Effects of Compression of the 4th Ventricle (CV4) Treatment on Medical Student Anxiety

2021 ◽  
Vol 31 (4) ◽  
pp. 55-60
Author(s):  
Edward Goering ◽  
Maranda Herner ◽  
Meagan Smith ◽  
Mary Galka ◽  
Samuel Kammerzell ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Medical Students ◽  
Rating Scale ◽  
Sham Treatment ◽  
Significant Difference ◽  
Before And After ◽  
Reactive Anxiety ◽  
4Th Ventricle ◽  
Hamilton Anxiety

Abstract Introduction: This study explores the effects of one Compression of the 4th Ventricle (CV4) treatment performed by experienced osteopathic physicians on reactive anxiety in healthy medical students. Anxiety was assessed with heart rate, blood pressure, and the Hamilton Anxiety Scale (HAM-A). Methods: Western University of Health Sciences IRB #15/IRB/113 was obtained for this single blind study. Volunteer first and second year medical students naïve to Osteopathic Cranial Manipulative Medicine, both in curriculum and as a patient, were recruited for this two-day study. Students were de-identified and demographic information was collected. On the first day, all 64 students received a sham treatment. Eight practitioners agreed on CV4 and sham techniques (mastoid cranial hold). In the CV4 technique, the operator’s thenar eminences contact the lateral angles of the occiput, and the operator encouraged the extension phase and discouraged the flexion phase of the CRI. Compression continued until a still point was reached in each student as identified by the practitioner. Students were evaluated before and after treatment using heart rate, blood pressure, and the Hamilton Anxiety Rating Scale (HAM-A). Results: No significant difference was found in demographics of the two groups. A significant difference between sham and CV4 treatments was found for heart rate (p=0.036), but not for systolic or diastolic blood pressure (p=0.446 and p=0.799, respectively). Average heart rate reduction of CV4 group was 3.11 and of sham group was 1.12, with p=0.036 (Mann Whitney U = 1271). Heart rate increased in a few students after both CV4 and sham treatments. Average HAM-A score for students before and after CV4 treatment were 21.9 and 18.3, with an average net reduction of 3.58 compared to the sham’s 2.77, but results were not found to be statistically significant (p=0.09, U=1172). Conclusion: A statistically significant average reduction in heart rate, but not in blood pressure or HAM-A scores, was found after CV4 treatment compared to sham treatment. More studies with larger samples are needed to further investigate the effects of CV4.

scholarly journals Dental anxiety in patients undergoing oral surgery and its effects on blood pressure and heart rate

2020 ◽  
Vol 9 (8) ◽  
pp. e316985536
Author(s):  
Jaqueline Oliveira Barreto ◽  
Julliana Cariry Palhano Freire ◽  
Arthur Willian de Lima Brasil ◽  
Cristian Statkievicz ◽  
Francisley Ávila Souza ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Oral Surgery ◽  
Dental Anxiety ◽  
Waiting Room ◽  
Demographic Questionnaire ◽  
Significant Difference ◽  
Before And After ◽  
Evaluation Anxiety

Objective: To assess dental anxiety in patients undergoing oral surgery, as well as its impact on blood pressure and heart rate. Material and Methods: A total of 233 patients answered a socio-demographic questionnaire and another one based on the Corah dental anxiety scale. Blood pressure and heart rate were assessed at three moments while: patients were in the waiting room, immediately before and after the procedure. Results: This study revealed a prevalence of anxiety of 77.3%. There was a statistically significant difference in mean systolic blood pressure and heart rate at the three moments of the evaluation. Anxiety was prevalent in the sample and was observed from the time in the waiting room until the time when local anesthesia was performed, causing variations in systolic blood pressure and heart rate, anxiety levels decreased after the end of the service. In conclusion, we observed that oral surgery is directly related to increased anxiety, and anxiety is mainly related to the change in heart rate.

scholarly journals Cardiovascular, lactate and appetite response to light and spicy music tempo after an endurance swimming protocol in young girls

2020 ◽  
Vol 24 (4) ◽  
pp. 195-202
Author(s):  
Javad Mehrabani ◽  
Soodabeh Bagherzadeh ◽  
Abuzar Jorbonian ◽  
Eisa Khaleghi-Mamaghani ◽  
Maryam Taghdiri ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Recovery Period ◽  
Young Girls ◽  
Significant Difference ◽  
Before And After ◽  
Lactate Levels ◽  
The Impact

Background and Study Aim. During exercise, the effects of music on the performance have been previously evaluated. However, the superiority of the type of music and during recovery is not yet clear. Therefore the aim of this study was to determine the impact of music with a spicy and light beat on changes in lactate levels, blood pressure, heart rate, and appetite during the recovery period after the endurance swimming. Material and Methods. Thirteen healthy young girls participate in three control and experimental sessions. The participants performed a swimming. Immediately after swimming, they listened to music. Also, evaluations before and after (several times) swimming were performed.Results. Five minutes after swimming there was also a significant difference between the non-sound group with the music groups (p<0.05). Two and 5 minutes after swimming, there was a significant difference between the spicy and light music groups compared to the non-sound group. There was a significant difference between spicy and light music groups at time 10, 15 and 25 minutes. In the 25 minutes after the swim, reducing the heart rate in light music was more than spicy. Also, 10 minutes after swimming, the spicy music group could not cope with the increase in heart rate (p<0.05). There was a significant difference between the two music groups in minutes 5, 10 and 15 after swimming (p<0.05).Conclusions. listening to light music during recovery from endurance swimming was associated with decreased lactate levels and heart rate, but listening to spicy music increased heart rate and desire for food.

scholarly journals EFFECT OF PRENATAL YOGA ON ANXIETY, BLOOD PRESSURE, AND FETAL HEART RATE IN PRIMIGRAVIDA MOTHERS

2017 ◽  
Vol 3 (3) ◽  
pp. 246-254 ◽  
Author(s):  
Hamdiah Hamdiah ◽  
Ari Suwondo ◽  
Triana Sri Hardjanti ◽  
Ariawan Soejoenoes ◽  
M Choiroel Anwar
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Fetal Heart Rate ◽  
Rating Scale ◽  
Fetal Heart ◽  
Alternative Therapy ◽  
Control Group ◽  
P Value ◽  
Significant Difference

Background: Pregnancy increases the risk of developing anxiety that may affect the fetus. Yoga is considered as an alternative therapy to reduce anxiety, blood pressure, and fetal heart rate.Objective: This study aimed to examine the effect of prenatal yoga on anxiety, blood pressure, and fetal heart rate in primigravida mothers.Methods: There were 39 primigravida mothers selected using purposive sampling, which divided to be an experiment group with four-times prenatal yoga and eight-times prenatal yoga, and a control group. The Hamilton Rating Scale For Anxiety (HRSA) was used. Data were analyzed using One way ANOVA and MANOVA.Results: There was a statistically significant difference of prenatal yoga on anxiety (P=0.005), systolic blood pressure (P=0.045), and fetal heart rate (P=0.010). However, there was no significant difference of prenatal yoga on diastolic blood pressure with p-value 0.586 (>0.05)Conclusion: There were significant effects of prenatal yoga on anxiety level, systolic blood pressure, and the fetal heart rates in primigravida mothers. The findings of this study can be an alternative treatment for midwife to deal with anxiety during pregnancy, and an input on the class program of pregnant women to improve the quality of maternal and fetal health.

scholarly journals The effect of 8 weeks moderate-intensity continuous training on central hemodynamics and VO2max in non-athlete male

2021 ◽  
Vol 25 (3) ◽  
pp. 172-177
Author(s):  
Javad Mahdiabadi
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiac Output ◽  
Maximal Oxygen Consumption ◽  
Step Test ◽  
Moderate Intensity ◽  
Healthy Male ◽  
Continuous Training ◽  
Significant Difference ◽  
Before And After

Background and Study Aim. Aerobic exercise improves fitness and quality of life and decreases mortality rate. Existence study determined the central hemodynamic adaptation after 8 weeks moderate-intensity continuous countryside jogging in non-athlete male. Material and Methods. Twenty-four untrained healthy male students (aged 20-22 years) volunteered and randomly divided into two groups: continuous training (CTG; n=12) and control (CG; n=12). Training program was countryside jogging for 45 min at 65-70% of Maximum Heart Rate (MHR), 3 days/week for 8-weeks performed. The CG group remained sedentary during the study period. Maximal oxygen consumption (VO2max) obtained using the step-test. Standard medical method impedance cardiograph was performed for hemodynamic parameters, during resting and after step-test conditions, before and after the study period. Results. Using t-test, after eight weeks: the resting heart rate (HR) in CTG group significantly decreased (P≤0.05). The systolic blood pressure (SBP) in CTG group decreased significantly at rest and after workload (P≤0.05). The diastolic blood pressure (DBP) did not change in both groups (P>0.05). The stroke volume (SV) increased significantly in CTG group at rest and after workload (P≤0.05).  The cardiac output (CO) did not change in both groups (P>0.05). The cardiac output (CO) did not change in both groups (P>0.05). The VO2max absolute and relative increased significantly in CTG group (P≤0.05). Significant difference between groups in SBP, SV, SVR and VO2max (absolute and relative) (P≤0.05). Conclusions. 8 weeks moderate-intensity continuous countryside jogging can improve the cardiac function and VO2max in selected healthy male. The regular exercise of aerobic with moderate intensity causes positive developments in systolic and diastolic blood pressures.

scholarly journals Repercussion of Academic Stress on Vital Parameters among Medical Students of Ayub Medical College Abbottabad

2021 ◽  
Vol 8 (4) ◽  
pp. 32-37
Author(s):  
Kinza Sammar ◽  
Anwar Shahzad ◽  
Maheen Shah ◽  
Mohammad Ali ◽  
Tooba Jadoon ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Medical Students ◽  
Perceived Stress ◽  
Academic Stress ◽  
Mood Disturbance ◽  
Medical College ◽  
Total Mood Disturbance ◽  
Significant Difference ◽  
Vital Parameters

OBJECTIVES: An increased stress is a common cause of mental fatigue and physical consumption among medical students. Therefore, the purpose of this study was to assess the effect of stress on vital parameters during students’ examination and to highlight the importance of personal well being among medical students. METHODOLOGY: The major aim of this study was to assess the effect of academic stress on vital parameters in medical students. This study was carried out in Ayub Medical College, Abbottabad in September to October 2018. The subjects selected for the study were final year MBBS students. Data was collected before and during the examinations. After taking their due consent, physical parameters such as blood pressure (both systolic and diastolic), heart rate were measured and psychological parameters like perceived stress and total mood disturbance were evaluated. Data was analyzed by using SPSS-22. RESULTS: Parameters like blood pressure (both systolic and diastolic) and total mood disturbance score   with a p-value of <.01 showed significant difference during examination. However other variables like age, height, weight, BMI, heart rate, and perceived stress score showed no significant difference. CONCLUSION: The study concludes that students during examinations were under pressure which resulted in anxiety and stress. Total Mood Disturbance is considered a more reliable and prominent factor in interpretation of a student's stressed and disturbed state. It is more closely related to the stress state of students than any other.  

scholarly journals Effect of Examination stress on heart rate, blood pressure and white blood cells.

2021 ◽  
Vol 28 (01) ◽  
Author(s):  
Umair Ali Soomro ◽  
Shumail Saeed Siddiqui ◽  
Kashif Rasheed Shaikh ◽  
Shumaila Shaikh ◽  
Shagufta Memon ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Medical Students ◽  
Blood Cells ◽  
White Blood Cells ◽  
Systemic Blood Pressure ◽  
Medical College ◽  
Before And After ◽  
Physiological Homeostasis ◽  
Examination Stress

Objectives: To analyze the effects of Examination stress on heart rate, blood pressure and white blood cells among medical college students. Study Design: Observational study. Setting: Department of Pathology, Indus Medical College, Tando Muhammad Khan Sindh. Period: September 2018 to April 2019. Material & Methods: 200 medical students were selected according to inclusion and exclusion criteria. Heart rate was measured manually. Systemic Blood pressure (BP) was recorded by Sphygmomanometer. Mean arterial BP was calculated as diastolic BP+1/3 of pulse pressure. Blood slides were stained with Leishman`s stain and white blood cells were counted using microscope.  Data was analyzed by using Statistical Package for Social Sciences (ver 22.0) for windows Microsoft. Results: Age of study subjects was noted as 20.23±1.23 years.  Body weight and Body mass index (BMI) were noted as 64.93±7.53 Kg (P=0.0001) and 27.5±5.3 (P=0.67). Of total 200, 109 (54.5%) were male and 91 (45.5%) were female (P=0.0001). Heart rate, Systolic, Diastolic and Mean arterial BP differed significantly before and after examination stress (P<0.05). White blood cells before examination were found as 7310.43±708.5 x103/µL compared to 8202.39±677.26 during examination stress (P=0.0001). Conclusion: Examination stress perturbs the physiological homeostasis as changes in heart rate, blood pressure and White blood cells are noted among medical students. Psychological and physical strategies for coping the stress should be considered for the young medical students.

scholarly journals Analisis Pengaruh Bentuk Telapak Kaki Terhadap Kelelahan Fisik

2013 ◽  
Vol 2 (2) ◽  
Author(s):  
Herianto Herianto
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Body Mass Index ◽  
Heart Rate ◽  
Disease Status ◽  
Physical Fatigue ◽  
Flat Feet ◽  
Significant Difference ◽  
Before And After

Physical activity over time can cause fatigue during exercise such as walking or light running. Physical fatigue effects on heart rate and blood pressure. Factors that can cause fatigue are gender, cardiovascular disease status, sport exercise habits, BMI (Body Mass Index) and study activities during a week. Physical fatigue also could be caused by factors shape of your foot, especially the form of flat feet/pesplanus in type 1, 2or 3. Subjects of this research were students of Industrial Engineering Gadjah Mada University ages 19 to 23 years with the aim of sampling techniques to the criteria of having normal or flat feet. The subjects run normally using a tread mill with a speed of 4 miles per hour for 6 minutes. The variables measured were heart rate and blood pressure. Heart rate was measured in three sessions among others before, during and after the experiment using a heart rate monitor while blood pressure was measured before and after the experiment. There are significant differences in systolic blood pressure before and after the experimental on indicator of sex, heart rate after experimental on indicator of disease status and heart rate on indicator exercise habit for normal feet. Then in the form of pesplanus foot type 1, there are significant differences like systolic and diastolic blood pressure after experimental on indicator of BMI (Body Mass Index) and systolic blood pressure on indicator of pre-experimental study activities during a week, in which a significant difference in respondents who did not have study activities of the respondents who went tocollegein6-10 hours. In the form of pesplanus foot type 2 there is a significant difference in heart rate when experimental on indicator of cardiovascular disease status.

scholarly journals THE EFFECTIVENESS DIFFERENCES OF FINGER HANDHELD AND DEEP BREATHING RELAXATION TECHNIQUES IN REDUCING HEART RATE AND STRESS LEVELS IN PRIMARY HYPERTENSION PATIENTS

2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Arif Setyo Upoyo
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
T Test ◽  
Primary Hypertension ◽  
Relaxation Technique ◽  
Relaxation Techniques ◽  
Deep Breathing ◽  
Significant Difference ◽  
Stress Levels ◽  
Before And After

Stress and hypertension have a reciprocal relationship where hypertension can increase stress, and stress will also increase blood pressure. Therefore we need an effort to control stress in patients with hypertension to prevent increasing blood pressure that can cause complications such as congestive heart failure, myocardial infarction, and stroke. The aim of the study was to determine the effectiveness differences of finger handheld and deep breathing relaxation techniques to decrease heart rate and stress levels of primary hypertension patients. The research design used experimental quasi. The research was conducted in Kembaran and East Purwokerto District, Banyumas, Indonesia. The sampling technique used a simple random sampling approach, with a total sample of 50 respondents, 25 respondens got finger handheld relaxation intervention and 25 respondents got intervention deep breathing relaxation. Heart rate and stress level were measured before and after treatment using heart rate (HR) recordings on digital tensimeter and Subjective Units of Distress Scale (SUDS). Data analysis used paired t test and independent t test.  The results showed there were significant differences in HR and stress levels before and after finger handheld relaxation (p = 0,000). There were significant differences in HR (p = 0.010) and significant levels of stress (p = 0.000) before and after deep breathing relaxation. There were significant difference in HR (p = 0.02) and there were no significant difference in stress levels (p = 0.23) after treatment (post test) between those who received finger handheld and deep breathing relaxation techniques. Conclusion: finger handheld and deep breathing relaxation techniques are equally effective in reducing stress levels in primary hypertension patients. Finger handheld relaxation technique is more effective in reducing HR than deep breathing relaxation technique.

scholarly journals Investigation of the Effect of Occupational Noise Exposure on Blood Pressure and Heart Rate of Steel Industry Workers

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Zahra Zamanian ◽  
Reza Rostami ◽  
Jafar Hasanzadeh ◽  
Hassan Hashemi
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Steel Industry ◽  
Noise Exposure ◽  
Fars Province ◽  
Noise Levels ◽  
Study Results ◽  
Significant Difference ◽  
Before And After ◽  
The Difference

Background and Objectives. This study aimed to investigate the effect of noise exposure on blood pressure and heart rate of steel industry workers.Materials and Methods. In the present cross-sectional study, 50 workers were selected from a steel company in Fars province, Iran, and exposed to 85, 95, and 105 dB noise levels for 5 minutes. The participants' blood pressure and heart rate were measured using Beurer BC16 pulse meter both before and after the exposure.Results. The study results showed no significant difference in blood pressure and heart rate before and after the exposure. However, the workers' systolic blood pressure had increased compared to before the exposure; of course, the difference was not statistically significant (P>0.05). Besides, although the subjects' heart rate had reduced in comparison to before the exposure, the difference was not statistically significant (P>0.05).Conclusion. No significant change was observed in blood pressure and heart rate after acute exposure to 85, 95, and 105 dB noise levels.

scholarly journals Evaluation of Intranasal Administration of Dexmedetomidine during Therapeutic Extraction

2020 ◽  
pp. 112-119
Author(s):  
Soya Alfred Xavier ◽  
Abdul Wahab ◽  
M. Sivakumar
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Local Anesthesia ◽  
Intranasal Administration ◽  
Rating Scale ◽  
Maxillofacial Surgery ◽  
Lower Quadrant ◽  
Significant Difference ◽  
Group A ◽  
Group B

Aim: The purpose of this study was to evaluate the effectiveness of intranasal administration of dexmedetomidine during therapeutic extraction.Materials and Methods: The study design is a split mouth double blinded randomized control trial. Patients who visited the department of oral and maxillofacial surgery for the therapeutic extraction of premolars were assessed for enrollment. Each subject participated in two surgical sessions, with the extraction of premolars of the upper and lower quadrant of the same side during a single session. A week later subjects were asked to report back for the extraction of the upper and lower premolar on the contralateral side. The patients were randomized by a computer generated number into two groups. Group A received intranasal dexmedetomidine (100 mcg/ml) and group B received intranasal saline at the first session. An alternate regimen was used during the second session during which group A received intranasal saline and in group B intranasal dexmedetomidine was administered. A mucosal atomization device was used to deliver the drug. Pain from local anesthesia infiltration was rated on the numerical rating scale from 0 (no pain) to 10 (worst pain imaginable). Sedation status was measured using the Observer's Assessment of Sedation. Blood pressure and heart rate of the patient were also monitored.Original Research ArticleXavier et al.; JPRI, 32(18): 112-119, 2020; Article no.JPRI.59782113Results: A total of 14 patients were involved in the study. Observer assessment scale indicated that significant sedation was obtained in group A when compared to group B. Compared to group B there was a significant reduction in heart rate and blood pressure in group A at the end of 10 minutes and 40 minutes. These parameters were normalized to the baseline at the end of 60 minutes. There was no significant difference in pain score noted during the local anesthesia infiltration. None of the patients had bradycardia, hypotension, and respiratory depression in this trial.Conclusion: In this study, we conclude that the intranasal administration of dexmedetomidine controls the patient's fear and anxiety during the therapeutic extraction but not the pain during the administration of local anesthesia.

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