P–771 I hear, I forget. I see and I remember. I do and I understand. An Insight into the need for training for add on techniques

Study question Do embryologists need additional training or certifications before using add on techniques in the lab ? Summary answer Out of 173 respondents majority feel add on techniques require training and/or certifications, the mode of training varies for different add ons. What is known already Cochrane reviews have suggested that minimal evidence exists for the use of add on treatments in ART, the data on the prevalence of add ons in IVF is unclear but the presence of technologies in ART laboratories world over suggests a increasing trend of adoption of unproven techniques. No data exists suggesting the role of embryologists in performing the Add on techniques and how their training or lack of, can impact patient safety. The most common method of training comes from the manufacturers and there is a lack of structured trainings for add on treatments worldover. Study design, size, duration An internet based survey was designed keeping in mind commonly available laboratory add ons. It comprised of 9 sections and a total of 18 multiple choice questions. Answer choices ranged from a simple yes or no to more complex choices suggesting the type of training and the potential benefits of training. Participants/materials, setting, methods The Survey includes results from 173 embryologists from india with varying degree of experience. Add ons included in the survey were Sperm DNA Fragmentation test, IMSI, PICSI, Microfluidics, MACS, Advanced culture media, Oocyte vitrification, Assisted hatching, Time Lapse imaging, spindle view and Electronic Witnessing. The most common practice suggestions were tabulated and identified. Main results and the role of chance The survey reports huge need for training for different add on treatments (SDF –91.4%, IMSI - 81.2%, PICSI- 66.5%, Microfluidics- 55.9%, MACS –55.3%, MicroTese- 86.9%, using advanced culture medias{Calcium ionophore- 73.4%, Hyaluronan rich media- 52.1%, growth cytokine rich media–48.5%, Theophylline for sperm motility–50.9%},oocyte Vitrification 85.5%, Assisted Hatching 75.4%, Time-lapse and Electronic witnessing 77.3%, Polarised microscopy for spindle assessment 73.5%). The Most preferred mode of training for more invasive procedures was Hands on training, followed by On the job training and validation followed by workshops(SDF- 62.6%, IMSI- 61%,PICSI–56.1%, MACS and Microfluidics 38.8%,microTese- 50.6%,Oocyte freezing 85.5%, assisted hatching 67.8%,Time-lapse and electronic witnessing 77.3%, Spindle view 73.5% ). The most preferred mode of training for non invasive procedures was Workshops and Observerships, followed by CME’s, followed by product Leaflets(44.4%,42.1%,13.5% respectively). The most common answer for the disadvantages of not being trained was unable to use the technology to its fullest potential(88.5%), whereas the most common answer for the benefit of being trained was better outcomes with said technologies(76.6%). Limitations, reasons for caution This study includes responses from embryologists who have varied levels of experience, while the need for training can be established based on these results, a junior level embryologist might answer the survey differently as compared to a senior or a lab director. Wider implications of the findings: This is a first of its kind large survey, suggesting the need for training and validation from the perspective of the embryologist. This data can be used in formulating guidelines for future trainings and can help regulators in deciding on the most preferred mode of training. Trial registration number -

ABAY AND MODERNITY: A SYNERGETIC APPROACH TO SPIRITUAL HERITAGE

The article discusses the synergistic approach of the spiritual heritage based on the works of the great poet AbayKunanbayev. The young generation should know its origins, what principles our people adhered to in the upbringing of the younger generation. Even now in modern times we find philosophical meaning in the works and sayings of Abay The author focuses on the fact that Abay's work has enriched the history of the people and, at the same time, the universal culture with new values. These values were kept by the people because they embodied the highest achievements of the people's spiritual wealth, which contributed to the flourishing of its advanced culture. Abay's works have been translated into many languages, and his work is widely acclaimed by foreign writers, poets and literary critics. In modern Kazakhstan, in the context of the globalization of the world, the call of the great Abai to learn from all peoples is relevant, while preserving its own face, national and human dignity, multiplying the number of friends, strengthening friendship with the whole world.

Advanced culture systems for ex vivo human vascular tissue conditioning

Our experience shows that using bioengineering approaches facilitates the understanding of vascular physio-pathological mechanisms and, in perspective, will speed up the development of new life-saving treatments. The use of human samples, particularly operating room-derived samples, which would have been otherwise discarded, is a very valuable approach. In line with the 3Rs principles, this methodology is worth the cost of being set up and managed, wherever and whenever possible

Kearifan Budaya Lokal sebagai Benteng Munculnya Konflik Agama

<div><p class="ABSTRAKen">Practically religion and culture can’t be separated, although in the theoretical sphere they can be separated. Religion can be practiced by its adherents through culture. Basically Religion comes to humans who had been had a culture. Long before the coming of religion, in fact people with their intellect and conscience are able to have a noble culture, which saves each other and is able to create a harmonious life. However, it is precisely in this modern era when humans who claim to reach the peak of advanced culture, it is often a conflict in the name of religion. The birth of religion should be to complete the noble culture, in the contrary, religion and local culture indeed experience tension which trigger conflict sometimes. Humans who only had cultured, can life together in harmony although pre-religions. Unfortunately when there comes aren’t time in which religion and culture have been developed of there life aren’t harmonious. This paper will discuss the relationship between religion and culture in relation to conflict. Analysis of the crisis of modernity which also result in narrow-mindedness cause the emergence of conflic.</p></div>

MANAJEMEN BERBASIS MUTU

Quality management is a phenomenon. Advanced culture that supports arts and crafts allow shoppers choose goods with higher quality standards compared to the normal stuff. In a society that appreciates the arts and crafts, one of the tasks of the management company or owner of the company is the head of the workshop, as well as train and supervise employees and interns. The company set the standard, assessing the work of the employees and ordered rework or repair is necessary. Jobs in crafts has a limitation that is only capable of producing little other dipihak products, but has the advantage that is every product can be made independently in accordance with the wishes of the customer. Craft work approach towards quality score is the primary input when the initial establishment of quality management as a part of management science.