scholarly journals Comparison of L-Shape and Side-Lying Positions on Breastfeeding Outcomes among Mothers Delivered by Cesarean Section: A Randomized Clinical Trial

2021 ◽  
Vol 10 (3) ◽  
pp. 121-128
Author(s):  
Gunjot Arora ◽  
Prasuna Jelly ◽  
Rajlaxmi Mundhra ◽  
Rakesh Sharma
Keyword(s):  
Rating Scale ◽  
Assessment Tool ◽  
Block Size ◽  
Sampling Technique ◽  
Maternal Satisfaction ◽  
Medical Sciences ◽  
Significant Difference ◽  
Numeric Pain Rating Scale ◽  
The Mean ◽  
Rating Scale Data

Introduction: Ineffective breastfeeding techniques is one of the factors contributing to poor breastfeeding outcomes in post-cesarean mothers. To assist post-cesarean mothers to find a comfortable breastfeeding position, a trial was conducted to compare different positions of breastfeeding in these individuals. Methods: A randomized clinical parallel trial was carried out on primipara post-cesarean mothers admitted to All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India. Participants were enrolled by convenience sampling technique, which was further randomized (block size= 4) and allocated to receive either "L" shape (n= 30) or side-lying (n= 30) position for breastfeeding. The assigned intervention was provided at least six times a day for four consecutive days. Data were collected using breastfeeding assessment Tool, maternal breastfeeding evaluation scale and numeric pain rating scale. Data were analyzed using SPSS software version 23. Results: The baseline characteristics of participants in both groups were similar. The mean comparison of breastfeeding outcome and maternal satisfaction indicated no significant difference between the two positions. However, the mean scores of maternal pain were statistically significant. Hence, it was inferred that the maternal pain was significantly less in post-cesarean mothers in "L" shape compared to side-lying. Conclusion: There is significantly less pain in post-cesarean mothers during breastfeeding in "L" shape than side-lying. Furthermore, maternal satisfaction and breastfeeding outcomes were found to be similar in both positions.

Oral Flurbiprofen Spray for Posttonsillectomy Pain

2016 ◽  
Vol 155 (1) ◽  
pp. 166-172 ◽  
Author(s):  
Togay Muderris ◽  
Fatih Gul ◽  
Gokhan Yalciner ◽  
Mehmet Ali Babademez ◽  
Sami Bercin ◽  
...  
Keyword(s):  
Placebo Group ◽  
Rating Scale ◽  
Demographic Data ◽  
Double Blind ◽  
Pain Scores ◽  
Significant Difference ◽  
Lower Pain ◽  
Numeric Pain Rating Scale ◽  
Rating Scale Data ◽  
Posttonsillectomy Pain

Objective Tonsillectomy is still one of the most common surgical procedures, but there exists no standard guideline for pain management after tonsillectomy. Our aim is to determine whether oral spray of flurbiprofen reduces pain and has an influence on other morbid outcomes following tonsillectomy. Study Design Prospective, double-blind, randomized, placebo controlled. Setting Patients at Ataturk Training and Research Hospital, Ankara, Turkey. Subjects and Methods This study was performed on 84 patients (45 in flurbiprofen group, 39 in placebo group) who underwent tonsillectomy. The patients were randomly chosen, and each used oral spray of flurbiprofen 3 times daily or placebo solution at the same regimen. Efficacy was assessed by changes in Numeric Pain Rating Scale. Data were collected at postoperative days 1, 3, 5, and 7 for pain, bleeding, and healing. Data for Mallampati scores were also collected. Results There were no significant difference between groups with respect to the demographic data. The flurbiprofen group had statistically significant lower pain scores at days 1, 3, 5, and 7 ( P = .000, P = .002, P = .001, P = .000, respectively). On days 3 and 7, pain scores were significantly different between different Mallampati groups ( P = .049, P = .015, respectively). The flurbiprofen group required less analgesic than the placebo group during the study period on days 1, 3, 5, and 7 ( P = .001, P = .001, P = .03, P = .001, respectively). Healing and side effects were not significantly different between the groups. Conclusion In this study, topical use of flurbiprofen may reduce posttonsillectomy pain without any evidence of additional complications.

scholarly journals Efficacy of Sodium Valproate and Olanzapine in treating bipolar affective disorder 'mania' at a tertiary care hospital in Nepal: A comparative study

2017 ◽  
Vol 4 (1) ◽  
pp. 27-35
Author(s):  
Lokeshwar Chaurasia ◽  
Sunil Kumar Shah ◽  
Sudarshana Magham Chetty
Keyword(s):  
Affective Disorder ◽  
Sodium Valproate ◽  
Rating Scale ◽  
Tertiary Care Hospital ◽  
Bipolar Affective Disorder ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical Sciences ◽  
Significant Difference ◽  
The Mean

Background and Objectives: Bipolar affective disorder, mania is the mood of an abnormally elevated arousal energy level or a state of heightened overall activation with enhanced affective expression together with lability of affect. The objective of the study was to compare the efficacy of sodium valproate and olanzapine in bipolar affective disorder, mania patients at a tertiary care hospital in NepalMaterial and Methods: A randomized observational prospective open label study was conducted for one and half year at College of Medical Sciences-Teaching Hospital (CMS-TH), Bharatpur, Nepal in the Psychiatry Department. Sixty patients diagnosed with bipolar affective disorder, mania were enrolled. 30 patients received sodium valproate and 30 patients received olanzapine. Patients were monitored and evaluated on baseline (day 0), day 7 and day 30 and compared to the baseline for the severity of illness using the 11-item Young Mania Rating Scale (YMRS).Results: The mean baseline YMRS score for all cases on sodium valproate (n=30) on day 0 was 38.87 ± 3.73, while it was reduced to 13.90 ± 1.95 (p < 0.001) on day 30. Similarly, the mean baseline YMRS score for all cases on olanzapine (n=30) on day 0was 40.83 ± 6.50, while it was reduced to 14.47 ± 2.83 (p < 0.001) on day 30.The mean decrease in YMRS score by sodium valproate was 64.24% and by olanzapine was 64.56%.Conclusion: Treatment with sodium valproate and olanzapine significantly improves the mean mania ratings score and there is no statistically significant difference in efficacy of both the drugs in patients diagnosed with bipolar affective disorder, mania.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4(1): 27-35

scholarly journals Effectiveness of prenatal teaching on prevention of breast engorgement

2017 ◽  
Vol 6 (9) ◽  
pp. 3927 ◽  
Author(s):  
Padmasree S. R. ◽  
Linda Varghese ◽  
Aswathy S. Krishnan
Keyword(s):  
Assessment Tool ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference ◽  
Post Test ◽  
The Mean ◽  
Experimental Group ◽  
Test Level

Background: Breast engorgement is a major issue in the early postpartum period under the influence of hormonal shift and increase milk production. The purpose of this study was to evaluate the prevention, recognition and management of breast engorgement.Methods: Quasi Experimental, quantitative study conducted in AIMS, Kochi among sixty mothers by Convenience sampling technique. The design used was pre-test post-test control group design. A semi structured knowledge questionnaire, Bristol Breastfeeding Assessment Tool and an Observational checklist were used to collect the data. Prenatal teaching provided to the Experimental group.Results: The mean pre-test knowledge level of control group was 9.83 and the post-test knowledge was 10.03. In the Experimental group, the mean pre-test level was 10.20 and the post-test level is 20.76. The ‘t’ value of control group was 0.71 and that of Experimental group was 12.83 which was highly significant at 0.001 level. There was a significant increase in knowledge score in Experimental group. Comparing the breastfeeding practices regarding positioning and attachment in both groups, showed a significant difference at the level of 0.001 but other two aspects, sucking and swallowing were not significant. Comparing the incidence, 13.3% mothers reported in experimental group whereas 63.3% in the control group, which showed a remarkable decrease in the incidence of breast engorgement in the former group.Conclusions: The prenatal teaching was effective in improving the health of mothers as well as practices of breastfeeding and it helped in reduction of the incidence of breast engorgement.

scholarly journals Emotional Bonding and Sexual Activity During COVID-19 Lockdown: A Cross-National Pilot Study

2021 ◽  
pp. 263183182110274
Author(s):  
Deblina Roy ◽  
Sujita Kumar Kar ◽  
SM Yasir Arafat ◽  
Pawan Sharma ◽  
Russell Kabir
Keyword(s):  
Online Survey ◽  
Sampling Technique ◽  
Sexual Relationships ◽  
Sexually Active ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Emotional Bonding ◽  
Significant Difference ◽  
The Mean ◽  
Study Participants

Background: The COVID-19 pandemic and lockdown measures have affected the sexuality and emotional bonding among the couple across the world. Objectives: We aimed to assess the effects of the COVID-19 pandemic and lockdown on the married people’s emotional bonding and sexual relationships in 3 south Asian counties (Bangladesh, India, and Nepal). Methods: A cross-sectional online survey was conducted among Bangladesh, India, and Nepal residents from April 3 to April 15, 2020. The survey was designed in English. The participants were selected through convenience sampling technique, the link of the online questionnaire was shared with the participants. Only participants older than 18 years and above, married, and living with their spouses were included in the study. Results: A total number of 120 respondents were included finally for analysis from the participating countries (India, Nepal, and Bangladesh). The mean age of the participants was 35.42 (±5.73) years; the majority were males under the age of 40 years and had completed postgraduation as their qualification. Among the study participants, more than half (53.8%) of the women reported being sexually active during the lockdown, whereas 41% of the men reported being sexually active. Among the sexually active participants, most women (57.7%) reported that they perceived positive emotional bonding with their partners. Nevertheless, there was no significant difference observed when compared with men. There are variations in responses. However, no significant association was identified. Conclusion: There are a few insights from the study, that is, there was no significant difference found in almost 3 countries in emotional intimacy. There had been a trend that there is improved emotional bonding with their partners, although no significant difference was observed.

scholarly journals EFFECTIVENESS OF HANDS OFF VERSUS HANDS ON TECHNIQUES ON PERINEAL TRAUMA AND PERINEAL PAIN AMONG PARTURIENT MOTHERS

2016 ◽  
Vol 9 (6) ◽  
pp. 179 ◽  
Author(s):  
Jayabharathi Bhaskaran
Keyword(s):  
Sampling Technique ◽  
Simple Random Sampling ◽  
Perineal Trauma ◽  
Perineal Pain ◽  
Study Group ◽  
Perineal Tear ◽  
Group I ◽  
Significant Difference ◽  
Hands On ◽  
The Mean

Background:  Labor is the process by which the fetus and the placenta leave the uterus. Delivery can occur in two ways, vaginally or by a cesarean delivery. The majority of women who have a vaginal birth will sustain perineal trauma from a spontaneous perineal tear or episiotomy or both.Aim: This study aims to assess the effectiveness of hands off versus hands on techniques on perineal trauma and perineal pain among parturient mothers in selected hospitals, Kerala.Methods: The research design adopted in this study was true experimental post test only design. The study was conducted in 3 hospitals at Kerala such as Karothukuzhiyil hospital Pvt, Lakshmi hospital Pvt and Carmal hospital Pvt. Sample size was computed by power analysis based on the previous studies and it would be a total of 90 samples, with 30 parturient mothers in each groups. Simple random sampling technique (Lottery method) was adopted for the selection of parturient mothers into the study. Perineal trauma was assessed by the scale given by Royal College of Obstetrics and Gynaecology (RCOG), 2001, and visual analogue scale (Combined numerical and categorical pain scale) was used to assess the perineal pain of parturient mothers.Results:  The results showed that, there was extremely significant difference found in perineal trauma and perineal pain of parturient mothers between study group I and study II at  p=0.000 level. The mean scores of study group I was lesser than the mean scores of study group II. Conclusion: Different perineal techniques and interventions such as hands on technique, hands off technique, perineal massage, warm compresses etc can be widely used by midwives and birth attendants to prevent perineal trauma during labour.  Key words:  hands off  technique, hands on technique, perineal trauma and perineal pain

scholarly journals Comparison of Quality and Lifestyle in Women with and Without Uterine Leiomyoma Referred to Gynecology Clinics of Shiraz University of Medical Sciences in 2018

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mahnaz Zarshenas ◽  
Mozhgan Sorkhenezhad ◽  
Marzieh Akbarzadeh
Keyword(s):  
Quality Of Life ◽  
Uterine Leiomyoma ◽  
Healthy Lifestyle ◽  
World Health ◽  
Medical Sciences ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Significant Difference ◽  
The Mean

Background: Uterine leiomyomas are considered as a major source of complications and the most common cause of hysterectomy. Objectives: The aim of this study was to compare the quality of life in women with and without uterine leiomyoma referred to gynecology clinics of Shiraz University of Medical Sciences in 2018. Methods: In this cross-sectional study, a total of 126 patients who referred to the clinics of Shiraz University of Medical Sciences were selected and divided into equal groups according to uterine leiomyoma, 1 - 7 cm uterine leiomyoma group and non-uterine leiomyoma group by convenience sampling. The World Health Organization Quality of Life and Healthy Lifestyle questionnaires were used for data collection. Independent t-test was used to analyze the data. Results: The mean quality of life of women with uterine leiomyoma was 47.20 ± 12.41 and women without uterine leiomyoma had a significant difference (51.11 ± 11.23, t = 3.93, P = 0.041). The mean lifestyle of women with uterine leiomyoma was 114.18 ± 25.48 and women without uterine leiomyoma had 149.11 ± 23.81 (t = 4.01, P = 0.029). Conclusions: The mean score of quality of life and lifestyle were significantly different in women with and without uterine leiomyoma. Therefore, it is necessary to improve the quality of life of women by improving their lifestyle and providing psychological counseling.

scholarly journals Protocols of Alcohol Dependents on Rorschach

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Dr Thiyam Kiran Singh ◽  
Dr. M.V.R. Raju ◽  
Noreen Choudhri ◽  
Thiyam Sushma Devi ◽  
Omprakash Patel ◽  
...  
Keyword(s):  
Random Sampling ◽  
Sampling Technique ◽  
Rorschach Test ◽  
Significant Difference ◽  
The Mean ◽  
Ink Blot

This study is to bring some of the patterns of Alcohol Dependents on Rorschach test. In this study random sampling technique was used through which a sample of 20 Alcohol Dependents and 20 Non dependents were included with the mean age of 33.60 years and 30.70 years. All participants were administered Rorschach Ink Blot test to see the different patterns between the groups. The result of the study reflects that there exists a significant difference between groups in the area of total responses, contents categories, space responses (S), ordinary (O) responses, synthesized responses (V/+), vague responses (V), form (F) responses, Popular (P) responses, Raw sum6 and Wgtd sum6. It was found that Non dependents produce more in: total responses, contents categories, space responses, ordinary responses, form responses and popular responses. Whereas alcohol dependents reflect more response in the areas of: vague responses, synthesized responses, unusual responses, Rawsum6 and Wgtdsum6.

scholarly journals Initial experience of complete laparoscopic radical nephroureterectomy combined with transvesical laparoscopic excision of distal ureter in patients with upper urinary tract cancer

2020 ◽  
Author(s):  
Makito Miyake ◽  
Nobutaka Nishimura ◽  
Katsuya Aoki ◽  
Chihiro Ohmori ◽  
Takuto Shimizu ◽  
...  
Keyword(s):  
Rating Scale ◽  
Upper Urinary Tract ◽  
Initial Experience ◽  
Radical Nephroureterectomy ◽  
Specimen Extraction ◽  
Distal Ureter ◽  
Laparoscopic Excision ◽  
Numeric Pain Rating Scale ◽  
The Mean ◽  
Pain Rating Scale

Abstract Background: Selecting the treatment procedure for cancer patients is a challenging task. We report our initial experience of complete laparoscopic radical nephroureterectomy (RNU) for patients with upper urinary tract urothelial cancer (UTUC).Methods: A total of four patients with UTUC underwent complete laparoscopic RNU combined with transvesical laparoscopic excision of the distal ureter using three 5-mm ports. Transvaginal specimen extraction was applied in female patients to reduce incisional pain and improve cosmesis. Peri-operative complications were evaluated using the Clavien–Dindo classification system. Postoperative pain was evaluated during hospitalization using a numeric pain rating scale (scales of 1 to 10). Patients who underwent retroperitoneal laparoscopic surgery combined with open excision of the distal ureter during the same period were included as a control group (conventional RNU, consisting of laparoscopic nephrectomy with open bladder cuff excision) for pain scale evaluation.Results: The novel surgery was successfully completed for all four patients (two males and two females). The mean pneumoperitoneum time for retroperitoneoscopic nephroureterectomy and specimen extraction was 174 min, while the mean pneumovesicum time for the ureteral orifice excision was 88 min. One male patient had bladder leakage at the suture site of the bladder wall, which lasted for two weeks. No patient experienced recurrent disease during the follow-up period (median, 10 months). Mild to moderate pain lasted for 5 or 6 days after RNU. A couple of days after surgery, the numeric pain rating scale of complete laparoscopic RNU and conventional RNU group reached its peak level at 3.0 ± 1.8 and 5.3 ± 2.8, respectively. There was no statistical difference in the degree of postoperative pain (P=0.31).Conclusions: We described our initial experience and outcome of complete laparoscopic RNU for UTUC. Further experience and research are required to determine whether this advanced laparoscopic technique yields better outcomes and has true clinical value.

scholarly journals The Effectiveness of Blended Learning Implementation in Ecological Chapters Judging from the Understanding of Students' Concepts

2019 ◽  
Vol 8 (2) ◽  
pp. 156-162
Author(s):  
Elok Dyah Pitaloka ◽  
Slamet Suyanto
Keyword(s):  
Blended Learning ◽  
Sampling Technique ◽  
Mean Value ◽  
Learning Activities ◽  
Use Of Technology ◽  
Significant Difference ◽  
Scientific Approach ◽  
Biology Learning ◽  
The Mean ◽  
Cluster Random Sampling

The use of technology in the process of learning activities can create a new atmosphere in biology learning, namely direct learning and learning using quipper school online. Learning like this is known as blended learning. The class used for the study was taken through cluster random sampling technique namely X MIPA 2 (experimental class) which implements blended learning and X MIPA 3 (control class) which implements a scientific approach. The implementation of blended learning on the topic of ecology is expected to be effective towards understanding concepts. Blended learning is effective on understanding concepts in ecological discussion because they fulfill three indicators, namely: (1) the average posttest of the experimental class 74.95> the mean posttest of the control class is 64.98, (2) The value of understanding the concepts to the two classes shows a significant difference with the values significance of 0,000<0,05, (3) Mean value of N-Gain experimental class 0.52> N-Gain mean value of control class 0.32. Thus, the implementation of blended learning in the ecology chapter in terms of understanding the concept is said to be effective.

Molecular Detection of Human Cytomegalovirus in Semen of infertile Men in Tehran

2021 ◽  
Author(s):  
Maryam Moradi ◽  
Somayeh Sadat Moochani ◽  
Nazila Yamini ◽  
Davod Javanmard ◽  
Arezoo Marjani ◽  
...  
Keyword(s):  
Dna Fragmentation ◽  
Human Cytomegalovirus ◽  
Medical Sciences ◽  
Sexually Transmitted ◽  
Infertile Men ◽  
Fragmentation Index ◽  
Significant Difference ◽  
Clear Result ◽  
The Mean ◽  
Dna Fragmentation Index

Background and Aims: Human cytomegalovirus (HCMV) can induce latency and evade the immune system. The latent virus can reactive later in older ages and due to immunosuppressive conditions. Sexually transmitted diseases and viruses can influence the male reproductive system, and members of the Herpesviridae family are one of these important viruses. Regarding the importance of herpesviruses, specially HCMV, this research aimed to evaluate the prevalence of HCMV in semen samples of infertile men. Materials and Methods: Semen samples were collected from infertility centers affiliated to Iran University of Medical Sciences. The chromatin state was assessed by DNA fragmentation index. Nucleic acids were extracted from the semen specimens, and a real-time polymerase chain reaction assay was performed to detect HCMV DNA. Results: Enrolled patients were 82 infertile men. The mean age of participants was 37.3 ± 6.1 years, and the mean motility and DNA fragmentation index of the samples were 33.6 ± 2 % and 27.2 ± 1.2, respectively. The prevalence of HCMV was 11%, and there was no statistically significant difference between HCMV and sperm parameters except the motility. Conclusions: HCMV infection could be important in sperm motility, and HCMV prevalence in infertile patients was 11%. Further investigations in this field can be helpful for a clear result in the future.

Sign in / Sign up

Export Citation Format

Share Document