scholarly journals Effect of Music on Blood Pressure and Heart Rate in Patients Undergoing Cataract Extraction Surgery

2021 ◽  
Vol 10 (20) ◽  
pp. 1474-1478
Author(s):  
Aditi Gadegone ◽  
Sachin Daigavane ◽  
Ruta Walavalkar
Keyword(s):  
Blood Pressure ◽  
Local Anaesthesia ◽  
Large Population ◽  
Cost Effective ◽  
Cataract Extraction ◽  
Topical Anaesthesia ◽  
Heart Rates ◽  
Prevalence Studies ◽  
Before And After ◽  
Anxiety Levels

BACKGROUND Music is an inexpensive, easily available anxiolytic known to mankind since ages. Cataract extraction surgery is one of the widely performed surgeries under local anaesthesia. India is a developing country where limited resources are spent over health infrastructure which has to cater to a large population. In our study we have tried to utilize the anxietolytic effect of music in combating the anxiety and stress patients suffer during surgery. METHODS In this prospective, interventional study, 300 patients diagnosed with senile cataract were selected. The sample size was decided taking into consideration various prevalence studies. The patients were consequently recruited for the study considering the inclusion and exclusion criteria. Patients were divided into three groups - one undergoing phacoemulsification surgery under topical anaesthesia and two groups undergoing phacoemulsification surgery under local anaesthesia by the same surgeon in a same operating room. Two groups including the one where topical anaesthesia was used were made to listen to ‘Classical Sitar Music’ whereas one group was not made to listen to music. Blood pressure and heart rates were measured before and after surgery and compared in all patients. RESULTS Blood pressure and heart rates were statistically significantly normalized (lowered) post-operatively when compared to their pre-operative values in groups which were made to listen to music. There was a marked decrease in the anxiety levels in patients who were operated under topical anaesthesia when compared to those operated under local anaesthesia. CONCLUSIONS Music can be widely used in decreasing anxiety levels in patients undergoing cataract extraction surgery thereby improving the post-operative prognosis in patients in a cost-effective way. KEY WORDS Phacoemulsification Surgery, Classical Sitar Music, Peri-Bulbar Block, Topical Anaesthesia, Anxiety, Blood Pressure, Pulse Rate

scholarly journals Atlantoaxial Misalignment Causes High Blood Pressure in Rats: A Novel Hypertension Model

2017 ◽  
Vol 2017 ◽  
pp. 1-8
Author(s):  
Zong-Bao He ◽  
You-Kui Lv ◽  
Hui Li ◽  
Qiong Yao ◽  
Ke-Ming Wang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Animal Model ◽  
High Blood Pressure ◽  
Underlying Mechanism ◽  
Heart Rates ◽  
Surgery Group ◽  
Before And After ◽  
The Relationship

Atlantoaxial disorders are often correlated with hypertension in practice. In order to study the relationship between atlantoaxial disorder and hypertension, we attempted to construct an animal model. In this work, we presented an animal model where their atlantoaxial joints were misaligned. We investigated the changes of blood pressure before and after treatments of the modeled rats. We had the following results. (1) SBP and DBP of each surgery group were significantly higher than those of control and sham groups. (2) After the second operation (the fixture was removed), SBP and DBP of both surgery groups decreased and got closer to the control and sham groups after 7 days. (3) Heart rates got significantly higher in both surgery groups, compared to control and sham groups. (4) The blood Ach levels of the surgery groups were significantly lower than those of control and sham groups. With these results, we concluded that we successfully constructed cervical atlantoaxial disorder models in rats that showed hypertension symptom. However, the underlying mechanism connecting atlantoaxial disorder and hypertension still requires further study.

scholarly journals Determination of the Effect of Two Different Methods of Dental Anaesthesia on Pain Level in Pediatric Patients: A Cross-Over, Randomised Trial

2022 ◽  
Author(s):  
Nagehan Yilmaz ◽  
Ozgul Baygin ◽  
Tamer Tüzüner ◽  
Ahmet Menteşe ◽  
Selim Demir
Keyword(s):  
Local Anaesthesia ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Randomised Trial ◽  
Topical Anaesthesia ◽  
Pain Level ◽  
Rank Tests ◽  
Signed Rank ◽  
Anxiety Levels

Abstract ObjectiveTo compare intraosseous (IOA) and needle-free dental anaesthesia (NFA) methods that painless anaesthesia.Materials and MethodsTwenty patients aged 8–10 years were included in this cross-over study. To determine the anxiety levels and pain experienced by the patients, Face, Legs, Activity, Cry, Consolability (FLACC) and Frankl Behavioural scales were used. The pulse rate (PR) and salivary opiorphin levels (SOL) determined. The Friedman and Wilcoxon signed-rank tests were used. p<0.01 was considered significant.ResultsAccording to FLACC scores, IOA and NFA exhibited significantly pain alteration patterns in during local and topical anaesthesia, respectively (p=0.004,0.001; p<0.01). Also, only NFA showed significantly decreased SOL values in 5- and 10- minutes after local anaesthesia periods compared to the before levels (p=0.004, p=0.001; p<0.01).ConclusionsPatients feel similar pain perceptions during local anaesthesia application in both injection systems. According to the SOL values, NFA may provide more higher anaesthetic efficiency than IOA.Clinical RelevanceThis study provides to compare two different new anaesthetic systems for pain reduction during local anesthesia for pediatric population.

Effect of aeromedical training on anxiety levels of ab initio pilots

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nazim Ata ◽  
Berna Aytac ◽  
Dijan Ertemir ◽  
Muzaffer Cetinguc ◽  
Ebru Yazgan
Keyword(s):  
Blood Pressure ◽  
State Anxiety ◽  
Pressure Change ◽  
Aerospace Medicine ◽  
Content Type ◽  
Training Outcomes ◽  
Visual Analog Scales ◽  
Before And After ◽  
Anxiety Levels ◽  
The Difference

Purpose Aeromedical training is meant to train aircrew in combating physiological problems that they might face in flight. Given the importance of the training, there are limited studies in the literature investigating the anxiety levels during aeromedical training along with training outcomes. This study aims to assess the untrained participants’ anxiety levels before and after aeromedical training, investigate the differences in anxiety levels across different physiological training devices and determine whether participants’ anxiety levels affect their G tolerances. Design/methodology/approach This study was carried out on 61 healthy male subjects (n = 61) who had applied for initial aeromedical training. Anxiety surveys and visual analog scales were administered before and after the practical aeromedical training. In addition, blood pressure and heart rate measurements were carried out. Findings Participants had significantly higher anxiety levels before human centrifuge training (pre-Glab) than before the altitude chamber training (pre-hypobaric). Participants who experienced G-induced loss of consciousness (G-LOC) had slightly more anxiety reported than the non-G-LOC group. There was a significant decrease between pre-Glab and post-Glab (after the human centrifuge training) and between pre-hypobaric and post-hypobaric (after the altitude chamber training) anxiety levels. The incidence of G-LOC was lower in participants having higher pre-G-Lab blood pressure. However, the difference in anxiety levels between the G-LOC group and the non-G-LOC group was not statistically significant. Research limitations/implications In this study, state anxiety inventory was not performed after human centrifuge training as centrifuge training lasted for around 5 min only, and it is not advisable to repeat state anxiety inventory in such short periods. Blood pressure was not measured after G-Lab training because human centrifuge training is hard training and has an impact on blood pressure. Hence, it would have been difficult to distinguish whether the blood pressure change was due to anxiety or hard physical activity. These limitations, especially for the G-Lab, caused us to evaluate state anxiety only with VAS. It would be worthwhile to repeat similar studies with objective measurements before and after the training. Practical implications This information suggests that instructors who train the applicants on aerospace medicine be ready for the possible consequences of anxiety. Originality/value There are only a few centers in the world that include all the physiological training devices (practical aeromedical training laboratories) together. To the best of authors’ knowledge, there are no studies in the literature investigating the differences in anxiety levels across various physiological training devices. The studies about the effect of anxiety levels on aeromedical training outcomes and anxiety levels before and after the training are scant.

scholarly journals Effects of unpleasant emotional exposure on the state anxiety and heart rate in healthy women: a pilot study

2021 ◽  
Vol 10 (16) ◽  
pp. e505101624153
Author(s):  
Ricardo Borges Viana ◽  
Naiane Silva Morais ◽  
Thalles Guilarducci Costa ◽  
Lucas Carrara do Amaral ◽  
Wellington Fernando da Silva ◽  
...  
Keyword(s):  
Heart Rate ◽  
Pilot Study ◽  
State Anxiety ◽  
The State ◽  
Heart Rate Monitor ◽  
Heart Rates ◽  
Moderate Evidence ◽  
Healthy Women ◽  
Before And After ◽  
Anxiety Levels

Considering that exposure to unpleasant pictures taken from the International Affective Pictures System (IAPS) has a more significant impact on anxiety than exposure to pleasant and neutral pictures, we investigated changes in state anxiety levels and heart rate responses in healthy women following exposure to three blocks of unpleasant pictures from the IAPS. Thirty-seven healthy women visited the lab three times, separated by a gap of 24–72 hours. Anxiety levels were assessed using the State Anxiety Inventory before and after participants viewed the blocks of unpleasant IAPS pictures, while the heart rate was continuously monitored throughout each session by a heart rate monitor. We found extreme evidence (BF10 = 7.53*108) for the changes in the participants’ state anxiety after viewing IAPS unpleasant pictures, although there was ambiguous evidence (BF01 = 2.642) favoring similar changes in state anxiety and ratings of pleasure (BF01 = 1.567), arousal (BF01 = 2.609), and dominance (BF01 = 1.954) between the three blocks of unpleasant pictures used. Moreover, we found moderate evidence (BF01 = 7.449) favoring similar mean heart rates between the three blocks of unpleasant pictures. These findings reveal that exposure to unpleasant pictures can act as an anxiogenic stimulus used to induce experimental anxiety.

Potential of Weight Scale Based Ballistocardiography for Identifying Orthostatic Intolerance: A Tilt Table Study

2020 ◽  
Author(s):  
Parshuram N. Aarotale ◽  
Stian N. Henriksen
Keyword(s):  
Blood Pressure ◽  
Orthostatic Intolerance ◽  
Low Frequency ◽  
Cost Effective ◽  
Cardiovascular Control ◽  
Tilt Test ◽  
Heart Period ◽  
Wilcoxon Rank Sum Test ◽  
Before And After ◽  
Effective System

Abstract Autonomic cardiovascular control is critical in regulating blood pressure during postural transition, failure of which could lead to dizziness and fall (orthostatic intolerance). In this study, the feasibility of Ballistocardiography (BCG) for quantifying autonomic nervous system activity in relation to gold standard electrocardiogram (ECG) was tested. Simultaneous ECG, blood pressure, photoplethysmography (PPG), and BCG were continuously acquired during 5-minutes of stand tests (before and after tilt test up to 60°) from 10 participants. Heart period was derived from ECG and BCG represented as RR and JJ intervals, respectively. Spectral analysis of heart period (both RR and JJ) was performed by calculating power distributed in low-frequency (0.04–0.15 Hz) and high-frequency (0.15–0.4 Hz) bands. Strong correlation (r &gt; 0.87 for Pre-tilt and r &gt; 0.97 for Post-tilt, p &lt; 0.001) between ECG and BCG derived LF, HF, and LF/HF was observed, except for LF/HF (r &gt; 0.63 for Pre-tilt). The Wilcoxon rank sum test revealed no difference (p &gt; 0.10) in BCG or ECG LF, HF, and LF/HF during the two stand tests. The findings of the study highlighted the feasibility of monitoring cardiovascular control via weight-scale BCG. Therefore, the developed system can gain utility as a portable and cost-effective system for early detection and mitigation of falls associated with autonomic dysfunction.

scholarly journals Is our initial evaluation of patients admitted for syncope guideline-directed and cost-effective?

2020 ◽  
Vol 4 (2) ◽  
pp. 1-4
Author(s):  
Muhammad Hamza Saad Shaukat ◽  
Muhammad Asim Shabbir ◽  
Riju Banerjee ◽  
James Desemone ◽  
Radmila Lyubarova
Keyword(s):  
Blood Pressure ◽  
High Risk ◽  
Guideline Adherence ◽  
Blood Pressure Measurement ◽  
General Medicine ◽  
Cost Effective ◽  
Primary Diagnosis ◽  
Orthostatic Blood Pressure ◽  
Before And After ◽  
Risk Patients

Abstract Introduction Recent American College of Cardiology and European Society of Cardiology guidelines for syncope evaluation help distinguish high-cardiac risk patients from those with low-risk orthostatic and neurogenic syncope. Inpatient evaluation is recommended if at least one high-risk feature is present. Objective To assess guideline adherence and its impact on hospitalization in patients who presented with syncope before and after the introduction of guideline-based syncope protocol in the emergency department (ED). Methods All adult patients admitted to general medicine from the ED with the primary diagnosis of syncope in the months of October 2016 and October 2018 (before and after the introduction of syncope protocol in 2017). Electronic charts were retrospectively reviewed for high-risk cardiac features and orthostatic blood pressure measurement. Results Sixty patients were admitted for syncope in October 2016 (n = 32) and October 2018 (n = 28), out of which 33 (55%) were female and 47 (78.3%) were over age 50. Forty-five patients had at least one high-risk feature. Excluding one patient with an alternate diagnosis at discharge, 14 out of 60 patients (23.3%) admitted for syncope did not have any high-risk feature. Orthostatic blood pressure was measured in 3 patients (5%) in the ED and 27 patients (45%) later in the hospitalization. Six out of eight patients with implanted cardioverter-defibrillator or pacemaker had their devices interrogated. After the introduction of syncope protocol, there was an improvement in the proportion of high-risk patients admitted [68.7% (22/32) in October 2016 vs. 82.1% (23/28) in October 2018]. Conclusion Utilizing syncope protocol in the ED may improve guideline adherence, direct appropriate disposition, and reduce healthcare expenses.

scholarly journals Biomechanics and Physiology in top level Pole Dancers. A case study

2018 ◽  
pp. 01-15
Author(s):  
Bruno Ruscello ◽  
Mario Esposito ◽  
Laura Pantanella ◽  
Filippo Partipilo ◽  
Laura Lunetta ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Lactate ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Vertical Axis ◽  
Heart Rates ◽  
Video Footage ◽  
Before And After ◽  
Physiological Demands

The aim of this study was to investigate the physical and physiological demands of three top-level pole dancers’ performances during a simulated competition. Three elite pole dancers, participated in the study. Physical data pertaining to the accelerations and the rotational values were collected. A complete video footage was recorded. Blood Pressure, Heart Rates, Blood Lactate concentrations were recorded during the performance. Before and after the simulated competitions some postural stability tests were also performed. Accelerations along the vertical axis reached »2G and rotational movements around the pole, reached »400°/s. Blood Pressure values ranged from 120/75 before and to 145/58 mmHg at the end of performance, respectively. Heart Rates reached a mean peak value of »114% of the Maximal Estimated Heart Rates (HRmax) and a mean HRmax% of 74.59±8.82% during the simulated competition. Blood Lactate concentration ranged from 11.43±2.13 to 10.63±1.65 mmol/L measured at 1 min and 5 min after the completion of the competition, respectively. Postural effects were observed on balance, after the performances. The results of this case study confirm that the Pole Dancing requires heavy physiological and physical demands on the performers. Specific training routines should be designed in order to cope efficiently with this physical activity.

Music in the Wound Care Center: Effects on Anxiety Levels and Blood Pressure Measurements in Patients Receiving Standard Care

2021 ◽  
Vol 67 (4) ◽  
pp. 16-22
Author(s):  
Huifang Cheng ◽  
Gary Breitbart ◽  
Laura Giordano ◽  
David Richmand ◽  
Geoffrey Wong
Keyword(s):  
Blood Pressure ◽  
Classical Music ◽  
Chronic Wounds ◽  
Wound Care ◽  
Care Center ◽  
Intervention Group ◽  
Control Group ◽  
Pressure Measurements ◽  
Before And After ◽  
Anxiety Levels

BACKGROUND: Chronic wounds require frequent assessment, minor procedures, and dressing changes. Discomfort, anxiety, and stress are commonly reported during treatment procedures. PURPOSE: To examine the effect of music during treatment on post–wound care treatment anxiety levels and blood pressure measurements in patients with chronic wounds. METHODS: This randomized controlled trial was conducted in a wound care center within a nonprofit academic medical center with a before-and-after intervention measurement. A total of 222 consecutive patients were randomly allocated to either an intervention group (n = 112; classical music was played during treatment) or a control group (n = 110; no music was played during treatment) at their scheduled routine outpatient visits. The State-Trait Anxiety Inventory (STAI) was administered and blood pressure measurements were obtained automatically by machine before and after the intervention. Pretreatment and posttreatment scores were compared using the paired t-test in SPSS 25. RESULTS: Patient age and sex did not differ between the intervention and control groups and pretreatment and posttreatment STAI scores; blood pressure measurements were almost identitical in the control group. In the intervention group, statistically significant differences between the pretreatment and posttreatment STAI scores (M = 45.94 and 40.83), systolic blood pressure measurements (M = 141.94 and 135.72), and diastolic blood pressure measurements (M = 70.93 and 66.23) were observed (P < .001). CONCLUSION: In this study, playing classical music in the treatment room during wound care interventions resulted in a significant decrease in patient anxiety scores and blood pressure measurements.

PENGARUH TERAPI TERTAWA TERHADAP PENURUNAN TEKANAN DARAH LANSIA DI UPT PANTI WREDHA BUDHI DHARMA YOGYAKARTA

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta
Keyword(s):  
Blood Pressure ◽  
Data Analysis ◽  
The Elderly ◽  
Control Group ◽  
Group Comparison ◽  
Control Blood Pressure ◽  
Men And Women ◽  
Treatment Of Hypertension ◽  
Before And After ◽  
The Difference

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)

High-dose Cholecalciferol Supplementation Reducing Morning Blood Pressure in Normotensive DM1 Patients

2020 ◽  
Vol 16 ◽  
Author(s):  
Natércia Neves Marques de Queiroz ◽  
Franciane Trindade Cunha de Melo ◽  
Fabrício de Souza Resende ◽  
Luísa Corrêa Janaú ◽  
Norberto Jorge Kzan de Souza Neto ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Vitamin D ◽  
Blood Pressure Monitoring ◽  
Vitamin D Supplementation ◽  
High Dose ◽  
Before And After ◽  
Patients With Diabetes ◽  
Morning Blood Pressure ◽  
Cholecalciferol Supplementation ◽  
Lipids Profile

Background: Vitamin D (VD) deficiency has been related to several endocrine metabolic and cardiovascular diseases. Effect of VD supplementation on blood pressure (BP) in patients with diabetes is controversial. Objective: The aim of this study was to evaluate high-dose vitamin D supplementation effects on blood pressure of normotensive type 1 diabetes mellitus (T1DM) patients by 24-hour ambulatory blood pressure monitoring (ABPM). Methods: We performed a clinical trial including 35 T1DM normotensive patients, who received doses of 4,000 or 10,000 IU/day of cholecalciferol for 12 weeks according to previous VD levels. They underwent 24-hour ABPM, along with glycated hemoglobin, creatine, lipids profile and PCRus dosage before and after VD supplementation. Results and discussion: We found an expressive reduction of systolic and diastolic morning blood pressures (117±14 vs 112±14, p<0,05; 74±9 vs 70±10 mmHg, p<0,05, respectively) with no changes in other pressoric markers. Besides, we noticed a relation between levels of VD after supplementation and diastolic morning blood pressure (r= -0,4; p<0.05). Conclusion: Our study suggests an association between supplementation of high doses of vitamin D and the reduction of morning blood pressure in normotensive T1DM patients.

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