scholarly journals Inflammatory and oxidative alterations of water immersion and epidural analgesia during the labor

2020 ◽  
Vol 7 (8) ◽  
pp. 598-602
Author(s):  
Ümit Yasemin Sert ◽  
Özlem Uzunlar ◽  
Nezaket Kadıoğlu ◽  
Tuba Candar ◽  
Yaprak Engin Üstün

Objective: Water immersion and epidural analgesia are both pain relief methods used to perceive less pain during the labor process. There are concerns about the maternal and fetal outcomes, although studies presented no significant complication directly related to these methods. We aimed to compare the IL-1 and 6 levels, Total serum oxidant (TOS), antioxidant (TAS) and catalase levels of births with epidural analgesia, water immersion and conventional birth without analgesia. Material and Methods: A total of 88 patients were included in the study (The water immersion group included 29 patients, while the epidural analgesia and control group included 30 and 29 patients respectively). Umblical cord IL-1, IL-6, catalase, TAS, TOS levels, neonatal Apgar scores, duration of birth process and demographic data were compared between three groups Results: There was no significant difference between the three groups in terms of age, Body mass index (BMI), gravidity, parity, gestational week, and birth weight (p>0.05). TOS and IL-6 levels were significantly lower in epidural group than others (p=0.031, p=0.019 respectively). Apgar scores were significantly lower in epidural group (p<0.001). Conclusion: The water immersion and epidural analgesia were found to have no adverse effect on oxidative status and infection parameters of women.

2020 ◽  
Vol 11 (1) ◽  
pp. 1165-1171
Author(s):  
Sasmita Das ◽  
Mary Preety Banra ◽  
Neethu Maria Joseph

A quasi-experimental research study (posttest only research design) was conducted to evaluate the effect of ginger tea on chemotherapy-induced nausea and vomiting among cancer patients in selected hospitals of Bhubaneswar and to find out the association of level of chemotherapy-induced nausea and vomiting with selected socio-demographic variables. For this study, a quantitative experimental approach and post-test only research design was adopted. 100 patients were selected by convenience sampling technique and categorized into experimental (n=50) and control group (n=50) for this study. Self- structured socio-demographic proforma and self- structured record analysis proforma was used to collect socio-demographic data and modified nausea and vomiting scale was used to measure the level of chemotherapy-induced nausea and vomiting among cancer patients. The data was analyzed by using SPSS version 20.0 (Statistical Package for the Social Science). The post-testt level of chemotherapy-induced nausea and vomiting among experimental and control groups was compared by unpaired‘t’ test and the result showed (p=<0.0001) significant difference between both groups. The chi-square analysis shows a statistically significance association between chemotherapy-induced nausea and vomiting and the emetogenic potential of the drug in both groups and in control group age was also significance associated. The ANOVA test revealed the statistically significance of the posttest level of chemotherapy-induced nausea and vomiting within groups of the emetogenic potential of a drug. The present study concluded that the food component, like ginger tea, is an effective home remedy for the reduction of chemotherapy-induced nausea and vomiting among cancer patients. Further study can be conducted with a large population, different dose and compositions of ginger and with different adjuvant therapy to manage nausea and vomiting among cancer patients.


2021 ◽  
Vol 15 (7) ◽  
pp. 2022-2028
Author(s):  
Eman Asran Mohamed ◽  
Enayat Abd El Wahab Khalil ◽  
Zeinab Abd El Halim Osman ◽  
Mona Rakhawy ◽  
Naglaa Mostafa G

Background: Schizophrenia is a chronic disease characterized by distortions in thinking, perception, emotions, language, sense of self and behavior. Humor could be used as an alternative to conventional treatment with the goal of helping patients with schizophrenia cope with symptoms, enhance recovery through its emotional, cognitive, social and physiological effects. The aim of the study was to evaluate the effect of humor intervention program on positive and negative symptoms among schizophrenic patients. Design: Randomized control trial (RCT) design was used. Sample: Purposive sample consisted of 40) schizophrenic patients, the study group (n= 20) and control group (n= 20). The patients were selected and allocated randomly into two groups, intervention group (received the humor interventions program) and control group (received traditional care). The study conducted in the Psychiatry and Addiction Prevention "El Kasr AlAini University Hospital and al Rakhawy Hospital for Mental Health. Tools: three tools were used for data collection were; the Socio Demographic Data Sheet, Positive and Negative Syndrome Scale (PANSS) and Multidimensional Sense of Humor Scale (MSHS). Results: revealed that, there was a statistical significant difference between total score of PANSS between study and control groups post intervention. Conclusion: The present study emphasizes the importance of humor intervention program in reducing severity of symptoms of patients with schizophrenia. Key words: schizophrenia, humor intervention, positive symptoms, negative symptoms


2013 ◽  
Vol 3 (3) ◽  
pp. 165-177 ◽  
Author(s):  
Satyapriya Maharana ◽  
Raghuram Nagarathna ◽  
Venkatram Padmalatha ◽  
Hongasandra Ramarao Nagendra ◽  
Alex Hankey

BACKGROUND:Antenatal yoga has been found to be useful and reported to have many beneficial effects. The objective of this study was to investigate the effect of yoga on labor outcome.METHODS:This randomized two-armed active control study recruited 96 women with normal pregnancy. The experimental group practiced integrated yoga and the control group practiced standard antenatal exercises (1 hr/day), from 18 to 20 weeks of gestation until term.RESULTS:The first stage of labor was 4.71 ± 0.59 and 6.19 ± 0.79 hr in yoga and control groups, respectively (p< .001, independent samplesttest); the second stage was 23.41 ± 7.68 min in yoga and 55.19 ± 10.87 min in control group (p< .001); the third stage took 9.07 ± 2.35 min in yoga and 12.96 ± 2.86 min in control group (p< .001). Fewer number of women in yoga group required epidural analgesia (p< .001). The cesarean sections (7/51 in yoga and 18/45 in control;p= .004) and complications of pregnancy (intrauterine growth restriction [IUGR], pregnancy-induced hypertension [PIH], and preterm labor) were fewer (p= .010) in yoga than in control group. Birth weight of babies (p< .001) was higher and Apgar scores (p< .001) were better in yoga as compared to the control group.CONCLUSION:Yoga during pregnancy decreases the duration of all stages of labor, complications of pregnancy, need for epidural analgesia, and cesarean sections; it also improves birth weight and Apgar scores of the infant.


2021 ◽  
Vol 21 (2) ◽  
pp. 45-51
Author(s):  
Yanuar Eka Pujiastutik ◽  
Paramita Ratna Gayatri ◽  
Ely Isnaeni

Latent phase pain was happen caused by several conditions such as cervix dilatation, uterus muscle hypoxia, lower segment uterus stretching, fetus head lower movement, and other condition which increases pain nerve system stimulus. One of the Non-pharmacological therapies to reduce the level of primigravida latent phase pain was Endorphin massage and Effleurage massage. This massage blocks catecholamines and adrenaline hormone thus trigger the birth process by stimulating oxytocin production. This study aims to determine the comparison of the effectiveness of the Endorphin Massage, Effleurage Massage, and control group on primigravida 1st stage latent phase pain. The research is pra experiment research with one group pre-test post-test design and takes place at RS Aura Syifa Kediri for five-month. The population for this research was all mothers of participants was 90 maternal mother at RS Aura Syifa Kediri. The subject for this research was 90 maternal mothers at RS Aura Syifa Kediri which appropriate with inclusion criteria and use total technique sampling. The inclusion criteria for this research were a maternal mother with 1st stage latent phase pain who agree for following this research. Mann Whitney test results for the endorphins group and the effleurage group were 0.002. Likewise for the significance value between the endorphin group and the control group of 0,000 where this value is smaller than 0.05 so the conclusions there is a significant difference between the pain reduction in the endorphin group and the control group. The final conclusion is that the endorphin group is the treatment that has the greatest effectiveness in reducing pain compared to the other groups and there was a significant difference between the effectiveness of pain reduction in the 3 groups.


2020 ◽  
Vol 66 (7) ◽  
pp. 992-997
Author(s):  
Asli Kurtar Mansiroglu ◽  
Sincer Isa ◽  
Gunes Yilmaz

SUMMARY OBJECTIVE Our aim is to determine whether radiation affects the endothelial function of hospital staff working in the radiation unit for diagnostic and therapeutic purposes. We have evaluated endothelial function with vascular imaging parameters such as flow-mediated dilatation (FMD) and aortic stiffness index (ASI). METHODS A total of 75 employees, 35 of whom are exposed to radiation due to their profession and 40 as the control group, were included in our single-centered study. Demographic data, FMD, aortic stiffness, and echocardiographic findings of the two groups were compared. RESULTS There were no significant differences in demographic data. Median FMD values tended to be lower in the radiation exposure group [7.89 (2.17-21.88) vs. 11.69 (5.13-27.27) p=0.09]. The FMD value was significantly lower in the catheter laboratory group than in the radiation-exposed (p=0.034) and control (p=0.012) groups. However, there was no statistically significant difference between the non-catheter lab radiation exposed group and the control group (p=0.804). In addition, there was no statistically significant difference in the ASI value between the groups (p=0.201). CONCLUSION We have found that FMD is decreased among hospital staff working in radiation-associated areas. This may be an early marker for radiation-induced endothelial dysfunction.


2020 ◽  
Vol 17 (8) ◽  
pp. 825-837
Author(s):  
Umaporn KUASIT ◽  
Sopen CHUNUAN ◽  
Urai HATTHAKIT ◽  
Linda F. C. BULLOCK

The purposes of this study were to evaluate the effects of the resilience enhancing nursing program (RENP) on resilience and depression among pregnant teenagers who received this program. A quasi experimental was conducted with 130 pregnant Thai women. Final analysis included 130 participants (Intervention n = 64 and control group n = 66). The RENP was delivered in three steps including; Step 1, establishing trusting relationships; Step 2, improving the resilience, and Step 3, monitoring and encouraging the resilience practice. The research instruments consisted of a demographic data questionnaire, and resilience and depressive program instruments, including a handbook and self-report. Research data were analyzed and displayed, providing percentage, mean, standard deviation, chi-square, independent t-test, paired t-test, and the repeated measures ANOVA. The findings showed a significant difference in depression by time alone (p = 0.001). However, there was no significant difference by group alone in depression (p = 0.969). This study revealed mean score on depression in the experimental group was not significantly lower than before entering the program at week 4 and week 8 (p = 0.870,  p = 0.428). However, resilience showed difference in score over time between the experimental group and control group. There was a significant difference in resilience score by time alone (F = 10.523, p < 0.001). The results can contribute to guiding nurses to enhance decrease in depression in pregnant teenagers in the earlier first trimester in antenatal care units. Nurse or nurse midwife should be concerned about the potential for early detection in the prenatal period and provide appropriate interventions to teenage mothers in the postnatal period.


Author(s):  
Dr.Randa Mohammed AboBaker

Postoperative Ileus (POI) is one of the most common problems after obstetrics, gynecologic and abdominal surgeries. Sham feeding, such as gum chewing, accelerates the return of bowel function and the length of hospital stay. The present study aims to evaluate the effect of chewing gum on bowel motility in women undergoing post-operative cesarean section. Intervention study was used at the Postpartum Department of Maternity and Children Hospital, KSA. A randomized controlled clinical trial research design. Through a convenience technique, 80 post Caesarian Section (CS) women were included in the study. Data were collected through three tools: Tool (I): Socio-demographic data and reproductive history interview schedule. Tool (II): Postoperative Assessment Sheet. Tool (III): Outcomes of gum chewing and the length of hospital stay.  Method: subjects were assigned randomly into two groups of (40) the experimental and (40) the control. Subjects in the study group were asked to chew two pieces of sugarless gum for 30 min/three times daily in the morning, noon, and evening immediately after recovery from anesthesia and in Postpartum Department; while subjects in the control group followed the hospital routine care. Each woman in both groups was tested abdominally using a stethoscope to auscultate the bowel sounds and asked to report immediately the time of either passing flatus or stool. Results: illustrated that a highly statistically significant difference was observed between the two groups concerning their gum chewing outcomes. Where, P = 0.000. The study concluded that gum chewing is safe, well tolerated and appears to be effective in reducing the incidence and consequences of POI following CS.


2016 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Nazli Zainuddin ◽  
Nurul Azira Mohd Shah ◽  
Rosdan Salim

Introduction: The role of virgin coconut oil in the treatment of allergic rhinitis is controversial. Thus, the aim of the present study is to determine the effects of virgin coconut oil ingestion, in addition to standard medications, on allergic rhinitis. We also studied the side effects of consumption of virgin coconut oil. Methods: Fifty two subjects were equally divided into test and control groups. All subjects received a daily dose of 10mg of loratadine for 28 days. The test group was given 10ml of virgin coconut oil three times a day in addition to loratadine. The symptoms of allergic rhinitis were scored at the beginning and end of the study. Results:, the symptom score were divided into nasal and non-nasal symptom scores. Sneezing score showed a significant difference, however the score was more in control group than test group, indicating that improvement in symptom was more in control group. The rest of the nasal symptom and non-nasal symptom score showed no significant difference between test and control groups. Approximately 58% of the test subjects developed side effects from consumption of virgin coconut oil, mainly gastrointestinal side effects. Conclusion: In the present study, ingestion of virgin coconut oil does not improve the overall and individual symptoms of allergic rhinitis, furthermore it has side effects.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Roghieh Safari ◽  
Seyed Hossein Hoseinifar ◽  
Maryam Dadar ◽  
Hien Van Doan

AbstractThe present study investigated possible effects of dietary malic acid on the expression of immunity, antioxidant and growth related genes expression as well as skin mucus immune parameters in common carp. Common carp (Cyprinus carpio) fingerlings were fed diets supplemented with different levels (0 [control], 0.5%, 1%, 2%) of malic acid (MA) for 60 days. The results revealed highest expression levels of immune-related genes (tnf-alpha, il1b, il8 and lyz) in skin of common carp fed 2% MA (P < 0.05). Regarding 1% MA treatment comparison with control group, significant difference was noticed just in case of lyz (P < 0.05). Evaluation of growth related genes expression revealed no significant difference between treatments (P > 0.05). The study of antioxidant related genes (gsta and gpx) in common carp skin fed with MA, showed significant difference between treated groups and control (P < 0.05). Carps fed with 2% MA had highest alkaline phosphatase activity in skin mucus compared other treated groups and control (P < 0.05). There were no significant difference between 0.5% and 1% and control (P > 0.05). The study of total protein and total immunoglobulin (Ig) in common carp skin musus revealed no alteration following MA treatment (P > 0.05). The present data demonstrated that feeding with MA altered immune and antioxidant genes expression in skin mucus of common carp.


2017 ◽  
Vol 1 (2) ◽  
pp. 138
Author(s):  
Mekar Dwi Anggraeni ◽  
Lutfatul Latifah ◽  
Aprilia Kartikasari ◽  
Ima Rismawati

Background and purpose: The earlier development of the attitude toward exclusive breastfeeding produces the longer exclusive breastfeeding duration. Considering the first marriage age among Indonesian, the attitude toward exclusive breastfeeding should be developed at the adolescence age. The purpose of this study was to examine the effect of the attitude toward breastfeeding concept based comic on the adolescent's attitude toward exclusive breastfeeding. Method: This was a quasy experimental posttest only with control group study. The respondents were provided an comic. The respondent's attitude toward exclusive breastfeeding was measured using The Breastfeeding Attitude Questionnaire. Data were analyzed using independent and dependent t test. Results: The majority of respondents were aged 17 years old in both intervention (70%) and control grup (63%), first child in both intervention (23,3%) and control grup (26,7%), and had a nuclear family in both intervention (80%) and control grup (90%). The independent t test showed that there was a significant difference between post-test scores among the intervention and control groups (t = 5,602, p < 0,01). Conclusion and recommendation: Nurses may use the Attitude Toward Breastfeeding based comic to increase the Adolescence's attitude toward breastfeeding.Keywords: Comic, Attitudes Toward Exclusive Breastfeeding, Adolescence


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