Efektifitas Produksi Asi pada Ibu Post Partum dengan Massage Rolling (Punggung)

Produksi ASI yang kurang dan lambat keluar dapat menyebabkan ibu tidak memberikan ASI pada bayinya dengan cukup. Selain hormon prolaktin, proses laktasi juga bergantung pada hormon oksitosin, yang dilepas dari hipofise posterior sebagai reaksi terhadap penghisapan putting. Rolling massage salah satu terapi relaksasi yang bertujuan menstimulasi saraf pusat pada hipofisis posterior dan anterior sehingga dapat meningkatkan produksi ASI khususnya pada ibu post partum dan memberikan Kenyamanan dan rileksasi setelah persalinan. Adapun tujuan penelitian adalah mengetahui efektifitas produksi ASI pada ibu post partum dengan massage rolling (punggung) di BPM Sri Sukeni Sleman. Metode penelitian ini adalah Quasi Experimental Design dengan rancangan penelitian two group post test design. Kelompok kontrol adalah ibu postpartum tanpa dipijat Massage roliing dan kelompok perlakuan adalah kelompok ibu postpartum yang dipijat masssage Roliing. Analisis data menggunakan uji independent t test dan paired sample t test. Hasil penelitian uji t sampel menunjukkan bahwa ada perbedaan yang bermakna (p=0.023<) produksi ASI (berat badan bayi) antara kelompok kontrol ( 2687,07 ± 160,155) dengan kelompok perlakuan (2846,13± 198,968). Perbedaan ini terlihat pada rerata berat badan bayi pada kelompok perlakuan lebih besar dibandingkan dengan kelompok. Massage rolling memengaruhi produksi ASI di BPM Sri Sukeni Sleman Tahun 2017

Tingkat Pengetahuan Ibu Hamil Tentang Seksualitas Selama Kehamilan Di Puskesmas Piyungan Bantul YOGYAKARTA

Latar belakang : Kehamilan bukan merupakan penghalang aktifitas seksual, namun selama ini seksualitas adalah hal yang tabu untuk dibicarakan dan didiskusikan, ibu hamil juga jarang tidak diberikan konseling yang lebih mengenai seksualitas selama kehamilan. Jumlah ibu hamil terbanyak kedua di Kabupaten Bantul ada di wilayah kerja Puskesmas Piyungan yaitu berjumlah 958 ibu hamil. Mayoritas ibu hamil merasa takut untuk melakukan aktifitas seksual .Tujuan Penelitian : Diketahuinya gambaran tingkat pengetahuan ibu hamil tentang seksualitas selama kehamilan di Puskesmas Piyungan, Bantul, Yogyakarta.Metode Penelitian : Rancangan penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini seluruh ibu hamil sebanyak 60 ibu hamil dan jumlah sampel yang digunakan adalah 60 responden, menggunakan Total Sampling. Analisis data univariate dengan.Hasil : Dari hasil penelitian di Puskesmas Piyungan Bantul diperoleh hasil bahwa pengetahuan ibu hamil tentang pengertian seksualitas cukup (55%), manfaat hubungan seksual baik (71,7%), frekuensi hubungan seksual kurang (41,7%), posisi hubungan seks cukup (41,7%).Kesimpulan : Pengetahuan ibu hamil tentang seksualitas selama kehamilan diwilayah Puskesmas Piyungan Kabupaten Bantul berpengetahuan cukup sebayak 40 responden (66,7%

Textiles as Material Gestalt: Cloth as a Catalyst in the Co-designing Process

Textiles is the common language within Emotional Fit, a collaborative research project investigating a person-centred, sustainable approach to fashion for an ageing female demographic (55+). Through the co-designing of a collection of research tools, textiles have acted as a material gestalt for exploring our research participants' identities by tracing their embodied knowledge of fashionable dress. The methodology merges Interpretative Phenomenological Analysis, co-design and a simultaneous approach to textile and garment design. Based on an enhanced understanding of our participants textile preferences, particular fabric qualities have catalysed silhouettes, through live draping and geometric pattern cutting to accommodate multiple body shapes and customisation. Printedtextiles have also been digitally crafted in response to the contours of the garment and body and personal narratives of wear. Sensorial and tactile interactions have informed the engineering and scaling of patterns within zero-waste volumes. The article considers the functional and aesthetic role of textiles

The management of type 2 diabetes with fixed‐ratio combination insulin degludec/liraglutide (IDegLira) versus basal‐bolus therapy (insulin glargine U100 plus insulin aspart): a short‐term cost‐effectiveness analysis in the UK setting

Aim: To evaluate the cost‐effectiveness of IDegLira versus basal‐bolus therapy (BBT) with insulin glargine U100 plus up to 4 times daily insulin aspart for the management of type 2 diabetes in the UK. Methods: A Microsoft Excel model was used to evaluate the cost‐utility of IDegLira versus BBT over a 1‐year time horizon. Clinical input data were taken from the treat‐to‐target DUAL VII trial, conducted in patients unable to achieve adequate glycaemic control (HbA1c &lt;7.0%) with basal insulin, with IDegLira associated with lower rates of hypoglycaemia and reduced body mass index (BMI) in comparison with BBT, with similar HbA1c reductions. Costs (expressed in GBP) and event‐related disutilities were taken from published sources. Extensive sensitivity analyses were performed. Results: IDegLira was associated with an improvement of 0.05 quality‐adjusted life years (QALYs) versus BBT, due to reductions in non‐severe hypoglycaemic episodes and BMI with IDegLira. Costs were higher with IDegLira by GBP 303 per patient, leading to an incremental cost‐effectiveness ratio (ICER) of GBP 5924 per QALY gained for IDegLira versus BBT. ICERs remained below GBP 20 000 per QALY gained across a range of sensitivity analyses. Conclusions: IDegLira is a cost‐effective alternative to BBT with insulin glargine U100 plus insulin aspart, providing equivalent glycaemic control with a simpler treatment regimen for patients with type 2 diabetes inadequately controlled on basal insulin in the UK

Common Origin of Soft mu-tau and CP Breaking in Neutrino Seesaw and the Origin of Matter

Neutrino oscillation data strongly support mu-tau symmetry as a good approximate flavor symmetry of the neutrino sector, which has to appear in any viable theory for neutrino mass-generation. The mu-tau breaking is not only small, but also the source of Dirac CP-violation. We conjecture that both discrete mu-tau and CP symmetries are fundamental symmetries of the seesaw Lagrangian (respected by interaction terms), and they are only softly broken, arising from a common origin via a unique dimension-3 Majorana mass-term of the heavy right-handed neutrinos. From this conceptually attractive and simple construction, we can predict the soft mu-tau breaking at low energies, leading to quantitative correlations between the apparently two small deviations \theta_{23} - 45^o and \theta_{13} - 0^o. This nontrivially connects the on-going measurements of mixing angle \theta_{23} with the upcoming experimental probes of \theta_{13}. We find that any deviation of \theta_{23} - 45^o must put a lower limit on \theta_{13}. Furthermore, we deduce the low energy Dirac and Majorana CP violations from a common soft-breaking phase associated with mu-tau breaking in the neutrino seesaw. Finally, from the soft CP breaking in neutrino seesaw we derive the cosmological CP violation for the baryon asymmetry via leptogenesis. We fully reconstruct the leptogenesis CP-asymmetry from the low energy Dirac CP phase and establish a direct link between the cosmological CP-violation and the low energy Jarlskog invariant. We predict new lower and upper bounds on the \theta_{13} mixing angle, 1^o < \theta_{13} < 6^o. In addition, we reveal a new hidden symmetry that dictates the solar mixing angle \theta_12 by its group-parameter, and includes the conventional tri-bimaximal mixing as a special case, allowing deviations from it.Comment: 60pp, JCAP in Press, v2: only minor stylistic refinements (added Daya Bay's future sensitivity in Figs.2+8, shortened some eqs, added new Appendix-A and some references), comments are welcome