Literature Review : Pemberian Posisi Miring Dan Setengah Duduk Terhadap Lama Persalinan Kala

In the delivery process, the position of the mother giving birth has an effect on the smoothness of the process. This scientific paper aims to determine the description of giving oblique position and half-sitting position to the duration of the second stage of labor based on a literature review. It has taken three articles from Google scholar with tilt nosition half cit-fino nosition and the second stncre as the kevwords A Il Are full-text the first article was published in 2014, the second one was in 2019, and the latter was in 2020. The analysis result showed from 206 respondents, the average of labor duration on the second stage was 23.786 minutes In tilt position. Meanwhile, In halt Sitting position, it was 43.34 minutes. Furthermore, the first position was 19.554 minutes faster than the second one. And. the result is the conclusion. Therefore- it is suggested for the birth attendant to recommend a maternity mother to apply tilt position to speed up the delivery processKeywords: Tilt position; halfsitting position; second stage. AbstrakPosisi pada ibu bersalin berpengaruh terhadap proses persalinan. Pemilihan posisi yang tepat dan benar akan berdampak pada jalannya proses persalinan. Karya tulis ilmiah ini bertujuan untuk mengetahui gambaran pemberian posisi miring dan posisi setengah duduk terhadap lama persalinan kala II berdasarkan literature review. Desain dalam karya tulis ilmiah ini adalah literature review dengan jumlah artikel tiga yang diambil dari laman jurnal google scholar dengan kata kunci “posisi miring”, “posisisetengahduduk” dan “lama kala II”, berupaartikel fultext. Artikel 1 terbit tahun 2019, artikel 2 tahun 2020 dan pada artikel 3 tahun 2014. Hasil analisis dari ketiga artikel menunjukan jumlah responden 206, rata-rata lama persalinan kala II menggunakan posisi miring adalah 23,786 menit dan posisi setengah duduk 43,34 menit. Poisisi miring 19,554 menit lebih cepat saat persalinan kala II dibandingkan posisi setengah duduk. Simpulannya adalah pada ibu bersalin persalinan kala II dengan posisi miring lebih cepat waktu persalinannya dibandingkan posisi setengah duduk. Saran bagi penolong persalinan dapat menganjurkan ibu bersalin menggunakan posisi miring pada proses persalinan kala II.Kata kunci: Posisi miring ;posisi setengah duduk; lama kala II.

POS0938 A NEW APPROACH FOR ULTRASOUND GUIDED SACROILIAC JOINT INJECTIONS IN SPONDYLOARTHRITIS

Background:Sacroiliac joints (SIJ) inflammation and pain is particularly common in patients with Spondyloarthritis (SpA). SIJs injections represent a valuable therapeutic option in this condition. Traditionally this procedure (irrespective of the guidance method) aims at the lower (synovial) part of the joint. However, there is growing body of evidence that enthesitis rather than synovitis is the cardinal pathological lesion in SpA. Thus, an approach targeting the more superior (ligamentous) part of the joint, with the numerous entheses of the intraspinous sacroiliac ligaments placed there, could be more beneficial in SpA patients with active sacroiliitis. The Posterior sacroiliac ligament (PSIL) is the most superficial of the SIJ ligaments, covering the other dorsally. Thus, using PSIL as a landmark and placing the needle tip beneath it, the injected solution will inevitably spread in the ligamentous portion of the joint.Objectives:To assess the feasibility and efficacy of a new technical approach of ultrasound (US) guided SIJ injections in SpA targeting the ligamentous part of the joint.Methods:The feasibility and efficacy of our approach was tested on 22 consecutive SpA patients, after an inform consent, with pain in the SIJ that did not respond to NSAIDS and who were otherwise on a stable medical treatment. A solution consisting of 7 mg Betamethasone (1ml) and 1% Lidocaine (1.5 ml) was administered to all injected SIJs. The efficacy of the procedure was assessed by patients reported outcome measures: mean reported pain level (on VAS), level of disability due to the back pain (Roland Morris Disability Questionnaire – RMDQ) and quality of the night sleep (Jenkins Sleep Evaluation Questionnaire – JSEQ). They were filled by the patients at baseline and two months after the intervention.Methodology of the procedure: All injections were done with patients in a prone position using an Esaote My Lab 7 machine and a linear transducer (3-12 MHz). After visualization of the SIJ cleft, the probe was slide caudally to the level of the second sacral foramen. Then the probe was rotated to a slightly oblique position with its lateral part higher and the medial part lower. In this way the probe became parallel to the PSIL, and latter is visualized sufficiently well in its long axis. Then, in this position, a 22G, 9 mm spinal needle (Spinocan) was inserted at the medial side of the probe following an in-plane free-hand technique and advanced in cranio-lateral direction. When the needle tip was seen to penetrate the PSIL, and thus enter the SIJ ligamentous part, 0.2 ml of the solution was injected to confirm that it spreads beneath the PSIL, rather than above or in this ligament. After that, a Color Doppler (CD) box was activated and placed over the SIJ to monitor the spread of the injected solution and ensure that it keeps bellow the PSIL. The whole solution was injected under this direct US and CD visualization and the needle tip was repositioned again beneath the PSIL if needed during the procedure.Feasibility of this injection approach was assessed on the basis of the encountered difficulties in adequate visualization of the PSIL and the injected solution flow beneath it from the start until the end of the intervention.Results:The results of the procedure, assessed in two months showed that the mean pain score decreased by 68% (VAS from7.22±1.23 to 2.28±2.37), the disability score - by 46% (RMDQ from 11.86±5.12 to 6.42±6.39), and the sleep quality improved by 41% (JSEQ from 9.86±4.76 to 5.84±3.43). The procedure was found completely feasible by the performing operator and the visualization of the landmark (PSIL) was adequate in all patients and throughout the whole procedure. The CD allowed to confirm reliably that the solution is injected under the PSIL at any time point.Conclusion:The SIJ injections performed by our approach and targeting the ligamentous part of the joint, proved to be completely feasible and furthermore – efficient, in alleviating the symptoms of active sacroiliitis in SpA patients.Disclosure of Interests:None declared

EVALUATION OF REFLECTANCE FOR BUILDING MATERIALS CLASSIFICATION WITH TERRESTRIAL LASER SCANNER RADIATION

The main purpose of this work is the evaluation of the potential of Terrestrial Laser Scanning (TLS) technology to perform a reflectance analysis of scanned objects. A laser beam, having a coherent beam in the field of visible light (wavelength between 532nm and 680 nm), can lead to optical diffraction phenomena that allow a correlation between the degree of crystallinity of solids (in particular dispersed crystalline materials) and its reflectivity. Different materials with known crystallinity values have been examined and the diffraction value has been analysed for two types of lasers, one pulsed and the other phase measurement, with two different acquisition conditions (nadiral and oblique position). The results demonstrated the correlation by verifying that the incident laser light beam is more refracted by materials with a higher degree of crystallinity than less crystalline or amorphous materials.

Ossifying Fibroma in the Nasal Cavity of a 2-Year-Old Horse

A 2-year-old mare of an unknown breed was referred to the clinic due to undetermined breathing difficulties. Physical examination revealed painless swelling rostral to the nasoincisive notch and a large, firm mass protruding from the left nostril. Radiographic examination of the head revealed a mass occupying the left nasal cavity and a displaced and hypoplastic last premolar of the left maxilla. The CT scan showed a well-demarcated heterogeneous mass measuring 22 × 9 × 5 cm (length × height × width) in the left nasal cavity attached to the roots of the displaced tooth and conchae. The surgery was performed on the standing horse. Firstly, due to the oblique position of the displaced tooth, the extraction was performed extra-orally through the trephination and repulsion of the maxillary bone. In the next step, a direct surgical approach was chosen for the caudal part of the mass via the osteotomy of the left nasal bone. The mass was bluntly separated from the conchae and removed through the nostril using Fergusson forceps. The histopathological characteristics of the mass led to the diagnosis of ossifying fibroma. The horse recovered completely in seven months, without recurrence after two years.

Compact Dual-Polarized Vivaldi Antenna with High Gain and High Polarization Purity for GPR Applications

A compact ultra-wideband dual-polarized Vivaldi antenna is proposed for full polarimetric ground-penetrating radar (GPR) applications. A shared-aperture configuration comprising four Vivaldi elements for orthogonal polarizations is designed to reduce the low-end operating frequency and improve the port isolation with a compact antenna size. The directivity of the antenna is enhanced by the oblique position of the radiators and the implementation of a square loop reflector. Experimental results demonstrate that the antenna has very good impedance matching, port isolation, and dual-polarized radiation performance, with low dispersion characteristics across band of interest from 0.4 GHz to 3.0 GHz. GPR measurements with the designed antenna show that the antenna maintains good detection capability even for objects buried in a highly conductive soil.

Teknik Pemeriksaan Pelvis Judet View Pada Kasus Trauma Pelvis

Trauma is the most frequent cause of death in the general population after cardiovescular damage and cancer pade patients under yo years of age and trauma is the leading causes of death. One of the files of trauma is the pelvis. The study was conducted with the goal of explaning the judet view pelvis examination of the trauma pelvis with the studi literature approach. The research was carried out in march up to may. The spout of this study that pelvis inspection using judet method was a radio-graphic examination done to show the pelvis andevaluate the disorders of fractures, dislocation, tumors, etc. With the patient is disposed of in oblique position snd bearing optimal results in enforitating the diagnosis using judet method projection, it is already able to make the diagnosis known to the pelvis.

The analysis of reproductive ability of reindeer in different climatic zones of Yakutia

The article presents the materials of the reproductive ability of reindeer in different climatic zones of Yakutia. The calving season of deer in different ulus of the Republic of Sakha (Yakutia) is different. The total duration of calving is 30-45 days (6–9 five days). The timing of calving determined by natural-climatic conditions, timing of the rut and the condition of the deer. Very important in the birth process is the state of the birth canal, and in them the osseous system and in particular the pelvis and its size. In the study of the pelvis of the deer, it turned out that the pelvis of the doe is somewhat more favorable than the pelvis of the cow. Line, which moves the fetus during the stage of breeding and lagging at the same distance from all the walls of the pelvis, called the axis of the pelvis. The axis of the doe pelvis is not a broken line like a cow. Other dimensions – the vertical diameter of the pelvic cavity is on average at doe 21.4 cm, from 21 to 22 cm, which corresponds to the birth of quite large fruit. Three measurements of the diameter of the entrance to the pelvis – dorsal, middle and ventral - show that the lumen of the pelvis of the doe is a trapezium with a length of the upper part on average 17.7 cm, and the lower – 5.8 cm. This proves that the fetus at birth can lie in a lateral or oblique position. The preparatory stage of labor have doe lasts from 24 to 36 hours, and is manifested in the form of anxiety doe, a fall in body temperature of 0.5–1 degrees, well-pronounced swelling of the vulva, relaxation of the Sacro-sciatic ligaments.

EFEKTIFITAS PEMBERIAN POSISI MIRING KIRI DAN SETENGAH DUDUK TERHADAP KEMAJUAN PERSALINAN KALA SATU FASE AKTIF DILATASI MAKSIMAL PADA PRIMIGRAVIDA

Care for the mother dear has a strategic role to reduce stress and anxiety during labor. One of the implementations of the maternal love program is to recommend several positions during labor and delivery of the baby. This study was intended to determine the relationship between giving a sitting and half-sitting position to the progress of labor when the active phase is maximal dilated. The purpose of this study was to find out the effectiveness of giving a left and half sitting oblique position. The type of research used is correlational analytic research. Statistical analysis using Mann Withney. The results showed that the effectiveness of the left oblique position was more than 2 hours 1 respondent or 25%, while the progress of labor for 2 hours 3 respondents or 75%, while being positioned half sitting, getting progress of labor more than 2 hours 25%, while progress delivery for 2 hours is 75%. From the results of the study it was found that there was no difference between giving the left and half sitting oblique position. So that these two positions can be used to accelerate the progress of labor.Keywords: position, progress of labor