Notifedia.com, Parepare – Komisi II DPRD Kota Parepare melakukan inspeksi mendadak (sidak) ke area parkir RSUD Andi Makkasau, Selasa (16/4/2025), sebagai tindak lanjut atas Rapat Dengar Pendapat (RDP) yang sebelumnya digelar bersama manajemen rumah sakit.
Sidak ini dipicu oleh berbagai keluhan masyarakat terkait pengelolaan parkir di rumah sakit milik pemerintah daerah tersebut.
Sidak dipimpin oleh Wakil Ketua DPRD Kota Parepare, Yusuf Lapanna, bersama sejumlah anggota Komisi II yakni S. Parman Agus Mante, Sappe, Asmawati, Musdalifa Pawe, dan Indriasari Husni.
Dalam wawancara setelah RDP di DPRD dr. Reni Anggraeni membeberkan kondisi pengelolaan parkir oleh pihak ketiga yang dinilai tidak berjalan sesuai kesepakatan.
Berdasarkan Perjanjian Kerja Sama (PKS), disebutkan bahwa pihak ketiga wajib menyetor Rp35 juta per bulan kepada pihak rumah sakit, serta 10% dari total omzet parkir ke Pemerintah Daerah.
Namun, realisasinya jauh dari harapan.
“Untuk bulan Januari dan Maret belum ada pembayaran. Februari pun baru dibayarkan pada tanggal 9 Februari, itu pun setelah kami melayangkan teguran resmi kepada pihak pengelola,” ungkap dr. Reni. Ia menambahkan, pihak rumah sakit telah memberikan batas waktu hingga tanggal 15 April untuk evaluasi internal.
Jika hingga batas waktu tersebut tidak ada perbaikan, maka kontrak dengan pihak ketiga berpotensi dihentikan.
“Evaluasi ini menjadi dasar kami untuk menyusun laporan kepada pimpinan dan mempertimbangkan langkah selanjutnya,” ujar dr. Reni.
Selain masalah tunggakan, sistem pengelolaan parkir juga mendapat sorotan tajam dari masyarakat dan DPRD. Banyak keluhan yang masuk ke manajemen rumah sakit, mulai dari tata kelola yang tidak profesional, hingga peralatan parkir seperti portal otomatis yang sudah tidak optimal dan tidak sesuai standar yang seharusnya digunakan di fasilitas kesehatan.
“Struk parkir sering tidak keluar, alat portal sering macet, dan petugas parkir kurang profesional. Ini menjadi sorotan kami karena menyangkut pelayanan publik,” tambah dr. Reni.
Manajemen rumah sakit sendiri mengaku telah dua kali memberikan teguran tertulis kepada pihak ketiga, namun belum ada perubahan signifikan.
S. Parman Agus Mante, selaku ketua Komisi II, menyampaikan bahwa pihaknya akan terus memantau perkembangan di lapangan dalam 1–2 hari ke depan setelah kita melakukan Sidak hari ini.
Evaluasi menyeluruh akan dilakukan terhadap jumlah pegawai parkir, sistem kerja, hingga pemenuhan seluruh kewajiban yang tercantum dalam PKS.
“Kita lihat apakah pengelola menjalankan kewajibannya dengan benar. Kalau tidak ada perbaikan, kami akan merekomendasikan kepada lembaga untuk mengambil keputusan tegas,” tegas Parman.
Hal senada diungkapkan oleh Anggota Komisi II lainnya, Sappe. Ia mengonfirmasi bahwa hasil RDP dan Sidak menunjukkan adanya pelanggaran terhadap poin-poin dalam PKS.
“Setoran bulan Januari nihil, kemungkinan besar setoran ke Pemda juga belum ada. Ini menunjukkan ketidaksesuaian dalam pelaksanaan kontrak,” ujar Sappe.
Ia menambahkan, pelanggaran ini bisa dikategorikan sebagai wanprestasi yang memungkinkan dicabutnya kontrak kerja sama.
“Sesuai regulasi, manajemen rumah sakit punya kewenangan untuk mengambil alih kembali pengelolaan parkir apabila pengelola pihak ketiga dinilai tidak memenuhi komitmen,” lanjutnya.
DPRD menyampaikan bahwa setelah evaluasi lapangan selesai, hasilnya akan dibawa ke forum lembaga untuk diberikan rekomendasi resmi.
“Kami tidak bisa langsung mengambil keputusan. Harus ada mekanisme lembaga, dan tentunya melalui hasil evaluasi yang matang,” kata Parman.
Komisi II menegaskan bahwa pengelolaan parkir di rumah sakit harus memberikan kenyamanan dan kepastian layanan kepada masyarakat, bukan justru menimbulkan masalah baru.
“Hak masyarakat untuk mendapat pelayanan yang baik di fasilitas umum seperti rumah sakit tidak boleh terganggu hanya karena pengelolaan parkir yang amburadul. Kalau perlu, kembalikan pengelolaannya ke rumah sakit,” pungkas Parman.
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There are some research to point out that Anavar will bring a couple of reducing of complete Cholesterol
ranges, however together with Testosterone, blood lipids
will still be out of vary. Nicely, if you’re seeking to get some of the benefits with none
of the drawbacks, perhaps ANVAROL can be the factor for you.
There are a quantity of different components that can assist bettering your overall health and can absolutely
help in your fitness endeavors. None of them
maintain important benefits over the others, so none of
them are ‘better’.
During your oxandrolone remedy, you will want to get common blood and urine exams.
This is to ensure that you’re not affected by any
serious unwanted effects caused by the oxandrolone. This will prevent any problems from becoming very
critical since they are going to be caught early. This targeted discount is believed to happen by
way of Anavar’s interaction with androgen receptors in adipose tissue, modulating lipolysis and lowering saved
fats. The Journal of Scientific Pharmacology suggests Anavar enhances fatty acid oxidation, facilitating fat use as an power source throughout physical
activity. In clenbuterol’s case, as a result of it doesn’t
have an effect on the hypothalamic-pituitary-testicular axis (HPTA) however as an alternative the central nervous system,
women usually take a similar dose to men.
Therefore, if a soldier has low testosterone and is prescribed TRT, if he tests constructive for testosterone, the test will come back as negative to the commander.
Nevertheless, we know of bodybuilders that have retained
just about all of their outcomes on Anavar when they proceed common weight training.
Such successful muscle retention could additionally be attributed to
Anavar not aggressively shutting down endogenous testosterone manufacturing.
In Thailand, the law states that Anavar should not be issued out through
a prescription due to anabolic steroids being Class S managed drugs.
However, bodybuilders visiting Thailand have reported buying Anavar from
native pharmacies with ease.
This support accelerates recovery by decreasing muscle soreness
and making ready the muscles for the following workout.
Faster restoration occasions allow for more frequent and
productive coaching classes, optimizing long-term progress.
Anavar is famend for its ability to help a big selection of fitness aims.
Consider consulting with a healthcare provider or nutritionist to evaluate
your caloric needs primarily based in your targets, body composition, and exercise level.
One Other advantage of combining Winstrol and
Anavar is the outstanding improvement in endurance and stamina.
Winstrol stimulates purple blood cell manufacturing, rising oxygen-carrying capability, whereas Anavar enhances
cardio performance by boosting mitochondrial exercise.
You’ll experience enhanced endurance throughout extended workouts and elevated stamina to push more durable for
longer. One of the key advantages of the Winstrol plus Anavar stack is the significant
boost in strength and power it provides. Both compounds work synergistically to
boost muscle fiber recruitment, permitting you to lift heavier weights and push via plateaus.
PCT helps restore your body’s pure hormone balance and neglecting it can lead to
long-term hormonal issues. When considering what to cycle with Anavar and
Clen, it’s necessary to remember your private
fitness targets, health status, and any other substances you could be
taking. For newbies, a cycle of 6-8 weeks is really helpful, while extra experienced customers can prolong
their cycle to 10 weeks. In this publish, I will give you an summary of those two substances,
clarify how they work, and outline the potential benefits and dangers of utilizing them together
in a cycle. If used appropriately, Anavar will increase the amount of minerals
that are stored in tissues, steroid anavar prime. A bodybuilding
minimize may be one of the most rewarding and difficult experiences
you ever have. It’s a means of life that requires extreme dedication, but the
payoff is worth it.
To present a clear comparability of the modifications skilled during a steroid cycle, we have created a table that highlights key metrics before and after the cycle.
This table will allow you to visualize the
unimaginable improvements that might be achieved by way of using Oxandrolone.
To effectively doc progress while using Anavar through pictures, it’s
necessary to hold up consistency. Emphasis should be placed on capturing pictures of the midsection, abdomen,
and thighs, as these are areas where Anavar-induced fat loss is
extra noticeable.
This is all anecdotal, in fact, and you want to take these evaluations with a grain of salt.
Similarly, if you’re an older grownup or have an underlying medical
condition, you must seek the assistance of along with your physician earlier than beginning
Anavar. Your physician may recommend a decrease dosage or advise you against utilizing Anavar altogether.
PCT after 7 days- Clomid/Nolvadex + HCG 250iu twice weekly
so you remain fertile. Testosterone is a compound you must be extra cautious when taking, as it’ll
trigger your levels of cholesterol to shift in a negative method (LDL levels increasing).
Certain dietary supplements can help lower your LDL levels of cholesterol, or
bring your blood strain again all the means down to
normal.
Because of the attainable threat to the toddler, breastfeeding just isn’t beneficial while utilizing
this drug. Verify your blood sugar frequently as directed and share the outcomes together with your doctor.
Inform your physician immediately if you have symptoms of
low blood sugar, corresponding to sudden sweating, shaking, fast heartbeat,
hunger, blurred vision, dizziness, or tingling hands/feet. Your physician may need to adjust your diabetes
medicine, exercise program, or food plan.
Wholesome males can avoid these side-effects with proper preventative measures coupled with responsible supplementation. Anavar can suppress natural testosterone production but
solely barely as it has a gentle impact on SHBG and LH
and no effect on FSH. Oxandrolone is a c-17alpha alkylated anabolic steroid this refers to a
structural change of the hormone on the seventeenth carbon place.
That allows it to be ingested orally and survived the primary move
through the liver, a needed trait to guarantee that its survival.
A somewhat delicate steroid, oxandrolone is a dehydratase dosteronederivative and is
likely considered one of the most side-effect pleasant steroids available on the market.
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This action ends in the triiodothyronine hormone or T3 hormone being utilized to a higher degree.
The fat burning results of Anavar usually are not totally conclusive; there have
been a quantity of research that produced alternate outcomes because it pertains to fats loss.
However, most information strongly helps the
Oxandrolone hormone being a powerful promoter of lipolysis.
This dual mechanism—muscle preservation and fat loss—makes Anavar an effective and versatile choice.
Anavar, also identified by its chemical name
Oxandrolone, is an anabolic steroid that has gained attention for its potential role in weight loss and muscle constructing.
Initially developed for medical purposes, it is now additionally utilized by some
athletes and bodybuilders to enhance physical efficiency
and aesthetics.
This characteristic makes it a well-liked choice for women seeking to realize muscle mass or improve athletic
performance. Anavar cycle is a well-liked weightlifting steroid cycle used by bodybuilders and athletes.
It is a testosterone alternative therapy that entails taking an anabolic agent,
similar to testosterone, in addition to a reductant similar to cortisol.
The purpose of the cycle is to extend muscle mass and
power while preserving lean physique mass. There are many
issues to expect while on an Anavar cycle, but under are some key points to bear in mind.
25% of the 100 mg group had their ALT/AST liver enzymes enhance over 5-fold.
Regardless Of orals being extra convenient and easier to take, there are
drawbacks to taking tablets, which shall be
detailed in the side effects section. We have seen users add 30 pounds to their bench press within the first 10 days
on Anadrol.
Post-cycle therapy is required after taking Anadrol, as testosterone levels will turn into very suppressed,
affecting psychological well-being, vitality ranges, libido, and results.
We have not come throughout a trio of steroids that produce
the identical degree of power and mass as these. Equally, it is among the most
compromising cycles when it comes to unwanted side effects.
4 women in the study confirmed slight virilization changes, regardless
of being given large doses.
We educate and empower families to make certain that
right healthcare decisions are made. With personalised recommendation, we are changing
the face of healthcare supply across India. For a median grownup, the conventional coronary heart fee ranges between 60–100 beats per minute.
Subsequently, extreme heart charges ensuing from excessive Clenbuterol doses
can pose cardiac risks. When the time period “steroids” comes
up, most people envision a muscular male bodybuilder, just
like Arnold Schwarzenegger. Nevertheless, Anadrol ought to be
divided into multiple doses throughout the day to maintain most concentrations of the compound in your bloodstream.
Clenbuterol and Anavar each provide a range of advantages
for athletes and bodybuilders. Clenbuterol is a well-liked selection for
these seeking to shed weight, as it’s recognized to
be a robust thermogenic drug. It also helps to enhance cardiovascular performance, making it a popular alternative for athletes trying to
enhance their overall efficiency. Thus, it is common for some of our sufferers (men and women) to complain of thinning of
the hair during cycles. In our experience, low dosages are unlikely to trigger secondary sex
traits in girls. Nonetheless, they are high sufficient to
cause notable will increase in muscle hypertrophy, energy, and fat loss.
It could increase the risk of bleeding if taken with blood thinners like warfarin.
Anadrol is amongst the most deleterious anabolic steroids for blood stress, based mostly on our
lipid profile tests. All AAS will elevate a person’s blood pressure because of exogenous testosterone, inflicting a unfavorable shift
in cholesterol levels. This leads to a rise in LDL (bad) cholesterol levels and a lower
in HDL (good) ranges. Anavar is a 17-alpha alkylated anabolic steroid (17-alkylated androgen) with the identical chemical method as oxandrolone.
This kind of steroid is extraordinarily efficient at rising muscle mass whereas stopping
fats gain.
The specific testosterone he used was Sustanon 250 and trenbolone acetate.
However, he said that he did not utilize this cycle often, as it is extremely taxing on the physique.
An efficient dose for girls seeking to construct muscle
is 12.5–25 mg per day for 4-6 weeks. Due to Anadrol’s quick esters,
its effects can be skilled in the early stages of a cycle.
In conclusion, Anavar is a well-liked steroid that’s used to advertise weight gain and muscle development.
While it has many benefits, it is necessary to use it responsibly
and under the steerage of a licensed healthcare provider to keep away from potential unwanted aspect effects.
Anavar could be stacked with other anabolic steroids for enhanced fats loss.
However, if customers are trying to keep low ranges of visceral
fats, clenbuterol may be a more appropriate choice (as many anabolic steroids could cause a bloated
look to the stomach region). Muscle gains and fat loss
sluggish; the effects of the steroid used for 6-7 weeks lessens if the dose just isn’t increased or breaks usually are not taken. This is a testosterone derived steroid;
such as Sustanon or Testosterone Enanthate, which is used for much
longer than the “kick start” (8-10 weeks).
Clenbuterol burns a major quantity of subcutaneous fat, just like Anavar; thus,
combining these two compounds will end in important fats loss.
Clenbuterol is a beta-2 sympathomimetic and is commonly used in the therapy of hypotension. It is also a bronchodilator, successfully
opening the airways as a outcome of leisure of easy tissue.
As beforehand talked about, Anavar is an expensive steroid due
to BTG monopolizing the market and driving the price
up, costing patients $3.75–$30 per day, depending on the dose required.
Bodybuilders generally purchase testing kits, enabling them to establish if their Anavar product
is authentic.
Of course, Anavar is more practical when mixed with a nutritious diet and exercise routine.
A good Anavar cycle will result in an 8-week improve in muscular firmness and
definition. The majority of users begin with a two-step dosage that permits the body to keep the same ranges of the chemicals in question.
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For girls, a day by day dosage of 5 mg of actual Anavar is greater than sufficient.
It’s fairly rare to see increases in power when utilizing Primobolan, however equally
your power won’t go down when chopping, which is a giant advantage.
However, as a basic rule, many people will find that on Primobolan, their physique fats proportion drops pretty shortly, and you’ll have a lot more
energy compared to traditional. Ladies will get good outcomes from much lower
dosages of oral Primobolan. Injectable Primobolan has a
far longer half-life than the oral version, of round ten days.
PCT is done to reverse the suppression of testosterone
that can occur throughout a steroid cycle.
Taking an aromatase inhibitor might help to prevent these unwanted effects.
Androgenic unwanted aspect effects are these which might be associated to
the male sex hormone, testosterone. These unwanted aspect effects can include acne, oily pores and skin, elevated
physique hair growth, and male pattern baldness.
Whereas not everyone who uses Sustanon and Anavar will experience these
side effects, they are a chance.
Critically, your results are going to incorporate the preservation of your present lean muscle.
Anavar helps prevent you from becoming catabolic – where lean muscle is misplaced as energy.
The basic rule when planning a cycle is that the higher the Anavar dose is, the shorter the cycle you must be doing.
Some like to live on the edge, while there are
these of us who need to steadiness the benefits and risks.
I suppose I’ll go to eight weeks on Anavar if I’m taking no extra than 50mg.
This causes a fairly fast spike in serum testosterone, which stays elevated for less than a brief time frame.
Typically bodybuilders have supplemented and relied closely on milk thistle to protect the liver, along with regular
of us who need to preserve a wholesome liver.
Fortunately although, it is not required that you even want Milk thistle with
the usage of Anavar.
However, cholesterol levels will change drastically, nearly actually inflicting some degree of hypertension. The threat of developing arteriosclerosis and
heart disease is high with this cycle, so if
users have a historical past of such of their household,
it could be wise to keep away from this cycle. This is a
potent bulking cycle, but one of many least poisonous stacks when it comes to side effects that we see.
This Sustanon 250 cycle is prone to continue adding mass to customers who’ve already taken a cautiously dosed testosterone cycle beforehand.
Enanthate and cypionate are essentially the most commonly administered testosterone esters, as they don’t
have to be injected frequently. Anavar makes for an excellent bridge
steroid to be used between cycles as a outcome of it’s mild and lacks
any major unwanted side effects. Since Anavar can survive going by way
of the liver, and as a 17aa compound, it does not fully all the time get utilized by the physique.
Intermediate bodybuilders usually have a greater understanding of how their
body responds to completely different cycles and dosages. By
this stage, they might begin to fine-tune their Anavar utilization,
such as stacking with other dietary supplements or anabolic steroids,
to optimize outcomes further. Consistently monitoring progress
and adjusting dosages and cycles accordingly will help in building lean muscle mass whereas maintaining
side effects beneath control. Anavar, or Oxandrolone,
is a robust artificial anabolic steroid derived from dihydrotestosterone (DHT).
It primarily promotes muscle progress and elevated power, making it popular amongst bodybuilders and athletes.
Known for its mild anabolic properties, Anavar delivers spectacular outcomes without inflicting extreme
side effects, so long as it’s used responsibly and with enough data.
In conclusion, while the Sustanon Anavar cycle can produce spectacular outcomes, you will want
to concentrate on the potential side effects. By using legal and natural options,
you can achieve similar results without placing your well being in danger.
Sustanon and Anavar also can lead to estrogenic unwanted aspect effects, which are caused by the conversion of testosterone into estrogen. These unwanted
aspect effects can embrace water retention, gynecomastia (the development of breast tissue in men), and
high blood pressure.
Deca Durabolin has long esters and thus is a slow-acting
steroid, therefore the prolonged ten-week cycle. For those who have already cycled other testosterone esters, there’s
little distinction between swapping those esters for Sustanon 250
by means of dosage guidelines and stacking choices.
At one end of the spectrum is pure testosterone with no esters hooked up, similar to testosterone suspension.
As A Outcome Of of this most of the ‘hardcore’ bodybuilders have a tendency to make
use of extra poisonous steroids, as a result of on paper it’s a weaker compound.
However, don’t let that fool you, because when Primo’s used correctly, it can provide you some severe gains.
This structurally altered type of Dianabol provides energy Anabolic (muscle and strength enhancing) results with only a few side effects.
I suppose there are a couple of steroids that make sense to take solo, but
not all. You wish to have something that may give you anabolic effects as nicely as support at least
some estrogen manufacturing. I would say that things like MENT, Dbol,
and Nandralone (if dosed high enough to get respectable ranges of E2) could be used solo (as nicely as Test,
obviously). Excessive use of anabolic steroid substances with
out taking ample time off in between cycles will delay endogenous testosterone recovery (5).
Even although unwanted effects of Anavar are not as severe as those of Dianabol,
it is still a steroid and shouldn’t be taken lightly.
As far as harm prevention is worried, Dianabol seems to have an edge over Anavar.
In this text, we will examine Dianabol and Anavar to see which one is the higher choice for bulking up.
These unwanted aspect effects could go from delicate to unserious and escalate to something worse if care
isn’t taken.
References:
which is not a consequence of long-term steroid use?