scholarly journals Bilateral Distal Clavicle Nonunion: A Case Report

2021 ◽  
pp. 152-156
Author(s):  
Mouad Guenbdar ◽  
Mourad Bennani ◽  
Taoufik Cherrad ◽  
Hassan Zejjari ◽  
Jamal Louaste ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Cold Weather ◽  
Chronic Obstructive ◽  
Therapeutic Decision ◽  
Distal Clavicle ◽  
Obstructive Pulmonary Disease ◽  
Bilateral Fracture

Bilateral clavicle nonunion is extremely rare (4 published cases), and no case of bilateral distal clavicle nonunion has been reported in the literature. We present the case of a 75-year-old patient followed up for chronic obstructive pulmonary disease, presenting a bilateral fracture of the distal clavicle type “Neer 1” following a road traffic accident and orthopedically treated. After 1 year, the patient complained of mild pain at both shoulders occasionally in cold weather and during an unusual effort without neurovascular symptom associated. The shoulder radiographs showed bilateral distal clavicle nonunion. We chose a conservative treatment because of the mild symptomatology, advanced age, and limited functional demands. The functional outcome was satisfactory. The therapeutic decision in the treatment of the bilateral distal clavicle nonunion is difficult, whereas the therapeutic indications are based on symptomatology, functional impairment, age, comorbidities, and functional demands.

scholarly journals MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE THROUGH AYURVEDA AND YOGA – A REVIEW

2021 ◽  
Vol p5 (03) ◽  
pp. 2826-2829
Author(s):  
Falguni Joshi ◽  
Ravi Sharma ◽  
Mahesh Dixit
Keyword(s):  
Risk Factors ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Lifestyle Modification ◽  
Point Of View ◽  
Cold Weather ◽  
Second Hand Smoke ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
And Control

Chronic Obstructive Pulmonary Disease (COPD) which includes chronic bronchitis and emphysema, is the third leading cause of death and over the last 20 years, its prevalence has gradually increased. The key explanation may be rapid socio-economic growth, resulting in a transition from traditional to modern lifestyles. From Ayurveda point of view, COPD can be compared with Pranavaha Srotas disease, as the etiological factors and clinical characteris- tics mentioned in Ayurvedic classics for Pranavaha Srotodushti are almost identical to those for COPD and usually occur in Tamaka Shwasa. Risk factors include exposure to air pollution, second-hand smoke and occupational dusts and chemicals, smoking, cold weather etc. which are also mentioned in Ayurvedic classics “Rajasa Dhoomvatabhyam Shitathanambusevanam Rukshanna Vishmashana”. Identification, reduction, and control of risk factors to prevent the onset of COPD are important steps towards developing strategies for prevention of COPD. References regarding lifestyle modification along with treatment principle & formulations mentioned in Ayurveda can be adopted for the prevention and management of COPD. Keywords: COPD, Yogic procedures, Tamaka Shwasa, Pranavaha Srotasa

scholarly journals "A critical review study on tamak shwas w.s.r. to copd from ayurved perspective."

2020 ◽  
Vol 8 (01) ◽  
Author(s):  
DEEPALI DHARAMDAS CHOUDHARI
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Prevention And Control ◽  
Lifestyle Changes ◽  
Cold Weather ◽  
Chronic Obstructive ◽  
Lung Disorder ◽  
Lifestyle Modifications ◽  
Obstructive Pulmonary Disease ◽  
Review Study ◽  
And Control

Chronic Obstructive Pulmonary Disease (COPD)is 4th leading cause of death and its prevalance is increasing steadily due to lifestyle changes and unhealthy habits. COPD includes Chronic Bronchitis and Emphysema, it is 2nd most common lung disorder after Pulmonary TB.According to Ayurveda,clinical features of COPD can be correlated with disorders of Pranvaha Strotasdusti and occurs usually in prolonged conditions of Tamak Shwasa.Etiological factors includes smoking,cold weather,dust,air pollution, chemicals etc which are also mentioned in Tamak Shwasa hetu-"Rajasa Dhoomvatabhyam Shitathanambusevanam Rukshanna Vishamashana".Identification,Treatment, Prevention and Control of COPD are important steps to be taken along with lifestyle modifications which are well explained in treatment principles and formulations mentioned in Tamak Shwasa for Prevention and Management of COPD.

Oral and Oropharyngeal Sensory Function in Adults With Chronic Obstructive Pulmonary Disease

2020 ◽  
Vol 29 (2) ◽  
pp. 864-872
Author(s):  
Fernanda Borowsky da Rosa ◽  
Adriane Schmidt Pasqualoto ◽  
Catriona M. Steele ◽  
Renata Mancopes
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Oral Cavity ◽  
Pulmonary Disease ◽  
Thermal Sensation ◽  
Sensory Function ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Age Related ◽  
Copd Patients

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.

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