Keynote Prescription in Homoeopathy: A Prospective Series of Fifteen Consecutive Cases

2020 ◽  
Vol 33 (02) ◽  
pp. 109-115
Author(s):  
Abhiram Banerjee ◽  
Rajib Purkait ◽  
Gurudev Choubey ◽  
Varanasi Roja

Abstract Background Homoeopathy is a system of therapeutics which has a holistic approach towards diseased individual. Prescription in homoeopathy is based on individualisation which can be achieved in various ways. Keynote method is one of such various ways of prescription which needs to be validated by documentation of adequate and valid evidences in its favour. Methods This article presents a series of 15 consecutive cases in which prescriptions were made on the basis of keynote. The outcome was assessed using Outcome Related to Impact on Daily Living (ORIDL) and Measure Yourself Medical Outcome Profile (MYMOP-2) scale. Modified Naranjo criteria were used to find out any possible causal attribution. Result The results reflected improvement in ORIDL scale (+2 and +3). MYMOP-2 for Symptom 1 showed reduction in mean score from 5.60 (standard deviation [SD]: 0.63) to 2.67 (SD: 0.72) after a treatment period of 6 weeks. The reduction was statistically significant (mean difference 2.93 with 95% confidence interval: 2.6–3.2, t-score 19.1382, p < 0.001, paired t-test). The score of Modified Naranjo criteria ranged from 6 to 9. Thus these 15 cases derived the adequate subjective evidences in favour of keynote prescription. Further documentation and studies are warranted.

Author(s):  
Patel Shivangi ◽  
Pateliya Jahnvi ◽  
Makwana Pinal ◽  
Chavda Surbhi ◽  
Mahida Rajan ◽  
...  

Introduction: Vaccination is intended to prevent diseases. Vaccines saves 2-3 million lives every year. A COVID-19 vaccine is one of the best way to provide acquired immunity against COVID -19. The study aims to assess the effectiveness of planned teaching program in terms of knowledge and attitude [1]. Objective: To assess the impact of planned teaching program on COVID- 19 vaccination in terms of knowledge and attitude among the rural people. Method: A quantitative study with one group pre test post test design was conducted at various rural places of Nadiad Taluka. A total 60 people were enrolled in to the study. A structured knowledge questionnaire and likert attitude scale was built that contained information regarding COVID 19 vaccination. The effect of teaching program was analyzed by statically Results: T-test and chi square test was used to find the association with selected demographic variables. In the knowledge regarding COVID-19 vaccination range was 8, mean was 0.849 standard deviation was 0.357, standard error mean was 0.0595. In the attitude range was 33, mean was 4.345, standard deviation was 0.797, standard error mean was 0.132. A knowledge paired t-test value was 5.30 and the attitude paired t-test value was 6.57 was. Conclusion: The planned teaching program was effective in increasing knowledge and attitude regarding COVID-19 vaccination among the rural people of Nadiad Taluka.


2021 ◽  
Author(s):  
Lauren E. Samet ◽  
John A. Lowe ◽  
Alexander N. Lehner ◽  
Wanda McCormick

The growing pet food market for feed supplements offering behavioural support has led to an increase in popularity of use, often without sufficient evidence to support claims. In particular, it is questionable whether various “calming” herbs and herbal blends are truly providing the desired outcomes. This study investigated whether a calming herbal nutraceutical for dogs had an impact on canine behaviour and to what effect. Thirty male English Foxhounds, Canis lupus familiaris, were fed the nutraceutical daily for four weeks following a control period. Overnight behavioural observations from video footage were carried out using scan sampling at sixty second intervals for six-hour periods daily, both in the control week and week four of the feeding trial. Stranger approach tests were also performed during these weeks on three separate occasions. Observation data were analysed using the paired t-test or Wilcoxon signed rank test. The paired t-test indicated a significant reduction in agonistic interactions, play, autogrooming, locomotion and stretching within the group. The stranger approach tests showed a significant increase in the number of hounds approaching the stranger, moving away, lying, standing, and sitting during the trial week, and a significant decrease in instances of hounds resting. Reduction in group agonistic and play interactions overnight suggests signs of a “calmer” pack. Increase in rest overnight may have impacted daytime behaviours, specifically in response to the stranger approach test. The results warrant further investigation of calming herbal nutraceuticals and their potential value as a tool in a holistic approach to managing canine behaviour.


2020 ◽  
Author(s):  
Kuei-Lin Yeh ◽  
Tai-Yin Wu ◽  
Hsuan-Hsiao Ma ◽  
Sheng-Mou Hou ◽  
Chen-Kun Liaw

Abstract Background: Several cup anteversion measurements for post-operative total hip arthroplasty (THA) surgery have been described. We developed the standardized Liaw’s trigonometric method to eliminate the influence of patient position, which is the most accurate method for cup anteversion measurement. We then developed an ellipse method using the Elliversion software and reported an interobserver error reduction in 2013. In our study, we attempted to apply this ellipse method in the clinic and compared its accuracy with the standard trigonometric version.Methods: In the present study, we attempted to incorporate the ellipse method with Liaw’s standardized anteversion in the simulated cup position. We measured standardized Liaw’s anteversion for 434 radiographs in the clinic using the ellipse method. The Repeatedly Standard Deviation (RSD) was applied for accuracy evaluation. Furthermore, paired t-test was used for comparison with the interobserver and intraobserver errors. Results: We found that the standardized Liaw’s anteversion measured using the ellipse method showed lower repeated standard deviation than the radiographic version. RSD was 0.795 in the standardized Liaw’s anteversion with ellipse method group. The p-values of the paired t-test were all higher than 0.05 when measuring the interobserver and intraobserver bias. It indicated that the ellipse method was a precise and simple tool for cup anteversion measurement. Conclusion: We believe that this ellipse measurement can assist surgeons while placing the acetabulum cup into the precise position and enable early diagnosis of acetabulum loosening.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Kotecha ◽  
S Choudhury ◽  
P Iyer ◽  
A Rajangam ◽  
P Chandak

Abstract Aim The aim of this paper is to evaluate the effectiveness of student-led holistic undergraduate surgical conferences in increasing exposure to surgery amidst a decline in the surgical curriculum. Method This study was carried during the National Surgical Society Congress between (18-19th January 2020). Questionnaires collecting qualitative and quantitative feedback were distributed to 85 students before and after the conference with the option of an opt-out email. A paired t-test was used to measure pre- and post-conference responses quantitatively with p &lt; 0.05 being considered statistically significant. Results 85 students attended the conference; 55 (65%) filled out both questionnaires, 50.9% were in pre-clinical years, 46.6% were in clinical years and 5.5% were intercalating. The conference demonstrated a significant increase in both knowledge and confidence across the lectures and workshops respectively. In addition to this, the creative exhibition was rated as 4.03± 0.78 out of 5 and there was also a statistically significant increase (p = 0.83) in interest in entrepreneurship after the hackathon (2.33 → 3.16). Students did not demonstrate a statistically significant difference in likelihood of pursuing a career in surgery pre- and post-conference but reported a significant increase in confidence with the surgical training pathways and opportunities. Conclusions Our study demonstrates significant learning potential of undergraduate surgical conferences. Overall, the purpose of the conference in fostering a holistic approach to surgery was achieved, empowering students with transferable knowledge and surgical skills and giving them confidence in understanding how to pursue a career in surgery.


2018 ◽  
Author(s):  
Αντώνιος Χατζόπουλος

Σκοπός της παρούσης μελέτης με βάση τα προαναφερθέντα ήταν η μέτρηση των παραγόντων μονοξειδίου του αζώτου (ΝΟ), υπεροξειδίου του υδρογόνου Η2Ο2 –PerOx και της καλπροτεκτίνης σε ασθενείς με Αγγειακό Εγκεφαλικό Επεισόδιο (ΑΕΕ) καθώς και η συσχέτιση τους με στοιχεία του ατομικού αναμνηστικού τους. Ασθενής και Μέθοδος. Στη μελέτη μας, η οποία διενεργήθη, κατόπιν εγκρίσεως του Επιστημονικού Συμβουλίου του Νοσοκομείου, συμμετείχαν 42 ασθενείς (μ.ο. ηλικίας 72.67+7.851 έτη) (29 άνδρες και 13 γυναίκες) με ΑΕΕ, οι οποίοι προσεκομίσθηκαν στο Τμήμα Επειγόντων Περιστατικών του Γενικού Νοσοκομείου Άργους, μεταξύ Σεπτεμβρίου 2007 και Απριλίου 2016. Η διάγνωση πραγματοποιήθηκε με βάση το ιστορικό, τα ευρήματα της νευρολογικής εξέτασης, εργαστηριακές εξετάσεις και τη διενέργεια αξονικής τομογραφίας εγκεφάλου. Εξασφαλίστηκε η γραπτή συγκατάθεση των ασθενών ή των συνοδών τους, σχετικά με την χρήση των ιατρικών τους δεδομένων, κατόπιν ενημέρωσης τους για τους ερευνητικούς σκοπούς της μελέτης. Ασθενείς με νευρολογικά και αιματολογικά νοσήματα, χρόνια νεφρική ανεπάρκεια, χρόνια αποφρακτική πνευμονοπάθεια και αγγειακό εγκεφαλικό επεισόδιο στο παρελθόν αποκλείστηκαν από τη μελέτη. Στη μελέτη έλαβαν μέρος 23 άτομα (μ.ο. ηλικίας 70.91+9.01 έτη) με ελεύθερο ατομικό αναμνηστικό - υγιείς δότες αίματος - ως ομάδα ελέγχου.Οι ασθενείς υποβλήθηκαν σε αιμοληψία κατά τη χρονική στιγμή της εισόδου τους στο Τμήμα Επειγόντων Περιστατικών του Γενικού Νοσοκομείου Άργους (Τ0) και με την πάροδο 8ώρου (Τ1). Τα επίπεδα NO, PerOx και καλπροτεκτίνης μετρήθηκαν με τη βοήθεια της μεθόδου ELISA, χρησιμοποιώντας εμπορικά kits. Εξαιτίας της αστάθειας που χαρακτηρίζει το ΝΟ η μέτρηση του έγινε έμμεσα με τον υπολογισμό της σχέσης nitrate/nitrite.Η στατιστική ανάλυση πραγματοποιήθηκε με τη βοήθεια του SPSS 23.0 (Windows Version). Τα στοιχεία παρουσιάστηκαν με την Mean ± Standard Deviation (S.D.) Paired T-test και Mann–Whitney U test. Έπισης το Wilcoxon signed ranks test χρησιμοποιήθηκε όπου κρίθηκε αναγκαίο. Η τιμή p μικρότερη του 0.05 ήταν στατιστικά σημαντική (p ≤ 0.05). Αποτελέσματα. 42 ασθενείς (μέση ηλικία 72.67 ± 7.851 έτη) με ΑΕΕ και 23 υγιή άτομα (70.91 ± 9.01 έτη) έλαβαν μέρος στη μελέτη. Ο μέσος δείκτης μάζας σώματος των ασθενών ήταν 28.9 (εύρος 20.9-40.4). Eκ των ασθενών που συμμετείχαν στη μελέτη 64% ήταν υπερτασικοί, ενώ το 38% και 23% είχαν ιστορικό σακχαρώδους διαβήτη και στεφανιαίας νόσου, αντίστοιχα. 5 ασθενείς είχαν υπερλιπιδαιμία και 4 κολπική μαρμαρυγή. 3 ασθενείς δεν είχαν καμία συνοσηρότητα.Τη χρονική στιγμή Τ0 τα επίπεδα NO ορού ως Nitrate/Nitrite ήταν χαμηλότερα στους ασθενείς συγκριτικά με την ομάδα ελέγχου (-1.870 ± 1,820 vs 0.034 ± 0.048, p<0.001). Μετά από 8 ώρες παραμονής στο νοσοκομείο τα επίπεδα το NO (0.949 ± 2.191) ήταν υψηλότερα απ΄ότι την χρονική στιγμή Τ0 (-1.870 ± 1.820) στην ομάδα των ασθενών ( p<0.05). Επιπρόσθετα, τα επίπεδα της καλπροτεκτίνης στον ορό ήταν υψηλότερα την Τ0 συγκριτικά με την Τ1, στην ομάδα των ασθενών (12.983 ± 1.377 vs 12.363 ± 0.990 mmol/l, p<0.01). Διαχωρίζοντας τους ασθενείς σε 2 ομάδες με βάση την υπάρξη αρτηριακής υπέρτασης ανεδείχθη ότι οι υπερτασικοί ασθενείς (64.3%) είχαν χαμηλότερα επίπεδα NO την Τ0 σε σύγκριση με τους μη υπερτασικούς ασθενείς (-2.387 ± 1.739 vs -0.938 ± 1.624, p = 0.012). Η διαφορά αυτή δεν παρατηρήθηκε την Τ1. Ο διαχωρισμός των ασθενών με βάση την παρουσία στεφανιαίας νόσου (ΣΝ) ανέδειξε ότι οι ασθενείς ΣΝ (24%) είχαν υψηλότερα επίπεδα NO την Τ0 και χαμηλότερα επίπεδα PerOx την Τ1 συγκριτικά με τους ασθενείς χωρίς ΣΝ (p=0.003 και p=0.001, αντίστοιχα). Η κατηγοριοποίηση των ασθενών με βάση την ύπαρξη σακχαρώδους διαβήτου (ΣΔ), ανέδειξε ότι τα επίπεδα καλπροτεκτίνης στους διαβητικούς ασθενείς (38%) ήταν χαμηλότερα απ΄ ότι στους μη σακχαροδιαβητικούς ασθενείς την Τ0 (12.215 ± 1.363 vs 13.481 ± 1.170 mmol/l, p = 0.014). Αυτή η διαφορά δεν παρατηρήθηκε μετά από 8ωρη παραμονή στο νοσοκομείο. Θετικές και αρνητικές συσχετίσεις μεταξύ των παραμέτρων που μετρήθηκαν ανεδείχθησαν στους ασθενείς και την ομάδα ελέγχου. Συμπέρασμα. Αυτή η μελέτη αναδεικνύει τις αλλαγές στην οξειδωτική κατάσταση, στα πρώιμα στάδια του ΑΕΕ και την σχέση αντίστοιχων δεικτών με το ατομικό αναμνηστικό του ασθενούς, ενώ προτείνει την καλπροτεκτίνη ως ένα νέο βιοδείκτη του ΑΕΕ. Η συσχέτιση αυτή προσφέρει γόνιμο έδαφος για την περαιτέρω έρευνα τόσο σε κλινικό όσο και πειραματικό επίπεδο.


2021 ◽  
Vol 12 (5) ◽  
pp. 49-52
Author(s):  
G Bhuvaneswari ◽  
Guna J Priya

Leucorrhea is a major gynaecological disorder that impacts women in both aspects, mentally and physically. The coriander seeds, water is used as a non-pharmacological approach to reduce the clinical symptoms of Leucorrhea. The present study aims to determine the effectiveness of coriander seeds soaking water among women with Leucorrhea. A total of 30 samples were collected using the purposive sampling technique and women with symptoms of Leucorrhea were used as samples. The demographic data and clinical variables were collected from the samples, followed by pretest were conducted by using standardized Leucorrhea assessment scale and numerical itching scale. After a period of intervention with coriander seeds water. Post-test was done by using the same Leucorrhea assessment scale. The study depicts that the pretest mean score of symptoms was 21.53 with a standard deviation of 5.34 and the posttest mean score of symptoms was 17.83 with a standard deviation of 3.96. The calculated paired ‘t’ test value of t = 3.022 was found to be statistically significant at p < 0.01 level. It also depicts that the pretest mean score of itching was 6.23 with a standard deviation of 2.61 and the posttest mean score of symptoms was 4.27 with a standard deviation of 1.74. The calculated paired ‘t’ test value of t = 3.079 was found to be statistically significant at p < 0.01 level. This infers that there was significant improvement was observed that coriander seeds, water on Leucorrhea were found to be effective in reducing the level of symptoms and itching among women with Leucorrhea


2021 ◽  
Vol 14 (1) ◽  
pp. 605-611
Author(s):  
Hala Alhodaib ◽  
Manal Alshakhs ◽  
Sara Alsaidan ◽  
Hamdah Aldossari ◽  
Maryam Alnass ◽  
...  

Purpose: The objective of this research was to evaluate the role of Twitter in increasing the awareness and knowledge of diabetes among citizens of Saudi Arabia. Methods: In this research we used a purposive sampling method and carried out a quantitative experimental study design. The participants were adults Twitter users from Saudi Arabia that had relative diabetic patients. The sample size was 200 participants, which were divided into an intervention and a control group. Each group consisted of 100 participants. The intervention group was recruited through Twitter, and the control group was recruited through WhatsApp. Data were analyzed and interpreted using statistical techniques, such as paired t-test, the simple t-test and the ANOVA. Results: The mean diabetes knowledge test (DKT) score of the intervention group was Mean=13.57, SD= 3.46. After the intervention process, the mean (M) increased to 17.06 and the standard deviation (SD) decreased to 2.35. According to these outcomes, the paired t-test showed that the use of Twitter had an influence on increasing diabetes awareness. Instead, for the control group, the mean (M) was 13.68, and the standard deviation (SD) was 3.72 at the baseline. During the study process, the mean (M) of the control group increased to 14 and the standard deviation (SD) augmented to 3.59. Then, according to the paired t-test, we concluded that in the control group, there was no effect on the participants’ knowledge. Conclusion: The results suggested that Twitter had a positive impact on increasing awareness and diabetes knowledge among adult Twitter users in Saudi Arabia.


2021 ◽  
Vol 6 (4) ◽  
pp. 93-98
Author(s):  
Vaishnavi. D

Aim: Effectiveness of beet root juice on reduction of blood pressure among people with hypertension at Sothupakkam, Kanchipuram district Objectives: (i) to assess the level of blood pressure among people with hypertension residing at Sothupakkam. (ii) to evaluate the effectiveness of beetroot juice on reduction of blood pressure among people with hypertension (iii) to find out the association between effectiveness of beetroot juice on reduction of blood pressure with the selected demographic variables. Methodology: Researcher adopted the quantitative research approach, one group pre test and post test design, study samples with the age group 25-65 years old for 60 samples at Sothupakkam Kanchipuram district using purposive sampling technique Results: The findings of the study was pre and post systolic mean difference 30.66 with the standard deviation 10.39 and applying paired ‘t’ test value 22.8 and pre and post diastolic mean difference 17.33 with standard deviation 10.22 and applying the paired ‘t’ test value 13.1 since the calculated value was greater than the table value at 0.05 level of significance. Hence it was significant improvement in reduction of blood pressure among people with hypertension. It has shown that the consumption of beet root juice was effective Conclusion: The present study was conducted in sothupakkam village with the sample size 60 people with hypertension and they had been administered with the beet root juice on reduction of blood pressure which showed the remarkable changes in the health status of the susceptible of people with hypertension and they had give the feedback regarding the effectiveness of the natural home remedy. Keywords: Beet root juice, hypertension, high blood pressure.


2019 ◽  
Vol 5 (1) ◽  
pp. 24-34
Author(s):  
Sheila Clarissa Clarissa ◽  
Jusak Nugraha Nugraha ◽  
Triagung Ruddy

Background: PRP is a relatively new field and there is still minor researches that are usage. However, PRP can be applied to a lot of various fields. This study willmake a comparison between tubes that have sodium citrate anticoagulant and tubes that have ACD-A anticoagulants, to be able to find out which of the two are able to produce a higher number of PRPs. Objective: To obtain the anticoagulants that produce more platelet countsand to know the difference in the platelet counts in PRPs found in tubes that have sodium citrate anticoagulants and tubes that have ACD-A anticoagulants. Method: This study was an experimental laboratorium research with an equivalent control group design. Data is normally distributed, so that the parametic statistical analysis test uses Paired T-Test. Results: From 32 respondents, there was an increase in both anticoagulant tubes, where the average increase in platelet counts in PRP using sodium citrate tubes was 337593.75 / μl and the standard deviation was 158795.437 whereas, the average increase in platelet counts in PRP using ACD-A tubes was 909062.50 / μL and the standard deviation is. 284336.005. The difference in platelet counts in PRP using sodium citrate tubes and ACD-A tubes was stated to be significant because the result of the Paired T-Test analysis showed Sig (2-Tailed) = 0,000 (p <0.05). Conclusion: There was a significant difference platelet counts in PRP using sodium citrate tubes and ACD-A tubes. Tubes that have ACD-A anticoagulants had higher results than the ones that have sodium citrate anticoagulant.


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