scholarly journals PROGNOSTIC FACTORS IN SEVERE HEAD INJURY "A CLINICO RADIOLOGICAL STUDY"

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. I. D. Chaurasia ◽  
Dr. Avais Ahmed Khan ◽  
Dr. Neeraj Mane ◽  
Dr. Prateek Malpani ◽  
Dr. M. C. Songara
Keyword(s):  
Heart Rate ◽  
Stress Responses ◽  
Severe Head Injury ◽  
Physiological Responses ◽  
Vital Signs ◽  
Behavioral Responses ◽  
Auditory Stimulation ◽  
Energy Demands ◽  
Significant Difference ◽  
Different Types

Overview:  Infants experience stressors. Stress responses in infants include physiological responses (HR and oxygen saturation) and behavioral responses (behavioral state, motor activity, and signs of behavioral distress). Modulation of the stress response in infants may reduce energy demands and enhance recovery. The characteristics of auditory stimulation provided by music differ from those of other types of auditory stimulation. The infants respond differently to music than to other random noises. This study was carried out to examine the effects of different types of music on vital signs of infants. Methodology: Thirty infants were included in the study. They were divided into two groups. Low and High pitched music was used with for two individual groups. The immediate effect was assessed through pre and post recordings for Heart rate, Reapiratory rate and O2 saturation level. Results: There was statistically significant change in Heart Rate, Respiratory Rate and O2 saturation individually. While comparing post data, except Heart Rate there was no significant difference found with both types of music. Conclusion: Low pitched music has better immediate effect than high pitched music Key words: High pitched music, Low pitched music, Infants

IMMEDIATE EFFECT OF VARIOUS TYPES OF MUSIC ON VITAL SIGNS IN INFANTS

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Mandar Malawade ◽  
Namrata Patil
Keyword(s):  
Heart Rate ◽  
Stress Responses ◽  
Physiological Responses ◽  
Vital Signs ◽  
Behavioral Responses ◽  
Auditory Stimulation ◽  
Behavioral State ◽  
Energy Demands ◽  
Significant Difference ◽  
Different Types

Overview:  Infants experience stressors. Stress responses in infants include physiological responses (HR and oxygen saturation) and behavioral responses (behavioral state, motor activity, and signs of behavioral distress). Modulation of the stress response in infants may reduce energy demands and enhance recovery. The characteristics of auditory stimulation provided by music differ from those of other types of auditory stimulation. The infants respond differently to music than to other random noises. This study was carried out to examine the effects of different types of music on vital signs of infants. Methodology: Thirty infants were included in the study. They were divided into two groups. Low and High pitched music was used with for two individual groups. The immediate effect was assessed through pre and post recordings for Heart rate, Reapiratory rate and O2 saturation level. Results: There was statistically significant change in Heart Rate, Respiratory Rate and O2 saturation individually. While comparing post data, except Heart Rate there was no significant difference found with both types of music. Conclusion: Low pitched music has better immediate effect than high pitched music Key words: High pitched music, Low pitched music, Infants

scholarly journals Evaluation of Vital Signs’ Fluctuations and Behavioral Responses in the Assessment of Pain in Patients With Traumatic Brain Injury

2020 ◽  
Author(s):  
atefeh ghanbari ◽  
Ezzat Paryad ◽  
Arefe safati ◽  
Ehsan Kazemnezhad Leyli ◽  
Elaheh Parsasalkisari
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Arterial Oxygen Saturation ◽  
Vital Signs ◽  
Behavioral Responses ◽  
Arterial Oxygen ◽  
Significant Difference ◽  
Pain Detection

Abstract BackgroundTraumatic brain-injured (TBI) patients suffer severe pain. The assessment of behavioral responses and vital signs seems to be necessary for pain detection in these patients, a matter that this study aims to evaluate.MethodsThis cross sectional study uses repeated measures and included ninety-seven TBI patients from Poorsina hospital, Rasht, Iran. Patients’ relevant parameters were recorded using demographic checklist, specifications related to the disease, RASS, CPOT, and FPT tools. The data subsequently were entered into SPSS software V. 21 and were analyze using several tests including Bonferroni’s inferential test and Greenhouse-Geisser test, multiple analysis regression coefficient and general linear model by GEE method.ResultsThe average age of patients was 42.3 ± 18.2. The average consciousness level was 9.30 ± 2.96. There was significant difference between the painful and non-painful stimulations in heart rate, systolic blood pressure and diastolic blood pressure (p <0.001). Heart rate (p < 0.001, r = 0.253), number of respiration (p < 0.001, r = 0.173), systolic (p = 0.002, r = 0.128) and diastolic (p<0.001, r=0.223) blood pressures had a positive correlation with behavioral responses. However, the arterial oxygen saturation showed a negative correlation with behavioral responses (p < 0.001, r = -0.361). Statistical models demonstrated a significant direct relationship between CPOT with heart rate (β = 2.39, p < 0.001) and both systolic blood pressure (β= 1.31, p=0.002) and the fluctuations of diastolic blood pressure (β = 0.690, p = 0.009). ConclusionIt seems that behavioral responses are appropriate indices for pain detection. However, vital signs are not capable of being considered as proper indexes for pain assessment since they changed during several procedures while remained unchanged in other tests.

Effects of Ambulation and Nondependent Transfers on Vital Signs in Patients Receiving Norepinephrine

2017 ◽  
Vol 26 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Rosario Arcaya Nievera ◽  
Ann Fick ◽  
Hilary K. Harris
Keyword(s):  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Physical Therapy ◽  
Arterial Pressure ◽  
Low Dose ◽  
Vital Signs ◽  
Activity Level ◽  
Significant Difference ◽  
Before And After ◽  
Norepinephrine Dose

Purpose To assess the safety of mobilizing patients receiving low-dose norepinephrine (0.05 μg/kg per min) by examining mean arterial pressure and heart rate before and after activity with parameters set by the physician. Background Norepinephrine is a peripheral vasoconstrictor administered for acute hypotension. During activity, blood flows to the periphery to supply muscles with oxygen, which may oppose the norepinephrine vasoconstriction. The safety of mobilizing patients receiving norepinephrine is unclear. Methods Heart rate, mean arterial pressure, norepinephrine dose, and activity performed were extracted retrospectively from charts of 47 cardiothoracic surgery patients during the first patient transfer to chair or ambulation with norepinephrine infusing. Mean arterial pressure and heart rate were compared before and after physical therapy (paired t tests). Differences among norepinephrine doses and physical activity levels were evaluated (Kruskal-Wallis test). Results Forty-one of the 47 patients (87%) tolerated the activity within safe ranges of vital signs. The change in patients’ mean arterial pressure from before to after activity was not significant (P = .16), but a significant increase in heart rate occurred after activity (P &lt; .001). A Kruskal-Wallis test showed no significant difference in the norepinephrine dose and activity level (χ2 = 6.34, P = .17). No instances of cardiopulmonary or respiratory arrest occurred during any physical therapy sessions. Conclusions Infusion of low-dose norepinephrine should not be considered an automatic reason to keep patients on bed rest.

scholarly journals Safety Comparison of Conventional Versus Extended Infusion of Pulse Methylprednisolone in Multiple Sclerosis Exacerbation Retrospective Study

2021 ◽  
Author(s):  
Haider Alabd ◽  
Lolwa Barakat ◽  
Bhagya S ◽  
Prem Chandra ◽  
Mohamed Khalil ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Heart Rate ◽  
Potassium Level ◽  
Vital Signs ◽  
Conventional Group ◽  
Intravenous Methylprednisolone ◽  
Pulse Dose ◽  
Significant Difference ◽  
Before And After ◽  
Mean Heart Rate

Abstract Objective: - To ascertain the adverse events and changes in vital signs (heart rate (HR), systolic (SBP), diastolic blood pressure (DBP), and serum potassium level during and after intravenous methylprednisolone (IVMP) in multiple sclerosis exacerbation.Design: retrospective review study conducted at Hamad General Hospital (HGH), all patients who are admitted 2019-2020 with MS exacerbation without any other comorbidities will be categorized into 2 groups depending on infusion rate, one group received conventional intravenous methylprednisolone pulse dose over 30minutes to one hour, while the second group received methylprednisolone pulse dose intravenously over an extended period)(four to six hours). Multiple readings of vital signs and, potassium level through steroid administration time will be assessed to determine if there is an infusion-related significant difference in adverse events between both groups.Methods: 74 adult patients with MS relapse who have been admitted at Hamad General Hospital (HGH) and satisfied pre-specified inclusion criteria were invited to participate in the study.Results: 74 patients with MS included in the study, 61 patients (83.6%) were received methylprednisolone dose 500 mg -1000 mg in conventional infusion rate while 12 patients (16.4%) were received pulse steroid in extended duration. There was no significant difference in mean blood pressure before and after IVMP in both groups. There was a small but statistically significant increase in mean heart rate in the conventional group immediately after first and second but not 3rd dose of IVMP compared to baseline 3.5± 8.9 and 4.85± 13.9 P < 0.003. There was a minimal non-significant increase in potassium level in the conventional group (P = 0.17), while there is a non-significant decrease in potassium level in the extended group (P=0.72).Conclusion: IVMP is considered safe and effective in the treatment of MS exacerbation regardless of intravenous infusion duration. There was no significant difference in vital signs among different infusion rates. However, there was a small but statistically significant increase in mean heart rate in the conventional group immediately after first and second but not 3rd dose of IVMP compared to baseline. No significant difference was observed in potassium levels before and after IVMP. We, therefore, recommend that potassium level monitoring should be only restricted to patients with other risk factors of hypokalemia.

Capsaicin Supplementation during High-intensity Continuous Exercise: A Double-blind Study

2020 ◽  
Vol 41 (14) ◽  
pp. 1061-1066 ◽  
Author(s):  
Camila S. Padilha ◽  
Francois Billaut ◽  
Caique Figueiredo ◽  
Valéria Leme Gonçalves Panissa ◽  
Fabrício Eduardo Rossi ◽  
...  
Keyword(s):  
Heart Rate ◽  
High Intensity ◽  
Physiological Responses ◽  
Energy Systems ◽  
Exercise Session ◽  
Exercise Heart Rate ◽  
Time To Exhaustion ◽  
Double Blind ◽  
Continuous Exercise ◽  
Significant Difference

AbstractTo investigate the effect of acute capsaicin (CAP) supplementation on time to exhaustion, physiological responses and energy systems contribution during continuous high-intensity exercise session in runners. Fifteen recreationally-trained runners completed two randomized, double-blind continuous high-intensity exercises at the speed eliciting 90% V̇O2peak (90% s V̇O2peak), 45 minutes after consuming capsaicin or an isocaloric placebo. Time to exhaustion, blood lactate concentration, oxygen consumption during and 20-min post-exercise, energy systems contribution, time to reach V̇O2peak, heart rate and the rate of perceived exertion (RPE) were evaluated. There was no significant difference between conditions for time to reach V̇O2peak (CAP:391.71±221.8 vs. PLA:298.20±174.5 sec, ES:0.58, p=0.872), peak lactate (CAP:7.98±2.11 vs. PLA:8.58±2.15 µmol, ES:−0.28, p=0.257), time to exhaustion (CAP:654.28±195.44 vs. PLA:709.20±208.44 sec, ES:−0.28, p=0.462, end-of-exercise heart rate (CAP:177.6±14.9 vs. PLA:177.5±17.9 bpm, ES:−0.10, p=0.979) and end-of-exercise RPE (CAP: 19±0.8 vs. PLA: 18±2.4, ES: 0.89, p=0.623). In conclusion, acute CAP supplementation did not increase time to exhaustion during high-intensity continuous exercise nor alter physiological responses in runners.

Decreased Cardiac Responses to Auditory Stimulation During Prone Sleep

PEDIATRICS ◽  
1996 ◽  
Vol 97 (2) ◽  
pp. 174-178 ◽  
Author(s):  
Patricia Franco ◽  
Jose Groswasser ◽  
Martine Sottiaux ◽  
Ema Broadfield ◽  
A. Kahn
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Eye Movement ◽  
Supine Position ◽  
Rem Sleep ◽  
Body Position ◽  
Auditory Stimulation ◽  
Transcutaneous Oxygen ◽  
Cardiac Responses ◽  
Significant Difference

Objective. To evaluate the relationship between body position during sleep and the infants' cardiac responses to auditory stimulation. Methods. Thirty healthy infants with a median age of 11 weeks were studied polygraphically for one night, while sleeping successively prone and supine, or vice versa. Their behavioral and cardiac responses were recorded during rapid eye movement (REM) sleep, both before and after exposure to 90 dB (A) of white-noise. Results. Ten infants were excluded from the study, because they woke up during the challenge. For the 20 infants included in the analysis, no significant difference was seen between the prone and the supine position for total sleep time, sleep efficiency, percent of REM and nonrapid eye movement sleep, number of gross body movements, transcutaneous oxygen saturation levels, mean cardiac rate, heart rate variability, number of heart rate drops; mean respiratory rate, and number or duration of central or obstructive apneas. Auditory challenges induced significantly less overall changes in heart rate, less heart rate drops, less heart rate variability, as well as fewer and shorter central apneas in the prone than in the supine position. Autoregressive power spectral analysis of the heart rate was consistent with a possible increase in orthosympathetic tone in the prone position. Conclusion. Prone sleeping was associated with a decrease in cardiac responses to auditory stimulation and a possible increase in orthosympathetic activity. Prone positioning could favor a reduced reactivity to danger-signaling stimuli during REM sleep.

Self-Reported Psychological States and Physiological Responses to Different Types of Motivational General Imagery

2007 ◽  
Vol 29 (5) ◽  
pp. 629-644 ◽  
Author(s):  
Jennifer Cumming ◽  
Tom Olphin ◽  
Michelle Law
Keyword(s):  
Heart Rate ◽  
State Anxiety ◽  
Physiological Responses ◽  
Heart Rate Monitor ◽  
Psychological States ◽  
Self Confidence ◽  
Competitive Athletes ◽  
Different Types ◽  
Imagery Scripts ◽  
And Coping

The aim of the present study was to examine self-reported psychological states and physiological responses (heart rate) experienced during different motivational general imagery scenarios. Forty competitive athletes wore a standard heart rate monitor and imaged five scripts (mastery, coping, anxiety, psyching up, and relaxation). Following each script, they reported their state anxiety and self-confidence. A significant increase in heart rate from baseline to imagery was found for the anxiety, psyching-up, and coping imagery scripts. Furthermore, the intensity of cognitive and somatic anxiety was greater and perceived as being more debilitative following the anxiety imagery script. The findings support Lang’s (1977, 1979) proposal that images containing response propositions will produce a physiological response (i.e., increase heart rate). Moreover, coping imagery enabled the athletes to simultaneously experience elevated levels of anxiety intensity and thoughts and feelings they perceived as helpful.

scholarly journals The effect of inhaling mother’s breast milk odor on the behavioral responses to pain caused by hepatitis B vaccine in preterm infants: a randomized clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zahra Akbarian Rad ◽  
Parvin Aziznejadroshan ◽  
Adeleh Saebi Amiri ◽  
Hemmat Gholinia Ahangar ◽  
Zahra Valizadehchari
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Heart Rate ◽  
Breast Milk ◽  
Hepatitis B ◽  
Randomized Clinical Trial ◽  
Preterm Infants ◽  
Behavioral Responses ◽  
Significant Difference ◽  
Hb Vaccine

Abstract Background Nowadays, it is generally assumed that non-pharmacologic pain relief in preterm infants is an important measure to consider. Research findings suggest that familiar odors have soothing effects for neonates. The aim of this study was to compare the effect of maternal breast milk odor (MBMO) with that of another mother’s breast milk odor (BMO) on the behavioral responses to pain caused by hepatitis B (HB) vaccine injection in preterm infants. Methods This single-blind randomized clinical trial was performed over the period between February 2019 and March 2020 in the neonatal intensive care unit of Babol Rouhani Hospital, Iran. Ninety preterm infants, who were supposed to receive their HB vaccine, were randomly assigned into three groups: MBMO (A), another mother’s BMO (B), and control with distilled water(C). Oxygen saturation (SaO2), blood pressure (BP) and heart rate (HR) were recorded for all participants through electronic monitoring. In addition, premature infant pain profiles (PIPP) were determined through video recording for all three groups during intervention. The chi-square, ANOVA and ANCOVA were used for analyzing the data, and P < 0.05 was considered significant in this study. Results No significant differences were found between the three groups in mean ± SD of HR, BP, and Sao2 before the intervention (P > 0.05). After the intervention, however, the means for heart rate in groups A, B, and C were 146 ± 14.3, 153 ± 17.5 and 155 ± 17.7, respectively (P = 0.012). Moreover, the means for PIPP scores in groups A, B and C were 6.6 ± 1.3, 10 ± 2, and 11.4 ± 1.9, respectively (P < 0.001). There was no significant difference found between groups in their means of SaO2, systolic and diastolic blood pressure after the intervention (P > 0.05). Conclusions The results indicate that stimulation with MBMO is effective in reducing pain in preterm infants; therefore, it can be postulated that this technique can be considered in less invasive procedures such as needling. Trial registration IRCT, IRCT20190220042771N1. Registered 18 May 2019- Retrospectively registered,

scholarly journals Physiological Responses of Workers’ Vital Signs in High Temperature Environments at The Tofu Home Industry Kedung Tarukan Surabaya

2019 ◽  
Vol 11 (3) ◽  
pp. 242
Author(s):  
Trias Budi Wisnu Hartono
Keyword(s):  
Blood Pressure ◽  
High Temperature ◽  
Work Environment ◽  
Physiological Responses ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Heat Radiation ◽  
Design Data ◽  
Cross Sectional ◽  
Significant Difference

The workplace environment has an influence on the workers wellbeing condition, in relation to work activities. Heat pressure arises and causes a burden on the workers who work in high temperature environments. The tofu production process causes heat radiation in the workplace in the Kedung Tarukan Surabaya Tofu Home Industry, whereas almost all activities are carried out in the same location, so that it is likely that workers are exposed to heat continuously during work. The purpose of this study was to analyze the differences of physiological responses of vital signs on the workers in high temperature environments at the tofu home industry Kedung tarukan Surabaya. this study was an observational study with a cross-sectional study design. Data was analyzed statistically using Paired t-test, this study use total population of 14 workers. The results of high temperature measurement of the working area of the Tofu home Industry Kedung Tarukan Surabaya showed that the average value of Wet and Ball Temperature Index (ISBB) was 30.52oC. The workload was categorized as medium, with the workload range of 50% – 75% working hour with workloads in the medium category and 50-75% working time from 1 hour. The results of physiological conditions measurement of vital signs was significantly different (<α 0.05) between before and after work on systolic blood pressure (p = 0.045), pulse (p = 0.039), body temperature (p = 0.006) and respiratory rate (p = 0.014). Whereas there was no significant difference in diastolic blood pressure (p = 0.069). this study concludes that the temperature of the work environment in the tofu home industry Kedung Tarukan Surabaya exceeding the NAB (limit value), caused an extra burden on the workers. It should be clearly informed to the workforce community regarding the potential dangers of working in a high temperature environment. It is also crucial to provide health education about the minimum required liquid consumption needs, providing drinking water for workers, monitoring and managing health safety (K3) in the work environment, and regulating breaks period for workers.

Comparing the effectiveness of mother’s live lullaby and recorded lullaby on physiological responses and sleep of preterm infants: a clinical trial study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Razyeh Namjoo ◽  
Roghayeh Mehdipour-Rabori ◽  
Behnaz Bagherian ◽  
Monirsadat Nematollahi
Keyword(s):  
Clinical Trial ◽  
Heart Rate ◽  
Sleep Duration ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Physiological Responses ◽  
Physiological Parameters ◽  
Control Group ◽  
Significant Difference ◽  
The Mean

Abstract Objectives Environmental stimuli in neonatal intensive care units can disrupt the physiological stability and sleep of infants. It is essential to perform nursing interventions to reduce the adverse effects of such stimuli. This study aimed to compare the effect of recorded lullabies and mothers’ live lullabies on physiological responses and sleep duration of preterm infants. Methods This study was a randomized clinical trial. The participants were 90 preterm infants selected using convenience sampling. In the intervention groups, music (recorded lullabies and mother’s live lullabies) was played for 14 days, 20 min a day, while the control group did not receive any intervention. The data were collected using physiological criteria and infant sleep checklists before, during, and after the intervention. The data were analyzed using SPSS software (Version 21.0). Results The mean scores of physiological parameters (O2 saturation and heart rate) were not significantly different in the three groups before, during, and after the intervention (p>0.05). However, there was an improvement in O2-saturation and a decrease in the heart rate in two intervention groups. The mean duration of the infants’ overnight sleep was not statistically significant between the groups before the intervention (p>0.05). However, there was a statistically significant difference in the intervention groups after the intervention, (p<0.05), and the infants’ overnight sleep was longer in the recorded-lullaby group than the other two groups. Conclusions Although performing interventions, including recorded lullaby and mother’s live lullaby did not differ significantly with that of the control group in physiological criteria, it can be clinically important. In addition, recorded-lullaby increased the infants’ overnight sleeping. Thus, it is suggested that further studies be conducted to confirm the effect of recorded lullaby and mother’s live lullaby interventions on physiological parameters and sleep duration of hospitalized infants.

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