Abstract 13048: A Simple Model to Describe the Relationship Between Compression Force and Depth During CPR

Aim: The relationship between force and depth during manual chest compressions depends on the patient and on the dynamics with which the rescuer applies the force. Force-depth models with many fitting parameters have been proposed making physical interpretation complicated. The aim of this work was to design a simpler force-depth model, accommodating anticipated differences in compression and recoil phases. Materials and Methods: Force and acceleration signals were extracted from out-of-hospital-cardiac arrest (OHCA) defibrillator recordings (TVF&R, OR, USA), equipped with CPR technology. Compression depth and velocity signals were computed from acceleration. We analyzed intervals of 20-s within the 1st min of chest compressions. Our model decomposes the applied force as the sum of an elastic and a damped term, considering different damping coefficients for the compression and recoil phases. Coefficient of elasticity was calculated at the instant of maximum compression depth (null velocity) and damping coefficients at the instants of maximum compression and recoil velocities. The estimated depth signal is shown in the figure. The goodness of the model was assessed through the determination coefficient R 2 . Results: We analyzed 1,074 compressions from 30 OHCA recordings. Median (IQR) compression depth was 4.6 (4.0-5.4) cm; compression rate was 107 (102–113) cpm; coefficient of elasticity was 100.67 (78.95–125.01) N/cm; compression damping coefficient was 2.57 (1.84–3.29) N/(cm/s) and recoil damping coefficient was 3.59 (2.58–4.90) N/(cm/s). Median R 2 was 0.993 (0.984–0.996). Conclusions: This model, derived using fewer parameters, could help with the interpretation of the mechanical properties of the chest during CPR. It may also be useful for the assessment of inter-patient differences with age, sex, and body constitution, as well as of the evolution of elasticity and damping of patient’s chest during the course of resuscitation.

The Relationship between the Second-Generation Antipsychotics Efficacy and the Traditional Chinese Medicine Body Constitutions in Patients with Schizophrenia

Background: Schizophrenia requires lifelong treatment; Second-generation Antipsychotics (SGAs) have become the most prescribed medication for schizophrenia patients. The efficacy of various SGAs treatment may differ in schizophrenia patients with various traditional Chinese medicine (TCM) body constitution (BC) types. Method: This study applied a longitudinal quantitative research design, where a total of 66 participants were recruited. The Positive and Negative Symptom Scale (PANSS) and the Clinical Global Impression (CGI) score were used to evaluate patients’ psychopathology status in hospitalization, and body constitution questionnaires were conducted by face-to-face interviews in the 1st, 3rd, and 6th week of hospitalization. Results: More than 60% of schizophrenia patients who were treated with SGAs were classified to have unbalanced BC types including Yin-Xu, Yang-Xu and Stasis. Generalized estimating equation analysis revealed significant time effects in CGI and PANSS score improvements in both unbalanced and gentleness (balance) BC types, but no significant changes in the group and group-time interaction in the CGI and PANSS scores in different BC type groups. Conclusions: Schizophrenia patients under SGAs treatment had a higher proportion of unbalanced BC types which may lead to poorer physical or mental statuses, such as overweight problems. Health care providers could apply interventions according to patients’ BC types for disease prevention.

A CROSS-SECTIONAL STUDY ON BODY CONSTITUTION (DHEGA ILAKKANAM) IN UTHIRAVATHA SURONITHAM (RHEUMATOID ARTHRITIS)

Background: Siddha medicine is an ancient script of medicine has been originated in South India. The concept of the Siddha system is based on fundamental principles of 96 thathuvangal which include five basic elements of the Universe, Udal thadhugal, and Uyir thadhugal etc. The physical health of the human body is maintained by three humors vathm, pitham, kabam which are the basic vital forces of humans. Udaliyal assessment is an essential tool, to diagnose any variation in the three vital forces. This study was to evaluate the body constitution in Uthiravatha Suronitham (Rheumatoid arthritis). This study was conducted in the outpatient department maruthuvam, Ayothidoss pandithar hospital, National Institute of Siddha, Chennai. 50 Uthiravatha Suronitham patients were selected to analyze the body constitution of Uthiravatha suronitham disease. The study details were collected by using the questionnaire in the data collection questionnaire. vathakaba thegi and vathapitha thegi body constitutions were more prone to Uthiravatha suronitham disease. The traits of thega illakanam, can be used for the line of treatment to the Uthiravatha suronitham patients along with dietary habits, behavioural modifications. etc.

Effect of Deha Prakruti on Intelligence - An Appraisal

Ayurveda lays great emphasis on the concept of Prakruti (body constitution) in the diagnosis, prognosis and treatment. Panchamahabhoota (five basic elements of the universe) in different permutation and combination form Tridosha (three humors of the body). Prakruti is formed depending on the predominance of any one or two or three Dosha at the time of conception. Prakruti is of two types: Dosha Prakruti or Deha Prakruti and Gunamayi Prakruti or Manasa Prakruti. Deha Prakruti is of 7 types. Vataja, Pittaja, Sleshmaja, Samsargaja [combination of two Dosha] i.e., Vata-Pitta, Pitta-Sleshma, Sleshma-Vata and Sannipataja [combination of three Dosha] i.e., Vata-Pitta-Sleshma. The person of each Prakruti is mentioned to be endowed with different characteristic features which includes physical and psychological features, abilities etc. Medha (intelligence), Smruti (memory) are psychological factors differentiating one person from other with respect to ability to perform any task. Prakruti is the deciding factor of various psychological characters including Medha. This article aims at studying the effect of Deha Prakruti on intelligence.

Survival Analysis Based on the Siddha Body Constitution of Asymptomatic SARS-CoV-2 Patients Under Integrative Management of Hydroxychloroquine (HCQ) and Kaba Sura Kudineer (KSK): A Retrospective, Cross-Sectional, Case Series in Tirupati

Objective: To analyse the duration of hospital stay of asymptomatic COVID-19 patients in Integrated Medical care of Hydroxychloroquine and Kaba Sura Kudineer (Herbal decoction). Design: A retrospective case series of 19 asymptomatic confirmed SARS-Cov-2 patients from District COVID Care Centre, Tirupati, India, between 23rd May to 7th June 2020. Method: Clinical data were collected using a standardised case report form containing demographic information, length of hospital stays and Siddha Yakkai Ilakkanam (Body Constitution) from the records. The association between length of hospital stay, age, gender, and Siddha YI after admissions for confirmed patients was compared and analysed by Kaplan Meier survival analysis method. Result: Patients in Aiyam group take at least 9 days of hospital stay, 80% take 10 or more days to cure the disease. 71.4% take more than 4 days and 3 days of hospital stay in Azhal and Vali groups, respectively. 75% of females take 9 days or more of hospital stay. 73.3% of males take 9 days or more of hospital stay. The age group, 19-40 years, has a minimum and maximum hospital stay varies from 2-15 days. Conclusion: This study explores the significance of integration of Siddha Medicine with Western medicine in the management of SARS Cov-2 infection. It recorded an overall median of 9 days in the length of stay and 8.5 days in overall mean survival time. This study emphasised higher speedy relief comparing Vietnam and China studies. Comparing those studies, the patient taking integrative treatment have savings of 9 days.

Association of Traditional Chinese Medicine Body Constitution and Health-Related Quality of Life in Female Patients with Systemic Lupus Erythematosus: A Cross-Sectional Study

Background. Traditional Chinese medicine (TCM) body constitution has been studied in many diseases, but few have focused on systemic lupus erythematosus (SLE) and particularly their association with disease-specific quality of life (QoL). Therefore, the aim of this study was to investigate the association of TCM body constitution and QoL in female patients with SLE. Methods. A cross-sectional study was conducted on adult female patients with a clinician-confirmed diagnosis of SLE in a regional hospital in Taiwan. TCM body constitution types were determined using the Constitution in Chinese Medicine Questionnaire (CCMQ). Disease-specific QoL of the participants was assessed using the LupusQoL. Multiple linear regression analyses were conducted to assess the associations between TCM body constitution types with the score of each of the eight domains of LupusQoL and between the numbers of multiple unbalanced body constitution types and score of each of the eight domains of LupusQoL. Results. Of the 317 female patients with SLE, 22 (6.9%) were classified to have a gentleness balanced body constitution type. Among the remaining 295 patients with unbalanced body constitution types, Qi-deficiency was the most common (64.4%), followed by Yin-deficiency (57.6%). Multiple linear regression analyses showed that Qi-deficiency was significantly associated with the emotional, pain, and fatigue domains of the LupusQoL, whereas Yin-deficiency was significantly associated with the emotional and fatigue domains of the LupusQoL. In addition, all domains of the LupusQoL showed a general pattern of poorer QoL with increasing numbers of unbalanced body constitution types. Conclusions. Different TCM body constitution types were significantly associated with various domains of the LupusQoL. A high prevalence of multiple body constitution types in patients with SLE was observed. A consistent pattern of poorer LupusQoL with increasing numbers of unbalanced body constitution types was evident.

IMPACT OF PRAKRITI ON COGNITION AND WORKING MEMORY: A REVIEW

State of body and mind depends upon individual Prakriti (type of body constitution). Medha is grasping power, for which proper functioning of memory and mind is essential. Medha includes Dhee (wisdom), Dhriti (retaining power of mind) and Smriti (memory) which are the component of higher mental function. Cognition involves different kind of information processing, recollection and overall process involved in the formation of memory. Working memory is a mental workspace for processing of both new input and retrieved memories. Dosha decide the Sharirik (bodily constitution) and Mansik Prakriti (psychological constitution) of individual. It helps to understand and describe individual health status and intelligence like characteristics. Prakriti have an effect on the working of higher mental function, every individual has its own constitution type and hence mental function works differently according to its constitution.

HUMAN BODY CONSTITUTION CARE MEDICINE UNDER THE INTERVENTION OF SPORTS SCIENCE

ABSTRACT Introduction: The shape, physiological function, and physical fitness (exercise ability) of the human body are the main parts of physical fitness. Different sports kinesiology methods have different effects on the human physique. System science-related theories can be applied to the research of the human health system under medical theory. Objective: We researched the human body's physique and formulate relevant sports kinesiology programs for the human body. We could analyze the influence of human body shape and physiological condition on human body constitution. Methods: We conducted research on the human body's physical health and nutrition through methods such as physical tests, anthropometric measurements, diet surveys, and laboratory examinations of the human body. Analyzing the correlation between sports and human body conditioning medicine had a favorable outcome in the study. Results: The sports kinesiology program has apparent effects on improving and enhancing human body shape, physiological functions, and physical fitness. Conclusion: The sports kinesiology program has a significant effect on improving the physical fitness of the human body. Level of evidence II; Therapeutic studies - investigation of treatment results.