Selasa, 30 Desember 2014 0 komentar

Health Article



ARTICLE

Caffeine : How Does It Really Affect Our Health?

When we wake up in the morning, many of us reach for a coffee to kick-start our day. According to the International Coffee Organization, approximately 1.6 billion cups of coffee are consumed worldwide every day.
The US Food and Drug Administration (FDA) state that the average amount of caffeine consumed in the US is approximately 300 mg per person per day - the equivalent to between two and four cups of coffee. This is considered to be a moderate caffeine intake, which according to many studies, can promote a variety of health benefits.
But some studies claim otherwise, even suggesting that one or two cups of coffee a day may negatively impact our health. So, what are we to believe? We analyze the potential health benefits, as well as the negative side effects of caffeine consumption.

A natural stimulant

The main ingredient in coffee is caffeine - a compound that naturally derives from over 60 different plant sources, including coffee beans, tea leaves, cacao seeds and cola nut seeds. Caffeine acts as a stimulant by activating the central nervous system. It can combat tiredness and improve concentration and focus.

According to the University of Michigan Health Service, the stimulating effects of caffeine can start as early as 15 minutes after consumption and last up to 6 hours.

Other than coffee, caffeine is commonly consumed through tea, soft drinks - particularly energy drinks - and chocolate. It is also found in some prescription and non-prescription drugs, such as cold, allergy and pain medication.

The potential health benefits

As well as its stimulating effects, caffeine has been heralded for providing an array of health benefits. Last year, Medical News Today reported on a study suggesting that consuming three cups of coffee a day may reduce the risk of liver cancer by 50%, while another study suggests that drinking four cups a day could halve the risk of mouth and throat cancer.

Caffeine consumption has also been associated with positive effects on the brain. Last year, a study from the Harvard School of Public Health suggested that drinking between two and four cups of coffee a day may reduce suicide risk in adults, while more recent research found that ingesting 200 mg of caffeine each day may boost long-term memory.

Other studies have also suggested that caffeine intake may protect against type 2 diabetes, Parkinson's disease, cardiovascular disease and stroke.

Caffeine: the 'socially acceptable psychoactive drug'

With so much research claiming that caffeine consumption can benefit our health, and considering the number of products that contain the stimulant, it is no wonder caffeine consumption is so widespread.
Steven E. Meredith, postdoctoral research fellow at The Johns Hopkins University School of Medicine, told Medical News Today that, perhaps due to widespread consumption, many of us forget that caffeine is a psychoactive substance - a drug that crosses the blood-brain barrier to stimulate the central nervous system. He said: "Unlike most other psychoactive substances, caffeine use is socially acceptable, and the drug is widely used. In fact, caffeine is the most commonly used psychoactive substance in the world.
Moreover, the vast majority of caffeine consumers use the substance regularly without apparent harm. These factors likely contribute to the perspective that caffeine is a benign substance that everyone can use without suffering any negative consequences."

The negative effects of caffeine consumption

But of course, there can be negative consequences from caffeine consumption, particularly if ingested in high doses.  The Mayo Clinic state that consuming more than 500-600 mg of caffeine a day may lead to insomnia, nervousness, restlessness, irritability, an upset stomach, a fast heartbeat and even muscle tremors.
However, previous research has linked even moderate amounts of caffeine to negative health effects. Last year, Medical News Today reported on a study suggesting that consuming 300 mg of caffeine a day during pregnancy may increase the risk of low birth weight babies, while other research suggests that drinking four cups of coffee a day may increase the risk of early death.

Effects of caffeine vary from person to person

But Meredith told us that the effects of caffeine can vary in each individual, which may explain why there are mixed messages surrounding whether caffeine is good or bad for us. For example, he said that individuals with anxiety disorders are more susceptible to the anxiogenic effects of the compound.  "Caffeine can also metabolize at different rates among individuals for various reasons. For example, cigarette smokers metabolize caffeine twice as fast as non-smokers," he added. "However, caffeine metabolism is slower among infants, pregnant women and individuals with liver disease. In addition, some medications slow caffeine metabolism, which may increase the risk for caffeine intoxication. But the effects of caffeine also vary simply because we're all different."
Rob M. Van Dam, adjunct associate professor of the Department of Nutrition at the Harvard School of Public Health, told Medical News Today that the effects of caffeine are dependent on each person's genetic characteristics and lifestyle factors. "Thus, some people may have difficulty sleeping or experience tremors or stress with relatively low caffeine intakes and it is useful to be aware of these symptoms and reduce caffeine intake if these occur," he added.

Caffeine addiction and withdrawal

Given the positive effects caffeine can have as a stimulant, Meredith told Medical News Today that for some people, this can result in caffeine addiction. "Caffeine activates many of the same behavioral and neuropharmacological mechanisms that are activated by other reinforcers, including other drugs of abuse. And, like many other reinforcers, caffeine is associated with various positive subjective effects like increased wellbeing, sociability, and feelings of energy and alertness. For this reason and others, a small percentage of the population develops caffeine use disorder." He said that some people can become physically dependent on caffeine, with absence or reduction of coffee consumption in these individuals resulting in caffeine withdrawal.

This can trigger symptoms such as headache, fatigue, drowsiness, depression, irritability, concentration difficulties, nausea and vomiting. "Dependence can become so strong for some individuals that they're unable to reduce consumption despite knowledge of recurrent physical or psychological problems associated with continued use," Meredith added.

Kids and adolescents 'should avoid caffeine consumption'

Meredith said that based on the negative side effects caffeine consumption can have, doctors should be discussing caffeine use with their patients to determine whether they are ingesting safe levels of the stimulant. Furthermore, he warned that this is particularly important for children and adolescents. The majority of pediatricians recommend that this population should avoid caffeine consumption, particularly since it is unknown as to how excessive caffeine intake impacts the developing brain.
"Notably, caffeine interferes with sleep, and sleep plays a critical role in learning. Some laboratory research suggests that caffeine interferes with sleep and learning among adolescent rodents, which, in turn, hinders normal neurological development that is noticeable into adulthood," said Meredith. "Some psychologists are also concerned that a pattern of caffeine use or abuse among young people may lead to subsequent problematic drug and alcohol use."
The FDA clearly hold a similar view to pediatricians. In May last year, the organization announced it would be investigating the safety of caffeine in food products, particularly products aimed at children and adolescents.  The FDA are concerned that many food and drink products, such as jelly beans, waffles, syrup and chewing gum, now have caffeine added to them to enhance their stimulating effect.
Michael R. Taylor, deputy commissioner for foods and veterinary medicine at the FDA, said, "We're particularly concerned about children and adolescents and the responsibility FDA and the food industry have to protect public health and respect social norms that suggest we shouldn't be marketing stimulants, such as caffeine, to our children."
Meredith told us that studies have shown high caffeine intake may also produce negative side effects in pregnant women and individuals with heart conditions or anxiety disorders.  However, he added that the majority of us consume caffeine in moderation without any harmful side effects, so healthy adults should not be overly concerned. "But we should be mindful that when we consume caffeine, we are consuming a psychoactive substance that can cause or exacerbate some health problems," he cautioned.

SUMMARY

Caffeine : How Does It Really Affect Our Health?

A natural stimulant

The main ingredient in coffee is caffeine - a compound that naturally derives from over 60 different plant sources, including coffee beans, tea leaves, cacao seeds and cola nut seeds. Caffeine acts as a stimulant by activating the central nervous system. It can combat tiredness and improve concentration and focus. According to the University of Michigan Health Service, the stimulating effects of caffeine can start as early as 15 minutes after consumption and last up to 6 hours.

The potential health benefits

Medical News Today reported on a study suggesting that consuming three cups of coffee a day may reduce the risk of liver cancer by 50%, while another study suggests that drinking four cups a day could halve the risk of mouth and throat cancer.

Caffeine: the 'socially acceptable psychoactive drug'

With so much research claiming that caffeine consumption can benefit our health, it is no wonder caffeine consumption is so widespread. But Steven E. Meredith, postdoctoral research fellow at The Johns Hopkins University School of Medicine, told Medical News Today that, perhaps due to widespread consumption, many of us forget that caffeine is a psychoactive substance - a drug that crosses the blood-brain barrier to stimulate the central nervous system.
The negative effects of caffeine consumption
The Mayo Clinic state that consuming more than 500-600 mg of caffeine a day may lead to insomnia, nervousness, restlessness, irritability, an upset stomach, a fast heartbeat and even muscle tremors.

Effects of caffeine vary from person to person

Meredith told us that the effects of caffeine can vary in each individual. "Caffeine can also metabolize at different rates among individuals for various reasons. For example, cigarette smokers metabolize caffeine twice as fast as non-smokers," he added. Rob M. Van Dam, adjunct associate professor of the Department of Nutrition at the Harvard School of Public Health, told Medical News Today that the effects of caffeine are dependent on each person's genetic characteristics and lifestyle factors. "Thus, some people may have difficulty sleeping or experience tremors or stress with relatively low caffeine intakes and it is useful to be aware of these symptoms and reduce caffeine intake if these occur," he added.

Caffeine addiction and withdrawal

Meredith told Medical News Today that for some people, this can result in caffeine addiction. "Dependence can become so strong for some individuals that they're unable to reduce consumption despite knowledge of recurrent physical or psychological problems associated with continued use," Meredith added.

Kids and adolescents 'should avoid caffeine consumption'

Meredith said that based on the negative side effects caffeine consumption can have, doctors should be discussing caffeine use with their patients to determine whether they are ingesting safe levels of the stimulant. The majority of pediatricians recommend that this population should avoid caffeine consumption, particularly since it is unknown as to how excessive caffeine intake impacts the developing brain. "Notably, caffeine interferes with sleep, and sleep plays a critical role in learning. Some laboratory research suggests that caffeine interferes with sleep and learning among adolescent rodents, which, in turn, hinders normal neurological development that is noticeable into adulthood," said Meredith.






OPINION

Caffeine : How Does It Really Affect Our Health?

In my opinion, caffeine is found in coffee which is commonly consumption by many people around the world. Coffee is one of the most popular drinks not only parents, but also teenagers. For some people, coffee is often used as a weapon to ward off drowsiness, because the content of caffeine in it. Beside coffee, tea, chocolate, energy drinks, and soft drinks such as cola generally contain caffeine.
Many people contend that coffee consumption can cause various harmful diseases. In my opinion, the think of people that coffee is bad for health is actually not true, but it is also not 100 percent wrong. My opinion, consumption of coffe very bad impact on health, but do not when consumed with reasonable. By brewing coffee to dilute with reducing sugar in coffee. 1 cup of coffee a day is ideal to consume the coffe for adult. We also have to remember that excessive coffee consumption can be bad for health.
Children who consume caffeine every day, tend to have a little sleep. If children who have anxiety disorders, the effects of caffeine will only make things worse. Parents do not let their children drink coffe or energy drinks too often, because the drink may have a higher caffeine content than soda.
The negative effects if consumed to excess caffeine, for example: addiction, added stress, danger of hypertension, reduced fertility of women, the risk of oral cancer, the risk of gastric disease, etc. So I agree with article “Caffeine: How Does It Really Affect Our Health?”




 





ARTICLE
How Stress Affects Your Health
Stress: We've all felt it. Sometimes stress can be a positive force, motivating you to perform well at your piano recital or job interview. But often - like when you're stuck in traffic - it's a negative force. If you experience stress over a prolonged period of time, it could become chronic - unless you take action.

A natural reaction

Have you ever found yourself with sweaty hands on a first date or felt your heart pound during a scary movie? Then you know you can feel stress in both your mind and body.
This automatic response developed in our ancient ancestors as a way to protect them from predators and other threats. Faced with danger, the body kicks into gear, flooding the body with hormones that elevate your heart rate, increase your blood pressure, boost your energy and prepare you to deal with the problem.
These days, you're not likely to face the threat of being eaten. But you probably do confront multiple challenges every day, such as meeting deadlines, paying bills and juggling childcare that make your body react the same way. As a result, your body's natural alarm system - the “fight or flight” response - may be stuck in the on position. And that can have serious consequences for your health.

Pressure points

Even short-lived, minor stress can have an impact. You might get a stomach-ache before you have to give a presentation, for example. More major acute stress, whether caused by a fight with your spouse or an event like an earthquake or terrorist attack, can have an even bigger impact.
Multiple studies have shown that these sudden emotional stresses - especially anger - can trigger heart attacks, arrhythmias and even sudden death.1 Although this happens mostly in people who already have heart disease, some people don't know they have a problem until acute stress causes a heart attack or something worse.

Chronic stress

When stress starts interfering with your ability to live a normal life for an extended period, it becomes even more dangerous. The longer the stress lasts, the worse it is for both your mind and body. You might feel fatigued, unable to concentrate or irritable for no good reason, for example. But chronic stress causes wear and tear on your body, too.
Stress can make existing problems worse. In one study, for example, about half the participants saw improvements in chronic headaches after learning how to stop the stress-producing habit of “catastrophizing,” or constantly thinking negative thoughts about their pain. Chronic stress may also cause disease, either because of changes in your body or the overeating, smoking and other bad habits people use to cope with stress. Job strain — high demands coupled with low decision-making latitude — is associated with increased risk of coronary disease, for example. Other forms of chronic stress, such as depression and low levels of social support, have also been implicated in increased cardiovascular risk. And once you're sick, stress can also make it harder to recover. One analysis of past studies, for instance, suggests that cardiac patients with so-called “Type D” personalities — characterized by chronic distress — face higher risks of bad outcomes.

What you can do

Reducing your stress levels can not only make you feel better right now, but may also protect your health long-term.
In one study, researchers examined the association between “positive affect” - feelings like happiness, joy, contentment and enthusiasm - and the development of coronary heart disease over a decade.6 They found that for every one-point increase in positive affect on a five-point scale, the rate of heart disease dropped by 22 percent.
While the study doesn't prove that increasing positive affect decreases cardiovascular risks, the researchers recommend boosting your positive affect by making a little time for enjoyable activities every day.
Other strategies for reducing stress include:
·         Identify what's causing stress. Monitor your state of mind throughout the day. If you feel stressed, write down the cause, your thoughts and your mood. Once you know what's bothering you, develop a plan for addressing it. That might mean setting more reasonable expectations for yourself and others or asking for help with household responsibilities, job assignments or other tasks. List all your commitments, assess your priorities and then eliminate any tasks that are not absolutely essential.
·         Build strong relationships. Relationships can be a source of stress. Research has found that negative, hostile reactions with your spouse cause immediate changes in stress-sensitive hormones, for example.7 But relationships can also serve as stress buffers. Reach out to family members or close friends and let them know you're having a tough time. They may be able to offer practical assistance and support, useful ideas or just a fresh perspective as you begin to tackle whatever's causing your stress.
·         Walk away when you're angry. Before you react, take time to regroup by counting to 10. Then reconsider. Walking or other physical activities can also help you work off steam. Plus, exercise increases the production of endorphins, your body's natural mood-booster. Commit to a daily walk or other form of exercise — a small step that can make a big difference in reducing stress levels.
·         Rest your mind. According to APA's 2012 Stress in America survey, stress keeps more than 40 percent of adults lying awake at night. To help ensure you get the recommended seven or eight hours of shut-eye, cut back on caffeine, remove distractions such as television or computers from your bedroom and go to bed at the same time each night. Research shows that activities like yoga and relaxation exercises not only help reduce stress, but also boost immune functioning.8
·         Get help. If you continue to feel overwhelmed, consult with a psychologist or other licensed mental health professional who can help you learn how to manage stress effectively. He or she can help you identify situations or behaviors that contribute to your chronic stress and then develop an action plan for changing them.

SUMMARY

How Stress Affects Your Health

A natural reaction

Have you ever found yourself with sweaty hands or felt your heart pound during a scary movie? Then you know you can feel stress in both your mind and body. These days you probably do confront multiple challenges every day, such as meeting deadlines, paying bills and juggling childcare that make your body react the same way. As a result, your body's natural alarm system - the “fight or flight” response - may be stuck in the on position. And that can have serious consequences for your health.

Pressure points

Multiple studies have shown that these sudden emotional stresses - especially anger - can trigger heart attacks, arrhythmias and even sudden death.1 Although this happens mostly in people who already have heart disease, some people don't know they have a problem until acute stress causes a heart attack or something worse.

Chronic stress

When stress starts interfering with your ability to live a normal life for an extended period, it becomes even more dangerous. You might feel fatigued, unable to concentrate or irritable for no good reason. Chronic stress may also cause disease, either because of changes in your body or the overeating, smoking and other bad habits people use to cope with stress. Other forms of chronic stress, such as depression and low levels of social support, have also been implicated in increased cardiovascular risk. And once you're sick, stress can also make it harder to recover.

What you can do

Reducing your stress levels can not only make you feel better right now, but may also protect your health long-term. Other strategies for reducing stress include :
a.       Identify what's causing stress
b.      Build strong relationships
c.       Walk away when you're angry
d.      Rest your mind
e.       Get help
OPINION
How Stress Affects Your Health
I agree with article “How Stress Affects Your Health”. In my opinion, stress is the body's reaction to any change that requires an adjustment or response. The body reacts to these changes with physical, mental, and emotional responses. Stress is a normal part of life. Many events that happen and around someone - and many things that someone do theirself - put stress on their body. Someone can experience stress from their environment, their body, and their thoughts.
How stress affects your health? I think, the human body is designed to experience stress and react to something. Stress can be positive, keeping us alert and ready to avoid danger. But stress becomes negative when a person faces continuous challenges without relief or relaxation between challenges. As a result, the person becomes overworked and stress-related tension builds.
Stress that continues without relief, I think can lead to a condition called distress. Distress is a negative stress reaction. Distress can lead to physical symptoms including headaches, upset stomach, elevated blood pressure, chest pain, and problems sleeping. Stress also can bring on or worsen certain symptoms or diseases.
I think stress also becomes harmful when people use alcohol, tobacco, or drugs to try to relieve their stress. Unfortunately, instead of relieving the stress and returning the body to a relaxed state, these substances tend to keep the body in a stressed state and cause more problems.


ARTICLE

The Health Benefits of Water

We all need water to survive, but how exactly does it help?

Did you know that your body weight is approximately 60 percent water? Your body uses water in all its cells, organs, and tissues to help regulate its temperature and maintain other bodily functions. Because your body loses water through breathing, sweating, and digestion, it's important to rehydrate by drinking fluids and eating foods that contain water. The amount of water you need depends on a variety of factors, including the climate you live in, how physically active you are, and whether you're experiencing an illness or have any other health problems.
Water Protects Your Tissues, Spinal Cord, and Joints
Water does more than just quench your thirst and regulate your body's temperature; it also keeps the tissues in your body moist. You know how it feels when your eyes, nose, or mouth gets dry? Keeping your body hydrated helps it retain optimum levels of moisture in these sensitive areas, as well as in the blood, bones, and the brain. In addition, water helps protect the spinal cord, and it acts as a lubricant and cushion for your joints.
Water Helps Your Body Remove Waste
Adequate water intake enables your body to excrete waste through perspiration, urination, and defecation. The kidneys and liver use it to help flush out waste, as do your intestines. Water can also keep you from getting constipated by softening your stools and helping move the food you've eaten through your intestinal tract. However, it should be noted that there is no evidence to prove that increasing your fluid intake will cure constipation.
Water Aids in Digestion
Digestion starts with saliva, the basis of which is water. Digestion relies on enzymes that are found in saliva to help break down food and liquid and to dissolve minerals and other nutrients. Proper digestion makes minerals and nutrients more accessible to the body. Water is also necessary to help you digest soluble fiber. With the help of water, this fiber dissolves easily and benefits your bowel health by making well-formed, soft stools that are easy to pass.
Water Prevents You From Becoming Dehydrated
Your body loses fluids when you engage in vigorous exercise, sweat in high heat, or come down with a fever or contract an illness that causes vomiting or diarrhea. If you're losing fluids for any of these reasons, it's important to increase your fluid intake so that you can restore your body's natural hydration levels. Your doctor may also recommend that you drink more fluids to help treat other health conditions, like bladder infections and urinary tract stones. If you're pregnant or nursing, you may want to consult with your physician about your fluid intake because your body will be using more fluids than usual, especially if you're breastfeeding.
How Much Water Do You Need?
Some recent research suggests that increased amounts of water — such as the recommended eight 8-ounce glasses of water a day — may not have as many health benefits as experts previously believed. Most people who are in good physical health get enough fluids by drinking water and other beverages when they're thirsty, and also by drinking a beverage with each of their meals, according to the Centers for Disease Control and Prevention. If you're not sure about your hydration level, look at your urine. If it's clear, you're in good shape. If it's dark, you're probably dehydrated.


SUMMARY

The Health Benefits of Water

We all need water to survive, but how exactly does it help?

Your body uses water in all its cells, organs, and tissues to help regulate its temperature and maintain other bodily functions. The amount of water you need depends on a variety of factors, including the climate you live in, how physically active you are, and whether you're experiencing an illness or have any other health problems.
Water Protects Your Tissues, Spinal Cord, and Joints
Water keeping your body hydrated helps it retain optimum levels of moisture in these sensitive areas, as well as in the blood, bones, and the brain. In addition, water helps protect the spinal cord, and it acts as a lubricant and cushion for your joints.
Water Helps Your Body Remove Waste
Adequate water intake enables your body to excrete waste through perspiration, urination, and defecation.
Water Aids in Digestion
Digestion starts with saliva, the basis of which is water. Digestion relies on enzymes that are found in saliva to help break down food and liquid and to dissolve minerals and other nutrients. Water is also necessary to help you digest soluble fiber.
Water Prevents You From Becoming Dehydrated
If you're losing fluids when you engage in vigorous exercise, sweat in high heat, or come down with a fever or contract an illness that causes vomiting or diarrhea, you must drink more fluids such as water to help treat other health conditions.
How Much Water Do You Need?
Some recent research recommend eight 8 glasses of water a day. Most people who are in good physical health get enough fluids by drinking water and other beverages when they're thirsty, and also by drinking a beverage with each of their meals, according to the Centers for Disease Control and Prevention.

OPINION

The Health Benefits of Water

From childhood, someone already taught to consume water. However, often someone ignore and belittle benefits of water itself. Someone often prefer the consumption of sweet drinks and uninterested with the white water. Although it may seem water is simple, but it turns out to have remarkable properties.
The function water in the body to maintain freshness, helps digestion and eliminate toxins. But, I think there are many benefits of water, in the other side to the pleasant of freshness. If the mood ot mind someone is not fun, with drink water can to re-fresh. Basically, the mind is not conducive cause is the lack of water content in the brain. With drink water, someone mind will be fresh again.
White water is a beverage that has so many health benefits. In addition to maintaining the freshness, helps digestion and remove toxins,  I think every cell in our body needs water to live healthy, where the water is needed to balance the body's metabolic processes are highly dependent on fluid intake into the body. If the number is not equal to the expenditure, it will be impaired or dehydration. Water becomes a major necessary for the body, because our body is mostly composed by water. On average each person has 60% of their weight. All systems in the body depends on water. For example, water flushes toxins out of vital organs, carries nutrients to your cells so that the benefits of water can also help keep the moisture in the network ear, nose and throat.
Here are many reasons to make sure people drinking enough water or other fluids every day : drinking water helps maintain the balance of body fluids, water can help control calories, water helps energize muscles, water helps keep skin looking good,  water helps your kidneys, water helps maintain normal bowel function, creating beauty care and radiant skin and skin refreshes, cure various ailments and severe, helps maintain weight, healthy heart, helps prevent strokes, can reduce stress levels, balancing the body, maintain kidney function. So I agree with article “The Health Benefits of Water”.


SOURCE

Whiteman Honor. 2014. Caffeine: How Does It Really Affect Our Health?. Online (http://www.medicalnewstoday.com/articles/271707.php). Access on 28th December, 2014.  05:08 pm.
Krantz David S. 2014. How Stress Affects Your Health. Online (http://www.apa.org/helpcenter/stress.aspx). Access on 1st January, 2015. 03:23 pm.
Jen Laskey. 2014. The Health Benefits of Water. Online (http://www.everydayhealth.com/water-health/water-body-health.aspx). Access on 27th December 2014. 01:33 pm.

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Primary Education in Indonesia



Primary Education in Indonesia
Indonesians are required to attend twelve years of school. They can choose between state-run, nonsectarian public schools supervised by the Department of National Education (Depdiknas) or private or semi-private religious (usually Islamic) schools supervised and financed by the Department of Religious Affairs. Students can also choose to participate in extracurricular activities provided by the school such as sports, arts, or religious studies.
A central goal of the national education system is not merely to impart secular wisdom about the world but also to instruct children in the principles of participation in the modern nation-state, its bureaucracies, and its moral and ideological foundations. Beginning under Guided Democracy (1959–65) and strengthened in the New Order after 1975, a key feature of the national curriculum—as was the case for other national institutions—has been instruction in the pancasila. But with the end of the New Order in 1998 and the beginning of the campaign to decentralize the national government, provincial and district-level administrators obtained increasing autonomy in determining the content of schooling, and Pancasila began to play a diminishing role in the curriculum.
Children aged 6–11 attend primary school, called Sekolah Dasar (SD). Most elementary schools are government-operated public schools, accounting for nearly 93% of all elementary schools in Indonesia. Students spend six years in primary school, though some schools offer an accelerated learning program in which students who perform well can complete the level in five years.
Students with disabilities/special needs may alternately opt to be enrolled in a separate school from the mainstream called Sekolah Luar Biasa (lit. Extraordinary School
By 2008, the staff shortage in Indonesia's schools was no longer as acute as in the 1980s, but serious difficulties remain, particularly in the areas of teacher salaries, teacher certification, and finding qualified personnel. In many remote areas of the Outer Islands, in particular, there is a severe shortage of qualified teachers, and some villages have school buildings but no teachers, books, or supplies. Providing textbooks and other school equipment to Indonesia’s 37 million schoolchildren throughout the far-flung archipelago continues to be a significant problem as well, especially in more remote areas.
Primary Education In America
In comparing elementary schools in the United States with those of other countries, some distinctions in terminology are necessary. In the United States, elementary education refers to children's first formal schooling prior to secondary school. (Although kindergartens, enrolling children at age five, are part of public schools, attendance is not compulsory.) In school systems in many other countries, the term primary covers what in the United States is designated as elementary schooling. In American elementary schools, the term primary refers to the first level, namely kindergarten through grades one, two, and three.
The elementary school curriculum provides work in the educational basics - reading, writing, arithmetic, an introduction to natural and social sciences, health, arts and crafts, and physical education. An important part of elementary schooling is socialization with peers and the creating of an identification of the child with the community and nation.
Goals of Elementary Schools
Elementary schools in the United States, as in other countries, have the goals of providing children with fundamental academic skills, basic knowledge, and socialization strategies. They are key institutions in instilling a sense of national identity and citizenship in children.
In the United States, elementary schools prepare children to use language by teaching reading, writing, comprehension, and computation. Elementary schools worldwide devote considerable time and resources to teaching reading, decoding, and comprehending the written and spoken word. The stories and narratives children learn to read are key elements in political and cultural socialization, the forming of civic character, and the shaping of civility and behavior. Throughout the history of American education, the materials used to teach reading exemplified the nation's dominant values. For example, the New England Primer, used in colonial schools, stressed Puritanism's religious and ethical values. Noah Webster's spelling books and readers emphasized American national identity and patriotism. The McGuffey Readers, widely used in late nineteenth century schools, portrayed boys and girls who always told the truth, who worked diligently, and who honored their fathers and mothers and their country. McGuffey values were reinforced by the American flag, which hung at the front of elementary classrooms, flanked by portraits of Presidents Washington and Lincoln. The "Dick and Jane" readers of the 1930s and 1940s depicted the lifestyle and behaviors of the dominant white middle class. Contemporary reading books and materials portray a much more multicultural view of life and society.
The language of instruction in elementary or primary schools is often highly controversial in many countries, especially in multilingual ones. The ability to use the "official" language provides access to secondary and higher education and entry into professions. In such multilanguage nations as India, Canada, and Belgium, protracted controversies have occurred over which language should be the official one. In the United States, the dominant language of instruction in public schools has been English. The children of non-English-speaking immigrants were assimilated into American culture by the imposition of English through the elementary school curriculum. The later entry of bilingual education in the United States was an often controversial educational development, and remains so in the early twenty-first century.
Along with the development of language competencies, elementary education prepares children in the fundamental mathematical skills - in counting, using number systems, measuring, and performing the basic operations of adding, subtracting, multiplying, and dividing. Further, the foundations of science, social science, health, art, music, and physical education are also taught.

 

 
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