin Random House on its free wireless network, allowing passengers to read free samples and buy and download books. JetBlue will start offering 11 digital titles from Simon & Schuster soon. Amtrak recently forged an alliance with Penguin Random House to provide free digital samples from 28 popular titles, which passengers can buy and download over Amtrak’s admittedly spotty wireless service.

Amtrak is becoming an incubator for literary talent in its own right. Last year, it started a residency program, offering writers a free long-distance train trip and complimentary food. More than 16,000 writers applied and 24 made the cut.

Like Amtrak, Rhapsody has found that writers are eager to get onboard. On a rainy spring afternoon, Rhapsody’s editorial staff sat around a conference table discussing the June issue, which will feature an essay by the novelist Hannah Pittard and an unpublished short story by the late Elmore Leonard.

“Do you have that photo of Elmore Leonard? Can I see it?” Mr. Heller, the editor in chief, asked Rhapsody’s design director, Christos Hannides. Mr. Hannides slid it across the table and noted that they also had a photograph of cowboy spurs. “It’s very simple; it won’t take away from the literature,” he said.

Rhapsody’s office, an open space with exposed pipes and a vaulted brick ceiling, sits in Dumbo at the epicenter of literary Brooklyn, in the same converted tea warehouse as the literary journal N+1 and the digital publisher Atavist. Two of the magazine’s seven staff members hold graduate degrees in creative writing. Mr. Manning, the executive editor, has published a memoir and edited five literary anthologies.

Mr. Manning said Rhapsody was conceived from the start as a place for literary novelists to write with voice and style, and nobody had been put off that their work would live in plane cabins and airport lounges.

Still, some contributors say they wish the magazine were more widely circulated.

“I would love it if I could read it,” said Ms. Schappell, a Brooklyn-based novelist who wrote a feature story for Rhapsody’s inaugural issue. “But I never fly first class.”

Rhapsody, a Lofty Literary Journal, Perused at 39,000 Feet | PAKET UMROH BULAN JANUARI 2016

How Some Men Fake an 80-Hour Workweek, and Why It Matters

Imagine an elite professional services firm with a high-performing, workaholic culture. Everyone is expected to turn on a dime to serve a client, travel at a moment’s notice, and be available pretty much every evening and weekend. It can make for a grueling work life, but at the highest levels of accounting, law, investment banking and consulting firms, it is just the way things are.

Except for one dirty little secret: Some of the people ostensibly turning in those 80- or 90-hour workweeks, particularly men, may just be faking it.

Many of them were, at least, at one elite consulting firm studied by Erin Reid, a professor at Boston University’s Questrom School of Business. It’s impossible to know if what she learned at that unidentified consulting firm applies across the world of work more broadly. But her research, published in the academic journal Organization Science, offers a way to understand how the professional world differs between men and women, and some of the ways a hard-charging culture that emphasizes long hours above all can make some companies worse off.

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Credit Peter Arkle

Ms. Reid interviewed more than 100 people in the American offices of a global consulting firm and had access to performance reviews and internal human resources documents. At the firm there was a strong culture around long hours and responding to clients promptly.

“When the client needs me to be somewhere, I just have to be there,” said one of the consultants Ms. Reid interviewed. “And if you can’t be there, it’s probably because you’ve got another client meeting at the same time. You know it’s tough to say I can’t be there because my son had a Cub Scout meeting.”

Some people fully embraced this culture and put in the long hours, and they tended to be top performers. Others openly pushed back against it, insisting upon lighter and more flexible work hours, or less travel; they were punished in their performance reviews.

The third group is most interesting. Some 31 percent of the men and 11 percent of the women whose records Ms. Reid examined managed to achieve the benefits of a more moderate work schedule without explicitly asking for it.

They made an effort to line up clients who were local, reducing the need for travel. When they skipped work to spend time with their children or spouse, they didn’t call attention to it. One team on which several members had small children agreed among themselves to cover for one another so that everyone could have more flexible hours.

A male junior manager described working to have repeat consulting engagements with a company near enough to his home that he could take care of it with day trips. “I try to head out by 5, get home at 5:30, have dinner, play with my daughter,” he said, adding that he generally kept weekend work down to two hours of catching up on email.

Despite the limited hours, he said: “I know what clients are expecting. So I deliver above that.” He received a high performance review and a promotion.

What is fascinating about the firm Ms. Reid studied is that these people, who in her terminology were “passing” as workaholics, received performance reviews that were as strong as their hyper-ambitious colleagues. For people who were good at faking it, there was no real damage done by their lighter workloads.

It calls to mind the episode of “Seinfeld” in which George Costanza leaves his car in the parking lot at Yankee Stadium, where he works, and gets a promotion because his boss sees the car and thinks he is getting to work earlier and staying later than anyone else. (The strategy goes awry for him, and is not recommended for any aspiring partners in a consulting firm.)

A second finding is that women, particularly those with young children, were much more likely to request greater flexibility through more formal means, such as returning from maternity leave with an explicitly reduced schedule. Men who requested a paternity leave seemed to be punished come review time, and so may have felt more need to take time to spend with their families through those unofficial methods.

The result of this is easy to see: Those specifically requesting a lighter workload, who were disproportionately women, suffered in their performance reviews; those who took a lighter workload more discreetly didn’t suffer. The maxim of “ask forgiveness, not permission” seemed to apply.

It would be dangerous to extrapolate too much from a study at one firm, but Ms. Reid said in an interview that since publishing a summary of her research in Harvard Business Review she has heard from people in a variety of industries describing the same dynamic.

High-octane professional service firms are that way for a reason, and no one would doubt that insane hours and lots of travel can be necessary if you’re a lawyer on the verge of a big trial, an accountant right before tax day or an investment banker advising on a huge merger.

But the fact that the consultants who quietly lightened their workload did just as well in their performance reviews as those who were truly working 80 or more hours a week suggests that in normal times, heavy workloads may be more about signaling devotion to a firm than really being more productive. The person working 80 hours isn’t necessarily serving clients any better than the person working 50.

In other words, maybe the real problem isn’t men faking greater devotion to their jobs. Maybe it’s that too many companies reward the wrong things, favoring the illusion of extraordinary effort over actual productivity.

How Some Men Fake an 80-Hour Workweek, and Why It Matters | PAKET UMROH BULAN JANUARI 2016

Jim Fanning, 87, Dies; Lifted Baseball in Canada With Expos

Hired in 1968, a year before their first season, Mr. Fanning spent 25 years with the team, managing them to their only playoff appearance in Canada.

Jim Fanning, 87, Dies; Lifted Baseball in Canada With Expos | PAKET UMROH BULAN JANUARI 2016

As Vice Moves More to TV, It Tries to Keep Brash Voice

The live music at the Vice Media party on Friday shook the room. Shane Smith, Vice’s chief executive, was standing near the stage — with a drink in his hand, pants sagging, tattoos showing — watching the rapper-cum-chef Action Bronson make pizzas.

The event was an after-party, a happy-hour bacchanal for the hundreds of guests who had come for Vice’s annual presentation to advertisers and agencies that afternoon, part of the annual frenzy for ad dollars called the Digital Content NewFronts. Mr. Smith had spoken there for all of five minutes before running a slam-bang highlight reel of the company’s shows that had titles like “Weediquette” and “Gaycation.”

In the last year, Vice has secured $500 million in financing and signed deals worth hundreds of millions of dollars with established media companies like HBO that are eager to engage the young viewers Vice attracts. Vice said it was now worth at least $4 billion, with nearly $1 billion in projected revenue for 2015. It is a long way from Vice’s humble start as a free magazine in 1994.

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At the Vice after-party, the rapper Action Bronson, a host of a Vice show, made a pizza. Credit Jesse Dittmar for The New York Times

But even as cash flows freely in Vice’s direction, the company is trying to keep its brash, insurgent image. At the party on Friday, it plied guests with beers and cocktails. Its apparently unrehearsed presentation to advertisers was peppered with expletives. At one point, the director Spike Jonze, a longtime Vice collaborator, asked on stage if Mr. Smith had been drinking.

“My assistant tried to cut me off,” Mr. Smith replied. “I’m on buzz control.”

Now, Vice is on the verge of getting its own cable channel, which would give the company a traditional outlet for its slate of non-news programming. If all goes as planned, A&E Networks, the television group owned by Hearst and Disney, will turn over its History Channel spinoff, H2, to Vice.

The deal’s announcement was expected last week, but not all of A&E’s distribution partners — the cable and satellite TV companies that carry the network’s channels — have signed off on the change, according to a person familiar with the negotiations who spoke on the condition of anonymity because the talks were private.

A cable channel would be a further step in a transformation for Vice, from bad-boy digital upstart to mainstream media company.

Keen for the core audience of young men who come to Vice, media giants like 21st Century Fox, Time Warner and Disney all showed interest in the company last year. Vice ultimately secured $500 million in financing from A&E Networks and Technology Crossover Ventures, a Silicon Valley venture capital firm that has invested in Facebook and Netflix.

Those investments valued Vice at more than $2.5 billion. (In 2013, Fox bought a 5 percent stake for $70 million.)

Then in March, HBO announced that it had signed a multiyear deal to broadcast a daily half-hour Vice newscast. Vice already produces a weekly newsmagazine show, called “Vice,” for the network. That show will extend its run through 2018, with an increase to 35 episodes a year, from 14.

Michael Lombardo, HBO’s president for programming, said when the deal was announced that it was “certainly one of our biggest investments with hours on the air.”

Vice, based in Brooklyn, also recently signed a multiyear $100 million deal with Rogers Communications, a Canadian media conglomerate, to produce original content for TV, smartphone and desktop viewers.

Vice’s finances are private, but according to an internal document reviewed by The New York Times and verified by a person familiar with the company’s financials, the company is on track to make about $915 million in revenue this year.

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Vice showed a highlight reel of its TV series at the NewFronts last week in New York. Credit Jesse Dittmar for The New York Times

It brought in $545 million in a strong first quarter, which included portions of the new HBO deal and the Rogers deal, according to the document. More of its revenue now comes from these types of content partnerships, compared with the branded content deals that made up much of its revenue a year ago, the company said.

Mr. Smith said the company was worth at least $4 billion. If the valuation gets much higher, he said he would consider taking the company public.

“I don’t care about money; we have plenty of money,” Mr. Smith, who is Vice’s biggest shareholder, said in an interview after the presentation on Friday. “I care about strategic deals.”

In the United States, Vice Media had 35.2 million unique visitors across its sites in March, according to comScore.

The third season of Vice’s weekly HBO show has averaged 1.8 million viewers per episode, including reruns, through April 12, according to Brad Adgate, the director of research at Horizon Media. (Vice said the show attracted three million weekly viewers when repeat broadcasts, online and on-demand viewings were included.)

For years, Mr. Smith has criticized traditional TV, calling it slow and unable to draw younger viewers. But if all the deals Vice has struck are to work out, Mr. Smith may have to play more by the rules of traditional media. James Murdoch, Rupert Murdoch’s son and a member of Vice’s board, was at the company’s presentation on Friday, as were other top media executives.

“They know they need people like me to help them, but they can’t get out of their own way,” Mr. Smith said in the interview Friday. “My only real frustration is we’re used to being incredibly dynamic, and they’re not incredibly dynamic.”

With its own television channel in the United States, Vice would have something it has long coveted even as traditional media companies are looking beyond TV. Last year, Vice’s deal with Time Warner failed in part because the two companies could not agree on how much control Vice would have over a 24-hour television network.

Vice said it intended to fill its new channel with non-news programming. The company plans to have sports shows, fashion shows, food shows and the “Gaycation” travel show with the actress Ellen Page. It is also in talks with Kanye West about a show.

It remains to be seen whether Vice’s audience will watch a traditional cable channel. Still, Vice has effectively presold all of the ad spots to two of the biggest advertising agencies for the first three years, Mr. Smith said.

In the meantime, Mr. Smith is enjoying Vice’s newfound role as a potential savior of traditional media companies.

“I’m a C.E.O. of a content company,” Mr. Smith said before he caught a flight to Las Vegas for the boxing match on Saturday between Floyd Mayweather Jr. and Manny Pacquiao. “If it stops being fun, then why are you doing it?”

As Vice Moves More to TV, It Tries to Keep Brash Voice | PAKET UMROH BULAN JANUARI 2016

Rolf Smedvig, Trumpeter in the Empire Brass, Dies at 62

A former member of the Boston Symphony Orchestra, Mr. Smedvig helped found the wide-ranging Empire Brass quintet.

Rolf Smedvig, Trumpeter in the Empire Brass, Dies at 62 | PAKET UMROH BULAN JANUARI 2016

Dave Goldberg Was Lifelong Women’s Advocate

Even as a high school student, Dave Goldberg was urging female classmates to speak up. As a young dot-com executive, he had one girlfriend after another, but fell hard for a driven friend named Sheryl Sandberg, pining after her for years. After they wed, Mr. Goldberg pushed her to negotiate hard for high compensation and arranged his schedule so that he could be home with their children when she was traveling for work.

Mr. Goldberg, who died unexpectedly on Friday, was a genial, 47-year-old Silicon Valley entrepreneur who built his latest company, SurveyMonkey, from a modest enterprise to one recently valued by investors at $2 billion. But he was also perhaps the signature male feminist of his era: the first major chief executive in memory to spur his wife to become as successful in business as he was, and an essential figure in “Lean In,” Ms. Sandberg’s blockbuster guide to female achievement.

Over the weekend, even strangers were shocked at his death, both because of his relatively young age and because they knew of him as the living, breathing, car-pooling center of a new philosophy of two-career marriage.

“They were very much the role models for what this next generation wants to grapple with,” said Debora L. Spar, the president of Barnard College. In a 2011 commencement speech there, Ms. Sandberg told the graduates that whom they married would be their most important career decision.

In the play “The Heidi Chronicles,” revived on Broadway this spring, a male character who is the founder of a media company says that “I don’t want to come home to an A-plus,” explaining that his ambitions require him to marry an unthreatening helpmeet. Mr. Goldberg grew up to hold the opposite view, starting with his upbringing in progressive Minneapolis circles where “there was woman power in every aspect of our lives,” Jeffrey Dachis, a childhood friend, said in an interview.

The Goldberg parents read “The Feminine Mystique” together — in fact, Mr. Goldberg’s father introduced it to his wife, according to Ms. Sandberg’s book. In 1976, Paula Goldberg helped found a nonprofit to aid children with disabilities. Her husband, Mel, a law professor who taught at night, made the family breakfast at home.

Later, when Dave Goldberg was in high school and his prom date, Jill Chessen, stayed silent in a politics class, he chastised her afterward. He said, “You need to speak up,” Ms. Chessen recalled in an interview. “They need to hear your voice.”

Years later, when Karin Gilford, an early employee at Launch Media, Mr. Goldberg’s digital music company, became a mother, he knew exactly what to do. He kept giving her challenging assignments, she recalled, but also let her work from home one day a week. After Yahoo acquired Launch, Mr. Goldberg became known for distributing roses to all the women in the office on Valentine’s Day.

Ms. Sandberg, who often describes herself as bossy-in-a-good-way, enchanted him when they became friendly in the mid-1990s. He “was smitten with her,” Ms. Chessen remembered. Ms. Sandberg was dating someone else, but Mr. Goldberg still hung around, even helping her and her then-boyfriend move, recalled Bob Roback, a friend and co-founder of Launch. When they finally married in 2004, friends remember thinking how similar the two were, and that the qualities that might have made Ms. Sandberg intimidating to some men drew Mr. Goldberg to her even more.

Over the next decade, Mr. Goldberg and Ms. Sandberg pioneered new ways of capturing information online, had a son and then a daughter, became immensely wealthy, and hashed out their who-does-what-in-this-marriage issues. Mr. Goldberg’s commute from the Bay Area to Los Angeles became a strain, so he relocated, later joking that he “lost the coin flip” of where they would live. He paid the bills, she planned the birthday parties, and both often left their offices at 5:30 so they could eat dinner with their children before resuming work afterward.

Friends in Silicon Valley say they were careful to conduct their careers separately, politely refusing when outsiders would ask one about the other’s work: Ms. Sandberg’s role building Facebook into an information and advertising powerhouse, and Mr. Goldberg at SurveyMonkey, which made polling faster and cheaper. But privately, their work was intertwined. He often began statements to his team with the phrase “Well, Sheryl said” sharing her business advice. He counseled her, too, starting with her salary negotiations with Mark Zuckerberg.

“I wanted Mark to really feel he stretched to get Sheryl, because she was worth it,” Mr. Goldberg explained in a 2013 “60 Minutes” interview, his Minnesota accent and his smile intact as he offered a rare peek of the intersection of marriage and money at the top of corporate life.

 

 

While his wife grew increasingly outspoken about women’s advancement, Mr. Goldberg quietly advised the men in the office on family and partnership matters, an associate said. Six out of 16 members of SurveyMonkey’s management team are female, an almost unheard-of ratio among Silicon Valley “unicorns,” or companies valued at over $1 billion.

When Mellody Hobson, a friend and finance executive, wrote a chapter of “Lean In” about women of color for the college edition of the book, Mr. Goldberg gave her feedback on the draft, a clue to his deep involvement. He joked with Ms. Hobson that she was too long-winded, like Ms. Sandberg, but aside from that, he said he loved the chapter, she said in an interview.

By then, Mr. Goldberg was a figure of fascination who inspired a “where can I get one of those?” reaction among many of the women who had read the best seller “Lean In.” Some lamented that Ms. Sandberg’s advice hinged too much on marrying a Dave Goldberg, who was humble enough to plan around his wife, attentive enough to worry about which shoes his young daughter would wear, and rich enough to help pay for the help that made the family’s balancing act manageable.

Now that he is gone, and Ms. Sandberg goes from being half of a celebrated partnership to perhaps the business world’s most prominent single mother, the pages of “Lean In” carry a new sting of loss.

“We are never at 50-50 at any given moment — perfect equality is hard to define or sustain — but we allow the pendulum to swing back and forth between us,” she wrote in 2013, adding that they were looking forward to raising teenagers together.

“Fortunately, I have Dave to figure it out with me,” she wrote.

Dave Goldberg Was Lifelong Women’s Advocate | PAKET UMROH BULAN JANUARI 2016

Verne Gagne, Wrestler Who Grappled Through Two Eras, Dies at 89

Gagne wrestled professionally from the late 1940s until the 1980s and was a transitional figure between the early 20th century barnstormers and the steroidal sideshows of today

Verne Gagne, Wrestler Who Grappled Through Two Eras, Dies at 89 | PAKET UMROH BULAN JANUARI 2016

Negative View of U.S. Race Relations Grows, Poll Finds

Public perceptions of race relations in America have grown substantially more negative in the aftermath of the death of a young black man who was injured while in police custody in Baltimore and the subsequent unrest, far eclipsing the sentiment recorded in the wake of turmoil in Ferguson, Mo., last summer.

Americans are also increasingly likely to say that the police are more apt to use deadly force against a black person, the latest New York Times/CBS News poll finds.

The poll findings highlight the challenges for local leaders and police officials in trying to maintain order while sustaining faith in the criminal justice system in a racially polarized nation.

Sixty-one percent of Americans now say race relations in this country are generally bad. That figure is up sharply from 44 percent after the fatal police shooting of Michael Brown and the unrest that followed in Ferguson in August, and 43 percent in December. In a CBS News poll just two months ago, 38 percent said race relations were generally bad. Current views are by far the worst of Barack Obama’s presidency.

The negative sentiment is echoed by broad majorities of blacks and whites alike, a stark change from earlier this year, when 58 percent of blacks thought race relations were bad, but just 35 percent of whites agreed. In August, 48 percent of blacks and 41 percent of whites said they felt that way.

Looking ahead, 44 percent of Americans think race relations are worsening, up from 36 percent in December. Forty-one percent of blacks and 46 percent of whites think so. Pessimism among whites has increased 10 points since December.

Continue reading the main story
Do you think race relations in the United States are generally good or generally bad?
60
40
20
0
White
Black
May '14
May '15
Generally bad
Continue reading the main story
Do you think race relations in the United States are getting better, getting worse or staying about the same?
Getting worse
Staying the same
Getting better
Don't know/No answer
All adults
Whites
Blacks
44%
37
17
46
36
16
41
42
15

The poll finds that profound racial divisions in views of how the police use deadly force remain. Blacks are more than twice as likely to say police in most communities are more apt to use deadly force against a black person — 79 percent of blacks say so compared with 37 percent of whites. A slim majority of whites say race is not a factor in a police officer’s decision to use deadly force.

Overall, 44 percent of Americans say deadly force is more likely to be used against a black person, up from 37 percent in August and 40 percent in December.

Blacks also remain far more likely than whites to say they feel mostly anxious about the police in their community. Forty-two percent say so, while 51 percent feel mostly safe. Among whites, 8 in 10 feel mostly safe.

One proposal to address the matter — having on-duty police officers wear body cameras — receives overwhelming support. More than 9 in 10 whites and blacks alike favor it.

Continue reading the main story
How would you describe your feelings about the police in your community? Would you say they make you feel mostly safe or mostly anxious?
Mostly safe
Mostly anxious
Don't know/No answer
All adults
Whites
Blacks
75%
21
3
81
16
3
51
42
7
Continue reading the main story
In general, do you think the police in most communities are more likely to use deadly force against a black person, or more likely to use it against a white person, or don’t you think race affects police use of deadly force?
Police more likely to use deadly force against a black person
Police more likely to use deadly force against a white person
Race DOES NOT affect police use of deadly force
Don't know/No answer
All adults
Whites
Blacks
44%
37%
79%
2%
2%
1%
46%
53%
16%
9%
8%
4%
Continue reading the main story
Do you favor or oppose on-duty police officers wearing video cameras that would record events and actions as they occur?
Favor
Oppose
Don't know/No answer
All adults
Whites
Blacks
92%
93%
93%
6%
5%
5%
2%
2%
2%

Asked specifically about the situation in Baltimore, most Americans expressed at least some confidence that the investigation by local authorities would be conducted fairly. But while nearly two-thirds of whites think so, fewer than half of blacks agree. Still, more blacks are confident now than were in August regarding the investigation in Ferguson. On Friday, six members of the police force involved in the arrest of Mr. Gray were charged with serious offenses, including manslaughter. The poll was conducted Thursday through Sunday; results from before charges were announced are similar to those from after.

Reaction to the recent turmoil in Baltimore, however, is similar among blacks and whites. Most Americans, 61 percent, say the unrest after Mr. Gray’s death was not justified. That includes 64 percent of whites and 57 percent of blacks.

Continue reading the main story
As you may know, a Baltimore man, Freddie Gray, recently died after being in the custody of the Baltimore police. How much confidence do you have that the investigation by local authorities into this matter will be conducted fairly?
A lot
Some
Not much
None at all
Don't know/No answer
All adults
Whites
Blacks
29%
31
22
14
5
31
33
20
11
5
20
26
30
22
In general, do you think the unrest in Baltimore after the death of Freddie Gray was justified, or do you think the unrest was not justified?
Justified
Not justified
Don't know/No answer
All adults
Whites
Blacks
28%
61
11
26
64
11
37
57
6

Negative View of U.S. Race Relations Grows, Poll Finds | PAKET UMROH BULAN JANUARI 2016

Jack Ely, Who Sang the Kingsmen’s ‘Louie Louie’, Dies at 71

A 2-minute-42-second demo recording captured in one take turned out to be a one-hit wonder for Mr. Ely, who was 19 when he sang the garage-band classic.

Jack Ely, Who Sang the Kingsmen’s ‘Louie Louie’, Dies at 71 | PAKET UMROH BULAN JANUARI 2016

Police Rethink Long Tradition on Using Force

WASHINGTON — During a training course on defending against knife attacks, a young Salt Lake City police officer asked a question: “How close can somebody get to me before I’m justified in using deadly force?”

Dennis Tueller, the instructor in that class more than three decades ago, decided to find out. In the fall of 1982, he performed a rudimentary series of tests and concluded that an armed attacker who bolted toward an officer could clear 21 feet in the time it took most officers to draw, aim and fire their weapon.

The next spring, Mr. Tueller published his findings in SWAT magazine and transformed police training in the United States. The “21-foot rule” became dogma. It has been taught in police academies around the country, accepted by courts and cited by officers to justify countless shootings, including recent episodes involving a homeless woodcarver in Seattle and a schizophrenic woman in San Francisco.

Now, amid the largest national debate over policing since the 1991 beating of Rodney King in Los Angeles, a small but vocal set of law enforcement officials are calling for a rethinking of the 21-foot rule and other axioms that have emphasized how to use force, not how to avoid it. Several big-city police departments are already re-examining when officers should chase people or draw their guns and when they should back away, wait or try to defuse the situation

Police Rethink Long Tradition on Using Force | PAKET UMROH BULAN JANUARI 2016

Marty Napoleon, 93, Dies; Jazz Pianist Played With Louis Armstrong

Mr. Napoleon was a self-taught musician whose career began in earnest with the orchestra led by Chico Marx of the Marx Brothers.

Marty Napoleon, 93, Dies; Jazz Pianist Played With Louis Armstrong | PAKET UMROH BULAN JANUARI 2016

ay 4, 2015 ‘Game of Thrones’ Q&A: Keisha Castle-Hughes on the Tao of the Sand Snakes

“It was really nice to play with other women and not have this underlying tone of being at each other’s throats.”

ay 4, 2015 ‘Game of Thrones’ Q&A: Keisha Castle-Hughes on the Tao of the Sand Snakes | PAKET UMROH BULAN JANUARI 2016

The Uphill Battle to Better Regulate Formaldehyde

WASHINGTON — A decade after emergency trailers meant to shelter Hurricane Katrina victims instead caused burning eyes, sore throats and other more serious ailments, the Environmental Protection Agency is on the verge of regulating the culprit: formaldehyde, a chemical that can be found in commonplace things like clothes and furniture.

But an unusual assortment of players, including furniture makers, the Chinese government, Republicans from states with a large base of furniture manufacturing and even some Democrats who championed early regulatory efforts, have questioned the E.P.A. proposal. The sustained opposition has held sway, as the agency is now preparing to ease key testing requirements before it releases the landmark federal health standard.

The E.P.A.’s five-year effort to adopt this rule offers another example of how industry opposition can delay and hamper attempts by the federal government to issue regulations, even to control substances known to be harmful to human health.

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Document: The Formaldehyde Fight

Formaldehyde is a known carcinogen that can also cause respiratory ailments like asthma, but the potential of long-term exposure to cause cancers like myeloid leukemia is less well understood.

The E.P.A.’s decision would be the first time that the federal government has regulated formaldehyde inside most American homes.

“The stakes are high for public health,” said Tom Neltner, senior adviser for regulatory affairs at the National Center for Healthy Housing, who has closely monitored the debate over the rules. “What we can’t have here is an outcome that fails to confront the health threat we all know exists.”

The proposal would not ban formaldehyde — commonly used as an ingredient in wood glue in furniture and flooring — but it would impose rules that prevent dangerous levels of the chemical’s vapors from those products, and would set testing standards to ensure that products sold in the United States comply with those limits. The debate has sharpened in the face of growing concern about the safety of formaldehyde-treated flooring imported from Asia, especially China.

What is certain is that a lot of money is at stake: American companies sell billions of dollars’ worth of wood products each year that contain formaldehyde, and some argue that the proposed regulation would impose unfair costs and restrictions.

Determined to block the agency’s rule as proposed, these industry players have turned to the White House, members of Congress and top E.P.A. officials, pressing them to roll back the testing requirements in particular, calling them redundant and too expensive.

“There are potentially over a million manufacturing jobs that will be impacted if the proposed rule is finalized without changes,” wrote Bill Perdue, the chief lobbyist at the American Home Furnishings Alliance, a leading critic of the testing requirements in the proposed regulation, in one letter to the E.P.A.

Industry opposition helped create an odd alignment of forces working to thwart the rule. The White House moved to strike out key aspects of the proposal. Subsequent appeals for more changes were voiced by players as varied as Senator Barbara Boxer, Democrat of California, and Senator Roger Wicker, Republican of Mississippi, as well as furniture industry lobbyists.

Hurricane Katrina in 2005 helped ignite the public debate over formaldehyde, after the deadly storm destroyed or damaged hundreds of thousands of homes along the Gulf of Mexico, forcing families into temporary trailers provided by the Federal Emergency Management Agency.

The displaced storm victims quickly began reporting respiratory problems, burning eyes and other issues, and tests then confirmed high levels of formaldehyde fumes leaking into the air inside the trailers, which in many cases had been hastily constructed.

Public health advocates petitioned the E.P.A. to issue limits on formaldehyde in building materials and furniture used in homes, given that limits already existed for exposure in workplaces. But three years after the storm, only California had issued such limits.

Industry groups like the American Chemistry Council have repeatedly challenged the science linking formaldehyde to cancer, a position championed by David Vitter, the Republican senator from Louisiana, who is a major recipient of chemical industry campaign contributions, and whom environmental groups have mockingly nicknamed “Senator Formaldehyde.”

Continue reading the main story

Formaldehyde in Laminate Flooring

In laminate flooring, formaldehyde is used as a bonding agent in the fiberboard (or other composite wood) core layer and may also be used in glues that bind layers together. Concerns were raised in March when certain laminate flooring imported from China was reported to contain levels of formaldehyde far exceeding the limit permitted by California.

Typical

laminate

flooring

CLEAR FINISH LAYER

Often made of melamine resin

PATTERN LAYER

Paper printed to resemble wood,

or a thin wood veneer

GLUE

Layers may be bound using

formaldehyde-based glues

CORE LAYER

Fiberboard or other

composite, formed using

formaldehyde-based adhesives

BASE LAYER

Moisture-resistant vapor barrier

What is formaldehyde?

Formaldehyde is a common chemical used in many industrial and household products as an adhesive, bonding agent or preservative. It is classified as a volatile organic compound. The term volatile means that, at room temperature, formaldehyde will vaporize, or become a gas. Products made with formaldehyde tend to release this gas into the air. If breathed in large quantities, it may cause health problems.

WHERE IT IS COMMONLY FOUND

POTENTIAL HEALTH RISKS

Pressed-wood and composite wood products

Wallpaper and paints

Spray foam insulation used in construction

Commercial wood floor finishes

Crease-resistant fabrics

In cigarette smoke, or in the fumes from combustion of other materials, including wood, oil and gasoline.

Exposure to formaldehyde in sufficient amounts may cause eye, throat or skin irritation, allergic reactions, and respiratory problems like coughing, wheezing or asthma.

Long-term exposure to high levels has been associated with cancer in humans and laboratory animals.

Exposure to formaldehyde may affect some people more severely than others.

By 2010, public health advocates and some industry groups secured bipartisan support in Congress for legislation that ordered the E.P.A. to issue federal rules that largely mirrored California’s restrictions. At the time, concerns were rising over the growing number of lower-priced furniture imports from Asia that might include contaminated products, while also hurting sales of American-made products.

Maneuvering began almost immediately after the E.P.A. prepared draft rules to formally enact the new standards.

White House records show at least five meetings in mid-2012 with industry executives — kitchen cabinet makers, chemical manufacturers, furniture trade associations and their lobbyists, like Brock R. Landry, of the Venable law firm. These parties, along with Senator Vitter’s office, appealed to top administration officials, asking them to intervene to roll back the E.P.A. proposal.

The White House Office of Management and Budget, which reviews major federal regulations before they are adopted, apparently agreed. After the White House review, the E.P.A. “redlined” many of the estimates of the monetary benefits that would be gained by reductions in related health ailments, like asthma and fertility issues, documents reviewed by The New York Times show.

As a result, the estimated benefit of the proposed rule dropped to $48 million a year, from as much as $278 million a year. The much-reduced amount deeply weakened the agency’s justification for the sometimes costly new testing that would be required under the new rules, a federal official involved in the effort said.

“It’s a redlining blood bath,” said Lisa Heinzerling, a Georgetown University Law School professor and a former E.P.A. official, using the Washington phrase to describe when language is stricken from a proposed rule. “Almost the entire discussion of these potential benefits was excised.”

Senator Vitter’s staff was pleased.

“That’s a huge difference,” said Luke Bolar, a spokesman for Mr. Vitter, of the reduced estimated financial benefits, saying the change was “clearly highlighting more mismanagement” at the E.P.A.

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The review’s outcome galvanized opponents in the furniture industry. They then targeted a provision that mandated new testing of laminated wood, a cheaper alternative to hardwood. (The California standard on which the law was based did not require such testing.)

But E.P.A. scientists had concluded that these laminate products — millions of which are sold annually in the United States — posed a particular risk. They said that when thin layers of wood, also known as laminate or veneer, are added to furniture or flooring in the final stages of manufacturing, the resulting product can generate dangerous levels of fumes from often-used formaldehyde-based glues.

Industry executives, outraged by what they considered an unnecessary and financially burdensome level of testing, turned every lever within reach to get the requirement removed. It would be particularly onerous, they argued, for small manufacturers that would have to repeatedly interrupt their work to do expensive new testing. The E.P.A. estimated that the expanded requirements for laminate products would cost the furniture industry tens of millions of dollars annually, while the industry said that the proposed rule over all would cost its 7,000 American manufacturing facilities over $200 million each year.

“A lot of people don’t seem to appreciate what a lot of these requirements do to a small operation,” said Dick Titus, executive vice president of the Kitchen Cabinet Manufacturers Association, whose members are predominantly small businesses. “A 10-person shop, for example, just really isn’t equipped to handle that type of thing.”

Photo
 
Becky Gillette wants strong regulation of formaldehyde. Credit Beth Hall for The New York Times

Big industry players also weighed in. Executives from companies including La-Z-Boy, Hooker Furniture and Ashley Furniture all flew to Washington for a series of meetings with the offices of lawmakers including House Speaker John Boehner, Republican of Ohio, and about a dozen other lawmakers, asking several of them to sign a letter prepared by the industry to press the E.P.A. to back down, according to an industry report describing the lobbying visit.

Within a matter of weeks, two letters — using nearly identical language — were sent by House and Senate lawmakers to the E.P.A. — with the industry group forwarding copies of the letters to the agency as well, and then posting them on its website.

The industry lobbyists also held their own meeting at E.P.A. headquarters, and they urged Jim Jones, who oversaw the rule-making process as the assistant administrator for the agency’s Office of Chemical Safety and Pollution Prevention, to visit a North Carolina furniture manufacturing plant. According to the trade group, Mr. Jones told them that the visit had “helped the agency shift its thinking” about the rules and how laminated products should be treated.

The resistance was particularly intense from lawmakers like Mr. Wicker of Mississippi, whose state is home to major manufacturing plants owned by Ashley Furniture Industries, the world’s largest furniture maker, and who is one of the biggest recipients in Congress of donations from the industry’s trade association. Asked if the political support played a role, a spokesman for Mr. Wicker replied: “Thousands of Mississippians depend on the furniture manufacturing industry for their livelihoods. Senator Wicker is committed to defending all Mississippians from government overreach.”

Individual companies like Ikea also intervened, as did the Chinese government, which claimed that the new rule would create a “great barrier” to the import of Chinese products because of higher costs.

Perhaps the most surprising objection came from Senator Boxer, of California, a longtime environmental advocate, whose office questioned why the E.P.A.’s rule went further than her home state’s in seeking testing on laminated products. “We did not advocate an outcome, other than safety,” her office said in a statement about why the senator raised concerns. “We said ‘Take a look to see if you have it right.’ ”

Safety advocates say that tighter restrictions — like the ones Ms. Boxer and Mr. Wicker, along with Representative Doris Matsui, a California Democrat, have questioned — are necessary, particularly for products coming from China, where items as varied as toys and Christmas lights have been found to violate American safety standards.

While Mr. Neltner, the environmental advocate who has been most involved in the review process, has been open to compromise, he has pressed the E.P.A. not to back down entirely, and to maintain a requirement that laminators verify that their products are safe.

An episode of CBS’s “60 Minutes” in March brought attention to the issue when it accused Lumber Liquidators, the discount flooring retailer, of selling laminate products with dangerous levels of formaldehyde. The company has disputed the show’s findings and test methods, maintaining that its products are safe.

“People think that just because Congress passed the legislation five years ago, the problem has been fixed,” said Becky Gillette, who then lived in coastal Mississippi, in the area hit by Hurricane Katrina, and was among the first to notice a pattern of complaints from people living in the trailers. “Real people’s faces and names come up in front of me when I think of the thousands of people who could get sick if this rule is not done right.”

An aide to Ms. Matsui rejected any suggestion that she was bending to industry pressure.

“From the beginning the public health has been our No. 1 concern,” said Kyle J. Victor, an aide to Ms. Matsui.

But further changes to the rule are likely, agency officials concede, as they say they are searching for a way to reduce the cost of complying with any final rule while maintaining public health goals. The question is just how radically the agency will revamp the testing requirement for laminated products — if it keeps it at all.

“It’s not a secret to anybody that is the most challenging issue,” said Mr. Jones, the E.P.A. official overseeing the process, adding that the health consequences from formaldehyde are real. “We have to reduce those exposures so that people can live healthy lives and not have to worry about being in their homes.”

The Uphill Battle to Better Regulate Formaldehyde | PAKET UMROH BULAN JANUARI 2016

François Michelin, Head of Tire Company, Dies at 88

Under Mr. Michelin’s leadership, which ended when he left the company in 2002, the Michelin Group became the world’s biggest tire maker, establishing a big presence in the United States and other major markets overseas.

François Michelin, Head of Tire Company, Dies at 88 | PAKET UMROH BULAN JANUARI 2016

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