PENGARUH TEHNIK RELAKSASI GENGGAM JARI TERHADAP PENURUNAN NYERI PADA PASIEN POST OPERASI SECTIO CAESAREA

Sectio Caesarea menjadi sebuah pilihan bagi ibu yang mengalami kesulitan melahirkan sehingga angka kejadian sectio caesarea meningkat. Nyeri yang dirasakan klien merupakan gejala sisa yang diakibatkan oleh sectio caesarea sekitar 60% klien menderita nyeri hebat 25% nyeri sedang dan 15% klien nyeri ringan.Terapi relaksasi genggam jari merupakan teknik relaksasi dengan jari tangan serta aliran energy didalam tubuh.Tujuan: Penelitian ini adalah untuk mengetahui pengaruh teknik relaksasi genggam jari terhadap intensitas nyeri pada ibu post sectio caesarea. Metode dalam pencarian sumber data artikel dilakukan melalui database elektronik, yakni Google Scholar, PubMed, dan Proquest seseuai dengan kriteria inklusi dengan kata kunci yang dicari dalam bahasa Indonesia dan bahasa inggris. Artikel dalam penelitian ini termasuk dalam jenis penelitian eksperiment, pra-exsperiment, pre-experiment dan quasi eksperiment. Hasil literature review dari 10 jurnal yang membahas topik Pengaruh Tehnik Relaksasi Genggam Jari Terhadap Penurunan Nyeri Pada Pasien Post Operasi Sectio Caesarea di review bahwa dengan tindakan Tehnik Relaksasi Genggam Jari dapat mengurangi nyeri pada pasien Post Operasi Sectio Caesarea. Kesimpulan dalam penelitian ini menunjukkan bahwa ada Pengaruh Tehnik Relaksasi Genggam jari dapat mengurangi rasa nyeri pada pasien Post Sectio Caesarea

HUBUNGAN DUKUNGAN KELUARGA TERHADAP TINGKAT KECEMASAN SSPADA PASIEN PRE OPERASI SECTIO CAESAREA DI RUANG SANTA ANNA RSU SANTO VINCENTIUS SINGKAWANG TAHUN 2020

Operasi sectio caesarea merupakan suatu cara melahirkan janin dengan cara sayatan dinding uterus depan perut yang memiliki indikasi, kepala bayi lebih besar dari ukuran panggul ibunya dan demi kemudahan proses persalinan. Tujuan penelitian ini untuk mengetahui hubungan dukungan keluarga dengan tingkat kecemasan pasien pre operasi sectio caesarea diruang kebidanan santa anna RSU Santo Vincentius Singkawang tahun 2020. Penelitian bersifat kuantitatif dengan jenis penelitian Analitik Korelasi, menggunakan desain cross sectional, cara pengambilan sampel dengan sistem consecutive sampling. Penelitian dilakukan pada pasien pre operasi sectio caesarea dengan populasi 209 dan jumlah sampel 37 responden. Hasil penelitian ini diuji secara statistik dengan menggunakan program SPSS dengan uji chi square. Hasil penelitian ini diketahui bahwa Dari 37 orang responden yang memiliki dukungan keluarga baik dengan tingkat kecemasan ringan sebanyak 12 responden (32%). Dukungan keluarga cukup dengan tingkat kecemasan sedang 18 responden (49%) dan berat 1 responden (3%). Dukungan keluarga kurang dengan tingkat kecemasan berat sebanyak 6 responden (16%). Berdasarkan hasil penelitian dengan menggunakan chi-square menunjukan bahwa ada hubungan dukungan keluarga terhadap tingkat kecemasan pasien pre operasi sectio caesarea. Ini dapat dibuktikan dari hasil (p value = 0.00) kurang dari (α = 0.05). Hasil, Ha diterima dan Ho ditolak yang artinya ada hubungan dukungan keluarga terhadap tingkat kecemasan pasien pre operasi sectio caesarea di Ruang Santa Anna RSU Santo Vincentius Singkawang tahun 2020. Kesimpulan dari penelitian ini adalah ada hubungan antara dukungan keluarga terhadap tingkat kecemasan pada pasien pre operasi sectio caesarea, agar lebih mendukung keluarga untuk memberikan dukungan kepada pasien yang akan melakukan tindakan opersi sectio caesarea

Dialoge über Sexualitäten, Körper und Geschlechter

In diesem Beitrag reflektiert Kim Chanel Winterhalter (sie/ihr) die Fachlogiken und Arbeitsweisen der Empirischen Kulturwissenschaft, vor allem im Kontext ihrer biografischen Studienerfahrungen an der Universität Hamburg. Sie konzentriert sich dabei auf die Forschungsfelder um die und -zugänge zu den Themen Körper, Sexualitäten und Geschlechter.In this paper Kim Chanel Winterhalter (she/her) reflects on the methods and research logics of Cultural Anthropology. She does this while talking about her experiences studying at the University of Hamburg and concentrates on the research topics bodies, sexualities and gender and their specific research methods

Dialoge über Sexualitäten, Körper und Geschlechter

In diesem Beitrag reflektiert Kim Chanel Winterhalter (sie/ihr) die Fachlogiken und Arbeitsweisen der Empirischen Kulturwissenschaft, vor allem im Kontext ihrer biografischen Studienerfahrungen an der Universität Hamburg. Sie konzentriert sich dabei auf die Forschungsfelder um die und -zugänge zu den Themen Körper, Sexualitäten und Geschlechter.In this paper Kim Chanel Winterhalter (she/her) reflects on the methods and research logics of Cultural Anthropology. She does this while talking about her experiences studying at the University of Hamburg and concentrates on the research topics bodies, sexualities and gender and their specific research methods

End of Green Sahara amplified mid- to late Holocene megadroughts in mainland Southeast Asia

Between 5 and 4 thousand years ago, crippling megadroughts led to the disruption of ancient civilizations across parts of Africa and Asia, yet the extent of these climate extremes in mainland Southeast Asia (MSEA) has never been defined. This is despite archeological evidence showing a shift in human settlement patterns across the region during this period. We report evidence from stalagmite climate records indicating a major decrease of monsoon rainfall in MSEA during the mid- to late Holocene, coincident with African monsoon failure during the end of the Green Sahara. Through a set of modeling experiments, we show that reduced vegetation and increased dust loads during the Green Sahara termination shifted the Walker circulation eastward and cooled the Indian Ocean, causing a reduction in monsoon rainfall in MSEA. Our results indicate that vegetation-dust climate feedbacks from Sahara drying may have been the catalyst for societal shifts in MSEA via ocean-atmospheric teleconnections

Factors influencing the approaches to studying of preclinical and clinical students and postgraduate trainees

<p>Abstract</p> <p>Background</p> <p>Students can be classified into three categories depending on their approaches to studying; namely, deep approach (DA), strategic approach (SA) and surface apathetic or superficial approach (SAA). The aim of this study was to identify factors affecting the approaches to studying among Sri Lankan medical undergraduates and post graduate trainees and to analyze the change in the pattern of study skills with time and experience.</p> <p>Method</p> <p>Pre-clinical and clinical students of the Faculty of Medicine, University of Colombo and postgraduate trainees in Surgery at the National Hospital of Sri Lanka were invited to complete the Approaches and Study Skills Inventory for Students (ASSIST) questionnaire.</p> <p>Results</p> <p>A total of 187 pre clinical (M: F = 96:91), 124 clinical (M: F = 61:63) and 53 post graduate trainees (M: F = 50:3) participated in the study. Approaches of male and female students were similar. SA was significantly affected by age among the preclinical students (p = 0.01), but not in other groups. Among pre-clinical students, males preferred a teacher who supported understanding (p = 0.04) but females preferred a passive transmission of information (p < 0.001). This, too, was not visible among other groups. A linear regression performed on group (batch), gender, island rank at GCE Advance Level (AL) examination, self appraisal score and the preference scores of type of teacher only managed to explain 35% or less of variance observed for each approach in individual groups.</p> <p>Conclusion</p> <p>Different factors affect the approach to studying in different groups but these explain only a small fraction of the variance observed.</p

Millennial changes in North American wildfire and soil activity over the last glacial cycle

Climate changes in the North Atlantic region during the last glacial cycle were dominated by the slow waxing and waning of the North American ice sheet as well as by intermittent Dansgaard-­‐Oeschger (DO) events. However prior to the last deglaciation, little is known about the response of North American vegetation to such rapid climate changes and especially about the response of biomass burning, an important factor for regional changes in radiative forcing. Here we use continuous, high-­‐resolution ammonium (NH4+) records derived from the NGRIP and GRIP ice cores to document both North American NH4+ background emissions from soils and wildfire frequency over the last 110,000 yr. Soil emissions increased on orbital timescales with warmer climate, related to the northward expansion of vegetation due to reduced ice-­‐covered areas. During Marine Isotope Stage (MIS) 3 DO warm events, a higher fire recurrence rate is recorded, while NH4+ soil emissions rose only slowly during longer interstadial warm periods, in line with slow ice sheet shrinkage and delayed ecosystem changes. Our results indicate that sudden warming events had little impact on NH4+ soil emissions and NH4+ aerosol transport to Greenland during the glacial but triggered a significant increase in the frequency of fire occurrence.This paper has greatly benefitted from the Sir Nicholas Shackleton fellowship, Clare Hall, University of Cambridge, U.K., awarded to HF in 2014. The Division for Climate and Environmental Physics, Physics Institute, University of Bern acknowledges the long-­‐term financial support of ice core research by the Swiss National Science Foundation (SNSF) and the Oeschger Centre for Climate Change Research. EW is supported by a Royal Society professorship. NGRIP is directed and organized by the Department of Geophysics at the Niels Bohr Institute for Astronomy, Physics and Geophysics, University of Copenhagen. It is supported by funding agencies in Denmark (SNF), Belgium (FNRS-­‐CFB), France (IPEV and INSU/CNRS), Germany (AWI), Iceland (RannIs), Japan (MEXT), Sweden (SPRS), Switzerland (SNSF) and the USA (NSF, Office of Polar Programs).This is the author accepted manuscript. The final version is available from Nature Publishing Group via http://dx.doi.org/10.1038/ngeo249

Potential volcanic impacts on future climate variability

Volcanic activity plays a strong role in modulating climate variability (ref. 1). Most model projections of the twenty-first century, however, under-sample future volcanic effects by not representing the range of plausible eruption scenarios (ref. 2,3,4). Here, we explore how sixty possible volcanic futures, consistent with ice-core records (ref. 5), impact climate variability projections of the Norwegian Earth System Model (NorESM) (ref. 6) under RCP4.5 (ref. 7). The inclusion of volcanic forcing enhances climate variability on annual-to-decadal timescales. Although decades with negative global temperature trends become ∼50% more commonplace with volcanic activity, these are unlikely to be able to mitigate long-term anthropogenic warming. Volcanic activity also impacts probabilistic projections of global radiation, sea level, ocean circulation, and sea-ice variability, the local-scale effects of which are detectable when quantifying the time of emergence (ref. 8). These results highlight the importance and feasibility of representing volcanic uncertainty in future climate assessments

Monsoons: global energetics and local physics as drivers of past, present and future monsoons

Global constraints on momentum and energy govern the structure of the zonal mean tropical circulation and rainfall. The continental-scale monsoon systems are also facets of a momentum- and energy-constrained global circulation, but their modern and paleo variability deviates substantially from that of the longitudinal mean through mechanisms neither fully understood nor well simulated. A framework grounded in global constraints yet encompassing the complexities of monsoon dynamics is needed to identify the causes of mismatch between theory, models, and observations and, ultimately, improve regional climate projection. In a first step towards this goal, disparate regional processes must be distilled into gross measures of energy flow in and out of continents and from the surface to the tropopause, so that monsoon dynamics may be coherently diagnosed across modern and paleo observations and across idealized and comprehensive simulations. Accounting for zonal asymmetries in the circulation, land/ocean differences in surface fluxes, and the character of convective systems, such a monsoon framework would integrate our understanding at all relevant scales: from the fine details of how moisture and energy are lifted in the updrafts of thunderclouds, up to the global circulations