ABSTRACT
Background: Dental anxiety is a significant and challenging problem in patients seeking dental treatment. During any dental procedure patients often experience severe pre-operative and intra-operative anxiety which makes the procedure more difficult. Anxiety during endodontic therapy often leads to increased pain perceptions and instability of the physiological parameter throughout treatment. Aim: The purpose of this study was to evaluate the influence of music as a nonpharmacologic aid on anxiety, pain perception and physiological parameters (heart rate, systolic blood pressure, and diastolic blood pressure) at three different time period - before, during, and after endodontic treatment. Methods: A total of 100 patients were recruited in the present study. Before starting the endodontic treatment, the interviewer administered the Modified Corah Dental Anxiety Scale (MCDAS) to assess the baseline level of anxiety and Visual Analog Scale (VAS) for pain assessment. Patients were randomly divided into 2 groups: the first one listened to the music during endodontic treatment and the second one did not. Before, during, and after the endodontic procedure, the physiological parameters (i.e. heart rate, systolic and diastolic blood pressure) were recorded. All the data were collected and statistically analyzed. Results: Direct contrasts between patients listening or not listening to music showed that all the measured physiological parameters improved considering the overall period (during and after the root canal therapy) in the group of patients listening to music (P < .05). Conclusion: Within the limitation of the study, music administered to subjects with different levels of anxiety during endodontic treatment significantly decreased pain levels and improved physiological parameters during the endodontic procedures. Clinical Significance: Music and medicine always work together and the soothing effects of sounds and musical frequencies make this union an extraordinary tool of synergistic care. Music therapy can be considered as a valid nonpharmacologic aid to manage anxiety during endodontic treatment.
ABSTRACT
Background: The aim of the study was to find the prevalence of anxiety and depression in COPD patients as undiagnosed cases may have an negative impact on the overall health status and find its correlation with factors like age, gender, disease severity and health related Quality of Life (QOL). Method: 226 subjects enrolled in this study. Basic demographic details were gathered. Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety and depression. QOLwas assessed using St. George's Respiratory Questionnaire (SGRQ). Result: Prevalence of anxiety and depression in COPD subjects in the study was 35.4% and 52.7% as per HADS questionnaire. Age and SGRQ score showed a significant positive correlation whereas disease severity showed a significant negative correlation with anxiety and depression. Association of the anxiety and depression with gender showed anxiety to be statistically significant in males and females. Conclusion: Higher rates of depression and anxiety symptoms are seen in patients with COPD even in earlier stages of the disease.
ABSTRACT
Background: Early detection and identification of the risk factors is crucial in minimizing morbidity and mortality arising due to breast cancer. Research has proven that, physiotherapist as a part of multidisciplinary team, plays an important role in treating these patients after surgery. However, evidence suggesting the role of physiotherapist in the domain of health promotion and prevention is limited. Thus an effort is made in this study to explore the level of awareness about the risk factors and prevention and to predict the percent risk of having breast cancer in future five years.Methods: A cross sectional study was conducted in the urban slums of Turbhe. 200 females aged 35 years and above were selected. A self structured questionnaire was formed using Gail’s model. The questionnaire was validated and a house to house survey was conducted.Results: 67.5% females thought that alcohol/tobacco consumption carried the highest risk of breast cancer. 61.5% females were aware of lack of breast feeding as the risk factor for breast cancer. 74% females did not know about breast self – examination while 78.5% had not heard about mammography as screening methods for breast cancer prevention. 14.5% females carried a high risk of getting breast cancer in the future five years.Conclusions: Awareness of study participants about breast cancer was very poor. There is a need for awareness programs to educate women about risk factors and promotion of early detection of breast cancer.