scholarly journals THE IMPORTANCE OF YAVAGU IN CLINICAL PRACTICE

2021 ◽  
Vol 9 (5) ◽  
pp. 1007-1010
Author(s):  
Remya J ◽  
Sundaran K ◽  
Jishnu R ◽  
Athri S. S
Keyword(s):  
Clinical Practice ◽  
Food Preparation ◽  
Specific Drug ◽  
Multifaceted Approach ◽  
Advanced Form

Food is a unique tool in the possession of a physician for the maintenance of health as well as the eradication of diseases. Yavagu or medicated gruel (Marunnu Kanji) can be considered as a distinctive food preparation that ought to have a multifaceted approach in the treatment of diseases. Even today the food preparation Kanji is popu- lar, but we have lost the legacy of Marunnu Kanji from our clinical practice due to multiple reasons. The Yavagu preparation can be considered as an advanced form of nutraceutical. What we can do now to restore the practice of Marunnu Kanji Prayogam is to modify the preparation to make it suitable and easy for op practice. Yavagu is very useful in clinical practice because it will increase the palatability of even the bitterest drug, when introduced as Kanji. Also depending on the Yukti of the practitioner, one can advise to increase or decrease the dosage of the specific drug. This article attempts to highlight the importance of the Yavagu or Marunnu Kanji Prayogam by referring to 28 Yavagus mentioned in the Apamargatanduliya Adhyaya. Keywords: Yavagu, Marunnu Kanji, nutraceutical

scholarly journals Personalized approach to choice-making of an immunoglobulin for the replacement therapy in patients with primary immunodeficiency - is the way to success.

2020 ◽  
Vol 17 (2) ◽  
pp. 81-101
Author(s):  
Tatiana V. Latysheva ◽  
Elena A. Latysheva ◽  
Irina A. Manto ◽  
Nelly H. Setdikova
Keyword(s):  
Clinical Practice ◽  
Replacement Therapy ◽  
Primary Immunodeficiency ◽  
Pharmaceutical Market ◽  
Specific Drug ◽  
Comorbid Conditions ◽  
Choice Making ◽  
Wide Range ◽  
Immunoglobulin Replacement ◽  
Personalized Approach

Immunoglobulin replacement therapy is the most important treatment for the majority of Primary immunodeficiency (PID) forms. It is very important not only to prescribe replacement therapy, but also to choose the appropriate one according to individual patients needs at the very moment. Furthermore, in reallife clinical practice some comorbid conditions, which can occur in patient, necessitate the choice of a specific drug from a wide range of IVIG preparations presented on the Russian pharmaceutical market.

scholarly journals Current Perspectives in the Pharmacotherapy of Vertigo

2012 ◽  
Vol 4 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Manmohan Singh ◽  
Kanchan Rao Singh
Keyword(s):  
Clinical Practice ◽  
Drug Therapy ◽  
Vestibular System ◽  
Clinical Studies ◽  
Disease Process ◽  
Underlying Disease ◽  
Nausea And Vomiting ◽  
Specific Drug ◽  
M Current ◽  
Third Line

ABSTRACT Vertigo is a symptom encountered very commonly in clinical practice due to a disorder in the vestibular system. In addition to dizziness it is very often accompanied by nausea and vomiting. Pharmacotherapy plays an important role in the management of vertigo. Vestibular suppressants and drugs to control nausea and vomiting constitute the mainstay of the pharmacotherapy of vertigo. Specific drug therapy can be given in patients where the underlying disease process causing the vertigo has been identified. Despite the availability of many classes of drugs, there are no definitive, universally accepted guidelines for the treatment of vertigo which makes it even more difficult to follow first-, second- and third-line therapies when treating patients. It is difficult to establish guidelines or a generally acceptable consensus in the treatment of vertigo due to the complexity of vertigo and lack of adequate randomized clinical studies. How to cite this article Singh KR, Singh M. Current Perspectives in the Pharmacotherapy of Vertigo. Otorhinolaryngol Clin Int J 2012;4(2):81-85.

Molecular diagnostics and targeted treatment approaches in pediatric oncology (literature review)

2021 ◽  
pp. 29-33
Author(s):  
A. A. Rozhkov ◽  
R. I. Nuriev ◽  
M. I. Sekacheva
Keyword(s):  
Clinical Practice ◽  
Targeted Therapy ◽  
Side Effects ◽  
Molecular Diagnostics ◽  
New Technologies ◽  
Patient Survival ◽  
Targeted Drugs ◽  
Specific Drug ◽  
Oncological Diseases ◽  
Personalized Approach

The continuous evolution of new technologies in the field of molecular diagnostics and genome analysis, the development of new approaches in pharmacogenetics and the emergence of a range of different targeted drugs have expanded the possibilities of clinical practice, resulting in personalized approaches to treatment. The diagnosis and therapy of pediatric oncological diseases are some of the vivid examples of the successful application of a personalized approach in clinical practice. Today, many pediatric neoplastic diseases are successfully treated with targeted drugs, which significantly increases patient survival. Targeted therapy allows to choose a specific drug for each patient, thereby increasing the effectiveness of treatment, reducing the risk of side effects, and also reducing the likelihood of a relapse of the disease.

Healthcare personalism and the nature of the person. How can personalist thought advance the conceptual basis of person-centered medicine?

2016 ◽  
Vol 4 (2) ◽  
pp. 409
Author(s):  
James Marcum
Keyword(s):  
Clinical Practice ◽  
Medical Knowledge ◽  
Social Institutions ◽  
Clinical Encounter ◽  
Conceptual Basis ◽  
Multifaceted Approach ◽  
Philosophical Movement ◽  
Philosophical Framework ◽  
Per Se ◽  
And Function

Healthcare personalism is a multifaceted approach to modern healthcare and its delivery, which champions the criticality of the person with respect to medical knowledge and clinical practice. As such, it is predicated on the philosophical movement of personalism in which the person per se plays a crucial role in analyzing the nature and function of individuals and their social institutions. In this paper, philosophical personalism and especially Christian Smith’s explication of personhood are examined initially, along with a discussion of human dignity. Then, the nature of the person is analyzed in terms of its ontological, epistemological, and ethical dimensions to provide a philosophical framework for healthcare personalism. The paper concludes with a discussion of how healthcare personalism advances conceptually person-centered medicine, especially in terms of supporting the dignity of each person participating in the clinical encounter.

The miR-21 potential of serving as a biomarker for liver diseases in clinical practice

2020 ◽  
Vol 48 (5) ◽  
pp. 2295-2305
Author(s):  
Jiawei Zhang ◽  
Dandan Li ◽  
Rui Zhang ◽  
Peng Gao ◽  
Rongxue Peng ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Liver Diseases ◽  
Hepatic Disease ◽  
Noninvasive Detection ◽  
Diagnosis And Prognosis ◽  
Expected Performance ◽  
Potential Biomarker ◽  
Disease Condition ◽  
Complex Regulatory Network

The role of miR-21 in the pathogenesis of various liver diseases, together with the possibility of detecting microRNA in the circulation, makes miR-21 a potential biomarker for noninvasive detection. In this review, we summarize the potential utility of extracellular miR-21 in the clinical management of hepatic disease patients and compared it with the current clinical practice. MiR-21 shows screening and prognostic value for liver cancer. In liver cirrhosis, miR-21 may serve as a biomarker for the differentiating diagnosis and prognosis. MiR-21 is also a potential biomarker for the severity of hepatitis. We elucidate the disease condition under which miR-21 testing can reach the expected performance. Though miR-21 is a key regulator of liver diseases, microRNAs coordinate with each other in the complex regulatory network. As a result, the performance of miR-21 is better when combined with other microRNAs or classical biomarkers under certain clinical circumstances.

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

Hybrid Telecoaching for Corporate Speech Training and Potential Applications to Clinical Practice

2019 ◽  
Vol 4 (2) ◽  
pp. 322-324
Author(s):  
Thomas F. Burke
Keyword(s):  
Clinical Practice ◽  
Engineering Teams ◽  
Corporate Strategies ◽  
Corporate Speech ◽  
Phone Calls ◽  
Future Clinical Practice ◽  
Fortune 100 ◽  
Potential Applications ◽  
Language Pathology ◽  
Development Engineering

Purpose The purpose of this article was to describe a model for “hybrid speech telecoaching” developed for a Fortune 100 organization and offer a “thought starter” on how clinicians might think of applying these corporate strategies within future clinical practice. Conclusion The author contends in this article that corporate telecommunications and best practices gleaned from software development engineering teams can lend credibility to e-mail, messaging apps, phone calls, or other emerging technology as viable means of hybrid telepractice delivery models and offer ideas about the future of more scalable speech-language pathology services.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

Issues in Language Sample Collection and Analysis With Children Using AAC

2014 ◽  
Vol 23 (2) ◽  
pp. 65-74 ◽  
Author(s):  
Gail Van Tatenhove
Keyword(s):  
Clinical Practice ◽  
Augmentative And Alternative Communication ◽  
Language Production ◽  
Expressive Language ◽  
Sample Analysis ◽  
Alternative Communication ◽  
Sample Collection ◽  
Speech Language Pathologists ◽  
Language Sample Analysis ◽  
Language Sample

Language sample analysis is considered one of the best methods of evaluating expressive language production in speaking children. However, the practice of language sample collection and analysis is complicated for speech-language pathologists working with children who use augmentative and alternative communication (AAC) devices. This article identifies six issues regarding use of language sample collection and analysis in clinical practice with children who use AAC devices. The purpose of this article is to encourage speech-language pathologists practicing in the area of AAC to utilize language sample collection and analysis as part of ongoing AAC assessment.

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