scholarly journals Influence of Subjective Appraisal and Personality and Other Traits to Psychological Stress Reduction Effect Caused by ^|^ldquo;Sunshine Filtering Through Foliage^|^rdquo; in the Forest Picture

2012 ◽  
Vol 75 (5) ◽  
pp. 565-570 ◽  
Author(s):  
Norimasa TAKAYAMA ◽  
Midori FUJISAWA ◽  
Marisa ARAMAKI ◽  
Takeshi MORIKAWA
Author(s):  
Omer Subasi ◽  
Atacan Oral ◽  
Shams Torabnia ◽  
Deniz Erdogan ◽  
Mustafa Erdogan ◽  
...  

Abstract Background: AISI 316L stainless steel wire cerclage routinely used in sternotomy closure causes lateral cut-through damage and fracture, especially in cases of high-risk patients, which leads to post-operative complications. A biocompatible elastomer (Pellethane®) coating on the standard wire is proposed to mitigate the cut-through effect. Methods: Simplified peri-sternal and trans-sternal, sternum-cerclage contact models are created and statically analyzed in a finite element (FE) software to characterize the stress-reduction effect of the polymer coating for thicknesses between 0.5 to 1.125 mm. The performance of the polymer-coated cerclage in alleviating the detrimental cortical stresses is also compared to the standard steel cerclage in a full sternal closure FE model for the extreme cough loading scenario. Results: It was observed via the simplified contact simulations that the cortical stresses can be substantially decreased by increasing the coating thickness. The full closure coughing simulation on the human sternum further corroborated the simplified contact results. The stress reduction effect was found to be more prominent in the trans-sternal contacts in comparison to peri-sternal contacts. Conclusions: Bearing in mind the promising numerical simulation results, it is put forth that a standard steel wire coated with Pellethane® will majorly address the cut-through complication.


2021 ◽  
Vol 17 ◽  
Author(s):  
Isadora Pombeiro ◽  
João Moura ◽  
Maria Graça Pereira ◽  
Eugénia Carvalho

Background: Diabetic foot ulcers (DFUs) are a major complication of diabetes mellitus and a leading cause of lower limb amputation. Interventions to reduce psychological stress may have the potential to improve self-care and greatly reduce the morbidity and mortality associated with DFU. This review is focused on the consequences of psychological stress in wound healing and reflects on the effects of currently used psychological stress-reducing interventions in patients with DFU, proposing new applications for currently used stress-reduction interventions. Results: Stress is a natural and fundamental survival mechanism that becomes harmful when chronic. DFU is associated with high levels of anxiety and chronic psychological stress. Chronic stress induced cortisol and adrenaline release impairs wound healing, independently of the stressor. Psychological stress-reducing interventions, such as relaxation with guided imagery, biofeedback-assisted relaxation, mindfulness-based strategies, and hypnosis can lead to a reduction in perceived stress and improve wound healing, by reducing wound inflammation and pain, while improving glycemic control. All stress reduction interventions also lead to pain relief and improved patient’s quality of life.


2018 ◽  
Vol 82 (4) ◽  
pp. 709-715 ◽  
Author(s):  
Yui Iwagaki ◽  
Saeko Sugawara ◽  
Yasuhisa Huruya ◽  
Miki Sato ◽  
Qiming Wu ◽  
...  

2006 ◽  
Vol 2006.6 (0) ◽  
pp. 187-188
Author(s):  
Masahiro KUHARA ◽  
Nao-Aki NODA ◽  
Shunsuke NOMA ◽  
Yang XIAO ◽  
Kinjiro SAITO ◽  
...  

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S161-S163
Author(s):  
A Nemirovsky ◽  
K Ilan ◽  
L Lerner ◽  
L Cohen-Lavi ◽  
D Schwartz ◽  
...  

Abstract Background Crohn’s disease (CD) is a chronic inflammatory bowel disease associated with psychological stress that is regulated primarily by the pituitary-hypophysis-adrenal (HPA) axis. Here, we determined whether the psychological characteristics of CD patients associate with their inflammatory state, and whether a 3-month period of Cognitive Behavioral and Mindfulness-Based Stress Reduction (COBMINDEX) impacts their inflammatory process. Methods Circulating inflammatory markers (IFN-α, IFN-γ, TNF-α, MCP-1, IL-6, IL-8, IL-10, IL-12p70, IL-18, IL-23, and IL-33) and a wide range of psychological parameters were measured before (T1) and after (T2) COBMINDEX in CD patients. Inflammatory parameters were also compared to age- and sex-matched healthy controls (HCs) at T1, and to wait-list CD patients (at T1 and T2) who were followed for 3 months but did not receive COMBINDEX. Psychological symptoms were assessed by two questionnaires: the Perceived Stress Scale PSS4, and the Brief Symptom Inventory of psychological distress with Global Severity Index GSI. Statistical significance was assessed using Spearman correlation. Results CD patients (N=100, mean age 33.6 ± 13 years, 69% female, Harvey-Bradshaw Index mean 31± 55) exhibited increased peripheral low-grade inflammation compared with HCs, demonstrated by higher serum levels of interleukin (IL)-6 (mean 4.084± 8.4) and IL-18 (mean 302.09± 286) shown in Figure 1. Notably, IL-18 levels correlated with a higher stress score and a lower wellbeing score in CD patients (Figure 2). COBMINDEX was accompanied by changes in inflammatory markers that coincided with changes in cortisol: changes in serum levels of cortisol correlated positively with those of IL-10 (0.32, p<0.05) and INFα (0.36, p<0.05) and correlated negatively with those of MCP-1 (-0.34, p<0.05). Finally, baseline inflammatory markers of CD patients predicted COBMINDEX efficacy, as changes in HBI were negatively correlated with cytokines levels of IFNa (p=0.046), IFNg (p=0.03), IL-10 (p=0.002), IL-23 (p=0.025), IL33 (p=0.009) and IL12p70 (p=0.037) at T1 in the COBMINDEX group, but not in the wait-list group. In addition, basal levels of circulating cortisol at T1 negatively correlated with changes in GSI (-0.33, p<0.05) between T1 and T2 in the COBMINDEX group, but not in the wait-list group. Conclusion Our results show that CD patients have a characteristic immunological profile that correlates with psychological stress and disease activity, and predicts COBMINDEX outcomes. We suggest that COBMINDEX induces stress resilience in CD patients, which not only impacts their well-being, but also their disease-associated inflammatory process.


2021 ◽  
Vol 27 (12) ◽  
pp. 1371-1389
Author(s):  
Atsuko Matsumoto ◽  
Takeshi Kamita ◽  
Yukari Tawaratsumida ◽  
Ayako Nakamura ◽  
Harumi Fukuchimoto ◽  
...  

In recent years, various organizations, such as companies and governments, have been required to take measures for the mental health of their employees, and the importance of self-care for mental health by employees themselves has been increasing, as well as being supported by administrators, such as doctors and workplace managers. As a means of self-care of mental health that can be implemented by busy professionals during their workdays and daily lives, the Digital-SAT method has been developed to implement the stress-care process of the SAT method, a psychological counseling technique for resolving psychological stress problems, in a self-guided manner using digital media. To realize the Digital-SAT method, two issues need to be addressed: first, to obtain the same emotional stress reduction effect as the SAT method and, second, to ensure the continuous implementation of the Digital-SAT method. Previous studies have shown that applications (apps) using virtual reality are effective in solving the former issue, and an app using a chatbot can be effective in solving the latter. In this research, an intervention study was conducted to verify the effectiveness of combined use of the two apps to encourage continuous use, resulting in increased emotional stress reduction, with the aim of making it feasible in actual work environments. An intervention of four weeks of app use was conducted with 70 nurses working in two hospitals where measures for mental health due to emotional labour and overwork were required. The emotional stress reduction effects of the intervention were evaluated using psychological scales and blood pressure levels, and it was confirmed that combined use of apps was more effective than using them separately to practice the Digital-SAT method in an actual work environment.


2020 ◽  
Vol 4 (s1) ◽  
pp. 32-33
Author(s):  
Zakaria Almuwaqqat ◽  
Bruno Lima ◽  
An Young ◽  
Samaah Sullivan ◽  
Amit Shah ◽  
...  

OBJECTIVES/GOALS: Young and middle-aged adults with a myocardial infarction (MI) represent an understudied group potentially with unique risk indicators such as emotional stress. We sought to investigate if mental stress-induced myocardial ischemia (MSIMI), a marker of cardiovascular vulnerability to psychological stress, is associated with poor outcomes among this population. METHODS/STUDY POPULATION: We studied 306 patients (150 women and 156 men) ≤61 years of age who were hospitalized for MI in the previous 8 months. Clinical, behavioral and psychosocial factors were assessed with standardized measures. Patients underwent myocardial perfusion imaging with mental stress (public speaking) and conventional stress (exercise or pharmacological testing). MSIMI and conventional stress-induced ischemia were defined as a new or worsening perfusion defect. Patients were followed for 3 years for adverse events, which were independently adjudicated. Cox proportional hazard models were used to estimate the association of MSIMI and CSIMI with a composite endpoint of recurrent MI or cardiovascular (CV) death with adjustment for demographic, clinical and psychosocial risk factors. RESULTS/ANTICIPATED RESULTS: The mean age of the sample was 50 years (range, 22-61). MSIMI occurred in 16% of the patients, and conventional ischemia in 35%. Over a 3-year follow-up, 28 individuals had a recurrent MI and 2 died due to cardiovascular causes. The incidence of the composite endpoint of MI or CV death was more than doubled in patients with MSIMI (20%) than those without MSIMI (8%), HR 2.6, 95%CI, 1.2-5.6. Further adjustment for demographic and clinical risk factors and depressive symptoms did not substantially change the relationship. In contrast, conventional stress ischemia was not significantly related to the outcome (HR 1.4, 95%CI, 0.6-3.0). DISCUSSION/SIGNIFICANCE OF IMPACT: Young and middle-aged individuals with MSIMI after MI have a >2-fold higher likelihood of recurrent MI and CV mortality compared with those without MSIMI. In this patient group, MSIMI is a better risk indicator than ischemia with a conventional stress. These findings point to psychological stress as an important determinant of risk in this patient population. Ischemia induced by mental stress is a potent risk indicator in young post-MI patients. Stress-reduction interventions may be especially beneficial in patients who show this abnormal response.


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