scholarly journals Effect of Rodhradi Gana Udavartana in the Management of Sthaulya (Overweight) with Special Reference to Obesity

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Shweta Parwe ◽  
Manju Mohan ◽  
Piyush Bhagwat ◽  
Milind Nisargandha
Keyword(s):  
The Body ◽  
Research Centre ◽  
Age Group ◽  
Obesity Prevalence ◽  
Way Of Life ◽  
College Hospital ◽  
Level Of Significance ◽  
Day By Day ◽  
Paired T Test

Sthaulya is considered as a consuming issue of today’s time, which can be correlated to obesity. It happens because of the sedentary way of life, unwholesome food propensities, absence of physical exercise, mental pressure, and so forth. It has reached at pandemic degrees in India during the 21st century with dismalness affecting 5% of its people. The obesity prevalence has increased day by day in children and adults. This obesity is associated with many medical illnesses (like Hypertension, atherosclerosis and diabetes). The Acharyas also do an elaborative description of Chikitsa. Generally, it consolidates Shodhana and Shamana therapy. Among them, is the Udavartana Karma which has Kaphahara and Medohara property, and is used as often as possible with Rukshana Dravyas. Hence, our aim is to find out the role of Rodhradi gana Udvartan on sthaulya, and objectives that were assessed are body weight, BMI, Body Circumference and Lipid Profile. This was an Open-labelled single-arm interventional clinical study. Fifteen patients (age group 20 to 50) diagnosed with Sthaulya were registered from the outpatient and inpatient of the Department of Panchakarma, Mahatma Gandhi Ayurved College Hospital & Research Centre, Wardha, Maharashtra, India, and Udavartana with Rodhradigana Churna was done for consecutive 15 days. The selected obese patient’s data were statistically analyzed using Wilcoxon Signed Ranks Test and Paired t-test. Highly significant (p<0.001) result was found in all the assessment of subjective as well as objective parameters. Udavartana has the characteristics of Kapha Hara and Medovilayana properties. Due to Ushna and Tikshna Guna of Rodhradi gana Dravya and strong massage impact, the Virya of medication goes into the body. Thereafter it opens the Siramukha (openings of veins), does the digestion of Kapha and Medas. Based on the results, we concluded that Udavartana with Rodhradigana Churna was profoundly successful in reducing weight, BMI, and Lipid (Kg/cm2, mg/dl) profile with a significant (level of significance 0.05%) reduction in symptoms of Sthaulya.

scholarly journals HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
Gynaecological Surgery ◽  
College Hospital ◽  
Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

scholarly journals Siddha Diagnostic Methodology of Envagai thervu for Gunmam Patients at Government Siddha Medical College & Hospital, Palayamkottai

2020 ◽  
pp. 1-13
Author(s):  
Rakulini Raveendran
Keyword(s):  
Tamil Nadu ◽  
South India ◽  
The Body ◽  
Age Group ◽  
Microsoft Excel ◽  
College Hospital ◽  
Medical College ◽  
Diagnostic Methodology ◽  
The Voice ◽  
Study Setting

Introduction: Siddha Medicine is a system of traditional medicine originating in ancient Tamil Nadu in South India and Sri Lanka. Traditionally, it is taught that the siddhars laid the foundation for this system of medicine. Siddha system has a unique diagnostic method to identify the diseases and their causes. According to the Saint Theraiyar, there are eight tools of diagnosis: symptoms of the body, the colour, the voice, the eyes, the tongue, stools, urine and the pulse. Aim: The aim of this study was to study the siddha diagnostic methodology of envagaithervu for gunmam patient sat government siddha medical college & hospital, palayamkottai. Study Setting: Government Siddha Medical College, Palayamkottai from April to August 2019. Methodology: It is an observational study. After identifying the eligible subjects, Data will be collected by using the interview administrated questionnaire & relevant data will be collected by measurement. Collected data were processed and statistically analysed by a simple statistical method using Microsoft Excel. Results and Discussion: Majority of the gunmam subjects were females (60%) and age group within 41-60 & 51-60 years. The maximum number of subjects were observed in Pitha Kaalam. Majority of the gunmam subjects had Abdominal pain, eructation, generalized body weakness. Vali azhalnaadi (38%) and azhalvalinaadi (32%) were observed in majority of the gunmam subjects. Neikuri was observed as valiazhal & azhalvali in gunmam subjects. Conclusion: This study has given quite evidence for literatures. These collected information are helpful for further studies in gunmam.

Best Qualities of Medical Facilitator, Students Perceptive View

2021 ◽  
Vol 15 (11) ◽  
pp. 3343-3345
Author(s):  
Farrukh Sarfraz ◽  
Sobia Nawaz ◽  
Nadeem Razaq ◽  
Muhammad Saif Ullah ◽  
Zahid Mahmood ◽  
...  
Keyword(s):  
Medical Education ◽  
First Year ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Validated Questionnaire ◽  
The One ◽  
Day By Day ◽  
Data Collection Procedure

Introduction: Medical education is blended day by day and there's a continuing need to assess the role of the facilitator in the field of medical education. A great medical facilitator is the one who clear the way within the making of our future clinicians. In this study we attempted to assess the qualities of best medical facilitator in basics and clinical sciences including all medical, surgical and their allied subjects from first year to final year MBBS Students Objective: To expedite the views of MBBS students at Azra Naheed Medical College about the best qualities of Medical facilitator Material and Methods Study design: quantitative cross sectional Settings: Azra Naheed Medical College Duration: Six months i.e. 1st January 2021 to 30th June 2021 Data Collection procedure: A well planned study was done at Azra Naheed medical college which includes all the MBBS students who participated after giving consent. The total numbers of participants in the study were 400. A validated questionnaire comprises of 12 leading statements regarding best qualities of medical facilitator was circulated. The collected data was analyzed by using SPSS version 23. Results: The total number of participants in the study is 400 in which 60% participants were females and 40% were males. The age group in the study is 18-24 years. In this study top five qualities of nest medical facilitator were highlighted. Conclusion: A great facilitator is somebody who is receptive, engaging and motivating, and who includes a sound knowledge of subject of what they are attempting to instruct. They too have the capacity to communicate well with students. Key words: Medical facilitator, Student, Medical, Qualities

scholarly journals Prevalence of adenomyosis and associated gynaecological pathologies in hysterectomy samples: a retrospective study

2021 ◽  
Author(s):  
Lekshminath Gopinath ◽  
Rajani Vaidya
Keyword(s):  
Tertiary Care ◽  
Abnormal Uterine Bleeding ◽  
Serous Cystadenoma ◽  
Uterine Bleeding ◽  
Research Centre ◽  
Common Symptom ◽  
Age Group ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Case Record

Background: Adenomyosis is a prevalent gynaecological disorder among women and it is a major cause for AUB. Its diagnosis is confirmed by histological examination of hysterectomized samples. Moreover it is associated with other benign gynaecological pathologies. The aim of this study is to identify the prevalence of Adenomyosis and its association with other benign gynaec pathologies in hysterectomized samples.Methods: This retrospective of two year duration was conducted in obstetrics and Gynaecology department of Malabar Medical College Hospital and Research Centre, a tertiary care centre in Kozhikode, Kerala from 2019 June to 2021 June. 452 patients underwent hysterectomy for abnormal uterine bleeding during this period. Among this, 76 patients had histologically proven adenomyosis in hysterectomy specimen and their case record were reviewed and the data was analysed.Results: The prevalence of Adenomyosis in this study was 16.8%. Majority of women were in age group of 41 to 46 (36.8%), followed by 46 to 50 age group (26.3%). 94 % of women were multipara with majority in para2 and para3 group. Only 6 % of women were nulliparous. Most common symptom was abnormal uterine bleeding (92%), followed by dysmenorrhoea and chronic pelvic pain. Majority had overlap of symptoms. 7% of women were asymptomatic. In 60 % of women no other gynaec pathologies were identified. Most common associated pathology was leiomyoma (15.8%), closely followed by endometriosis (13.2%). Endometrial hyperplasia was associated with adenomyosis in 3.9%of women and endometrial polyp in 2.6%. Ovarian pathologies identified were simple ovarian cyst (2.6%) and serous cystadenoma (1.3%).Conclusions: In the present study, the prevalence of adenomyosis was high and abnormal uterine bleeding was the patients’ most prevalent complaint. Among the associated gynaec pathologies, leiomyoma had the highest correlation with adenomyosis.

scholarly journals Role of adenosine deaminase and lymphocyte/neutrophil ratio in the diagnosis of tuberculous pleural effusion in patients with exudative pleural effusion

2017 ◽  
Vol 6 (1) ◽  
pp. 144
Author(s):  
Bijaya K. Behera ◽  
Sathish K. TN
Keyword(s):  
Pleural Effusion ◽  
P Value ◽  
Age Group ◽  
College Hospital ◽  
Tuberculous Pleural Effusion ◽  
Medical College ◽  
Combined Use ◽  
Medical Wards ◽  
Exudative Pleural Effusion

Background: Present study was conducted with an objective to evaluate the role of ADA and lymphocyte/neutrophil ratio in the diagnosis of tuberculous pleural effusion in patients with exudative pleural effusion and to analyze the cause of non-tuberculous exudative pleural effusion.Methods: This hospital based observational study was conducted from August 2011 to September 2013 with a total number of 120 patients of exudative pleural effusion who were admitted in medical wards of MKCG Medical College Hospital, Berhampur, Odisha, India. Patients with transudative pleural effusion, age less than 12years and those who were haemodynamically unstable were excluded from the study. Statistical analysis was done using standard statistical techniques.Results: A total number of 120 patients with exudative pleural effusion were analyzed. 83 patients were males and 37 patients were females. Maximum no of patients were seen in the age group of 21-40 years. Total ADA was found to be >40 U/L in all cases of TB effusion. All cases of TB effusion were lymphocyte predominant with L/N ratio > 0.75. In case of exudative pleural effusion due to non-tuberculous etiology L/N ratio was <0.75. P Value <0.0001 was considered extremely significant for L/N ratio for TB effusion.Conclusions: ADA value more than 100 U/L was observed only in patients of tuberculous effusion. L/N ratio was >0.75 in 97 patients of tuberculous effusion and none of the non-tuberculous effusion. Combined use of ADA and L/N ratio is more efficient means for diagnosing tuberculous pleural effusion than the use of ADA alone.

scholarly journals Role of Computed Tomography in the Evaluation of Pediatric Retroperitoneal Masses: A Retrospective Study

2021 ◽  
Vol 6 (3) ◽  
pp. 237-241
Author(s):  
Gupta Vikrant ◽  
Abrol Deepak
Keyword(s):  
Computed Tomography ◽  
Diagnostic Accuracy ◽  
Imaging Modality ◽  
Clinical History ◽  
The Body ◽  
Age Group ◽  
Laboratory Findings ◽  
Renal Masses ◽  
Contrast Enhanced Ct

Objective: Retroperitoneum is one of the largest spaces in the body. Retroperitoneal (RP) masses are common in paediatric age group and present with vague clinical features. Computed Tomography (CT) is an excellent imaging modality in the evaluation of RP masses. The aim of this study was to evaluate the role of CT in the detection and characterization of RP masses. Materials and Methods: 28 clinically suspected or sonographically detected RP masses formed the material of the study. Detailed clinical history was elicited from the patients/attendants and findings of general physical examination recorded. Non-contrast and Contrast Enhanced CT was performed and masses were evaluated with respect to site of origin, consistency, components and pattern of enhancement. Probable CT diagnosis was made and findings correlated with pathological/laboratory findings wherever possible. The results were subjected to statistical analysis and expressed as percentages and proportions.Results: Majority of patients were seen in 1-5 years age group with M:F ratio of 1.8:1. Lump abdomen was the commonest presenting feature followed by pain abdomen. Lymph nodal masses were the commonest primary RP space mass while renal masses accounted for the majority of secondary RP masses in our study. Pathological/Laboratory correlation was available in 21 cases and CT was able to differentiate benign and malignant lesions in 95.2% cases. Overall diagnostic accuracy of CT in the evaluation of RP masses was 85.7%. Conclusions: CT is a simple and reliable tool in diagnosing pediatric RP masses with a high diagnostic accuracy.

scholarly journals Role of diagnostic laparoscopy in chronic abdominal pain

2020 ◽  
Vol 7 (4) ◽  
pp. 1077
Author(s):  
Anuradha Dnyanmote ◽  
Neha Srivastava ◽  
Debabrata Gope
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Chronic Abdominal Pain ◽  
Research Centre ◽  
Common Finding ◽  
Categorical Variables ◽  
P Value ◽  
Chi Square ◽  
College Hospital

Background: Chronic idiopathic pain syndromes are amongst the most challenging and demanding conditions to treat across the whole age spectrum. Despite these patients having undergone numerous diagnostic work-ups, their pain remains a challenge to all known diagnostic and treatment methods.Methods: To evaluate role of diagnostic laparoscopy in chronic abdominal pain a prospective observational study was done. The present study was conducted on patients with undiagnosed chronic abdominal pain coming to the Department of Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune. 75 patients with chronic abdominal pain who attend the General Surgery Department (OPD) were included in the study. Patients were included in the study after taking their voluntary informed consent. The categorical variables were assessed using Pearson chi-square. The quantitative variables were assessed using T-test. The test was considered significant only if the p value comes out to be less than 0.05.Results: Based on the findings of the study after performing diagnostic laparoscopy for 75 patients with chronic abdominal pain it was found that most common finding was of appendicitis (32%) followed by abdominal Koch’s (24%) and post-operative pain relief using VAS showed p value of less than 0.05 at 3 months of follow up post diagnostic laparoscopy.Conclusions: The present study concluded that laparoscopy is an effective diagnostic role in evaluating patients with chronic abdominal pain, in whom conventional methods of investigations have failed to elicit a certain cause. The advantage of diagnostic laparoscopy over non-invasive methods is the ability to perform therapeutic procedure at the same time in cases of chronic abdominal pain. Diagnostic laparoscopy is safe, cosmetically better and having less morbidity.

scholarly journals Zasady ogólne dotyczące praktyk pokutnych na podstawie Libri poenitentiales

Vox Patrum ◽  
2018 ◽  
Vol 67 ◽  
pp. 225-240
Author(s):  
Michał Kieling
Keyword(s):  
Internal Conversion ◽  
Spiritual Health ◽  
The Body ◽  
The Other ◽  
Way Of Life ◽  
The Third ◽  
Other Hand ◽  
Spiritual Therapy

The article discusses the most important premises which deal with Christian penance from the VI to the XI century. The main sources for the above article are the Penitential Books (Libri Poenitentiales), published as part of the series of Źródła Myśli Teologicznej (ŻMT 58), collected and edited by A. Baron and H. Pietras in 2011. The article consists of three parts. The first part examines the meaning of penance in the life of Christians as a medicine for sin which is an illness of the soul and the body. The second part presents the teaching of peniten­tials on the twelve ways of absolving from sins. The third part provides practical suggestions for confessors and penitents. The Penitential Books, as a witness to the development of penitential practices, confirm the role of individual spiritual therapy in the life of the Christian. This process of regaining of one’s spiritual health takes place, on one hand, through the grace of God’s Mercy, and, on the other hand, through penitential practices whose aim was internal conversion and outward change in one’s way of life.

scholarly journals Assessing the Difference in Time to Increase Hemoglobin Levels at 1 hour, 6 hours, and 12 hours after Blood Transfusion in Thalassemia Patients at the Regional General Hospital Dr. Zainoel Abidin Banda Aceh

2021 ◽  
Vol 3 (2) ◽  
pp. 107-116
Author(s):  
Riny Fasli ◽  
Heru Noviat Herdata ◽  
Dora Darussalam ◽  
Bakhtiar Bakhtiar ◽  
Sulaiman Yusuf ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Total Sample ◽  
The Body ◽  
Age Group ◽  
Cross Sectional ◽  
Globin Chains ◽  
Blood Disorder ◽  
The Difference ◽  
Cross Sectional Design ◽  
Paired T Test

Thalassemia is a congenital blood disorder characterized by reduced production of one or more globin chains. Thalassemia patients lack healthy hemoglobin which the body needs to be properly oxygenated. Blood transfusion is the main treatment for thalassemia patients. Checking hemoglobin levels after transfusion is a common test, but until now there is no definite uniformity of time to carry out these tests, so it will be detrimental to the patient and increase the length of the patient in the hospital. Assessing the difference in time to increase in hemoglobin levels at 1 hour, 6 hours, and 12 hours after blood transfusion in thalassemia patients. This research is an observational analytic study with cross sectional design. This study was conducted by examining the hemoglobin levels of thalassemia patients after 1 hour, 6 hours, and 12 hours after transfusion in thalassemia patients aged 1-18 years with a total sample of 40 people. The statistical analysis used was paired t test. The results showed that 20 men and 20 women and Most were in the age group 10-13 (35%), with an average Hb level at admission of 7.38 g / dL (95% CI). At 1 hour post-transfusion, the patient's mean Hb level increased by 8.97 g / dL (8,59-9,35 g / dL), at 6 hours post transfusion, 8.95 g / dL (8,57-9,32 g / dL), at 12 hours post transfusion increased by 9.60 g / dL (9,17-10,03 g / dL). Significant increase in Hb levels occurred at 1 hour and 12 hours after blood transfusion.

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