Background: Positioning is a part of routine neonatal care in most neonatal intensive care units. Optimal positioning has been controversially advocated as a practice for providing better neuro-developmental outcomes in prematures. Objectives: To evaluate by near-infrared spectroscopy (NIRS) the effect of changing posture on regional saturation of oxygen (rSO2) in the brain in mechanically ventilated preterm newborns during first 3 days after delivery. Methods: Twenty stable ventilated preterm newborns were studied by NIRS in four different positions sequentially including supine, right-side-lying, prone, and left-side-lying, as well as in 3 intermediate periods between the four main positions.
Objective: Children with autism spectrum disorder suffer from problems such as qualitative impairment in the social interactions and stereotypical behaviors and the purpose of many interventions is the dynamic involvement of the families in the treatment and rehabilitation of these children. Therefore, the purpose of this study was to investigate the effect of educational application of family-centered painting techniques on social interactions and stereotypical behaviors of children with autism spectrum disorder. Methods: This applied experimental study was conducted using the pre-test-posttest with follow-up and control group design. In this study, 20children with autism spectrum disorder and their parents were selected by the available sampling method and then, they were randomly divided into experimental and control groups. Then, the Gilliam Autism Rating Scale-I questionnaire was applied at pre-test, posttest and follow-up stages and educational application of family-centered painting techniques was applied just for the experimental group. Then the data were analyzed by the ANCOVA and the repeated measures as statistical methods. Results: An alpha of 0.05 was considered as the significance level and the results showed a significant difference between experimental and control groups in social interactions and stereotypical behaviors of the children. Follow-up tests showed a significant difference and durability, as well. Conclusions: The results showed that educational application of family-centered painting techniques can play an effective and durable role in improvement of social interactions and stereotypical behaviors of the children with autism spectrum disorder.
Children and adolescents with autism spectrum disorder are a group of children who suffer from odd and s trange problems in the interpersonal relationship, social interaction with peer groups and others, verbal skills and daily living interes ts, and behaviors and movements. These problems can lead to several psychological and emotional dis turbances in their family. Conclusion: Beside the rehabilitation, education and therapeutic interventions as well as art and music therapy, several inves tigations have shown that psychodrama or theatre therapy is a beneficial approach for the children with autism spectrum disorder associated with cognitive, perceptual and verbal function difficulties. The s tudies have shown that theatre therapy improves the symptoms of autism spectrum disorder in children. The present article discusses the importance of theatre and psychodrama in the treatment of children with autism spectrum disorder.
Objectives: Effective interventions such as non-nutritive sucking (NNS) improve neonatal development. The current study aimed at assessing the effect of NNS intervention by mothers on physiological factors, duration of full oral feeding attainment, and the length of hospital stay. Methods: The current clinical trial was conducted in the neonatal care unit (NICU) of Arash hospital affiliated to Tehran University of Medical Sciences, Tehran, Iran. The study was conducted on 2 groups of 38 preterm neonates. Neonates had gestational age of 26-34 weeks and received gavage feeding. They did not have assisted ventilation. Control neonates received routine care, whereas the intervention neonates received 3 NNS sessions done by mothers during the first 10 minutes of tube feeding per day. Data collection instrument included a mother-infant demographic form and an observation checklist of infant's physiological features. The date of full feeding and length of hospitalization were recorded. Results: Findings did not show any statistically significant correlation between groups in physiological features. Duration of full oral feeding attainment in the intervention and control groups were 22 ± 14.51 and 30.05 ± 18.58 days, respectively. The length of hospital stay in the intervention and control groups were 31.26 ± 16.89 and 41.82 ± 23.07 days, respectively. Then, non-nutritive sucking by mother's finger sped up the duration of full oral feeding attainment and reduced the hospitalization. Conclusions: Since NNS does not require skill and expertise, participation of mother is recommended. Then, infants benefit from not only the positive effects of NNS, but also mother-infant interaction.
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