Effects of acupressure at the P6 and LI4 points on the anxiety level of soldiers in the Iranian military

2020 ◽  
pp. jramc-2019-001332 ◽  
Author(s):  
Saeid Amini Rarani ◽  
N Rajai ◽  
S Sharififar
Keyword(s):  
Military Service ◽  
Cost Effective ◽  
Anxiety Level ◽  
Anxiety Score ◽  
Control Group ◽  
Double Blind ◽  
Stressful Environment ◽  
Significant Difference ◽  
The Mean ◽  
Army Soldiers

IntroductionMilitary service is a stressful environment. Methods to reduce stress may result in the mental health promotion of military forces. There are various methods for relieving anxiety. Acupressure is one of them. Hence, this study was carried out to explore effects of acupressure at the P6 and LI4 acupressure points on the anxiety level of army soldiers.MethodsA randomised double-blind design was undertaken. A total of 120 Iranian army soldiers were randomly assigned to three groups, namely P6, LI4 and control. The P6 and LI4 acupressure points are effective in lowering the anxiety level. In the intervention groups, acupressure was applied at the P6 and LI4 points three times for 10 min at 30 min intervals. In the control group, the thumb pad, which is not an acupressure point, was pressed. The anxiety level of the subjects was measured before the intervention and 30 min after the last intervention. The instruments included a demographics questionnaire and the State-Trait Anxiety Inventory.ResultsThere was no significant difference between the three groups with respect to the anxiety level in the preintervention phase. However, the mean anxiety score in the P6 group decreased significantly from 53.35±9.7 to 49.02±9.3 (p=0.005). The mean anxiety score in the LI4 group also decreased significantly from 53.37±8.39 to 45.47±8.16 (p<0.001). In the control group, there was no significant difference between the preintervention and postintervention phases (p=0.16). In the postintervention phase, the analysis of variance test showed a significant difference between the three groups in terms of the anxiety level (p=0.04).ConclusionsAcupressure can reduce soldiers’ anxiety at the acupressure points, especially at the LI4 point. It is recommended that this simple and cost-effective intervention be used to relieve soldiers’ anxiety in stressful situations.Trial registration number20150715023216N4.

scholarly journals The effect of mindfulness therapy on the pregnant women’s anxiety level in facing childbirth

2019 ◽  
Vol 6 (9) ◽  
pp. 3754
Author(s):  
Apri N. Wulandari ◽  
Brigitta A. D. Susanti
Keyword(s):  
Pregnant Women ◽  
Psychological Health ◽  
Anxiety Level ◽  
Anxiety Score ◽  
Health Improvement ◽  
Control Group ◽  
Significant Difference ◽  
The Mean ◽  
Experimental Group ◽  
Mindfulness Therapy

Background: The health improvement for pregnant women in antenatal phase is not only focused on maintaining physical health, but also the psychological health. One of the factors of maternal psychological health is anxiety. Anxiety is common in pregnant women caused by maternal concerns about complications that accompany the mother and her fetus. The increasing anxiety in pregnant women can have an impact on pregnancy complications. Therefore an intervention is needed to overcome anxiety in pregnant women. The purpose of this study was to determine the effect of mindfulness therapy on the anxiety level of pregnant women in labor.Methods: This study uses a quasi-experimental design with a pre-test and post-test with control group. Implemented in the Public Health Center working area like Sleman in August-September 2018. There were 26 participants selected using purposive sampling, with 13 assigned in experiment and control groups. The questionnaire used is Pregnancy Related Anxiety Questionnaire-Revised 2. Independent sample t-test used for data analysis.Results: There was a significant difference in the mean of anxiety score after the intervention in the experimental group compared to the control group with a value of p=0.017 (p<0.05). The mean of anxiety score after intervention in the control group was 32.00, while the average of anxiety score after intervention in the experimental group was 24.54.Conclusions: Giving mindfulness therapy to pregnant women is able to reduce maternal anxiety levels significantly in facing labor. 

scholarly journals Fatigue, Stigma, and Mood in Patients with Multiple Sclerosis: Effectiveness of Guided Imagery

2021 ◽  
Author(s):  
Mina Beitollahi ◽  
Mansooreh Azizzadeh Forouzi ◽  
Batool Tirgari ◽  
Yunes Jahani
Keyword(s):  
Multiple Sclerosis ◽  
Guided Imagery ◽  
Intervention Group ◽  
Cost Effective ◽  
Control Group ◽  
Double Blind Study ◽  
Double Blind ◽  
Cost Effective Method ◽  
Significant Difference ◽  
The Mean

Abstract Background and objectives : The present study aimed to assess the effectiveness of guided imagery on fatigue, stigma, and mood in patients with multiple sclerosis. Methods This clinical trial is a double-blind study that was conducted on 60 patients with multiple sclerosis referred to the largest center for special diseases in the southeast of Iran in 2020. The convenience sampling method was used to select the participants who were later divided into two groups of intervention (n=30) and control (n=30) using block randomization method. The intervention group listened to the guided imagery audio file at home for 25 minutes. The control group did not receive any intervention. Data were collected by demographic information questionnaires, Fatigue Severity Scale (FSS), Reece Stigma Scale for Multiple Sclerosis (RSS-MS), and the Profile of Mood States (POMS) before and one month after the intervention. Results According to the results, there was no significant difference between the two groups before the intervention in terms of the score of fatigue (P<0.0=67), stigma (P<0.64), and mood (P<0.17). However, after the intervention, a significant differences was observed in this regard (P<0.0001). In the intervention group, the mean score of fatigue decreased from 59.72±18.32 to 35.8±16.15, and the mean score of stigma decreased from 17.31±15.62 to 5.09±8.06, showing a significant reduction in the levels of fatigue (P<0.0001) and stigma (P<0.0001) compared to before intervention. Also, the mean score of mood decreased from 36.90±12.21 to 28.55±11.87, indicating an improvement in the mood of samples in the intervention group (P<0.0001). Conclusions The results indicated that guided imagery, as a cost-effective method, can decrease the fatigue and stigma, and enhance the mood of patients with MS. Therefore, nursing staff can use this method to improve MS patients’ mood and decrease their fatigue and stigma.

scholarly journals Effects of eye cover among high risk neonates at night shift on their distress levels

2019 ◽  
Vol 9 (7) ◽  
pp. 9
Author(s):  
Eman Ali Moselhi Mater ◽  
Huda Shawky Mahamud ◽  
Mohamed Farouk Mohamed
Keyword(s):  
High Risk ◽  
Night Shift ◽  
Newborn Infants ◽  
Study Groups ◽  
University Hospital ◽  
Control Group ◽  
Stressful Environment ◽  
Distress Level ◽  
Significant Difference ◽  
The Mean

Background and aim: The Neonatal Intensive Care Unit (NICU) is a stressful environment for high risk neonates. Persistent bright light is one of the main environmental stressors that are distressed newborn infants in NICU. Cycled lighting may decrease distress level of newborn infants by enhancing calming status. This study aimed to investigate effects of eye cover among high risk neonates at night shift on their distress levels.Methods: Quasi experimental research design was carried out on a randomized sample of 60 newborn infants attending the NICU of El Manial University Hospital (Kasr Al Ainy), (30 control group and 30 study group). Neonatal assessment tool and COMFORTneoNRS scale were utilized for data collection.Results: There was a statistically significant difference between control and study groups regarding the distress levels (p < .00). The mean score of distress levels were 6.80 ± 1.80 and 0.80 ± 1.15 respectively and the mean score of comfort levels in the newborn infants in the control and study groups were 23.22 ± 5.50 and 6.60 ± 1.06 respectively. Eye coved enhanced quite sleep (66.7%), relaxed muscle (73.3%), decrease movement (66.7%) and no crying (85.7%).Conclusions: The use of eye cover among high risk neonates at night shift is effective to decrease their distress level and improve their comfort state in the morning shift by promoting quite sleep and relaxation. Recommendations: The educational program is needed to raise awareness among neonatal nurses about the effect of light reduction methods such as eye patches on the distress level and comfort state that enhances the growth and development of newborn infants.

A study using Sepia 200c given prophylactically postpartum to prevent anoestrus problems in the dairy cow

1991 ◽  
Vol 80 (03) ◽  
pp. 149-156 ◽  
Author(s):  
A.V. Williamson ◽  
W.J. Crawford ◽  
B. Rennie ◽  
W.L. Mackie
Keyword(s):  
Reproductive Performance ◽  
Day Treatment ◽  
Control Group ◽  
Double Blind ◽  
Service Period ◽  
Significant Difference ◽  
Placebo Trial ◽  
The Mean ◽  
And Control ◽  
Action List

AbstractThe results obtained from a study model using Sepia 200c in a herd of dairy cows led to an extended study. Overall reproductive performance was monitored monthly by a farm action list and the technique of palpation of the ovaries per rectum was used to determine pregnancy and cyclical status. A total of 101 cows were randomly treated with Sepia 200c on day 14 or 21 postpartum.Statistical analysis of the results was based on the differences between the untreated Control and Sepia-treated groups in periparturient disorders and pre- and post-service periods, and between the two Sepia-treated groups.In the pre-service period, a significant difference was found between the sepia-treated groups in the proportion of heifers calved, the number of assisted calvings and pre-service problems compared to Control. A difference of 9.9 total mean days to oestrus post-treatment was found between the Sepia-treated groups.During the post-service period, significant differences were found in the conception rate to first service, the percentage of cows in calf and total culled.A reduction (non significant) was found in the 21-day treatment group compared to control and 14-day treatment in the mean days calving to conception interval and the calving index. However, between the Sepia-treated groups a significant difference was found in total mean days calving to conception interval.The results of this study appear to demonstrate a difference in effect between the Sepia-treated groups and Control group. The study has been extended into a double blind placebo trial to find the effect of using a placebo and assess the use of Sepia given earlier postpartum on herd reproductive performance.

scholarly journals Therapeutic Effect of Electrical Stimulation on Chronic Tinnitus: A Double Blind Randomized Controlled Trial

2020 ◽  
Author(s):  
Vahid Zand ◽  
Abolfazl Mollasadeghi ◽  
Mohammad Ansari ◽  
Mohammad Hossein Baradaranfar ◽  
Amir Houshang Mehrparvar
Keyword(s):  
Electrical Stimulation ◽  
Therapeutic Effect ◽  
Controlled Trial ◽  
Chronic Tinnitus ◽  
Control Group ◽  
Case Group ◽  
Medical Sciences ◽  
Double Blind ◽  
Significant Difference ◽  
The Mean

Chronic tinnitus is a disturbing condition that may affect different aspects of life. In this study, the therapeutic effect of electrical stimulation on chronic tinnitus was assessed. This was a clinical trial on 49 patients with persistent tinnitus for more than 6 months without a proper response to routine treatments. They were randomly allocated into two groups: the case group was treated with electrical stimulation for 6 sessions over 6 consecutive days, and the control group received a placebo. Before the intervention, one week and three months after the treatment sessions, patients were evaluated by comprehensive audiological assessments and hearing tests. The mean age of the participants was 40.37±9.32 and 41.35±9.24 in treatment and placebo groups, respectively. Tinnitus intensity was significantly decreased in the case group one week and three months after the treatment (P<0.05). Tinnitus handicap inventory score significantly decreased in the treatment group one week and three months after the treatment (P<0.05). There was no significant difference in tinnitus intensity after treatment, considering gender, age, tinnitus duration, and tinnitus type. Electrical stimulation could significantly reduce the severity of the tinnitus regardless of age, gender, duration, and type of tinnitus. © 2020 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2020;58(1):4-8.

A Randomized, Double-Blind Trial of the Interaction between Cranberry Juice and Warfarin.

Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 4125-4125
Author(s):  
Jack Ansell ◽  
Maryellen McDonough ◽  
Jerold S. Harmatz ◽  
David J. Greenblatt
Keyword(s):  
Warfarin Therapy ◽  
Past History ◽  
Dietary Factors ◽  
Control Group ◽  
Cranberry Juice ◽  
Double Blind ◽  
Intervention Phase ◽  
Significant Difference ◽  
The Mean

Abstract Therapeutic warfarin therapy is highly influenced by concomitant drug therapy or dietary factors by effecting warfarin metabolism or vitamin K status. Cranberry juice (CJ) was recently implicated to influence the INR in patients on warfarin based on a number of brief anecdotal or case reports. This study was designed to determine what influence, if any, daily cranberry juice consumption has on INR levels and plasma warfarin concentrations in patients stably anticoagulated with warfarin. Patients on warfarin for a variety of indications from a population of anticoagulation clinic patients were selected because of their past history of stable anticoagulation and willingness to participate in the study. Major inclusion criteria required a therapeutic INR range of 2.0 – 3.0, no hepatic or renal dysfunction, a stable INR (1.7 – 3.3) on at least 2 measurements within 8 weeks prior to study entry, and informed consent. The study consisted of a 2 week lead-in phase (with weekly INRs in range); a 2 week intervention phase (double-blind daily consumption of an 8 oz glass of cranberry juice or placebo); and a one week follow-up phase (35 day total). Any patient with an out of range INR during the intervention phase ceased the intervention but continued through follow-up. 30 patients were randomized, 14 to CJ and 16 to placebo. 28.6% (4/14) in the CJ group developed a minimally elevated INR and 7.1%(1/14) developed a low INR during the intervention phase. 25% (4/16) in the control group developed a minimally elevated INR during the intervention. There was no significant difference in the mean INRs from each group on each day of measurement except for day 11 of the intervention phase when the CJ group was significantly higher than the placebo group (p&lt;0.02), although on day 15 (end of intervention) the mean INRs from both groups were identical. Plasma warfarin levels are currently pending and should be helpful in identifying any effect on warfarin clearance or warfarin plasma protein binding. A daily 8 oz glass of cranberry juice appears to have no consistent effect on the INR in patients on warfarin therapy compared to placebo.

scholarly journals 47 Increase Clinic Attendance Among Adolescents and Young Adults: A novel cost-effective method

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e20-e20
Author(s):  
Thivia Jegathesan ◽  
Megan Roth ◽  
Melissa Florence ◽  
Niraj Mistry ◽  
Herbert J Bonifacio ◽  
...  
Keyword(s):  
Text Messaging ◽  
Text Message ◽  
Cost Effective ◽  
Control Group ◽  
Missed Appointments ◽  
Clinic Attendance ◽  
Transition Clinic ◽  
Significant Difference ◽  
The Mean ◽  
Text Message Reminder

Abstract Background Transition clinics have been introduced to address the unique needs of adolescent and young adult (AYA) populations, however clinic attendance continues to be an issue. Although poor clinic attendance among the AYA population has been well known, solutions to address this has been limited. Some factors that have been associated with missed appointments include forgetfulness, negative previous clinic experiences and clinic schedules. With widespread use of digital technologies among AYA, the application of digital solutions to increase attendance at healthcare appointments has been explored, but little is known on its effectiveness. Objectives To determine the effect of text messaging appointment reminders on uninformed no show rates in an AYA transition clinic. Uninformed no show rate was defined as an absence from clinic (not related to a medical emergency) without communication with the clinic. Design/Methods A pilot prospective cohort study with a retrospective control group was conducted in an AYA general hematology transition clinic. In order to establish the current no show rate at the clinic, a retrospective review of AYA patients who attended the clinic between April 2013-August 2015 was conducted. Thereafter, all patients who had an appointment scheduled between February 2016 and December 2017 were included in the study and received a text message reminder of their appointment 48 hours prior to their appointment. Monthly uninformed no show rates were collected, and a student’s t-test was conducted to determine if there was a significant difference in uninformed no show rates before and after the introduction of text message reminders. Results Eighty-six participants consented to participate in the study and received a text message reminder of their appointment. From April 2013- August 2015 a total of 51 clinic days with 236 appointments occurred. During this time the mean uninformed no show rate was 39.9%. SMS appointment reminders were sent from February 2016 to December 2017 for 48 clinic days for a total of 206 clinic appointments. The mean uninformed no show rate after the introduction of text message appointment reminders was 22.6%. The introduction of text messaging appointment reminders significantly (p&lt;0.01) decreased uninformed no show rates by 17.3%. Conclusion Text message reminders are an effective low cost method in reminding AYA patients about their appointments. By using innovative, cost effective and practical strategies like text messaging reminders to increase clinic attendance, we not only improve the care of our patients but also reduce the financial and clerical burden to the system resulting from missed appointments.

scholarly journals The Effect of Capsella bursa-pastoris Extract on Heavy Menstrual Bleeding and Quality of Life in Patients with Uterine Leiomyoma: A Double-blind Randomized Clinical Trial

2019 ◽  
pp. 1-10
Author(s):  
Atieh Sadat Danesh ◽  
Faraz Mojab ◽  
Abolfazl Mohammadbeigi ◽  
Soodabeh Bioos ◽  
Zahra Siaghati ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Uterine Leiomyoma ◽  
Intervention Group ◽  
Menstrual Bleeding ◽  
Control Group ◽  
Double Blind ◽  
Significant Difference ◽  
The Mean

Objectives: Heavy Menstrual Bleeding (HMB) is the most important problems of Uterine Leiomyoma (UL). This study aimed to assess the effect of the extract of the Capsella bursa-pastoris (CBP) on the control of HMB and quality of life in patients with uterine leiomyoma. Design: In a double-blind randomized, clinical trial 54 women with uterine leiomyoma were randomly assigned to the intervention/control groups by block randomization. Setting: Gynecology outpatient clinics. Intervention: The intervention group received 350 mg of alcoholic extract of Capsella bursa-pastoris and the control group received placebo twice daily for three months. Main Outcome Measures: Amount of bleeding by Pictorial blood loss assessment chart (PBAC), quality of life by menstrual quality of life questionnaires (MQ) and bleeding duration by calendar were evaluated. Results: The mean of PBAC decreased from 464.00± 283.61 at baseline to 323.82±207.66 in the intervention group and decreased from 445.92±362.64 to 214.36±137.68 in control group in the third month. The improvement trend was significant in the two groups, but there was no significant difference between groups. The mean of bleeding duration and menstrual quality of life showed improvement in patients of two groups without significant difference between the two groups. Conclusion: Despite the effectiveness of CBP in the intervention group in decreasing of PBAC score and menstrual bleeding duration and improvement of menstrual quality of life in patients who suffered from UL, it did not show a significant effect compared to the control group. Future studies with a larger sample size in one specific type of UL suggested.

The Effect of Exercise on Death Anxiety

2021 ◽  
Vol 15 (10) ◽  
pp. 3217-3219
Author(s):  
Hasan Buğra Ekinci ◽  
Ahmet Yavuz Malli ◽  
Nurcan Demirel ◽  
Cemil Tuğrulhan Şam
Keyword(s):  
Death Anxiety ◽  
T Test ◽  
Anxiety Scale ◽  
Anxiety Score ◽  
Control Group ◽  
Group Model ◽  
Significant Difference ◽  
Post Test ◽  
The Mean ◽  
Experimental Group

Aim: This research is planned to identify the effect of exercise on death anxiety in women in the post-menopausal period. Methods: This research is an experiment patterned study (Pre-test/post-test control group model). This model is a two-factor experimental design that shows repetitive measurements (pre-test- post-test) and subjects (experiment-control) in different categories. A total of 36 women voluntarily participated in the study in Erzincan, including 18 women in the experimental group who go through menopause and exercise, and 18 women in the control group who go through menopause and never exercise. The experimental group were given Pilates exercises 3 days a week for 8 weeks, and the control group were asked to preserve their daily lives without regular exercise. In the research, personal information form containing sociodemographic variables of individuals and the Templer Death Anxiety Scale (DAS) form adapted to Turkish by Akça, Köse (2008) were used as data collection tools. After identifying the distribution characteristics in the analysis of the data, paired t-test was used for in-group comparisons and independence sample t-test was used for intergroup comparisons in order to identify the effectiveness of the exercise program and to discover the difference between the first and last test scores of the groups. Results: In the Death Anxiety Scale, the mean death anxiety score was found to be 8.66 as a result of the pre-test performed in the experimental group. And after the exercise, the mean score was 8.38. Although there was no statistically significant difference, there was a decrease in the death anxiety score averages. The mean pre-exercise death anxiety score of the control group was found to be 8.33. The mean post-exercise score was found to be 8.22. Conclusion: There was no significant effect of 8 weeks of exercise on death anxiety. It is understood that even if exercise has some positive physical and psychological contributions on the subjects during this period, a strong anxiety such as death cannot be eliminated in such a short time. Keywords: Exercise, Death Anxiety, Menopause

Determination some Immunological Aspects in Pulmonary Tuberculosis Patients in Qadisiyah Province

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Syoof Khowman Alramahy ◽  
Akram Hadi Hamza
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Pulmonary Tuberculosis ◽  
Statistical Difference ◽  
Positive Culture ◽  
Control Group ◽  
Tuberculosis Patients ◽  
Significant Difference ◽  
Lowenstein Jensen ◽  
The Mean ◽  
Igg Level

This study was carried out to study of some immunological aspects among the pulmonary Tuberculosis patients infected with causative agent, Mycobacterium tuberculosis. A Total of 200 sputum samples were collected from patients attending the consultant Clinic for Chest and Respiratory disease center, Diwaniya. Control group (No=15) also included. According to acid fast stain of sputum, the patients were classified as positive (No=91,45.5%) and negative (No=109,54.5, Lowenstein Jensen medium used for the cultivation of samples, on which 70% of sputum samples where positive culture for this microorganism. The grown microorganism were identified as M. tuberculosis, based on positive A.F.B, Niacin producers ,negative for catlase at 68c. The mean IgG level was l184.053±76.684 mg/100 ml in tuberculosis group compared with 1016.533 ± 44.882 mg/100ml in control group, rendering the statistical difference significant. For IgA and IgM levels, they were at mean of 315.880±38.552 mg/100 ml and 119.527±8.464 mg/100 ml in control group compared with 396.358±38.776 mg/100 ml and 134.207±11.696 mg/100 ml in patients group respectively with significant difference

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