PAKET UMROH BULAN FEBRUARI MARET APRIL MEI 2018




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saco-indonesia.com, Pelatih Walter Mazzarri juga sangat kecewa dengan performa para pemain Internazionale saat dibungkam oleh tuan rumah Juventus 1-3 di giornata 22 Serie A 2013/14.

Dalam laga di Juventus Stadium itu, Senin (03/2), Inter bahkan telah tertinggal 0-3 terlebih dahulu melalui gol-gol Stephan Lichtsteiner, Giorgio Chiellini dan Arturo Vidal. Satu-satunya gol hiburan Nerazzurri telah diciptakan oleh Rolando pada menit 71.

"Penguasaan bola hampir seimbang, tapi ada beberapa faktor yang telah menciptakan perbedaan besar. Determinasi Juventus lebih baik dan mereka lebih agresif, sedangkan kami bermain sangat lamban dan terkesan malas," kata Mazzarri seperti dilansir Football Italia.

"Meski begitu, kami juga sempat menciptakan beberapa kesempatan. Jangan lupa, Rodrigo Palacio dua kali berpeluang untuk mengubah skor jadi 3-2. Kami harus fokus untuk dapat meningkatkan determinasi tim," imbuhnya.

Akibat dari kekalahan tersebut, Inter sekarang telah menempati peringkat enam dengan 33 angka atau terpaut 11 dari Napoli di batas tiga besar.


Editor : Dian Sukmawati

JUVENTUS AGRESIF, INTER MALAS

Semberani Rent adalah penyedia sewa Mobil Semarang yang terkenal nyaman tapi murah / harga terjangkau. sewa mobil ini beroperasi di daerah Semarang, Pati, Jepara, Kudus, Demak, dan Rembang. Semberani Rent telah melayani jasa rental untuk semua kebutuhan transportasi, meliputi sewa mobil untuk pribadi / perorangan, paket wisata, rombongan pernikahan, atau keperluan instansi / perusahaan.

Semberani Rent terdaftar sebagai perusahaan sewa mobil dengan nama CV Semberani dengan nomor izin W12-U10/43/HK.02.02/II/2013. Sebagai penyedia jasa sewa Mobil juga secara profesional melayani antar jemput ke atau dari Bandara Ahmad Yani Semarang, Bandara Adi Sumarmo Solo, Bandara International Juanda Surabaya, Stasiun Kereta Api Tawang Semarang, Terminal Bus Terboyo, Pelabuhan Tanjung Mas Semarang, dan lokasi lainnya.

Seluruh armada Semberani Rent adalah mobil baru keluaran 2012 dan 2013 yang telah dilengkapi asuransi All Risk. Mobil rental Semberani Rent selalu mendapat perawatan / service berkala di Bengkel Resmi Toyota dan Daihatsu (Auto2000). Setiap layanan rental mobil juga dilengkapi driver / sopir pribadi yang sangat berpengalaman, ramah, dan sopan. Yang paling penting, semua sopir Semberani Rent sangat mengenal medan / jalan di seluruh Pantura – Jawa Tengah, dan mengutamakan keselamatan penumpang. Oleh karena itu sewa Mobil Semarang ini telah menjamin rasa aman, nyaman, praktis dan ekonomis untuk semua pelanggan rental mobil selama dalam perjalanan.

Latar Belakang Rental Mobil Semarang

Hadirnya jasa sewa Mobil Semarang murah tapi mewah ini didasari atas kebutuhan adanya layanan rental transportasi pribadi yang nyaman dan aman tapi dengan harga terjangkau di Semarang, Pati, Jepara, dan sekitarnya. Sewa mobil Semarang ini juga melayani antar jemput ke dan dari Bandara Ahmad Yani Semarang. Pelanggan dari Stasiun Tawang Semarang pun juga dimudahkan dengan layanan sewa mobil ini.

Kemudahan dalam mendapatkan informasi layanan sewa Mobil ini sangat diharapkan. Dengan mengetikkan “Rental Mobil Semarang” di Google, untuk bisa mendapatkan layanan Rental Mobil terbaik dengan harga murah. Rental Mobil Semarang ya Semberani Rent. Terpenuhinya kebutuhan Rental Mobil Semarang tersebut merupakan kondisi yang sangat bagus untuk mendorong kemajuan pariwisata di Jawa Tengah.

Nama Semberani diambil dari cerita legenda masyarakat tempo dulu yang menggambarkan seekor kuda bersayap yang dapat terbang dan sangat berani. Kuda Semberani merupakan alat transportasi bagi Raja, Ratu, dan Senopati, agar dapat sampai ke tujuan dengan mudah dan cepat.

JASA RENTAL MOBIL SEMARANG

kami adalah perusahaan yang mempunyai hukum tetap yang setelah sukses dan besar pada Divisi Konstruksi dan Perdagangan Umum yang berkantor di Jakarta Barat, kini dengan pengembangan sayapnya perusahaan kami resmi membuka line Divisi Transportasi. Suatu Divisi yang telah melayani Jasa di Bidang Pengiriman Barang dan Kendaraan yang berkantor di lokasi strategis Jakarta Barat. Adapun Job Description dari Divisi Transportasi kami adalah sebagai berikut :  

    kirim Mobil ke berbagai wilayah Indonesia.
    Sewa armada Truck untuk pengangkutan barang ke berbagai wilayah Indonesia (Colt Diesel, Fuso, Fuso Box, Wing Box, Flat Deck / Lossbak, Tronton, Container, Lowbed).
    Pengangkutan barang – barang pindahan Rumah, Kantor, atau Pabrik
    Handling Container / Penerusan Container ke tujuan (to door) untuk wilayah JABODETABEKSER.
    Pengiriman Paket ke beberapa Wilayah Indonesia baik melalui Darat, Laut, dan Udara.

Adapun nilai lebih pelayanan yang akan kami berikan adalah;

    Pilihan Pelayanan yaitu ; door to door, door to port, port to port, & port to door
    Kantor Rekanan kami di beberapa kota wilayah Indonesia, dan beberapa negara
    Garansi keamanan dan Kondisi barang sampai di tempat
    Armada pendukung dengan berbagai kapasitas angkut yg telah kami siapkan
    Kerjasama kami dengan pihak TNI / ABRI untuk pengawalan armada sebagai tindakan pengamanan.
    Kerjasama dengan Pihak Asuransi Cargo.

 

JASA PENGIRIMAN PAKET KIRIM MOBIL MOTOR EKSPEDISI TRUCKING CONTAINER PINDAHAN PACKING MOVING

- Haji adalah salah satu rukun Islam yang lima. Menunaikan ibadah haji adalah bentuk ritual tahunan bagi kaum muslim yang mampu secara material, fisik, maupun keilmuan dengan berkunjung ke beberapa tempat di Arab Saudi dan melaksanakan beberapa kegiatan pada satu waktu yang telah ditentukan yaitu pada bulan Dzulhijjah.

Secara estimologi (bahasa), Haji berarti niat (Al Qasdu), sedangkan menurut syara’ berarti Niat menuju Baitul Haram dengan amal-amal yang khusus.Temat-tempat tertentu yang dimaksud dalam definisi diatas adalah selain Ka’bah dan Mas’a (tempat sa’i), juga Padang Arafah (tempat wukuf), Muzdalifah (tempat mabit), dan Mina (tempat melontar jumroh).

Sedangkan yang dimaksud dengan waktu tertentu adalah bulan-bulan haji yaitu dimulai dari Syawal sampai sepuluh hari pertama bulan Dzulhijjah. Amalan ibadah tertentu ialah thawaf, sa’i, wukuf, mazbit di Muzdalifah, melontar jumroh, dan mabit di Mina.

Pengertian Umroh

Umrah adalah berkunjung ke Ka’bah untuk melakukan serangkaian ibadah dengan syarat-syarat yang telah ditetapkan. Umroh disunahkan bagi muslim yang mampu. Umroh dapat dilakukan kapan saja, kecuali pada hari Arafah yaitu tgl 10 Zulhijah dan hari-hari Tasyrik yaitu tgl 11,12,13 Zulhijah. Melaksanakan Umroh pada bulan Ramadhan sama nilainya dengan melakukan Ibadah Haji (Hadits Muslim) [Kembali ke Menu]

Jenis-jenis Haji

Haji Ifrad, artinya menyendiri

Pelaksanaan ibadah haji disebut ifrad jika sesorang melaksanakan ibadah haji dan umroh dilaksanakan secara sendiri-sendiri, dengan mendahulukan ibadah haji. Artinya, ketika calon jamaah haji mengenakan pakaian ihram di miqat-nya, hanya berniat melaksanakan ibadah haji. Jika ibadah hajinya sudah selesai, maka orang tersebut mengenakan ihram kembali untuk melaksanakan ibadah umroh.

Haji Tamattu’, artinya bersenang-senang

Pelaksanaan ibadah haji disebut Tamattu’ jika seseorang melaksanakan ibadah umroh dan Haji di bulan haji yang sama dengan mendahulukan ibadah Umroh. Artinya, ketika seseorang mengenakan pakaian ihram di miqat-nya, hanya berniat melaksanakan ibadah Umroh. Jika ibadah Umrohnya sudah selesai, maka orang tersebut mengenakan ihram kembali untuk melaksanakan ibadah Haji.

Tamattu’ dapat juga berarti melaksanakan ibadah Umroh dan Haji didalam bulan-bulan serta didalam tahun yang sama, tanpa terlebih dahulu pulang ke negeri asal.

Haji Qiran, artinya menggabungkan

Pelaksanaan ibadah Haji disebut Qiran jika seseorang melaksanakan ibadah Haji dan Umroh disatukan atau menyekaliguskan berihram untuk melaksanakan ibadah haji dan umrah. Haji Qiran dilakukan dengan tetap berpakaian ihram sejak miqat makani dan melaksanakan semua rukun dan wajib haji sampai selesai, meskipun mungkin akan memakan waktu lama. [Kembali ke Menu]

Rukun dan Wajib Haji

Rukun haji :

    Ihram
    Thawaf Ziyarah (disebut juga dengan Thawaf Ifadhah)
    Sa’ie
    Wuquf di padang Arafah

Apabila salah satu rukun haji di atas tidak dilaksanakan maka hajinya batal. Sedangkan Abu Hanifah berpendapat bahwa rukun haji hanya ada 2 yaitu: Wuquf dan Thawaf. Ihram dan Sa’I tidak dimasukkan ke dalam rukun karena menurut beliau, ihram adalah syarat sah haji dan sa’I adalah yang wajib dilakukan dalam haji (wajib haji). Sementara Imam syafi’ie berpendapat bahwa rukun haji ada 6 yaitu: Ihram, Thawaf, Sa’ie, Wuquf, Mencukur rambut, dan Tertib berurutan).(Kitabul Fiqh Ala Madzhabil Arba’ah 1/578).

Wajib Haji

    Iharam dimulai dari miqat yang telah ditentukan
    Wuquf di Arafah sampai matahari tenggelam
    Mabit di Mina
    Mabit di Muzdalifah hingga lewat setengah malam
    Melempar jumrah
    Mencukur rambut
    Tawaf Wada’

Syarat-syarat Wajib Haji

    Islam
    Berakal
    Baligh
    Mampu

[Kembali ke Menu]

Mewakilkan Seseorang Untuk Berhaji

Tidak boleh bagi seseorang berhaji untuk orang lain kecuali setelah ia berhaji untuk dirinya sendiri. Rasulullah bersabda: Berhajilah untuk dirimu sendiri, kemudian engkau berhaji untuknya. [Kembali ke Menu]

Haji Bagi Anak-anak yang belum Baligh

Tidaklah wajib bagi anak-anak untuk berhaji kecuali ia telah baligh. Namun jika ia telah berhaji maka hajinya sah sebagaimana yang telah diriwayatkan Ibnu Abbas ra bahwa Rasulullah r berjumpa dengan seorang berkendaraan dikawasan Ar-Rauha beliau bersabda: Siapakah kalian? Mereka menjawab: Kami orang-orang muslim, mereka balik bertanya: Siapa anda? Beliau menjawab: Saya Rasul Allah. Lalu ada seorang anak gadis yang masih kecil bertanya: Apakh ini yang disebut haji? Beliau menjawab: Ya dan bagimu pahala (HR. Ahmad, Muslim, Abu Daud, dan An Nasa dishahihkan oleh At Tirmidzi). [Kembali ke Menu]

Rangkaian Ibadah Haji dan Umroh:

Rangkaian kegiatan ibadah Haji

    Sebelum tanggal 8 Dzulhijjah, calon jamaah haji mulai berbondong untuk melaksanakan Tawaf Haji di Masjid Al Haram, Makkah.
    Calon jamaah haji memakai pakaian Ihram (dua lembar kain tanpa jahitan sebagai pakaian haji), sesuai miqatnya, kemudian berniat haji, dan membaca bacaan Talbiyah, yaitu mengucapkan Labbaikallahumma labbaik labbaika laa syarika laka labbaik. Innal hamda wan ni’mata laka wal mulk laa syarika laka..
    Tanggal 9 Dzulhijjah, pagi harinya semua calon jamaah haji menuju ke padang Arafah untuk menjalankan ibadah wukuf. Kemudian jamaah melaksanakan ibadah Wukuf, yaitu berdiam diri dan berdoa di padang Arafah hingga Maghrib datang.
    Tanggal 9 Dzulhijjah malam, jamaah menuju ke Muzdalifah untuk mabbit (bermalam) dan mengambil batu untuk melontar jumroh secukupnya.
    Tanggal 9 Dzulhijjah tengah malam (setelah mabbit) jamaah meneruskan perjalanan ke Mina untuk melaksanakan ibadah melontar Jumroh
    Tanggal 10 Dzulhijjah, jamaah melaksanakan ibadah melempar Jumroh sebanyak tujuh kali ke Jumroh Aqobah sebagai simbolisasi mengusir setan. Dilanjutkan dengan tahalul yaitu mencukur rambut atau sebagian rambut.
    Jika jamaah mengambil nafar awal maka dapat dilanjutkan perjalanan ke Masjidil Haram untuk Tawaf Haji (menyelesaikan Haji)
    Sedangkan jika mengambil nafar akhir jamaah tetap tinggal di Mina dan dilanjutkan dengan melontar jumroh sambungan (Ula dan Wustha).
    Tanggal 11 Dzulhijjah, melempar jumrah sambungan (Ula) di tugu pertama, tugu kedua, dan tugu ketiga.
    Tanggal 12 Dzulhijjah, melempar jumrah sambungan (Ula) di tugu pertama, tugu kedua, dan tugu ketiga.
    Jamaah haji kembali ke Makkah untuk melaksanakan Thawaf Wada’ (Thawaf perpisahan) sebelum pulang ke negara masing-masing

[Kembali ke Menu]

Rangkaian Kegiatan Ibadah Umrah

    Diawali dengan mandi besar (janabah) sebelum ihram untuk umrah.
    mengenakan pakaian ihram. Untuk lelaki 2 kain yang dijadikan sarung dan selendang, sedangkan untuk wanita memakai pakaian apa saja yang menutup aurat tanpa ada hiasannya dan tidak memakai cadar atau sarung tangan.
    Niat umrah dalam hati dan mengucapkan Labbaika ‘umrotan atau Labbaikallahumma bi’umrotin. Kemudian bertalbiyah dengan dikeraskan suaranya bagi laki-laki dan cukup dengan suara yang didengar orang yang ada di sampingnya bagi wanita, yaitu mengucapkan Labbaikallahumma labbaik labbaika laa syarika laka labbaik. Innal hamda wan ni’mata laka wal mulk laa syarika laka.
    Sesampai Masjidil Haram menuju ka’bah, lakukan thawaf sebanyak 7 kali putaran.3 putaran pertama jalan cepat dan sisanya jalan biasa. Thowaf diawali dan diakhiri di hajar aswad dan ka’bah dijadikan berada di sebelah kiri. Setiap putaran menuju hajar aswad sambil menyentuhnya dengan tangan kanan dan menciumnya jika mampu dan mengucapkan Bismillahi wallahu akbar. Jika tidak bisa menyentuh dan menciumya, maka cukup memberi isyarat dan berkata Allahu akbar.
    Shalat 2 raka’at di belakang maqam Ibrahim jika bisa atau di tempat lainnya di masjidil haram dengan membaca surat Al-Kafirun pada raka’at pertama dan Al-Ikhlas pada raka’at kedua.
    Selanjutnya Sa’i dengan naik ke bukit Shofa dan menghadap kiblat sambil mengangkat kedua tangan dan mengucapkan Innash shofa wal marwata min sya’aairillah. Abda’u bima bada’allahu bihi (Aku memulai dengan apa yang Allah memulainya). Kemudian bertakbir 3 kali tanpa memberi isyarat dan mengucapkan Laa ilaha illallahu wahdahu laa syarika lahu. Lahul mulku wa lahul hamdu wahuwa ‘alaa kulli syai’in qodiir. Laa ilaha illallahu wahdahu anjaza wa’dahu wa shodaqo ‘abdahu wa hazamal ahzaaba wahdahu 3x. Kemudian berdoa sekehendaknya. Sa’i dilakukan sebanyak 7 kali dengan hitungan berangkat satu kali dan kembalinya dihitung satu kali, diawali di bukit Shofa dan diakhiri di bukit Marwah.
    Mencukur rambut kepala bagi lelaki dan memotongnya sebatas ujung jari bagi wanita.
    Ibadah Umroh selesai

[Kembali ke Menu]

Persiapan Ibadah Haji

Beberapa hal yang perlu dipersiapkan sebelum menunaikan ibadah Haji

    Membersihkan diri dari dosa dan kesalahan baik langsung kepada Allah SWT. maupun kepada sesama manusia.
    Karena ibadah Haji adalah ibadah fisik, maka perlu mempersiapkan mental untuk mengikuti seluruh rangkaian ibadah haji yang memerlukan stamina tinggi, keikhlasan dan kepasrahan kepada Allah SWT.
    Mempersiapkan biaya, baik selama dalam perjalanan haji, maupun untuk nafkah keluarg yang ditinggalkan.
    Melaksanakan kewajiban-kewajiban yang berhubungan dengan harta kekayaan, seperti zakat, nadzar, hutang, infaq dan shadaqah.
    Melaksanakan janji yang pernah diucapkan.
    Menyelesaikan segala urusan yang berhubungan dengan keluarga yang akan ditinggalkan.7. Memohon do’a restu kepada kedua orang tua (jika masih hidup)
    Mempersiapkan ilmu dan pengetahuan agama, dan mengikuti kegiatan manasik haji.
    Mempersiapkan obat-obatan pribadi selama menjalankan ibadah haji.
    Mempersiapkan beberapa perlengkapan untuk keperluan selama perjalanan ibadah Haji:

Perlengkapan Pria

    Kain Ihram dua stel
    Baju sehari-hari secukupnya
    Ikat pinggang
    Keperluan mandi

Perlengkapan Wanita

    Mukena minimal 2 buah
    Pakaian ihram (rok putih dan mukena atas putih) 2 set
    Pakaian sehari-hari secukupnya
    Kaos kaki secukupnya

Perlengkapan untuk Pria dan Wanita

    Pakaian penghangat
    Selimut
    Sandal jepit
    Sepatu sandal atau sendal gunung
    Obat-obatan pribadi
    Gunting kecil utk Tahallul
    Payung
    Senter kecil (untuk penerangan saat mengambil batu di Musdalifah)
    Kantong kecil untuk menyimpan batu kerikil persiapan melempar jumroh
    Kantong sandal untuk tempat sandal saat di Masjid
    Pelembab atau cream, gunakan untuk tangan dan kaki
    Biaya untuk dam, kurban dsb.

[Kembali ke Menu]

Lokasi Utama Ibadah Haji dan Umroh

Makkah Al Mukaromah

Di kota Makkah Al-Mukaromah inilah terdapat Masjidil Haram yang didalamnya terdapat Ka’bah yang merupakan kiblat ibadah umat Islam sedunia. Dalam rangkaian perjalanan ibadah haji, Makkah menjadi tempat pembuka dan penutup ibadah haji.

Padang Arafah

Padang Arafah terdapat di sebelah timur Kota Makkah. Padang Arafah dikenal sebagai tempat pusatnya haji, sebagai tempat pelaksanaan ibadah wukuf yang merupakan rukun haji. Di Padang Arafah juga terdapat Jabal Rahmah tempat pertama kali pertemuan Nabi Adam dan Hawa. Di luar musim haji, daerah ini tidak dipakai.

Kota Muzdalifah

Kota ini tidak jauh dari kota Mina dan Arafah Mota Muzdalifah merupakan tempat jamaah calon haji melakukan Mabit (bermalam) dan mengambil batu untuk melontar Jumroh di Kota Mina.

Kota Mina
Kota Mina merupakan tempat berdirinya tugu (jumrah), yaitu tempat pelaksanaan melontarkan batu ke tugu (jumrah) sebagai simbolisasi tindakan nabi Ibrahim ketika mengusir setan. Disana terdapat tiga jumrah yaitu jumrah Aqabah, Jumrah Ula, dan Jumrah Wustha.

Sumber : http://berumrah-berhaji.blogspot.com

Baca Artikel Lainnya : IBADAH HAJI ADALAH IBADAH YANG MULTI DIMENSI

MAKNA IBADAH HAJI DAN UMRAH

saco-indonesia.com, Kanker Payudara juga merupakan penyakit yang dapat disebabkan oleh sel ganas (kanker) yang tumbuh pada jaringan payudara. Sel-sel ini biasanya akan muncul pada saluran atau lobula di payudara. Sel-sel kanker ini juga dapat menyebar di antara jaringan atau organ yang ada dan ke bagian tubuh lainnya.

Seberapa umumkah Kanker Payudara?

Kanker Payudara juga merupakan penyebab kematian kedua terbesar bagi wanita saat ini. Di Singapura, 1 dari 16 wanita akan terdiagnosa mengidap kanker payudara dalam masa hidupnya. Wanita etnis Cina telah memiliki resiko yang lebih tinggi jika dibandingkan dengan etnis Melayu atau India sekitar 10% hingga 20%. Kasus tertinggi telah terjadi pada kelompok umur 55-59 tahun. Resiko terkena kanker payudara meningkat seiring bertambahnya usia. Kabar baiknya sekarang adalah banyak wanita kini mampu untuk melawan kanker payudara karena telah melakukan pendeteksian dini serta peningkatan kualitas pengobatan.

Apa Penyebabnya?

Faktor pemicu kanker ini belum dapat diketahui. Namun hal ini juga bisa ditelusuri dari sejarah keluarga yang telah mengidap kanker payudara, siklus menstruasi dini, atau kemungkinan faktor resiko lainnya. Karena begitu sulit untuk dapat dipastikan, masing-masing kita telah memiliki resiko terkena kanker payudara, khususnya saat kita berusia 40 tahun atau lebih. Walaupun faktor penyebabnya masih tidak diketahui, akan tetapi penyembuhan total sangat dimungkinkan dengan pendeteksian dini melalui pemeriksaan payudara secara reguler.
 
Diagnosa & Pemeriksaan

Bagaimana cara mendiagnosa?

Pemeriksaan Klinis – Khususnya bila benjolan, keluarnya cairan dari puting, atau perubahan payudara yang tidak biasa terjadi.

Mamogram – Metode ini juga dapat mendeteksi perubahan seperti kepadatan yang tidak normal atau terjadinya deposit kalsium.

Ultrasound Scan – Metode ini juga digunakan untuk dapat mendeteksi pada area khusus yang telah ditemukan dalam pemeriksaan mamogram atau dapat dilakukan untuk dapat mendeteksi kondisi abnormal yang tidak terlihat pada mamogram. Sebuah ultrasound scan juga dapat membedakan antara massa yang solid, yang kemungkinan kanker, atau kista yang berisi cairan yang biasanya bukan merupakan kanker.

Magnetic Resonance Imaging, MRI – Pada beberapa kasus, pasien harus menjalani sken MRI untuk dapat memperoleh hasil pemeriksaan yang lebih jelas pada area yang diduga terkena kanker. Metode ini juga sangat berguna bagi wanita yang berusia muda karena pada usianya mereka memiliki kepadatan jaringan payudara yang lebih besar dan tes visual konvensional seperti mamogram ataupun ultrasound menjadi kurang sensitif dan spesifik untuk mendeteksi kanker payudara.

          
Apa itu Biopsi?
          

Teknik biopsi umum

Untuk dapat memastikan kanker payudara, sebuah biopsi harus dilakukan di mana bagian dari jaringan sel yang diduga kanker diangkat dan diperiksa dengan mikroskop.
          

    Aspirasi Jarum Halus (FNA)
    Biopsi Jarum Inti (Core Needle) atau Biopsi Tru-cut
    Biopsi Eksisi (Excision Biopsy)

 
Bagaimana Kanker Payudara diperiksa?


A. TAHAPAN/LUAS PENYEBARAN
      TAHAPAN     LUAS PENYEBARAN     TINGKAT RATA-RATA KESELAMATAN PADA MASA
5-TAHUNAN(%)
      0     Kanker non-invasif     99
      I     Kanker invasif kecil
(kurang dari 2 cm tanpa penyebaran ke arah kelenjar getah bening aksila)     90
      II     

Kanker invasif
(antara 2-5cm atau/dengan penyebaran pada kelenjar getah bening)
    70
      III     Kanker invasif besar
(lebih dari 5cm dengan penyebaran pada kulit atau beberapa kelenjar getah bening)     40
      IV     

Penyebaran yang luas atau Kanker metastatis
    20


B. KARAKTERISTIK KANKER PAYUDARA YANG BERDAMPAK PADA KAMBUH DAN KESELAMATAN
Tingkat Histologis Tumor

Merujuk pada seberapa banyak sel tumor yang telah memiliki kemiripan dengan sel normal dilihat dari mikroskop; skala tingkat 1 sampai dengan 3. Tumor tingkat 3 mengandung sel kanker yang sangat abnormal dan tumbuh pesat. Semakin tinggi tingkat histologis tumor, semakin besar resiko kanker payudara kembali.
          
Kelenjar Getah Bening

Jumlah kelenjar getah bening yang berada di ketiak, di sisi yang sama pada payudara yang terkena kanker, bisa jadi indikator penting. Semakin besar jumlah kelenjar yang positif diasosiasikan dengan kemungkinan terburuk dan merujuk kepada perawatan dan pengobatan yang lebih agresif.
            
Ukuran Tumor

Secara umum, semakin besar ukuran tumor, semakin besar kemungkinan untuk kanker payudara kembali menyerang.
          
ER/PR

Sekitar duapertiga dari semua kanker payudara telah memiliki tingkat esterogen yang signifikan dan/atau reseptor progesteron. Mereka dirujuk sebagai tumor reseptor esterogen positif (ER+). Tumor ER+ cenderung tumbuh kurang agresif dan dapat diobati dengan pengobatan menggunakan hormon.
            
HER2/erbB2

HER2 adalah sebuah protein yang telah ditemukan pada permukaan dari sel kanker tertentu. Sebuah tumor juga dapat digambarkan sebagai HER2-positif apabila tumor tersebut telah memiliki lebih banyak reseptor HER2 dibanding dengan yang lain. Sekitar 20-25% dari semua kanker payudara memiliki tumor dengan label HER2-positif. Tumors HER2-positif cenderung tumbuh lebih cepat daripada jenis-jenis kanker payudara lainnya.

Dengan mengetahui apakah sebuah kanker adalah HER2-positif dapat mempengaruhi pilihan pengobatan yang dapat diambil, karena wanita dengan tumor sejenis ini dapat diuntungkan dengan obat yang disebut trastuzumab (Herceptin®).

 
Pengobatan & Perawatan

Bagaimana kanker payudara diobati?

Pilihan pengobatan dan prognosis (peluang kesembuhan) tergantung dari tahapan kanker (apakah kanker tersebut hanya ada di payudara atau sudah menyebar ke bagian tubuh lainnya), tipe kanker payudara, karakteristik dari sel kanker dan apakah kanker tersebut ditemukan pada sisi payudara yang lain. Usia seorang wanita, status menopausal (apakah wanita tersebut masih memiliki siklus haid) dan kondisi kesehatan umumnya juga dapat mempengaruhi pilihan pengobatan dan prognosis.
 
Bedah

Pembedahan adalah umum untuk mengangkat kanker. Beberapa bentuk prosedur bedah termasuk:

1)    Bedah dengan mempertahankan payudara

    Lumpektomi atau Wide Local Excision – pengangkatan kanker dan sedikit jaringan di sekitarnya.
    Quadrantektomi – pengangkatan kanker dengan mengangkat lebih banyak jaringan disekitarnya dibandingkan dengan lumpektomi. Untuk prosedur quadrantektomi, seperempat bagian dari payudara diangkat.

2)    Mastektomi – pengangkatan seluruh bagian payudara dengan atau tanpa jaringan kelenjar getah bening di bawah aksila.
 
3)    Saat bedah payudara, beberapa sel kelenjar getah bening di bawah ketiak juga akan diambil untuk pemeriksaan.

 
Terapi Sistemik

    Kemoterapi
    Terapi Hormon
    Herceptin®

 
          
Radioterapi

Radioterapi dengan menggunakan sinar berenergi tinggi yang ditargetkan untuk dapat membunuh sel-sel kanker. Tujuannya adalah untuk dapat membunuh sel kanker yang mungkin tersisa di sekitar payudara.

Radioterapi sangatlah vital setelah prosedur bedah yang mempertahankan payudara, seperti lumpektomi, karena sebagian besar jaringan payudara dibiarkan utuh. Terapi ini juga akan mengurangi kemungkinan kembalinya kanker payudara.

Pada umumnya, wanita yang telah menjalani prosedur masektomi tidak memerlukan radioterapi. Akan tetapi, untuk beberapa kasus, prosedur ini perlu dilakukan untuk dapat merawat dinding dada dan kelenjar getah bening yang ada pada ketiak, bila resiko kembalinya kanker secara lokal masih tinggi.


Editor : dian sukmawati

KANKER PAYUDARA
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As he reflected on the festering wounds deepened by race and grievance that have been on painful display in America’s cities lately, President Obama on Monday found himself thinking about a young man he had just met named Malachi.

A few minutes before, in a closed-door round-table discussion at Lehman College in the Bronx, Mr. Obama had asked a group of black and Hispanic students from disadvantaged backgrounds what could be done to help them reach their goals. Several talked about counseling and guidance programs.

“Malachi, he just talked about — we should talk about love,” Mr. Obama told a crowd afterward, drifting away from his prepared remarks. “Because Malachi and I shared the fact that our dad wasn’t around and that sometimes we wondered why he wasn’t around and what had happened. But really, that’s what this comes down to is: Do we love these kids?”

Many presidents have governed during times of racial tension, but Mr. Obama is the first to see in the mirror a face that looks like those on the other side of history’s ledger. While his first term was consumed with the economy, war and health care, his second keeps coming back to the societal divide that was not bridged by his election. A president who eschewed focusing on race now seems to have found his voice again as he thinks about how to use his remaining time in office and beyond.

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Play Video|1:17

Obama Speaks of a ‘Sense of Unfairness’

Obama Speaks of a ‘Sense of Unfairness’

At an event announcing the creation of a nonprofit focusing on young minority men, President Obama talked about the underlying reasons for recent protests in Baltimore and other cities.

By Associated Press on Publish Date May 4, 2015. Photo by Stephen Crowley/The New York Times.

In the aftermath of racially charged unrest in places like Baltimore, Ferguson, Mo., and New York, Mr. Obama came to the Bronx on Monday for the announcement of a new nonprofit organization that is being spun off from his White House initiative called My Brother’s Keeper. Staked by more than $80 million in commitments from corporations and other donors, the new group, My Brother’s Keeper Alliance, will in effect provide the nucleus for Mr. Obama’s post-presidency, which will begin in January 2017.

“This will remain a mission for me and for Michelle not just for the rest of my presidency but for the rest of my life,” Mr. Obama said. “And the reason is simple,” he added. Referring to some of the youths he had just met, he said: “We see ourselves in these young men. I grew up without a dad. I grew up lost sometimes and adrift, not having a sense of a clear path. The only difference between me and a lot of other young men in this neighborhood and all across the country is that I grew up in an environment that was a little more forgiving.”

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Organizers said the new alliance already had financial pledges from companies like American Express, Deloitte, Discovery Communications and News Corporation. The money will be used to help companies address obstacles facing young black and Hispanic men, provide grants to programs for disadvantaged youths, and help communities aid their populations.

Joe Echevarria, a former chief executive of Deloitte, the accounting and consulting firm, will lead the alliance, and among those on its leadership team or advisory group are executives at PepsiCo, News Corporation, Sprint, BET and Prudential Group Insurance; former Secretary of State Colin L. Powell; Senator Cory Booker, Democrat of New Jersey; former Attorney General Eric H. Holder Jr.; the music star John Legend; the retired athletes Alonzo Mourning, Jerome Bettis and Shaquille O’Neal; and the mayors of Indianapolis, Sacramento and Philadelphia.

The alliance, while nominally independent of the White House, may face some of the same questions confronting former Secretary of State Hillary Rodham Clinton as she begins another presidential campaign. Some of those donating to the alliance may have interests in government action, and skeptics may wonder whether they are trying to curry favor with the president by contributing.

“The Obama administration will have no role in deciding how donations are screened and what criteria they’ll set at the alliance for donor policies, because it’s an entirely separate entity,” Josh Earnest, the White House press secretary, told reporters on Air Force One en route to New York. But he added, “I’m confident that the members of the board are well aware of the president’s commitment to transparency.”

The alliance was in the works before the disturbances last week after the death of Freddie Gray, the black man who suffered fatal injuries while in police custody in Baltimore, but it reflected the evolution of Mr. Obama’s presidency. For him, in a way, it is coming back to issues that animated him as a young community organizer and politician. It was his own struggle with race and identity, captured in his youthful memoir, “Dreams From My Father,” that stood him apart from other presidential aspirants.

But that was a side of him that he kept largely to himself through the first years of his presidency while he focused on other priorities like turning the economy around, expanding government-subsidized health care and avoiding electoral land mines en route to re-election.

After securing a second term, Mr. Obama appeared more emboldened. Just a month after his 2013 inauguration, he talked passionately about opportunity and race with a group of teenage boys in Chicago, a moment aides point to as perhaps the first time he had spoken about these issues in such a personal, powerful way as president. A few months later, he publicly lamented the death of Trayvon Martin, a black Florida teenager, saying that “could have been me 35 years ago.”

Photo
 
President Obama on Monday with Darinel Montero, a student at Bronx International High School who introduced him before remarks at Lehman College in the Bronx. Credit Stephen Crowley/The New York Times

That case, along with public ruptures of anger over police shootings in Ferguson and elsewhere, have pushed the issue of race and law enforcement onto the public agenda. Aides said they imagined that with his presidency in its final stages, Mr. Obama might be thinking more about what comes next and causes he can advance as a private citizen.

That is not to say that his public discussion of these issues has been universally welcomed. Some conservatives said he had made matters worse by seeming in their view to blame police officers in some of the disputed cases.

“President Obama, when he was elected, could have been a unifying leader,” Senator Ted Cruz of Texas, a Republican candidate for president, said at a forum last week. “He has made decisions that I think have inflamed racial tensions.”

On the other side of the ideological spectrum, some liberal African-American activists have complained that Mr. Obama has not done enough to help downtrodden communities. While he is speaking out more, these critics argue, he has hardly used the power of the presidency to make the sort of radical change they say is necessary.

The line Mr. Obama has tried to straddle has been a serrated one. He condemns police brutality as he defends most officers as honorable. He condemns “criminals and thugs” who looted in Baltimore while expressing empathy with those trapped in a cycle of poverty and hopelessness.

In the Bronx on Monday, Mr. Obama bemoaned the death of Brian Moore, a plainclothes New York police officer who had died earlier in the day after being shot in the head Saturday on a Queens street. Most police officers are “good and honest and fair and care deeply about their communities,” even as they put their lives on the line, Mr. Obama said.

“Which is why in addressing the issues in Baltimore or Ferguson or New York, the point I made was that if we’re just looking at policing, we’re looking at it too narrowly,” he added. “If we ask the police to simply contain and control problems that we ourselves have been unwilling to invest and solve, that’s not fair to the communities, it’s not fair to the police.”

Moreover, if society writes off some people, he said, “that’s not the kind of country I want to live in; that’s not what America is about.”

His message to young men like Malachi Hernandez, who attends Boston Latin Academy in Massachusetts, is not to give up.

“I want you to know you matter,” he said. “You matter to us.”

Obama Finds a Bolder Voice on Race Issues
Frontline  An installment of this PBS program looks at the effects of Ebola on Liberia and other countries, as well as the origins of the outbreak.
Frontline

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The program traces the outbreak to its origin, thought to be a tree full of bats in Guinea.

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WASHINGTON — The last three men to win the Republican nomination have been the prosperous son of a president (George W. Bush), a senator who could not recall how many homes his family owned (John McCain of Arizona; it was seven) and a private equity executive worth an estimated $200 million (Mitt Romney).

The candidates hoping to be the party’s nominee in 2016 are trying to create a very different set of associations. On Sunday, Ben Carson, a retired neurosurgeon, joined the presidential field.

Senator Marco Rubio of Florida praises his parents, a bartender and a Kmart stock clerk, as he urges audiences not to forget “the workers in our hotel kitchens, the landscaping crews in our neighborhoods, the late-night janitorial staff that clean our offices.”

Gov. Scott Walker of Wisconsin, a preacher’s son, posts on Twitter about his ham-and-cheese sandwiches and boasts of his coupon-clipping frugality. His $1 Kohl’s sweater has become a campaign celebrity in its own right.

Senator Rand Paul of Kentucky laments the existence of “two Americas,” borrowing the Rev. Dr. Martin Luther King Jr.’s phrase to describe economically and racially troubled communities like Ferguson, Mo., and Detroit.

Photo
 
Senator Marco Rubio of Florida praises his parents, a bartender and a Kmart stock clerk. Credit Joe Raedle/Getty Images

“Some say, ‘But Democrats care more about the poor,’ ” Mr. Paul likes to say. “If that’s true, why is black unemployment still twice white unemployment? Why has household income declined by $3,500 over the past six years?”

We are in the midst of the Empathy Primary — the rhetorical battleground shaping the Republican presidential field of 2016.

Harmed by the perception that they favor the wealthy at the expense of middle-of-the-road Americans, the party’s contenders are each trying their hardest to get across what the elder George Bush once inelegantly told recession-battered voters in 1992: “Message: I care.”

Their ability to do so — less bluntly, more sincerely — could prove decisive in an election year when power, privilege and family connections will loom large for both parties.

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Questions of understanding and compassion cost Republicans in the last election. Mr. Romney, who memorably dismissed the “47 percent” of Americans as freeloaders, lost to President Obama by 63 percentage points among voters who cast their ballots for the candidate who “cares about people like me,” according to exit polls.

And a Pew poll from February showed that people still believe Republicans are indifferent to working Americans: 54 percent said the Republican Party does not care about the middle class.

That taint of callousness explains why Senator Ted Cruz of Texas declared last week that Republicans “are and should be the party of the 47 percent” — and why another son of a president, Jeb Bush, has made economic opportunity the centerpiece of his message.

With his pedigree and considerable wealth — since he left the Florida governor’s office almost a decade ago he has earned millions of dollars sitting on corporate boards and advising banks — Mr. Bush probably has the most complicated task making the argument to voters that he understands their concerns.

On a visit last week to Puerto Rico, Mr. Bush sounded every bit the populist, railing against “elites” who have stifled economic growth and innovation. In the kind of economy he envisions leading, he said: “We wouldn’t have the middle being squeezed. People in poverty would have a chance to rise up. And the social strains that exist — because the haves and have-nots is the big debate in our country today — would subside.”

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Who Is Running for President (and Who’s Not)?

Republicans’ emphasis on poorer and working-class Americans now represents a shift from the party’s longstanding focus on business owners and “job creators” as the drivers of economic opportunity.

This is intentional, Republican operatives said.

In the last presidential election, Republicans rushed to defend business owners against what they saw as hostility by Democrats to successful, wealthy entrepreneurs.

“Part of what you had was a reaction to the Democrats’ dehumanization of business owners: ‘Oh, you think you started your plumbing company? No you didn’t,’ ” said Grover Norquist, the conservative activist and president of Americans for Tax Reform.

But now, Mr. Norquist said, Republicans should move past that. “Focus on the people in the room who know someone who couldn’t get a job, or a promotion, or a raise because taxes are too high or regulations eat up companies’ time,” he said. “The rich guy can take care of himself.”

Democrats argue that the public will ultimately see through such an approach because Republican positions like opposing a minimum-wage increase and giving private banks a larger role in student loans would hurt working Americans.

“If Republican candidates are just repeating the same tired policies, I’m not sure that smiling while saying it is going to be enough,” said Guy Cecil, a Democratic strategist who is joining a “super PAC” working on behalf of Hillary Rodham Clinton.

Republicans have already attacked Mrs. Clinton over the wealth and power she and her husband have accumulated, caricaturing her as an out-of-touch multimillionaire who earns hundreds of thousands of dollars per speech and has not driven a car since 1996.

Mr. Walker hit this theme recently on Fox News, pointing to Mrs. Clinton’s lucrative book deals and her multiple residences. “This is not someone who is connected with everyday Americans,” he said. His own net worth, according to The Milwaukee Journal Sentinel, is less than a half-million dollars; Mr. Walker also owes tens of thousands of dollars on his credit cards.

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But showing off a cheap sweater or boasting of a bootstraps family background not only helps draw a contrast with Mrs. Clinton’s latter-day affluence, it is also an implicit argument against Mr. Bush.

Mr. Walker, who featured a 1998 Saturn with more than 100,000 miles on the odometer in a 2010 campaign ad during his first run for governor, likes to talk about flipping burgers at McDonald’s as a young person. His mother, he has said, grew up on a farm with no indoor plumbing until she was in high school.

Mr. Rubio, among the least wealthy members of the Senate, with an estimated net worth of around a half-million dollars, uses his working-class upbringing as evidence of the “exceptionalism” of America, “where even the son of a bartender and a maid can have the same dreams and the same future as those who come from power and privilege.”

Mr. Cruz alludes to his family’s dysfunction — his parents, he says, were heavy drinkers — and recounts his father’s tale of fleeing Cuba with $100 sewn into his underwear.

Gov. Chris Christie of New Jersey notes that his father paid his way through college working nights at an ice cream plant.

But sometimes the attempts at projecting authenticity can seem forced. Mr. Christie recently found himself on the defensive after telling a New Hampshire audience, “I don’t consider myself a wealthy man.” Tax returns showed that he and his wife, a longtime Wall Street executive, earned nearly $700,000 in 2013.

The story of success against the odds is a political classic, even if it is one the Republican Party has not been able to tell for a long time. Ronald Reagan liked to say that while he had not been born on the wrong side of the tracks, he could always hear the whistle. Richard Nixon was fond of reminding voters how he was born in a house his father had built.

“Probably the idea that is most attractive to an average voter, and an idea that both Republicans and Democrats try to craft into their messages, is this idea that you can rise from nothing,” said Charles C. W. Cooke, a writer for National Review.

There is a certain delight Republicans take in turning that message to their advantage now.

“That’s what Obama did with Hillary,” Mr. Cooke said. “He acknowledged it openly: ‘This is ridiculous. Look at me, this one-term senator with dark skin and all of America’s unsolved racial problems, running against the wife of the last Democratic president.”

G.O.P. Hopefuls Now Aiming to Woo the Middle Class

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.

Photo
 
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.

Photo
 
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

GREENWICH, Conn. — Mago is in the bedroom. You can go in.

The big man lies on a hospital bed with his bare feet scraping its bottom rail. His head is propped on a scarlet pillow, the left temple dented, the right side paralyzed. His dark hair is kept just long enough to conceal the scars.

The occasional sounds he makes are understood only by his wife, but he still has that punctuating left hand. In slow motion, the fingers curl and close. A thumbs-up greeting.

Hello, Mago.

This is Magomed Abdusalamov, 34, also known as the Russian Tyson, also known as Mago. He is a former heavyweight boxer who scored four knockouts and 14 technical knockouts in his first 18 professional fights. He preferred to stand between rounds. Sitting conveyed weakness.

But Mago lost his 19th fight, his big chance, at the packed Theater at Madison Square Garden in November 2013. His 19th decision, and his last.

Now here he is, in a small bedroom in a working-class neighborhood in Greenwich, in a modest house his family rents cheap from a devoted friend. The air-pressure machine for his mattress hums like an expectant crowd.

 

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Mike Perez, left, and Magomed Abdusalamov during the fight in which Abdusalamov was injured. Credit Joe Camporeale/USA Today Sports, via Reuters

 

Today is like any other day, except for those days when he is hurried in crisis to the hospital. Every three hours during the night, his slight wife, Bakanay, 28, has risen to turn his 6-foot-3 body — 210 pounds of dead weight. It has to be done. Infections of the gaping bedsore above his tailbone have nearly killed him.

Then, with the help of a young caretaker, Baka has gotten two of their daughters off to elementary school and settled down the toddler. Yes, Mago and Baka are blessed with all girls, but they had also hoped for a son someday.

They feed Mago as they clean him; it’s easier that way. For breakfast, which comes with a side of crushed antiseizure pills, he likes oatmeal with a squirt of Hershey’s chocolate syrup. But even oatmeal must be puréed and fed to him by spoon.

He opens his mouth to indicate more, the way a baby does. But his paralysis has made everything a choking hazard. His water needs a stirring of powdered food thickener, and still he chokes — eh-eh-eh — as he tries to cough up what will not go down.

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Mago used to drink only water. No alcohol. Not even soda. A sip of juice would be as far as he dared. Now even water betrays him.

With the caretaker’s help, Baka uses a washcloth and soap to clean his body and shampoo his hair. How handsome still, she has thought. Sometimes, in the night, she leaves the bedroom to watch old videos, just to hear again his voice in the fullness of life. She cries, wipes her eyes and returns, feigning happiness. Mago must never see her sad.

 

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 Abdusalamov's hand being massaged. Credit Ángel Franco/The New York Times

 

When Baka finishes, Mago is cleanshaven and fresh down to his trimmed and filed toenails. “I want him to look good,” she says.

Theirs was an arranged Muslim marriage in Makhachkala, in the Russian republic of Dagestan. He was 23, she was 18 and their future hinged on boxing. Sometimes they would shadowbox in love, her David to his Goliath. You are so strong, he would tell her.

His father once told him he could either be a bandit or an athlete, but if he chose banditry, “I will kill you.” This paternal advice, Mago later told The Ventura County Reporter, “made it a very easy decision for me.”

Mago won against mediocre competition, in Moscow and Hollywood, Fla., in Las Vegas and Johnstown, Pa. He was knocked down only once, and even then, it surprised more than hurt. He scored a technical knockout in the next round.

It all led up to this: the undercard at the Garden, Mike Perez vs. Magomed Abdusalamov, 10 rounds, on HBO. A win, he believed, would improve his chances of taking on the heavyweight champion Wladimir Klitschko, who sat in the crowd of 4,600 with his fiancée, the actress Hayden Panettiere, watching.

Wearing black-and-red trunks and a green mouth guard, Mago went to work. But in the first round, a hard forearm to his left cheek rocked him. At the bell, he returned to his corner, and this time, he sat down. “I think it’s broken,” he repeatedly said in Russian.

 

Photo
 
Bakanay Abdusalamova, Abdusalamov's wife, and her injured husband and a masseur in the background. Credit Ángel Franco/The New York Times

 

Maybe at that point, somebody — the referee, the ringside doctors, his handlers — should have stopped the fight, under a guiding principle: better one punch too early than one punch too late. But the bloody trade of blows continued into the seventh, eighth, ninth, a hand and orbital bone broken, his face transforming.

Meanwhile, in the family’s apartment in Miami, Baka forced herself to watch the broadcast. She could see it in his swollen eyes. Something was off.

After the final round, Perez raised his tattooed arms in victory, and Mago wandered off in a fog. He had taken 312 punches in about 40 minutes, for a purse of $40,000.

 

 

In the locker room, doctors sutured a cut above Mago’s left eye and tested his cognitive abilities. He did not do well. The ambulance that waits in expectation at every fight was not summoned by boxing officials.

Blood was pooling in Mago’s cranial cavity as he left the Garden. He vomited on the pavement while his handlers flagged a taxi to St. Luke’s-Roosevelt Hospital. There, doctors induced a coma and removed part of his skull to drain fluids and ease the swelling.

Then came the stroke.

 

Photo
 
A championship belt belonging to Abdusalamov and a card from one of his daughters. Credit Ángel Franco/The New York Times

 

It is lunchtime now, and the aroma of puréed beef and potatoes lingers. So do the questions.

How will Mago and Baka pay the $2 million in medical bills they owe? What if their friend can no longer offer them this home? Will they win their lawsuits against the five ringside doctors, the referee, and a New York State boxing inspector? What about Mago’s future care?

Most of all: Is this it?

A napkin rests on Mago’s chest. As another spoonful of mush approaches, he opens his mouth, half-swallows, chokes, and coughs until it clears. Eh-eh-eh. Sometimes he turns bluish, but Baka never shows fear. Always happy for Mago.

Some days he is wheeled out for physical therapy or speech therapy. Today, two massage therapists come to knead his half-limp body like a pair of skilled corner men.

Soon, Mago will doze. Then his three daughters, ages 2, 6 and 9, will descend upon him to talk of their day. Not long ago, the oldest lugged his championship belt to school for a proud show-and-tell moment. Her classmates were amazed at the weight of it.

Then, tonight, there will be more puréed food and pulverized medication, more coughing, and more tender care from his wife, before sleep comes.

Goodbye, Mago.

He half-smiles, raises his one good hand, and forms a fist.

Meet Mago, Former Heavyweight

Hockey is not exactly known as a city game, but played on roller skates, it once held sway as the sport of choice in many New York neighborhoods.

“City kids had no rinks, no ice, but they would do anything to play hockey,” said Edward Moffett, former director of the Long Island City Y.M.C.A. Roller Hockey League, in Queens, whose games were played in city playgrounds going back to the 1940s.

From the 1960s through the 1980s, the league had more than 60 teams, he said. Players included the Mullen brothers of Hell’s Kitchen and Dan Dorion of Astoria, Queens, who would later play on ice for the National Hockey League.

One street legend from the heyday of New York roller hockey was Craig Allen, who lived in the Woodside Houses projects and became one of the city’s hardest hitters and top scorers.

“Craig was a warrior, one of the best roller hockey players in the city in the ’70s,” said Dave Garmendia, 60, a retired New York police officer who grew up playing with Mr. Allen. “His teammates loved him and his opponents feared him.”

Young Craig took up hockey on the streets of Queens in the 1960s, playing pickup games between sewer covers, wearing steel-wheeled skates clamped onto school shoes and using a roll of electrical tape as the puck.

His skill and ferocity drew attention, Mr. Garmendia said, but so did his skin color. He was black, in a sport made up almost entirely by white players.

“Roller hockey was a white kid’s game, plain and simple, but Craig broke the color barrier,” Mr. Garmendia said. “We used to say Craig did more for race relations than the N.A.A.C.P.”

Mr. Allen went on to coach and referee roller hockey in New York before moving several years ago to South Carolina. But he continued to organize an annual alumni game at Dutch Kills Playground in Long Island City, the same site that held the local championship games.

The reunion this year was on Saturday, but Mr. Allen never made it. On April 26, just before boarding the bus to New York, he died of an asthma attack at age 61.

Word of his death spread rapidly among hundreds of his old hockey colleagues who resolved to continue with the event, now renamed the Craig Allen Memorial Roller Hockey Reunion.

The turnout on Saturday was the largest ever, with players pulling on their old equipment, choosing sides and taking once again to the rink of cracked blacktop with faded lines and circles. They wore no helmets, although one player wore a fedora.

Another, Vinnie Juliano, 77, of Long Island City, wore his hearing aids, along with his 50-year-old taped-up quads, or four-wheeled skates with a leather boot. Many players here never converted to in-line skates, and neither did Mr. Allen, whose photograph appeared on a poster hanging behind the players’ bench.

“I’m seeing people walking by wondering why all these rusty, grizzly old guys are here playing hockey,” one player, Tommy Dominguez, said. “We’re here for Craig, and let me tell you, these old guys still play hard.”

Everyone seemed to have a Craig Allen story, from his earliest teams at Public School 151 to the Bryant Rangers, the Woodside Wings, the Woodside Blues and more.

Mr. Allen, who became a yellow-cab driver, was always recruiting new talent. He gained the nickname Cabby for his habit of stopping at playgrounds all over the city to scout players.

Teams were organized around neighborhoods and churches, and often sponsored by local bars. Mr. Allen, for one, played for bars, including Garry Owen’s and on the Fiddler’s Green Jokers team in Inwood, Manhattan.

Play was tough and fights were frequent.

“We were basically street gangs on skates,” said Steve Rogg, 56, a mail clerk who grew up in Jackson Heights, Queens, and who on Saturday wore his Riedell Classic quads from 1972. “If another team caught up with you the night before a game, they tossed you a beating so you couldn’t play the next day.”

Mr. Garmendia said Mr. Allen’s skin color provoked many fights.

“When we’d go to some ignorant neighborhoods, a lot of players would use slurs,” Mr. Garmendia said, recalling a game in Ozone Park, Queens, where local fans parked motorcycles in a lineup next to the blacktop and taunted Mr. Allen. Mr. Garmendia said he checked a player into the motorcycles, “and the bikes went down like dominoes, which started a serious brawl.”

A group of fans at a game in Brooklyn once stuck a pole through the rink fence as Mr. Allen skated by and broke his jaw, Mr. Garmendia said, adding that carloads of reinforcements soon arrived to defend Mr. Allen.

And at another racially incited brawl, the police responded with six patrol cars and a helicopter.

Before play began on Saturday, the players gathered at center rink to honor Mr. Allen. Billy Barnwell, 59, of Woodside, recalled once how an all-white, all-star squad snubbed Mr. Allen by playing him third string. He scored seven goals in the first game and made first string immediately.

“He’d always hear racial stuff before the game, and I’d ask him, ‘How do you put up with that?’” Mr. Barnwell recalled. “Craig would say, ‘We’ll take care of it,’ and by the end of the game, he’d win guys over. They’d say, ‘This guy’s good.’”

Tribute for a Roller Hockey Warrior

HOBART, Tasmania — Few places seem out of reach for China’s leader, Xi Jinping, who has traveled from European capitals to obscure Pacific and Caribbean islands in pursuit of his nation’s strategic interests.

So perhaps it was not surprising when he turned up last fall in this city on the edge of the Southern Ocean to put down a long-distance marker in another faraway region, Antarctica, 2,000 miles south of this Australian port.

Standing on the deck of an icebreaker that ferries Chinese scientists from this last stop before the frozen continent, Mr. Xi pledged that China would continue to expand in one of the few places on earth that remain unexploited by humans.

He signed a five-year accord with the Australian government that allows Chinese vessels and, in the future, aircraft to resupply for fuel and food before heading south. That will help secure easier access to a region that is believed to have vast oil and mineral resources; huge quantities of high-protein sea life; and for times of possible future dire need, fresh water contained in icebergs.

It was not until 1985, about seven decades after Robert Scott and Roald Amundsen raced to the South Pole, that a team representing Beijing hoisted the Chinese flag over the nation’s first Antarctic research base, the Great Wall Station on King George Island.

But now China seems determined to catch up. As it has bolstered spending on Antarctic research, and as the early explorers, especially the United States and Australia, confront stagnant budgets, there is growing concern about its intentions.

China’s operations on the continent — it opened its fourth research station last year, chose a site for a fifth, and is investing in a second icebreaker and new ice-capable planes and helicopters — are already the fastest growing of the 52 signatories to the Antarctic Treaty. That gentlemen’s agreement reached in 1959 bans military activity on the continent and aims to preserve it as one of the world’s last wildernesses; a related pact prohibits mining.

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But Mr. Xi’s visit was another sign that China is positioning itself to take advantage of the continent’s resource potential when the treaty expires in 2048 — or in the event that it is ripped up before, Chinese and Australian experts say.

“So far, our research is natural-science based, but we know there is more and more concern about resource security,” said Yang Huigen, director general of the Polar Research Institute of China, who accompanied Mr. Xi last November on his visit to Hobart and stood with him on the icebreaker, Xue Long, or Snow Dragon.

With that in mind, the polar institute recently opened a new division devoted to the study of resources, law, geopolitics and governance in Antarctica and the Arctic, Mr. Yang said.

Australia, a strategic ally of the United States that has strong economic relations with China, is watching China’s buildup in the Antarctic with a mix of gratitude — China’s presence offers support for Australia’s Antarctic science program, which is short of cash — and wariness.

“We should have no illusions about the deeper agenda — one that has not even been agreed to by Chinese scientists but is driven by Xi, and most likely his successors,” said Peter Jennings, executive director of the Australian Strategic Policy Institute and a former senior official in the Australian Department of Defense.

“This is part of a broader pattern of a mercantilist approach all around the world,” Mr. Jennings added. “A big driver of Chinese policy is to secure long-term energy supply and food supply.”

That approach was evident last month when a large Chinese agriculture enterprise announced an expansion of its fishing operations around Antarctica to catch more krill — small, protein-rich crustaceans that are abundant in Antarctic waters.

“The Antarctic is a treasure house for all human beings, and China should go there and share,” Liu Shenli, the chairman of the China National Agricultural Development Group, told China Daily, a state-owned newspaper. China would aim to fish up to two million tons of krill a year, he said, a substantial increase from what it currently harvests.

Because sovereignty over Antarctica is unclear, nations have sought to strengthen their claims over the ice-covered land by building research bases and naming geographic features. China’s fifth station will put it within reach of the six American facilities, and ahead of Australia’s three.

Chinese mappers have also given Chinese names to more than 300 sites, compared with the thousands of locations on the continent with English names.

In the unspoken competition for Antarctica’s future, scientific achievement can also translate into influence. Chinese scientists are driving to be the first to drill and recover an ice core containing tiny air bubbles that provide a record of climate change stretching as far back as 1.5 million years. It is an expensive and delicate effort at which others, including the European Union and Australia, have failed.

In a breakthrough a decade ago, European scientists extracted an ice core nearly two miles long that revealed 800,000 years of climate history. But finding an ice core going back further would allow scientists to examine a change in the earth’s climate cycles believed to have occurred 900,000 to 1.2 million years ago.

China is betting it has found the best location to drill, at an area called Dome A, or Dome Argus, the highest point on the East Antarctic Ice Sheet. Though it is considered one of the coldest places on the planet, with temperatures of 130 degrees below zero Fahrenheit, a Chinese expedition explored the area in 2005 and established a research station in 2009.

“The international community has drilled in lots of places, but no luck so far,” said Xiao Cunde, a member of the first party to reach the site and the deputy director of the Institute for Climate Change at the Chinese Academy of Meteorological Sciences. “We think at Dome A we will have a straight shot at the one-million-year ice core.”

Mr. Xiao said China had already begun drilling and hoped to find what scientists are looking for in four to five years.

To support its Antarctic aspirations, China is building a sophisticated $300 million icebreaker that is expected to be ready in a few years, said Xia Limin, deputy director of the Chinese Arctic and Antarctic Administration in Beijing. It has also bought a high-tech fixed-wing aircraft, outfitted in the United States, for taking sensitive scientific soundings from the ice.

China has chosen the site for its fifth research station at Inexpressible Island, named by a group of British explorers who were stranded at the desolate site in 1912 and survived the winter by excavating a small ice cave.

Mr. Xia said the inhospitable spot was ideal because China did not have a presence in that part of Antarctica, and because the rocky site did not have much snow, making it relatively cheap to build there.

Anne-Marie Brady, a professor of political science at the University of Canterbury in New Zealand and the author of a soon-to-be-released book, “China as a Polar Great Power,” said Chinese scientists also believed they had a good chance of finding mineral and energy resources near the site.

“China is playing a long game in Antarctica and keeping other states guessing about its true intentions and interests are part of its poker hand,” she said. But she noted that China’s interest in finding minerals was presented “loud and clear to domestic audiences” as the main reason it was investing in Antarctica.

Because commercial drilling is banned, estimates of energy and mineral resources in Antarctica rely on remote sensing data and comparisons with similar geological environments elsewhere, said Millard F. Coffin, executive director of the Institute for Marine and Antarctic Studies in Hobart.

But the difficulty of extraction in such severe conditions and uncertainty about future commodity prices make it unlikely that China or any country would defy the ban on mining anytime soon.

Tourism, however, is already booming. Travelers from China are still a relatively small contingent in the Antarctic compared with the more than 13,000 Americans who visited in 2013, and as yet there are no licensed Chinese tour operators.

But that is about to change, said Anthony Bergin, deputy director of the Australian Strategic Policy Institute. “I understand very soon there will be Chinese tourists on Chinese vessels with all-Chinese crew in the Antarctic,” he said.

 

Top News China’s Intents Are Questioned as It Builds in Antarctica

Mr. Alger, who served five terms from Texas, led Republican women in a confrontation with Lyndon B. Johnson that may have cost Richard M. Nixon the 1960 presidential election.

Bruce Alger, 96, Dies; Led ‘Mink Coat’ Protest Against Lyndon Johnson

From sea to shining sea, or at least from one side of the Hudson to the other, politicians you have barely heard of are being accused of wrongdoing. There were so many court proceedings involving public officials on Monday that it was hard to keep up.

In Newark, two underlings of Gov. Chris Christie were arraigned on charges that they were in on the truly deranged plot to block traffic leading onto the George Washington Bridge.

Ten miles away, in Lower Manhattan, Dean G. Skelos, the leader of the New York State Senate, and his son, Adam B. Skelos, were arrested by the Federal Bureau of Investigation on accusations of far more conventional political larceny, involving a job with a sewer company for the son and commissions on title insurance and bond work.

The younger man managed to receive a 150 percent pay increase from the sewer company even though, as he said on tape, he “literally knew nothing about water or, you know, any of that stuff,” according to a criminal complaint the United States attorney’s office filed.

The success of Adam Skelos, 32, was attributed by prosecutors to his father’s influence as the leader of the Senate and as a potentate among state Republicans. The indictment can also be read as one of those unfailingly sad tales of a father who cannot stop indulging a grown son. The senator himself is not alleged to have profited from the schemes, except by being relieved of the burden of underwriting Adam.

The bridge traffic caper is its own species of crazy; what distinguishes the charges against the two Skeloses is the apparent absence of a survival instinct. It is one thing not to know anything about water or that stuff. More remarkable, if true, is the fact that the sewer machinations continued even after the former New York Assembly speaker, Sheldon Silver, was charged in January with taking bribes disguised as fees.

It was by then common gossip in political and news media circles that Senator Skelos, a Republican, the counterpart in the Senate to Mr. Silver, a Democrat, in the Assembly, could be next in line for the criminal dock. “Stay tuned,” the United States attorney, Preet Bharara said, leaving not much to the imagination.

Even though the cat had been unmistakably belled, Skelos father and son continued to talk about how to advance the interests of the sewer company, though the son did begin to use a burner cellphone, the kind people pay for in cash, with no traceable contracts.

That was indeed prudent, as prosecutors had been wiretapping the cellphones of both men. But it would seem that the burner was of limited value, because by then the prosecutors had managed to secure the help of a business executive who agreed to record calls with the Skeloses. It would further seem that the business executive was more attentive to the perils of pending investigations than the politician.

Through the end of the New York State budget negotiations in March, the hopes of the younger Skelos rested on his father’s ability to devise legislation that would benefit the sewer company. That did not pan out. But Senator Skelos did boast that he had haggled with Gov. Andrew M. Cuomo, a Democrat, in a successful effort to raise a $150 million allocation for Long Island to $550 million, for what the budget called “transformative economic development projects.” It included money for the kind of work done by the sewer company.

The lawyer for Adam Skelos said he was not guilty and would win in court. Senator Skelos issued a ringing declaration that he was unequivocally innocent.

THIS was also the approach taken in New Jersey by Bill Baroni, a man of great presence and eloquence who stopped outside the federal courthouse to note that he had taken risks as a Republican by bucking his party to support paid family leave, medical marijuana and marriage equality. “I would never risk my career, my job, my reputation for something like this,” Mr. Baroni said. “I am an innocent man.”

The lawyer for his co-defendant, Bridget Anne Kelly, the former deputy chief of staff to Mr. Christie, a Republican, said that she would strongly rebut the charges.

Perhaps they had nothing to do with the lane closings. But neither Mr. Baroni nor Ms. Kelly addressed the question of why they did not return repeated calls from the mayor of Fort Lee, N.J., begging them to stop the traffic tie-ups, over three days.

That silence was a low moment. But perhaps New York hit bottom faster. Senator Skelos, the prosecutors charged, arranged to meet Long Island politicians at the wake of Wenjian Liu, a New York City police officer shot dead in December, to press for payments to the company employing his son.

Sometimes it seems as though for some people, the only thing to be ashamed of is shame itself.

Finding Scandal in New York and New Jersey, but No Shame
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