scholarly journals AYURVEDIC MANAGEMENT OF RHEUMATOID ARTHRITIS (AMAVATA): A CASE STUDY

2021 ◽  
Vol 9 (7) ◽  
pp. 1575-1578
Author(s):  
Bhoomika Patel ◽  
Sanjay Srivastava
Keyword(s):  
Rheumatoid Arthritis ◽  
Modern Medicine ◽  
Female Ratio ◽  
Effect Of Therapy ◽  
Separate Clinical Entity ◽  
History Of ◽  
Present Case Study ◽  
First Time ◽  
Male To Female

Rheumatoid Arthritis is an auto‐immune and most common persistent inflammatory disease occurring throughout the world in all ethnic groups with a male to female ratio of 1:3. In Indian System of Medicine, it resembles with Amavata, which was the first time described in Madhava Nidan as a separate clinical entity in the 7th century and characterised by Angamard (Pain), Aruchi (Anorexia), Trishna (Thirst), Alasya (Laziness), Gaurava (Stiffness), Jwara (Fever), Apaka (Indigestion), Angashunta (Swelling) etc. In modern medicine, treatment has limitations due to its side effects, whereas in Ayurveda, its effective management is detailed for its different states. Eranda Tail and Saindhavadi Tail Basti under Panchakarma procedures play a significant role in the management of Amavata. In the present case study, a 47years old female with a diagnosed history of RA has given a Combination of interventions includes Deepana, Pachana, Baluka Sweda, Eranda Taila and Saindhavhadi Taila Anuvasana Basti for 16 days along with Shaman Chikitsa (conservative treatment). At the end of the management, 60 % im- provement was observed in the overall effect of therapy. Keywords: Amavata, Rheumatoid arthritis, Baluka Sweda, Eranda Taila, Saindhvadi taila Anuvasana Basti.

Stroke in a Subsaharan Nigerian Hospital—A Retrospective Study

1989 ◽  
Vol 19 (1) ◽  
pp. 11-14 ◽  
Author(s):  
S A Bwala
Keyword(s):  
Duration Of Symptoms ◽  
Female Ratio ◽  
Transient Ischaemic Attacks ◽  
History Of ◽  
Hospital Deaths ◽  
Insulin Dependent ◽  
The Mean ◽  
The University ◽  
First Time ◽  
Male To Female

The case records of 53 consecutive Nigerian inpatients with stroke in the University of Maiduguri Teaching Hospital, Maiduguri were retrospectively reviewed. The mean age at presentation was 55 years and the male to female ratio was 2.5: 1. The mean duration of symptoms before presentation was 11.1 weeks and the average duration of stay in hospital was 3 weeks. Thirty-three (63%) of the lesions were infarctive and 19 (37%) were haemorrhagic. Only 3 (6%) patients gave a history of prior transient ischaemic attacks (TIAs). Forty-two (79%) patients were hypertensive at presentation out of which 27 (64%) had the hypertension diagnosed for the first time. Four (8%) patients were non-insulin dependent diabetics. There were 11 hospital deaths (21%). Thus hypertension, more than half undiagnosed at admission, was the most common risk factor for stroke in the hospital population studied.

Sexual Maturity, Fecundity, Spawning, and Early Life History of Sablefish (Anoplopoma fimbria) off the Pacific Coast of Canada

1983 ◽  
Vol 40 (12) ◽  
pp. 2126-2134 ◽  
Author(s):  
J. C. Mason ◽  
R. J. Beamish ◽  
G. A. McFarlane
Keyword(s):  
Surface Waters ◽  
Pacific Coast ◽  
Early Life History ◽  
Female Ratio ◽  
Anoplopoma Fimbria ◽  
Spawning Areas ◽  
The Pacific ◽  
History Of ◽  
First Time ◽  
Male To Female

Analysis of ichthyoplankton surveys and maturity states showed that sablefish (Anoplopoma fimbria) spawn along the entire Pacific coast of Canada from January through April with peak spawning occurring in February. Spawning took place at depths greater than 300 m all along the continental slope and did not entail a noticeable spawning migration. Fifty percent of females and males spawned for the first time at an age of approximately 5 yr. Length at 50% maturity was approximately 58 cm for females and 52 cm for males. The adult male to female ratio during the spawning seasons of 1980 and 1981 was approximately 1:3 and was 1:1.5 during all other sampling periods. The sex ratio of juveniles was 1:1. Fecundity estimates are described by the equation F = 1.11987FL2.8244. After hatching in March and April, postlarvae moved into the surface waters and were found > 180 km offshore in late March. Juveniles were found in inside waters in July and August, attaining a length of 9 cm by early August. Juveniles may remain in inside waters until maturity when they return to the spawning areas.

scholarly journals P129 The utility of routine operative swab culture in uncomplicated peri-anal abscesses

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Apoorva Khajuria ◽  
Tuba Rahim ◽  
Mariam Baig ◽  
Kai Leong ◽  
Apoorva Khajuria
Keyword(s):  
Inflammatory Bowel Disease ◽  
Perianal Abscess ◽  
Female Ratio ◽  
Incision And Drainage ◽  
Common Presentation ◽  
History Of ◽  
Inflammatory Bowel ◽  
Operative Findings ◽  
The Cost ◽  
Male To Female

Abstract Introduction Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures. Methods A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken. Results Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually. Conclusion Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.

DEMOGRAPHIC PROFILE OF ACUTE FEBRILE ENCEPHALOPATHY CASES IN PEDIATRIC AGE GROUP PATIENTS: A STUDY FROM WESTERN RAJASTHAN

2021 ◽  
pp. 72-73
Author(s):  
Laxmi Rathore ◽  
P. K. Khatri ◽  
Saroj K. Meena ◽  
Archana Bora ◽  
Suneel Bhooshan
Keyword(s):  
Lower Class ◽  
Mental States ◽  
Clinical Feature ◽  
Female Ratio ◽  
Pediatric Age Group ◽  
History Of ◽  
Laboratory Investigations ◽  
Demographic Distribution ◽  
Viral Etiologies ◽  
Male To Female

Acute Febrile Encephalopathy is a clinical term used to describe patients presenting with short febrile illnesses with altered mental states. Demographic distribution plays an essential role in the diagnosis of viral etiologies. One hundred ve suspected AFE cases were enrolled in the study. A detailed history by predesigned performa and laboratory investigations was obtained for data collection. Viral etiology was diagnosed in 32 (30.48%) cases. The male to female ratio was 1.39:1. Total 56.25% of positive cases were from the lower class, 28.13% from the middle class, and 15.63% from the upper class. 24 (75%) cases from rural, while only 8 (25%) of the urban population showed viral etiologies. In 19 (59.4%) cases were either history of incomplete vaccination or not vaccinated, 13 (40.6%) cases had a history of complete immunization among positive cases. The predominant clinical feature was fever (100%) followed by seizures 66(62.86%), vomiting 37(35.24%), headache 14(13.33%), paresis in 16(15.24%) and altered sensorium in 29(27.62%), respectively. To conclude, the etiologic panorama of AFE varies with several factors such as time and demographical location, age, and immunization status. There is an urgent need to conduct more studies to prole the viral etiologies according to their prevalence in geographical areas so the treatment can be tailored accordingly and prophylaxis treatment or immunization can be boosted in the population at risk of getting the disease.

COMPARISON OF CLINICO-SOCIAL PROFILE OF PULMONARY AND EXTRA PULMONARY TUBERCULOSIS IN TERTIARY CARE HOSPITAL IN A RURALAREA: A RETROSPECTIVE STUDY

2021 ◽  
pp. 70-72
Author(s):  
Gaurav Santosh Nemade ◽  
Sumit Nitin Dhus ◽  
Arushi Ramesh Shetty ◽  
Neha Dhananjay Firake
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Female Ratio ◽  
Extra Pulmonary Tuberculosis ◽  
Younger Age ◽  
Tobacco Addiction ◽  
History Of ◽  
Early Case ◽  
Male To Female ◽  
Clinical Characteristic

BACKGROUND AND OBJECTIVES: The burden of tuberculosis (TB) in India is the highest accounting for 26% of the global incidence. A total of 1.4 million people died from TB in 2019 (including 208 000 people with HIV). India accounts for a fourth of the global burden of TB and 29% of global mortality. Therefore, we carried out this study to compare demographic, lifestyle and clinical characteristic between pulmonary TB (PTB) and extrapulmonary TB (EPTB). MATERIALS AND METHODOLOGY:Aretrospective analysis was carried of 348 patients diagnosed in DOTS centre, Pravara Rural Hospital, Loni. Characteristics of demographic and clinical characteristics were obtained from medical case records. RESULTS:Among the 348 cases, 71.3% were PTB and 28.7% were EPTB including, pleural (36%), meningeal (27%) and lymphatic (20%) cases. The male to female ratio in PTB and EPTB are 1.99 and 1.22 respectively. EPTB was more common at younger age (<25 years). Tobacco addiction (10.9%), diabetes mellitus (4.03%), HIV positivity (12.1%) and history of contact with Tb patients (17.7%) were more likely to be associated with PTB. CONCLUSION:Increased awareness of the risk factors may facilitate early case nding and better management outcomes for these patients.

Epidemiology of omphalocele: data analysis of regional congenital malformation registers in the Russian Federation

2021 ◽  
Vol 20 (4) ◽  
pp. 78-83
Author(s):  
N.S. Demikova ◽  
◽  
M.A. Podolnaya ◽  
A.N. Putintsev ◽  
A.S. Lapina ◽  
...  
Keyword(s):  
Congenital Malformation ◽  
Russian Federation ◽  
Preventive Measures ◽  
Male Gender ◽  
Abdominal Wall Defects ◽  
Female Ratio ◽  
Positive Time ◽  
The Russian Federation ◽  
First Time ◽  
Male To Female

Omphalocele is a congenital malformation belonging to the group of abdominal wall defects. Objective. To determine the incidence of omphalocele and analyze its dynamics for the period 2011–2018 in the regions of the Russian Federation according to monitoring data of congenital anomalies. Materials and methods. Statistical analysis of omphalocele cases among newborns and fetuses with malformations for the period 2011–2018 in 22 regions of the Russian Federation was carried out. The incidence of malformations was calculated per 10,000 births. Results. A total of 1,073 cases of omphalocele were reported from 2011 to 2018, of which 69.34% were in fetuses eliminated due to the prenatal detection of malformation, 27.03% – in liveborn fetuses, and 3.63% – in stillborn fetuses. The male to female ratio was 1.56:1. The overall incidence of omphalocele was 2.95 (95% CI 2.77– 3.13) and the incidence among newborns excluding fetuses was 0.9 per 10,000 (95% CI 0.81– 1.01). There was a statistically significant positive time trend in the dynamics of the overall incidence of omphalocele between 2011 and 2018. Conclusion. The evaluation of the incidence of severe malformation – omphalocele – was obtained in different regions of the Russian Federation for the first time. The incidence of this malformation tended to increase over the study period. Male gender and maternal age over 35 years can be considered as risk factors. These results can be used in planning preventive measures. Key words: congenital malformation, monitoring, newborns, omphalocele, fetuses, incidence, epidemiology

scholarly journals Aetiological factors of hoarseness in patients attending at Kathmandu University Hospital

2013 ◽  
Vol 19 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Bikash Lal Shrestha ◽  
Ram Chaya Man Amatya ◽  
Sekhar KC ◽  
Inku Shrestha ◽  
Monika Pokharel
Keyword(s):  
Longitudinal Study ◽  
Age Groups ◽  
University Hospital ◽  
Microsoft Excel ◽  
Special Investigation ◽  
Female Ratio ◽  
Common Cause ◽  
Manual Analysis ◽  
History Of ◽  
Male To Female

Objective: To evaluate the aetiological factors of hoarseness. Methods: This is a prospective, non- randomized and longitudinal study conducted from 1st august 2011 to 1st august 2012 in department of otorhinolaryngology of Kathmandu university Hospital, Dhulikhel, Nepal. All the patients with history of hoarseness underwent clinical examination, routine as well as special investigation to find the diagnosis. The final results were analyzed by simple manual analysis with frequency and percentage using Microsoft Excel software 2007. Results: There were total 280 patients included in the study. Among them the age groups of 21 – 30 years and 31 – 40 years were mainly suffer from hoarseness. Similarly, among 280 patients 200 (71.45%) were males whereas 80 (28.6%) were females with male to female ratio of 2.5:1.. The most common cause as per the distribution was acid peptic laryngitis with frequency of 37.8% whereas tuberculosis of larynx, papillary carcinoma of thyroid and papilloma of vocal cord accounts for only 0.4% each. Conclusion: There was etiological variation in hoarseness ranging from simple laryngitis to malignancies. So it is important not to ignore the hoarseness and precise history, examination and investigations should be done. DOI: http://dx.doi.org/10.3329/bjo.v19i1.11877 Bangladesh J Otorhinolaryngol 2013; 19(1): 14-17

Addressing ecology and sustainability in mega-sporting events: The 2006 football World Cup in Germany

2010 ◽  
Vol 16 (4) ◽  
pp. 587-600 ◽  
Author(s):  
Harald Dolles ◽  
Sten Söderman
Keyword(s):  
Point Of View ◽  
Sporting Events ◽  
World Cup ◽  
Sporting Event ◽  
History Of ◽  
Waste Energy ◽  
First Time ◽  
Water Waste

AbstractFor the first time in the history of FIFA (Fédération Internationale de Football Association), the football (soccer) World Cup held in Germany 2006 specifically addressed environmental concerns. By doing so, the German Organizing Committee did not have the objective of creating a short-term vision, but rather of making a long-term and lasting contribution to the improvement of environmental protection in hosting a mega-sporting event. By taking the football world cup in Germany as a case study, we will provide insights into the so-called ‘Green Goal’ programme and its four main areas: water, waste, energy, and transportation. From a global point of view, climate protection was added by the Organizing Committee as the fifth area of action and was recognised as a cross-sectorial task. Finally, questions are addressed on how to apply those measurements in the planning and organisation of other mega (-sporting) events.

scholarly journals The Nurse in the University: A History of University Education for South African Nurses: A Case Study of the University of the Witwatersrand

2011 ◽  
Vol 2011 ◽  
pp. 1-9
Author(s):  
Simonne Horwitz
Keyword(s):  
Nursing Education ◽  
South African ◽  
Nursing Program ◽  
University Education ◽  
Medical Community ◽  
History Of ◽  
The University ◽  
University Training ◽  
First Time

This paper charts the history and debates surrounding the introduction of academic, university-based training of nurses in South Africa. This was a process that was drawn out over five decades, beginning in the late 1930s. For nurses, university training was an important part of a process of professionalization; however, for other members of the medical community, nursing was seen as being linked to women's service work. Using the case-study of the University of the Witwatersrand, one of South Africa's premier universities and the place in the country to offer a university-based nursing program, we argue that an historical understanding of the ways in which nursing education was integrated into the university system tells us a great deal about the professionalization of nursing. This paper also recognises, for the first time, the pioneers of this important process.

The Eritrea Community-Based Theatre Project

1997 ◽  
Vol 13 (52) ◽  
pp. 386-395 ◽  
Author(s):  
Jane Plastow
Keyword(s):  
Women's Rights ◽  
Growth And Development ◽  
Modern Medicine ◽  
Women’S Rights ◽  
Community Based ◽  
The People ◽  
Freedom Fighters ◽  
History Of ◽  
Rural Context ◽  
First Time

Following Jane Plastow's contextual history of Eritrean theatre in NTQ50, Paul Warwick gave an account in the following issue of its previously undocumented role during the thirty-year Eritrean struggle for independence, describing the efforts of the freedom fighters to create theatre for the first time in a rural context. The Eritrean People's Liberation Front not only deployed theatre as a propaganda weapon, but also recognized its value as an agent for educating the people in matters ranging from women's rights to the benefits of modern medicine and farming methods: and with victory came measures further to stimulate the growth and development of theatre as part of Eritrean culture. Jane Plastow, in this third and concluding article, takes up the story with the invitation issued by the new government to her and her colleagues to initiate the ‘Eritrea Community-Based Theatre Project’, in an attempt both to widen the perspectives of Eritrean actors and to draw upon all relevant traditions, African and European, in developing a popular but distinctive theatre for the people. In addition to her role as director of the project, Jane Plastow is a lecturer at Leeds University, having worked in theatre for some years in a number of other African nations.

Sign in / Sign up

Export Citation Format

Share Document