Effect of acupressure on cervical ripening

Background: Cervical ripening is one of the main stages of initiation labor. Acupressure in Chinese medicine is considered as an invasive technique, which through reliving oxytocin ripens the cervix. Acupoint Sanyinjiao (SP6) was selected in this study because it is the acupoint selected in gynecology and it is easy for women to locate and apply pressure without medical assistance. Objectives: The aim of this study was to determine the effect of acupressure on cervical ripening. Patients and Methods: In this randomized clinical trial, 150 primigravida with term pregnancy who had referred to Deziani hospital in Gorgan were chosen and divided to three groups: in the first group acupressure was done by the researcher while in the second groups this was performed by the mother her self, and the third group served as a control and only received routine care. For both intervention groups the pressure was applied on Sp6 for about 20 minutes during one to five days. Elements were checked from cervical ripening at 48 and 96 hours after intervention and at the time of hospitalization. The tools for gathering information included demographic characteristics and midwifery history questionnaire, daily records and follow up forms. Content validity was used for validity of tools. Reliability of the observation check-list and physical examination was confirmed by inter-rater scores (inter observer), and daily records by test-re-test. Data was analyzed by analysis of variance (ANOVA), Kruskal-Wallis and Chi-squared tests (P ≤ 0.05). Results: There was a significant difference between mothers’ educations in the three groups. Most of the mothers (59.5%) in the researcher-performed acupressure group had secondary education. Cervical ripening was significantly different between the three groups after 48 hours (P ≤ 0.05), yet there was no significant difference after 96 hours and at the time of admission. Mean Bishop score was enhanced after 48 hours in the researcher-performed acupressure group (P ≤ 0.021) and the self-performed acupressure group (P ≤ 0.007) in comparison to the control group. Conclusions: The results showed that acupressure is a safe technique and leads to cervical ripening. Thus, regarding the desired results that were achieved when mothers applied acupressure themselves, it could be suggested that it is beneficial for mothers to be trained to apply this method at home. © 2015, Iranian Red Crescent Medical Journal

Pair programming teams and high-quality knowledge sharing: A comparative study of coopetitive reward structures

© 2015, Springer Science+Business Media New York. There has been a growing research interest in understanding knowledge sharing in agile development. Yet, empirical research that sheds light on its underlying practices, such as pair programming, is evolving. This study uses insights from coopetition and software literature to focus inquiry on the relation between coopetitive rewards and high-quality knowledge sharing in pair programming teams. Theoretical hypotheses are developed and validated, suggesting that: ‘coopetitive rewards influence high-quality knowledge sharing both directly and over time through their impact on the level of knowledge sharing satisfaction’, and, ‘the impact of coopetitive rewards on high-quality knowledge sharing is dependent upon task complexity and the history of working under similar reward structure’. This study generates new understanding related to the use of rewards in pair programming teams, and offers a rigorous and replicable seven-step experimental process for simulating coopetitive structures and investigating their role in pair programming and in similar collaborative contexts

Opto-mechanical micro-macro entanglement

We propose to create and detect opto-mechanical entanglement by storing one component of an entangled state of light in a mechanical resonator and then retrieving it. Using micro-macro entanglement of light as recently demonstrated experimentally, one can then create opto-mechanical entangled states where the components of the superposition are macroscopically different. We apply this general approach to two-mode squeezed states where one mode has undergone a large displacement. Based on an analysis of the relevant experimental imperfections, the scheme appears feasible with current technology.Comment: 7 pages, 6 figures, to appear in PRL, submission coordinated with Sekatski et al. who reported on similar result

An enterprise architecture driven approach to virtualisation

Organisations have shown a significant interest in the adoption of virtualisation technology for improving the efficiency of their Data Centres (DC) from both the resource performance and cost efficiency viewpoints. By improving the efficiency of data centres we can sustainably manage their impact on the environment by controlling their energy consumption. The intentions are clear but how best to approach to Data Centre virtualisation is not. This paper proposes an integrated Enterprise Architecture and Information Infrastructure (EAII) driven approach to guide the Data Centre virtualisation. The EAII approach has been developed based on the review and analysis of wellknown The Open Group Architecture Framework (TOGAF) and Information Infrastructure (II) model. The proposed integrated EAII approach seems appropriate to guide and align business strategy and virtualisation implementation for data centres of any size in any industry vertical

The protective effect of garlic extract on diabetic nephropathy

Diabetes causes significant changes in urine and serum constituents such as albumin, creatinine, urea nitrogen, and glycated hemoglobin. Garlic extract, however, has been shown to restore all of these biochemicals, and cause histopathological changes. Administration of garlic extract or metformin, or their combinations has also been demonstrated to have both curative and protective effects against gentamicin nephrotoxicity. These findings can potentiate the clinical use of combinations of metformin and garlic extract in the prevention of diabetic nephropathy

How to Manage Crowdfunded Projects: Empirical Evidence from a Comparative Study of Game Development Projects

This study expands current understanding of the crowdfunding phenomenon by explaining how crowdfunding initiatives that have succeeded in hitting their financial target— referred to as crowdfunded projects— can continue to succeed by delivering their promise within the schedule, budget, and quality guidelines. The study develops propositions that elaborate the importance of undertaking four broad strategies—namely, project management, communication, community, and open innovation— during crowdfunded projects. It then reports the results of an in-depth, comparative qualitative study of two exemplary game development projects to evaluate the applicability of the propositions and create a better understanding of their underlying concepts. The findings confirm the propositions by demonstrating how the two projects differed greatly in the use of strategies. Furthermore, the exploratory nature of the comparisons enriches the propositions by revealing new concepts that need to be considered in the successful implementation of the identified strategies

Hyperuricemia aggravates IgA nephropathy

It is well documented that hyperuricemia is an independent risk factor for IgA nephropathy, and appropriate treatment by allopurinol is a reasonable modality in the patients. We believe that, this drug should routinely be included to the treatment of patients with IgA nephropathy. In this regard, to better understand the allopurinol kidney protective properties in IgA nephropathy, clinical studies are suggested