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Background:Busy care providers focus on the serious complications of postpartum period. This issue causes the seemingly trivial complications, such as mother's pains, fatigue, and psychological status, to be less taken into account. The study aimed to determine the effect of lavender oil aroma in the early hours of postpartum period on maternal pains, fatigue, and mood in primiparous mothers.Methods:This randomized clinical trial was conducted on 56 participants; 29 in intervention group and 27 in control group. The intervention group received lavender oil in three doses during the first 24 h after delivery. Sesame oil was used in the control group. Intensity of pain, fatigue, and distress level was measured by visual analog scale before and after the interventions. Besides, mood status was assessed through the positive and negative affect schedule.Results:The mean age of all the participants was 23.88 ± 3.88 years. After the first intervention and also in the tomorrow morning assessment, significant differences were found between the two groups regarding perineal pain (P = 0.004, P < 0.001), physical pain (P < 0.001), fatigue (P = 0.02, P < 0.001), and distress scores (P < 0.001). In addition, significant differences were found concerning the mean scores of positive (P < 0.001) and negative (P = 0.007, P < 0.001) moods between the two groups after the interventions. Repeated measures analyses showed that the two groups were significantly different over time in all the evaluated variables.Conclusions:Lavender oil aromatherapy starting in the first hours of postpartum period resulted in better physical and mood status compared to nonaromatic group.

Background. Attachment behaviors play an important role in accepting the identity of the fathers, the pleasant outcome of pregnancy and the child's growth and development in the future. Objectives. This study aimed to investigate the effect of father's attachment training (awaiting a child) on paternal-fetal attachment and parental anxiety. Material and methods. This clinical trial was conducted on 150 spouses of eligible pregnant women. In the intervention group, four 90-minute training sessions were designed on maternal-fetal attachment, while the control group received routine prenatal care. The questionnaire of paternal-fetal attachment was completed both before and after intervention in both cases and control groups. Data analysis was done in SPSS software using a paired t-test and independent t-test (the significant level was 0.05). Results. The mean score of attachment was reported as 56.61 ± 6.05 and 64.53 ± 6.94 both before and after intervention, respectively. according to the paired t-test, there was a significant difference in the attachment score after intervention (p < 0.001). According to the independent t-test applied a month after intervention, the comparison of fathers' anxiety scores before and after intervention showed a significant difference between the control and intervention groups (p < 0.001). Conclusions. Training fathers about attachment skills leads to increased paternal-fetal attachment and a lower anxiety score. Therefore, it seems necessary to include education of fathers in prenatal care.

LAR can provide comparable local control, disease free and overall survival rates compared with APR in eligible patients with lower and middle rectal cancer.

Introduction: Exposure to noxious stimuli can cause pain in infants. This study was conducted to evaluate the effects of the lavender oil inhalation on the pain resulting from the pentavalent vaccination. Methods: This clinical trial consisted of two groups: the lavender oil group with 42 infants and the placebo group with 57 infants. The healthy infants without congenital abnormalities in need of pentavalent vaccine also participated in our study. The infants started the lavender oil or placebo aromatherapy one minute before injection. The pain was assessed three times, using the Neonatal Infant pain Scale (NIPS): before vaccination, 15 s, and 5 min after vaccination. Also, the duration of crying was measured in both groups. Results: At baseline, the two groups were similar in relation to the NIPS scores. While, after 5 minutes, the NIPS score was significantly lower in the lavender group. Based on the repeated measures analysis, the NIPS score changed over time totally. However, the two groups were significantly different in relation to the NIPS score over time. The duration of crying was 75.47 (60.675) second in the lavender group and 105.22 (75.739) s in the control group. The statistical test showed a significant difference between the two groups. Conclusion: A low concentration of the lavender oil inhalation can reduce the pain and improve soothing in the infants with the pentavalent vaccine injection.

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The results of drainage and primary wound closure were comparable to the excision and secondary wound healing except in the rate of recurrence which was more frequent in the primary wound closure. As a result, in spite of much property and comfort of primary wound closure, this method would not be recommended for all cases with acute pilonidal abscess.

To diagnose the malignancy in thyroid tumor, neural network approach is applied and the performances of thirteen batch learning algorithms are investigated on accuracy of the prediction. Therefore, a back propagation feed forward neural networks (BP FNNs) is designed and three different numbers of neuron in hidden layer are compared (5, 10 and 20 neurons). The pathology result after the surgery and clinical findings before surgery of the patients are used as the target outputs and the inputs, respectively. The best algorithm(s) is/are chosen based on mean or maximum accuracy values in the prediction and also area under Receiver Operating Characteristic Curve (ROC curve). The results show superiority of the network with 5 neurons in the hidden layer. In addition, the better performances are occurred for Polak-Ribiere conjugate gradient, BFGS quasi-newton and one step secant algorithms according to their accuracy percentage in prediction (83%) and for Scaled Conjugate Gradient and BFGS quasi-Newton based on their area under the ROC curve (0.905).