scholarly journals Effect of aerobic training on cardiorespiratory fitness using chester treadmill walk test in physiotherapy students

2021 ◽  
Vol 9 (1) ◽  
pp. 3736-3742
Author(s):  
Urvi Vipul Patel ◽  
◽  
G.D. Vishnu Vardhan ◽  

Background: The aim of the study was to study the effect of aerobic training on cardiorespiratory fitness in physiotherapy students. This was an analytical type of study in which the participants were tested both pre and post the intervention to carry out the results accordingly. Context and Purpose of the study: Physiotherapist as trainers of fitness are themselves expected to have a good amount of fitness. There are many studies done on evaluation of cardiorespiratory fitness in physiotherapy students. There is limited literature to check the effect of aerobic training using Chester Treadmill Walk Test specifically on cardiorespiratory fitness in physiotherapy students. 25 Participants were selected by Convenient Sampling who were Physiotherapy students. The participants included were between age group of 18-25 years who were not able to complete the Chester Treadmill Walk test for 12 minutes. After which those who were included were given a 8 weeks treadmill training intervention and post the testing was conclusion was carried out accordingly. Results: The student paired “t” test value of heartrate prior to intervention was 33.81 and post intervention was 8.34 and the student paired “t” test value for systolic blood pressure was 2.16 and diastolic blood pressure was 2.22. The student paired “t” test value of VO2max was 4.03. Based on the readings of the “t” test values mentioned above, proves that there is significant increase in VO2max post the aerobic training intervention Conclusion: The result shows that there is a significant increase in VO2max which was calculated using the formula for Chester Treadmill Walk Test after the aerobic training intervention was given for 8 weeks based on the ACSM’s Guidelines. KEY WORDS: Chester Treadmill Walk Test, Cardiorespiratory fitness, Treadmill training, Physiotherapy students.

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Hartin Suidah ◽  
Ninik Murtiyani ◽  
Arif Susanto ◽  
Yufi Aris Lestari ◽  
Shindy Sofyaning Fitra

ABSTRAKMasih tingginya penderita hipertensi merupakan salah satu masalah yang berpengaruh terhadap gaya hidup dan sikap yang mendorong timbulnya hipertensi. Untuk menangani tekanan darah pada penderita hipertensi umumnya minum obat-obatan dari puskesmas, rutinitas ini sering tidak disukai oleh penderita. Penelitian ini bertujuan untuk mengetahui efektifitas air rebusan daun seledri terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Desain penelitian ini Pre-Experimental dengan rancangan One- Group Pre-Post test design. Populasi dalam penelitian ini adalah semua lansia penderita hipertensi di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang sebanyak 30 responden. Sampel diambil dengan teknik total sampling. Variabel penelitian yaitu pemberian air rebusan daun seledri sebagai variabel independent dan tekanan darah sebagai variabel dependen. Data yang di dapat melalui lembar observasi tekanan darah kemudian di uji dengan menggunakan uji paired t Test.Hasil uji paired t Test menunjukkan bahwa p = 0,000 α= 0,05 Ho di tolak dan H1 diterima sehingga air rebusan daun seledri efektif terhadap perubahan tekanan darah pada lansia di Posyandu Ngudi Konco Desa Donomulyo Kecamatan Donomulyo Kabupaten Malang.Terdapat penurunan jumlah penderita hipertensi sebelum dan sesudah diberikan air rebusan daun seledri. Responden agar dapat meningkatkan informasi tentang pelaksanaan tekanan darah sehingga dapat mengurangi tekanan darah yang dialami dengan cara non formakologi sehingga responden tidak hanya menggantungkan pada obat-obatan farmakologi dalam menurunkan tekanan darah.Kata kunci : Air Rebusan Daun Seledri, Tekanan Darah, Lansia ABSTRACTStill high hypertension was  one of the problems that affect the lifestyle and attitudes that encourage the emergence of hypertension. To handle blood pressure in people with hypertension generally take  medication from puskesmas, this routine was often disliked by the patient. This study aims to determine the effectiveness of boiling water celery leaves on changes in blood pressure in the elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency.The design of this research was  Pre-Experimental with the design of One- Group Pre-Post test design. Population in this research was all elderly patient of hypertension in Posyandu Ngudi Konco Village Donomulyo District Donomulyo Malang Regency as many as 30 respondents. Samples were taken with total sampling technique. The research variable was giving boiled water of celery leaves as independent variable and blood pressure as dependent variable. The data can be through blood pressure observation sheet then tested by using paired t test.The result of paired t - test showed that p = 0.000 α = 0.05 Ho in rejection and H1 accepted so that boiling water celery leaf effective against blood pressure changes in elderly at Posyandu Ngudi Konco Donomulyo Village Donomulyo District Malang Regency. There was a decrease in the number of hypertensive patients before and after being given boiled water of celery leaves. Respondents in order to improve information about the implementation of blood pressure so as to reduce blood pressure experienced by non-formakologi way so that respondents not only rely on pharmacological drugs in lowering blood pressure. Key Words: Water Stew of Celery leaves, Blood Pressure, Elderly


Author(s):  
Riska Putri Meiyana ◽  
Cornelia Dede Yoshima Nekada ◽  
Adi Sucipto

Abstrak Terapi komplementer merupakan salah satu alternatif untuk mengatasi masalah kesehatan. Hidroterapi dan relaksasi Benson merupakan terapi komplementer yang efektif terhadap tekanan darah dan nadi, namun masih jarang masyarakat yang memanfaatkannya. Diketahui ada pengaruh kombinasi hidroterapi dan relaksasi Benson (disebut hidroson) terhadap tekanan darah dan nadi. Metode penelitian pra-eksperimen, pre- and post- design dengan teknik purposive sampel pada 32 responden usia 26-65 tahun. Penelitian dilakukan dari tanggal 1-18 Maret 2019 di RT 19 dan 20, Sungapan V Desa Wahyuharjo, Kecamatan Lendah, Kabupaten Kulon Progo dengan tiap responden diberikan intervensi selama 3 hari berturut-turut. Instrumen yang digunakan adalah sphygmomanometer digital untuk mengukur tekanan darah dan nadi 5 menit sebelum dan sesudah pemberian terapi. Tekanan darah dianalisis dengan wilcoxon test dan paired t-test untuk nadi. Hasil analisis menunjukkan tekanan darah sistolik sebelum terapi sebesar 118,25 mmHg dan setelah terapi sebesar 111,00 mmHg, sehingga disimpulkan terjadi penurunan sebesar 7,25 mmHg dengan ρ Value 0,0001. Tekanan darah diastolik sebelum terapi sebesar 81,25 mmHg dan setelah terapi sebesar 78,75 mmHg, sehingga disimpulkan terjadi penurunan sebesar 2,50 mmHg dengan ρ value 0,002. Nadi sebelum terapi sebesar 82,30 x/menit dan setelah terapi sebesar 80,64 x/menit, sehingga disimpulkan terjadi penurunan sebesar 1,66 x/menit dengan ρ value 0,003. Ada pengaruh yang signifikan terhadap pemberian kombinasi hidroterapi dan relaksasi Benson (hidroson) terhadap penurunan tekanan darah dan nadi di RT 19 dan 20, Sungapan V. Kata kunci: hidroterapi, Relaksasi Benson, tekanan darah, nadi Abstract Complementary therapy is one alternative to solving health problems. Hydrotherapy and Benson's relaxation are effective complementary therapies for blood pressure and pulse, but still few patients utilize it. There is a known effect of hydrotherapy and Benson relaxation combination (called hydrosol) on blood pressure and pulse. The study method was pre-experimental with pre and post design with a purposive sampling technique on 32 respondents aged 26-65 years. The study was conducted from 1-18 March 2019 in neighborhood 19 and 20, Sungapan V, Wahyuharjo Village, Lendah District, Kulon Progo. Regency Each respondent was given intervention with hydrosol therapy for 3 consecutive days. The instrument used was a digital sphygmomanometer to measure blood pressure and pulse 5 minutes before and after the administration of therapy. Blood pressure was analyzed by the Wilcoxon test while pulsing by paired t-test. The analysis showed that systolic blood pressure before therapy was 118.25 mmHg and after therapy became 111,00 mmHg, so there was a decrease of 7,25 mmHg with a p-value of 0,0001. The diastolic blood pressure before treatment was 81,25 mmHg and after therapy became 78,75 mmHg, so there was a decrease of 2,50 mmHg with a p-value of 0,002 mm. The pulse before therapy was 82,30 x / min and after therapy became 80,64 x / min, so there was a decrease of 1,66 x / min with ρ-value 0,003. There is a significant effect of giving a combination of hydrotherapy and Benson relaxation (hydrosol) on reducing blood pressure and pulse among 32 subjects in neighborhood 19 and 20, Sungapan V. Keywords: hydrotherapy, Benson Relaxation, blood pressure, pulse


2014 ◽  
Vol 08 (03) ◽  
pp. 381-388 ◽  
Author(s):  
Rahul Ganavadiya ◽  
B. R. Chandra Shekar ◽  
Pankaj Goel ◽  
Sudheer G. Hongal ◽  
Manish Jain ◽  
...  

ABSTRACT Objective: The aim of this study was to compare the anti-plaque efficacy of a low and high cost commercially available tooth paste among 13-20 years old adolescents in a Residential Home, Bhopal, India. Materials and Methods: The study was randomized double-blind parallel clinical trial conducted in a Residential Home, Bhopal, India. A total of 65 patients with established dental plaque and gingivitis were randomly assigned to either low cost or high cost dentifrice group for 4 weeks. The plaque and gingival scores at baseline and post-intervention were assessed and compared. Statistical analysis was performed using paired t-test and the independent sample t-test. The statistical significance was fixed at 0.05. Results: Results indicated a significant reduction in plaque and gingival scores in both groups post-intervention compared with the baseline. Difference between the groups was not significant. No adverse events were reported and both the dentifrices were well-tolerated. Conclusion: Low cost dentifrice is equally effective to the high cost dentifrice in reducing plaque and gingival inflammation.


Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Sheena Henry ◽  
Lu Shi ◽  
Virginia Alexander ◽  
Richard O’Neal ◽  
Stephen Carey ◽  
...  

We examined the impact of a group-based self-empowerment intervention among diabetes patients, which uses multidisciplinary education, collaborative learning, peer support, and development of diabetes-specific social capital to improve glycemic control and weight management. Thirty-five patients who had primary care established at the Prisma Health Upstate, Internal Medicine Resident clinic and held the diagnosis of diabetes for longer than one year were recruited for our single-arm pilot intervention. Each group intervention session involved one to two internal medicine resident physician facilitators, a clinical diabetic educator, and 5–10 patients. Each session had a framework facilitated by the resident, with most of the discussion being patient-led, aiming to provide a collaborative learning environment and create a support group atmosphere to encourage self-empowerment. Patients’ hemoglobin A1c level and body mass index (BMI) before the intervention and 3 to 6 months after completion were collected from the laboratory results obtained in the participants’ routine clinic visits. All graduates from this three-week intervention were invited to attend monthly maintenance sessions, and we tracked the HgbA1c measures of 29 JUMP graduates one year after the intervention, even though 13 of the 29 chose not to participate in the monthly maintenance sessions. The pre-intervention HgbA1c level averaged 8.84%, whereas the post-intervention HgbA1c level averaged 7.81%. A paired t test showed that this pre–post difference of 1.03 percentage points was statistically significant (p = 0.0007). For BMI, there was an average decline of 0.78 from the pre-intervention mean value of 40.56 to the post-intervention mean value of 39.78 (p = 0.03). Among the 29 participants who agreed to participate in our follow-up measure of their HgbA1c status one year after the intervention, a paired t test showed that there was no significant difference between the post-JUMP measure and the follow-up measure (p = 0.808). There was no statistically significant difference between the HgbA1c level of those participating in the maintenance program and that of those not participating (post-intervention t test of between-group difference: p = 0.271; follow-up t test of between-group difference: p = 0.457). Our single-arm, pilot study of the three-week group intervention of self-empowerment shows promising results in glycemic control and weight loss. The short duration and small number of sessions expected could make it more feasible for implementation and dissemination as compared with popular intervention protocols that require much longer periods of attendance, if the effectiveness of this patient group-based self-empowerment approach can be further established by randomized controlled studies in the future.


2019 ◽  
Vol 2 (1) ◽  
pp. 121-127
Author(s):  
Lam Murni Sagala

Hypertension is a persistent blood pressure with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The treatment of hypertension is highly depend on the information given by nurse to patients’ skills on self care management to modify and maintain effective behavior. These activities include self management in prescribed medication, health monitoring, adequate rest, stress management and prescribed diet and exercises. The purpose of this study was to determine the effect of Hypertension Self Management Education (HSME) on controlling blood pressure in hypertensive patients in the Kabanjahe health center.This research used the quasi experimental research, using pretest and posttest with control group design. The samples of  research consisted of 40 respondents, and they were divided into two groups, namely: control group and intervention group. The data of research were analyzed by using the Paired T-test. The result of research shows that the p-values of Paired T-test of the experiment and control groups were 0.782 and 0.577 respectively whereas the p- value of Independent T-test was 0.001 (p <α; α = 0.05). Thus, there was an effect of Hypertention Self Management Education (HSME) on the control of  blood pleasure of the patient hypertention, Community Health Center, Kabanjahe. The nurses, therefore, are suggested to extend the HSME to control the blood pleasure hypertention client and and utilize the HSME as a health promotion program.   Hipertensi adalah tekanan darah persisten dengan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg. Perawatan hipertensi sangat tergantung pada informasi yang diberikan oleh perawat kepada keterampilan pasien tentang manajemen perawatan diri untuk memodifikasi dan mempertahankan perilaku yang efektif. Kegiatan-kegiatan ini termasuk manajemen diri dalam pengobatan yang diresepkan, pemantauan kesehatan, istirahat yang cukup, manajemen stres dan diet dan olahraga yang ditentukan. Tujuan  penelitian ini untuk mengetahui pengaruh Hypertention Self Management Education (HSME) terhadap pengontrolan tekanan darah pasien hipertensi di puskesmas kabanjahe. Metode penelitian adalah quasi experimental dengan menggunakan metode pre-test and post-test with control group design. Sampel penelitian terdiri dari 40 responden, dan mereka dibagi menjadi dua kelompok, yaitu: kelompok kontrol dan kelompok intervensi. Data penelitian dianalisis dengan menggunakan Paired T-test. Hasil penelitian menunjukkan bahwa nilai-p dari uji-T Berpasangan dari eksperimen dan kelompok kontrol masing-masing adalah 0,782 dan 0,577 sedangkan p-nilai dari Independent T-test adalah 0,001 (p <α; α = 0,05). Dengan demikian, ada efek dari Edukasi Manajemen Diri Hipertensi (HSME) pada kontrol tekanan darah dari pasien hipertensi, Puskesmas, Kabanjahe. Oleh karena itu, perawat disarankan untuk memberikan penkes HSME untuk mengendalikan tekanan darah pasien hipertensi dan memanfaatkan HSME sebagai program promosi kesehatan.


2020 ◽  
Vol 6 (2) ◽  
pp. 43-51
Author(s):  
Ademuyiwa I. Y

Inadequate knowledge of Diabetes mellitus (DM) in Pregnancy among diabetic pregnant women could lead to poor skill about self-care, failure to seek timely medical attention and failure to follow medical prescriptions, which could lead to complications and sometimes death of mother and/or fetus/baby. This study seeks to assess the effect of nursing intervention on Knowledge of DM among diabetic pregnant women attending two general hospitals in Lagos Island, Lagos State, Nigeria. This study utilizes one group pretest- posttest experimental research design. The purposive sampling technique and total enumeration sampling size method that included seventy-five participants were used for the study. Instrument for data collection consisted of seven demographic data and forty- two (42) test questions. The study was carried out in three sessions: pre-intervention, intervention and the evaluation sessions over a period of six weeks. Paired t test was used to determine significance level between pre and post-intervention knowledge. Ethical approval and consent were obtained from Babcock University Health Research Ethical committee and Lagos State Heath Service Commission respectively. The results revealed that most of the participants were between the ages of 21 and 45 (88%); most of them had tertiary education (70.7%); most of them (57.3%) had family history of DM. Results also revealed that pre-intervention knowledge among diabetic women was poor (0.28) and the post intervention knowledge was good (0.83). Paired t test results (t= 36.20, p = 0.000) revealed a significant difference between pre-intervention and post-intervention knowledge. This shows that nursing intervention was effective.


2020 ◽  
Vol 5 (1) ◽  
pp. 71
Author(s):  
Sri Muharni ◽  
Utari Christya Wardhani

<div class="Section1"><p><em><em>Hypertension is one of the most common cardiovascular problem in elderly.  Prolonged high blood pressure canlead to destructionof the blood vessels throughout the body. However it can be controlled with pharmacology and non-pharmacology technique, one of the non-pharmacological therapy is ergonomic exercise. Ergonomic exercise is the gymnastic motion which is combined with breathing techniques. This study aimed was to know about the effect of ergonomic exercise to decreasing blood pressure in elderly with hypertensions in Community Health Center Sei Pancur region. The design was One Group Time Series, intervention given to one group only, without control group. Ergonomic exercise efectivity rated by comparing blood pressure pre and post exercise, during first, second, and third week. Sampling technique was used purposive sampling with 50 respondents. The respondents were given interventions four times. The data analysis used Paired T-Test and Annova Test. The results were shown that the blood pressure significantly decreased during fourth week, with p value: 0.00 for both systolic and diastolic blood pressure. As conclusions, ergonomic exercise had effect to decreasing blood pressure in elderly with hypertensions</em></em></p><p><em><br /></em></p><p><em>Hipertensi adalah salah satu masalah kardiovaskular yang sering terjadi pada lansia. Tekanan darah yang tinggi akan mengakibatkan kerusakan pembuluh darah di seluruh tubuh, kerusakan  tersebut dapat kita  kendalikan dengan terapi farmakologi maupun non farmakologi, salah satunya adalah senam ergonomik. Senam ergonomik adalah  suatu gerakan senam yang dikombinasikan dengan teknik pernapasan. Penelitian ini bertujuan untuk mengetahui pengaruh senam ergonomik terhadap penurunan tekanan darah  pada lansia  hipertensi di wilayah kerja Puskemas Sei Pancur. Desain dalam penelitian ini adalah One Group Time Series Design dengan mengintervensi satu kelompok saja tanpa kelompok pembanding. Efektifitas perlakukan senam ergonomik dinilai dengan cara membandingkan tekanan darah sebelum diberikan senam ergonomik dengan hasil tekanan darah setelah senam ergonomik minggu pertama,kedua dan ketiga. Dimana Teknik sampling yang digunakan adalah Purposive Sampling dengan jumlah sampel 50 responden. Pemberian sebanyak 4  kali intervensi. Analisa data menggunakan uji Paired T-Test dan Annova Test. Hasil penelitian menunjukkan bahwa tekanan darah mulai turun signifikan pada minggu ke-4, dengan nilai p = 0,00 untuk tekanan darah sistole dan 0,00 untuk tekanan darah diastol. Kesimpulan dalam penelitian ini adalah senam ergonomik berpengaruh terhadap penurunan tekanan darah pada lansia dengan hipertensi</em></p></div>


Author(s):  
Tiurmaida Simandalahi ◽  
Honesty Diana Morika ◽  
Puteri Fannya

Background: Changes in vital signs such as tachycardia, dyspnea, tachipnea, decreased oxygenation, caused by the inability of the heart to pump enough blood to meet the needs of oxygen and nutrients needed by the tissue, so that alternative therapies are needed: alternate nostril breathing exercise (ANBE) as a companion to pharmacological therapy for congestive heart failure (CHF) patients. The purpose of this study was to see the effect of ANBE on the vital sign of CHF patients.Methods: This Quasy experimental study was used one group pretest and Posttes design, conducted at one of the Padang City Hospitals from March to August 2019. Study population includes CHF sufferers, with a sample of 16 people, using accidental sampling technique. Univariate data analysis to get the mean of vital sign and bivariate measurements using parametric test i.e. Paired t-test to see the effect of this therapy.Results: Mean vital signs pretest and posttest was given in a row The observations are: respiratory rate (RR): 5.4978; 4.6078, pulse: 10.1804; 8,7770, systolic blood pressure (SBP): 12,5963; 11,1481, and diastolic blood pressure (DBP): 10,3009; 8.8606. Paired t-test obtained p-value of RR, pulse, SBP and DBP: 0.000, and existing t count> from t table (t count> 2.13145), so that there is an effect of ANBE on vital signs.Conclusions: ANBE affects the vital sign of CHF patients and can be continued as an intervention that can be carried out independently by CHF sufferers.


2020 ◽  
Vol 9 (1) ◽  
pp. 87-95
Author(s):  
Noerdjanah Noerdjanah ◽  
Sugiono Sugiono

Background: Speaking in english learning was crucial and important. An increase in english language learning is not easy. The limitation of student speaking inhibits self-development in science, technology and the arts. This study aims to determine the increase in the outcome of speaking learning using the technique of know, what to know, learned and monologue text in physiotherapy students college. Methods: A quantitavive experiment research with out control grup design. Amount of sample is 48 physiotherapy students in first grade. Instrumen to describe result of study consist of 40 questions. Students study using know, what to know, learned and monologue text during 2 month. Date was analized using paired t test. Results: Result of paired t test show that P vslue is 0,000. Based on the results the technical influence testing technique of know, what to know, learned and monologue text, there is an increase in the outcome of learning outcomes, from results pretest, postest. This can be noted there are influences of the technique of know, what to know, learned and monologue text in improving the outcome of learning physiotherapy students college of Poltekes Surakarta. Conclusion: Recommendation and implication of the study, students are expected to be able to provide new knowledge about KWL techniques that are applied in understanding monologue texts and speaking practices so that students are easy to understand a text in English and spoken in speaking prantice.


2017 ◽  
Vol 3 (1) ◽  
pp. 45
Author(s):  
Hotnida Elisabet Hutajulu ◽  
Evelin Malinti

ABSTRAK Pendahuluan: Perawatan hipertensi di rumah didapati masih sangat kurang. Tind akan sederhana dan perawatan dapat membantu menjaga tekanan darah. Meren dam air hangat dapat menurunkan tekanan darah dalam 15 menit, sekali sehari  selama 5 hari berturut-turut. Tujuan: untuk melihat efektifitas rendam kaki dengan air hangat pada tekanan darah sistolik dan diastolik wanita dewasa penderita hipertensi tahap I. Metode: pre-eksperimen dengan menggunakan one group pre test-post test desig n. Populasi yang digunakan pada penelitian ini yaitu wanita usia 40-60 tahun dan sebanyak 20 orang yang dipilih secara purposive sampling sebagai responden. Hasil: menujukan penurunan nilai rata-rata tekanan darah sistolik dan d iastolik sebelum dan sesudah rendam kaki dengan air hangat selama 5 hari. Uji s tatistic paired t-test dan Wilcoxon menunjukan penurunan yang signifikan (α <.00 5). sehingga dapat disimpulkan bahwa rendam kaki dengan air hangat menurunk an tekanan darah pada wanita penderita hipertensi tahap I. Hasil penelitian ini da pat digunakan sebagai salah satu intervensi keperawatan untuk menangani hiper tensi dan dikembangkan untuk penilitian medis serta sebagai sumber informasi.   Kata Kunci : Hipertensi, Rendam Kaki, Air Hangat.   ABSTRACT Introduction: Treatment of hypertension at home was found to be less. Simple actions and trea tments can help maintain blood pressure. Soaking warm water make decrease bl ood pressure in 15 minutes, once a day for 5 days. Objectives: to see the effectiveness of foot soak with warm water influence systolic and dia stolic blood pressure adult women with stage 1 hypertension. Method: pre-experiment using one group pretest-posttest design. The population in this study is women aged 40-60 years and as many as 20 people selected by purposive sampling as respondents. Results: showed a decrease in mean values of systolic and diastolic blood pressure before and after soaking feet with warm water for 5 days. Test statistic paired t-test and Wilcoxon showed a significant decrease (α <.005). So, the concluded that soak feet with warm water make decrease blood pressure in women with stage 1 hypertension. The results of this stud y can be used as one of nursing intervention to handle hypertension and for rese arch in medical to be developed for sources of information.   Keywords:  Feet-dipping, Hypertension, Warm water


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