{"created":"2023-07-25T08:14:41.575669+00:00","id":15810,"links":{},"metadata":{"_buckets":{"deposit":"ae998c3e-482c-46a5-8d72-5877c12d283f"},"_deposit":{"created_by":18,"id":"15810","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"15810"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00015810","sets":["57:86"]},"author_link":["139318"],"item_5_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2021-02-09","subitem_date_issued_type":"Collected"}]},"item_5_date_granted_54":{"attribute_name":"学位授与年月日 ","attribute_value_mlt":[{"subitem_dategranted":"2021-02-25"}]},"item_5_degree_grantor_53":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"鹿児島大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"17701","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_42":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士(歯学)","subitem_degreename_language":"ja"},{"subitem_degreename":"Doctor of Philosophy in Dental Science","subitem_degreename_language":"en"}]},"item_5_description_17":{"attribute_name":"ファイル（説明）","attribute_value_mlt":[{"subitem_description":"博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"Purpose: Intravenous sedation is considered to decrease patient anxiety and tension during dental treatment, thereby reducing fluctuations in autonomic nerve activity and  the  risk  of  medical  emergencies.  We  hypothesized  that  intravenous  sedation would suppress the sympathetic nervous system during tooth extraction and relieve patient anxiety. Accordingly, the purpose of this study was to investigate the effects of intravenous sedation on autonomic nerve activity and psychological state during impacted mandibular third molar (IMTM) extraction.\nMethods: This prospective study included 40 healthy women scheduled for IMTM extraction under local anesthesia alone (control group; n =   20) or local anesthesia and intravenous sedation (sedation group; n =  20); of these, 34 women were evalu-ated. Heart rate variability (HRV) was analyzed to evaluate autonomic nerve activity. HRV and circulatory dynamics were measured during the treatment. The Modified Dental Anxiety scale and State-Trait Anxiety Inventory (STAI-S and STAI-T) scores were obtained before treatment. STAI-S scores were also obtained after treatment. Descriptive and bivariate statistical analyses were conducted, and a P-value <.05 was considered statistically significant.\nResults: The low-frequency/high-frequency ratio was lower in the sedation group than in the control group (P<   .01). Compared with the control group, the sedation group showed a significantly greater decrease in post-treatment STAI-S scores rela-tive to pre-treatment scores (P<    .01).\nConclusions: The findings suggest that sedation suppresses the sympathetic nervous system during IMTM extraction and decreases anxiety after the extraction. Further research should elucidate the mechanisms by which sedation suppresses the sympa-thetic nervous system.\n\nThis is the peer reviewed version of the following article:\nMinako Uchino, Kaoru Yamashita, Toshiro Kibe, Rumi Shidou, Atsushi Kohjitani, Mitsutaka Sugimura\nEffects of intravenous sedation on autonomic nerve activity and the psychological state during tooth extraction: A prospective non-randomized controlled trial\nOral Science International (2021), 18(2), 135–140\n© 2020 Japanese Stomatological Society\nwhich has been published in final form at https://doi.org/10.1002/osi2.1094 \nThis article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_dissertation_number_55":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲総研第583号"}]},"item_5_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"Japanese Stomatological Society","subitem_publisher_language":"en"},{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"},{"subitem_publisher":"カゴシマ ダイガク","subitem_publisher_language":"ja-Kana"}]},"item_5_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_5_text_44":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_text_value":"【指導教員:杉村光隆】"}]},"item_5_text_47":{"attribute_name":"date.appl","attribute_value_mlt":[{"subitem_text_value":"【学位申請日】2021-01-06"}]},"item_5_version_type_14":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"内野, 美菜子","creatorNameLang":"ja"},{"creatorName":"ウチノ, ミナコ","creatorNameLang":"ja-Kana"},{"creatorName":"Uchino, Minako","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-07-04"}],"displaytype":"detail","filename":"Diss_内野_美菜子_4517810203_2020.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Diss_内野_美菜子_4517810203_2020","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/15810/files/Diss_内野_美菜子_4517810203_2020.pdf"},"version_id":"01b3806d-7bf6-475d-9b97-7e362cde257c"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-09-07"}],"displaytype":"detail","filename":"Abstract_内野_美菜子_4517810203_2020.pdf","filesize":[{"value":"86.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Abstract_内野_美菜子_4517810203_2020","objectType":"abstract","url":"https://ir.kagoshima-u.ac.jp/record/15810/files/Abstract_内野_美菜子_4517810203_2020.pdf"},"version_id":"7a56034b-93c3-4914-8da0-3dd873ee3a3b"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-04-09"}],"displaytype":"detail","filename":"Result_Uchino_Minako_isk_583.pdf","filesize":[{"value":"225.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Result_Uchino_Minako_isk_583","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/15810/files/Result_Uchino_Minako_isk_583.pdf"},"version_id":"a55f4698-18ad-40aa-b09f-cf5530b9ffd9"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-04-09"}],"displaytype":"detail","filename":"Comments_Uchino_Minako_isk_583.pdf","filesize":[{"value":"94.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Comments_Uchino_Minako_isk_583","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/15810/files/Comments_Uchino_Minako_isk_583.pdf"},"version_id":"257b884a-5a5c-40bc-929d-3fc77a5007fb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"anxiety and tension","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"autonomic nerve activity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intravenous sedation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"psychological state","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"tooth extraction","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Effect of intravenous sedation on autonomic nerve activity and the psychological state during tooth extraction : A prospective non-randomized controlled trial","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Effect of intravenous sedation on autonomic nerve activity and the psychological state during tooth extraction : A prospective non-randomized controlled trial","subitem_title_language":"en"},{"subitem_title":"静脈内鎮静法が抜歯時の自律神経活動と心理状態に与える影響 : 非ランダム化比較試験","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"18","path":["86"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-04-09"},"publish_date":"2021-04-09","publish_status":"0","recid":"15810","relation_version_is_last":true,"title":["Effect of intravenous sedation on autonomic nerve activity and the psychological state during tooth extraction : A prospective non-randomized controlled trial"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2024-01-09T01:59:03.919824+00:00"}