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"Women with lifelong vaginismus (N=117) were randomly assigned to cognitive-behavioral group therapy, cognitive-behavioral bibliotherapy, or a waiting list. Manualized treatment comprised sexual education, relaxation exercises, gradual exposure, cognitive therapy, and sensate focus therapy. Group therapy consisted of ten 2-hr sessions with 6 to 9 participants per group. Assistance with minimal-contact bibliotherapy consisted of 6 biweekly, 15-min telephone contacts. Twenty-one percent of the participants left the study before posttreatment assessment. Intent-to-treat analysis revealed that successful intercourse at posttreatment was reported by 14% of the treated participants compared with none of the participants in the control condition. At the 12-month follow-up 21% of the group therapy participants and 15% of the bibliotherapy participants, respectively, reported successful intercourse. Cognitive-behavioral treatment of lifelong vaginismus was thus found to be efficacious, but the small effect size of the treatment warrants future efforts to improve the treatment"

"ABSTRAKMasyarakat Dayak memiliki cara tersendiri dalam merawat anak sakit di rumah menggunakan pengobatan tradisional. Penelitian deskriptif kualitatif ini bertujuan untuk mendapatkan gambaran tentang pengalaman merawat anak sakit menggunakan pengobatan tradisional pada masyarakat Dayak. Pengumpulan data dilakukan dengan wawancara mendalam terhadap 10 pengasuh dan dianalisis menggunakan metode Colorafi and Even. Tema pada penelitian ini yaitu untuk pertolongan pertama, mudah dan murah, antara berhasil dan tidak berhasil, kombinasi bahan alam dan keyakinan, berbicara dengan tanaman, dan menggunakan kekuatan mistis. Tenaga kesehatan harus menghormati atau menghargai budaya dan keyakinan yang dimiliki oleh keluarga terkait metode perawatan yang dilakukan. Berkaitan dengan hal tersebut, tenaga kesehatan perlu memiliki kemampuan untuk mengkaji asuhan keperawatan berdasarkan budaya dan tetap memberikan informasi tentang bahaya pada anak yang harus segera dibawa ke pelayanan kesehatan.

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ABSTRACTDayak tribe people have their own way to take care sick children at home using traditional medicine. This descriptive qualitative research aims to figure out the live experience of taking care sick children using traditional medicine on Dayak tribe people. Data collection used deep interview towards 10 caregivers and the result of the interview was analyzed by using Colorafi and Even method. The themes on this research are first aids, easy and cheap, between success and fail, natural source combination and faith, speaking to plants, and using mystic power. Medical providers have to respect the culture and faith of the family related to the nursing method implemented. Accordingly, they need to have competence to assess the nursing care plan based on culture and still to provide information about the risk factors on children who need emergency intervention by taking them to health service center. "

"Carlana Stone chronicles her efforts to overcome injury and adversity after a car accident left her wheelchair-bound."