Postbariatric hypoglycemia is a rare but increasingly recognized complication of bariatric surgery,with significant associated morbidity,and many patients often require multimodal treatment.A mixed meal challenge test...Postbariatric hypoglycemia is a rare but increasingly recognized complication of bariatric surgery,with significant associated morbidity,and many patients often require multimodal treatment.A mixed meal challenge test is often helpful to diagnose this condition.This manuscript highlights the underlying mechanisms that lead to this condition and the novel emerging therapeutic targets that target these mechanisms.展开更多
Introduction: Quality of life associated with coronary artery disease can be affected by number of factors. Even though standard treatment has improved survival of such patients, the quality of life may be less than i...Introduction: Quality of life associated with coronary artery disease can be affected by number of factors. Even though standard treatment has improved survival of such patients, the quality of life may be less than ideal as the disease affects the physical, social, and emotional functioning of such individuals. Therefore improvement of the quality of life of the patients with coronary artery disease is vital. Though music has been identified having a potential benefit in improving quality of life for many years, researches conducted to recognize the effect of music on quality of life were sparse. Therefore the aim of this study was to determine the effect of frequent long term listening to Indian classical music on quality of life in chronic stable angina (SA) patients. Methodology: This single blind randomized clinical trial was conducted for one month. The intervention group of 30 patients listened to a music based on Indian classical system at home twice a day complementary to their regular treatment. The control group of 30 was only on their usual treatment. Both groups were assessed before and after the intervention for the quality of life by the Sinhala version of SF-36 questionnaire. Results: A statistically significant increase of scores for physical function by 16.17展开更多
Introduction: Ischaemic heart disease is the number one cause of deaths in the world. As these patients experience severe distress due to a number of associated reasons, it is important to focus on both physiological ...Introduction: Ischaemic heart disease is the number one cause of deaths in the world. As these patients experience severe distress due to a number of associated reasons, it is important to focus on both physiological and psychological needs of the patients in the management. Beyond the standard medical and surgical treatments, relaxation therapies such as relaxing music have been identified as having impact in reducing morbidity in ischaemic heart disease. Even though several studies have been conducted to find out the impact of music on pain, anxiety, heart rate and stress associated with myocardial ischaemia, it is hard to find literature on the long-term effects of music on ischaemia. Therefore the effort of this study was to determine the long-term effects of Indian classical music on state of ischaemia in stable angina. Methodology: A single blind randomized clinical trial was conducted on 60 patients of 45 to 65 years of age with stable angina. Intervention group (n = 30) listened to a music based on Indian classical system at home twice a day complementary to their regular treatment for a period of one month. Control group (n = 30) was only on their usual treatment. Both groups were assessed before and one month after the study period for state of ischaemia based on exercise ECG results. Results: Significant improvement in state of ischaemia (p 0.05). Conclusion: Systematic, regular listening of music based on Indian classical system significantly improved the severity of the state of ischaemia associated with stable angina. Hence music therapy has a potential benefit in considering for use as complementary to angina treatment in reducing morbidity.展开更多
文摘Postbariatric hypoglycemia is a rare but increasingly recognized complication of bariatric surgery,with significant associated morbidity,and many patients often require multimodal treatment.A mixed meal challenge test is often helpful to diagnose this condition.This manuscript highlights the underlying mechanisms that lead to this condition and the novel emerging therapeutic targets that target these mechanisms.
文摘Introduction: Quality of life associated with coronary artery disease can be affected by number of factors. Even though standard treatment has improved survival of such patients, the quality of life may be less than ideal as the disease affects the physical, social, and emotional functioning of such individuals. Therefore improvement of the quality of life of the patients with coronary artery disease is vital. Though music has been identified having a potential benefit in improving quality of life for many years, researches conducted to recognize the effect of music on quality of life were sparse. Therefore the aim of this study was to determine the effect of frequent long term listening to Indian classical music on quality of life in chronic stable angina (SA) patients. Methodology: This single blind randomized clinical trial was conducted for one month. The intervention group of 30 patients listened to a music based on Indian classical system at home twice a day complementary to their regular treatment. The control group of 30 was only on their usual treatment. Both groups were assessed before and after the intervention for the quality of life by the Sinhala version of SF-36 questionnaire. Results: A statistically significant increase of scores for physical function by 16.17
文摘Introduction: Ischaemic heart disease is the number one cause of deaths in the world. As these patients experience severe distress due to a number of associated reasons, it is important to focus on both physiological and psychological needs of the patients in the management. Beyond the standard medical and surgical treatments, relaxation therapies such as relaxing music have been identified as having impact in reducing morbidity in ischaemic heart disease. Even though several studies have been conducted to find out the impact of music on pain, anxiety, heart rate and stress associated with myocardial ischaemia, it is hard to find literature on the long-term effects of music on ischaemia. Therefore the effort of this study was to determine the long-term effects of Indian classical music on state of ischaemia in stable angina. Methodology: A single blind randomized clinical trial was conducted on 60 patients of 45 to 65 years of age with stable angina. Intervention group (n = 30) listened to a music based on Indian classical system at home twice a day complementary to their regular treatment for a period of one month. Control group (n = 30) was only on their usual treatment. Both groups were assessed before and one month after the study period for state of ischaemia based on exercise ECG results. Results: Significant improvement in state of ischaemia (p 0.05). Conclusion: Systematic, regular listening of music based on Indian classical system significantly improved the severity of the state of ischaemia associated with stable angina. Hence music therapy has a potential benefit in considering for use as complementary to angina treatment in reducing morbidity.
