scholarly journals A Case of Paraphilia with Osteoporosis and Administered with Depot Leuprorelin

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 705
Author(s):  
Dohee Kim ◽  
Kyoung Min Kim ◽  
Myung Ho Lim
Keyword(s):  
Laboratory Tests ◽  
Sex Addiction ◽  
Public Places ◽  
Continuous Increase ◽  
Gnrh Analogs ◽  
Sexual Molestation ◽  
Chief Complaints ◽  
Gonadotrophin Releasing Hormone ◽  
Supplementary Treatment

Paraphilia is a complex psychological and psychiatric disorder that has been difficult to treat. Leuprorelin has been used as one of the therapeutic methods for paraphilia. Leuprorelin administration could change insulin resistance and accelerate bone loss. The case study in this work was a 59-year-old man who visited a hospital with the chief complaints of frotteuristic behaviors in public places, a continuous increase in sexual desire, and sexual molestation behavior that started in 2007. We injected leuprorelin (3.6 mg) intramuscularly every month for this patient with paraphilia and comorbidities of osteoporosis and hyperthyroidism. The clinical global impression (CGI), Sex Addiction Screening Test (SAST), Wilson Sex Fantasy Questionnaire (WSFQ), physical examination, and laboratory tests were performed. After 12 months of leuprorelin injection for paraphilia, we found a significant improvement in abnormal sexual behavior/desire without aggravation of osteoporosis/hyperthyroidism. Gonadotrophin-Releasing Hormone (GnRH) analogs could be used as alternative or supplementary treatment methods for paraphilia with osteoporosis/hyperthyroidism.

unrechtliche peinliche schmehung oder dem gemeinen nutz nuetzlich?Eine Fallstudie zur Normenkonkurrenz im Schmähschriftprozess des 16. Jahrhunderts

2020 ◽  
Vol 25 (1) ◽  
pp. 135-149
Author(s):  
Jan Siegemund
Keyword(s):  
Early Modern ◽  
Common Good ◽  
Public Places ◽  
Legal Norms ◽  
The Public ◽  
The Common ◽  
The Public Sphere ◽  
The City ◽  
Different Levels

AbstractLibel played an important and extraordinary role in early modern conflict culture. The article discusses their functions and the way they were assessed in court. The case study illustrates argumentative spaces and different levels of normative references in libel trials in 16th century electoral Saxony. In 1569, Andreas Langener – in consequence of a long stagnating private conflict – posted several libels against the nobleman Tham Pflugk in different public places in the city of Dresden. Consequently, he was arrested and charged with ‘libelling’. Depending on the reference to conflicting social and legal norms, he had therefore been either threatened with corporal punishment including his execution, or rewarded with laudations. In this case, the act of libelling could be seen as slander, but also as a service to the community, which Langener had informed about potentially harmful transgression of norms. While the common good was the highest maxim, different and sometimes conflicting legally protected interests had to be discussed. The situational decision depended on whether the articulated charges where true and relevant for the public, on the invective language, and especially on the quality and size of the public sphere reached by the libel.

scholarly journals AYURVEDIC UNDERSTANDING AND MANAGEMENT OF CEREBROVASCULAR ACCIDENT (STROKE WITH ISCHEMIAAND HEMORRHAGE): A CASE STUDY

2020 ◽  
pp. 1-3
Author(s):  
Anoop. A. S ◽  
Anupama. A. S ◽  
Kannan Sagar
Keyword(s):  
Cerebrovascular Accident ◽  
Heart Diseases ◽  
The Third ◽  
Oral Medications ◽  
Chief Complaints ◽  
The Right ◽  
Inpatient Department

Stroke or cerbreovascular accidents are the leading cause of morbidity and mortality across the world.Infact the third leading cause after heart diseases and cancer.Strokes can be classied broadly as ischemic and hemorrhagic which accounts for 80% and 20% of the total cases.The prognosis of CVA depends on the type and its fast and appropriate management.A 50 year old male patient who is k/c/o type 2 diabetes mellitus,hypertension and hypercholistremia was admitted to the inpatient department of Sri Jayendra Saraswathi Ayurveda College and Hospital,Chennai on 20.01.2020 with the conrmed diagnosis of stroke(CVA) having both infarct and hemorrhage.The chief complaints were difculty in walking without support,reduced strength, stiffness and heaviness in the right hand and leg, difculty in speech, pain in right shoulder joint and knee joint since 4 months.This condition can be understood as Pakshaghata in Ayurveda.After proper evaluation of the avastha of the patient,Avarana chikitsa along with the Pakshaghata chikitsa was adopted in this case,Signicant improvements were observed on various subjective and objective parameters.The patient was discharged after 10 days of treatment with oral medications and advised for a follow up after 1 month.

scholarly journals EFFECT OF PERINEAL REPAIR AND MUSHAKADI TAILA MATRABASTI IN MANAGEMENT OF RECTAL PROLAPSE (GUDABHARMSA): A CASE STUDY

2020 ◽  
Vol 8 (8) ◽  
pp. 4267-4270
Author(s):  
Sapna Maheshwari ◽  
Harshit Shah ◽  
Pragnesh Patel
Keyword(s):  
Rectal Prolapse ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Repair ◽  
Chief Complaints ◽  
Surgical Options ◽  
External Rectal Prolapse

Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipa-tion. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent or may be incarcerated and poses a risk of strangu-lation. There are multiple surgical options to treat rectal prolapse, and thus care should be taken to under-stand each patient’s symptoms, bowel habits, anatomy, and pre-operative expectations. We propose an al-gorithm based on available outcomes data in the literature, an understanding of ano-rectal physiology, and expert opinion that can serve as a guide to determining the rectal prolapse operation that will achieve the best possible postoperative outcomes for individual patients. Mushakadi Taila Matrabasti will be given in Sushrut Samhita as a treatment1 with perineal repair. So, it is really needed to find a safe, easier, less com-plicating, cost effective and fruitful approach for the management of disease through Ayurveda. A 62year old male patient came to the hospital with chief complaints of protrusion of mass from the anus with mu-cous discharge, constipation since last 5 years. He was diagnosed as complete rectal prolapse. Considering the signs and symptoms of rectal prolapse, the treatment of rectal prolapsed was planned with perineal re-pair and Mushakadi Taila Matarabasti as per mentioned in the treatment of Gudabhransha by Aacharya Sushruta.

scholarly journals A SINGLE CASE STUDY ON THE EFFECT OF AYURVEDIC MANAGEMENT IN TIMIRA W.S.R. TO MYOPIA – A CASE STUDY

2021 ◽  
Vol 9 (7) ◽  
pp. 1549-1554
Author(s):  
Kavita Rathore ◽  
Shamsa Fiaz
Keyword(s):  
Visual Acuity ◽  
Young Adults ◽  
Single Case ◽  
Single Case Study ◽  
Anatomical Structures ◽  
The World ◽  
Chief Complaints ◽  
Children And Young Adults ◽  
Defective Vision

Introduction - Myopia is the most common Refractive error of the eye seen in children and young adults and it has become more prevalent in recent years and is a cause of concern the world over. Myopia commonly referred to as near or shortsightedness. Some of the clinical features of Vataja Timira can be correlated with Myopia. Timira is counted under the Drishtigata Rogas [1] described by Sushruta. Timira involving first and second patala in terms of symptoms, anatomical structures involved and the pathogenesis of the disease. Timira begins with the blurring of vision gradually leading to the deterioration of eyesight. Shastrokta lakshanas of Vatika Timira such as bhramantiva sa pashyati, aavil darshan, vyaavidha darshan, aruna darshan [2]. Materials and Methods - A 20-year-old male, came to Shalakya Tantra OPD in National Institute of Ayurveda, deemed to be University Jaipur (R.J.), with chief complaints of defective vision for distance in both eyes, pain in both eyes and watering from both eyes since 4 months. He was treated with Nasya, Netra Pariseka, one sitting of Tarpana, Triphala guggulu, Patoladi eyedrops and Netramritam eyedrops. Result - At the end of the study, improvement in the visual acuity in both eyes, improvement in pain in both eyes and watering from both eyes have reduced. Conclusion -Thus, it can be concluded that Ayurvedic treatments are helpful to control Myopia. Keywords: Myopia, Nasya, Tarpana, Netra pariseka, Timira, Triphala Guggulu.

Interfaith Dialogue in Silicon Valley

2019 ◽  
pp. 272-292
Author(s):  
Annapurna Devi Pandey
Keyword(s):  
Public Space ◽  
Corporate Culture ◽  
Silicon Valley ◽  
Public Culture ◽  
Public Places ◽  
The Public ◽  
Religious Rituals ◽  
Identity And Agency ◽  
The Usa

Silicon Valley, known as the technology hub of the USA, has emerged as a medley of places of religious worship. It has become a home to wealthy Indian Americas and to many gods and goddesses who have come to reside there as well. Indian Americans have contributed significantly to the mushrooming of temples in this region. This chapter attempts to answer the following questions: How does diaspora provide a space to reconstruct the identity of the women practitioners? How does religion enable them to negotiate their roles in the public space? In this chapter, the author argues that Hindu women in the diaspora play a very significant role in selectively performing religious rituals in public places of worship as brought from their homeland. In performing these rituals, women are creating a distinct space in mainstream public culture to reconstruct their identity and agency beyond their roles as homemakers and professionals. In this specific case study, Odia women living in Northern California are not only reshaping their traditions but are engaged in interreligious dialogue in Silicon Valley corporate culture.

scholarly journals Spreading of SARS-CoV-2 in West Africa and assessment of risk factors

2020 ◽  
Vol 148 ◽  
Author(s):  
B. Tinto ◽  
S. Salinas ◽  
A. Dicko ◽  
T. S. Kagone ◽  
I. Traore ◽  
...  
Keyword(s):  
Risk Factors ◽  
West Africa ◽  
Climatic Factors ◽  
Geographic Area ◽  
Climatic Conditions ◽  
Continuous Increase ◽  
The Moment ◽  
The Impact ◽  
Hospital Equipment

Abstract Although the African continent is, for the moment, less impacted than the rest of the world, it still faces the risk of a spread of COVID-19. In this study, we have conducted a systematic review of the information available in the literature in order to provide an overview of the epidemiological and clinical features of COVID-19 pandemic in West Africa and of the impact of risk factors such as comorbidities, climatic conditions and demography on the pandemic. Burkina Faso is used as a case study to better describe the situation in West Africa. The epidemiological situation of COVID-19 in West Africa is marked by a continuous increase in the numbers of confirmed cases. This geographic area had on 29 July 2020, 131 049 confirmed cases by polymerase chain reaction, 88 305 recoveries and 2102 deaths. Several factors may influence the SARS-CoV-2 circulation in Africa: (i) comorbidities: diabetes mellitus and high blood pressure could lead to an increase in the number of severe cases of SARS-CoV-2; (ii) climatic factors: the high temperatures could be a factor contributing to slow the spread of the virus and (iii) demography: the West Africa population is very young and this could be a factor limiting the occurrence of severe forms of SARS-CoV-2 infection. Although the spread of the SARS-CoV-2 epidemic in West Africa is relatively slow compared to European countries, vigilance must remain. Difficulties in access to diagnostic tests, lack of hospital equipment, but also the large number of people working in the informal sector (such as trading, businesses, transport and restoration) makes it difficult to apply preventive measures, namely physical distancing and containment.

scholarly journals Supporting Children’s Independent Activities in Smart and Playable Public Places

2020 ◽  
Vol 12 (20) ◽  
pp. 8352
Author(s):  
Chiara Garau ◽  
Alfonso Annunziata
Keyword(s):  
Urban Design ◽  
Public Spaces ◽  
Urban Spaces ◽  
Methodological Framework ◽  
Public Places ◽  
Historic Center ◽  
Physical Attributes ◽  
Process Of Urbanization ◽  
The City

The global process of urbanization, and the modification of social interaction determined by the pandemic crisis, poses the issue of the place of vulnerable users and, in particular, children, within the contemporary city. This research aimed to elaborate a theoretical and methodological framework, based on the concepts of affordance and capability, for analyzing the potential of public spaces to enable and support children’s independent activities. This potential, or meaningful usefulness, is expressed by the Index of Meaningful Usefulness of public Urban Spaces (IUIS). The latter is calculated via the tool ‘Opportunities for Children in Urban Spaces’ (OCUS). This methodology is applied to the analysis of significant public spaces within the historic center of the city of Iglesias in Sardinia, Italy. The results reveal adequate usefulness of the selected spaces, while underlining criticalities related to intrinsic spatial and physical attributes. The application to the case study confirms the validity of the theoretical and methodological framework embodied in the OCUS tool for supporting urban design and planning by orienting place-shaping processes towards the acknowledgement of children’s needs.

Core Flow Models For Analysis Of Laboratory Tests On Parameters For WAG Simulations: A Case Study From R. Trebs Oil Field

2015 ◽  
Author(s):  
A. A. Gimazov ◽  
K. G. Russkikh ◽  
K. Yu. Murinov ◽  
V. I. Savichev ◽  
A. K. Makatrov ◽  
...  
Keyword(s):  
Laboratory Tests ◽  
Oil Field ◽  
Core Flow ◽  
Flow Models
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