scholarly journals CLINICAL EVALUATION OF MATRA BASTI OF VARUN TAILA AND KANCHNAR GUGGULU IN VATASTHEELA (BPH)

2021 ◽  
Vol 9 (11) ◽  
pp. 2671-2677
Author(s):  
Amit Kumar Gautam ◽  
Kainat Ansari ◽  
Ketan Mahajan ◽  
Sachin Gupta
Keyword(s):  
Clinical Evaluation ◽  
Daily Routine ◽  
Research Committee ◽  
Exclusion Criteria ◽  
Treat Ment ◽  
Routine Work ◽  
Before And After ◽  
Marked Relief ◽  
Selection Of Patients ◽  
Selection Of

Background and Objective: BPH is a senile disorder, which leads to urinary symptoms like incomplete empty- ing, urgency etc. 90 % of the males over 80 years of age have histological evidence of BPH. Acharya Sushruta has described Vatastheela, as a type of Mutraghata. Owing to the various medical and surgical complications while treating the disease, an Ayurvedic approach using classical medicines in the management of BPH is re- quired. This study was conducted clinical evaluation of Matra Basti of Varun Taila and Kanchnar Guggulu in Vatastheela (BPH). Aim: In this clinical study the aim was to evaluate the effects of Matra Basti of Varun Taila and Kanchnar Guggulu in the management of Vatastheela (BPH). Material and Methods: Random selection of patients was done from OPD of Shalya Tantra Patanjali Ayurved Hospital Haridwar. The study is approved by the ethics and research committee of the same institute vide its latter no PAC/IEC/2018-19/04 and CTRI Registrationnumber CTRI/ 2020/11/029404. Based on the Inclusion and exclusion criteria a total of 30 patients were selected. Kanchnar Guggulu 2 TAB BD for 3 months and Varun Talia 72 ml Matra Basti for 1week. Observation: As- sessment was made on subjective and objective parameters. Observations were recorded before and after treat- ment. The grading of parameters was used for statistical analysis. Results: The results showed marked relief in subjective and objective parameters. Moreover, this therapy was well accepted by all patients and did not cause any hindrance in their daily routine work during period of management. Conclusion: We can conclude that the effects of Matra Basti of Varun Taila and Kanchnar Guggulu were significant and free from any complication. Since this study was on small size sample further evaluation is needed to be done and study should be repeated with large sample for longer duration for its establishment. Keywords: Varun Taila, Kanchnar Guggulu, Vatastheela, BPH.

The Clinical Evaluation of Unilateral Electroconvulsive Therapy

1968 ◽  
Vol 114 (509) ◽  
pp. 459-463 ◽  
Author(s):  
Raymond Levy∗
Keyword(s):  
Clinical Evaluation ◽  
Electroconvulsive Therapy ◽  
Recent Advances ◽  
Treatment Of Depression ◽  
Selection Of Patients ◽  
Selection Of

Electroconvulsive therapy (E.C.T.), first introduced in 1937, rapidly became accepted as playing an important part in the treatment of depression. Since its introduction, there have been few modifications of the technique that have stood the test of time. The most important has been the use of muscular relaxants to modify the convulsion. Most recent advances have been directed towards the development of reliable criteria for the selection of patients most likely to respond to treatment, but little attention has been paid to improvements in the method of treatment as such.

Oral Clefts with Associated Anomalies: Methodological Issues

2006 ◽  
Vol 43 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Diego F. Wyszynski ◽  
Andrea Sárközi ◽  
Andrew E. Czeizel
Keyword(s):  
Case Definition ◽  
Population Differences ◽  
Associated Anomalies ◽  
Methodological Issues ◽  
Clinical Expression ◽  
Exclusion Criteria ◽  
Oral Clefts ◽  
Selection Of Patients ◽  
True Population ◽  
Selection Of

Objective To discuss methodological factors that account for the wide variation in the reported prevalence rates of anomalies associated with oral clefts. Conclusions The published prevalences of associated anomalies vary considerably because of the following: (1) differences in case definition and inclusion/exclusion criteria; (2) length of time after birth that cases are examined; (3) variability of clinical expression of associated anomalies; (4) knowledge and technology available to produce syndrome delineation; (5) selection of patients, sources of ascertainment, and sample size; and (6) true population differences and changes in frequency over time.

18F-Fluorodeoxyglucose positron emission tomography in restaging of colorectal cancer

2003 ◽  
Vol 42 (04) ◽  
pp. 145-156 ◽  
Author(s):  
W. Weber ◽  
M. Schwaiger ◽  
H. Schicha ◽  
M. Dietlein
Keyword(s):  
Colorectal Cancer ◽  
Fdg Pet ◽  
Classification Systems ◽  
Correct Selection ◽  
Daily Routine ◽  
Health Administration ◽  
Clinical Implementation ◽  
Level Of Evidence ◽  
Selection Of Patients ◽  
Selection Of

Summary: Aim, method: Recommendations for the use of FDG-PET in relapsed colorectal cancer and the decision of reimbursement should base on published studies and on their level of evidence. Therefore, the PET-studies published between 1997 and 2002 were graded by the bias-criteria, by two rating-systems and by two classification-systems for the level of evidence according to AHCPR (Agency for Health Care Policy and Research) and VHA (Veterans Health Administration). Results: The recommendation for the use of PET in relapsed colorectal cancer reached the level IIa according to the AHCPR, corresponding to level B according to the VHA. The sensitivity and specificity of FDG-PET were 94% (95% CI: 91-96%) and 78% (95% CI: 69-86%), respectively. Staging was changed correctly in 27% of patients (95% CI: 24-30%). Staging by FDG-PET was incorrect in 4% of the patients (95% CI: 2-5%) compared with the conventionel methods. The additional use of PET changed the prospectively defined management plan for 34% of patients (95% CI: 31-38%). Either potentially curative operations were initiated in case of resectable tumour or futile operations were cancelled in case of multiple metastases. Conclusion: The 3-year-survival-rate following surgery would have exceeded 70% if the selection of patients had included an additional PET-examination. The correct selection of patients is requested in the daily routine as well as in the clinical implementation of neoadjuvant therapies to prevent a selection-bias from a suboptimal restaging without PET.

scholarly journals Selection of patients before and after anticancer treatment for ovarian cryopreservation

2008 ◽  
Vol 23 (4) ◽  
pp. 869-877 ◽  
Author(s):  
R. Abir ◽  
A. Ben-Haroush ◽  
C. Felz ◽  
E. Okon ◽  
H. Raanani ◽  
...  
Keyword(s):  
Before And After ◽  
Anticancer Treatment ◽  
Selection Of Patients ◽  
Selection Of

scholarly journals A auriculoterapia no controle da ansiedade e do estresse

2021 ◽  
Vol 20 (2) ◽  
pp. 345-389
Author(s):  
Renata Jales ◽  
Francisca Vilena Da Silva ◽  
Ivoneide Lucena Pereira ◽  
Anna Luiza Castro Gomes ◽  
Jordana Almeida Nogueira ◽  
...  
Keyword(s):  
Elementary School ◽  
Intervention Study ◽  
Descriptive Analysis ◽  
Educational Institutions ◽  
Research Committee ◽  
Exclusion Criteria ◽  
Stress Scale ◽  
Before And After ◽  
Salud Mental ◽  
Hamilton Anxiety Scale

Introducción: La posmodernidad requiere del individuo una conciencia crítica y, en consecuencia, cambios en el sector educacional, favoreciendo el desencadenamiento de problemas de salud mental en los docentes, principal contribuyente en la formación de esa conciencia. La auriculoterapia es una práctica fácil de aplicar que puede aliviar estos problemas.Objetivo: Analizar el efecto de la auriculoterapia en los puntajes de ansiedad y estrés de los maestros de primaria I y II y del programa de Educación de Jóvenes y Adultos en una escuela primaria municipal de João Pessoa, capital del estado de Paraíba.Método: Estudio de intervención del tipo antes y después, aprobado por el Comité de Ética e Investigación de la Universidad Federal de Paraíba bajo CAAE: 16803119.3.0000.5188. Se aplicaron cinco instrumentos de recolección de datos, tres cuestionarios semiestructurados y dos escalas (escala de ansiedad de Hamilton y escala de estrés percibido). Al aplicar los criterios de exclusión, se analizaron los datos de 11 docentes, los cuales fueron organizados en hojas de cálculo estadístico y analizados mediante análisis descriptivo, prueba de Tukey, ANOVA y Wald.Resultados: La auriculoterapia tuvo un efecto estadísticamente significativo sobre la ansiedad entre la primera y cuarta sesiones de auriculoterapia, y para el estrés, entre la primera y la novena sesiones, y para la ansiedad, este efecto se intensificó en los docentes que impartían clases en dos instituciones educativas.Conclusiones: La auriculoterapia ha actuado con éxito en la reducción de las puntuaciones de estrés y ansiedad, ha contribuido a la mejora de los principales síntomas de estos trastornos y ha actuado en la promoción de la autopercepción. Introduction: Post-modernity requires from individual critical awareness and, consequently, changes in the educational sector, favoring the triggering of mental disorders in professors, main contributor in the creation of this awareness. Auriculotherapy is an easy-to-apply practice that can be useful in these problems.Objective: To analyze the effect of auriculotherapy in the anxiety and stress scores of professors working in Elementary School I and II and in the Youth and Adult Education program of a municipal Elementary School in João Pessoa, capital of the state of Paraíba. Method: An intervention study of the before-and-after type, approved by the Ethics and Research Committee of the Federal University of Paraíba under CAAE: 16803119.3.0000.5188. Five data collection instruments were applied: three semi-structured questionnaires and two scales (Hamilton Anxiety Scale and Perceived Stress Scale). By applying the exclusion criteria, data of 11 professors were analyzed, which were organized in statistical spreadsheets and analyzed through descriptive analysis, Tukey's test, ANOVA, and Wald. Results: Auriculotherapy attained a statistically significant effect on anxiety between the first and fourth sessions and, for stress, between the first and ninth sessions, given that, for anxiety, this effect was intensified in the professors who worked in two educational institutions. Conclusions: Auriculotherapy was successful in the reduction of the stress and anxiety scores, contributed to the improvement in the main symptoms of these disorders, and promoted self-perception. Introdução: A pós-modernidade requer do indivíduo uma consciência crítica e consequentemente mudanças no setor educacional, favorecendo o desencadeamento de agravos de saúde mental nos professores, principal contribuinte na formação dessa consciência. A auriculoterapia é uma prática de fácil aplicação que pode atuar nesses agravos.Objetivo: Analisar o efeito da auriculoterapia nos escores de ansiedade e estresse dos professores do ensino fundamental I e II e do programa Educação de jovens e adultos de uma escola municipal de Ensino Fundamental em João Pessoa, capital do estado da Paraíba. Método: Estudo de intervenção do tipo antes e depois, aprovado pelo Comitê de ética e pesquisa da Universidade Federal da Paraíba sob CAAE: 16803119.3.0000.5188. Foram aplicados cinco instrumentos de coleta de dados, três questionários semiestruturados e duas escalas (escala de ansiedade de Hamilton e escala de estresse percebido). Ao aplicar os critérios de exclusão foram analisados os dados de 11 professores, os quais foram organizados em planilhas estatísticas e analisados através da análise descritiva, teste de Tukey, ANOVA e Wald. Resultados: A auriculoterapia obteve efeito estatisticamente significativo na ansiedade entre a primeira e quarta sessão de auriculoterapia, e para o estresse, entre a primeira e nona sessão, sendo que para a ansiedade esse efeito foi intensificado nos professores que lecionavam em duas instituições de ensino. Conclusões: A auriculoterapia atuou com êxito na redução dos escores de estresse e ansiedade, contribuiu na melhora dos principais sintomas desses agravos e atuou na promoção da auto percepção.

Ergebnisse der definitiven Behandlung der Autonomie bei Jodmangelstruma

1989 ◽  
Vol 28 (01) ◽  
pp. 11-16 ◽  
Author(s):  
M. Reinhardt ◽  
D. Emrich
Keyword(s):  
Retrospective Study ◽  
Radiation Dose ◽  
Thyroid Volume ◽  
Signs And Symptoms ◽  
Subtotal Thyroidectomy ◽  
Thyroid Uptake ◽  
Before And After ◽  
Selection Of Patients ◽  
Definite Treatment ◽  
Selection Of

In order to evaluate the efficacy of, and the risk associated with, the definite treatment of euthyroid goiter with autonomy, the data of 88 patients treated between 1982 and 1986 (50 by subtotal thyroidectomy; 38 by131 l-treatment, mean radiation dose 200 Gy without protection by thyroxine) were analyzed in a retrospective study. The following criteria were used before and after treatment: the results of scintigraphy under suppression qualitatively (in focal autonomy) and quantitatively (global thyroid uptake) (TcUs), the means of FT4I, FT3I and ΕTSH after TRH, the improvement of mechanical signs and symptoms and the decrease of thyroid volume. Measured by TcUs and ΕTSH, autonomy could be removed completely in 85-90% of all patients. Surgery was slightly more successful (100%) compared to treatment by 131l (75-80%). This was also true for removal of mechanical symptoms and reduction of the goiter. The incidence of manifest hypothyroidism was greater after surgery (16%) than after1311 treatment (3%). At a higher grade of autonomy (TcUs >3,2%) surgery was more effective (95-100%) than treatment with 1311 (60-70%) but at a higher risk of hypothyroidism (24 vs 0%). It is imperative to improve the methods of estimating the amount of1311 to be administered in euthyroid goiter with autonomy. Selection of patients with autonomy in euthyroid goiter for definite treatment is difficult, since until now their risk to become hyperthyroid cannot be predicted properly.

Selection of patients for portal-systemic shunts

JAMA ◽  
1966 ◽  
Vol 196 (12) ◽  
pp. 1039-1044 ◽  
Author(s):  
R. E. Hermann
Keyword(s):  
Selection Of Patients ◽  
Selection Of

Perioperative acute internal carotid thrombosis after general surgery

2020 ◽  
Vol 99 (3) ◽  
pp. 136-140
Keyword(s):  
Cardiac Surgery ◽  
Internal Carotid ◽  
Right Hemicolectomy ◽  
Diagnostic Assessment ◽  
Left Carotid Artery ◽  
Perioperative Stroke ◽  
Internal Carotid Occlusion ◽  
Acute Brain Ischemia ◽  
Selection Of Patients ◽  
Selection Of

Introduction: The average incidence of perioperative stroke during major non-cardiac surgery is less than 1%, suggesting that it is rarely a major problem for the vast majority of patients. Methods: In our paper we present a 46-year-old patient undergoing acute right hemicolectomy who developed right-sided hemiparesis in the perioperative setting. Immediate CTAg examination showed an ischemic stroke in the left hemisphere as a result of left internal carotid thrombosis. A surgical procedure to recanalize the left carotid artery was performed 14 hours from the onset of neurological symptomatology and the neurological deficit gradually recovered fully. Conclusion: Our case report supports studies showing that a thorough diagnostic assessment allows the selection of patients who may benefit from urgent revascularization of acute internal carotid occlusion during the phase of acute brain ischemia.

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