Cold Treatment Research Articles

Natural Way Of Boosting Immunity: The Role of Echinacea in Cold Prevention and Treatment - A Literature Review

Echinacea, a widely used herbal remedy derived from the purple coneflower, is renowned for its potential benefits in treating and preventing the common cold. This review examines Echinacea’s role in managing cold symptoms, its mechanisms of action, and its efficacy across various species and preparations. Echinacea species, particularly Echinacea purpurea, Echinacea angustifolia, and Echinacea pallida, contain active compounds such as alkamides, caffeic acid derivatives, polysaccharides, and glycoproteins, which contribute to its immunomodulatory, anti-inflammatory, and antiviral properties. Clinical studies demonstrate that Echinacea can modestly reduce the incidence, duration, and severity of colds, though results are variable due to differences in preparation forms (e.g., teas, tinctures, extracts) and study methodologies. Proprietary extracts like Echinaforce® have shown consistent benefits, while other formulations have yielded mixed results. Despite a generally favorable safety profile, including mild gastrointestinal disturbances and rare allergic reactions, the long-term safety, particularly in vulnerable populations, remains under-researched. Future research should focus on standardized formulations, detailed molecular mechanisms, and rigorous clinical trials to better define Echinacea’s role in cold management. Overall, while Echinacea offers a promising option for cold prevention and treatment, its use should be informed by evidence-based practices considering formulation, dosage, and individual patient factors.

The Effect of Cold Plasma Treatment on the Storage Stability of Mushrooms (Agaricus bisporus)

Postharvest Agaricus bisporus is susceptible to browning, water loss, and microbial infection. In order to extend its shelf life, cold plasma technology was used to treat and evaluate A. bisporus. Firstly, according to the results of a single factor test and response surface analysis, the optimal conditions for cold plasma treatment were determined as a voltage of 95 kV, a frequency of 130 Hz, and a processing time of 10 min. Secondly, storage experiments were carried out using the optimized cold plasma treatment. The results showed that the cold plasma treatment in the packaging significantly reduced the total viable count in A. bisporus by approximately 16.5%, maintained a browning degree at 26.9% lower than that of the control group, and a hardness at 25.6% higher than that of the control group. In addition, the cold plasma treatment also helped to preserve the vitamin C and total protein content of A. bisporus. In conclusion, cold plasma treatment showed great potential in enhancing the postharvest quality of fresh A. bisporus.

Genetic Adaptations of Soybean to Cold Stress Reveal Key Insights Through Transcriptomic Analysis

Low temperatures greatly restrict the development, growth, and productivity of soybeans, with their effects differing across various cultivars. The present work investigated the transcriptome and physiological reactions of two soybean cultivars, namely “KD52” exhibiting cold tolerance and “DS17” displaying cold sensitivity, to cold stress across a precisely defined period. The soybean plants were subjected to cold treatment at 6 °C for durations of 0, 2, 4, and 8 h. A comparative physiological marker study revealed distinct reactions to cold stress in the two cultivars. The findings showed that increased malondialdehyde levels provided evidence of DS17’s heightened vulnerability to lipid peroxidation and membrane degradation. In contrast, the KD52 cultivar exhibited increased activities of antioxidant enzymes, including peroxidase and superoxide dismutase, in response to cold exposure, suggesting a strong antioxidant defense system against oxidative stress. The transcriptomic analysis revealed dynamic responses, mapping 54,532 genes. Within this group, a total of 234 differentially expressed genes (DEGs) were found to be consistently changed at several time intervals, showing unique expression patterns across the two cultivars. Analysis of the association between these important DEGs and the physiological indicators revealed candidate genes that may be involved in controlling oxidative damage and antioxidant defenses. Some key genes showed a progressive rise in expression over time in both cultivars, with a more significant acceleration in KD52, and are probably involved in promoting adaptation processes during extended periods of cold exposure. The identification of improved defense mechanisms in KD52, together with the identification of crucial genes, offers great prospects for enhancing the cold stress resilience of soybean.

Axillary root development triggered by cold plasma treatment

Axillary root development triggered by cold plasma treatment

Transcriptome sequencing analysis of overexpressed SikCDPK1 in tobacco reveals mechanisms of cold stress response

BackgroundCold is a significant limiting factor in productivity, particularly in northwestern and eastern China. Calcium-Dependent Protein Kinases (CDPKs), a primary calcium signaling sensor in plants, play an important role in their response to cold. Snow lotus (Sasussured involucrata Kar L) is a plant that thrives in harsh climates and grows in northwest China. However, there were no reports on the transcriptome of OE-SikCDPK1 transgenic tobacco in response to cold.ResultsWhen exposed to cold stress, OE-SikCDPK1 plants displayed a cold-tolerant phenotype compared to non-transgenic tobacco. Under cold conditions, relative water content reduced, relative conductivity increased, malondialdehyde levels rose, and cold-responsive gene expression increased. The OE-SikCDPK1 gene and non-transgenic tobacco were employed for research purposes. The transcriptome of leaves was sequenced using the HISAT2 sequencing platform, and the data were used to examine gene function annotation and differentially expressed genes (DEGs). 53,022 DEGs in tobacco leaves under cold treatment were obtained. The GO enrichment results revealed that it was enriched for biological-process, defense response and other processes under cold stress. The KEGG pathway enrichment analysis revealed that the metabolic pathways of significant enrichment of DEGs under cold stress mainly involved MAPK signaling pathway transduction. The transcription factor identification results showed that the transcription factors with the largest number of differential expressions under cold treatment were mainly from WRKY, AP2, MYB, bHLH, NAC and other transcription factor families.ConclusionThe cold tolerance mechanism of snow lotus SikCDPK1 was comprehensively analyzed at the transcriptional level for the first time using RNA-seq technology. This study demonstrates that SikCDPK1 can respond to cold by participating in the MAPK signaling pathway and regulating the expression levels of transcription factors, including WRKY, AP2, MYB, bHLH, and NAC. These results offer valuable insights for further exploration of the cold tolerance mechanism associated with SikCDPK1.

Transcriptome analysis reveals key regulatory networks and genes involved in the acquisition of cold stress memory in pepper seedlings

Temperature is an important limiting factor in the counter-seasonal cultivation of pepper. Currently, there are no studies on transcriptomic analysis of ‘cold stress memory’ in pepper. In this study, in order to understand the mechanism of ‘cold stress memory’ in pepper (Capsicum annuum L.), seedlings were subjected to the following treatments: normal temperature treatment (P0), the first cold treatment for 3 days (P3), the recovery temperature treatment for 3 days (R3), and another cold treatment for 3 days (RP3). The results showed that P3 plants wilted the most, RP3 the second and R3 the least. Leaf reactive oxygen species (ROS) and electrolyte leakage were the most in P3, the second in RP3 and the least in R3. In addition, RP3 had the highest accumulation of zeaxanthin, violaxanthin and β-cryptoxanthin, followed by P3, and R3 had the least. These results suggest that pepper seedlings are characterized by ‘cold stress memory’. Transcriptomics was used to analyze the key genes and transcription factors involved in the biosynthesis of zeaxanthin, violaxanthin and β-cryptoxanthin during the formation of ‘cold stress memory’. This study provides candidate genes and transcription factors for an in-depth study of the cold tolerance mechanism in pepper.

Combined high voltage atmospheric cold plasma and ultraviolet-cold plasma inhibited Aspergillus flavus growth and improved physicochemical properties of protein in peanuts

To improve the application value of peanuts, the fungicidal effect and physicochemical properties of the protein in peanuts were investigated by combining high voltage atmospheric cold plasma (HVCP) and ultraviolet-cold plasma (UVCP) in this study. Compared to the single HVCP or UVCP treatment, the combined treatments exhibited a higher fungicidal efficiency of A. flavus spores in peanuts, decreasing by 0.79–2.97 log10 cfu/g after 8-min treatment. The A. flavus growth and aflatoxin production in peanuts during storage were also lower than the single plasma groups. Moreover, cold plasma treatments could modify the molecular structures of protein in peanuts by changing secondary and tertiary structures, decreasing particle size and increasing zeta potential, which contributed to improve the solubility and emulsification of protein. Overall, this research provides a unique strategy for the combined application of cold plasma in grain decontamination and protein modification.

Pulmonary delivery of forsythin-phospholipid complexes improves the lung anti-inflammatory efficacy in mice by enhancing dissolution and lung tissue affinity

Forsythin, currently in phase II clinical trials in China for the treatment of the common cold and influenza, faces challenges in achieving adequate lung drug exposure due to its limited dissolution and permeability, thereby restricting its therapeutic efficacy. The objective of this work was to formulate a forsythin-phospholipid complex (FPC) to enhance its dissolution properties and lung affinity with a particular view to improving pulmonary drug exposure and anti-inflammatory response. The results revealed that forsythin reacted with dipalmitoyl-phosphatidylcholine to form a stable, nanosized FPC suspension. This formulation significantly improved the in vitro drug's dissolution, cellular uptake, and lung affinity compared to its uncomplexed form. Intratracheal administration of FPC in a mouse model of acute lung injury induced by lipopolysaccharide (LPS) resulted in a substantial increase in drug exposure to lung tissues (39.6-fold) and immune cells in the epithelial lining fluid (198-fold) compared to intraperitoneal injection. In addition, FPC instillation exhibited superior local anti-inflammatory effects, leading to improved survival rates among mice with LPS-induced acute respiratory distress syndrome, outperforming both instilled forsythin and injected FPC. Overall, this work demonstrated the potential of phospholipid complexes as a viable option for developing inhalation products for drugs with limited solubility and permeability properties.

Effect of dimensional stabilization treatment on mechanical properties of 45% SiCp/Al composites

Abstract With 14μm SiC particles and 2024Al alloy as raw materials, 45% SiCp/Al composites were prepared by hot isostatic pressing method to study the effect of dimensional stabilization treatments on the mechanical properties of composites. The dimensional stabilization treatments used were divided into annealing heat treatment and cold and thermal cycle treatments, and the research method found that the primary annealing treatment decreased the bending strength from 694MPa to 639MPa, and the secondary annealing treatment decreased the bending strength from 863.69MPa to 605MPa. The bending strength decreased from 694 MPa to 639 MPa after the second annealing treatment, and further to 605 MPa after the second annealing treatment. The bending strength of the composites also decreased from 863.69 MPa to 836.16 MPa, and then to 855.54 MPa after solution aging due to the cold and thermal cycle treatments of 120°C to −20°C and 190°C to −196°C, respectively. The micro yield strength increased from 356.57 MPa to 402.66 MPa, and then to 476.03 MPa. The dimensional stabilization treatments included heat treatment, as well as cold and thermal cycle treatments. The cold and thermal cycle treatments further increased the brittleness of the composites after solution aging. Both annealing and cold and thermal cycling reduce the density of the composite, with the annealing resulting in a smaller reduction than the cold and thermal cycling.

Genome-wide identification of the grapevine β-1,3-glucanase gene (VviBG) family and expression analysis under different stresses.

The β-1,3-glucanase gene is widely involved in plant development and stress defense. However, an identification and expression analysis of the grape β-1,3-glucanase gene (VviBG) family had not been conducted prior to this study. Here, 42 VviBGs were identified in grapevine, all of which contain a GH-17 domain and a variable C-terminal domain. VviBGs were divided into three clades α, β and γ, and six subgroups A-F, with relatively conserved motifs/domains and intron/exon structures within each subgroup. The VviBG gene family contained four tandem repeat gene clusters. There were intra-species synteny relationships between two pairs of VviBGs and inter-species synteny relationships between 20 pairs of VviBGs and AtBGs. The VviBG promoter contained many cis-acting elements related to stress and hormone responses. Tissue-specific analysis showed that VviBGs exhibited distinct spatial and temporal expression patterns. Transcriptome analysis indicated that many VviBGs were induced by wounds, UV, downy mildew, cold, salt and drought, especially eight VviBGs in subgroup A of the γ clade. RT-qPCR analysis showed that these eight VviBGs were induced under abiotic stress (except for VviBG41 under cold stress), and most of them were induced at higher expression levels by PEG6000 and NaCl than under cold treatment. The chromosome localization, synteny and phylogenetic analysis of the VviBG members were first conducted. The cis-acting elements, transcriptome data and RT-qPCR analysis showed that VviBG genes play a crucial role in grape growth and stress (hormone, biotic and abiotic) responses. Our study laid a foundation for understanding their functions in grape resistance to different stresses.

Effect of cold plasma treatment on the structure and emulsifying activities of phycocyanin

Effect of cold plasma treatment on the structure and emulsifying activities of phycocyanin

Surface treatment optimization of mixed cellulose ester membrane by cold plasma treatment to improve apple juice clarification

This study aimed to determine the optimal conditions for the surface modification of mixed cellulose ester (MCE) microfiltration membrane by cold plasma (CP) for apple juice clarification. Response surface method using central cubic design (CCD) was employed for the optimization of the membrane surface modification process. Plasma gas type (oxygen, carbon dioxide, and air), power (10, 15, and 20 W), and exposure time (120, 180, and 240 s) were used as the factors for cold plasma surface modification. The results revealed the surface modification of the MCE membrane using air as plasma gas with plasma power and exposure time equal to 10 W and 180 s resulted in the maximum permeate flux in apple juice clarification. The results of scanning electron microscope, and atomic force microscope confirm the effect of CP treatment on the membrane surface roughness. Fourier transform infrared spectroscopy showed the incorporation of the hydroxyl group into the membrane surface due to CP treatment which affected the surface contact angle and hydrophilicity. The CP treatment of the membrane significantly affects the membrane resistances. Also, the surface modification of the MCE membrane using the CP treatment process in optimal conditions is an effective method for clarifying apple juice.

The effect of cold plasma treatment on the fruit quality and aroma components of winter jujubes (Ziziphus jujuba Mill. 'Dongzao').

Cold plasma (CP) is a novel environmental-friendly preservation technology that causes minimal damage to fruits. The flavor and quality of winter jujubes have decreased with the extended storage time. Currently, the research on the use of CP on winter jujubes (Ziziphus jujuba Mill. 'Dongzao') mainly focuses on the effect of the treatment on storage quality. There is limited research on the effect of CP treatment on the flavor of winter jujubes. This study used different CP (80kV) treatment durations (0, 5, and 10min) to treat winter jujubes. The appropriate treatment time was selected by observing the changes in color, respiratory intensity, soluble sugar content, total acid content, and vitamin C (VC) content of winter jujubes. Amino acid analyzer and headspace solid-phase microextraction in combination with gas chromatography coupled with mass spectrometric detection were used to analyze the effect of CP treatment on the flavor compounds of winter jujubes. The results showed that the 5-min CP treatment could significantly slow down the red coloration of winter jujube while maintaining high soluble sugar, total acid, and VC content. At the respiration peak, the respiratory intensity of the 5-min CP treatment group was 0.74 mg CO2·kg-1·h-1 lower than that of the control group (p < 0.05). CP treatment slowed down the decrease in the content of amino acids and volatile organic compounds (such as 2-methyl-4-pentenal, 2-hexenal, and 3-hexenal) in winter jujubes. This study will provide basic data for applying CP preservation technology in postharvest winter jujubes.

Effects of Combined Cold Plasma and Organic Acid‐Based Sanitizer Treatments Against Salmonella enterica on Tomato Surfaces

ABSTRACTIncidence of foodborne illness due to bacterial contamination of fresh produce continue to exist despite continuous research on processing interventions to mitigate the problem. In this study, we combined atmospheric cold plasma treatments with an antimicrobial solution containing specific organic acids generally recognized as safe (GRAS) by the FDA and tested its antimicrobial efficacy against Salmonella enterica inoculated on tomato surfaces. Tomato surfaces were inoculated with at 5.6 log CFU/g of Salmonella by spotting 0.1 mL of 7 log CFU/ml Salmonella onto the tomato stem scars, and by dipping whole tomatoes into a solution of 7 log CFU/ml Salmonella for 3 min to achieve 4.1 log CFU/g. Antimicrobial efficacy of the organic acid‐based sanitizer + cold plasma treatments for 30, 60, 120, 180, and 360 s, were investigated, and significant bacterial inactivation was achieved above 120 s treatments. At 120 s, surviving populations of aerobic mesophilic bacteria recovered on the tomatoes surfaces averaged &lt; 2 logs/g while yeast and mold survival averaged &lt; 1 CFU/g. Treatment combination with this organic acid‐based sanitizer + cold plasma for 120 s resulted in a 4.9 log reduction of Salmonella on the stem scar area and a 3.9 log reduction on the smooth peel surface. Similarly, populations of aerobic mesophilic bacteria recovered on treated tomato surfaces averaged &lt; 0.3 log CFU/g. The results of this study indicate that combining an organic acid‐based sanitizer with cold plasma treatments for ≥ 120 s can inactivates significant populations of Salmonella to enhance the microbial safety of tomato surfaces designated for fresh‐cut salad.

Efficacy and Economic Viability of Organic Control Methods for Spotted-wing Drosophila in Day-neutral Strawberry Production in the Upper Midwest

Day-neutral strawberry (DNS) production is increasing in the Upper Midwest because of its extended harvest season and greater yield over June-bearing cultivars. However, the longer season increases fruit exposure to the invasive spotted-wing drosophila (Drosophila suzukii; SWD), which threatens the production of small fruits and berries, particularly in organic systems. Numerous pest management tactics have been developed for SWD in recent years; however, relatively few studies have investigated the impact of SWD on DNS. Organic DNS growers need information regarding which management strategy is most effective when compared directly. To address this knowledge gap, we established a 2-year controlled field experiment with organic DNS. We applied treatments that correspond with techniques that local growers reported using or that have shown promise for organic raspberries, including increased harvest frequency, botanical-based repellents, and weekly rotations of organic insecticides, which we compared with an untreated control. We hypothesized that noninsecticidal SWD management strategies would result in fewer SWD eggs per berry and a lower proportion of infested berries compared with those associated with an untreated control. We also hypothesized that noninsecticidal management strategies would be as effective and cost less than organic insecticide applications. We collected data regarding labor hours, direct costs, strawberry yield, and SWD infestation in experimental plots on certified organic land in Minnesota in 2022 and 2023. An average of 33% of strawberries contained SWD eggs. The experimental treatments showed inconsistent effectiveness for reducing infestation compared with that of the untreated control plots and had no effect on marketable plant yield over the 2-year period. Thus, the added labor expense of these pest control treatments yielded net returns that were 17% to 21% below the control. Labor-saving alternatives like exclusion netting or postharvest cold treatments, which reduce fruit pest exposure and egg viability without harming nontarget insects, may offer more cost-effective solutions for managing SWD in organic DNS.

Genome-wide identification of the EIN3/EIL transcription factor family and their responses under abiotic stresses in Medicago sativa

BackgroundMedicago sativa, often referred to as the “king of forage”, is prized for its high content of protein, minerals, carbohydrates, and digestible nutrients. However, various abiotic stresses can hinder its growth and development, ultimately resulting in reduced yield and quality, including water deficiency, high salinity, and low temperature. The ethylene-insensitive 3 (EIN3)/ethylene-insensitive 3-like (EIL) transcription factors are key regulators in the ethylene signaling pathway in plants, playing crucial roles in development and in the response to abiotic stresses. Research on the EIN3/EIL gene family has been reported for several species, but minimal information is available for M. sativa.ResultsIn this study, we identified 10 MsEIN3/EIL genes from the M. sativa genome (cv. Zhongmu No.1), which were classified into three clades based on phylogenetic analysis. The conserved structural domains of the MsEIN3/EIL genes include motifs 1, 2, 3, 4, and 9. Gene duplication analyses suggest that segmental duplication (SD) has played a significant role in the expansion of the MsEIN3/EIL gene family throughout evolution. Analysis of the cis-acting elements in the promoters of MsEIN3/EIL genes indicates their potential to respond to various hormones and environmental stresses. We conducted a further analysis of the tissue-specific expression of the MsEIN3/EIL genes and assessed the gene expression profiles of MsEIN3/EIL under various stresses using transcriptome data, including cold, drought, salt and abscisic acid treatments. The results showed that MsEIL1, MsEIL4, and MsEIL5 may act as positive regulatory factors involved in M. sativa’s response to abiotic stress, providing important genetic resources for molecular design breeding.ConclusionThis study investigated MsEIN3/EIL genes in M. sativa and identified three candidate transcription factors involved in the regulation of abiotic stresses. These findings will offer valuable insights into uncovering the molecular mechanisms underlying various stress responses in M. sativa.

Non-thermal atmospheric jet plasma effects on the morphological, electrical and optical properties of nanocrystalline silicon

In this study, a non-thermal atmospheric argon plasma jet (NTAPJ) was designed and used to treat the porous silicon layer, prepared by photoelectrochemical etching (PECE). The porous silicon layers were distinguished before and after the cold plasma treatment utilized by X-ray diffraction (XRD), atomic force microscopy (AFM), scanning electron microscopy (SEM), photoluminescence (PL), and dark and photo current-voltage characteristics. The results confirmed the nanostructure of the formed porous silicon. After the treatment with argon plasma, the intensity of the XRD peak increased, and the porosity decreased from 93% to 62%. Additionally, porous silicon's average roughness (Sa) and root mean square (Sq) were reduced from 60.10 to 12.31nm and 73.70 to 16.53nm, respectively. The current-voltage characteristic indicated the increase in photocurrent and the ideality factor, as well as a decrease in dynamic resistance. The photoluminescence results showed a change in PL peaks, represented by a blue shift, an increase in intensity, and a vanishing of another peak.

Cold Plasma Ameliorates Imiquimod-Induced Psoriasis-Like Skin Inflammation in Mice.

Cold plasma has shown efficacy in various dermatological applications by reduces inflammatory responses and modulating cytokine expression. Therefore, this study aimed to investigate the therapeutic effects of cold plasma on psoriasis. In psoriasis HaCaT cells with cold plasma, we confirmed the expression of inflammatory cytokines involved in psoriasis formation and MAPK pathway, cell cycle, and apoptosis-related factors. In psoriasis-like BALB/c mice model, the effects of cold plasma treatment on skin were visually assessed. The expression of psoriasis-related factors was confirmed through qPCR, Western blotting, and Immunohistochemistry. Cold plasma led to a reduction in inflammatory cytokines including IL-17A, IL-23A, IL-24, IL-1β, and TNF-α in the psoriasis cell line. It also modulated factors involved in the MAPK pathway and the cell cycle. In the psoriasis-like mice model, cold plasma resulted in improvements in skin thickness, erythema, scaling, and PASI. Additionally, decreases in inflammatory cytokines like INF-γ, IL-23, and S100a7 were observed, along with improvements in MAPK pathway activation, apoptosis, and other psoriasis-related factors. Through in vitro and in vivo studies, our research highlights the potential of cold plasma as a novel therapeutic approach for psoriasis. Furthermore, cold plasma could serve as an adjunctive treatment for skin immunological diseases.

Substrate functionalization by cold plasma treatments as an alternative process to the cultivation of microalgae in biofilm: Application to Botryococcus

Microalgae are renowned for their diverse production of molecules, including biofuels. However, biotechnological processes aiming at producing these biomolecules have yet to achieve economic sustainability due to the high costs associated with downstream processing, which can make up to 80 % of the total production costs. Since microalgae immobilized on a flat surface are characterized by a higher productivity and an easier harvesting than bulk culture systems, flat cultures may present better economic viability. Nevertheless, immobilizing filamentous or colonial microalgae on a flat surface is challenging due to their inherent 3D development. In this study, we explored the effectiveness of a plasma-modified polyethylene terephthalate flat surface for improving the immobilization of the green freshwater colonial microalga Botryococcus protuberans, a promising taxon for biofuel production. Plasma treatments were found to alter the wettability and surface energy of polyethylene terephthalate substrates. Botryococcus adhesion was enhanced significantly on O2 plasma-modified substrates compared to untreated substrates. The adhesion was strong enough to prevent colony development in the water column while allowing the development of a biofilm over one month, with minimal impact on their physiology.

Effect of Cold Application on Pain Relief during Intravenous Cannulation for Cancer Patients

Background: The cannulation of intravenous Analgesia is rarely experienced after this unpleasant procedure, which can also induce stress and worry. Objective: The purpose of the study was to ascertain how cold affected the degree of pain during intravenous cannulation. Methodology: A randomized controlled trial was carried out at the oncology department of AL-Al-Haboubi Teaching Hospital in Dhi-Qar from January 4, 2024, until February 3, 2024. After the sample was selected, 102 patients were divided into two groups in order to achieve the study's objective: 50 patients were assigned to the control group and 52 patients to the experimental group. The experimental group was given cold gel, and self-report data collection was used. A visual analogue scale of 10 cm was used to measure pain. Results: The experimental group's post-test results showed a low mean pain score (28.76+20.491), while the control group's data analysis results showed a high mean score (M+SD 76.54+20.427) and severe discomfort during cannulation insertion. The mean pain score during cannulation insertion varied significantly (p=.001) between the experimental and control groups following the use of cold treatment. Conclusions: According to the study's findings, the cool approach helped to lessen intravenous cannulation pain. Recommendations: The study advised patients to be chilled when receiving intravenous cannulation.