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

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.

Author(s):  
Wahyu Wahyu Wahyu ◽  
Marliyati Marliyati Marliyati ◽  
I. Nyoman Romangsi

The aim of this article is to analyze internal control in service company. The analyze used the components of internal control according to COSO: control environment, risk assessment, control activities, information and communication, monitoring. Analysis of internal control used the data obtained through observation, questionnaires, interview, and documentary. Based on this analysis results can be concluded, that the dual positions refer with company SOP (Standard Operating Procedure). Separation of task does not work because that the dual positions. Therefore, the component of control activities applied at company is not in accordance with the component of control activities according to COSO. Nonconformity components still results in very effective internal control because the purpose of the internal control still remains to be achieved even though there are components that are not in accordance with the internal control components according to COSO.


2018 ◽  
Vol 7 (2) ◽  
pp. 95
Author(s):  
Indrastuti Indrastuti ◽  
Fatmawaty Damrah

2020 ◽  
pp. 33-38
Author(s):  
N. Katkasova ◽  
L. Pudovinnikova

This standard operating procedure (SOP) determines the standard process of filling out questionnaire by a nurse, it is introduced into the practice of nursing staff of the Samara City Clinical Polyclinic No. 15.


2020 ◽  
pp. 64-66
Author(s):  
Svetlana Dashuk

This standard operating procedure (SOP) defines the establishment of uniform requirements to compliance with the procedure for carrying out hygienic treatment of hands, has been introduced into the practical activities of medical workers of Tolyattin dental polyclinic No. 3.


2020 ◽  
pp. 71-74
Author(s):  
Svetlana Dashuk

This standard operating procedure (DIS) defines the establishment of uniform requirements for compliance with the procedure for carrying out current and general cleaning in the premises, has been put into practice by cleaners of the office premises of Tolyattin dental polyclinic No. 3.


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Stefanie Behnke ◽  
Thomas Schlechtriemen ◽  
Andreas Binder ◽  
Monika Bachhuber ◽  
Mark Becker ◽  
...  

Abstract Background The prehospital identification of stroke patients with large-vessel occlusion (LVO), that should be immediately transported to a thrombectomy capable centre is an unsolved problem. Our aim was to determine whether implementation of a state-wide standard operating procedure (SOP) using the Los Angeles Motor Scale (LAMS) is feasible and enables correct triage of stroke patients to hospitals offering (comprehensive stroke centres, CSCs) or not offering (primary stroke centres, PSCs) thrombectomy. Methods Prospective study involving all patients with suspected acute stroke treated in a 4-month period in a state-wide network of all stroke-treating hospitals (eight PSCs and two CSCs). Primary endpoint was accuracy of the triage SOP in correctly transferring patients to CSCs or PSCs. Additional endpoints included the number of secondary transfers, the accuracy of the LAMS for detection of LVO, apart from stroke management metrics. Results In 1123 patients, use of a triage SOP based on the LAMS allowed triage decisions according to LVO status with a sensitivity of 69.2% (95% confidence interval (95%-CI): 59.0–79.5%) and a specificity of 84.9% (95%-CI: 82.6–87.3%). This was more favourable than the conventional approach of transferring every patient to the nearest stroke-treating hospital, as determined by geocoding for each patient (sensitivity, 17.9% (95%-CI: 9.4–26.5%); specificity, 100% (95%-CI: 100–100%)). Secondary transfers were required for 14 of the 78 (17.9%) LVO patients. Regarding the score itself, LAMS detected LVO with a sensitivity of 67.5% (95%-CI: 57.1–78.0%) and a specificity of 83.5% (95%-CI: 81.0–86.0%). Conclusions State-wide implementation of a triage SOP requesting use of the LAMS tool is feasible and improves triage decision-making in acute stroke regarding the most appropriate target hospital.


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