Preparation Of Concepts Research Articles

Aplikasi SABARSON (Si Penjaga Kualitas Rumah Sakit) Sebagai Early Warning System

Determining the quality of hospital service is about the efficiency of bed management. In some hospitals, Barber Johnson graphs are still described in Microsoft Excel, but the BOR indicator has not been displayed. SABARSON: The Guardian of Hospital Quality as an Early Warning System is a creative innovation in system design that can be used to determine the quality of a hospital by displaying a graph of the four indicators BOR, LOS, BTO, and TOI. This type of design uses the system development method with the development life cycle (SDLC) approach with the stage of problem identification, reference search, dataflow and concept preparation, color palette preparation, system design, and system implementation. The purpose of this study is to help and facilitate medical record workers in describing or displaying a Barber Johnson graph quickly and precisely. This study resulted in several interface design results such as login, BOR, TOI, LOS, BTO, report recapitulation, and Barber Johnson graphic.

Influence of climate on semen quality: A retrospective study.

World over studies are being done by different group of workers to understand the time of deliveries conducted. Surprisingly majority of deliveries were following a pattern, seasonally. Today in this busy world, couples choose comparatively a free time for delivery and preparation for conception is done accordingly. Apart from these, it is clearly shown majority of deliveries are conducted during a particular season. We hypothesised that the change in semen quality during different seasons is responsible for this phenomenon. Present study conducted on semen quality included 12,408 semen samples collected from different laboratories of Bangalore city during 8 years (2000-2007) period of time and were analysed season wise. Results showed sperm concentration was significantly lower in monsoon than in winter season. Humidity and pressure influenced sperm count. Forward moving sperms were influenced by temperature and pressure. The study concludes the change in birth rates seen during different season in a year is due to the quality of semen responsible for conception.

Prevention of mania in a primigravida at ultra-high risk of postpartum recurrence.

Prevention of mania in a primigravida at ultra-high risk of postpartum recurrence.

Acceptability and feasibility of a planned preconception weight loss intervention in women with long-acting reversible contraception: the Plan-it mixed-methods study

Women with overweight (a body mass index of ≥ 25 kg/m2) or obesity (a body mass index of ≥ 30 kg/m2) are at greater risk of experiencing complications during pregnancy and labour than women with a healthy weight. Women who remove their long-acting reversible contraception (i.e. coils or implants) are one of the few groups of people who contact services as part of their preparation for conception, creating an opportunity to offer a weight loss intervention. The objectives were to understand if routine NHS data captured the pathway from long-acting reversible contraception removal to pregnancy and included body mass index; to identify the suitable components of a preconception weight loss intervention; and to engage with key stakeholders to determine the acceptability and feasibility of asking women with overweight/obesity to delay the removal of their long-acting reversible contraception in order to take part in a preconception weight loss intervention. This was a preparatory mixed-methods study, assessing the acceptability and feasibility of a potential intervention, using routine NHS data and purposefully collected qualitative data. The NHS routine data included all women with a long-acting reversible contraception code. There were three groups of participants in the surveys and interviews: health-care practitioners who remove long-acting reversible contraception; weight management consultants; and women of reproductive age with experience of overweight/obesity and of using long-acting reversible contraception. UK-based health-care practitioners recruited at professional meetings; and weight management consultants and contraceptive users recruited via social media. Anonymised routine data from UK sexual health clinics and the Clinical Practice Research Datalink, including the Pregnancy Register; and online surveys and qualitative interviews with stakeholders. The records of 2,632,871 women aged 16-48 years showed that 318,040 had at least one long-acting reversible contraception event, with 62% of records including a body mass index. Given the identified limitations of the routine NHS data sets, it would not be feasible to reliably identify women with overweight/obesity who request a long-acting reversible contraception removal with an intention to become pregnant. Online surveys were completed by 100 health-care practitioners, four weight management consultants and 243 contraceptive users. Ten health-care practitioners and 20 long-acting reversible contraception users completed qualitative interviews. A realist-informed approach generated a hypothesised programme theory. The combination of weight discussions and the delay of long-acting reversible contraception removal was unacceptable as an intervention to contraceptive users for ethical and practical reasons. However, a preconception health intervention incorporating weight loss could be acceptable, and one potential programme is outlined. There was very limited engagement with weight management consultants, and the sample of participating stakeholders may not be representative. An intervention that asks women to delay long-acting reversible contraception removal to participate in a preconception weight loss intervention would be neither feasible nor acceptable. A preconception health programme, including weight management, would be welcomed but requires risk communication training of health-care practitioners. Work to improve routine data sets, increase awareness of the importance of preconception health and overcome health-care practitioner barriers to discussing weight as part of preconception care is a priority. This trial is registered as ISRCTN14733020. This project was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 27, No. 1.

The acceptability of asking women to delay removal of a long-acting reversible contraceptive to take part in a preconception weight loss programme: a mixed methods study using qualitative and routine data (Plan-it)

BackgroundHaving a body mass index (BMI) which is classified as overweight (BMI ≥ 25) or obese (BMI ≥ 30) increases the risk of complications during pregnancy and labour. Weight-management interventions which target excess gestational weight gain during pregnancy have had limited success. Women who use long-acting reversible contraception (LARC) are in contact with services as part of their preparation for conception, creating a potential opportunity to offer a preconception weight-loss intervention.The aims of this mixed methods study were to assess the acceptability and practicability of a weight-loss intervention which asked people to delay LARC removal in order to lose weight before conceiving.MethodsRoutine UK NHS data were analysed to identify pathways from LARC removal to pregnancy. Qualitative surveys and advisory group discussions with service providers and LARC users with experience of being overweight were conducted and analysed thematically.ResultsThree hundred fifteen thousand seven hundred fifty-five UK women aged 16–48 years between 2009–2018 had at least one LARC-related event (e.g. insertion, removal) and 1.7% of those events were recorded as related to planning a pregnancy. BMI was included in 62% of women’s records, with 54% of those BMI being classified as overweight or obese. Online surveys were completed by 100 healthcare practitioners and 243 LARC users. Stakeholders identified facilitators and barriers associated with the proposed intervention including sensitivities of discussing weight, service-user past experiences, practitioner skills, the setting and ethical implications of the proposed intervention.ConclusionsAlthough women and service providers recognised potential benefits, a preconception weight-loss intervention asking people to delay LARC removal posed many barriers, due mainly to the acceptability of such an intervention to women and healthcare practitioners. Weight-loss interventions that target the general population, together with a focus on improving public knowledge of preconception health, may be more acceptable than interventions which solely focus on LARC users. Many of the barriers identified, including communication, understanding and beliefs about weight and risk, appointment systems and the limitations of routine datasets also have relevance for any preconception weight-loss intervention. Work to improve routine datasets and reducing communication barriers to discussing weight are priorities.Trial registrationISRCTN14733020 registered 10.05.2019.

Inflammatory Bowel Disease and Pregnancy

Inflammatory Bowel Disease and Pregnancy

The Effect of Anxiety Level to The Menstrual Cycle on DIII Midwifery Student at STIKes Nani Hasanuddin Makassar

Adolescence is psychologically a period of transition from childhood to adulthood. Menstruation is an important event in the life of a young woman. For this reason, young women need to recognize their bodies, what will happen, so that they are not surprised or frightened when their first menstruation arrives. The menstrual cycle is important as a reproductive function that carries out preparation for conception and pregnancy.The purpose of this study was to determine the effect of anxiety levels on the menstrual cycle in DIII Midwifery students of Stikes Nani Hasanuddin Makassar. This research uses quantitative analytic method , with a cross sectional approach . The population in the study of all students of the 2019 batch was 3-7 respondents and the sample used was 37 respondents with a total sampling technique. Result: There is no correlation between anxiety level and menstrual cycle in DIII Midwifery students of STIKes Nani Hasanuddin Makassar. The large Odds Ratio (OR) on the test results is 0.622, it is most likely that the risk of disruption of the menstrual cycle of DIII Midwifery students if experiencing severe anxiety is 0.622 times compared to DIII Midwifery students who only experience moderate anxiety.

КОНЦЕПЦІЯ «ПОЛІГРАФА ШАРІКОВА»: ПРОБЛЕМНІ ПИТАННЯ ОНОВЛЕННЯ ЦИВІЛЬНОГО ЗАКОНОДАВСТВА УКРАЇНИ

The article substantiated that by its legal nature the Concept of updating the Civil Code of Ukraine reflects exclusively the personal views of a small group of scientists, the authenticity of which is not confirmed by the results of scientific research; the document does not have the status of a scientific publication and has not passed the procedure for discussion in the professional environment. The private nature of the Concept preparation excludes its use as a basis for legislative work of the Verkhovna Rada of Ukraine. It has been proved that the Concept has methodological problems, and the proposals formulated in it contradict the Constitution of Ukraine, violate social guarantees and do not agree with the norms of the current legislation, in particular: the Law of Ukraine “On Local Self-Government in Ukraine”, the Tax Code of Ukraine, the Land Code of Ukraine, the Law of Ukraine “On Education”, the Law of Ukraine “On Protection of Economic Competition” etc. It was emphasized that the implementation of certain provisions of the Concept for updating civil legislation of Ukraine will lead to the impossibility of practical implementation by local self-government bodies of functions in the field of housing and communal services, consumer services; in the field of culture, health, education, physical education and sports and the commercialization of these services. This will lead to a rapid increase in the level of prices for housing and communal services, the complete destruction of the system of free medical care, as well as free preschool, complete general secondary and professional (vocational) education. Since more than 60% of the population of Ukraine is currently below the poverty line, a significant increase in prices for utilities, the transfer of healthcare institutions, as well as preschool, general secondary and vocational (vocational) education exclusively on the commercial basis of management will deprive the vast majority of the population of the financial opportunity to pay their market value, which will lead to a further decrease in living standards and deterioration of the demographic situation in Ukraine, which is already unsatisfactory. In addition, the population of Ukraine will be limited in access to the services of cultural, physical education and sports institutions. It was concluded that the refusal of the real right of economic management and the right of operational management will create preconditions for depriving territorial communities of communal property and the impossibility of fulfilling their constitutional powers, as well as to enrich a small group of persons of private law and the final impoverishment of the rest of the population of Ukraine.

The childbirth rituals of the Yakuts: traditions and modernity

The purpose of this paper is to consider the transformation of the maternity rites among the Yakuts from the end of the 19th to the beginning of the 21st centuries. The area under research is the Republic of Sakha (Yakutia), Eastern Siberia. The main source base was represented by the authors' field materials collected in 2016-2018 in the Verkhnevilyuysky, Churapchinsky, Ust-Aldansky, and Megino-Kangalassky districts. The field studies were conducted using modern and traditional methods of qualitative sociology. The key methods of collecting field ma-terials included modern historical-anthropological methods of inclusive observation, and expert and in-depth inter-viewing of local residents. The stages of the ritual behavior practiced in preparation for conception, pregnancy, dur-ing childbirth, and during the postpartum period, as well as aimed at survival of the newborn, have been identified and clarified. The study of the transformation of the maternity rites shows that in the modern culture of the Yakuts there are only few prohibitions related to the life of the child in the first days after birth, whereas other rituals have faded away due to the development of medicine and the loss of fear, among both women and society as a whole, of infertility or death of the woman in labor or the baby in the process of birth itself.

Development of instructional media game education on integral and differential calculus

A differential equation is a compulsory subject that must be contracted by student bachelor of mathematics education program. It is still considered difficult by most students. The difficulty is due to the varied solution and the interrelationship with Integral and Differential Calculus materials. An educational game is one of the creative industry products that can process knowledge into games. This research aims to make an educational game of differential integral calculus which can be used as a learning supplement for students. The design of an educational game is to create a scenario include materials, questions, solutions, and tests on Integral and Differential Calculus. The research model used in this research is using ADDIE (Analysis, Design, Development, Implementation, Evaluation), but not include implementation phase. The initial requirement analysis phase involves observing the students learning difficulties when studying the material of Differential and Integral Calculus. The design phase is the preparation of concepts and questions related to the material of Differential and Integral Calculus. The development stage is to create and develop a game using software RPG game maker MV. The result of this research was as follows (1) educational game was valid, (2) educational game was practical.

Language selection contributes to intrusion errors in speaking: Evidence from picture naming

AbstractBilinguals usually select the right language to speak for the particular context they are in, but sometimes the nontarget language intrudes. Despite a large body of research into language selection and language control, it remains unclear where intrusion errors originate from. These errors may be due to incorrect selection of the nontarget language at the conceptual level, or be a consequence of erroneous word selection (despite correct language selection) at the lexical level. We examined the former possibility in two language switching experiments using a manipulation that supposedly affects language selection on the conceptual level, namely whether the conversational language context was associated with the target language (congruent) or with the alternative language (incongruent) on a trial. Both experiments showed that language intrusion errors occurred more often in incongruent than in congruent contexts, providing converging evidence that language selection during concept preparation is one driving force behind language intrusion.

“Better less, but better”: a new philosophy of vitamin and mineral complexes use in the pregnancy and breastfeeding periods

Need for micronutrients increases more than for macronutrients during pregnancy, and their inadequate intake with food can have significant consequences for mother and fetus. Many nutritional supplements containing vitamins, minerals and other trace elements are widely offered to women at all stages of pregnancy. But when choosing any vitamin and mineral complexes, it is extremely important to take into account the possibility of different types of interactions between vitamins, as well as between vitamins and macro- and/or microelements. Irrational use of large doses of vitamins during pregnancy carries risks that are almost comparable to their deficiency. Therefore, today multicomponent vitamin and mineral complexes are not recommended for routine use during pregnancy to improve maternal and perinatal outcomes. The modern tactics of their use in pregnant and lactating women is based on the position that any supplements can be useful only if they compensate for the identified deficit in specific micronutrients, which cannot be replenished with food. Therefore, the optimal decision for prevention of micronutrient deficiencies in pregnant and lactating women is the use of a basic complex containing only those components whose deficit is scientifically proven. According to various expert organizations in pregnant and lactating women are increased need for folic acid, ω-3- fatty acids, iodine and vitamin D regardless of their nutritional status. Based on the above principles and recommendations of international expert organizations, specialists of the Scientific Research Center Besins Healthcare developed a basic micronutrient complex Ogestan® to provide the physiological needs of the female body during the preparation for conception, pregnancy and breastfeeding. This is an addition to the daily diet of a pregnant and lactating woman with no clinical signs of any deficient conditions. It contains folic acid, docosahexaenoic acid, iodine, and vitamin D.

Follow Up of a Group-Based Approach to Weight Loss for Enhanced Fertility

Obesity contributes to menstrual irregularities, a longer time to pregnancy, lower pregnancy rates, higher miscarriage rates and increased risk for pregnancy complications. (1) Group interventions can be effective in women who would benefit from weight loss in preparation for conception (2).

KRITIK SASTRA MARXIS FREDRIC JAMESON: TEORI DAN APLIKASINYA

This paper is a review and preparation of concepts and ideas developed by Fredric Jameson in the realm of literature. From three main books, namely Marxism and Form, The Political Unconscious and Postmodern, or The Cultural Logic of Late Capitalism, Jameson this paper formulated the idea to produce a theoretical and methodological framework trace. With the same source as well, affecting the general idea and provide the basic foundation for thinking Jameson as Marxism, psychoanalysis and postmodernism will be presented. Keywords: Fredric Jameson, Marxism, Literary Works

Mothers as smoking guns: Fetal overnutrition and the reproduction of obesity

Mothers are expected to monitor their children’s dietary intakes and physical activities and are blamed for over feeding their children if they are obese. Women are also urged to manage their own weight in preparation for conception and during pregnancy in order to reduce complications associated with maternal obesity at childbirth. Through a theoretical lens of maternal blame, we argue that Australian media representations of scientific studies of the fetal overnutrition hypothesis extend behavioural maternal blame to the interiority of women’s bodies. Women’s intrauterine environments are positioned in the media as central to the intergenerational transmission of obesity, with women portrayed as responsible for passing obesity on to their children (and grandchildren) via biology and ill-informed ‘lifestyle choices’. Linking in with historical and contemporary discourses of maternal bodies and individual responsibility, the implications of the ‘double damage’ caused by women entails a concerning return to essentialism in which women’s bodies are being largely blamed for producing and reproducing obesity across generations.

Juggling type 1 diabetes and pregnancy in rural Australia

Objective to explore the experiences of women with type 1 diabetes, living in rural Australia, while preparing for pregnancy and childbirth. Additionally, we aimed to describe the women's engagement with, and expectations of, health-care providers during this period, and subsequently highlight potential service and informational gaps. Design qualitative research using a collective case-study design; seven women with type 1 diabetes who had given birth within the previous 12 months participated in in-depth interviews about their experiences of pregnancy and birth. Data were analysed thematically. Setting The experience of type 1 diabetes, preconception preparation and pregnancy among rural Australian women was explored, including interactions with health professionals. Participants seven women aged between 26 and 35 years agreed to be interviewed. The woman had one or two children and had given birth within the past 12 months. Findings rigid narrow control of blood glucose levels before conception and during pregnancy created unfamiliar body responses for women, with hypoglycaemic symptoms disappearing or changing. For example, some women mentioned developing tunnel vision or numbness and tingling around their lips and tongue as different symptoms of hypoglycaemia. Women needed information and support to differentiate between what might be normal or abnormal bodily processes associated with pregnancy, diabetes, or both. The women's preparation for conception and pregnancy was reliant on the level of available expertise and advice. Participants’ experiences were coloured by their limited access and interactions with expert health professionals. Conclusion women with type 1 diabetes experienced significant hardship during their pregnancy, including a higher incidence of hypoglycaemic episodes, a loss of hypoglycaemic symptom recognition and weight gain. These difficulties were compounded by a scarcity of available information to support the management of their pregnancy and a lack of availability of experienced health professionals. Implications for practice national and international consensus guidelines emphasise the importance of preconception and pregnancy care for women with type 1 diabetes. Close clinical supervision and the development of closer co-operation and partnership between the women and health-care providers before conception and during pregnancy may improve outcomes for these women and their babies. Building confidence in professional care requires increased access to specialist services, increased levels of demonstrated knowledge and expertise and better general community access to information about preparation for pregnancy and birth among women who have type 1 diabetes.