ASUHAN KEBIDANAN POST PARTUM PRIMIPARA PADA SEKSIO CEASAREA (SC) ATAS INDIKASI KETUBAN PECAH DINI (KPD) DI RUANG FLAMBOYAN,RSUD PROF. DR. W. Z. JOHANNES KUPANG TANGGAL 02 JUNI – 06 JUNI 2017.

Latar belakang : Kesalahan dalam mengelolah ketuban pecah dini akan membawa akibat meningkatnya angka morbaditas dan mortalitas ibu maupun bayi. Sehingga sebagian kasus ketuban pecah dini diselesaikan dengan tindakan secsio sesarea. Operasi SC hanya sekitar 10-15% dari jumlah kelahiran. Di RSUD Prof. W. Z. Johannes kupang, angka kejadian ketuban pecah dini dari dua tahun terakhir yaitu tahun 2015 sebanyak 138 kasus, dan pada tahun 2016 sebanyak 88 kasus. Tujuan : Untuk mengetahui dan menerapkan bentuk asuhan kebidanan pada ibu post sectio ceaserea atas indikasi ketuban pecah dini di ruang flamboyan RSUD Prof. Dr. W. Z. Johannes. Metode : Laporan studi kasus ini menggunakan metode deskriptif yaitu untuk menggambarkan asuhan kebidanan pada Post Partum Primipara Pada SC Atas Indikasi KPD di ruang flamboyan RSUD Prof. Dr. W. Z Johannes Kupang. Hasil : setelah penulis melakukan pengkajian dan pemberian asuhan kebidanan Post Partum Primipara Pada SC atas indikasi KPD di ruang Flamboyan RSUD Prof. Dr. W. Z Johannes Kupang, penulis tidak menemukan kesenjangan antara teori dan asuhan yang diberikan. Simpulan : berdasarkan asuhan kebidanan Post Partum Primipara Pada SC atas indikasi ketuban pecah dini datang dengan keluhan telah melahirkan anak pertama secara SC atas indikasi KPD, tanggal 02 juni 2017 jam 21.00 wita. Ibu mengeluh nyeri pada luka operasi berdasarkan hasil pengkajian sampai pengevaluasian tidak ditemukan kesenjangan antara teori dan asuhan yang diberikan. Ibu pulang dalam keadaan baik dan tidak terdapat komplikasi

Results of a World Health Organization scoping of sexual dysfunction-related guidelines: what exists and what is needed

BACKGROUND: Sexual dysfunction has long been overlooked in the broader context of sexual and reproductive health services. As a result, and in the absence of international sexual dysfunction treatment guidelines, recommendations have instead been developed by a variety of professional associations, worldwide. AIM: We conducted a mapping of existing recommendations addressing a wide array of conditions related to sexual function/dysfunction. METHODS: We contacted 25 professional associations from around the world and held an online open call for guidelines. OUTCOMES: Eligible submissions had to provide recommendations on treatment related to male or female sexual dysfunction. RESULTS: Twelve guidelines from 11 associations were included. Of the 195 recommendations extracted, 61% were related to men, 53% were related specifically to treatment, and 48% did some form of evidence assessment. CONCLUSION: Recommendations from this exercise are provided for WHO, international and national research institutions, ministries of health, and professional associations. Gonsalves L, Cottler-Casanova S, VanTreeck K, et al. Results of a World Health Organization Scoping of Sexual Dysfunction-Related Guidelines: What Exists and What Is Needed. J Sex Med 2020;XX:XXX-XXX

A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises.

INTRODUCTION: Women and girls are affected significantly in both sudden and slow-onset emergencies, and face multiple sexual and reproductive health (SRH) challenges in humanitarian crises contexts. There are an estimated 26 million women and girls of reproductive age living in humanitarian crises settings, all of whom need access to SRH information and services. This systematic review aimed to assess the utilisation of services of SRH interventions from the onset of emergencies in low- and middle-income countries. METHODS: We searched for both quantitative and qualitative studies in peer-reviewed journals across the following four databases: EMBASE, Global Health, MEDLINE and PsychINFO from 1 January 1980 to 10 April 2017. Primary outcomes of interest included self-reported use and/or confirmed use of the Minimum Initial Service Package services and abortion services. Two authors independently extracted and analysed data from published papers on the effect of SRH interventions on a range of SRH care utilisation outcomes from the onset of emergencies, and used a narrative synthesis approach. RESULTS: Of the 2404 identified citations, 23 studies met the inclusion criteria. 52.1% of the studies (n=12) used quasi-experimental study designs, which provided some statistical measure of difference between intervention and outcome. 39.1% of the studies (n=9) selected were graded as high quality, 39.1% moderate quality (n=9) and 17.4% low quality (n=4). Evidence of effectiveness in increasing service utilisation was available for the following interventions: peer-led and interpersonal education and mass media campaigns, community-based programming and three-tiered network of community-based reproductive and maternal health providers. CONCLUSIONS: Despite increased attention to SRH service provision in humanitarian crises settings, the evidence base is still very limited. More implementation research is required to identify interventions to increase utilisation of SRH services in diverse humanitarian crises settings and populations

Evaluating the effectiveness of sexual and reproductive health services during humanitarian crises: A systematic review.

BACKGROUND: An estimated 32 million women and girls of reproductive age living in emergency situations, all of whom require sexual and reproductive health (SRH) information and services. This systematic review assessed the effect of SRH interventions, including the Minimum Initial Service Package (MISP) on a range of health outcomes from the onset of emergencies. METHODS AND FINDINGS: We searched EMBASE, Global Health, MEDLINE and PsychINFO databases from January 1, 1980 to April 10, 2017. This review was registered with the PROSPERO database with identifier number CRD42017082102. We found 29 studies meet the inclusion criteria. We found high quality evidence to support the effectiveness of specific SRH interventions, such as home visits and peer-led educational and counselling, training of lower-level health care providers, community health workers (CHWs) to promote SRH services, a three-tiered network of health workers providing reproductive and maternal health services, integration of HIV and SRH services, and men's discussion groups for reducing intimate partner violence. We found moderate quality evidence to support transport-based referral systems, community-based SRH education, CHW delivery of injectable contraceptives, wider literacy programmes, and birth preparedness interventions. No studies reported interventions related to fistulae, and only one study focused on abortion services. CONCLUSIONS: Despite increased attention to SRH in humanitarian crises, the sector has made little progress in advancing the evidence base for the effectiveness of SRH interventions, including the MISP, in crisis settings. A greater quantity and quality of more timely research is needed to ascertain the effectiveness of delivering SRH interventions in a variety of humanitarian crises

Classically time-controlled quantum automata

In this paper we introduce classically time-controlled quantum automata or CTQA, which is a slight but reasonable modification of Moore-Crutchfield quantum finite automata that uses time-dependent evolution operators and a scheduler defining how long each operator will run. Surprisingly enough, time-dependent evolutions provide a significant change in the computational power of quantum automata with respect to a discrete quantum model. Furthermore, CTQA presents itself as a new model of computation that provides a different approach to a formal study of “classical control, quantum data” schemes in quantum computing.CONACYT – Consejo Nacional de Ciencia y TecnologíaPROCIENCI

Re-Evaluation of the UK’s HFC-134a Emissions Inventory Based on Atmospheric Observations

Independent verification of national greenhouse gas inventories is a vital measure for cross-checking the accuracy of emissions data submitted to the United Nations Framework Convention on Climate Change (UNFCCC). We infer annual UK emissions of HFC-134a from 1995 to 2012 using atmospheric observations and an inverse modeling technique, and compare with the UK’s annual UNFCCC submission. By 2010, the inventory is almost twice as large as our estimates, with an “emissions gap” equating to 3.90 (3.20–4.30) Tg CO₂e. We evaluate the RAC (Refrigeration and Air-Conditioning) model, a bottom up model used to quantify UK emissions from refrigeration and air-conditioning sectors. Within mobile air-conditioning (MAC), the largest RAC sector and most significant UK source (59%), we find a number of assumptions that may be considered oversimplistic and conservative; most notably the unit refill rate. Finally, a Bayesian approach is used to estimate probable inventory inputs required for minimization of the emissions discrepancy. Our top-down estimates provide only a weak constraint on inventory model parameters and consequently, we are unable to suggest discrete values. However, a significant revision of the MAC servicing rate, coupled with a reassessment of non-RAC aerosol emissions, are required if the discrepancy between methods is to be reduced

Unary probabilistic and quantum automata on promise problems

We continue the systematic investigation of probabilistic and quantum finite automata (PFAs and QFAs) on promise problems by focusing on unary languages. We show that bounded-error QFAs are more powerful than PFAs. But, in contrary to the binary problems, the computational powers of Las-Vegas QFAs and bounded-error PFAs are equivalent to deterministic finite automata (DFAs). Lastly, we present a new family of unary promise problems with two parameters such that when fixing one parameter QFAs can be exponentially more succinct than PFAs and when fixing the other parameter PFAs can be exponentially more succinct than DFAs.Comment: Minor correction

Islet autoantibody status in a multi-ethnic UK clinic cohort of children presenting with diabetes.

OBJECTIVE: We prospectively determined islet autoantibody status in children presenting with diabetes to a single UK region in relation to ethnicity. DESIGN: 316 (68.0% non-white) children presenting with diabetes between 2006 and 2013 were tested centrally for islet cell autoantibodies (ICA) and glutamic acid decarboxylase autoantibodies (GAD-65) at diagnosis, and if negative for both, tested for insulin autoantibodies (IAA). The assay used to measure GAD-65 autoantibodies changed from an in-house to a standardised ELISA method during the study. RESULTS: Even with use of the standardised ELISA method, 25.8% of children assigned a diagnosis of type 1 diabetes still tested negative for all three autoantibodies. 30% of children assigned a diagnosis of type 2 diabetes were autoantibody positive, and these had the highest glycated haemoglobin (HbA1c) levels at 12 months follow-up compared with other groups (p value for analysis of variance <0.001), although the sample size was small. Autoantibody positivity was similar between non-white and white children regardless of assay used (60.0% (n=129) vs 56.4% (n=57), χ2=0.9, p=0.35), as was mean GAD-65 autoantibody levels, but fewer non-white children had two or more autoantibodies detectable (13% (n=28) vs 27.7% (n=28), χ2=12.1, p=0.001). CONCLUSION: Islet autoantibody positivity was associated with a more severe phenotype, as demonstrated by poorer glycaemic control, regardless of assigned diabetes subtype. Positivity did not differ by ethnic group

Quantum computation with devices whose contents are never read

In classical computation, a "write-only memory" (WOM) is little more than an oxymoron, and the addition of WOM to a (deterministic or probabilistic) classical computer brings no advantage. We prove that quantum computers that are augmented with WOM can solve problems that neither a classical computer with WOM nor a quantum computer without WOM can solve, when all other resource bounds are equal. We focus on realtime quantum finite automata, and examine the increase in their power effected by the addition of WOMs with different access modes and capacities. Some problems that are unsolvable by two-way probabilistic Turing machines using sublogarithmic amounts of read/write memory are shown to be solvable by these enhanced automata.Comment: 32 pages, a preliminary version of this work was presented in the 9th International Conference on Unconventional Computation (UC2010