scholarly journals PREVENTION AND MANAGEMENT OF GUDAGATA VIKARA (ANORECTAL DISORDERS)- AYURVEDIC PERSPECTIVE

AYUSHDHARA ◽  
2020 ◽  
pp. 11-25
Author(s):  
Borkar Sneha P ◽  
Dongre Amol A
Keyword(s):  
Lifestyle Changes ◽  
Age Group ◽  
Pruritus Ani ◽  
Fissure In Ano ◽  
Scientific Review ◽  
Fistula In Ano ◽  
Anorectal Disorders ◽  
Anorectal Diseases ◽  
The Subject ◽  
Google Search

Gudagata Vikara (Anorectal disorders) refers to ailments of the anus and/ or rectum. Gudagata Vikara includes; Arsha (Haemorrhoids), Bhagandara (Fistula in Ano), Parikartika (Fissure in Ano), Guda Kandu (Pruritus Ani), etc. These are some common disorders in human being. A study by Sharma et al. showed that Hemorrhoids (49%) and fistula-in-ano (27%) were commonest anorectal conditions, mostly affecting the age group 18-45 years. Apathya Ahara and Vihara leads to vitiation of Doshas causing Mandagni and vitiation of Apanavayu resulting in stagnation of Mala in Gudavali which leads to anorectal disorders. In present study a thorough and scientific review of Ahara (diet) and Vihara (lifestyle) has been carried out for the prevention and management of anorectal diseases. Materials and methods: Ayurvedic treaties, text books, Dissertation, Articles from PUBMED, SCOPUS, Google scholar, Mesh, Google search has been searched thoroughly related to the subject. Discussion: Gudagata Vikara, Anorectal Disorders, Ahara (Diet), Vihara (Lifestyle), Dinacharya, Ritucharya, Sadvritta has been discussed. Conclusions: Food articles mentioned in Ayurvedic text are effective in the management of Anorectal diseases. Lifestyle changes according to Dinacharya, Ritucharya and Sadavritta and following do’s and don’ts are effective in the management of Anorectal diseases

scholarly journals Overview of Kshar-sutra in treatment of Ano-rectal diseases- review of cases treated at ACTH in 2011-2012: Retrospective study

2021 ◽  
Vol 2 (1) ◽  
pp. 19-26
Author(s):  
Shiv Mangal Prasad ◽  
Bishun Dayal Prasad Patel ◽  
Raj Kishor Sah ◽  
Bijendra Shah
Keyword(s):  
Retrospective Study ◽  
Medical Record ◽  
Fiscal Year ◽  
Age Group ◽  
Institute Of Medicine ◽  
Fissure In Ano ◽  
Microsoft Excel ◽  
Fistula In Ano ◽  
Anorectal Diseases ◽  
The Common

Background Anorectal disorders including Fissure in Ano, Fistula in Ano and hemorrhoids are among the most common digestive complications. To our knowledge there is no any retrospective study of previous medical record data of Ayurveda Campus and Teaching Hospital (ACTH), Institute of Medicine, Tribhuvan University, Kirtipur, Kathmandu, Nepal available on the prevalence of major anorectal problems. Therefore, this retrospective was carried out to analyze the medical record of Shalya department OPD in fiscal year 2011-12 A.D. to estimate the prevalence of anorectal problems among the patients of anorectal complaints. Materials and Methods: This was a retrospective study conducted from January 2020 to December 2020 A.D. All the patients visiting the Department with anorectal complaints were screened. Name, sex, age, address and diagnosis was entered into Microsoft excel 2016 from registers of medical record; and analyzed in SPSS Version 2021 after coding the variables in excel.  The findings were presented with percentage and frequency in pie and bar diagram. Results: Overall, anorectal cases (n=1067) were enrolled and analyzed in the study. The findings of major anorectal diseases like Fissure in Ano, Fistula in Ano and Hemorrhoids were commonly found in age group of 21-30 year; and followed by 31-40 year and 41-50 year. Fistula in Ano was also significantly found in the old age group of 61-70 year. Furthermore, the prevalence of Fissure in Ano, Fistula in Ano, Internal and External Hemorrhoids were 20%, 32%, 31.2% and 12% among ano-rectal problems in this hospital during this fiscal year respectively. Conclusion: Anorectal diseases are one of the common diseases observed in adolescent and adult patients which is more common in male than female. The prevalence of hemorrhoids is higher among Fissure in Ano and Fistula in Ano. Ksharasutra is the most effective procedure for treatment of these anorectal diseases.

scholarly journals Evaluation of bowel habits in benign anorectal diseases

2018 ◽  
Vol 5 (3) ◽  
pp. 1031
Author(s):  
Navin Kumar ◽  
Farhanul Huda
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Colonic Transit ◽  
Bowel Habit ◽  
Common Disease ◽  
Fissure In Ano ◽  
Fistula In Ano ◽  
Bowel Habits ◽  
Bowel Movements ◽  
Bleeding Per Rectum ◽  
Anorectal Diseases

Background: Evaluation of bowel habit is useful indicator of functional gastrointestinal disorders. Assessment of bowel habit is retrospective in nature and it is best done by questionnaire technique. Aims and objectives of the study was to look for the bowel habit in common benign anorectal disorder.Methods: One-hundred patients with benign anorectal diseases who presented in the Surgery out patient’s department (SOPD) at AIIMS Rishikesh, India from January 2014 to December 2016 were included in the study. Inclusion criteria were all the cases of benign anorectal disorder attended in the Surgery OPD and exclusion criteria were cases with malignant anorectal disease. Patients were assessed on 7 questionnaires as bowel movements (number/day), consistency, feeling of incomplete defecation and/or difficult evacuation, straining at defecation, bleeding per rectum, pain during defecation, use of laxatives. These questionnaires were given to all these patients and asked to prepare a four-week daily diary.Results: One hundred patients with benign anorectal diseases enrolled in the study. All the patients came in the follow up with four-week daily diary. Author have encountered mainly haemorrhoid, Fissure in Ano and fistula in Ano at the General Surgery OPD. Most common disease was haemorrhoid (51%) and least common was fistula in Ano (3%). Most common bowel habits in haemorrhoid was passage of hard stool (51%) whereas in fissure in Ano it was straining at stool and in fistula in Ano it was passage of hard stool (100%), straining at defecation (100%) followed by bleeding and pain during defecation (67% each). Frequency of bowel movement was one per day and consistency was hard in majority of male and female patients. Laxative was used by 29% patients mainly for hard stool, incomplete evacuation and straining at stool.Conclusions: Bowel habit can be best investigated by questionnaire technique. Stool consistency is better guide of colonic transit time. Hard stool is the major cause of majority of the benign anorectal disorder.

scholarly journals A CASE STUDY AND CHALLENGES IN REPORTING OF ANO-RECTAL DISORDERS

AYUSHDHARA ◽  
2020 ◽  
pp. 2749-2752
Author(s):  
Suman Yadav ◽  
Ashutosh Kumar Yadav ◽  
Vishal Tiwari
Keyword(s):  
Clinical Presentation ◽  
Early Stage ◽  
Medical Attention ◽  
Fissure In Ano ◽  
Fistula In Ano ◽  
Anorectal Disorders ◽  
Rectal Diseases ◽  
Institutional Data ◽  
Primary Focus

Ano-rectal disorders namely Haemorrhoids, Fissure-in-ano and Fistula-in-ano here includes a variety of pathological disorders having different and various types of clinical presentation. These ano- rectal disorders generates relevant discomfort and disability to the patient. In this work our primary focus is only on these three anorectal disorders. The prevalence of Ano- rectal disorders are much higher than what we see in the hospital or clinics because most of the patient having such disorders do not seek for medical attention at an early stage. The present paper discusses about the hurdles or challenges faced while trying to enroll, update and increase the cases of Haemorrhoids, Fissure-in-ano and Fistula-in-ano reporting to Shalya Tantra OPD and IPD of Government Ayurvedic College and Hospital, Varanasi between year 2009-2019. The study had been also carried out to know the prevalence of diagnosed cases of Haemorrhoids, Fissure-in-ano and Fistula-in-ano and the interpretation of the data on the gender basis for better understanding of the disease. It is an institutional data study of total 5158 patients with an aim to estimate and evaluate the epidemiology of these ano–rectal disorders in eastern UP. This work is exploring scientifically the cause behind the prevalence of these three ano-rectal diseases reporting in our hospital.

Clinical evaluation of Kasisadi Ghrita local application in Parikartika (Fissure-in-ano)

2019 ◽  
Vol 4 (04) ◽  
Author(s):  
Mamta Gopalrao Mate ◽  
D. N. Farande ◽  
Vinay M. Pandey ◽  
Snehal Kukade
Keyword(s):  
Clinical Evaluation ◽  
Severe Pain ◽  
Signs And Symptoms ◽  
Study Trial ◽  
Local Application ◽  
Trial Group ◽  
Age Group ◽  
Fissure In Ano

Background: Parikartika is characterized by sharp cutting pain in anal regionIn Parikartika, Teevrashoola, bleeding is seen, similarly severe pain and slimy blood discharge are seen in Fissure-in-ano. Objective: To assess the efficiency of Kasisadi Ghruta local application in the management of fissure-in-ano. Methods: The patient having classical signs and symptoms of Parikartika (fissure in ano) having Age group 20 to 60 years were recruited for the study. Trial group was treated with Kasisadi Ghruta twice a day local application for 28 days. Results: Average relief observed was 62.5% in most of symptoms. Kasisadi Ghruta is having Shothahara, Vedanasthapana and Ropana properties due to which it helps in healing of fissure in ano. Conclusion: Kasisadi Ghruta local application is having better results in fissure-in-ano.

THE WIDENING GYRE: COUNTER-TERRORISM, HUMAN RIGHTS AND THE RULE OF LAW

2008 ◽  
Vol 67 (1) ◽  
pp. 69-91 ◽  
Author(s):  
Arthur Chaskalson
Keyword(s):  
Human Rights ◽  
Rule Of Law ◽  
The Internet ◽  
The Rule Of Law ◽  
Counter Terrorism ◽  
Daunting Task ◽  
The Subject ◽  
Google Search ◽  
Is Value ◽  
Do So

There are two themes that recur in previous Sir David Williams lectures. First, that it is a considerable honour to be invited to give the lecture. Secondly, that it is a daunting task to do so in the presence of Sir David, particularly in a field in which he has expertise. Since that covers most of the law there is no escape from this dilemma. Let me then acknowledge the privilege of having been asked to give this year's lecture, and confess that it is with some trepidation that I do so. The subject, terrorism and human rights, is not exactly uncharted territory. When I looked into the internet for some guidance on what might be relevant to terrorism and human rights, the response to my Google search informed me that in .03 seconds 32,900,000 references had been found. This seemed to indicate that it was unlikely that I would be able to say anything that has not already been said. But there are some subjects that are of such importance that there is value in reminding ourselves of the issues that are at stake, and if necessary for that purpose, repeating what others have said. And it is with that in mind that I approach my chosen topic.

scholarly journals An Observational Study to Assess the Validity of Anguli Pramana in the Present Era

2021 ◽  
Vol 12 (1) ◽  
pp. 90-93
Author(s):  
Pratibha Visave ◽  
Deepnarayan Shukla ◽  
Deepali Choudhari
Keyword(s):  
Standard Operating Procedure ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Lifestyle Changes ◽  
Age Group ◽  
Evolutionary Changes ◽  
Standard Operating ◽  
Standard Value ◽  
Standard Values ◽  
Ethical Clearance

Introduction: The concept of Anguli pramana is one of the hypothetical concepts in Ayurved put forth by acharyas. It mainly deals with the measurements of various parts of the human body. After reviewing the previous research done, it was noticed that, not a single study was being carried out by anyone of the researchers for assessing the validity of Anguli pramana in the present era. Therefore, the present study was planned. Method: After ethical clearance, the study was conducted. In total 770 participants of age group 18-50 years from Ahmednagar and Nashik region were selected. Measurements were taken for selected parameters, recorded and converted into Swa-anguli pramana.  Swa-anguli pramana was measured by taking width of the middle finger at the proximal interphalangeal joint of right hand. All the measurements were taken following Standard Operating Procedure. The data was analyzed with the test of Normality, Z score using Systat 13.0 version software. Result: In the present study, obtained value and standard value stated by Acharya Charaka for the selected parameters were compared and found statistically different. Similarly, obtained value and standard value stated by Acharya Sushruta for the selected parameters were compared and found statistically different. Discussion: The results were negative i.e., non comparable with the standard values stated by acharas for the selected parameters. It was observed that the Anguli pramana mentioned in ancient literature may not be considered valid in the present era. It may be because of evolutionary changes and lifestyle changes of the human being.

Colorectal surgery

2012 ◽  
Author(s):  
Matthew D. Gardiner ◽  
Neil R. Borley
Keyword(s):  
Colorectal Cancer ◽  
Ulcerative Colitis ◽  
Colorectal Surgery ◽  
Abdominal Wall ◽  
Colorectal Polyps ◽  
Fissure In Ano ◽  
Basic Principles ◽  
Fistula In Ano ◽  
Relevant Case ◽  
Case Based

This chapter begins by discussing the basic principles of gastrointestinal embryology, gastrointestinal anatomy, and intestinal stomas,before focusing on the key areas of knowledge, namely abdominal wall hernias, Crohn’s disease, ulcerative colitis, diverticular disease, colorectal polyps, colorectal cancer, haemorrhoids, fissure in ano, perianal infection and fistula-in-ano, and other anorectal conditions. The chapter concludes with relevant case-based discussions.

scholarly journals Top Three Risk Factors of Coronary Artery Disease in Chittagong, Bangladesh

2017 ◽  
Vol 16 (1) ◽  
pp. 26-28
Author(s):  
Abu Tarek Iqbal ◽  
M Jalal Uddin ◽  
Shaikh Md Hasan Mamun ◽  
Rajat Sankar Roy Biswas
Keyword(s):  
Risk Factors ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Age Group ◽  
Primordial Prevention ◽  
Male Preponderance ◽  
The Subject ◽  
Artery Disease ◽  
Type 2 Diabetic

Background: Many studies were conducted on the subject in home and abroad but there is none in Chittagong, Bangladesh. To know about top three risk factors for coronary artery disease we conducted the study.Methods: It was a retrospective study. Records of a private cardiac center from July 2013 to June 2014 was collected. Only coronary stenosed cases (As per angiogram) was studied. Age, sex, BMI, diabetes mellitus, hypertension, smoking and other risk factors were considered. Collected data was managed manually. Finally discussion was made and conclusion was done.Results: Majority cases 58(76%) were of 40-60 years age group. Male preponderance was there 64(83%). BMI of 45(60%) cases was normal (<25). Family history was positive among 11(14%) cases. Dyslipidemia was found in 08(10%) cases, 56(73%) cases were hypertensive, 43(56%) cases were type-2 diabetic and 35(45%) were smoker.Conclusion: Hypertension, Diabetes and Smoking are top 03 risk factors for coronary artery disease. All are modifiable. So, primordial prevention should be taken to reduce prevalence of coronary artery disease.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 26-28

scholarly journals Produção orgânica: predileção de consumo e potencialidades do seguimento em Fortaleza – CE

2015 ◽  
Vol 10 (3) ◽  
pp. 32
Author(s):  
C. S. P. Oliveira ◽  
A. F. Lima ◽  
E. C. Silva ◽  
W. P. P. Andre ◽  
T. P. P. Andre
Keyword(s):  
Eating Habits ◽  
Consumer Preference ◽  
Consumer Products ◽  
Organic Production ◽  
Age Group ◽  
Significant Percentage ◽  
Organic Products ◽  
The Subject ◽  
Consumer Habits ◽  
Source Of Information

<p>Este trabalho objetivou investigar o perfil de consumidores de produtos orgânicos, bem como sua forma de aquisição e quais as preferências que influenciam no momento de decidir sobre a compra. O presente estudo foi desenvolvido durante a VIII FECEAF – Feira Cearense da Agricultura Familiar – em Fortaleza, Ceará, durante julho de 2015, totalizando 100 sujeitos amostrais. Foram respondidas questões objetivas referentes ao perfil do consumidor, onde os indivíduos do sexo feminino (51%), à faixa etária entre 21 a 30 (39%) e o ensino médio (48%) desse público obtiveram maior representatividade. Observou-se ainda o pouco conhecimento acerca dos produtos orgânicos entre os entrevistados (61%), tendo a televisão como principal fonte de informação a respeito do tema (34%). No que diz respeito aos hábitos de consumo e a forma de aquisição desse tipo de produto, 54% dos respondentes o escolhem por apresentar uma melhor qualidade quando comparados aos convencionais, 43% o consomem todos os dias e 41% costumam adquiri-los em supermercados. Já o hábito familiar de consumo obteve um percentual expressivo (87%), em que todos os integrantes da família fazem uso do consumo de produtos orgânicos. Quanto à atratividade, 53% relatam que a ausência de agrotóxicos tornam os produtos orgânicos mais atrativos. Entre os orgânicos mais consumidos, as frutas (53%) e as hortaliças (29%) obtiveram maior destaque. Nesse sentido concluímos com o trabalho que os hábitos alimentares das famílias tem se tornado cada vez mais saudáveis, dando espaço ao crescimento do comércio do produto orgânico, fortalecendo o mercado incentivando a produção. </p><p align="center"><strong><em>Organic production: consumer preference and potential tracking in Fortaleza – CE</em></strong></p><p><strong>Abstract: </strong>This study aimed to investigate the profile of consumers of organic products as well as their way of acquisition and which preferences that influence when deciding on the purchase. This study was developed during the VIII FECEAF - Fair Cearense Family Agriculture - Fortaleza, Ceará, in July 2015, totaling 100 sample subjects. objective questions were answered for the consumer profile, where the females (51%), the age group 21-30 (39%) and high school (48%) of that audience got more representative. There was still little knowledge about organic products among respondents (61%), with television as the main source of information on the subject (34%). With regard to consumer habits and how to purchase this type of product, 54% of respondents choose it to present a better quality when compared to conventional, 43% consume it every day and 41% usually buy them in supermarkets . Already familiar consumption habits obtained a significant percentage (87%) in all family members making use of organic consumer products. As for attractiveness, 53% report that the absence of pesticides makes them more attractive organic products. Among the most consumed organic, fruits (53%) and vegetables (29%) were most prominent. In this sense we completed the work that the eating habits of families has become increasingly healthy, making room for the growth of the organic product trade, strengthening the market by encouraging production.</p><p><strong> </strong></p>

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