scholarly journals INHIBITION OF SURGICALLY INDUCED MIOSIS WITH NEPAFENAC

2021 ◽  
Vol 71 (3) ◽  
pp. 801-04
Author(s):  
Rabbia Mirza ◽  
Imran Basit ◽  
Summaya Khan ◽  
Zahid Ullah ◽  
Shahid Tarar ◽  
...  

Objective: To assess the efficacy of prophylactic administration of 0.1% nepafenac in the maintenance of trans-operative mydriasis following cataract surgery. Study Design: Quasi-experimental study. Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi, from Oct 2018 to Mar 2019. Methodology: A total of 70 patients undergoing cataract surgery phacoemulsification were randomly placed in either the control group or the nepafenac group. Nepafenac eye drops were administered as one drop 8 hourly, 3 days before surgery. Control group didn’t receive any medication preoperatively Mydriasis was measured trans-operatively before surgery, after aspiration of the cortex, and then at the end of surgery. Patients of both groups received tobradex 2 weeks post-surgery. Results: Post-surgery statistically significant (0.001) difference was observed in the mean pupil size between the nepafenac group (7.88 ± 0.49) and the control group (6.57 ± 0.92 mm). Conclusion: Use of nepafenac prophylactically was very effective in maintenance of trans-operative mydriasis in cataract surgery.

2021 ◽  
Author(s):  
Anis Pourdavarani ◽  
Jamileh Farokhzadian ◽  
Mansooreh Azizzadeh Forouz ◽  
Sedigheh Khodabandeh Shahraki

Abstract Background: Anxiety and depression are the most common psychological disorders in the aging period. One of the ways to deal with anxiety and depression and increase happiness in the elderly is to train positive thinking. Therefore, the present study aimed to investigate positive thinking skills training on anxiety and happiness in the elderly.Methods: In this quasi-experimental study, 48 elderly people referred to two comprehensive health service centers in Kerman in southeastern Iran were selected by convenience sampling method and randomly assigned into intervention groups (n = 24) and control (n = 24). The data collection tools included the Beck Anxiety Inventory and the Oxford Happiness Inventory. Questionnaires were filled out before the intervention, then positive thinking training was held in eight sessions of 90 minutes. After training program, the was conducted one month after it, the follow-up tools.Results: The results showed that the mean score of anxiety before positive thinking training was (13.58 ± 8.61) and (19.25± 11.67) in the intervention and the control group, respectively. After positive thinking training, the mean scores were (4.50 ±4.07) and (15.54±9.04) in the intervention and control group, respectively. After the intervention, which significantly reduced anxiety the intervention, group (t= 8.10, P<0.001). The mean score of happiness before the test was (26.58±12.40) and (37.91 ± 5.57) in the intervention and control groups, respectively. However, the posttest happiness scores of the intervention and control groups were (62.91± 4.66) and (35.62 ±10.62), respectively. The results showed that implementing positive thinking training increased happiness significantly (t=-4.08, P<0.001).Conclusion: Since positive thinking training effect reducing anxiety and increasing happiness in the elderly. Due to the growing trend of the elderly population, the positive thinking training approach can be used as a suitable, cost-effective, and efficient method in reducing anxiety and increasing happiness in the elderly.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Azar Babaahmadi ◽  
Elham Maraghi ◽  
Soraya Moradi ◽  
Shima Younespour

Background: Biostatistics course is considered essential for nursing education. Thus, conceptual learning in biostatistics is highly critical for postgraduate nursing students. A large proportion of students identify this course as the most anxiety-inducing course. The largest part of students’ anxiety in the semester in which they take biostatistics course is manifested in the form of statistics anxiety in addition to test anxiety. Objectives: To evaluate the effectiveness of the peer learning method in biostatistics course among postgraduate nursing students’ final score and test and statistics anxiety. Methods: This quasi-experimental study was conducted during the first semester of the academic year 2019 - 2020 in the Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences. Students were divided into two separate classes according to their courses. In one class, biostatistics course was taught by peers, and the lecture method as the conventional method was used for teaching in the other class. Test and statistics anxiety questionnaires were completed by the students of both groups before the educational intervention and at the end of the semester. Data was analyzed by SPSS 20 using nonparametric tests. Results: The mean final score in the lecture and peer learning groups were respectively 9.9 ± 4.60 and 11.55 ± 4.76 (P = 0.245). At the end of the course, the mean scores of statistics and test anxiety decreased in the intervention group in comparison to the conventional group. Conclusions: Using the peer learning method in biostatistics course has a positive effect on reducing test and statistics anxiety and increasing final scores in postgraduate nursing students.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Theresia J. Masoi ◽  
Stephen M. Kibusi

Abstract Background Unacceptably high maternal and perinatal mortality remain a major challenge in many low income countries. Early detection and management of danger signs through improved access to maternal services is highly needed for better maternal and infant outcomes. The aim of this study was to test the effectiveness of an interactive mobile messaging alert system on improving knowledge on danger signs, birth preparedness and complication readiness practices among pregnant women in Dodoma region, Tanzania. Methods A controlled quasi experimental study of 450 randomly selected pregnant women attending antenatal care was carried in Dodoma municipal. Participants were recruited at less than 20 weeks of gestation during the first visit where 150 were assigned to the intervention and 300 to the control group. The intervention groups was enrolled in an interactive mobile messaging system and received health education messages and were also able to send and receive individualized responses on a need basis. The control group continued receiving usual antenatal care services offered at the ANC centers. Pregnant women were followed from their initial visit to the point of delivery. Level of knowledge on danger signs and birth preparedness were assessed at baseline and a post test was again given after delivery for both groups. Analyses of covariance, linear regression were employed to test the effectiveness of the intervention. Results The mean age of participants was 25.6 years ranging from 16 to 48 years. There was significant mean scores differences for both knowleadge and birth preparedness between the intervention and the control group after the intervention (p < .001). The mean knowleadge score was (M = 9.531,SD = 2.666 in the intervention compared to M = 6.518,SD = 4.304 in the control, equivalent to an effect size of 85% of the intervention. Meanwhile, the mean score for IBPACR was M = 4.165,SD = 1.365 for the intervention compared to M = 2.631,SD = 1.775 in the control group with an effect size of 90% A multivariate linear regression showed a positive association between the intervention (p < 0.001) and level of knowledge (B = 2.910,95%CI = 2.199–3.621) and birth preparediness (B = 1.463,95%CI = 1.185–1.740). Conclusion The Interactive mobile messaging alert system demonstrated to be effective in increasing women’s knowledge on danger signs and improving their birth preparedness practices.


2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Sairam Ahmed ◽  
Iqra Ghazanfar ◽  
Fuad Ahmad Khan Niazi ◽  
Ali Raza

Purpose:  To compare 0.1% Nepafenac ophthalmic solution with placebo in terms of decreasing mean intraoperative miosis in patients undergoing cataract surgery. Study Design:  Quasi experimental study. Place and Duration of Study:  Department of Ophthalmology, Holy-Family Hospital Rawalpindi from September 2017 to March 2018. Methods:  A total of 150 eyes with senile cataract of patients between 40-80 years of age and of both genders, undergoing uneventful cataract surgery and fulfilling the inclusion criteria were included. Patients were divided into 2 equal groups. Group A received Nepafenac eye drops and group B received placebo drops (Preservative free artificial tears). The diameter of pupil as viewed through the operating microscope was measured with Castroviejo Caliper at following steps; immediately before the start of surgery (baseline), after complete nucleus removal and at the end of surgery. Results:  Mean decrease in pupil size from the start of surgery to the end of phacoemulsification in Group A (nepafenac group) was 0.48 ± 0.26 mm while in Group B (placebo group) it was 1.40 ± 0.49 mm (P = 0.0001). Mean decrease in pupil size from start to end in Group A (Nepafenac group) was 0.75 ± 0.32 mm while in Group B (placebo group) was 2.02 ± 0.62 mm (P = 0.0001). Conclusion:  Intraoperative miosis in terms of mean decrease in pupils size (both from start of surgery till phacoemulsification and also from start of surgery till end of surgery) was lower in 0.1% Nepafenac group as compared to placebo group. Key Words:  Phacoemulsification, Miosis, Nepafenac.


Author(s):  
Maryam Heidary ◽  
Marzieh Akbarzadeh ◽  
Fatemeh Ahmadinezhad

Breast-feeding self-efficacy is defined as a mother's confidence in her ability to breastfeed her child. It is one of the variables affecting breastfeeding duration and consequently developmental indicators in child, which have been rarely studied. This study aimed to Impacts of antenatal educational interventions base on BASNEF Model on mothers' breastfeeding self-efficacy: a Quasi-experimental study. This was a quasi-experimental study done on 100 nulliparous mothers referred to the selected clinics in Shiraz. Sampling was done by random method. The intervention was held based on BASNEF components in four educational sessions besides a session on cognitive norms, while the control group received the routine education. The mean score of breast-feeding self-efficacy was measured both before and after the intervention by Fax and Dennis questionnaire besides its correlation with child physical developmental indicators. SPSS18 was applied to analyze the data through paired t-test, independent t-test, and Chi-square test. The mean age of participants was 23.86 ± 4.30 and 24.4 ± 4.18 in BASNEF and control groups, respectively. After the intervention, there was a significant difference in the mean score of self-efficacy in the intervention group compared to the control group (p <0/001). In addition, there was a significant positive correlation between breast-feeding self-efficacy and infants' weight at the age of 3 months besides height at the age of 1 and 3 months (p<0.05). BASNEF based breastfeeding training was related to the rise in breastfeeding self-efficacy in nulliparous pregnant women and subsequently improvement of children's physical growth indicators.


2020 ◽  
Vol 17 ◽  
Author(s):  
Arezoo Shayan ◽  
Laya Hemati ◽  
Farzaneh Soltani ◽  
Farideh Kazemi

Background: Lack of sexual knowledge or incorrect sexual information can lead to anxiety and fear of sexual communication and subsequent sexual dysfunction in marrying women. Objective: The purpose of this study was to investigate the impact of sexual cognition counseling on the sexual communication anxiety of women upon marriage. Methods: In this randomized quasi-experimental study 124 women upon marriage with poor sexual knowledge and attitudes, were randomly assigned into two groups of intervention and control group (62 in each group), using four randomized blocking. Data collected by Sexual Knowledge and Attitude (SKAS) and Sexual Communication Anxiety questionnaires. In the experimental group, five counseling sessions were held with the aim of promoting women sexual knowledge and attitude. Control group women did not receive any intervention. Results: The mean scores of sexual knowledge and sexual attitude of women in the experimental group were significantly increased from 30.02 ± 9.09 and 32.34 ± 6.09 to 34.35 ± 10.23 and 34.53 ± 6.92 after intervention respectively (p <0.05). The mean scores of sexual communication anxiety in the intervention group showed a significant decrease from 42.23 ± 10.63 to 40.47 ± 10.94 after the intervention (p <0.05). Conclusions: This study showed that increase of knowledge and improvement of sexual attitude can reduce the sexual communication anxiety of women upon marriage. Designing and implementing the effective interventions with the purpose of promoting the sexual knowledge in women and amending the false attitudes and beliefs may take some effective steps to protect and promote the sexual health in women, then the couples. This research was registered in Iranian Registry of Clinical Trials (IRCT20120215009014N238).


2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Niloofar Kondori Fard ◽  
Asadollah Keikhaei ◽  
Maliheh Rahdar ◽  
Nasrin Rezaee

Background: The prevalence of cancer and its psychological consequences has increased steadily in recent decades. Hence, parallel to providing medical interventions, psychological therapies should be provided to cancer patients. Objectives: The present study aimed to determine the effect of hope therapy-based training on the happiness of women with breast cancer. Methods: In this quasi-experimental study, 100 female patients with breast cancer admitted to the chemotherapy wards of two hospitals affiliated to the Zahedan University of Medical Sciences (Iran) in 2020 are studied. Participants were selected using the convenience sampling technique and randomly divided into two groups of intervention and control (each with 50 subjects). The intervention group received eight sessions of group-based hope therapy training. Data were collected using a demographic information form and the Oxford Happiness questionnaire. Data were analyzed using SPSS version 16 by chi-square, independent samples t-test, and paired samples t-test, at a significant level of P < 0.05. Results: There was no significant difference between the two groups concerning demographic characteristics. The independent samples t-test showed no significant difference in the mean scores of happiness between the two groups before the intervention (P = 0.55). However, the mean score of happiness for the participants in the intervention group showed a significant increase after providing the intervention compared to the control group (P = 0.001). Besides, the paired samples t-test indicated a significant increase in the mean score of happiness after providing the intervention compared to before intervention (P = 0.001), while the mean score of happiness for the participants in the control group showed a statistically significant decrease (P = 0.004). Conclusions: This study demonstrated that hope therapy-based training is effective for the happiness of women with breast cancer. Since physical and psychological problems caused by cancer lead to sadness and reduced happiness, hope therapy can be added to the care programs for women with cancer undergoing chemotherapy.


2019 ◽  
Vol 2 (1) ◽  
pp. 34-40
Author(s):  
Diah Evawanna Anuhgera ◽  
Eka Fitria Panjaitan ◽  
Desika Wali Pardede ◽  
Desika Wali Pardede ◽  
Nikmah Jalilah Ritonga ◽  
...  

Spending colostrum in post-cesarean section mothers is difficult in the first week postpartum. Efforts to overcome colostrum disruption can use non-pharmacological methods, namely breast care and endorphin massage. This study aims to determine the expenditure of colostrum by giving breast care and endorphin massage to post-cesarean mothers. This research is a quasi-experimental study with a nonequivalent design posttest control group design. This research was carried out in the midwifery room of the second floor of Grand Medistra Lubuk Pakam Hospital during the June-July 2019 period. There were 48 participants selected using purposive sampling, with 18 assigned in breast care, endorphin massage and combination of breast care and endorphin massage. The time of spending colostrum expenditure is assessed every day while the amount of colostrum expenditure is assessed after intervening. Analysis of the data used is one-way Annova. The results showed that the combination of breast care and endorphin massage was the most effective action in the time of spending colostrum and the amount of colostrum with a value of p = 0,000. The combination of breast care and endorphin massage could be applied as an alternative therapy post-cesarean mothers    


2021 ◽  
Vol 13 (12) ◽  
pp. 6586
Author(s):  
Fernando Fraga-Varela ◽  
Esther Vila-Couñago ◽  
Ana Rodríguez-Groba

In recent years, serious games offer great opportunities for learning processes at schools. However, it is unclear whether this type of proposals can offer differentiated answers among the students according to their gender. In this context, the aim of this paper is to know the possible differences that occur in primary school classrooms according to gender, with serious games designed for the development of mathematical fluency, and to examine to what extent these games contribute to the overall school performance. We carried out a quasi-experimental study, including pretest and posttest, without control group and with several experimental groups, and the participation of 284 students from first to fourth grade. The results show that the software benefits boys and girls equally, compared to the previously followed methodology that benefited boys. A clear relation between the results achieved and the performance in the overall students’ grades has also been observed. The conclusions show the potential of serious games in school settings, and the opportunity to approach performance differences based on the gender.


Pteridines ◽  
2020 ◽  
Vol 31 (1) ◽  
pp. 55-60
Author(s):  
Haoyu Jiang ◽  
Ying Zheng ◽  
Chang Liu ◽  
Ying Bao

AbstractBackground To evaluate sulfentanyl combined with dexmedetomidine hydrochloride on postoperative analgesia in patients who received video-assisted thoracic surgery (VATS) and its effects on serum norepinephrine (NE), dopamine (DA), 5-hydroxytryptamine (5-HT), and prostaglandin (PGE2).Material and Methods Ninety-nine non-small cell lung cancer (NSCLC) patients who received VATS were included in the study. All the patients received intravenous inhalation compound anesthesia. Of the 99 cases, 49 subjects (control group) received sulfentanyl for patient controlled intravenous analgesia (PICA) and other 50 cases (experiment group) received sulfentanyl combined with dexmedetomidine hydrochloride for PICA after operation of VATS. The analgesic effects of the two groups were evaluated according to Visual Analogue Scales (VAS) and the Bruggrmann Comfort Scale (BCS). The serum pain mediator of NE, DA, 5-HT, and PGE2 were examined and compared between the two groups in the first 24 h post-surgery.Results The VAS scores for the experiment group were significant lower than that of control group on the time points of 8, 16, and 24 h post-surgery (pall<0.05), and the BCS scores of the experiment group in the time points of 8, 16, and 24 h were significantly higher than that of controls (p<0.05). However, the VAS and BCS scores were not statistical differently in the time point of 1, 2, and 4 h post-surgery (pall>0.05). The mean sulfentanyl dosage was 63.01 ± 5.14 μg and 67.12 ± 6.91 μg for the experiment and control groups respectively with significant statistical difference (p<0.05). The mean analgesic pump pressing times were 4.30 ± 1.31 and 5.31 ± 1.46 for experiment and control groups respectively with significant statistical difference (p<0.05). The serum NE, DA, 5-HT, and PGE2 levels were significantly lower in the experimental group compared to that of control group in the time point of 12 h post-surgery (pall<0.05). The side effects of nausea, vomiting, delirium, rash, and hypotension atrial fibrillation were not statistically different between the two groups (pall>0.05).Conclusion Patient controlled intravenous analgesia of sulfentanyl combined with dexmedetomidine hydrochloride was effective in reducing the VAS score and serum pain mediators in NSCLC patients who received VAST.


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