Terapi Pijat Tangan dan Minuman Herbal Jahe Madu untuk Ibu Hamil dengan Mual Muntah

Mual muntah merupakan salah satu ketidaknyamanan kehamilan yang dapat mengganggu dan menimbulkan komplikasi. Asuhan yang diberikan untuk mengatasi mual muntah dapat dilaksanakan dengan pendekatan farmakologi dan nonfarmakologi. Terapi non farmakologi yang dapat dikembangkan untuk mengurangi mual muntah yaitu hand massage dan pemberian minuman herbal. Sehingga asuhan mual muntah dapat dilakukan baik secara internal dan eksternal. Tujuan dari penelitian ini yaitu mengetahui pengaruh pemberian terapi hand masaage dan minuman herbal jahe pada ibu hamil dengan mual muntah trimester 1. Jenis metode yang digunakan adalah quasy eksperiment dengan pre-post test design. Sampel di bagi menjadi 2 kelompok yaitu kelompok kontrol dan kelompok perlakuan. Pengambilan sampel secara Randomized Controlled Clinical Trials (RCT). Jumlah sampel sebanyak 30 responden untuk masing-masing kelompok sehingga total responden yaitu 60 orang. Instrumen yang digunakan adalah Pregnancy-Unique Quantification Of Emesis/Nausea (PUQE). Penelitian dilakukan selama 3 bulan. Jenis analisa univariat menggunakan distribusi frekuensi dan analisa bivariat menggunakan analisis Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan intervensi yang dilakukan efektif terlihat dari selisih penurunan intensitas mual muntah pada ibu hamil dan nilai p-value 0,000 < dari nilai alpha (0.05). Simpulan didapatkan adanya pengaruh yang signifikan antara yang di berikan terapi hand massage dan konsumsi minuman herbal dengan yang tidak diberikan perlakuan terhadap ketidaknyamanan mual muntah pada ibu hamil. Berdasarkan penelitian di atas, hand massage dan terapi minuman herbal dapat diterapkan sebagai salah satu penanganan mual muntah pada ibu hamil.

The COVID-19 War in Ceramic Arts: Navigating Aesthetic and Symbolic Expressions

This paper reports on the production of a ceramic installation artwork that explores the story of the COVID-19 pandemic experienced by people throughout the world. The work is a symbolic expression in the form of a set of ceramic art models that portray the story of the battle between positive and negative values, expressed through a 3-dimensional visual ceramic installation consisting of an arrangement of statues that portray an imaginary battle between COVID-19 troops and Lord Krishna. The method used in the process of creating this work was a creative approach that combined appreciation and interpretation of the object of the creative idea. The artwork was made of plastic clay taken from the southern area of Malang regency, East Java, Indonesia, which was formed using a manual technique of direct hand massage and fired at a temperature of 900 °C. The COVID-19 phenomenon is imagined and visualized as a ceramic installation sculpture consisting of the imaginative figures of COVID-19 troops, led by the king of COVID-19 who is shown fighting with Lord Krishna. The result is a visual expression of the COVID-19 troops and their king, in several imaginative forms, carrying various weapons of war, in combat with the imaginary figure of Lord Krishna. The distinction of this work is its portrayal of a battle between positive and negative forces that have become a part of human life during the COVID-19 pandemic, expressed in a symbolic visual narrative through the arrangement of a set of ceramic sculptures.

In God,s image?

Intentional modification of the infant’s head has been commonly practised at all times and in virtually every region of the inhabited world. Motives included aesthetic perception of the human head, greater attractiveness, symbolization of ethnic identity, demonstration of noble origin or sociocultural status, and supposed health benefits. The desired shape was achieved by repeated hand massage, or by using devices like cradleboards, which were applied throughout infancy. In some regions, infant head shaping was the rule rather than the exception. Whereas chronic modification of the skull during the first year of life had no adverse effects, one-time postnatal head shaping by the midwife was a dangerous procedure. Recommended by Soran in the 2nd century c.e., it remained in practice for 17 centuries. With the advent of positional plagiocephaly following the Back to Sleep campaign, head shaping has regained acceptance and is now being widely used again.

Effectiveness of Standard post-operative Care on Post-operative Outcome Evaluation among Women Undergone Lower Segment Cesarean Section in Selected Hospital: A Narrative Review

Background: Present study focuses on effectiveness of standard post-operative care on post-operative evaluation among women undergone lower segment cesarean section in selected hospitals. Standard post operative care basically stands for list of non-pharmacological or pharmacological measures, procedures and methods adopted by the investigator/care giver during post-operative period of women undergone lower segment cesarean section for the reduction of negative post-operative outcomes or complications and to fasten recovery. Present study encompasses articles on post-operative care in terms of one, two or more than two or three measures or interventions as post-operative care measures adapted to reduce post-operative complications like use of music therapy, foot-hand massage therapy, planned early ambulation, planned ambulation techniques etc. for post-operative complications and pain relief. Objective: To identify various post-operative measures or care which can be included in standard post-operative care list and its effectiveness on post-operative outcome evaluation among women undergone Lower segment cesarean section in selected hospitals. Methods: Articles were searched in Google scholar, Pub-med, Medline and research gate by using keywords post-operative care of cesarean section, post-operative outcomes of cesarean section and Cesarean mother. Result: Review includes seven articles showing different non-pharmacological or pharmacological measures or techniques to overcome post-operative complications for early recovery and better outcomes. These measures can be included in standard post-operative care list for positive post-operative maternal and fetal outcomes. These measures include early planned ambulation, planned ambulation techniques, music therapy, Foot and hand massage therapy and use of certain analgesia for pain management in post cesarean women if needed, as per the patient’s condition. Conclusion: Conclusion of the review revealed that there are various measures which can be standardized in post-operative outcome evaluation among women undergone lower segment cesarean section.

Breast health screening: a UK-wide questionnaire

BackgroundCurrently, there is an unmet clinical need in identifying and screening women at high risk of breast cancer, where tumours are often aggressive and treatment intervention is too late to prevent metastasis, recurrence and mortality. This has been brought into sharp focus by the SARS-CoV-2 global pandemic, constantly changing hospital policies and surgical guidelines in reducing access to established screening and treatment regimens. Nipple aspirate fluid (NAF), is thought to provide a unique window into the biological processes occurring within the breast, particularly in the context of a developing neoplasm. Evaluation of NAF in asymptomatic women, for novel chemical biomarkers of either early disease and/or cancer risk offers tremendous promise as a tool to facilitate early detection and to supplement screening. However, it is acceptability as a method of collection and screening by women is critical and yet unknown. A breast health questionnaire was disseminated to women through breast cancer charities, patient support groups and social media platforms, with the aim of collecting opinions on the acceptability of use of NAF as a potential screening tool.MethodFollowing ethical approval a questionnaire was prepared using online surveys consisting of four parts: (a) introduction on breast health screening in the UK, (b) core demographic data, (c) questions regarding screening and the acceptability of using NAF and (d) opinions about the process of collecting and using nipple fluid for screening. The voluntary and anonymous questionnaire was disseminated through social media, professional networks, charity websites and by individuals between October 2019 and December 2020. Survey responses were collected electronically, and the data analysed using online surveys statistical tools.ResultsA total of 3178 women completed the questionnaire (65.9% Caucasian, 27.7% Asian/British Asian, 0.6% black and 5.0% other). Of these, 2650 women (83.4%) had no prior knowledge of NAF and 89.4% were unaware that NAF can be expressed in up to 90% of all women. Concerning their risk of breast cancer, 89.8% of women were keen to know their future risk of breast cancer, 8.5% were unsure whether they wanted to know their risk and a further, 1.6% did not want to know. Regarding screening, 944 women (29.8%) were unaware of the lack of routine National Health Service Breast Screening for those under the age of 47 years. Furthermore, 53.0% of women were unaware that mammographic screening is affected by breast density. In terms of the acceptability of home testing for breast health, 92.0% were keen to undergo a home test. Both 79.7% and 70.9% stated they would consider hand massage and a breast pump to acquire nipple fluid samples, respectively. A further 48.6% of women would consider the use of a hormonal nasal spray for the same purpose. However, with regards to acquiring results from NAF testing, 42.6% of women would prefer to receive results at home and 34.2% in a medical facility. Finally, 91.6% of women believed that breast health should be incorporated as part of school education curriculum.ConclusionPublic awareness regarding breast screening protocols and limitations of mammography could be improved. Many women were unaware that NAF might be a useful biofluid for future risk prediction, and yet the concept of self-testing of nipple fluid, with either hand massage or a breast pump was well received. Efforts should be made to increase awareness of the benefits of alternative and supplementary tests, especially in the context of high-risk individuals and younger patients.