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Gender Differences in Response to Cold Pressor Test in the Age Group of 18-30 Years 18-30岁年龄组冷压试验反应的性别差异
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1327
Hasana Fatima, R. Anitha, Mudassir Mirza
Introduction: The Cold Pressor Test (CPT) was first introduced by Hines and Brown in 1932. It was designed to measure the reactivity of the blood vessels to a standard stimulus2 . Cold Pressor Test is an established challenge test of sympathetic vascular regulation. Sympathetic nervous system activity varies in males and females. Aim: To study the response of Cold Pressor Test on blood pressure in normal healthy young adult males and females. Materials and Method: After Institutional ethics committee approval, a total of 104 subjects in the age group of 18-30 years were recruited with informed consent for the study, after considering inclusion and exclusion criteria. Subjects were explained about the test procedure. Basal blood pressure (pre-test BP) was recorded after 20 min. of rest. Systolic and diastolic blood pressure was measured in mmHg (pre-test). Subject was asked to dip left hand till the wrist in cold water (40-80 C) for 1 min. (minute).Blood pressure was recorded from right arm during the test, 1 minute, 2 minutes, 3 minutes and 4 minutes after the test. Result: Basal BP was significantly higher in males than in females. Systolic BP(SBP) response, Diastolic BP response (DBP) to CPT were statistically higher in males compared to females. Conclusions: The gender variations are seen due to differences in the sympathetic nervous system activity and due to the effect of sex hormones. Males are more prone to develop hypertension and other cardiovascular disorders when compared to females due to higher sympathetic activity.
简介:冷压试验(CPT)是由海恩斯和布朗在1932年首次提出的。它的设计目的是测量血管对标准刺激的反应性。冷压试验是一种成熟的交感血管调节刺激试验。交感神经系统的活动在男性和女性中是不同的。目的:探讨冷压试验对正常健康青年男女血压的影响。材料和方法:经机构伦理委员会批准,在考虑纳入和排除标准后,经知情同意,共招募年龄在18-30岁的104名受试者参加研究。向受试者解释了测试过程。休息20分钟后记录基础血压(测前血压)。收缩压和舒张压测量单位为mmHg(试验前)。受试者被要求将左手浸入冷水(40-80℃)1分钟直至手腕。分别在试验时、试验后1分钟、2分钟、3分钟、4分钟记录右臂血压。结果:男性的基础血压明显高于女性。CPT治疗后男性的收缩压(SBP)反应、舒张压(DBP)反应均高于女性。结论:交感神经系统活动的差异和性激素的作用导致了性别差异。与女性相比,男性更容易患高血压和其他心血管疾病,因为他们的交感神经活动更活跃。
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引用次数: 0
Can GSR be Used as a Tool to Early Diagnose the Autonomic Dysfunction among GAD Patients GSR能否作为早期诊断GAD患者自主功能障碍的工具
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1328
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引用次数: 0
Impact of Elective Percutaneous Transluminal Coronary Angioplasty (PTCA) on Heart Rate Variability in Patients with Coronary Artery Disease 选择性经皮腔内冠状动脉成形术(PTCA)对冠心病患者心率变异性的影响
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1322
Anahita R. Shenoy Basti
Coronary artery disease (CAD) is a major public health problem in India and is one of the leading causes of mortality and morbidity. Impairment of heart rate variability (HRV) has been observed in patients with CAD. Percutaneous transluminal coronary angioplasty (PTCA) is one of the common modalities of treatment of CAD. In this study we have studied the effect of successful elective PTCA on HRV parameters in patients with CAD. Material and Method: HRV parameters in both time and frequency domain were studied in 30 male patients before PTCA, one day and three day after PTCA. Results: - The time and frequency domain parameters between pre PTCA and 1 st day post PTCA were not found to be statistically significant. Changes in the time domain parameter rMSSD and SDNN was statistically significant between pre and 3 rd day post PTCA but no significant difference was observed in pNN50. A significant decrease in LF n.u and increase in HF n.u was observed between pre and 3 rd day post PTCA. Conclusion: Revascularization with PTCA results in improvement of the autonomic tone. Improved autonomic modulation is seen as early as 3 rd day post PTCA. It indicates that restoring the blood flow reverses to some extent the autonomic modulatory effect of coronary artery disease.
冠状动脉疾病(CAD)是印度的一个主要公共卫生问题,也是导致死亡和发病的主要原因之一。在CAD患者中观察到心率变异性(HRV)受损。经皮冠状动脉腔内成形术(PTCA)是CAD的常见治疗方式之一。在本研究中,我们研究了成功的选择性PTCA对CAD患者HRV参数的影响。材料与方法:对30例男性患者PTCA术前、术后1天和3天的HRV时域和频域参数进行研究。结果:PTCA前和PTCA后第1天的时域和频域参数没有统计学意义。时域参数rMSSD和SDNN在PTCA前和术后第3天之间的变化具有统计学意义,但在pNN50中没有观察到显著差异。在PTCA术前和术后第3天观察到LF n.u的显著降低和HF n.u的增加。结论:PTCA血管重建术可改善自主神经张力。自主神经调节的改善可在PTCA术后第3天观察到。这表明恢复血流在一定程度上逆转了冠状动脉疾病的自主调节作用。
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引用次数: 0
Vitamin D, Oxidative Stress and Cognition in Diabetes Mellitus 糖尿病患者的维生素D、氧化应激与认知
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1329
R. Kanchana, K. Pushpa
Introduction: Diabetes is a very common disease that affects almost all body systems. Of late recent studies have determined that vitamin D deficiency can cause several diseases such as diabetes, cardiovascular complications etc. Oxidative stress is an imbalance between free radicals and antioxidants in the body. Vitamin D is an antioxidant and its deficiency can cause oxidative stress .Thus vitamin D deficiency by itself and by causing oxidative stress can increase risk of developing diabetes Hyperglycemia can affect cognition. Oxidative stress too can affect cognition. Studies done studying the role of vitamin D affecting cognition especially in diabetics are very few. Aim: To determine the role of vitamin D in affecting cognition in Diabetic patients. To determine the correlation between vitamin D, oxidative stress and cognition in diabetes . obtaining ethical approval from the institution a structured questionnaire was given to all. Fasting blood glucose was by Method. Immunoturbidometry. stress (malonylaldehyde) reactive substances Montreal cognitive All were carried out the Results were analysed using Microsoft excel. Results: A negative correlation was seen between vitamin D and MOCA scores. A positive correlation was seen between MDA and MOCA scores. Conclusion: Vitamin D deficiency causes oxidative stress and affects cognition in diabetics. Vitamin D supplementation can be considered to reduce oxidative stress and thus improve cognition in diabetes mellitus patients.
导读:糖尿病是一种非常常见的疾病,几乎影响到身体的所有系统。最近的研究已经确定,维生素D缺乏会导致几种疾病,如糖尿病、心血管并发症等。氧化应激是体内自由基和抗氧化剂之间的不平衡。维生素D是一种抗氧化剂,缺乏维生素D会引起氧化应激。因此维生素D缺乏本身以及引起氧化应激会增加患糖尿病的风险。高血糖会影响认知能力。氧化应激也会影响认知。研究维生素D影响认知的作用,尤其是糖尿病患者的研究很少。目的:探讨维生素D对糖尿病患者认知功能的影响。确定糖尿病患者维生素D、氧化应激和认知能力之间的关系。获得该机构的伦理许可后,向所有人发放了一份结构化问卷。法测定空腹血糖。Immunoturbidometry。应激(丙二醛)反应性物质蒙特利尔认知试验采用Microsoft excel对结果进行分析。结果:维生素D与MOCA评分呈负相关。MDA与MOCA评分呈正相关。结论:维生素D缺乏引起糖尿病患者氧化应激,影响认知能力。补充维生素D可考虑减少氧化应激,从而改善糖尿病患者的认知能力。
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引用次数: 0
Assessment of Hormonal Essay in Non-Obstructive and Obstructive Subject in Central India 印度中部非障碍性和障碍性学科的荷尔蒙论文评估
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1333
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引用次数: 0
Effect of Super-Brain Yoga on the Concentrating Ability of Students 超脑瑜伽对学生专注能力的影响
Pub Date : 2020-03-26 DOI: 10.37506/IJOP.V8I3.1325
G. Aniruddha, A. Santakumari, C. Saroja
Introduction: Frontal and parietal association areas form the neural basis of concentration as evidenced by cellular studies of posterior parietal cortex in monkeys. Cerebral asymmetry, an evolutionary consequence,enhances brain output by synchronizing both hemispheres for maximal brain output facilitated by Super-brain yoga - a simple,effective technique to energize and recharge the brain, assessed with d2 test measuring attention, scanning and mental flexibility. Aim: To assess the effect of Super-brain yoga on the concentrating ability of students by d2 test. Materials and Method: 184 school children aged 11-13 yrs, physically fit & unaware of Super-brain yoga formed the study population. Methodology: (1) d2 test consisting of: (i) TN: total number of characters (ii) E1: number of characters omitted (iii) E2: the number of errors (iv) CP: concentration performance CP = (TN–E2) was performed before and after Super-brain yoga to assess students concentrating ability. (2) Super brain yoga/yogic squats performed for 1 month. Results: ‘p’ value < 0.05 statistical significance with paired ‘t’ test. Conclusion: Practicing Super-brain yoga for 1 month increased the concentrating ability of students.
猴后顶叶皮层的细胞研究证明,额叶和顶叶关联区构成了集中的神经基础。大脑不对称是一种进化结果,通过同步两个半球以获得最大的大脑输出,从而提高大脑输出。超级大脑瑜伽是一种简单有效的为大脑充电和充电的技术,通过d2测试来评估注意力、扫描和心理灵活性。目的:通过d2测试评价超脑瑜伽对学生集中能力的影响。材料与方法:184名年龄在11-13岁之间,身体健康且不了解超脑瑜伽的学龄儿童作为研究人群。方法:(1)d2检验,由(i) TN:总字数(ii) E1:遗漏字数(iii) E2:错误字数(iv) CP:集中表现(CP = (TN - E2))组成,评估学生在超级脑瑜伽前后的集中能力。(2)超级脑瑜伽/瑜伽深蹲练习1个月。结果:经配对t检验,p值< 0.05有统计学意义。结论:练习超脑瑜伽1个月可提高学生的注意力集中能力。
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引用次数: 0
Effect of Indian Classical Instrumental Music on Stress and Anxiety in Male Medical Students 印度古典器乐对男医学生压力和焦虑的影响
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1331
P. Bhatnagar, M. Arya
Introduction: Medical professionals, especially medical students face a lot of stress and anxiety due to various challenges at personal and professional levels. Stress and anxiety affect their health and well-being and causes mental disturbance. Blood pressure, heart rate, and other biochemical parameters show an abnormal rise due to stress and anxiety. Music therapy using Indian classical instrumental music can help relieve this stress and anxiety and bring the biochemical parameters to normal levels. Aim: The purpose of the present study was to evaluate the immediate and short term effects of Indian classical instrumental music on stress and anxiety using both qualitative and quantitative measurements on male medical students. Materials and Method: Fifty-six (56) healthy male medical students aged between 17-25 years were selected from Rajkiya Medical College, Jalaun (Uttar Pradesh), for a month-long music therapy which included listening to Indian classical instrumental music every day for thirty minutes. ADSS questionnaire, salivary cortisol, blood pressure, heart rate, and lipid profile other required parameters were recorded twice, once at baseline and another after one month of music therapy. Results: Post music therapy values revealed a significant decrease in ADSS score anxiety (4.36 ±1.39 v/s 3.36 ± 1.20 p<0.0001), depression (3.14 ± 1.70 v/s 2.23 ± 1.50, p<0.0001) Stress (4.54±1.91 v/s 3.39±1.77, p<0.0001) Salivary cortisol (4.04±1.39 v/s 3.33±1.35, p<0.0001). Further, a significant decrease was recorded in systolic blood pressure (122.53 ± 5.24 v/s 120.86 ± 2.50, p 0.0005) diastolic Blood Pressure (82.75 ± 5.36 v/s 80.82±1.74, p=0.0045) and heart rate (73.43±3.09 v/s 71.99±1.15, p<0.0001). Conclusion: The findings of the present study showed that listening to Indian classical instrumental music notably reduces salivary cortisol, blood pressure, heart rate, respiration rate, blood glucose, and lipid profile, and helps to relieve stress and anxiety in male medical students. However, further studies on a larger population are required to make a general policy to facilitate the better mental health of medical students.
导读:医学专业人士,尤其是医学生,由于个人和专业层面的各种挑战而面临着很大的压力和焦虑。压力和焦虑会影响他们的健康和幸福,并导致精神障碍。由于压力和焦虑,血压、心率和其他生化指标显示异常升高。使用印度古典器乐的音乐疗法可以帮助缓解这种压力和焦虑,并将生化参数恢复到正常水平。目的:本研究旨在评估印度古典器乐对男医学生压力和焦虑的即时和短期影响,采用定性和定量测量。材料与方法:从贾劳恩(北方邦)的Rajkiya医学院挑选了56名年龄在17-25岁之间的健康男医科学生,进行为期一个月的音乐治疗,包括每天听30分钟的印度古典乐器音乐。ADSS问卷、唾液皮质醇、血压、心率和血脂等所需参数记录两次,一次是在基线时,另一次是在音乐治疗一个月后。结果:音乐治疗后ADSS评分显著降低焦虑(4.36±1.39 v/s 3.36±1.20 p<0.0001)、抑郁(3.14±1.70 v/s 2.23±1.50,p<0.0001)、应激(4.54±1.91 v/s 3.39±1.77,p<0.0001)、唾液皮质醇(4.04±1.39 v/s 3.33±1.35,p<0.0001)。收缩压(122.53±5.24 v/s, 120.86±2.50,p< 0.0005)、舒张压(82.75±5.36 v/s, 80.82±1.74,p=0.0045)、心率(73.43±3.09 v/s, 71.99±1.15,p<0.0001)显著降低。结论:聆听印度古典器乐可显著降低男医学生唾液皮质醇、血压、心率、呼吸频率、血糖和血脂,有助于缓解压力和焦虑。然而,需要对更大的人群进行进一步的研究,以制定总体政策,促进医学生更好的心理健康。
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引用次数: 0
Comparative Study of Sympathetic Activity in Normotensive Obese and Nonobese Adults 正常肥胖与非肥胖成人交感神经活动的比较研究
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1337
M. Haque
Aim: The aim of the study is to assess sympathetic activity in Obese Normotensive subjects Objectives: To investigate any changes in sympathetic activity in Normotensive obese subjects using Cold Pressor test Method: 50 Obese subjects of both genders between age group 18-25 years with BMI>25kg/m 2 were selected as study group and 50 age matched subjects of both the genders with BMI<25Kg/m 2 were selected as control group. Sympathetic activity was assessed using Cold pressor test. In this test, After recording the resting blood pressure (BP), the subject was asked to immerse his hand in cold water (temperature maintained between 5°–9°C). BP measurement from other arm was done at 30 sec interval for two minutes using continuous ambulatory Blood pressure monitoring, after which the subject was asked to remove the hand from cold water. Maximum increase in Diastolic Blood Pressure (DBP) was taken as test response. Results: Statistical analysis was done using unpaired t test.Increase in diastolic blood pressure with Cold pressor test in study group was significantly increased compared to control group. Conclusion: Increased sympathetic activity is seen in obese normotensive subjects,which is a risk factor for future development of hypertension and other complications associated with increased sympathetic activity.weight loss and maintanence of healthy lifestyle is suggested to the subjects to prevent the future complications.
目的:本研究旨在评估肥胖受试者的交感神经活动。目的:用冷加压试验研究肥胖受试人交感神经活动的任何变化被选为对照组。使用冷加压试验评估交感神经活性。在这项测试中,在记录静息血压(BP)后,受试者被要求将手浸入冷水中(温度保持在5°-9°C之间)。使用连续动态血压监测,每隔30秒测量另一只手臂的血压,持续两分钟,之后要求受试者将手从冷水中移开。舒张压(DBP)的最大升高被视为测试反应。结果:采用非配对t检验进行统计分析。与对照组相比,研究组冷加压试验的舒张压升高显著增加。结论:血压正常的肥胖受试者交感神经活动增加,这是未来发展为高血压和其他与交感神经活动增强相关的并发症的危险因素。建议受试者减少体重并保持健康的生活方式,以预防未来的并发症。
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引用次数: 0
Effect of Family History of Hypertension on Left Ventricular Mass in Normotensive Individuals 高血压家族史对正常血压个体左心室质量的影响
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1339
A. Kumari, G. Shavali
Introduction: Presence of family history of hypertension is a strong predictor of development of hypertension in normotensive subjects. Increased left ventricular mass might antedate the development of hypertension in the individuals destined to develop systemic hypertension in life. Aim: To study the left ventricular mass in offspring of normotensive parents (ONP) and offspring of hypertensive parents (OHP) and to find the variations in between the two groups. Materials and Method: 75 healthy normotensive individuals with family history of hypertension and 75 healthy normotensive individuals without family history of hypertension were included in the study .LV mass was calculated by using 2D M-mode echocardiography by the formula given by American society of Echocardiography, LV mass= 0.8 × [ 1.04 × (LVIDd + IVSd + PWd)3 – (LVIDd)3] + 0.6 grams.[LVIDd – Left ventricular internal diameter during diastole; IVSd- Interventricular septal thickness during diastole; PWd – Posterior wall thickness during diastole]. Observation and Results: Left ventricular mass was significantly higher in the normotensive individuals with familyhistory of hypertension (64.33±20.22g) when compared to those without family history (56.12±16.13g). Conclusion: The present study reveals increased left ventricular mass in normotensive individuals with family history of hypertension. Early evaluation of left ventricular mass and life style modification are recommended in healthy normotensive individuals with family history of hypertension to prevent and delay the clinical symptomatolgy of hypertension.
引言:在血压正常的受试者中,有高血压家族史是高血压发展的有力预测因素。在生活中注定会发展为系统性高血压的个体中,左心室质量的增加可能会提前发展为高血压。目的:研究血压正常父母(ONP)和高血压父母(OHP)后代的左心室质量,并找出两组之间的差异。材料与方法:75名有高血压家族史的健康血压正常者和75名无高血压家族史健康血压正常人纳入研究,采用美国超声心动图学会给出的公式,采用二维M型超声心动图计算左心室质量,左心室质量=0.8×[1.04×(LVIDd+IVSd+PWd)3-(LVIDd)3]+0.6克。[LVIDd–舒张期左心室内径;IVSd–舒张期室间隔厚度;PWd–舒舒张期后壁厚度]。观察与结果:有高血压家族史的血压正常者的左心室质量(64.33±20.22g)明显高于无高血压家族史者(56.12±16.13g)。建议有高血压家族史的健康血压正常者早期评估左心室质量并改变生活方式,以预防和延迟高血压的临床症状。
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引用次数: 0
Knowledge, Attitude & Practise of Voluntary Blood Donation in Students of BRLSABVM Medical College, Rajnandgaon, Chhattisgarh 恰蒂斯加尔邦Rajnandgaon BRLSABVM医学院学生自愿献血的知识、态度和实践
Pub Date : 2020-03-26 DOI: 10.37506/ijop.v8i3.1334
Santosh Balgote, Anshul Singhai, C. Akre, A. Deshkar
There is a crucial need for awaring people regarding blood donation all over the world. According to Census 2011 Rajnandgaon city, Chhattisgarh has 1,63114 population and only around 1000 Voluntary Blood Donation done per year3 . This depicts the lack of knowledge and social awareness regarding the blood donation among the population of Rajnandgaon (C.G). Material and Method: The present study is a cross sectional study and conducted among the students of the various graduate and post graduate colleges of Rajnandgaon, to assess their knowledge and attitudinal variables towards voluntary, non-remunerated blood donation. Sample Size: It is calculated by using Kish and Lisle formula for cross-sectional studies8 . Four hundred students were selected to participate in this study Result: After analyzing the data, we observe that the overall knowledge regarding blood donation in study population was found to be 46.11%. Most amazing thing is that 370 student out of 400 never did blood donation (92.5%). Overall 30.60% of students have negative attitude towards blood donation which includes generalized tiredness after blood donation (10.12%), hypovolemic anemia(15.12%) and decrease in Immunity is (5.36%). Around 69.40% of students have positive attitude and are willing to donate blood if they are demanded for blood donation (39.40%), 3% of non-donors not know much importance of blood donation and 27% don’t know the procedure and place where to do blood donation. Conclusion: Through this study we suggest that appropriate motivational campaign should be launched immediately among this young section of the population to convert this favourable “attitude” towards blood donation into a regular “practice” in order to increase the voluntary blood donation in Rajnandgaon.
迫切需要唤起全世界人民对献血的关注。根据2011年人口普查,恰蒂斯加尔邦Rajnandgaon市有163114人口,每年只有约1000人自愿献血3。材料和方法:本研究是一项横断面研究,在Rajnandgaon各研究生院和研究生院的学生中进行,以评估他们对自愿无偿献血的知识和态度变量。样本量:使用Kish和Lisle公式计算横截面研究8。选择400名学生参与本研究。结果:通过对数据的分析,我们观察到,研究人群对献血的总体了解率为46.11%。最令人惊讶的是,400名学生中有370人(92.5%)从未献血。总体而言,30.60%的学生对献血持负面态度,包括献血后的全身疲劳(10.12%),低血容量性贫血(15.12%)和免疫力下降(5.36%)。约69.40%的学生态度积极,愿意在需要献血时献血(39.40%),3%的非献血者不知道献血的重要性,27%的学生不知道献血程序和地点。结论:通过这项研究,我们建议立即在这一年轻群体中发起适当的激励运动,将这种对献血的有利“态度”转变为常规“做法”,以增加Rajnandgaon的自愿献血。
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引用次数: 1
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International journal of physiology
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