Background/Aims Adolescent pregnancies are prevalent in Indonesia. This study aimed to explore perceptions from healthcare workers and pregnant adolescents of maternity services for pregnant adolescents. Methods This qualitative exploratory study involved two policymakers, 10 midwives, five doctors, and 10 pregnant adolescents. Data were collected through structured interviews in public health centre consultation rooms. The data were analysed thematically to explore factors that promoted or hindered use of maternity services for pregnant adolescents. Results The identified barriers included a lack of tailored directives, challenges in engaging adolescents, insufficient numbers of skilled healthcare professionals, adolescents' fears and compromised confidentiality. Opportunities for improvement included enhancing service quality through strategic planning and specialised training for midwives and psychologists. Conclusions The study underscores the need to improve maternity services offered for pregnant adolescents by creating a conducive working environment and sensitising healthcare workers and the community to adolescent mothers' needs. Implications for practice There is a need for guidelines in Indonesia specifically on providing care for pregnant adolescents. Healthcare professionals require specialised training and facilities should be made adolescent friendly.

Leena O'Hara discusses congenital cytomegalovirus, and shares the story of Melanie Hiscutt and her daughter, Hope, who was born with congenital cytomegalovirus

Background/Aims Personalised care is associated with high-quality, safe maternity care. Limited evidence exists on midwives' perception of personalised care and potential barriers and facilitators associated with implementing it in practice. The aim of this study was to explore midwives' perspectives of personalised care. Methods An online mixed-methods survey was conducted exploring the perspectives of 46 NHS midwives. Data were analysed using descriptive statistics and thematic analysis. Results Assessing individual needs was perceived as a key facilitator and time restrictions were considered a significant barrier to providing personalised care in practice. Conclusions Providing personalised care is associated with increased job satisfaction for midwives, and key barriers include inflexible healthcare systems and limited resources. Implications for practice The findings contribute to an understanding of the factors that influence the provision of personalised care and have the potential to inform improvements in maternity services.

Vasodilatory shock is characterised by a global loss of vasomotor tone, leading to maldistribution of blood volume, low systemic arterial pressure and hypoperfusion. This syndrome can be caused by sepsis, anaphylaxis and a wide range of other aetiologies. This review article explores the pathophysiology of vasodilatory shock, including well-understood mechanisms and emerging avenues of future investigation. Options for vasopressor therapy are reviewed, including evidence from preclinical canine models, small animal clinical research, large human clinical trials and the Surviving Sepsis Campaign. Recommendations for rational vasopressor choice are extrapolated from this evidence. Future directions include the development of novel vasoactive agents, clinical data comparing the safety and effectiveness of vasopressors in small animals and the development of a veterinary-specific consensus statement guiding best practices for the treatment of vasodilatory shock.

This study explores the influence of Social Media Marketing on Intention to Enroll, mediated by Consumer Brand Engagement, Brand Awareness, and Brand Image at private universities in Jakarta and Tangerang. Data were collected from 175 respondents through a questionnaire and analyzed using the SEM PLS method. The results showed that Social Media Marketing has a significant positive influence on Consumer Brand Engagement, Brand Awareness, Brand Image, and Intention to Apply. Effective social media marketing is able to increase consumer engagement with the university brand, which is reflected in increased interaction, loyalty, and support for the brand. In addition, active social media marketing activities and relevant content were shown to increase prospective students' intention to enroll in private universities, making it an effective tool in influencing prospective students' decisions. The study also found that social media marketing increases brand awareness, allowing universities to reach more prospective students and establish more effective communication. Effective use of social media can strengthen brand image and build closer relationships with consumers. High consumer engagement with the brand increases brand awareness and a positive brand image, which contributes to an increased desire to enroll. Overall, this study emphasizes the importance of social media marketing strategies in increasing consumer engagement, brand awareness, brand image, and intention to enroll in private universities, especially in the post-pandemic context.

Cats are a common emergency presentation in practice, with a wide range of presenting conditions ranging from trauma caused by road traffic accidents or falling from height, to acute medical conditions or ingestion of toxins. When dealing with feline patients, it is important to remember that cats are not small dogs and therefore, the approach to their assessment and stabilisation must take this into account. Cats have unique behaviour and physiology. They are great pretenders and will often mask clinical signs until they are near-critical. As their response to disease differs to that of dogs, when they are presented to a veterinary clinic they often show non-textbook clinical signs. This, in conjunction with the fact their response to medical therapy can also differ from canine patients, can make them particularly challenging to manage in an emergency. The assessment process should be holistic, and all physical examination findings should be viewed in association with each other.

Tempat Pemrosesan Akhir (TPA) Parit Enam merupakan tempat akhir pengelolaan sampah di Kota Pangkalpinang yang mengalami penumpukan sampah karena tidak dikelola dengan baik. Salah satu faktor penyebab sampah tidak dikelola yakni kurangnya sarana dan prasarana pengelolaan sampah. Tujuan penelitian ini adalah agar pengelolaan sampah di TPA Parit Enam dapat dilaksanakan sesuai dengan prosedur yang baik dan benar serta tersedianya fasilitas yang memadai untuk mengelola sampah. Metode penelitian ini yaitu yuridis empiris yang mengumpulkan data primer dan sekunder dengan melalui teknik wawancara dan observasi lapangan secara langsung. Hasil penelitian menjelaskan bahwa pengelolaan sampah sampah di TPA Parit Enam belum dikelola dengan maksimal khususnya terhadap sampah yang disebabkan karena fasilitas pengelolaan sampah yang tidak lengkap. Pengelolaan sampah yang baik merupakan upaya menghindari dampak negatif dari penumpukan sampah dan upaya perlindungan hukum terhadap masyarakat yang merasakan dampak negatif dari pengelolaan sampah yang belum maksimal.