Implementasi Pengurangan Resiko Kecemasan Ibu Bersalin Kala I melalui Metode Hypnobirthing di Klinik Bersalin Gegerkalong Kota Bandung Tahun 2016

Labor and birth are physiologic things that will be experienced by almost every woman. Although physiological things but will make mothers feel anxious. Anxiety in labor is a response to a particular situation that threatens, often anxiety can be characterized by feelings of irritability, anxiety, nervousness, excessive alertness, and feelings of tension in the process of labor. Anxiety during childbirth may prolong labor time or will lead to long periods. However, the anxiety can be handled by nonpharmacology, one of nonpharmacology treatment is by hypnobirthing method. Hypnobirthing is a method of handling anxiety in the face of labor. This hypnobirthing effort is focused on eliminating fear syndrome, tension or anxiety because hypnosis is used more focused on positive suggestion formation when the brain is in a calm or relaxed state. This research is to know the correlation of hypnobirthing method to maternal maternal anxiety at labor clinic Gegerkalong Bandung City 2016. This research use analytic approach with case control design. The sampling technique used was accidental sampling with the number of samples of 8 respondents for the case group and 8 respondents for the control group. The instrument used is an Anxiety Rating Score (HAR-S) anxiety observation sheet. The primary data collection method obtained by observation to the respondent. Data analysis using comparative bivariate analytic unpaired category 2 group so that statistic test used is chi-square test. Most mothers experienced anxiety as much as 68.75%. In the case group there was 62.5% did not experience anxiety and 37.5% experienced mild anxiety, while in the control group all (100%) experienced anxiety. With result ρ-Value 0,001 and OR 0,000. There is correlation between hypnobirthing method to maternal maternal anxiety and hypnobirthing method can reduce maternal anxiety risk

Annual Narratives & Statistical Reports from state offices and county agents

The agent's annual report proving complete summary of all the work performed during the year. This would include but not limited to systematic records of notes of tasks completed, brief observations of general conditions observed, as well as detailed information regarding certain localities

Cryo-thawed embryo transfer: natural versus artificial cycle. A non-inferiority trial.(ANTARCTICA trial)

Background: frozen thawed embryo transfer (FET) is a cost-effective adjunct to IVF or IVF-ICSI treatment. In order to optimize treatment outcome, FET should be carried out during a period of optimal endometrial receptivity. To optimize implantation several methods for endometrium preparation have been proposed. In natural cycle FET (NC-FET), the endometrium develops under endogenous hormonal stimulation. The development of the dominant follicle and endometrium is monitored by ultrasound and FET is timed after triggering ovulation induction or determination of the spontaneous LH surge. In an artificial cycle FET (AC-FET) estrogens and progesterone are administered to prepare the endometrium for implantation. While the currently available data show no significant difference in pregnancy rates between these methods, well designed randomized controlled trials are lacking. Moreover there is little literature on difference in cancellation rates, cost-efficiency and adverse events.Methods and design: this randomized, multi-centre, non-inferiority trial we aim to test the hypothesis that there is no significant difference in live birth rates between patients undergoing NC-FET versus AC-FET. The primary outcome will be live birth rate per embryo transfer procedure. Secondary outcomes will be ongoing and clinical pregnancy rate, cancellation rate, (serious) adverse events and cost-efficiency. Based on a live birth rate of 20% and a minimal clinical important difference of 7.5% (one-sided alpha 2.5%, beta 20%) a total of 1150 patients will be needed. Analyzes will be performed using both per protocol as well as intention to treat analyses.Discussion: this prospective, randomized, non-inferiority trial aims to address the hypothesis that there is no significant difference in live birth rates between patients undergoing NC-FET versus patients undergoing AC-FET. Moreover it addresses cost-efficiency as well as the perceived burden of both treatments. TRIAL REGISTER: Netherlands trial register (NTR): 1586

Akar Adventif Kedelai Teriradiasi pada Cekaman Genangan

Kedelai (Glycine max L.) merupakan komoditas pangan utama selain padi dan jagung yang mengandung protein, minyak, dan karbohidrat tinggi. Kebutuhan yang meningkat tidak diimbangi dengan peningkatan produksinya. Salah satunya karena pengaruh faktor cekaman genangan. Pada penelitian ini, induksi variasi dilakukan dengan metode iradiasi sinar Gamma dengan dosis penyinaran 25Gy, 50Gy, 75Gy, dan 100Gy. Varian hasil iradiasi kemudian diseleksi pada kondisi tergenang dengan konsentrasi air sebesar 100%, 150%, 200%, dan 250%. Tujuan dari penelitian ini adalah mengetahui pengaruh interaksi antrara cekaman genangan dan iradiasi terhadap jumlah akar adventif pada kedelai. Karakter morfologi yang diamati yang parameter jumlah akar adventif.. Parameter jumlah akar adventif mengalami peningkatan secara signifikan seiring dengan peningkatan konsentrasi penggenangan sedangkan untuk dosis iradiasi tidak memberikan pengaruh terhadap jumlah akar adventif sehingga dapat diketahui bahwa interaksi antara Iradiasi dan Genangan memberikan pengaruh yang tidak signifikan pada parameter akar adventif. Peningkatan jumlah akar adventif tertinggi terjadi pada genangan 250% dan iradiasi 75 Gy dengan nilai tertinggi 7 , sedangkan untuk rata-rata jumlah akar yang paling rendah dengan pemberian dosis iradiasi 25 Gy pada konsentrasi penggenangan 100%, yaitu 1

Using Team Teaching to Deliver Coursework via Distance Learning Technology

The Training Rural Educators in Kentucky through Distance Learning (TREK-DL) project at the University of Kentucky used team teaching in the delivery of 5 courses offered via distance learning technology. This article describes the 5 models used during the project: (a) lead/supplemental instructors, (b) multiple instructors, (c) guest lecturer, (d) co-instructors with single course content, and (e) co-instructors with coursework from two courses taught concurrently. Also, the advantages of each model are discussed. </jats:p

Sonographer-Identified Barriers and Facilitators to Prenatal Screening for Congenital Heart Disease

Background: Fetal ultrasound screening for congenital heart disease has high detection rates in efficacy studies but not in practice. We investigated sonographers’ perspectives on barriers to screening and their association with intermediate measures of cardiac imaging. Methods: Barriers to fetal heart screening were identified in focus groups with obstetric sonographers. A web-based survey measured reported barriers and sonographers’ ability to interpret fetal heart screening images. Generalized linear random effect models assessed associations between barriers and image interpretation. Results: Four themes were identified: intrinsic barriers (self-efficacy), external barriers (time), informational needs, and provider and patient expectations. Among 224 sonographers surveyed, an average of 77.6% of fetal heart images were interpreted correctly. Perceptions about self-efficacy ( P = .03) and ease of performing imaging ( P = .01) were associated with accuracy of image interpretation. Conclusions: Several sonographer-identified barriers associated with image interpretation may be novel targets for improving prenatal detection of congenital heart disease. </jats:p