Objectives: The environment plays a key role in survival and brain development for premature infants. Recent interest lends consideration to non pharmacological interventions as a beneficial alternative. This study seeks to investigate the effect of lullaby music on the physiological response and weight gain of premature infants in Mashhad, Iran. Method: In this study, 44 very low birth weight infants 34 weeks of gestational age that were admitted to the Neonatal Intensive Care Unit (NICU) of Imamreza Hospital in Mashhad, Iran were enrolled. Infants were randomly assigned to one of two groups: the Music group and the Control group. Lullaby music was played through earphones for the Music group. This continued for 8 days at 20 minutes per day. The Control group received routine auditory stimulation. Neonates in the two groups were in stable condition and kept in their isolettes. Infants were monitored for 40 minutes; 10 minutes baseline, 20 minutes into the intervention and 10 minutes post intervention. Data measures were heart rate, respiration rate, oxygen saturation and body weight. Result: The two groups differed significantly in the respiratory rate (p = 0.01) and oxygen saturation (p = 0.001). There were no significant differences in the heart rate (p = 0.24) and weight gain (p = 0.093) between the two groups. Conclusion: Preterm infants respond to lullaby music as evidenced by the changes in their respiratory rates and oxygen saturations. Although this study did not demonstrate an improvement in weight gain, further studies are recommended to examine the effect of music on other growth and developmental aspects.

Background and Aim:The psychological changes and physiological limitations during multiple sclerosis (MS) disease diminish the social relations. Consequently, losing social supports leads to more physical and psychological complications such as fatigue syndromes. Therefore, this study aimed to investigate the relationship of social support and fatigue syndromes in MS patients.Methods:This study was a descriptive-analytic which randomly selected 46 patients with MS. The patients evaluated through demographic information, standard modified social support scale, fatigue severity scale, modified fatigue impact scale, and fatigue descriptive scale. Gathered data analyzed using descriptive and inferential statistical Pearson's correlation coefficient.Results:Mean score for variables were as following: Fatigue severity 4/3 ± 1/6, perceived fatigue 34/6 ± 19/5, quality of fatigue 62 ± 3/9, and social support 65/6 ± 23/1, respectively. According to the Pearson statistical test, there was signification association between social support with fatigue severity (P = 0.002 and r = −0.474), fatigue perception (P = 0.001 and = −0.478), and fatigue perception sub-scales, i.e. physical (P = 0.005, r = −0.432), cognitive (P = 0.003, r = −0.0457), and psychosocial (P = 0.009, r = −0.341), respectively. However, there was not significant relationship between social support and fatigue quality (P = 0.59).Conclusion:According to the results of current study, all aspects of social support can impact fatigue symptoms in MS patients. Therefore, it is suggested to develop educational programs for caregivers of patients to improve the mental and physical quality of life of patients.

Considering the effect of relaxation training on the breastfeeding self-efficacy of mothers with preterm infants, training and performing these exercises as an effective and low-cost method to improve the health of mothers, particularly mothers of preterm infants, are recommended. The PMR technique facilitates the self-efficacy of breastfeeding in mothers with preterm infants and should be considered as an effective strategy to improve nursing care and the provision of better support services for mothers who breastfeed their infants.

Background:Multiple sclerosis disorders poses heavy physical and emotional effect on patients who are associated with the disease.Aim:This study aimed to compare the effectiveness of individual versus group exercises on fatigue on patients with multiple sclerosis.Materials and Methods:In this clinical trial, 85 patients with multiple sclerosis were divided in two groups of individualized exercise and team exercise. The intervention was conducted for 6 weeks and comprised of mild stretching and basic yoga exercises twice a day. The data were collected through demographic questionnaire, standard fatigue scale and self-reported checklist. Data analysis was performed by SPSS software.Results:The mean levels of fatigue perception after the intervention in group exercise was 27.9 ± 15.9 and 27.1 ± 17.2 in individual exercise. There was no significant difference between the two groups (P > 0.05). Statistically significant difference was observed in the mean level of perceived fatigue in triplicate measurements (P = 0.013) among patients who completed individual exercise. However, this difference was not significant in the group exercise.Conclusion:Performing mild stretching exercises and basic yoga are recommended as a cost-effective method which is easy to perform among patients with mild to moderate disabilities.

Background: Premature infants experience many problems during their stay in the neonatal intensive care unit (NICU). Premature birth creates a sense of loss in family members, especially mothers, and causes tension and stress. Moreover, inefficient coping strategies increase stress, incompatibility, and mental problems.