scholarly journals Effect of the presence of an aquarium in the waiting area on the stress, anxiety and mood of adult dental patients: A controlled clinical trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258118
Author(s):  
Andrea Lundberg ◽  
Murali Srinivasan
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Repeated Measures ◽  
Subjective Assessment ◽  
Nonparametric Tests ◽  
Controlled Clinical Trial ◽  
Anxiety State ◽  
Dental Patients ◽  
Feeling Scale ◽  
Waiting Area

Background Interaction with fish is known to reduce stress and anxiety in humans. Objective This trial evaluated the effect of an aquarium present in a geriatric dental clinic waiting-area (WA) on blood pressure (BP), heart-rate (HR), anxiety, and mood of waiting patients. Methods Participants were recruited into three groups: control (CG): WA without aquarium; partially-stocked aquarium (PSA): aquarium without fish; fully-stocked aquarium (FSA): aquarium with fish. BP and HR of the participants were recorded upon arrival and after 20-minutes of waiting, along with anxiety [State trait anxiety inventory (STAI-6)] and mood [Feeling scale (FS), Felt arousal scale (FAS)] scores. A purpose-built questionnaire evaluated the subjective assessment of the participants’ experience in the WA. ANOVA with repeated measures and nonparametric tests were used for statistical analysis (p<0.05). Results 392 patients (mean age: 65.07±16.9y) completed this trial. There was an effect of time on the BP [systolic: F(1, 120) = 44.82, p<0.001; diastolic: F(1, 120) = 25.10, p<0.001] and HR [F(1, 120) = 40.94, p<0.001]. No effect of groups on BP [systolic: F(1, 120) = 1.01, p = 0.32; diastolic: F(1, 120) = 0.01, p = 0.92] was revealed, but a decrease of HR [F(1, 120) = 21.59, p<0.001]. No effect of time*group on BP [systolic: F(1, 120) = 0.89, p = 0.35; diastolic: F(1, 120) = 0.31, p = 0.58], or HR [F(1, 120) = 1.04, p-0.31]. WA groups had no effects on the participants’ anxiety [H(2) = 2.76, p = 0.25], or mood [FS: H(2) = 2.28, p = 0.32; FAS: H(2) = 1.54, p = 0.46]. Patients rated FSA higher than others [H(2) = 20.98, p<0.001). Conclusions There was no influence of the presence of an aquarium on the patients’ blood pressure, heart rate, anxiety, or mood.

scholarly journals Efficacy of Diltiazem for the Control of Blood Pressure in Puerperal Patients with Severe Preeclampsia: A Randomized, Single-Blind, Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Gilberto Arias-Hernández ◽  
Cruz Vargas-De-León ◽  
Claudia C Calzada-Mendoza ◽  
María Esther Ocharan-Hernández
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Heart Rate ◽  
Intensive Care ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Severe Preeclampsia ◽  
Secondary Outcome ◽  
Control Group ◽  
Single Blind

Background. Postpartum preeclampsia is a serious disease related to high blood pressure that occurs commonly within the first six days after delivery. Objective. To evaluate if diltiazem improves blood pressure parameters in early puerperium patients with severe preeclampsia. Methodology. A randomized, single-blind longitudinal clinical trial of 42 puerperal patients with severe preeclampsia was carried out. Patients were randomized into two groups: the experimental group (n = 21) received diltiazem (60 mg) and the control group (n = 21) received nifedipine (10 mg). Both drugs were orally administered every 8 hours. Systolic, diastolic, and mean blood pressures as well as the heart rate were recorded and analyzed (two-way repeated measures ANOVA) at baseline and after 6, 12, 18, 24, 30, 36, 42, and 48 hours. Primary outcome measures were all the aforementioned blood pressure parameters. Secondary outcome measures included the number of hypertension and hypotension episodes along with the length of stay in the intensive care unit. Results. No statistical differences were found between groups (diltiazem vs. nifedipine) regarding basal blood pressure parameters. Interarm differences in blood pressure (systolic, diastolic, and mean) and heart rate were statistically significant between treatment groups from 6 to 48 hours. Patients in the diltiazem group had lower blood pressure levels than patients in the nifedipine group. Significantly, patients who received diltiazem had fewer hypertension and hypotension episodes and stayed fewer days in the intensive care unit than those treated with nifedipine. Conclusions. Diltiazem controlled arterial hypertension in a more effective and uniform manner in patients under study than nifedipine. Patients treated with diltiazem had fewer collateral effects and spent less time in the hospital. This trial is registered with NCT04222855.

scholarly journals Effects of Three Months of Detraining on the Health Profile of Older Women after a Multicomponent Exercise Program

2019 ◽  
Vol 16 (20) ◽  
pp. 3881 ◽  
Author(s):  
Luis Leitão ◽  
Ana Pereira ◽  
Mauro Mazini ◽  
Gabriela Venturini ◽  
Yuri Campos ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Older Women ◽  
Repeated Measures ◽  
Pulmonary Ventilation ◽  
Exercise Program ◽  
Control Group ◽  
Health Profile ◽  
Older Individuals ◽  
Negative Effects

Physical exercise results in very important benefits including preventing disease and promoting the quality of life of older individuals. Common interruptions and training cessation are associated with the loss of total health profile, and specifically cardiorespiratory fitness. Would detraining (DT) promote different effects in the cardiorespiratory and health profiles of trained and sedentary older women? Forty-seven older women were divided into an experimental group (EG) and a control group (CG) (EG: n = 28, 70.3 ± 2.3 years; CG: n = 19, 70.1 ± 5.6 years). Oxygen uptake (VO2) and health profile assessments were conducted after the exercise program and after three months of detraining. The EG followed a nine-month multicomponent exercise program before a three-month detraining period. The CG maintained their normal activities. Repeated measures ANOVA showed significant increases in total heath and VO2 (p < 0.01) profile over a nine-month exercise period in the EG and no significant increases in the CG. DT led to greater negative effects on total cholesterol (4.35%, p < 0.01), triglycerides (3.89%, p < 0.01), glucose (4.96%, p < 0.01), resting heart rate (5.15%, p < 0.01), systolic blood pressure (4.13%, p < 0.01), diastolic blood pressure (3.38%, p < 0.01), the six-minute walk test (7.57%, p < 0.01), Pulmonary Ventilation (VE) (10.16%, p < 0.01), the Respiratory Exchange Ratio (RER) (9.78, p < 0.05), and VO2/heart rate (HR) (16.08%, p < 0.01) in the EG. DT may induce greater declines in total health profile and in VO2, mediated, in part, by the effectiveness of multicomponent training particularly developed for older women.

The Effects of 48 Hours Total Sleep Deprivation on Human Physiology, Mood, and Memory

1989 ◽  
Vol 33 (10) ◽  
pp. 625-629
Author(s):  
Mary L. Rankin ◽  
Georgia Latham ◽  
Robert D. Peters ◽  
David M. Penetar
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Human Physiology ◽  
Circadian Rhythms ◽  
Recognition Memory ◽  
Sleep Deprivation ◽  
Repeated Measures ◽  
Small Sample ◽  
Repeated Measures Design ◽  
Small Sample Sizes

Previous research regarding the effects of sleep deprivation (SD) on human physiology and mood has yielded conflicting results. These findings may in part be due to the use of small sample sizes and the failure to separate out the pure effects of SD from those of circadian rhythms during data analysis. One purpose of this study was to clearly identify the effects of 48 hours of SD on blood pressure, temperature, heart rate, and mood by overcoming the limitations of previous research. A second purpose was to evaluate the effects of SD on recognition memory. A repeated measures design was employed to collect physiological, mood, and memory data over a 48 hour period. While strong circadian rhythms were observed for most of the physiological and mood variables, recognition memory was unaffected by 48 hours of SD.

scholarly journals Efficacy of Intravenous Ondansetron on Hemodynamic Complications in Women Undergoing Spinal Anesthesia for Cesarean Section: A Randomized Placebo Controlled Clinical Trial

2016 ◽  
Vol 5 (1) ◽  
pp. 13-18
Author(s):  
Pouran Hajian ◽  
Bita Malekianzadeh ◽  
Maryam Davoudi
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Placebo Group ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Nausea And Vomiting ◽  
Elective Cesarean Section ◽  
Controlled Clinical Trial ◽  
Sterile Water ◽  
Elective Cesarean

Background: Several methods are used for the prevention or decreasing the incidence of spinal anesthesia hemodynamic complications. Ondansetron is a 5HT3 receptor antagonist with known efficacy on preventing nausea and vomiting and probably on intrathecal opioid-induced pruritus. The present study aims to evaluate the effects of intravenous Ondansetron on the attenuation of blood pressure and heart rate, by 5HT3 blocking in vagal nerve endings and effect on Bezold Jarish reflex. Material and Methods: One hundred and two candidates for elective cesarean section were randomized into 2 groups of 51 cases, the Ondansetron group received 4mg Ondansetron intravenously before performing spinal anesthesia, and placebo group received 2cc sterile water. Hypotension was defined: Systolic blood pressure less than 100 MmHg or fall more than 20% from primary BP which was treated by administration of Ephedrine in case of any. In both groups, Ondansetron effect was studied on hypotension occurrence, bradycardia, consumed Ephedrine amount, pruritus, nausea and vomiting. Results: There were no statistically significant differences in systolic/diastolic blood pressure, Mean Arterial Pressure, heart rate and pruritus in both groups (P=0.081).Nausea and vomiting in the first 10 minutes after spinal anesthesia were lesser in Ondansetron group (P= 0.001). Mean consumed Ephedrine was significantly lesser in Ondansetron group (5.8 mg in Ondansetron and 10.7 mg in placebo group, P=0.009). Conclusion: Ondansetron  given  intravenously  with  antiemetic  dose  (4  mg)  decreases  mean consumed Ephedrine and nausea and vomiting after spinal anesthesia, but does not have an influence on blood pressure, heart rate and pruritus.[GMJ. 2016;5(1):13-18]

scholarly journals Effects of Pre-cooling and Per-cooling on Neural, Physiological, and Functional Responses in Active Young Girls

2020 ◽  
Vol 18 (3) ◽  
Author(s):  
Seyedeh Somayeh Razavi ◽  
Amirabbas Monazzami ◽  
Zahra Nikosefat
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Body Temperature ◽  
Repeated Measures ◽  
Blood Pressure Monitoring ◽  
Core Body Temperature ◽  
Control Group ◽  
Functional Responses ◽  
Young Girls ◽  
Core Body

Background: Stressful environments, especially air temperature, have significant effects on human physiological responses to physical activity. Objectives: The current study aimed to determine the effects of pre-cooling and per-cooling on neural, physiological, and functional responses in active young girls. Methods: Twelve active girls (age 24.6 ± 1.4, weight 55.46 ± 8.18, height 165.1 ± 5.91) were tested in three separate sessions with intervals of three days between each session. All subjects performed the Balke test in three groups either without an ice vest (control and pre-cooling) or with an ice vest (per-cooling) in each session, randomly. Pre-cooling was applied with an ice vest for 30 min just before the test, while per-cooling was used with an ice vest from the beginning of the test to exhaustion. A Buerer FT-70 digital thermometer, polar-FT60 heart rate monitoring, Microlife blood pressure monitoring, and ELISA technique were used to measure core body temperature, heart rate, blood pressure, dopamine, cortisol, and lactate dehydrogenase, respectively. Two-way repeated-measures ANOVA was applied to analyze the data with a confidence interval of 95%. Results: The heart rate and core body temperature significantly decreased at the end of the test in the pre-cooling and per-cooling groups (P < 0.05). There was an improved performance with an increase in Tmax in the per-cooling group compared to the control group (P < 0.05) although this difference was not significant in the pre-cooling group compared to the control group (P > 0.05). Dopamine, cortisol, and lactate dehydrogenize increased in the groups in comparison with the pretest (P < 0.05) even though these differences were not significant in the comparison between the groups (P > 0.05). Conclusion: The findings suggest that pre-cooling and per-cooling could be used as a beneficial method to improve performance due to not only a decrease in core body temperature and heart rate but also an increase in the level of dopamine and cortisol. Moreover, per-cooling was more effective than pre-cooling to increase performance.

Effects of Total Sleep Deprivation on Cardiovascular Parameters: An Absence of Biologically Significant Findings?

2002 ◽  
Vol 16 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Elena Miró ◽  
Carmen Cano ◽  
Gualberto Buela-Casal
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Sleep Deprivation ◽  
Healthy Volunteers ◽  
Repeated Measures ◽  
Clinical Relevance ◽  
Vigilance Task ◽  
Mean Values ◽  
Total Sleep Deprivation ◽  
The Third

Abstract The present study analyzes the variations of heart rate (HR) and systolic and diastolic blood pressure (SBP and DBP) during 60 h of total sleep deprivation (TSD). All variables were evaluated every 2 h in a resting condition, during the performance of a vigilance task. Thirty healthy volunteers (15 men and 15 women) from 18 to 24 years old participated in the experiment. The analyses of variance (ANOVAS) with repeated measures showed some modifications of HR and SBP mean values mainly marked by circadian oscillations. The circadian oscillations had a smaller amplitude for SBP than for HR. HR showed a slight decrease on the second night of TSD and a slight increase on the third day of TSD. SBP decreased during the first 24 h of TSD and after that maintained its values without significant changes. DBP did not show any significant variations during TSD. In addition, there were no differences in function of gender for the TSD effect on the studied variables. All these statistically significant findings, however, seem to have no biological or clinical relevance. These aspects as well as the possible relationships between our results and activation or stress levels during TSD are discussed.

Effect of a music intervention on noise annoyance, heart rate, and blood pressure in cardiac surgery patients

1997 ◽  
Vol 6 (3) ◽  
pp. 183-191 ◽  
Author(s):  
JF Byers ◽  
KA Smyth
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Critical Care ◽  
Cardiac Surgery ◽  
Systolic Blood Pressure ◽  
Repeated Measures ◽  
Critical Care Unit ◽  
Noise Sensitivity ◽  
Music Intervention ◽  
Noise Annoyance

BACKGROUND: Exposure to noise in a critical care unit may trigger a response by the sympathetic nervous system, thereby increasing cardiovascular work in patients recovering from cardiac surgery. OBJECTIVE: To investigate the effects of a music intervention given twice on the first postoperative day on noise annoyance, heart rate, and arterial blood pressure in subjects with high (n = 22) and low (n = 18) sensitivity to noise. METHODS: A prospective, quasi-experimental, repeated-measures design was used. Based on results of power analysis, the sample size was 40. Subjects were recruited preoperatively, and their sensitivity to noise was assessed. On the first postoperative day, repeated-measures data were collected on levels of noise annoyance and physiological variables during 15 minutes of baseline and 15 minutes of music intervention on two occasions. Subjects completed a follow-up questionnaire regarding their perceptions of the noise in the critical care unit and the music intervention. RESULTS: Repeated-measures analysis of variance showed that subjects had lower levels of noise annoyance during music intervention than at baseline. Heart rate and systolic blood pressure decreased during the music intervention compared with baseline. Diastolic blood pressure decreased during the music intervention from baseline during time 2, but not time 1. Subjects with high baseline scores of noise sensitivity preoperatively had higher baseline levels of noise annoyance in the critical care unit the first postoperative day. Subjects rated the music intervention as highly enjoyable regardless of their baseline noise sensitivity or noise annoyance. CONCLUSION: Results of this study support the idea that noise annoyance is a highly individual phenomenon, influenced by a transaction of personal and environmental factors. Use of a music intervention with cardiac surgery patients during the first postoperative day decreased noise annoyance, heart rate, and systolic blood pressure, regardless of the subject's noise sensitivity.

Effect of Different Types of Lower-limb Exercise on Blood Pressure in Hypertensive People: A Randomized, Double-blind Controlled Clinical Trial

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Rozita Hedayti ◽  
Salimeh Mahmoodi ◽  
Rasool Bagheri ◽  
Marjan Biglary ◽  
Amir Hoshang Bakhtiary ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Diastolic Blood Pressure ◽  
Controlled Clinical Trial ◽  
Maximum Oxygen Consumption ◽  
Exercise Interventions ◽  
Concentric Exercise ◽  
Significant Difference

Objectives: The current study aimed at determining the immediate and long-lasting effects of eccentric and concentric exercises on hypertension in individuals with high blood pressure. Methods: A total of 45 hypertensive volunteers were randomly assigned to three intervention groups as eccentric exercise (n = 15), concentric exercise (n = 15), and control (n = 15) groups. All the volunteers underwent exercise interventions for four weeks, three sessions per week (12 sessions in total) as treadmill walking with +10% gradient (concentric group), -10% gradient (eccentric group), or neutral gradient. Before the intervention, immediately after the first session of the intervention, after the end of the intervention, and 48 hours after the end of the intervention, systolic and diastolic blood pressure, heart rate, and maximum oxygen consumption were measured and compared between the groups. Results: The positive gradient group had higher diastolic blood pressure 48 h after the intervention than the negative and neutral gradient groups (P < 0.05). There was no significant difference in the other study variables between eccentric and concentric exercise groups (P > 0.05). Statistical analysis showed that eccentric exercises immediately reduced systolic and diastolic blood pressure (P < 0.05). Eccentric and constrictive exercises reduced systolic and diastolic blood pressure for the long term (P < 0.05). Exonerative and constrictive exercises improved the heart rate, maximum oxygen consumption, and systolic blood and diastolic blood pressure in the short and long term (P < 0.05). Conclusions: Eccentric and concentric exercises with immediate and long-lasting effects improved systolic and diastolic blood pressure, as well as heart rate and maximum oxygen consumption. No significant difference was found between the two types of exercises in terms of the variables studied.

Physiological Responses to Passive Exercise in Adults Receiving Mechanical Ventilation

2013 ◽  
Vol 22 (4) ◽  
pp. 337-348 ◽  
Author(s):  
Christina Amidei ◽  
Mary Lou Sole
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Mechanical Ventilation ◽  
Oxygen Saturation ◽  
Interleukin 6 ◽  
Repeated Measures ◽  
Physiological Responses ◽  
Interleukin 10 ◽  
Mean Blood Pressure ◽  
Cytokine Levels

Background Critical illness may weaken muscles, with long-term consequences. Objective To assess physiological responses to an early standardized passive exercise protocol to prevent muscle weakness in adults receiving mechanical ventilation. Methods A quasi-experimental within-subjects repeated-measures design was used. Within 72 hours of intubation, 30 patients had 20 minutes of bilateral passive leg movement delivered by continuous-passive-motion machines at a standardized rate and flexion-extension. Heart rate, mean blood pressure, oxygen saturation, and cytokine levels were measured before, during, and after the intervention. The Behavioral Pain Scale was used to measure patients’ comfort. Repeated-measures analysis of variance was used to analyze the effect of the exercise on independent variables. Results Patients were mostly white men with a mean age of 56.5 years (SD, 16.9) with moderate mortality risk and illness severity. Heart rate, mean blood pressure, and oxygen saturation did not differ from baseline at any time measured. Pain scores were significantly reduced (F2.43,70.42 = 4.08; P = .02) 5 and 10 minutes after exercise started and remained reduced at the end of exercise and 1 hour later. Interleukin 6 levels were significantly reduced (F1.60,43.1 = 4.35; P = .03) at the end of exercise but not after the final rest period. Interleukin 10 levels did not differ significantly. Ratios of interleukin 6 to interleukin 10 decreased significantly (F1.61,43.38 = 3.42; P = .05) at the end of exercise and again after 60 minutes’ rest. Conclusion The exercise was well tolerated, and comfort improved during and after the intervention. Cytokine levels provided physiological rationale for benefits of early exercise.

Heart rate variability (HRV) training for symptom control in cancer survivors.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 148-148 ◽  
Author(s):  
Mark Allen O'Rourke ◽  
Sherry Stokes ◽  
Franco Regina ◽  
Kerri Susko ◽  
William Hendry ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Cancer Survivors ◽  
Repeated Measures ◽  
Symptom Control ◽  
Brief Pain Inventory ◽  
Heart Beat ◽  
Biofeedback Training ◽  
Controlled Clinical Trial ◽  
Fatigue Stress

148 Background: Late effects of cancer and its treatment include pain, fatigue, stress, and depression, all mediated by autonomic dysfunction. Heart Rate Variability (HRV) coherence is an established measure of optimal autonomic function. HRV coherence is achieved when the heart beat-to-beat intervals increase and decrease with respiration in a smooth rhythm. High coherence is associated with improved mood, cognition, executive function, and optimal pulmonary gas exchange. Cancer survivors have lower HRV than controls. Low HRV has been associated with early mortality, inflammation, and other adverse intermediary outcomes. HRV biofeedback (HRV-B) training improves HRV coherence, restores autonomic health, and reduces the above symptoms. HRV-B is non-pharmacologic, inexpensive, and self-maintained. This report describes a feasibility study of HRV-B in symptomatic cancer survivors. Methods: In a randomized, waitlist-controlled clinical trial, 179 were screened, 35 enrolled and 31 completed the protocol. Participants in the intervention arm received weekly HRV-B training up to six weeks. Outcome measures assessed at baseline (pre) and after week six (post) included HRV coherence plus the Brief Pain Inventory (BPI), Multi-Dimensional Fatigue Inventory (MFI), Perceived Stress Scale (PSS) and Beck Depression Inventory II (BDI-II). Data analyzed using linear-mixed models for repeated measures (SAS Proc Mixed). Results: Conclusions: Delivering HRV Biofeedback training to cancer survivors is feasible in a clinical setting. This study provides preliminary evidence that HRV-B training for cancer survivors improves HRV and reduces pain, fatigue, stress, and depression. HRV-B training has potential for symptom control in cancer survivors. Controlled, multisite studies are indicated.[Table: see text]

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