Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Managament of Bhagandara (Fistula-in-Ano) by Palasha Ksharasutra prepared with Arkaksheera - A Case Report.

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ganapathi Rao ◽  
Vijay Kumar ◽  
Ashok Naikar ◽  
Chandrakanth Halli
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Success Rate ◽  
Spinal Anesthesia ◽  
Curcuma Longa ◽  
Weekly Interval ◽  
Butea Monosperma ◽  
Fistula In Ano

A standard Ksharasutra is practiced in treatment of Bhagandara (fistula-in-ano) with high success rate and minimum recurrence rate. In previous research it was noted that Pittaja Prakruti patients sometime might cause more perianal irritation due to Apamarga Ksharasutra. So in this study Palasha Ksharasutra prepared in Arkaksheera was prepared by Palasha Kshara (Ash of Butea monosperma), Arka Ksheera (Calotropis gigantic) and turmeric powder (Curcuma longa). This Ksharasutra was prepared as per the API guidelines and preserved in air tight tube. A patient of Pittaja predominant Prakruti with fistula-in ano having two external opening at 6 and 7 O’ clock position of anus was treated with application of Ksharasutra. The Palasha Ksharasutra prepared in Arkaksheera was applied in these two opening under spinal anesthesia. Then Ksharasutra was changed by weekly interval under local xylocaine jelly 2%. The length of thread was measured weekly and noted in the case to assess the unit cutting time (UCT). The unit cutting time (UCT) of first thread was 7.5 days/cm and second one had UCT 6.8 days/cm. During the treatment patient was doing his job regularly without hampering the quality of life. After 2 months patient was free from all symptoms of fistula with normal scar and without any complications. This case study demonstrated the utility of Palasha Ksharasutra prepared in Arkaksheera in multiple fistula-in ano.

scholarly journals Management of Chronic Pain Using Acupuncture as a Standalone Treatment – A Case Study

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Hamad AlKahtani ◽  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Case Report ◽  
Short Form ◽  
Single Case ◽  
Current Case ◽  
Positive Effects ◽  
Pain Medications

Chronic pain is a suffering which patients endure due to various injuries or condition and has a significant impact on the overall quality of life. Where traditional medicine fails to bring the desired results for the patient, use of acupuncture to manage chronic pain has been reported to have beneficial results. The current case report aims to report the positive effects of acupuncture in managing chronic pain through presentation of a single case. The patient had a four-week PT Program, seen twice a week for acupuncture (Bilateral BL 23BL25, GV4, GV 3, and bilateral LI4). The main outcome measures used were visual analogue scale, Short Form 36 Health Survey (SF-36) and Oswesrty Low Back Disability Questionnaire. At the end of treatment, the patient had significant reduction in pain and improved outcomes thus supporting the use of acupuncture for pain management in chronic pain patients. The current case report affirms that acupuncture is both safe and effective in managing chronic pain and quality of life. Bilateral BL23, BL25, GV4, GV 3, and LI4 points used in the current case study has proven to be helpful in helping patient come off long-term pain medications.

scholarly journals VACCINE-INDUCED DEVELOPMENTAL DELAY: A CASE REPORT

2019 ◽  
Vol 12 (1) ◽  
pp. 4 ◽  
Author(s):  
Keerthana Chandrasekar, ◽  
Tenzin Tsundue ◽  
Ponnusankar S
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Developmental Delay ◽  
Preventive Measure ◽  
Economic Cost ◽  
Acquired Immunity ◽  
Evidence Based ◽  
Bacillus Calmette Guerin ◽  
Poliomyelitis Vaccine

Vaccines are weakened or dead microbes injected for the development of an acquired immunity as a preventive measure, also including the use of microbial proteins. The spectrum of adverse events following vaccination has been increasing as well with increasing number of reports detailing the events following immunization. The rate of morbidity and mortality of many communicable diseases has significantly decreased with time with relieve to the quality of life as well as the overall pharma economic cost. In this case report vaccine-induced developmental delay was observed in a child of 16 months of age. The child was born with low birth weight despite which the child was administered with hepatitis B vaccine, poliomyelitis vaccine, and bacillus Calmette-Guerin within 24 h of birth. Consecutive clinical outcomes followed throughout the years, which induced a developmental delay in this child. This case clearly signifies the need for more evidence-based implementation for the management of various diseases at secondary care hospitals.

Management of Hydradenitis Suppurativa by Apamarga Kshara Sutra - A Case Study

2017 ◽  
Vol 2 (05) ◽  
Author(s):  
Chiranth Kumar R. ◽  
Syeda Ather Fathima ◽  
Kulkarni Sharad
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Treatment Modalities ◽  
Acne Inversa ◽  
Apocrine Gland ◽  
Hypertrophic Scarring ◽  
Profound Impact ◽  
Axillary Region

Hydradenitis suppurativa (HS), also known as Acne Inversa, is a chronic disease characterized by recurrent, painful, deep-seated, rounded nodules and abscesses. Subsequent hypertrophic scarring and suppuration of apocrine gland bearing skin: axilla, groin, peri-anal and perineal regions are main features. Onset is usually after puberty. The disease tends to become chronic with subcutaneous extension leading to indurations, sinus and fistula having a profound impact on the quality of life. The exact aetiology remains unknown. The clinical features of HS can be compared with Naadivrana mentioned in classics. Treatment modalities of Naadivrana includes mainly Ksharataila Poorana and Ksharasutra application are adopted in the present case. A case report of patient suffering from HS since 4.5 years (c/o multiple pus discharging abscesses and hardened area in both axillary region) was treated by number of allopathic surgeons and physicians but there was minimal relief and recurrence (6-7 times) even after Incision and Drianage (IandD) and wide excision. The patient was under Ayurveda treatment for approximately 5 months and pus discharge, hardness reduced completely and is on followup since 8 months there is no recurrence, patient was treated internally with Gandakarasayana, Triphala Guggulu and Varunadi Kashaya. Apamarga Kshara Taila infiltration followed by Apamarga Kshara Sutra application to the intercommunicating sinuses, adviced to maintain local hygiene.

scholarly journals A 72-year-old lady with urinary incontinence: A case study

1999 ◽  
Vol 55 (3) ◽  
pp. 21-23
Author(s):  
A. Van der Spuy ◽  
M. Papadopoulos
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Case Report ◽  
Older Persons ◽  
Complex Problem ◽  
Dramatic Improvement ◽  
Patient History ◽  
Continence Status

Urinary incontinence is a far-reaching and complex problem for older persons and has major psychosocial, economic and health consequences in affected women. The aim of this case report is to demonstrate that simple physiotherapeutic intervention can bring about dramatic improvement in the continence status of a patient and as a result improve the quality of life of such a patient. A literary review, the patient history, profile and the findings of the physical examination are presented. Physiotherapy and the outcomes are further discussed.

scholarly journals VACCINE-INDUCED DEVELOPMENTAL DELAY: A CASE REPORT

2019 ◽  
Vol 12 (1) ◽  
pp. 4
Author(s):  
Tenzin Tsundue ◽  
Ponnusankar S
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Developmental Delay ◽  
Preventive Measure ◽  
Economic Cost ◽  
Acquired Immunity ◽  
Evidence Based ◽  
Bacillus Calmette Guerin ◽  
Poliomyelitis Vaccine

Vaccines are weakened or dead microbes injected for the development of an acquired immunity as a preventive measure, also including the use of microbial proteins. The spectrum of adverse events following vaccination has been increasing as well with increasing number of reports detailing the events following immunization. The rate of morbidity and mortality of many communicable diseases has significantly decreased with time with relieve to the quality of life as well as the overall pharma economic cost. In this case report vaccine-induced developmental delay was observed in a child of 16 months of age. The child was born with low birth weight despite which the child was administered with hepatitis B vaccine, poliomyelitis vaccine, and bacillus Calmette-Guerin within 24 h of birth. Consecutive clinical outcomes followed throughout the years, which induced a developmental delay in this child. This case clearly signifies the need for more evidence-based implementation for the management of various diseases at secondary care hospitals.

scholarly journals ROLE OF SHODHANOTTARA GUDA TAILA PRAYOGA IN THE MANAGEMENT OF TAMAKA SHWASA

2021 ◽  
Vol 12 (5) ◽  
pp. 8-12
Author(s):  
Ganashree S ◽  
Fareeda Begum Shaikh ◽  
Madhav Diggavi
Keyword(s):  
Quality Of Life ◽  
Evidence Based ◽  
Scientific Approach ◽  
Before And After ◽  
Socioeconomic Burden ◽  
Present Case Study ◽  
Current Standards

Tamaka Shwasa is tridoshaja vatakapha pradhana avaranajanya Yapya vyadhi and requires Samhita based evidence-based scientific approach with current standards. Tamaka Shwasa is nearer to bronchial asthma identified with airway obstruction, inflammation, producing extra mucus making it difficult in breathing with a prevalence rate of 2.05% of 18 million asthmatics in the nation leading to reduced quality of life along with socioeconomic burden. The contemporary steroidal research has not yielded satisfactory outcomes and is a threat to safety. A case of Tamaka Shwasa from the OPD of TGAMC&H, c/o Shwasa Krichrata, Kasa etc. with PEF-250 Lt/min, AEC-970cells/cumm. has been taken for the present case study. After the diagnosis of Tamaka shwasa by Pratyatma lakshanas and relevant investigations, managed with Sadhyovamana, virechana and shaman aushadhi like guda taila yoga. Improvements were noticed in Kasa Shwasa Krichrata, Gurgurata, asino labhate sukham, parshwashula. Also, improvements were observed in Spirometry taken before and after treatment. The combined effect of shodhana followed by shaman acts as deepana, pachana, Srotoshodhaka, kaphahara, vatanulomana, Rasayana, brahmana, shwasahara. Shodhanottara guda taila prayoga showed significant improvements in both subjective and objective parameters taken in the study.

scholarly journals Management of Melasma through Panchakama- A case study

2020 ◽  
Vol 6 (3) ◽  
pp. 135-138
Author(s):  
Poonam Verma ◽  
◽  
Latika ◽  
D Prasanth ◽  
Santoshkumar Bhatted ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Cost Effective ◽  
Medical Treatments ◽  
Cost Effective Treatment ◽  
Negative Impacts ◽  
New Treatments

Introduction. Skin reflects our physiology and emotions too. In present era each and every one desire to have healthy and beautiful skin. Any changes or disease of skin creates apart from physical and psychological and social negative impacts. Hyperpigmentation or melasma is one of the such raised problem in our country as it has significant impact on beauty and appearance. It is more prevalent in women, in an estimated 9:1 ratio compared to men. In addition, there are high expenditures related to medical treatments and procedures whose results do not always meet the expectations of patients. hence it is need of an hour to provide safe and cost effective treatment for the skin disease like melasma. In addition to traditional treatments for melasma, there are also promising new treatments, including topical, oral, and procedural therapies Materials & Methods: It is a Case report on 28 year old female patient diagnosed as a case of Melasama (Vyanga) managed through Ayurveda treatment like Vaman Karma and Ayurveda medication Assessment was made on the basis of significant change in MASI score and quality of life (melas Qol) Observation & Results: Observation was done before treatment after treatment and during follow up The changes computed in Masi score in which degree of pigmentation decline to 10 to 6, quality of life improve 60 to 48. Conclusion: The computed data from the present study shows that Vamana Karma along with Ayurvedic oral Ayurveda medication is effective in the treatment of melasma (Vyanga).

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