Effect of valerian capsules in patients with migraine attacks treated with sodium valproate: a randomized clinical trial

Background and aims: Nowadays so many preventive drugs for migraine with different effects are used all around the world. One of the plants that are used traditionally in the treatment of migraine is Valeriana officinalis. The present study was aimed to evaluate the effect of valerian capsule (350 mg, three times daily) on frequency, duration and intensity of migraine attacks. Method: The present study is a Randomized, single-blind clinical trial that is carried out on 84 female patients suffering from migraine headaches. The patients were randomly allocated to case (n=42) and control groups (n=42) and treated during three consecutive phases of 45 days. In the first phase, both groups received sodium valproate tablet, (200 mg, twice daily) and indomethacin capsule (25 mg, in attacks). In the second phase, valerian capsule (350 mg, three times daily) was added to other drugs of case group. Control group received placebo instead of valerian. Finally, in the third phase, both groups were treated the same as the first phase. And then the data obtained from the drug influence on pain intensity were analyzed based on Mann-Whitney and K2. Results: All 84 patients cooperated to the end of study. The results indicated that valerian capsule significantly reduced the frequency, duration and intensity of migraine attacks in a way that the mean of migraine attacks reduced from 6.2±2.3 to 2.2±1.2, the duration reduced from 17.0± 9.2 to 5.7±3.7 hours and intensity from 8.7±1.2 to 3.0±1.3. Conclusion: According to the remarkable effect of valerian capsule on the prevention of migraine attacks, it seems that it can be a potential alternative to common migraine medications

Developing a Questionnaire for Iranian Women's Attitude on Medical Ethics in Vaginal Childbirth

Background: Vaginal delivery is one of the challenging issues in medical ethics. It is important to use an appropriate instrument to assess medical ethics attitudes in normal delivery, but the lack of tool for this purpose is clear. Objectives: The aim of this study was to develop and validate a questionnaire for the assessment of women’s attitude on medical ethics application in normal vaginal delivery. Patients and Methods: This methodological study was carried out in Iran in 2013 - 2014. Medical ethics attitude in vaginal delivery questionnaire (MEAVDQ) was developed using the findings of a qualitative data obtained from a grounded theory research conducted on 20 women who had vaginal childbirth, in the first phase. Then, the validation criteria of this tool were tested by content and face validity in the second phase. Exploratory factor analysis was used for construct validity and reliability was also tested by Cronbach’s alpha coefficient in the third phase of this study. SPSS version 13 was used in this study. The sample size for construct validity was 250 females who had normal vaginal childbirth. Results: In the first phase of this study (tool development), by the use of four obtained categories and nine subcategories from grounded theory and literature review, three parts (98-items) of this tool were obtained (A, B and J). Part A explained the first principle of medical ethics, part B pointed to the second and third principles of medical ethics, and part J explained the fourth principle of medical ethics. After evaluating and confirming its face and content validity, 75 items remained in the questionnaire. In construct validity, by the employment of exploratory factor analysis, in parts A, B and J, 3, 7 and 3 factors were formed, respectively; and 62.8%, 64% and 51% of the total variances were explained by the obtained factors in parts A, B and J, respectively. The names of these factors in the three parts were achieved by consideration of the loading factor and medical ethics principles. The subscales of MEAVDQ showed significant reliability. In parts A, B and J, Cronbach’s alpha coefficients were 0.76, 0.72 and 0.68, respectively and for the total questionnaire, it was 0.72. The results of the test–retest were satisfactory for all the items (ICC = 0.60 - 0.95). Conclusions: The present study showed that the 59-item MEAVDQ was a valid and reliable questionnaire for the assessment of women’s attitudes toward medical ethics application in vaginal childbirth. This tool might assist specialists in making a judgment and plan appropriate for women in vaginal delivery management

Hexagonal Smoothness-Increasing Accuracy-Conserving Filtering

Discontinuous Galerkin (DG) methods are a popular class of numerical techniques to solve partial differential equations due to their higher order of accuracy. However, the inter-element discontinuity of a DG solution hinders its utility in various applications, including visualization and feature extraction. This shortcoming can be alleviated by postprocessing of DG solutions to increase the inter-element smoothness. A class of postprocessing techniques proposed to increase the inter-element smoothness is SIAC filtering. In addition to increasing the inter-element continuity, SIAC filtering also raises the convergence rate from order k+1k+1 to order 2k+12k+1 . Since the introduction of SIAC filtering for univariate hyperbolic equations by Cockburn et al. (Math Comput 72(242):577–606, 2003), many generalizations of SIAC filtering have been proposed. Recently, the idea of dimensionality reduction through rotation has been the focus of studies in which a univariate SIAC kernel has been used to postprocess a two-dimensional DG solution (Docampo-Sánchez et al. in Multi-dimensional filtering: reducing the dimension through rotation, 2016. arXiv preprint arXiv:1610.02317). However, the scope of theoretical development of multidimensional SIAC filters has never gone beyond the usage of tensor product multidimensional B-splines or the reduction of the filter dimension. In this paper, we define a new SIAC filter called hexagonal SIAC (HSIAC) that uses a nonseparable class of two-dimensional spline functions called hex splines. In addition to relaxing the separability assumption, the proposed HSIAC filter provides more symmetry to its tensor-product counterpart. We prove that the superconvergence property holds for a specific class of structured triangular meshes using HSIAC filtering and provide numerical results to demonstrate and validate our theoretical results