PENGARUH TEKNIK ABDOMINAL LIFTING TERHADAP NYERI PERSALINAN KALA I FASE AKTIF DI PMB MARTINI, AM. KEB KABUPATEN ACEH UTARA

Berdasarkan dari data yang bersumber dari dinas kesehatan kabupaten/kota diketahui Angka Kematian Ibu (AKI) di Aceh lima tahun terakhir berfluktuasi, pada tahun 2019 mengalami kenaikan menjadi 172 per 100,000 kelahiran dengan jumlah kematian ibu sebanyak 157 kasus, tertinggi di kabupaten Aceh Utara sebanyak 25 kasus di ikuti Bireuen 16 kasus, terendah di Pidie Jaya sebanyak 1 kasus. Hasil studi pendahuluan berupa wawancara pada 10 (100%) responden mengenai massage (pemijatan) saat proses persalinan di PMB Martini, Am.Keb Kabupaten Aceh Utara. Diperoleh 7 (70%) dari 10 (100%) responden mengatakan tidak mengetahui apa itu teknik Abdominal Lifting, juga tidak pernah malakukan massage (pemijatan) selama proses persalinan. Sedangkan 3 (30%) dari 10 (100%) responden mengatakan pernah malakukan massge (pemijatan) selama proses persalinan guna untuk mengurangi rasa nyeri pada persalinan. Penelitian ini memiliki tujuan untuk menganalisis Pengaruh Teknik Abdominal Lifting Terhadap Nyeri Pada Kala I Fase Aktif Persalinan. Metode penelitian menggunakan pendekatan quasi experiment. Populasi pada penelitian ini adalah semua ibu bersalin di PMB Martini, Amd.Keb sebanyak 112 orang. Metode pengambilan sample yang digunakan dalam penelitian ini adalah consecutive sampling dengan jumlah sample direncanakan adalah 68 responden. Analisis Data dalam penelitian ini menggunakan analisis dependent t-test (paired t-test). Hasil uji Mean pada kelompok Teknik Abdominal Lifting yaitu Pretest 3,32 dan post test 2.44, nilai median pretest 3.00 dan posttest 2.00 Dan minimal pretest 2, maksimal 4, nilai minimal posttest 2, maksimal 4. Nilai Z -4,362 dan p value 0,000. Hasil penelitian ini menunjukkan bahwa adanya skala perbedaan nyeri sebelum dan sesudah melakukan Teknik Abdominal Lifting. Nilai Z -4,362 dan nilai p value 0,000. Kesimpulan penelitian ini menunjukan bahwa Abdominal Lifting memiliki pengaruh yang kuat terhadap penurunan nyeri saat Kala I pada persalinan. dengan hasil uji Wilcoxon nilai Z -4.362 dan p value 0,000. Kata Kunci: Abdominal Lifting + Nyeri + Persalinan Kala

PERANAN LEMBAGA BANTUAN HUKUM TRISILA (LBH) SUMATERA UTARA CABANG KOTA TANJUNGBALAI KETIKA PEMBERIAN BANTUAN HUKUM

Bantuan hukum adalah sebahagian dari pada profesional perundangan yang ingin oleh para sejak zaman Roma dengan pengenalannya di Amerika Syarikat pada akhir abad kesembilan belas. Walaupun begitu, masyarakat bersama dan bahkan di kalangan pendukung profesional hukum masih ada yang ingin mempunyai persepsi yang salah mengenai bantuan hukum. Ketersediaan Institusi Bantuan Hukum sangat penting di tengah-tengah masyarakat dengan mempertimbangkan prinsip kesaksamaan di hadapan hukum. Lebih-lebih lagi, bersama dengan sebahagian besar anggota masyarakat, masih hidup di bawah garis ketiadaan kompetensi, bersama dengan pengetahuan hukum masyarakat, masih menginginkan halangan ketika menerapkan hukum ketika masyarakat, terutama budaya hukum bersama dengan tingkat hukum masyarakat Indonesia, menginginkannya masih rendah. Kata kunci: Peranan, LBH, Trisila, Pemberian, Bantuan, Huku

About the geometry of almost para-quaternionic manifolds

We provide a general criteria for the integrability of the almost para-quaternionic structure of an almost para-quaternionic manifold (M,P) of dimension bigger or equal to eight, in terms of the integrability of two or three sections of the defining rank three vector bundle P. We relate it with the integrability of the canonical almost complex structure of the twistor space and to the integrability of the canonical almost para-complex structure of the reflector space of (M,P). We show that (M, P) has plenty of locally defined, compatible, complex and para-complex structures, provided that P is para-quaternionic.Comment: 26 page

The Bochner-flat cone of a CR manifold

We construct a Kahler structure (which we call a generalised Kahler cone) on an open subset of the cone of a strongly pseudo-convex CR manifold endowed with a 1-parameter family of compatible Sasaki structures. We determine those generalised Kahler cones which are Bochner-flat and we study their local geometry. We prove that any Bochner-flat Kahler manifold of complex dimension bigger than two is locally isomorphic to a generalised Kahler cone.Comment: 29 page

Filipino women's health study : a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Nutrition and Dietetics at Massey University, Albany, New Zealand

Background: Western acculturation has been shown to be detrimental to health outcomes. Recently, more Filipinos are migrating to New Zealand, which may increase lifestyle-related chronic diseases. Furthermore, Filipino populations already have a higher incidence of chronic disease and less favourable health outcomes than their Western counterparts. Understanding their risk will assist development of public health initiatives which can be utilised to protect the health of the growing Filipino New Zealand migrant population. Aim: The aim of this study was to investigate the risk of developing type 2 diabetes mellitus and cardiovascular disease among recently immigrated Filipino women Method: 62 recently-immigrated Filipino women, aged 19-45, were recruited from Auckland, New Zealand. A health and demographic information questionnaire was completed. Anthropometric measurements (height, weight, and waist circumference) and blood pressure were measured. Both total and percent body fat were determined using dual energy X-ray absorptiometry. Fasting glucose, insulin, and lipids were measured. Physical activity data was monitored by accelerometers and two-day food diaries were completed. Homeostasis Model Assessment 2 was used to quantify insulin resistance. The 30-year Framingham Risk Score was used to classify participants into low-, medium-, or high-risk of developing cardiovascular disease. Prevalence of metabolic syndrome according to the modified National Cholesterol Education Programme criteria was determined. Results: Body mass index, waist circumference, and percent body fat were positively correlated with higher insulin resistance. Smokers had higher insulin resistance than non-smokers. However, 90% of participants had a low long-term risk of developing cardiovascular disease and 10% of participants met the metabolic syndrome criteria. This study was cross-sectional and provided used self-selection sampling. Conclusion: Anthropometric measures and smoking were associated with higher insulin resistance in participants. Participants with metabolic syndrome (10%) were at a greater risk of developing type 2 diabetes mellitus. This study highlights the risk of diabetes and cardiovascular disease development, and the need for further research, in this Filipino migrant population. These findings also create a platform for improving New Zealand health programmes by targeting appropriate risk factors to improve insulin sensitivity and reduce risk of developing diabetes, and will help to raise awareness in the Filipino community