scholarly journals Innovation relaxation belts to reduce labor pain itensity and increase β-endoprhine levels

MEDISAINS ◽  
2020 ◽  
Vol 18 (2) ◽  
pp. 69
Author(s):  
Candra Tyas Nur Fitria ◽  
Runjati Runjati ◽  
Sutopo Patriajati ◽  
Choiroel Anwar
Keyword(s):  
Pain Intensity ◽  
Effect Size ◽  
Stage Iv ◽  
Field Trials ◽  
Development Stage ◽  
Labor Pain ◽  
Literature Study ◽  
Phase Ii Trials ◽  
Heat Therapy ◽  
Pharmacological Method

Background: Labor pain feels tremendous, and only 2-4% of mothers low pain during labor. Heat therapy is a non-pharmacological method. The heat therapy is still conventional, and this study uses a relaxation belt with more stable, dry heat media, and comfortable.Objective: This study aims to develop and test a relaxation belt for efforts to reduce labor pain intensity and increase β-endorphin levels in the primigravida of the active labor phase.Method: This study Research and Development (R&D). It consisted of 5 stages; stage I (literature study), stage II (product development), stage III (expert validity and phase I trials), stage IV (product revision and final product), and stage V (phase II trials).Results: The relaxation belt has been created, it has been validity experts test and field trials. The result that the relaxation belt is more effective in reducing pain and increasing β-endorphin levels than warm water compress (mean different pain labor 2.40; p<0.01; effect size 1.72 and mean different increasing β-endorphin levels 53,34; p<0.01; effect size 2.42).Conclusion: The relaxation belt is effective in reducing labor pain intensity and increasing β-endorphin levels.

scholarly journals Difference Effect of The Combination of Lavender Aromatherapy and Effluerage with Breathing Relaxation on Pain Intensity During Labor among Primiparas

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Murtiningsih M ◽  
Shintya Tri Andani
Keyword(s):  
Pain Intensity ◽  
Intervention Group ◽  
Pain Scale ◽  
T Test ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Pharmacological Method ◽  
Difference Effect

 Although labor pain is a physiological process but it was feel severe and longer for primiparas.  Because of a cervical effacement earlier than dilation, and no experience of labor can affect women feel anxiety and fear of labor process, it cause increasing of pain. The non-pharmacological method was cheaper, simple, effective, and no side effect can help women to control of labor pain by herself or another person. The combination of lavender aromatherapy and effleurage can increase of relaxation of uterus contraction and between of it, so labor pain decreasing. The aim of this study was to determine difference effect of the combination of lavender aromatherapy and effleurage with breathing relaxation on pain intensity during labor among primiparas. This study used pre-experiment design with Pretest – Post-test  Control Group design. The consecutive sample of 32 laboring women divided to two groups of the intervention and control group. The pain scale measured by NRS questionnaire. The results showed that mean of pain scale before being given intervention is 7.25. It was the same of two groups. The average of pain scale decreasing to 5.25 in the intervention group and to 6.25 in the control group. The result of t-test dependent obtained p-value = 0.000, so meaning that two of interventions was able to decrease of the labor pain. The result of  t-test independent obtained p-value 0.004, so meaning that there was significantly difference of pain scale during labor of the intervention group to compare with control group. Suggested to health care who provide services at labor room to give a combination of lavender aromatherapy and effleurage as a non-pharmacology therapy alternative besides breathing relaxation to decrease of pain labor in primiparas.Keywords:  Aromatherapy, Labor, Massage, Pain, Relaxation

scholarly journals The gravireceptor of Phycomyces. Its development following gravity exposure.

1984 ◽  
Vol 84 (6) ◽  
pp. 845-859 ◽  
Author(s):  
D S Dennison ◽  
W Shropshire
Keyword(s):  
Spatial Relationship ◽  
Stage Iv ◽  
Development Stage ◽  
Stage Ii ◽  
Stage Iii ◽  
Mature Stage ◽  
Early Exposure ◽  
Altered Gravity

The gravitropism of a mature stage IV Phycomyces sporangiophore has a shorter and more uniform latency if the sporangiophore is exposed horizontally to gravity during its earlier development (stage II and stage III). This early exposure to an altered gravitational orientation causes the sporangiophore to develop a gravireceptor as it matures to stage IV and resumes elongation. A technique has been developed to observe the spatial relationship between the vacuole and the protoplasm of a living sporangiophore and to show the reorganization caused by this exposure to altered gravity. Possible gravireceptor mechanisms are discussed.

scholarly journals The Effect of the BC-MK15 Birth Chair on the Labor Pain Intensity in Multipara

2018 ◽  
Vol 6 (3) ◽  
Author(s):  
Yetti Purnama ◽  
Johanes Cornelius Mose ◽  
Herry Herman
Keyword(s):  
Pain Intensity ◽  
Labor Pain

Scapular exercise combined with cognitive functional therapy is more effective at reducing chronic neck pain and kinesiophobia than scapular exercise alone: a randomized controlled trial

2020 ◽  
Vol 34 (12) ◽  
pp. 1485-1496 ◽  
Author(s):  
Norollah Javdaneh ◽  
Amir Letafatkar ◽  
Sadredin Shojaedin ◽  
Malihe Hadadnezhad
Keyword(s):  
Randomized Controlled Trial ◽  
Neck Pain ◽  
Pain Intensity ◽  
Effect Size ◽  
Controlled Trial ◽  
Chronic Neck Pain ◽  
Secondary Outcome ◽  
Group Differences ◽  
Functional Therapy ◽  
Randomized Controlled

Objective: The aim of this study was to compare the effectiveness of scapular exercises alone and combined with cognitive functional therapy in treating patients with chronic neck pain and scapular downward rotation impairment. Design: Single-blind randomized controlled trial. Setting: Outpatient. Subjects: A total of 72 patients (20–45 years old) with chronic neck pain were studied. Intervention: Allocation was undertaken into three groups: scapular exercise ( n = 24), scapular exercise with cognitive functional therapy ( n = 24) and control ( n = 24) groups. Each programme lasted three times a week for six weeks. Main outcomes: The primary outcome measure was pain intensity measured by the visual analogue scale scores. The secondary outcome measures included kinesiophobia and muscles activity. Results: Statistically significant differences in pain intensity were found when multidisciplinary physiotherapy group including a cognitive functional approach was compared with the scapular exercise alone group at six weeks (effect size (95% CI) = −2.56 (−3.32 to −1.80); P = 0.019). Regarding kinesiophobia, a significant between-group difference was observed at six-week (effect size (95% CI) = −2.20 (−2.92 to −1.49); P = 0.005), with the superiority of effect in multidisciplinary physiotherapy group. A significant between-group differences was observed in muscle activity. Also, there were significant between-group differences favouring experimental groups versus control. Conclusion: A group-based multidisciplinary rehabilitation programme including scapular exercise plus cognitive functional therapy was superior to group-based scapular exercise alone for improving pain intensity, kinesiophobia and muscle activation in participants with chronic neck pain.

scholarly journals Nutraceutical supplements in management of pain and disability in osteoarthritis: a systematic review and meta-analysis of randomized clinical trials

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Dawood Aghamohammadi ◽  
Neda Dolatkhah ◽  
Fahimeh Bakhtiari ◽  
Fariba Eslamian ◽  
Maryam Hashemian
Keyword(s):  
Pain Intensity ◽  
Physical Function ◽  
Random Effects ◽  
Effect Size ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Cochrane Library ◽  
Random Effects Model ◽  
Womac Index ◽  
Pain Subscale

AbstractThis study designed to evaluate the effect of nutraceutical supplementation on pain intensity and physical function in patients with knee/hip OA. The MEDLINE, Web of Science, Cochrane Library, Scopus, EMBASE, Google Scholar, Science direct, and ProQuest in addition to SID, Magiran, and Iranmedex were searched up to March 2020. Records (n = 465) were screened via the PICOS criteria: participants were patients with hip or knee OA; intervention was different nutritional supplements; comparator was any comparator; the outcome was pain intensity (Visual analogue scale [VAS]) and physical function (Western Ontario and McMaster Universities Arthritis [WOMAC] index); study type was randomized controlled trials. The random effects model was used to pool the calculated effect sizes. The standardized mean difference (SMD) of the outcome changes was considered as the effect size. The random effects model was used to combine the effect sizes. Heterogeneity between studies was assessed by Cochran's (Q) and I2 statistics. A total of 42 RCTs were involved in the meta-analysis. Nutritional supplementation were found to improve total WOMAC index (SMD = − 0.23, 95% CI − 0.37 to − 0.08), WOMAC pain (SMD = − 0.36, 95% CI − 0.62 to − 0.10) and WOMAC stiffness (SMD = − 0.47, 95% CI − 0.71 to − 0.23) subscales and VAS (SMD = − 0.79, 95% CI − 1.05 to − 0.05). Results of subgroup analysis according to the supplementation duration showed that the pooled effect size in studies with < 10 months, 10–20 months and > 20 months supplementation duration were 0.05, 0.27, and 0.36, respectively for WOMAC total score, 0.14, 0.55 and 0.05, respectively for WOAMC pain subscale, 0.59, 0.47 and 0.41, respectively for WOMAC stiffness subscale, 0.05, 0.57 and 0.53, respectively for WOMAC physical function subscale and 0.65, 0.99 and 0.12, respectively for VAS pain. The result suggested that nutraceutical supplementation of patients with knee/hip OA may lead to an improvement in pain intensity and physical function.

Labor Pain Management: Effect of Pelvic Tilt by Birth Ball, Sacrum- Perinea Heat Therapy, and Combined Use of them, a Randomized Controlled Trial

2016 ◽  
Vol 33 (S1) ◽  
pp. S503-S503 ◽  
Author(s):  
S. Taavoni ◽  
S. Abdolahian ◽  
L. Neisani ◽  
H. Hamid
Keyword(s):  
Pain Management ◽  
Pelvic Tilt ◽  
Therapy Group ◽  
Controlled Trial ◽  
Personal Characteristic ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Combined Use ◽  
Heat Therapy

There are various safe non-pharmacologic methods for labor pain management, which mostly decrees suffering of mother and some of them significantly decrease pain too.AimTo assess effect of pelvic tilt by birth ball, sacrum-perinea heat therapy and combination use of them on active phase of physiologic labor.MethodIn this randomized control trial, 120 primiparous volunteer with age 18-35 years, gestational age of 38–40 weeks, in one of hospitals of Iran university of medical sciences were randomly selected and divided in four groups: Pelvic tilt by using birth ball, sacrum perinea heat therapy, combined use of two mentioned methods and control group. Tools had 3 main parts of personal characteristic, client examination form and pain visual analogue scale (VAS). All ethical points were considered.ResultsEquality of four groups had been checked before intervention. Lowest pain score first belong to pelvic tilt by birth ball then combined group and finally in heat therapy, which all were significantly less than control group. Significant decrease of pain had been seen in birth ball group and combined group during after 30 minutes intervention, but in the heat therapy group, it was seen after 60 minutes intervention (P-value < 0.05).ConclusionAll three interventions of this study had significant effect and decreased labor pain during active phase, but highest decrease was in pelvic tilt by birth ball group and its effect started after 30 minutes intervention. It is suggested that that Obstetrics and Midwives consider these safe methods for labor pain management.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Coaching Program in Detention Centers as Process of Preparing Inmate Life Skills

2020 ◽  
Vol 1 (4) ◽  
pp. 91-98
Author(s):  
Peri Aldaus ◽  
Alim Harun Pamungkas
Keyword(s):  
Development Stage ◽  
Initial Time ◽  
Literature Study ◽  
Second Development ◽  
Former Prisoners ◽  
Detention Centers ◽  
Stage Of Development ◽  
Initial Stage ◽  
Effective System ◽  
Three Stages

This paper is motivated by the challenges that will be faced by former prisoners when returning to society. The purpose of this paper to describe to the coaching program aimed at prisoners who are in detention centers. This paper used a literature study method by collecting data related to the topic of articles obtained from various sources. Search for published articles using the selected keywords. Articles or journals that match the inclusion and exclusion criteria are taken for further analysis. The concludes of this paper that coaching is divided into stages, namely the initial stage, which is calculated from the initial time of entry up to one-third of the criminal period. Meanwhile, the first stage of development is a third to half of the sentence. Next is the second development stage, namely half to the end of the criminal period. These three stages constitute an effective system.

scholarly journals Surveillance of Different Recombination Defects in Mouse Spermatocytes Yields Distinct Responses despite Elimination at an Identical Developmental Stage

2005 ◽  
Vol 25 (16) ◽  
pp. 7203-7215 ◽  
Author(s):  
Marco Barchi ◽  
Shantha Mahadevaiah ◽  
Monica Di Giacomo ◽  
Frédéric Baudat ◽  
Dirk G. de Rooij ◽  
...  
Keyword(s):  
Cellular Response ◽  
Stage Iv ◽  
Development Stage ◽  
Male Meiosis ◽  
Double Strand Breaks ◽  
Dsb Repair ◽  
Strand Breaks ◽  
Epistasis Analysis ◽  
Associated Proteins ◽  
Normal Males

ABSTRACT Fundamentally different recombination defects cause apoptosis of mouse spermatocytes at the same stage in development, stage IV of the seminiferous epithelium cycle, equivalent to mid-pachynema in normal males. To understand the cellular response(s) that triggers apoptosis, we examined markers of spermatocyte development in mice with different recombination defects. In Spo11 − / − mutants, which lack the double-strand breaks (DSBs) that initiate recombination, spermatocytes express markers of early to mid-pachynema, forming chromatin domains that contain sex body-associated proteins but that rarely encompass the sex chromosomes. Dmc1 − / − spermatocytes, impaired in DSB repair, appear to arrest at or about late zygonema. Epistasis analysis reveals that this earlier arrest is a response to unrepaired DSBs, and cytological analysis implicates the BRCT-containing checkpoint protein TOPBP1. Atm − / − spermatocytes show similarities to Dmc1 − / − spermatocytes, suggesting that ATM promotes meiotic DSB repair. Msh5 − / − mutants display a set of characteristics distinct from these other mutants. Thus, despite equivalent stages of spermatocyte elimination, different recombination-defective mutants manifest distinct responses, providing insight into surveillance mechanisms in male meiosis.

scholarly journals Development of Traditional Sport Game Model “Bentengan” for Student’s Physical Fitness in Sports and Health Physical Education Learning (Case Study on Class IV MI Students of Maduran Lamongan District)

2020 ◽  
Vol 3 (3) ◽  
pp. 1614-1622
Author(s):  
Moh. Syobil Birri ◽  
Agus Hariyanto ◽  
Abdul Rachman Syam Tuasikal
Keyword(s):  
Physical Education ◽  
Product Development ◽  
Physical Fitness ◽  
Field Trials ◽  
Development Model ◽  
Game Model ◽  
Phase Ii Trials ◽  
Fourth Grade Students ◽  
Traditional Sports ◽  
Product Manufacturing

The purpose of this development research is to improve physical fitness in the Physical Education learning process. The development of the traditional sports game model "Bentengan" is carried out in several stages: needs analysis, product manufacturing, evaluation and validation, phase I trials, product revisions, phase II trials, stage 2 product revisions (last revision). The subjects of this study were fourth grade students of MI from Madrasah Ibtidaiyah in Maduran sub-district, Lamongan Regency (MIM 10 Gedangan, MIM 1 Pangkatrejo, MI NU Pangkatrejo, and MI Al-Islamiyah Parengan). Expert validation was carried out by two experts. The first phase of the experiment was carried out on 25 students with 1 PJOK teacher and the second stage test was carried out by 71 students with 3 PJOK teachers. The process of collecting data using a questionnaire. This data consists of evaluations for product quality, suggestions for product improvement, and student responses to game models. The result of this research is the product development model of the game "Bentengan" which is packaged in the form of a book to support learning activities and instructions for implementing the game. Based on data from trial results (small group) and field trials (large group), there were no revisions made by researchers on products that had been developed because the percentage of product development reached 89.53% cognitive aspects with very good categories, 90.39% affective aspects with very good category, and 88.13% psychomotor aspects with very good category, so it is feasible to use. Based on the data analysis, it can be concluded that the result of this research is that the product development model of the game "Bentengan" in Penjasorkes learning can be used to improve physical fitness for grade IV Madrasah Ibtidahiyah in Maduran District, Lamongan Regency.

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