Pengembangan Materi Pokok Mata Uang Dengan Pendekatan Pmri Untuk Siswa Tunagrahita Ringan Kelas XI Di Slbc Karya Ibu Palembang

Penelitian ini bertujuan mengembangkan materi pokok mata uang dengan pendekatan PMRI yang menghasilkan buku siswa. Subjek dalam penelitian ini adalah siswa Tunagrahita Ringan kelas XI SLBC Karya Ibu Palembang. Dalam mengembangkan materi terdapat uji coba terhadap materi yang diberikan kepada siswa yang dilihat dari hasil belajar siswa. Penilaian hasil belajar dilakukan melalui penilaian tertulis dan penilaian sikap. Penilaian tertulis dilihat dari kemampuan siswa mengerjakan soal-soal pada buku siswa sedangkan penilaian sikap dilakukan dengan cara observasi prilaku. Langkah-langkah penelitian dan pengembangan terdiri dari empat langkah yaitu expert review, one-to-one evaluation, small group, dan field test. Karena hasil belajar siswa baik melalui penilaian tertulis maupun penilaian sikap menunjukkan kategori baik atau sangat baik maka buku siswa materi mata uang dengan pendekatan PMRI dapat membantu siswa memahami materi pelajaran. Kata

Diagnosis of premature rupture of membranes by the detection of thyroid hormones in vaginal secretions

Background: Premature rupture of membranes (PROM) and preterm PROM (PPROM) are the rupture of the fetal chorioamniotic membranes before the onset of labor contractions. Objectives: To evaluate whether detection of thyroid hormones in vaginal washouts can be used to diagnose premature rupture of membranes (PROM). Patients and Methods: Total T4 (thyroxin), total T3 (triiodothyronine), and free T4 concentrations in vaginal washouts were analyzed in 45 women with the diagnosis of PROM and compared with 45 normal pregnancies (controls). A Student�s t-test was used for comparison of thyroid hormone values and a ROC curve was used for analyzing the diagnostic accuracy Results: There were no differences between the patients with PROM and the control women regarding maternal age, gestational age, and parity. The mean concentration of total T4 in the PROM group and the control subjects were 2.1 ± 1.3 jig/mL and 1.55 ± 0.58 jig/, respectively (P = 0.01). Total T3 concentration in the PROM group was significantly higher compared to the controls (1.28 ± 0.42 ng/ vs. 0.8 ± 0.26 ng/, P < 0.0001). Also, free T4 concentration was significantly higher in the PROM group as compared with the controls (0.026 ± 0.034 ng/ vs.0.007 ± 0.004 ng/, P < 0.0001). The ROC curve analysis showed that total T4=1.685 jig/ had a sensitivity of 62, specificity of 76, positive predictive value (PPV) of 71.8, and negative predictive value (NPV) of 66.7. Total T3 = 0.82 ng/ gave a sensitivity of 91, specificity of 64, PPV of 72, and NPV of 87.8. Free T4 = 0.01 ng/ gave a sensitivity of 51, specificity of 82, PPV of 74.2, and NPV of 62.7. The best cutoff values were total T4 = 1.685 ng/, total T3 = 0.82 ng/, and free T4 = 0.01 ng/. Conclusions: Detecting total T4, total T3, and free T4 in vaginal washouts of patients suspected of PROM suspected is a simple, available, rapid, and inexpensive method for the diagnosis of PROM. However, a combination of three tests is recommended. © 2015, Shiraz University of Medical Sciences

Generation of cytocompatible superhydrophobic Zr–Cu–Ag metallic glass coatings with antifouling properties for medical textiles

Zirconium–Copper-based metallic glass thin films represent promising coatings in the biomedical sector for their combination of antibacterial property and wear resistance. However, finding a Zr–Cu metallic glass composition with desirable cytocompatibility and antibacterial property is extremely challenging. In this work, we have created a cytocompatible and (super-)hydrophobic Zr–Cu–Ag metallic glass coating with ≈95% antifouling properties. First, a range of different chemical compositions were prepared via Physical Vapor Deposition magnetron by co-sputtering Zr, Cu, and Ag onto a Polybutylene terephthalate (PBT) substrate among which Zr93·5Cu6·2Ag0.2, Zr76·7Cu22·7Ag0.5, and Zr69·3Cu30·1Ag0.6 were selected to be further investigate for their surface properties, antibacterial activity, and cytocompatibility. Scanning electron microscopy (SEM) images revealed a micro-roughness fibrous structure holding superhydrophobic properties demonstrated by specimens' static and dynamic contact angle measurements ranging from 130° to 150°. The dynamic contact angle measurements have shown hysteresis below 10° for all coated samples which indicated the superhydrophobicity of the samples. To distinguish between antifouling and bactericidal effect of the coating, ions release from coatings into Luria Bertani Broth (LB), and Dulbecco's Modified Eagle Medium (DMEM) solutions were evaluated by inductively coupled plasma mass spectrometry (ICP-MS) measurements after 24 ​h and 5 days. Antifouling properties were evaluated by infecting the specimens' surface with the Gram-positive Staphylococcus aureus and the Gram-negative Escherichia coli strain reporting a ≈95% reduction of bacteria adhesion as visually confirmed by FESEM and fluorescent live/dead staining. Human mesenchymal stem cells (hMSC) were used for direct cytocompatibility evaluation of coated samples and their metabolic activity was evaluated via relative fluorescence unit after 24 ​h and 5 days confirming that it was comparable to the controls (>97% viable cells). The results were further visualized by FESEM, fluorescent staining by Live/Dead Viability/Cytotoxicity Kit and confirmed the cytocompatibility of all coated samples. Finally, hMSC′ cytoplasm was stained by May Grunwald and Giemsa after 5days to detect and visualize the released ions which have diffused through the cells' membrane

The association between menarche age and first offspring sex ratio

Background: Offspring sex ratio (OSR) serves as an important social factor, and various other factors are hypothesized to be associated with it, such as maternal diet, time of ovulation and insemination, environmental phenomena, parental age, and infertility treatment. Objectives: This research was performed to assess the association between mothers� menarche age, first pregnancy age, and sex ratio of first offspring. Patients and Methods: In this retrospective study, 2,000 Iranian women of reproductive age were recruited to assess their menarche age, first pregnancy age, and first OSR. Results: The mean age of the participants was 29.6 ± 7.09, their mean menarche age was 13.25 ± 1.21, and the mean age of their first pregnancy was 23.9 ± 4.35. Total OSR was 0.932. The OSR (calculated as the proportion of male to female offspring) was higher when the menarche age was younger (P < 0.05). In women of younger pregnancy age, the OSR was higher (P < 0.05). First pregnancy age was younger in women with a menarche age under 13 years (P < 0.05). Conclusions: Women of younger menarche age will have younger first pregnancy ages and a greater chance of having a male first offspring. © 2016, Shiraz University of Medical Sciences

New-generation biocompatible Ti-based metallic glass ribbons for flexible implants

We introduce five new biocompatible Ti-based metallic glass (MG) compositions with different metalloid and soft metal content for a synergistic improvement in corrosion properties. Without any potentially harmful elements such as Cu, Ni or Be, these novel alloys can eliminate the risk of inflammatory reaction when utilized for permanent medical implants. Excluding Cu, Ni or Be, which are essential for Ti-based bulk MG production, on the other hand, confines the glass-forming ability of novel alloys to a moderate level. In this study, toxic-element free MG alloys with significant metalloid (Si–Ge–B, 15–18 at.%) and minor soft element (Sn, 2–5 at.%) additions are produced in ribbon form using conventional single-roller melt spinning technique. Their glass-forming abilities and their structural and thermal properties are comparatively investigated using X-ray diffraction (XRD), synchrotron XRD and differential scanning calorimetry. Their corrosion resistance is ascertained in a biological solution to analyze their biocorrosion properties and compare them with other Ti-based bulk MGs along with energy dispersive X-ray. Ti60Zr20Si8Ge7B3Sn2 and Ti50Zr30Si8Ge7B3Sn2 MG ribbons present a higher pitting potential and passivation domain compared with other Ti-based MG alloys tested in similar conditions. Human mesenchymal stem cell metabolic activity and cytocompatibility tests confirm their outstanding cytocompatibility, outperforming Ti-Al6-V4

Application of the world health organization quality of life instrument, short form (WHOQOL-BREF) to patients with endometriosis

Objective Endometriosis, a common hormone-dependent chronic inflammatory disease causes various symptoms including pelvic pain, which affect the physical and psychological quality of life in women of reproductive age. The present study aimed to assess the quality of life of Iranian women with endometriosis using the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) questionnaire. Methods This cross-sectional study performed in Tehran between October 2014 and July 2016 included 70 Iranian women with endometriosis. The Iranian version of the WHOQOL-BREF questionnaire was used to measure quality of life in these women. The Pearson's correlation coefficient, the paired and the independent t-tests, and a linear regression model were used to statistically analyze the data using the SPSS software version 16.0. Results The total mean score of the WHOQOL-BREF questionnaire was 80.58. The highest and the lowest mean scores were observed in the environmental (28.15) and the physical health domains (10.59), respectively. A multiple linear regression model (backward method) showed that insurance coverage was associated with the total WHOQOL-BREF score, whereas age, insurance coverage, and income level were associated with domains 1 through 4, respectively (P < 0.05). Conclusion Endometriosis affects various aspects of the quality of life of Iranian women who therefore require holistic management focused on both, the physical and psychological aspects of treatment. © 2018 Korean Society of Obstetrics and Gynecology

Experimental investigation on post-fire performances of fly ash concrete filled hollow steel column

In structural engineering practice, understanding the performance of composite columns under extreme loading conditions such as high-rise bulding, long span and heavy loads is essential to accuratly predicting of material responses under severe loads such as fires or earthquakes. Hitherto, the combined effect of partial axial loads and subsequent elevated temperatures on the performance of hollow steel column filled fly ash concrete have not been widely investigated. Comprehensive test was carried out to investigate the effect of elevated temperatures on partial axially loaded square hollow steel column filled fly ash concrete as reported in this paper. Four batches of hollow steel column filled fly ash concrete ( 30 percent replacement of fly ash), (HySC) and normal concrete (CFHS) were subjected to four different load levels, nf of 20%, 30%, 40% and 50% based on ultimate column strength. Subsequently, all batches of the partially damage composite columns were exposed to transient elevated temperature up to 250o C, 450o C and 650o C for one hour. The overall stress – strain relationship for both types of composited columns with different concrete fillers were presented for each different partial load levels and elevated temperature exposure. Results show that CFHS column has better performance than HySC at ambient temperature with 1.03 relative difference. However, the residual ultimate compressive strength of HySC subjected to partial axial load and elevated temperature exposure present an improvement compared to CFHS column with percentage difference in range 1.9% to 18.3%. Most of HySC and CFHS column specimens failed due to local buckling at the top and middle section of the column caused by concrete crushing. The columns failed due to global buckling after prolong compression load. After the compression load was lengthened, the columns were found to fail due to global buckling except for HySC0

Advantages of Recombinant Follicle-Stimulating Hormone over Human Menopausal Gonadotropin in Intrauterine Insemination: A Randomized Clinical Trial in Polycystic Ovary Syndrome-Associated Infertility

Background: Various gonadotropin preparations have been used for ovarian stimulation in intrauterine insemination (IUI). The purpose of the current study was to compare human menopausal gonadotropin (hMG) and recombinant follicle-stimulating hormone (rFSH) combined with clomiphene citrate (CC) in IUI cycles for polycystic ovary syndrome-associated infertility. Methods: In this prospective trial, couples prepared for IUI cycles were randomly allocated either to receive CC and rFSH (group A, n = 132) or CC and hMG (group B, n = 144) for ovarian stimulation. Outcomes including rates of clinical pregnancy, miscarriage, ovarian hyperstimulation syndrome, multiple pregnancy, cancellation and live birth were compared. Results: The duration of gonadotropin therapy was shorter and total doses of gonadotropins was lower in the rFSH group. The number of stimulated follicles reaching >17 mm diameter was comparable between groups, but the mean follicular diameter was significantly higher in the rFSH group. The endometrium was also significantly thicker at the time of human chorionic gonadotropin administration in the rFSH group. However, pregnancy outcomes, including the rates of clinical pregnancy, ongoing pregnancy, live birth, miscarriage, ovarian hyperstimulation syndrome and cancellation, were similar between groups. Conclusion: IUI cycles in which rFSH is administered may result in shorter duration of treatment, a lower total gonadotropin dose and better follicular and endometrial characteristics on the day of human chorionic gonadotropin injection. © 2015 S. Karger AG, Basel