RESUMO
Objective: Hyperbilirubinemia has been considered one of the most common clinical conditions in newborn babies. As a traditional medicine, chicory distillate may be beneficial in reducing bilirubin. This randomized, double-blind clinical trial was conducted to determine the effect of chicory extract on hyperbilirubinemia in neonates. Methods: The clinical trial was conducted among 154 participants with hyperbilirubinemia. The study group was selected and randomly divided into the control (n = 77) and intervention (n = 77) groups. In the intervention group, breastfeeding women received a 10% solution of chicory distillate (50 ml every 12 h), whereas, in the control group, the participants received sterile distilled water, 50 ml every 12 h. The infants' bilirubin level was measured before and 24, 48, and 72 h after the intervention. Fisher's exact and Chi-square tests were run to examine qualitative data, while a t-test was applied for independent variables. Findings: There was a significant difference between the intervention and control groups (P < 0.001). Within each group, a significant difference was found in bilirubin levels among different sampling times (P < 0.001). Although the bilirubin levels reduced during the time intervals in both groups, the reduction rate was significantly higher in the intervention group (P < 0.001). Based on the results, breastfeeding mothers should be aware of including chicory extract in their nutritional programs. Conclusion: Chicory extract consumption in breastfeeding mothers can reduce bilirubin in their neonate.
RESUMO
OBJECTIVE: The present study aimed at evaluating the effectiveness of an educational intervention via mobile cells on foot care knowledge and foot care practices in patients with type 2 diabetes. MATERIAL AND METHODS: This is an interventional quasi-experimental study carried out in 4 community health centers in Andimeshk City in Iran in 2017. Of 160 patients 80 cases were randomly assigned as intervention group and 80 patients as the control one. A three-section questionnaire completed by a face-to-face interviewing used for data collection before and after the intervention and three months after the education. Fasting Blood Sugar (FBS) and Hemoglobin A1C (HbA1c) tests were done for both groups in a single laboratory before and three months after training. RESULTS: The mean age of patients in intervention group was 48.11⯱â¯9.7 and control group was 47.3⯱â¯7.9 years. The awareness of the patients related to diabetes foot care, in the intervention group after the training significantly improved (Pâ¯<â¯0.001). The mean scores of preventive behaviors of diabetic foot significantly increased in the intervention group (Pâ¯<â¯0.001). CONCLUSION: The findings indicate that educational intervention based on short message service (SMS), resulting in improve foot care knowledge, foot care practices and metabolic control in patients with diabetes type 2.
