Novel Use of a Social-Media-Based Survey to Detect Regional Differences in Management of Monochorionic-Diamniotic Twins.

ObjectiveThis study aims to evaluate the utility of social media to distribute a patient survey on differences in management and outcomes of monochorionic-diamniotic (MCDA) pregnancies.Study designA cross-sectional survey was posted to an English-language MCDA twins patient-centered support group within the social media site, Facebook from April 2, 2018 to June 26, 2018. Subjects were recruited through a technique called "snowballing," whereby individuals shared the survey to assist with recruiting. Patient reported data were analyzed using Chi-square and Kruskal-Wallis's tests to explore characteristics associated with surveillance and outcomes as related to region and provider type.ResultsOver 3 months, the post "reached" 14,288 Facebook users, among which 5,653 (40%) clicked on the post. A total of 2,357 respondents with MCDA pregnancies completed the survey. Total 1,928 (82%) were from the United States (US) and 419 (18%) from other countries. Total 85% of patients had co-management with maternal-fetal medicine (MFM), more in the US compared with the rest of the world (87 vs. 74%, p < 0.01). MFM involvement led to increased adherence to biweekly ultrasounds (91 vs. 65%, p < 0.01), diagnosis of monochorionicity by 12 weeks (74 vs. 69%, p < 0.01) and better education about twin-twin transfusion syndrome (90 vs. 66%, p < 0.01). Pregnancies with MFM involvement had a higher take-home baby rate for both babies (92 vs. 89%, p < 0.01) or for at least one baby (98 vs. 93%, p < 0.01) compared with those without MFM involvement.ConclusionA survey distributed via social media can be effective in evaluating real-life management and outcomes of an uncommon obstetrical diagnosis. This survey elucidates wide international variation in adherence to guidelines, management, and outcomes

Peran sikap rida dalam penerimaan diri orang tua anak berkebutuhan khusus: Studi terhadap orang tua siswa SLB BC Bandung Raya Astanaanyar Kota Bandung

Kelahiran seorang anak yang sehat dan sempurna merupakan sesuatu yang didambakan para orang tua, namun ada pula orang tua yang diberikan tanggung jawab untuk memiliki anak dengan kebutuhan khusus (ABK). Para orang tua yang tidak siap dalam menghadapi keadaan ini cenderung akan menolak dan sulit untuk menerima kehadiran anak dengan kebutuhan khusus tersebut. Penolakan diri dari orang tua terhadap anak dengan anak kebutuhan khusus tersebut kemudian akan memiliki dampak yang cukup signifikan bagi anaknya, baik dalam pertumbuhan dan perkembangan anak maupun perlakuan orang tua dan pola asuh yang diterapkan orang tua tersebut terhadap anaknya yang memiliki kebutuhan khusus. Maka dari itu sikap penerimaan dari orang tua anak dengan kebutuhan khusus dan peran sikap rida didalam nya sangat diperlukan. Untuk mengetahui data hasil yang lebih mendalam maka peneliti melalui penelitian ini bertujuan untuk mengetahui profil dari SLB B-C Bandung Raya Astanaanyar Kota Bandung juga untuk mengetahui mengenai pandangan orang tua terhadap sikap rida serta membahas mengenai peran sikap rida dalam penerimaan diri orang tua anak berkebutuhan khusus di SLB B-C Bandung Raya Astanaanyar Kota Bandung. Dalam penelitian ini peneliti menggunakan metode penelitian kualitatif dengan mendeskripsikan hasil temuan dari penelitian secara deskriptif- naratif yang berupa kalimat atau kata tertulis serta ucapan lisan. penelitian ini dipakai sebagai pemecah dari suatu permasalahan dengan penggambaran keadaan subjek dan atau objek penelitian baik itu berupa suatu lembaga masyarakat ataupun inividu yang didasarkan fakta- fakta yang nampak pada objek penelitian tersebut. Penerimaan diri merupakan sikap bagaimana seseorang mampu menerima diri dan menikmati apa yang dimilikinya. Sedangkan sikap Rida yang merupakan salah satu maqamat yang ada didalam ilmu tasawuf diketahui ,memiliki peran dalam penerimaan diri seseorang. Hal ini diketahui karena seseorang yang telah merasa dan memiliki sikap rida dalam dirinya maka sikap tersebut akan berperan dalam proses penerimaan dirinya termasuk orang- orang sekitarnya. Hasil dari penelitian ini menunjukkan bahwa sikap rida yang dimiliki oleh orang tua yang memiliki anak dengan kebutuhan khusus memiliki peran yang cukup signifikan dalam tahap- tahap penerimaan sampai mencapai pada penerimaan orang tua terhadap anak sehingga memunculkan sikap pasrah, syukur dan ikhlas dari para orang tua yang memiliki anak dengan kebutuhan khusus serta menerima anak dengan kebutuhan khusus sebagai individu

Non-Thermal Emergence of an Orbital-Selective Mott Phase in FeTe1−x_{1-x}Sex_x

Electronic correlation is of fundamental importance to high temperature superconductivity. Iron-based superconductors are believed to possess moderate correlation strength, which combined with their multi-orbital nature makes them a fascinating platform for the emergence of exotic phenomena. A particularly striking form is the emergence of an orbital selective Mott phase, where the localization of a subset of orbitals leads to a drastically reconstructed Fermi surface. Here, we report spectroscopic evidence of the reorganization of the Fermi surface from FeSe to FeTe as Se is substituted by Te. We uncover a particularly transparent way to visualize the localization of the $d_{xy}$ electron orbital through the suppression of its hybridization with the more coherent $d$ electron orbitals, which leads to a redistribution of the orbital-dependent spectral weight near the Fermi level. These noteworthy features of the Fermi surface are accompanied by a divergent behavior of a band renormalization in the $d_{xy}$ orbital. All of our observations are further supported by our theoretical calculations to be salient spectroscopic signatures of such a non-thermal evolution from a strongly correlated metallic phase towards an orbital-selective Mott phase in FeTe$_{1-x}$Se$_x$ as Se concentration is reduced.Comment: 11 pages, 5 figure

Erratum: Sequence data and association statistics from 12,940 type 2 diabetes cases and controls.

This corrects the article DOI: 10.1038/sdata.2017.179

New measurement of θ13\theta_{13} via neutron capture on hydrogen at Daya Bay

This article reports an improved independent measurement of neutrino mixing angle $\theta_{13}$ at the Daya Bay Reactor Neutrino Experiment. Electron antineutrinos were identified by inverse $\beta$-decays with the emitted neutron captured by hydrogen, yielding a data-set with principally distinct uncertainties from that with neutrons captured by gadolinium. With the final two of eight antineutrino detectors installed, this study used 621 days of data including the previously reported 217-day data set with six detectors. The dominant statistical uncertainty was reduced by 49%. Intensive studies of the cosmogenic muon-induced $^9$Li and fast neutron backgrounds and the neutron-capture energy selection efficiency, resulted in a reduction of the systematic uncertainty by 26%. The deficit in the detected number of antineutrinos at the far detectors relative to the expected number based on the near detectors yielded $\sin^22\theta_{13} = 0.071 \pm 0.011$ in the three-neutrino-oscillation framework. The combination of this result with the gadolinium-capture result is also reported.Comment: 26 pages, 23 figure

Improved Measurement of the Reactor Antineutrino Flux and Spectrum at Daya Bay

A new measurement of the reactor antineutrino flux and energy spectrum by the Daya Bay reactor neutrino experiment is reported. The antineutrinos were generated by six 2.9~GW$_{\mathrm{th}}$ nuclear reactors and detected by eight antineutrino detectors deployed in two near (560~m and 600~m flux-weighted baselines) and one far (1640~m flux-weighted baseline) underground experimental halls. With 621 days of data, more than 1.2 million inverse beta decay (IBD) candidates were detected. The IBD yield in the eight detectors was measured, and the ratio of measured to predicted flux was found to be $0.946\pm0.020$ ($0.992\pm0.021$) for the Huber+Mueller (ILL+Vogel) model. A 2.9~$\sigma$ deviation was found in the measured IBD positron energy spectrum compared to the predictions. In particular, an excess of events in the region of 4-6~MeV was found in the measured spectrum, with a local significance of 4.4~$\sigma$. A reactor antineutrino spectrum weighted by the IBD cross section is extracted for model-independent predictions.Comment: version published in Chinese Physics

A new measurement of antineutrino oscillation with the full detector configuration at Daya Bay

We report a new measurement of electron antineutrino disappearance using the fully-constructed Daya Bay Reactor Neutrino Experiment. The final two of eight antineutrino detectors were installed in the summer of 2012. Including the 404 days of data collected from October 2012 to November 2013 resulted in a total exposure of 6.9$\times$10$^5$ GW$_{\rm th}$-ton-days, a 3.6 times increase over our previous results. Improvements in energy calibration limited variations between detectors to 0.2%. Removal of six $^{241}$Am-$^{13}$C radioactive calibration sources reduced the background by a factor of two for the detectors in the experimental hall furthest from the reactors. Direct prediction of the antineutrino signal in the far detectors based on the measurements in the near detectors explicitly minimized the dependence of the measurement on models of reactor antineutrino emission. The uncertainties in our estimates of $\sin^{2}2\theta_{13}$ and $|\Delta m^2_{ee}|$ were halved as a result of these improvements. Analysis of the relative antineutrino rates and energy spectra between detectors gave $\sin^{2}2\theta_{13} = 0.084\pm0.005$ and $|\Delta m^{2}_{ee}|= (2.42\pm0.11) \times 10^{-3}$ eV$^2$ in the three-neutrino framework.Comment: Updated to match final published versio