scholarly journals A SINGLE CASE STUDY ON EFFECT OF LAKSHADI CHOORNA KARNADOOPANA IN OTOMYCOSIS ASSOCIATED WITH OTITIS MEDIA

2020 ◽  
Vol 8 (10) ◽  
pp. 4889-4893
Author(s):  
Chaya C ◽  
Rathi S ◽  
Pasha S M.
Keyword(s):  
Fungal Infection ◽  
Otitis Media ◽  
External Auditory Canal ◽  
Single Case ◽  
Term Treatment ◽  
Holistic Treatment ◽  
Long Term Treatment ◽  
Life Threatening ◽  
The Subject

Otomycosis is a common condition encountered in a general otolaryngology clinic setting and has typically been described as fungal infection of the external auditory canal with frequent complications involving the middle ear. Although rarely life threatening, the disease is a challenging and frustrating entity for both pa-tients and otolaryngologists as it frequently requires long-term treatment and follow-up. Despite this, there could be recurrences. Karnasrava is a disease mentioned by Acharya Sushruta in the chapter of Karnaroga Vigyaniya under twenty-eight Karnarogas. Karnasrava is the condition characterized by discharge from Karna and occurs mainly due to Avarana of Vata Dosha. Otomycosis being one of the causes of Karnasrava was selected for the study. Treatment of Karnasrava is explained by Sushruta i.e. Karnadoopana, Karnapoorana, Prakshaalana etc. Case Study: This is a case report of 50-year-old female patient who had complains of pain in right ear since 1 month associated with watery discharge from right ear. The subject is a known case of diabetic mellitus since 1year. The Otoscopic examination of bilateral ear, confirmed that, diagnosis of right ear was Otomycosis associated with otitis media. Materials and Method: The subject who approached Shalakya tantra OPD of GAMC with symptoms of right ear pain associated with on and off watery discharge was systematically reviewed. Intervention was planned for Doshic component involved in Karnasrava. Result: The subject showed considerable improvement in right ear. Discussion: Karnasrava is the condition characterized by Srava from Karna and occurs mainly due to Av-arana of Vata Dosha. Otomycosis is a fungal infection of external auditory canal and one of the causes for Karnasrava. This study sheds light on holistic treatment like Karnadoopana told in the Ayurvedic clas-sics.

scholarly journals Effect of Integrated Ayurveda and Yoga Therapy (IAYT) on osteoporosis detected in breast cancer patient on remission- A single case study

2020 ◽  
Vol 1 (2) ◽  
pp. 23
Author(s):  
Satyam Tripathi ◽  
Megha Panchal ◽  
Nooraini Binti Aliyas
Keyword(s):  
Breast Cancer ◽  
Bone Density ◽  
Ductal Carcinoma ◽  
Single Case ◽  
Alternative Therapy ◽  
Breast Cancer Patients ◽  
Yoga Therapy ◽  
Holistic Treatment ◽  
Treatment Medication

This is a case study for invasive ductal carcinoma diagnosed in a patient aged 60 years in 2015. She went through chemotherapy and radiotherapy and was on remission in 2016. Bone density degeneration was the side effect from the breast cancer treatment. After trying the conventional treatment, she was not satisfied, she came to Union Yoga Ayurveda (UYA), Singapore. She came to clinic looking for alternative therapy to help her increase her bone density, cope up with weakness and overall mental and physical wellbeing. The patient was given holistic treatment of yoga and Ayurveda, involving patra pinda sweda (herbal compress) and picchu (herbal soaked gauze pieces). The yoga therapy involved asanas practise to increase strength, breathing and meditation for overall wellbeing. The patient was not on any other treatment/medication during the entire treatment. After uninterrupted therapy for six months there was an increase in her bone density along with increase in energy level. The patient case study is an attempt to provide yoga and Ayurveda as an alternative/supportive treatment for remission management osteoporosis from breast cancer patients.

scholarly journals Investigation Of Spiritual Well-Being Palliative Care Of Patients

2019 ◽  
Vol 9 (7) ◽  
pp. 496-513 ◽  
Author(s):  
Fadime Çinar*, Turgay Sirin
Keyword(s):  
Palliative Care ◽  
Personal Information ◽  
Healing Process ◽  
Well Being ◽  
Term Treatment ◽  
Long Term Treatment ◽  
Spiritual Well Being ◽  
Life Threatening ◽  
The Difference ◽  
The Individual

Background: One of the indispensable aspects of the philosophy of holistic care,and negative situations such as life-threatening illness, spiritual well-being, which isdefined as the search for a relationship with a divine soul, is a requirement that mustbe met in order to maintain the existence of the individual. The patient's need forsocial and spiritual well-being increases even more in cases of long-term treatment,such as cancer, that reduce the quality of life. Determining and meeting the spiritualneeds of the individual in the difficult times of the crisis can be realized bydetermining the spiritual well-being levels of the individuals and by providing theindividual spiritual care. This study was conducted to determine the level of thespiritual well-being of palliative care patients diagnosed with cancer. Methods: Thisis a descriptive study. The population of the study consisted of 124 patientsdiagnosed with cancer who were hospitalized in the palliative unit between Januaryand August 2018 and were treated in two state hospitals operating on the Europeanside of Istanbul. The sample consisted of 111 people with voluntary participationand communication. Personal Information Form and Spiritual Well-being Scalewere used to collect data. Data were evaluated by one-way analysis of variance (one-way anova) and significance (t-test) of the difference between the two means.Results: The total score averages from the spiritual good scale of individualsparticipating in the Study were determined to be good with x = 4,15. In terms ofthe level of education of Scale scores, only "Anomi" is significantly differentiatedbetween groups of age, with a total score of the scale, In the sub-dimension oftranscendity and the subdimension of "Harmony with Nature" according to thevariable metastasis (p > 0.05). Conclusion: Spiritual Well-being has a positive effecton the healing process of individuals with impaired health. It helps individuals whohave a crisis in life threatening diseases such as Cancer to cope with this crisis and toprovide spiritual well-being in the sense of life. In This process, spiritual careinitiatives by healthcare professionals can be transformed into a part of the healingprocess and the spiritual goodness of the individual can be increased. Furtherresearch in This area is projected to contribute to the richening of the relevantliterature in Turkey.Key words: Spiritual, spiritual well-being, palliative care, palliative care unit

scholarly journals Aortic penetration due to a fish bone: a case report

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Daming Jiang ◽  
Yi Lu ◽  
Yigong Zhang ◽  
Zhanglong Hu ◽  
Haifeng Cheng
Keyword(s):  
Foreign Body ◽  
Fish Bone ◽  
Term Treatment ◽  
Aortoesophageal Fistula ◽  
First Case ◽  
Long Term Treatment ◽  
Swallowing Pain ◽  
Life Threatening ◽  
Sharp Foreign Body

Abstract Background Aortoesophageal fistula (AEF) caused by an esophageal foreign body is a life-threatening crisis, with rapid progress and high mortality. The first case of AEF was reported in 1818, but the first successfully managed case was not until 1980. Although there have been some reports on this condition, in most cases, the aorta was invaded and corroded due to its adjacent relationship with the esophagus and subsequent mediastinitis. To date, few reports have described an aortic wall directly penetrated by a sharp foreign body, likely because this type of injury is extremely rare and most patients cannot receive timely treatment. Here, we present a rare case of a fish bone that directly pierced the aorta via the esophagus. Case presentation A 31-year-old female experienced poststernum swallowing pain after eating a meal of fish. Gastroscope showed a fishbone-like foreign body had penetrated the esophagus wall. Computed tomography revealed that the foreign body had directly pierced the aorta to form an AEF. Surgery was successfully performed to repair the aorta and esophagus. The postoperation and follow-up was uneventful. Conclusions For the treatment of foreign bodies in the esophagus, we should be alert of the possibility of AEFs. The effective management of AEFs requires early diagnosis and intervention, as well as long-term treatment and follow-up, which still has a long way to go.

Gambling-Induced Analgesia: A Single Case Report

2001 ◽  
Author(s):  
Alexander Blaszczynski ◽  
Fiona Maccallum
Keyword(s):  
Chronic Back Pain ◽  
Single Case ◽  
Slot Machines ◽  
Single Case Report ◽  
Conditioning Model ◽  
Short Period ◽  
Analgesic Medication ◽  
Negative Reinforcer ◽  
The Subject

This paper describes a single case study of analgesia induced by gambling. The subject is a 48-year-old male diagnosed with pathological gambling problems, suffering chronic back pain resulting from a road trauma. The reported intensity of arousal associated with slot machines and roulette produced a state of dissociation or distraction that temporarily reduced levels of pain. Consistent with an operant conditioning model, this reduction in pain was a negative reinforcer that acted to elicit further gambling whenever the pain reached a certain level of discomfort. In the absence of any effective analgesic medication, he used gambling as his predominant strategy to manage pain. He began to enjoy gambling, and within a relatively short period, lost more than he intended and commenced chasing losses. Pain levels decreased following chiropractic interventions, but his gambling continued. The additional, positive reinforcing effects of the excitement generated by the slot machines and roulette gaming became sufficient to maintain persistence in gambling independent of pain experienced. This case highlights the possibility that psychological factors involved in establishing a gambling habit may differ from those involved in maintaining persistence.

scholarly journals Influence of portofolio management in decision-making

2018 ◽  
Vol 11 (3) ◽  
pp. 406
Author(s):  
Rolney Baptestone ◽  
Roque Rabechini
Keyword(s):  
Decision Making ◽  
Strategic Management ◽  
Portfolio Management ◽  
Single Case ◽  
Case Study Method ◽  
Financial Organization ◽  
The Subject ◽  
The Relationship ◽  
Practical Implications

This research aims to demonstrate how portfolio management influences the decision-making process in the projects of a financial organization. And to achieve this goal was used the single case study method. In order to reach this goal, the study began by means of bibliometric research on the subject of portfolio management and subsequent bibliographic research on the theme, decision making. Next, the relationships between portfolio management and decision making were studied. The results of the data collected confirmed the relationship between "the use of the project identification process in portfolio management to influence decision making" in order to add value to the business. It is also possible to demonstrate moderately that "the use of criteria for project selection influences the consequences of decision making", helping in the strategic management of the organization. One of the academic contributions was to note a migration of the portfolio management process, such as a tool that only controls the projects that will compose the portfolio of an organization, for a process that aims at a direct alignment with the strategic management of the organization. Regarding the practical implications, it was verified the importance of portfolio analysis for decision making, to the detriment of the evaluation of only one project. Taking into account the profitability and the return on investment of the projects, as the most important aspects for a decision making.

Long-Term Treatment of Severe Dysarthria

1988 ◽  
Vol 53 (4) ◽  
pp. 433-440 ◽  
Author(s):  
Marianne B. Simpson ◽  
James A. Till ◽  
Anne M. Goff
Keyword(s):  
Speech Intelligibility ◽  
Measurement Techniques ◽  
Term Treatment ◽  
Single Subject ◽  
Basilar Artery Thrombosis ◽  
Long Term Treatment ◽  
Velopharyngeal Function

This case study describes the long-term treatment and changing symptoms in a single subject with dysarthria secondary to basilar artery thrombosis. Initially, the subject was anarthric. Treatment efforts thereafter were directed toward modifying speech respiration, velopharyngeal function, articulatory precision, speech intensity, and speech intelligibility. A variety of treatment and measurement techniques are illustrated. The behavioral change resulting from each of the treatments was small. However, when combined, these small gains in conjunction with some neurological recovery resulted in significantly improved communication and quality of life for this subject. Implications for management Of similar subjects are discussed.

scholarly journals MULTIPLE PERSONALITY. DISSOCIATION MECHANISM OPPOSITE TO SCHIZOPHRENIA

2021 ◽  
Vol 9 (4) ◽  
pp. 529-541
Author(s):  
Dinu Lorena Georgiana ◽  
Toma Ruxandra ◽  
Ionuţ Popa ◽  
Simona Trifu
Keyword(s):  
Substance Use ◽  
Term Treatment ◽  
The Body ◽  
Current Profile ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Long Term Treatment ◽  
The Mind ◽  
Functional Areas

Motivation: identity disorder is a mental disorder with a major impact on all aspects of a person's life, affecting in many cases most of its functional areas. The patient in this case study is 40 years old and appears to have good functionality at work, but his personal life is affected. As co-morbid disorders, obsessive-compulsive disorder and substance use can be mentioned. On the other hand, making a differential diagnosis between identity disorder and schizophrenia is difficult for this patient, because he has symptoms with elements specific for both disorders. Objectives: This paper aims to assess the current profile and longitudinal dynamics of a identity disorder in the case of a 40-year-old patient. He was brought to the psychiatrist by his sister, who found some quirks in his brother's behavior and insisted that he consult a specialist to help him. Also, considering the stress-vulnerability model, the factors that contributed to the onset of the pathology will be captured. Simultaneously with the symptoms of this disorder, we will also consider the effects that substance use has on the patient's condition. Methods: Psychological evaluation, interview, case study, management of the therapeutic alliance and proposal of a long-term treatment, in the absence of which the symptoms may worsen, with the risk of significantly affecting functionality and even suicide. Results: The study outlines a profile based on the fragility of the ego and personal boundaries, going as far as the splitting of the ego, the patient declares that there are different people in it: "authority, accountant, good will", "Half of the things I say I hear for the first time"), the fragility of the boundaries of reality ("life is not reality", "to stay away from reality and stay in my mind for a while"), confusion between the material area and the immaterial one ("the bottom step of the safety pyramid", "I don't clean the house because it costs; at first it costs detergents and then it costs the mind to force itself to clean it too"), dissociation between body, mind and soul ("I speak with my desires", "the body was born first, I was born after; the desires are his"), chain of ideas and flight of thoughts, to which are added behaviors from the obsessive-compulsive spectrum (" mistakes are a kind of death "," I am not allowed to spend, not for me either ”,“ 10 pairs of socks. Do you have? We are not talking”)

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