scholarly journals MANAGEMENT OF GUD BHRANSHA WITH KASISADI TAIL - A CASE STUDY

2021 ◽  
Vol 9 (11) ◽  
pp. 2877-2879
Author(s):  
Prasad Keshav Kakade ◽  
Shilpa Badhe
Keyword(s):  
Elderly Patient ◽  
Clinical Study ◽  
Rectal Prolapse ◽  
Rural Areas ◽  
Anal Verge ◽  
Rectal Mucosa ◽  
Contraction Effect ◽  
Ayurvedic Treatment ◽  
Severity Of The Disease

Gud Bhransha is a protrusion of mucous membrane of the Rectum from outside the anal verge with membrane or without membrane. It can be partial or complete. This condition is common in children and elderly patients. There are two types of treatment of rectal prolapse are conservative and surgical. The type of treatment of rectal prolapse depends on the severity of the disease. A clinical study was conducted on the patient of Gudbhransh with an elderly patient disease to evaluate the contraction effect of the Kasisadi tail which is traditionally practised in rural areas of Igatpuri, Maharashtra, India based on a survey. The aim and objective of this study were to evaluate the contraction effect of the Kasisadi tail over prolapsed rectal mucosa. Which was successfully treated by conserva- tive Ayurvedic management Gudbhransh is treated in line with the treatment of Ayurveda as a complication of Atisar by the Kasisadi tail by anal route for correction of prolapse locally. The case result confirms that rectal prolapse can be managed effectively with Ayurvedic treatment in a short duration of time. Keywords: Kasisadi Tail, Gudbhransh, Rectal prolapse, Atisar

scholarly journals Management of Rectal Prolapse in Children as a Day Care Procedure

1970 ◽  
Vol 17 (2) ◽  
pp. 116-120 ◽  
Author(s):  
SM Rahman ◽  
ASM Hasanuzzaman ◽  
SMS Huda
Keyword(s):  
Rectal Prolapse ◽  
Day Care ◽  
Anal Verge ◽  
Rectal Mucosa ◽  
Personal Hygiene ◽  
Injection Sclerotherapy ◽  
Abdominal Pressure ◽  
Open Operation ◽  
A Prospective Study ◽  
Care Procedure

Rectal prolapse is a relatively common self limiting problem in young children. The peak age of prolapse is 2-3 years, a time during which the rectal mucosa is relatively loosely adherent to the underlying muscles, pelvic floor musculature is not fully developed and sacrum is relatively flat which directs increases in intra abdominal pressure towards anus instead of the protected hollow of the pelvi’s1,2. Rectal prolapse is a very common childhood problem in our country due to frequency of diarrhoeal and parasitic diseases accentuated by lack of personal hygiene and mal-nutrition, Majority of the patients are poor; majority of childhood prolapse are mucosal limited to 2-3 cm from anal verge 3. Diagnosis of rectal prolapse is straight forward by inspection and palpation. Colonoscopy and Barium enema are indicated only to exclude any other secondary causes in suspected cases. We have managed 30 (thirty) cases of recurrent rectal prolapse after failure of medical treatment in a prospective study by injection sclerotherapy as a Day care procedure; 5% phenol in olive oil was used as sclerosing agent and the procedure was performed under general anaesthesia and caudal block. The patients were kept under observation for 4-6 hours. 28 (twenty eight) patients responded satisfactorily (93.3%); 2 patients (6.67%) needed open operation -rectopexy. Only one patient was admitted for 48 hours due to reactionary haemorrhage which was managed conservatively. Few patients had minor complications like constipation, diarrhoea and acute retention; all managed conservatively. There was no mortality. Injection sclerotherapy appeared to be a safe, effective and cheap procedure for management of rectal prolapse in children. DOI: 10.3329/jdmc.v17i2.6594J Dhaka Med Coll. 2008; 17(2) : 116-120

Ayurvedic management of Myositis Ossificans of Vastus Lateralis Muscle (Urusthamba) - A Case Study

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Vishnu Mohan ◽  
Gopikrishna BJ ◽  
Avnish Pathak ◽  
Mahesh Kumar ES ◽  
Duradundi G
Keyword(s):  
Heterotopic Ossification ◽  
Myositis Ossificans ◽  
Vastus Lateralis ◽  
Treatment Protocol ◽  
Vastus Lateralis Muscle ◽  
Satisfactory Treatment ◽  
Lateralis Muscle ◽  
Ayurvedic Treatment

Myositis ossificansis characterized by heterotopic ossification (calcification) of muscle of various etiologies. It is most commonly affected in the quadriceps of the thighs. There are many tools available for diagnosis of Myositis ossificans, but lack of satisfactory treatment. So the development of a treatment protocol for Myositis ossificans is the need of today`s era. In Ayurveda, the same can be understood as Urusthamba. The present paper discusses a case of Myositis ossificans of right vastus lateralis muscle and its Ayurvedic treatment.

Government Policies and Rural Entrepreneurship- Case Study of an Horticulture Entrepreneur

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Vinod N. Sambrani
Keyword(s):  
Rural Development ◽  
Rural Areas ◽  
Process Development ◽  
Full Time ◽  
Rural Entrepreneurship ◽  
Development Institutions ◽  
Startup Time ◽  
Nursery Management ◽  
The Government

India is a country which is in forefront of being called a developed nation. To be a developed nation, India has to first look at its rural development, because 70 percent of the population live in rural areas, which means more than 700 million people are spread across 6,27,000 villages. Rural development is more than ever before linked to entrepreneurship. Establishments and agencies promoting rural development now look at entrepreneurship as a strategic development medium that could speed up the rural development process. Development institutions believe that rural entrepreneurship offers a huge potential for employment. In this paper a case study of a young entrepreneur who has taken up horticulture (vegetable plants nursery) as his full time profession, with a mission to help the neighbouring farmers is studied, the purpose of this paper is to understand the government role (policies and schemes), the difficulties faced by the entrepreneur during the startup time and knowledge transfer from the horticulture department, nursery management. The methodology followed is in-depth interaction with the entrepreneur. The outcome of paper will be to understand how rural entrepreneurship is helping improve the quality of life for families, communities and individuals leading to sustainable economy and environment.

scholarly journals Policy Strategies to Revive Rural Land in Peri-Metropolitan Towns: Resource Identification, Capitalization, and Financialization

Land ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 132
Author(s):  
Wei Li ◽  
Zhanwei Zhang ◽  
Yang Zhou
Keyword(s):  
Rural Areas ◽  
Master Planning ◽  
Leading Role ◽  
Multifunctional Land Use ◽  
Key Stakeholders ◽  
Resource Identification ◽  
The Government ◽  
Interpretative Approach ◽  
The Town

Previous planning for rural revival in towns has emphasized construction and government-led policies. However, we argue that the dilemmas of peri-metropolitan rural areas, such as Desakota in China, are far more complex faced with rural super village and hollowed village transformations. Rural revival planning needs to coordinate with the development of urbanized and rural areas towards multifunctional goals and plans as a whole. Therefore, we selected the town master plan of Lijia, a typical peri-metropolitan village in China, as a case study. Through a historical–interpretative approach involving analysis of planning policies, questionnaires, and in-depth interviews with the key stakeholders involved, we structured the process and mechanism of rural revival in Lijia into three phases: resource identification, capitalization, and financialization. In different phases, different stakeholders adopt different roles. The government takes a leading role in resource identification and capitalization, while firms take a leading role in the process of financialization. “Market-dominant and government-guided” planning stimulates villagers to participate in rural revival. We highlight the importance of multifunctional land-use in terms of rural revival in the master planning of peri-metropolitan villages and provide a practical reference for uniting multiple stakeholders, including governments, firms, and villagers.

scholarly journals A Capabilities-Led Approach to Assessing Technological Solutions for a Rural Community

Energies ◽  
2021 ◽  
Vol 14 (5) ◽  
pp. 1398
Author(s):  
Xinfang Wang ◽  
Rosie Day ◽  
Dan Murrant ◽  
Antonio Diego Marín ◽  
David Castrejón Botello ◽  
...  
Keyword(s):  
Rural Community ◽  
Rural Areas ◽  
Assessment Method ◽  
Unintended Consequences ◽  
Energy Services ◽  
Grid Systems ◽  
Technological Interventions ◽  
Solution Design ◽  
Improve Access

To improve access to affordable, reliable and sustainable energy in rural areas of the global south, off-grid systems using renewable generation and energy storage are often proposed. However, solution design is often technology-driven, with insufficient consideration of social and cultural contexts. This leads to a risk of unintended consequences and inappropriate systems that do not meet local needs. To address this problem, this paper describes the application of a capabilities-led approach to understanding a community’s multi-dimensional energy poverty and assessing their needs as they see them, in order to better design suitable technological interventions. Data were collected in Tlamacazapa, Mexico, through site visits and focus groups with men and women. These revealed the ways in which constrained energy services undermined essential capabilities, including relating to health, safety, relationships and earning a living, and highlighted the specific ways in which improved energy services, such as lighting, cooking and mechanical power could improve capabilities in the specific context of Tlamacazapa. Based on these findings, we propose some potential technological interventions to address these needs. The case study offers an illustration of an assessment method that could be deployed in a variety of contexts to inform the design of appropriate technological interventions.

scholarly journals Rwanda’s Land Policy Reform: Self-Employment Perspectives from a Case Study of Kimonyi Sector

Land ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 117
Author(s):  
Mireille Mizero ◽  
Aristide Maniriho ◽  
Bosco Bashangwa Mpozi ◽  
Antoine Karangwa ◽  
Philippe Burny ◽  
...  
Keyword(s):  
Rural Areas ◽  
Policy Reform ◽  
Binary Logistic Regression ◽  
Literacy Skills ◽  
Land Policy ◽  
Binary Logistic Regression Analysis ◽  
Self Employment ◽  
Expropriation Risk ◽  
Main Activity

Rwanda’s Land Policy Reform promotes agri-business and encourages self-employment. This paper aims to analyze the situation from a self-employment perspective when dealing with expropriation risk in rural areas. In this study, we conducted a structured survey addressed to 63 domestic units, complemented by focus groups of 47 participants from Kimonyi Sector. The binary logistic regression analysis revealed that having job alternatives, men heading domestic units, literacy skills in English, and owning land lease certificates (p < 0.05) are positively and significantly related to awareness of land expropriation risk. The decision of the head of the domestic unit to practice the main activity under self-employment status is positively influenced by owning a land lease certificate, number of plots, and French skills, while skills in English and a domestic unit’s size have a positive and significant influence on involvement in a second activity as self-employed. Information on expropriation risk has no significant effect on self-employment. The domestic unit survey revealed that 34.9% of the heads of domestic units only have one job, 47.6% have at least two jobs in their everyday life, 12.7% have a minimum of three jobs, and 4.8% are inactive. The focus group synthesis exposed the limits to self-employment ability and facilities.

scholarly journals Sustainable Mobility and the Institutional Lock-In: The Example of Rural France

2021 ◽  
Vol 13 (4) ◽  
pp. 2189
Author(s):  
Aurore Flipo ◽  
Madeleine Sallustio ◽  
Nathalie Ortar ◽  
Nicolas Senil
Keyword(s):  
Rural Areas ◽  
Sustainable Mobility ◽  
Local Mobility ◽  
European Public ◽  
Determining Factors ◽  
Anthropological Fieldwork ◽  
Lock In ◽  
Rural France ◽  
Ecological Transition

Sustainable mobility issues in rural areas, compared with urban mobility issues, have so far been poorly covered in the French and European public debate. However, local mobility issues are determining factors in territorial inequalities, regional development and ecological transition. This paper is based on preliminary findings of qualitative socio-anthropological fieldwork carried out in two rural departments of the Auvergne-Rhône-Alpes region: Drôme and Ardèche. Our objective is to highlight how the question of sustainable local mobility is linked to governance issues and multiple overlapping institutions. We argue that analyzing stakeholders’ strategies and territorial governance is key to understanding the contemporary dynamics surrounding a transition towards a more sustainable mobility in rural areas. In order to do so, we show how the debates surrounding the adoption of a law allowing for the transfer of responsibility to local authorities for the organization of mobility services reveals the complexity of local mobility governance in rural areas and provides material for the analysis of the logics of stakeholder engagement, cooperation and conflict within the field of sustainable mobility. Through the case study of the organization of a local public transport service in a rural area, we shed light on the action of multiple stakeholders and their potentially antagonistic objectives.

scholarly journals A Unique Transdisciplinary Engineering-Based Integrated Approach for the Design of Temporary Refugee Housing Using Kano, HOQ/QFD, TRIZ, AD, ISM and DSM Tools

Designs ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 31
Author(s):  
Daniel Moran ◽  
Atila Ertas ◽  
Utku Gulbulak
Keyword(s):  
Rural Areas ◽  
Social Issues ◽  
Integrated Approach ◽  
Interpretive Structural Modeling ◽  
Design Problems ◽  
Design Structure ◽  
Function Design ◽  
Complex Engineering ◽  
Design Conflicts

The continued displacement of refugees from their homes and homelands (now greater than 50 million people worldwide) places increased focus and attention on evolving the designs of temporary housing that is available to be provided to the refugee population, especially in rural areas where housing does not already exist and must be constructed in very little time. Complex engineering problems involving social issues, such as this case study, benefit from the use of Integrated Transdisciplinary (TD) Tools (ITDT) to effectively and efficiently address the design questions related to them. The integrated use of TD Tools such as Kano Analysis, KJ Diagrams, Critical to Quality (CTQ), House of Quality (HOQ)/Quality Function Design (QFD), Theory of Inventive Problem Solving (TRIZ), Axiomatic Design (AD), Interpretive Structural Modeling (ISM), and Design Structure Matrix (DSM) through an end-to-end unique design process leads to innovation and elimination of design conflicts for especially complicated design problems. The objective of this study is to examine the design of temporary refugee housing using integrated TD tools mentioned above. This research concludes that the use of the ITDT approach provides an innovative, decoupled design.

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