scholarly journals A Comparative Clinical Evaluation of Agnikarma and Raktamokshana in Management of Gridhrasi (Sciatica)”

The Healer ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 1-7
Author(s):  
DURGESH NANDINI ◽  
Dr. T. S. Dudhamal

Background: Gridhrasi can be correlated with sciatica which is a severe painful condition where back pain and radiating pain of the legs are found together on the basis of symptoms. In the treatment of sciatica only symptomatic management and a very few surgical procedures are available in conventional medical science with their own limits. Various methods used for Gridhrasi treatment in Ayurveda but para-surgical methods i.e. Agnikarma & Raktamokshana are more beneficial. Aim & objective: To compare the efficacy of Agnikarma and Raktamokshana (Cupping) in the management of Gridhrasi (Sciatica). Materials & Methods: Total 32 diagnosed cases of sciatica were registered, from which 29 patients completed the study. In group A, 4 sittings of Agnikarma were done in 16 patients with Panchadhatu Shalaka at lumbosacral region and achilles tendon region. In group B, 2 sittings of Raktamokshana was performed in 16 patients by using modified Shringa Yantra at lumbo-sacral region and four angula above Janu sandhi (Knee joint).. Result: The result was assessed by using wilcoxon signed rank test within the group and Mann whitney test between the group. Stastically significant relief was observed in both groups on cardinal symptoms of Gridhrasi. In Agnikarma group, 26.67% patients had got complete remission, 20% patients had marked improvement whereas 40% had moderate improvement in the symptoms of Gridhrasi. In group, Raktamokshana 50% had moderate improvement, 42.85% had marked improvement. Conclusion: Both para-surgical modalities have definite role in treating sciatica but Agnikarma has shown better result in comparison of Raktamokshana in the management of Gridhrasi (Sciatica).

2020 ◽  
Vol 3 (1) ◽  
pp. 64
Author(s):  
Diantifani Harlianda ◽  
Prayitno Prayitno ◽  
Mudjiran Mudjiran

The phenomenon of bullying in Indonesia is very worrying for the development of teenagers’ life. This study used a quantitative approach with an experimental method. The design used was a pre-experimental one group pretest-posttest design. The data were collected from 33 students as the sample of this study taken by using a purposive sampling technique. The experimental group was divided into 3 groups, namely group A, group B and group C. Each group consisted of 11 members. The data were collected by using a questionnaire students’ BMB3 conditions about bullying (55 valid items = 0.889). Data were analyzed by using the Wilcoxon signed rank test with the help of SPSS version 20.00 to measure the differences between two paired groups on ordinal data. The findings of the study showed that intelligent character education-group format was effective for improving the conditions about thinking, feeling, behaving, acting, and being responsible for the students against bullying so it can prevent bullying behavior.


Author(s):  
Ayaka Ubara ◽  
Yukiyoshi Sumi ◽  
Kazuki Ito ◽  
Arichika Matsuda ◽  
Masahiro Matsuo ◽  
...  

We aimed to analyze (a) the changes in depression, sleepiness, insomnia, and sleep habits in relation to the degree of self-isolation and (b) the effects of changes in sleep habits and social interactions on depression, insomnia, and sleepiness during the coronavirus disease 2019 (COVID-19) pandemic. We enrolled 164 patients who visited the sleep outpatient clinic in Shiga University of Medical Science Hospital. We compared the sleep habits, depression (Patient Health Questionnaire-9: PHQ-9), insomnia (Athens Insomnia Scale: AIS), and sleepiness (Epworth Sleepiness Scale: ESS) of patients during the period from April to July 2019 vs. May 2020 (a period of self-isolation due to COVID-19). A Wilcoxon signed-rank test indicated no significant differences in PHQ-9, ESS, and AIS scores between 2019 and 2020 within both the strong self-isolation group and no/little self-isolation group. With respect to sleep habits, earlier bedtime (p = 0.006) and increased sleep duration (p = 0.014) were found in the strong self-isolation group. The former (p = 0.009) was also found in the no/little self-isolation group, but we found significant differences in sleep duration between the no/little self-isolation group and the strong self-isolation group (p = 0.047). Therefore, self-isolation due to COVID-19 had relatively small one-year effects on depression, sleepiness, and insomnia in a clinical population.


2021 ◽  
Vol 9 (9) ◽  
pp. 2006-2011
Author(s):  
Anagha Narayanan ◽  
Susheel Shetty

Background and Objectives: Tamaka Swasa is a form of Swasa Roga primarily affecting the Pranavaha Srotas characterized by Swasakrichratha, Ghurghuraka, Teevra vega Swasa etc. Tamaka Swasa in Ayurvedic classics appears to be similar to Bronchial Asthma. Several medications are available in today’s medical system to treat this disease, but they are known to cause a variety of side effects. Hence, the suffering population is turning to conventional remedies for better relief. In this regard, Ayurveda can provide promising results in Tamaka Swasa with varieties of treatment modalities. In light of these considerations, the aim of the study was to assess the efficacy of two Ayurvedic formulations Satyadi Churna listed in Swasakarmavipaka adhyaya in Brihat Nighantu Ratnakara and Vyaghri Churna mentioned in Curnakalpana Adhyaya in Sharangdhara Samhita in the treatment of mild to moderate Bronchial Asthma. Materials and Methods: 40 Tamaka Swasa Subjects were selected those fulfilling the diagnostic and inclusion criteria. They were randomly assigned into two equal groups. Comparative analysis of the overall effect of the treatments in both the Groups was done statistically with Mann- Whitney Rank Sum Test and within the Group comparison with Wilcoxon Signed Rank Test. Results: Within the group comparison showed statistically significant results for all the criteria in Group A while in Group B except Peenasa all other criteria showed statistically significant results. Conclusion: When comparing both groups Satyadi Churna showed better improvement in the symptoms of Tamaka Swasa than Vyaghri Churna. Hence H1 holds good and proved. Keywords: Tamaka Swasa, Bronchial Asthma, Satyadi Churna, Vyaghri Churna, Peak flow meter.


Author(s):  
Anupma . ◽  
U. Karya ◽  
Harsha S. Gaikwad ◽  
Anamika . ◽  
Shalini .

Background: To compare the efficacy of transcervical foley’s catheter with intracervical PGE2 gel for pre -induction cervical ripening.Methods: It was a prospective interventional study conducted between April 2012 to April 2013 in the department of obstetrics and gynecology at L. L. R. M. medical college and S. V. B. P. hospital Meerut. A total of 80 pregnant women of ≥28 weeks of gestation with bishop score less than or equal to 4 and with various indications for induction of labour were randomly allocated to receive intracervical PGE2 gel (Group A) or transcervical foley’s catheter (Group B). Bishop score was repeated after 6 hours by the same person and the results were compared.Results: The groups were comparable with respect to maternal age, gestational age, indications of induction of labour and initial bishop’s score. The intragroup results were calculated by Wilcoxon signed rank test and intergroup results were calculated by Mann Whitney U-test. The change in bishop score in PGE2 group was 3 and in foley’s group was 3.25 after 6 hours of induction (interquartile range of median) which is significant. The mean change in bishops score was 2.65 in PGE2 group and 3.1 in foley’s group after 6 hours of induction and was significant, however the bishop’s score was comparable in both the groups and statistically insignificant.Conclusions: Both foley’s catheter and PGE2 gel are equally effective in pre-induction cervical ripening of cervix.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
J. C. Bewick ◽  
M. A. Buchanan ◽  
A. C. Frosh

Introduction. Internal nasal valve incompetence (INVI) has been treated with various surgical methods. Large, single surgeon case series are lacking, meaning that the evidence supporting a particular technique has been deficient. We present a case series using alar batten grafts to reconstruct the internal nasal valve, all performed by the senior author.Methods. Over a 7-year period, 107 patients with nasal obstruction caused by INVI underwent alar batten grafting. Preoperative assessment included the use of nasal strips to evaluate symptom improvement. Visual analogue scale (VAS) assessment of nasal blockage (NB) and quality of life (QOL) both pre- and postoperatively were performed and analysed with the Wilcoxon signed rank test.Results. Sixty-seven patients responded to both pre- and postoperative questionnaires. Ninety-one percent reported an improvement in NB and 88% an improvement in QOL. The greatest improvement was seen at 6 months (median VAS 15 mm and 88 mm resp., with aPvalue of <0.05 for both). Nasal strips were used preoperatively and are a useful tool in predicting patient operative success in both NB and QOL (odds ratio 2.15 and 2.58, resp.).Conclusions. Alar batten graft insertion as a single technique is a valid technique in treating INVI and produces good outcomes.


2021 ◽  
Vol 11 (10) ◽  
pp. 5-9
Author(s):  
Disha A. Rupareliya ◽  
Yagna U. Shukla

Background: Plantar fasciitis is one of the most common causes of heel pain in adults. It is very painful and disabling condition and most patients seek medical attention. Cryotherapy is the application of cold to the part of the body for reducing local temperature. Methodology: 30 subjects diagnosed as plantar fasciitis and fulfilling inclusion and exclusion criteria were included in the study. Written informed consent was taken and study was undertaken. Subjects were randomly divided into two groups, Group A received cryotherapy along with conventional physiotherapy and Group B received only conventional physiotherapy. All the patients were treated once daily and for 6 days. Results: Wilcoxon signed rank test applied for NPRS and FFI showed significant improvement within both the groups (p<0.05). Mann Whitney U test applied for NPRS and FFI showed significant improvement in Group A (Study group) as compared to Group B (Control group) (p<0.05). Conclusion: Cryotherapy along with conventional physiotherapy is found to be effective in reducing pain and improving function and hence helps early rehabilitation in plantar fasciitis. Key words: Plantar fasciitis, Cryoflow IR, Foot function index.


2018 ◽  
Vol 9 (3) ◽  
pp. 214-218
Author(s):  
Shekokar Anantkumar ◽  
Borkar Kanchan ◽  
Badhiye Sanjeevani

Ayurveda is a science of life and is believed to exist as long as the origin of life on this nature as it mentioned in Charak Samhita. Ever since, the life originated, human being has been susceptible to injury which is made him to think about healing. Hypertrophic scar  is a type of scar characterized by hypertrophy or proliferation of mature fibroblast or fibrous tissue without proliferation of blood vessels. It is caused due to tissue formation during healing process.   Acharya Sushruta has mentioned Palandu (Allium Cepa) as Sthirdhatukarta  and Krumighna. Palandu is one of the oldest cultivated vegetables in indian history. Palandu contains vitamin A, C and proteins which are essential factors for wound healing ,with keeping  these factors in mind,present study was planned as a local application of Palandu Ghrita to prevent hypertrophic scar because prevention is better than cure. For this research study we designed 2 groups viz. experimental group (Group A) i.e. application of Palandu Ghrita and control group (Group B) i.e. application of plain gauze piece. In this, we observed 30 patients from each group according to age, occupation, family history, sharir prakruti etc. and made result on the basis of assessment criteria like pain, scar colour, pliability, tenderness etc. By taking all observations into consideration we made result by using Wilcoxon signed rank test and Mann Whitney’s U test and came on the conclusion that Palandu Ghrita application prevents hypertrophic scar with economical and easy acceptability.  


2019 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Dewi Nurhanifah ◽  
Desy Noor Latifah Sari ◽  
Rahmawati Rahmawati

Salah satu masalah kesehatan yang sering dialami adalah penyakit gastritis. Gejala yang sering dikeluhkan oleh penderita gastritis adalah mual. Salah satu penatalaksanaan keperawatan yang dapat mengurangi rasa mual adalah tirah baring. Penelitian ini bertujuan untuk mengetahui pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan. Metode penelitian menggunakan eksperimental dengan bentuk penelitian one group pretest-posttest design. Populasi dan sampel adalah klien yang mengalami mual di Wilayah Kerja Puskesmas  yang berjumlah 15 orang. Sampel diambil dengan teknik purposive sampling. Alat pengumpul data menggunakan observasi. Analisa data melalui uji Wilcoxon Signed Rank Test. Hasil penelitian menujukkan klien gastritis sebelum tirah baring mengalami mual ringan sebanyak 7 orang (46,7%), sesudah tirah baring mengalami tidak mual sebanyak 7 orang (46,7%). Ada pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan (ρ value = 0,001).


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Ferawato Ferawati

ABSTRAKReumatoid Artritis (RA) merupakan penyakit muscoloskelektal yang sering terjadi pada usia lanjut. Gangguan pada system muscoloskelektal yang ditandai dengan munculnya nyeri sendi dan kekakuan yang mengakibatkan penurunan kemampuan fisiologis atau kualitas hidup lansia. Dampak dari Reumatoid Artritis dapat menimbulkan beberapa keluhan dan dapat menyebabkan kelumpuhan. Untuk menganalisis efektifitas kompres jahe merah hangat dan kompres serai hangat terhadap penurunan intensitas nyeri artitris remauthoid pada lanjut usia.Metode Penelitian: Jenis penelitian adalah quasy experimental dengan two group pre – post test design. Subjek adalah sebagian lansia yang penderita Arthritis Remathoid di Desa Sumberagung Kecamatan Dander Kabupaten Bojonegoro. Subjek dibagi menjadi dua kelompok yaitu kelompok I (n=15) diberi perlakuan kompres jahe hangat dan II (n=15) diberi perlakuan kompres serai hangat. Analisis yang digunakan uji Mann Whitney U Test dan Wilcoxon Signed Ranks Test dengan ingkat kemaknaan α = 0,05.Hasil uji Wilcoxon Signed Rank Test, didapat keduanya mempunyai nilai kemaknaan yaitu ρ value = 0,000. Nilai ρ = 0,031 pada kelompok kompres serai hangat dan kelompok kompres jahe merah ρ value = 0,165. Hasil uji Mann Withney U Test pada Post perlakuan kedua terapi diperoleh selisih nilai nyeri pada kompres jahe ρ= 0,003 dan selisih nilai nyeri kompres serai ρ value = 0,001.Penggunaan kompres jahe merah lebih efektif dibandingkan dengan kompres serai terhadap penurunan intensitas nyeri arthritis remathoid. Kata Kunci: usia lanjut, Reumatoid Artritis (RA), jahe merah, serai, perbedaan efektifitas.    ABSTRACTReumatoid Artritis (RA) is a musculoskeletal which frequently occurs in the elderly. The disorders in the musculoskeletal system are noted by the occurrence of pain in the joints and stiffness which reduces the physiological abilities or life quality of the elderly. The disease causes many such complaints and  consequences of the disease rheumatoid arthritis may experience paralysis. The aims of this study is to analyze the effect of warm red ginger compress therapy and warm lemongrass compress therapy against of  Decreased pain intensity in  the elderly  with  artitris remauthoid. The study was Queasy experimental with two group pre – post test design. Subjects were some elderly people with Arthritis Remathoid in Sumberagung Village, Dander Sub District, Bojonegoro District. Subjects were divided into two groups: group I (n-15) with warm ginger compress therapy, and II (n=15) with warm lemongrass compress therapy. The analyses used in this study were the Mann Whitney U Test and Wilcoxon Signed Ranks Test with α of 0.05. Results of Wilcoxon Signed Rank Test obtained Both have meaning p value of  0.000. ρ value = 0,031 in a warm lemongrass compress therapy group and obtained of warm ginger compress therapy group ρ value = 0,165. The results of Mann Withney U Test on Post treatment second therapy, obtained difference of warm ginger compress therapy with ρ value= 0,003 and difference of warm lemongrass compress therapy with ρ value = 0,001.The use of warm ginger compresses therapy are more effective than a warm lemongrass compress therapy against decreased pain intensity in  the elderly  with  artitris remauthoid.  Keywords: elderly, artitris remauthoid, red ginger, lemongrass, differences in effectiveness


Author(s):  
I Ketut Widana

The working practice of the engineering students is part of the learning process that is irreducible and indispensable. The composition of  lecturing between theoretical and practical one is 40% to 60%. With this condition, the students spend more time at the laboratory. Generally, the students perform in the laboratory work by standing position. The design of research is observational cross-sectional. The method applied is observation, interview and measuring. The subjects of research are practicing students amounting to 21 students. Referring to the analysis of statistical test or Wilcoxon signed ranks test, the difference of effect of work position is significant, namely p < 0.05 towards musculoskeletal disorders (MSDs) before and after working. The quantity of the average complaint after working is score 44.62 ± 9.47. The result of Wilcoxon signed rank test shows that there is significant different effects of standing work position, namely p < 0.05 towards fatigue generally before and after working. The degree of the working pulse is on the average of 110.78  ± 17.80 bpm (beats per minutes) which can be categorized into the medium workload. Using paired t-test, the result is p < 0.05.


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