Effectiveness of structured education and follow-up in the management of perceived breastmilk insufficiency: a randomized control trial

Author(s):  
Müge Sağlik ◽  
Zekiye Karaçam
2017 ◽  
Vol 31 (3) ◽  
pp. 381-386 ◽  
Author(s):  
Brittany N. Rudd ◽  
Ani R. Poladian ◽  
Amy Holtzworth-Munroe ◽  
Amy G. Applegate ◽  
Brian M. D'Onofrio

2019 ◽  
Vol 5 (1) ◽  
pp. 64-68
Author(s):  
Ali Imam Ahsan ◽  
Nasimul Jamal ◽  
Ashfaq Ahmad ◽  
Syed Farhan Ali ◽  
Momenul Haque

Background: Treatment of granular myringitis (GM) is diverse with no definitive management. Objective: The aim of the present study was to see the effectiveness of different interventions for treating granular myringitis. Methodology: This was a single centred, parallel, randomized control trial. This study was done at the Specialized ENT Hospital of SAHIC, Dhaka from July 2010 to June 2012. Patients presenting with granular myringitis of 18 years of age or more with both sexes were included. All patients were divided into two groups by simple random sampling method of which patients of group A were treated by surgical treatment and that of group B were treated by medical treatment. Medical treatment was given in the form of topical ear drops and surgical treatment was performed by surgical debridement of granulation tissue followed by chemical cauterization. Repeated follow up was performed up to 6 months in both groups of treated patients. The primary outcome was the resolution of granulation tissue. During follow-up the secondary outcome variables were recurrence, perforation of the TM and any other complications or complain from the patients. Results: A total number of 60 patients were studied of which 30 patients were treated medically and 30 patients were treated surgically. The cure rate was higher in surgical treatment (80%) than conservative (16.7%) (p=0.011). The recurrence rate (17.24%) is also less in surgical group compared to medical treatment group (77.27%) (p=0.001). Conclusion: Surgical treatment is a more successful treatment modality for granular myringitis. Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 64-68


2021 ◽  
Vol 14 (12) ◽  
pp. 995-1005
Author(s):  
Wen Xu ◽  
◽  
Itagi R Kumar ◽  
Thaiyar M Srinivasan

Background/Objectives: The foundational ethical principles of yoga have not been of focus and not widely known. This study was to evaluate the yoga ethics that could reduce the level of stress in college students. Methods/Statisticalanalysis :A randomized control trial was conducted. One hundred participants were randomly assigned to control group and experiment group with a duration of three months intervention and one month follow-up. The outcome measures of stress level were assessed through Bio-Well instrument. A parametric independent sample t-test for the between-group analyses and paired sample t-test for within-group analysis compared the means of two groups. Findings: There was a statistically significant reduction in the stress after the intervention (p<0.001) and follow up (p=0.035) between the group comparisons. The within-group comparisons showed high reduced in the level of stress after the intervention (p<0.001) and follow-up (p<0.01). Novelty: The current study provides preliminary evidence that the practice of ethical principles of Yama and Niyama effectively reduces the stress and may improve psychological health and well-being. Keywords: Yoga ethics; Yama; Niyama; Stress; Psychological wellbeing; BioWell


2020 ◽  
Vol 7 (1) ◽  
pp. 51
Author(s):  
Rizaldy Taslim Pinzon ◽  
Eric Eric

Pendahuluan: Osteoarthritis (OA) merupakan penyakit radang sendi progresif yang menurunkan kualitas hidup. Penyakit ini tidak dapat disembuhkan dan terbatas hanya mengurangi nyeri yang dialami oleh pasien. Obat yang sering digunakan adalah non-steroidal anti-inflammatory drugs (NSAIDs), namun penggunaan obat tersebut tidak terlepas dari efek samping jika digunakan dalam jangka panjang. Maka diperlukan obat yang efektif dan aman untuk memperbaiki status fungsional pada pasien osteoarthritis. Tujuan: membandingkan efektifitas dari pemberian Biocurpain yang memiliki Nomor Izin Edar (NIE) TR172599281 dengan NSAIDs untuk memperbaiki status fungsional pada terapi pasien OA. Metode: Penelitian ini menggunakan metode Randomized Control Trial (RCT) yang melibatkan pasien OA. Perlakuan yang diberikan berupa Biocurpain (Curcuma longa 300 mg dan Boswellia serrata 150 mg) dan NSAIDs (ibuprofen 400 mg). Subjek diacak menjadi 2 kelompok (kelompok 1 memperoleh Biocurpain dan kelompok 2 memperoleh NSAIDs). Pengukuran status fungsional menggunakan Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Hasil: Terdapat 67 subjek yang mengikuti penelitian ini, 5 subjek lost to follow up dan 3 subjek tidak dapat melanjutkan penelitian karena efek samping yang dirasakan. Sebanyak 59 subjek mengikuti penelitian hingga selesai (kelompok 1 berisi 29 subjek dan kelompok 2 berisi 30 subjek). Tidak ada perbedaan yang signifikan antar kelompok dalam memperbaiki status fungsional (p: 0,771), penggunaan rescue medication (p: 0,370), kejadian efek samping pada visit II (0,215) dan visit III (0,537) pada subjek OA. Kelompok 2 menunjukkan lebih banyak subjek yang mengalami efek samping. Kesimpulan: Biocurpain memiliki efektivitas yang setara dengan NSAIDs dalam memperbaiki status fungsional pada pasien OA.


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Rifa Meidina ◽  
Wedi Iskandar ◽  
Ratna Dewi Indi Astuti

Skabies merupakan penyakit kulit oleh tungau Sarcoptes scabiei, penyakit ketiga paling sering di Indonesia. Pengobatan lini pertama yang direkomendasikan adalah krim permetrin 5% dan pengobatan lain menurut pusat pengendalian dan pencegahan penyakit, adalah ivermektin oral dengan dosis 200 mcg/kgBB, dua dosis 14 hari terpisah.Metode yang digunakan adalah systematc review dengan mengevaluasi artikel publikasi ilmiah dengan desain penelitian randomized control trial sesuai dengan kriteria inklusi, dengan intervensi pemberian permetrin dan pembanding ivermektin, dilakukan skrining menggunakan kriteria kelayakan. Hasil yang didapat, 3 jurnal mengenai efektivitas ivermektin dan permetrin yaitu, dosis tunggal ivermektin memberikan tingkat kesembuhan pada interval 2 minggu. Terapi dua aplikasi permetrin dengan interval satu minggu memiliki nilai yang efektif yang tinggi pada pasien. Empat jurnal menyatakan bahwa permetrin lebih unggul dalam penatalaksanaan skabies. Permetrin 5% topikal menunjukkan perbaikan lebih cepat pada minggu pertama follow up. Satu jurnal menyatakan bahwa aplikasi ivermektin sama efektifnya dengan dua aplikasi krim permetrin 2,5% follow-up 2 minggu. Setelah mengulangi pengobatan, ivermektin sama efektifnya dengan krim permetrin 2,5%. Simpulan pemberian keduanya dapat mengobati skabies. Aplikasi permetrin dua kali dengan interval satu minggu dinilai lebih efektif daripada ivermektin dosis tunggal dan pasien sembuh lebih awal. Dua dosis ivermektin sama efektifnya dengan aplikasi tunggal permetrin. Systematic Review: The Effectiveness of Therapy Comparison between Ivermectin with permetrin Therapy in Scabies TreatmentScabies, a skin disease caused by the mite Sarcoptes scabiei, is the third most common disease in Indonesia. The recommended first-line treatment is 5% permetrin cream and another treatment according to the Centers for Disease Control and Prevention, is oral ivermectin at a dose of 200 mcg/kg body weight, two doses 14 days apart. The method used is a systematic review with a randomized control trial research design in accordance with the inclusion criteria and screening using the eligibility criteria. The results obtained: 3 journals regarding the effectiveness of ivermectin and permetrin which stated that a single dose of ivermectin provided a cure rate at 2 week intervals, two applications of permetrin at one-week intervals have high effective values; 4 journals stated that topical 5% permetrin showed faster improvement in the first week of follow-up;  1 journal stated that ivermectin applications were as effective as two applications of 2.5% permetrin cream at 2 weeks follow-up. After repeating the treatment, ivermectin is as effective as 2.5% permetrin cream. The conclusion is that giving both can cure scabies. Twice application of permetrin at one-week intervals was considered more effective than single dose ivermectin and the patient recovered earlier. Two doses of ivermectin are as effective as a single application of permetrin.


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