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Effects of speech therapy with poetry on heart rate rhythmicity and cardiorespiratory coordination.

Our objective was to study the effects of guided rhythmic speech with poetry, referred to as anthroposophical therapeutic speech (ATS), on binary differential heart rate dynamics (also called musical heart rate rhythmicity or HRR) as well as on classical spectral parameters during the 15 min after a speech exercise had ended. A total of 105 1-h sessions with speech or control exercises were performed in seven healthy subjects, with 15 sessions each. Heart rate was recorded with ambulatory solid state recorders. Sessions were divided into a 15-min baseline measurement (S1), 30 min of exercise and a 15-min effect measurement (S2). The overall binary pattern predominance (PP) as well as the frequency of predominant and cyclically recurrent cardiorespiratory phase locking patterns were calculated from HRR and their changes from S1 to S2 were compared with the changes in low and high frequency heart rate variability. The results showed that: (i) ATS provokes alterations in heart rate dynamics which are different from those after control exercises and which persist at least for 15 min following exercise; (ii) in comparison to spectral parameters of heart rate variability, pattern predominance discloses the effects of rhythmic speech exercises best; and (iii) cardiorespiratory phase locking patterns, which contribute most to the rhythm pattern predominance, are more prominent after ATS.

Adult↗

Syphilus.

This paper recounts the history of the origin of the term syphilis and presents a partial translation of Fracastoro's poem, Syphilis, Sive Morbus Gallicus, wherein the word first appeared. The circumstances of the first known great epidemic of syphilis are told.

History, 15th Century↗

Caring words.

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Humans↗

Uncertainty by choice: anesthesia and the children of night.

Anesthesiologists sometimes have difficulty discussing uncertainties with patients. The widespread and deeply visceral uncertainty about sleep, dreams, and death--the daily terrain of the anesthesiologist--has its roots in the classical representations of these states as siblings, the children of the goddess Night. The symbolism of mythology can guide the practitioner by recognizing, through allegory, the range of our own and our patients' fears.

Anesthesia↗

Rat of the month.

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Animal Experimentation↗

Fortifying the over forties.

Raymond C. Rowe, in his private prescription column, waxes lyrical on the subject of fortification for the over forties.

Aging↗