Comparison of the effect of dry cupping therapy and acupressure at Bl23 point on intensity of postpartum perineal pain based on the short form of McGill pain questionnaire

Background: Perineal pain is a major morbidity in the first few days after delivery. This study aimed to investigate the effect of dry cupping therapy and acupressure at BL23 point on the intensity of postpartum perineal pain based on the short-form of McGill pain questionnaire [SMPQ]

Methods: The present clinical trial was conducted on 150 subjects in 3 groups of 50 cases. After at least 4-8 hr of delivery, cupping therapy was performed for 15-20 min up to 3 times a week [once a day] and acupressure was performed for 15-20 min based on clockwise model. The short-form of McGill pain questionnaire was completed both before and after the intervention. The SPSS statistical software was used to analyze the data using repeated measures ANOVA. Besides, p<0.05 was considered statistically significant

Results: In the cupping therapy group, mean of the perineal pain intensity reduced from 37.5 +/- 6.8 before the intervention to 11.1 +/- 6.1, 6.9 +/- 4.7, and 3.8 +/- 3.6 immediately, 24 hr, and 2 weeks after the intervention, respectively. The results of study showed that the differences between the intervention and control groups were statistically significant [p<0.01]. Mean difference of the perineal pain intensity in the acupressure group reached from 35.6 +/- 8.1 before the intervention to 10.4 +/- 5.5 two weeks after the intervention, so the variation between intervention and control groups was statistically significant

Conclusion: The study findings showed that cupping therapy and acupressure reduced perineal pain. Therefore, they may be considered as effective treatments for reducing pain intensity of allowing delivery

[Comparison of the effect of dry cupping therapy and acupressure at bl23 point on the primiparous women's intensity of postpartum perineal pain: a randomized clinical trial]

Postpartum Perineal Pain [PPP] is one of the most common problems within the puerperium period particularly among the primiparous women. This study aimed to evaluate the effects of dry cupping therapy and acupressure on acupoint BL23 on postpartum perineal pain severity among the primiparous subjects referring tothe selected educational center affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. This clinical trial was conducted on 150 cases in 2012. Cupping therapy was done every other day consecutively 4 times taking 15-20 minutes. Besides, acupressure was applied according to the circular model for 20 minutes. Both interventions were performed max. 8 hours after labor. The patients filled out the VAS questionnaire. Then, the data were analyzed using Chi-square tests.The significance level was considered p<0.05. In the cupping group, the mean difference of postpartum perineal pain intensity reached from 9.0 +/- 1.4 before the intervention to 4.8 +/- 1.6, 2.4 +/- 1.6, and 1.3 +/- 1.2 immediately, 24 hours, and 2 weeks after the intervention, respectively and the results of repeated measures ANOVA showed a significant difference between the three follow-up periods [p<0.05]. On the other hand, this measure reached from 8.5 +/- 1.8 before the intervention to 6.6 +/- 1.6, 4.6 +/- 1.8, and 3.1 +/- 1.4 immediately, 24 hours, and 2 weeks after the intervention, respectively in the acupressure group, however, the reduction was not significant [p> 0.05]. The results of this study showed that the mentioned techniques led to pain relief. Therefore, given the significant reduction in pain in cupping therapy group, this intervention can be applied as an effective treatment for reducing perineal pain

[Systematic review of the factors influencing the implementation and acceptance of electronic health records]

Introduction: This study is aimed at extracting the factors which affecting the implementation and acceptance of electronic health records through a systematic review of articles related to health information domain

Methods: In this study, using a five-stage researching strategy, 194 relevant articles of the four scientific databases including PubMed, Science Direct, Cochrane Library, and CINAHL were extracted, and after applying the exclusive criteria, were conceptually analyzed for the variety of presented factor affecting the adoption and acceptance of electronic health records. Downloaded from jmciri.ir at 16:37 + 0430 on Tuesday July 10[th] 2018

Results: These factors were then organized and categorized into three categories of facilitators, barriers, and dual-role factors

Conclusion: The final result presented a table of concept factors that could inform health system's manager in his/her further decision on adoption, and implementation of EHR systems

effect dry cupping therapy at acupoint BL23 on the intensity of postpartum low back pain in primiparous women based on two types of questionnaires, 2012; a randomized clinical trial

Continuous low back pain is obviously related to the symptoms of the pregnancy period. In spite of the spontaneous improvement of the pain in less than 6 months after the delivery, some women experience chronic problems. Thus, the present study aimed to investigate the effect of dry cupping therapy at the BL23 point on the intensity of low back pain in the primiparous using visual analogue scale and short-form McGill pain questionnaire. In the present clinical trial, 100 samples were randomly allocated randomly to either the cupping therapy or the control group. Cupping therapy was performed for 15-20 minutes every other day up to 4 consecutive times. Visual analogue scale and short-form McGill pain questionnaire were completed by the two groups before the intervention and immediately, 24 hours, and 2 weeks after that. Then, the data were entered into the SPSS statistical software [v. 16] and analyzed using chi-square test and repeated measures ANOVA. According to the visual analogue scale, the mean intensity of low back pain in the cupping therapy group decreased from 7.8+2.7 before the intervention to 3.7+1.8, 2.5+1.7, and 1.4+1.4 immediately, 24 hours, and 2 weeks after the intervention, respectively. Besides, these measures were respectively obtained as 31.8+10.8, 9.0+6.7, 7.5+6.6, and 3.6+4.1 in the short-form McGill pain questionnaire. According to repeated measures ANOVA, a significant difference was observed among the various stages of follow-up [P=0.01] The study results showed cupping therapy to be effective in sedation of pain. Thus, it can be used as an effective treatment for reducing the low back pain

[Comparison of the microshear bond strength of two resin cements to Cercon and Zirkonzahn ceramics]

Nowadays, the application of all ceramic restorations are being raised, because of their physical characteristics, such as translucency and good appearance. Numerous researchers investigated the impact of surface treatments on the bond strength of zirconia ceramic with resin cements. The aim of this study was to compare the microshear bond strength of Cercon and Zirkonzahn [two kind of zirconia] ceramics, to two types of resin cements after thermocycling. In this study, 24 rectangular specimens were made from each group of Cercon and Zirkonzahn ceramics. After sandblasting, these specimens were connected to 3×1 mm[2] composite cylinders by two resin cements [Panavia F2 and Rely X Unicem2]. After performing a thermocycling regime for 5000 cycles [5-55 C], the microshear bond strengths were measured by a universal testing machine. The mode of failures were determined by a stereomicroscope. Data were analyzed using two-way ANOVA. Type of ceramics had no significant impact on the microshear bond strength [P=0.317]. The highest bond strengths in both ceramics were obtained with Reply X Unicem [P=0.035]. The predominant failure mode was adhesive between the cement and ceramic. Type of resin cement had a significant effect on their bond strengths to zirconia ceramics