Sexuality Experience in Pregnant Woman at Pondok Aren Tangerang Health Center

Introduction: Pregnancy is an important event in women life. Various physical and psychological changes may affect pregnant women, particularly on sexuality. Along with the growing size of uterus in pregnant women, it can lead to discomfort and diffi culty for sexual intercourse. The aimed of this tudy was to understand sexuality experience among pregnant women. Method: This was qualitative research with phenomenological approach. Five participants involved in this study using purposive sampling. Data was collected with an indepth interview and then was analyzed with Colaizzi's. This research was emerged six themes. The meaning of sexuality, changes of sexuality, cause of sexuality changes in intimate relationship, the reason for doing intercourse, partner caring, and myth about sexuallity in pregnan women. Result: The results showed pregnant women have difefrence sexuality experience from the step trimester. Discussion: This research concludes that a nurse needs to give information to women and their family especially her husband regarding sexuality changes in pregnant women

Uncovering Multi-Site Identifiability Based on Resting-State Functional Connectomes

Multi-site studies are becoming important to increase statistical power, enhance generalizability, and to improve the likelihood of pooling relevant subgroups together activities. Even with harmonized imaging sequences, site-dependent variability can mask the advantages of these multi-site studies. The aim of this study was to assess multi-site reproducibility in resting-state functional connectivity fingerprints, and to improve identifiability of functional connectomes. The individual fingerprinting of functional connectivity profiles is promising due to its potential as a robust neuroimaging biomarker. We evaluated, on two independent multi-site datasets, individual fingerprints in test-retest visit pairs within and across two sites and present a generalized framework based on principal component analysis to improve identifiability. Those components that maximized differential identifiability of a training dataset were used as an orthogonal connectivity basis to reconstruct the functional connectomes of training and validation sets. The optimally reconstructed functional connectomes showed a substantial improvement in individual fingerprinting within and across the two sites relative to the original data. A notable increase in ICC values for functional edges and resting-state networks was also observed. Improvements in identifiability were not found to be affected by global signal regression. Post-hoc analyses assessed the effect of the number of fMRI volumes on identifiability and showed that multi-site differential identifiability was for all cases maximized after optimal reconstruction. The generalizability of the optimal set of orthogonal basis of each dataset was evaluated through a leave-one-out procedure. Overall, results demonstrate that the framework presented in this study systematically improves identifiability in resting-state functional connectomes in multi-site studies.Comment: 28 pages, 11 figures in main text, 5 figures in supplementar

Dispensing emotions: Norwegian community nurses' handling of diversity in a changing organizational context

Since the mid-1990s, public sector health care services in Norway have been restructured, in line with New Public Management ideas. This restructuring has coincided with demographic changes that have led to a more culturally diverse patient population. Both developments have created new challenges for community nurses in managing their work. This qualitative study applies the concept of “emotional labor” to examine nurses' experiences in working with ethnic minority patients in the context of pressures arising from organizational reforms. The analysis sheds light on the nurses' attempts to comply with system-induced efficiency considerations, while catering to the special situation of patients with language barriers and unfamiliar cultural traditions. The article demonstrates how efficiency requirements and time constraints either aggravate the nurses' insecurity in dealing with minority patients or, in some cases, compel them to assume more work responsibilities so as to mitigate the effects of such constraints

ANALISIS DAN PERANCANGAN PERANGKAT AJAR TERAPI WICARA BERBASISKAN MULTIMEDIA

ANALISIS DAN PERANCANGAN PERANGKAT AJAR TERAPI WICARA BERBASISKAN MULTIMEDI

Evaluating the Usefulness of Geochronometers in the Packsaddle Domain for Refining the Timing of Metamorphism Via High-Resolution Petrography, Enchanted Rock State Natural Area, Llano Uplift, Texas

The Llano uplift, central Texas, exhumes Mesoproterozoic rocks with a complex history of metamorphism, deformation, and magmatism. There are three recognized metamorphic events related to the Grenville orogeny (~1.3-0.9 Ga). The timing of these metamorphic events is not well resolved due to past methods, technology, and lack of published geologic context for many of the current dates. These current time constraints on metamorphic timing could be further refined through modern geochronologic and petrochronologic methods. A majority of U-Pb zircon dates from the Valley Spring (~1366-1232 Ma), Coal Creek (~1326-1275 Ma), and Packsaddle (~1257-1215 Ma) domains are interpreted as crystallization ages for igneous protoliths, or for syntectonic (~1119-1116 Ma) and post-tectonic (~1098-1071 Ma) plutons (i.e., Town Mountain Granite), and most of these are upper intercept dates for multigrain zircon fractions. Very few dates have been interpreted to represent the timing of metamorphism and these dates do not fully distinguish between M1 (~1147-1128 Ma) and M2 (~1134-1102 Ma) events. Additionally, the metamorphic dates that have been interpreted are only found in abstracts and lack geologic context. The Packsaddle domain only has two imprecise geochronologic constraints on metamorphism. For this study, ten samples were collected from the Packsaddle domain at Enchanted Rock State Natural Area. Polished thin sections were prepared for petrographic analysis and high-resolution scanning in PPL and XPL. The petrographic analysis will consist of identifying geochronometers (e.g., zircon or monazite) and describing their relation to metamorphic and deformation textures (e.g., foliations, leucosomes, porphyroblasts). Identification of geochronometers and their geologic context allow for determination of the best dating techniques and interpretation of the subsequent dates in context of the rock’s history. This work is done as the basis for future research and analysis of the existing time constraints via newer in situ geochronologic and petrochronologic methods