scholarly journals Effectiveness of Pranayama (Yogic Breathing Exercise) on Management of Somatosensory Tinnitus: A Single Case Study

2021 ◽  
Vol 11 (12) ◽  
pp. 96-102
Author(s):  
Badariya M ◽  
Madhavan Balakrishnan ◽  
Sithara Shanavas

Somatic or somatosensory tinnitus is a subtype of subjective tinnitus, in which tinnitus perception is caused by an alteration in somatosensory afference from the cervical spine or temporo-mandibular area which changes patient’s tinnitus perception in terms of loudness, pitch and localization. A 30-year-old female reported with the complaint of tinnitus, vertigo and reduced hearing sensitivity in the left ear for 7 months. Enduring low frequency annoying tinnitus flare ups with vertigo, vomiting and speech understanding difficulty every 48-72hours. Successive audiological investigations and THI score revealed mild sensorineural hearing loss in the left ear with grade 5 catastrophic handicap. Tinnitus retraining Therapy (TRT) along with pranayama (yogic exercise) was used as a treatment protocol. Nadi Shodhana (Alternate-Nostril Breath- one of the most efficient strategies for calming nerves and settling mind fluctuations) was practised twice daily and during the treatment sessions. Effectiveness of TRT combined with Yoga on a patient with severe tinnitus & accompanying issues was investigated. This treatment strategy proved to be highly effective in lowering tinnitus severity and reducing the accompanying issues with long term effectiveness. As a result, present study enlightens the possible success rate of this treatment protocol for somatosensory tinnitus and its impact on tinnitus recurrence. Key words: Somatosensory tinnitus, TMJ, Pranayama, TRT, Catastrophic handicap.

Author(s):  
Mayuri Pawar

Amavata is a chronic, progressive and crippling disorder caused due to generation of ama and its association with vitiated vata dosha and deposition in shleshma sthana (joints). Clinically resembling with Rheumatoid Arthirtis, it poses a challenge for the physician owing to its chronicity, morbidity and complications. The treasure of Ayurveda therapeutics has laid out detailed treatment line for amavata. A 13years old male patient reported to this hospital with pain and stiffness of metacarpophalangeal joints of right hand followed by pain in corresponding joints of other hand 1 year back. This was succeeded by pain and mild swelling on bilateral wrist, ankle and elbow joints. Based on clinical examination and blood investigations, diagnosis of amavata was made and Ayurvedic treatment protocol was advised with baluka sweda (sudation) as external application, rasnasaptak kashayam and dashmoolharitaki avaleha for oral intake for 30 days. The patient was asked for follow up every 15 days up to total of 45 days. Assessment was done subjectively based on clinical symptoms and blood investigations as objective parameters. There was substantially significant improvement and the patient felt relieved of the pain and inflammation of the joints after the treatment. This case study reveals the potential of Ayurvedic treatment protocol in management of amavata and may form a basis for further detailed study of the subject.


2013 ◽  
Vol 8 (2) ◽  
pp. 225 ◽  
Author(s):  
Melanie Griffin ◽  
Barbara Lewis ◽  
Mark I. Greenberg

Objective – In an environment of shrinking budgets and reduced staffing, this study seeks to identify a comprehensive, integrated assessment strategy to better focus diminished resources within special collections repositories. Methods – This article presents the results of a single case study conducted in the Special and Digital Collections department at a university library. The department created an holistic assessment model, taking into account both public and technical services, to explore inter-related questions affecting both day-to-day operations as well as long-term, strategic priorities. Results – Data from a variety of assessment activities positively impacted the department’s practices, informing decisions made about staff skill sets, training, and scheduling; outreach activities; and prioritizing technical services. The results provide a comprehensive view of both patron and department needs, allowing for a wide variety of improvements and changes in staffing practices, all driven by data rather than anecdotal evidence. Conclusion – Although the data generated for this study is institutionally specific, the methodology is applicable to special collections departments at other institutions. A systemic, holistic approach to assessment in special collections departments enables the implementation of operational efficiencies. It also provides data that allows the department to document its value to university-wide stakeholders.


Author(s):  
Viviana Durão ◽  
António Carrizo Moreira

This chapter, based on a single case study, has as its main objective to analyze a real example of creating an inter-organizational network and to perceive what was done for the selection and creation of the strategic partnerships and inter-organizational network and what factors or conditions can inhibit these partnerships from having long-term success and throughout its life cycle. For this, a qualitative study based on action research and semi-structured interviews was conducted. Results show although many companies settle in inter-organizational networks to gain competitive advantage, cases of failure are still quite high. In this case, upstream partnerships have not been based on long-term trust and commitment, which has jeopardized the continuity of the network, although there is an express desire to re-establish contacts. The partnership established downstream did not show the same commitment to continue the partnership with a total termination of the relationship.


Sensors ◽  
2020 ◽  
Vol 20 (24) ◽  
pp. 7068
Author(s):  
Gatha Tanwar ◽  
Ritu Chauhan ◽  
Madhusudan Singh ◽  
Dhananjay Singh

Smart wristbands and watches have become an important accessory to fitness, but their application to healthcare is still in a fledgling state. Their long-term wear facilitates extensive data collection and evolving sensitivity of smart wristbands allows them to read various body vitals. In this paper, we hypothesized the use of heart rate variability (HRV) measurements to drive an algorithm that can pre-empt the onset or worsening of an affliction. Due to its significance during the time of the study, SARS-Cov-2 was taken as the case study, and a hidden Markov model (HMM) was trained over its observed symptoms. The data used for the analysis was the outcome of a study hosted by Welltory. It involved the collection of SAR-Cov-2 symptoms and reading of body vitals using Apple Watch, Fitbit, and Garmin smart bands. The internal states of the HMM were made up of the absence and presence of a consistent decline in standard deviation of NN intervals (SSDN), the root mean square of the successive differences (rMSSD) in R-R intervals, and low frequency (LF), high frequency (HF), and very low frequency (VLF) components of the HRV measurements. The emission probabilities of the trained HMM instance confirmed that the onset or worsening of the symptoms had a higher probability if the HRV components displayed a consistent decline state. The results were further confirmed through the generation of probable hidden states sequences using the Viterbi algorithm. The ability to pre-empt the exigent state of an affliction would not only lower the chances of complications and mortality but may also help in curbing its spread through intelligence-backed decisions.


2007 ◽  
Vol 7 (2) ◽  
pp. 79-85 ◽  
Author(s):  
Paul H. Lysaker ◽  
Louanne W. Davis ◽  
Amanda M. Jones ◽  
Amy M. Strasburger ◽  
Nicole L. Beattie

2014 ◽  
Vol 9 (1) ◽  
pp. 60-74 ◽  
Author(s):  
Simon Adderley ◽  
Duane Mellor

Purpose – Recently David Jones in Who Cares Wins proposed sustainability as being essential for businesses success over the coming decades. The purpose of this paper is to present a case study of the development of a partnership between an environmental non-government organisation (NGO) (world wildlife fund-UK) and a major retailer (Marks and Spencer). The partnership developed three “types”, sponsorship, technical and communication partnerships. Design/methodology/approach – A grounded theory approach was taken; information was gathered using semi-structured interviews. Data from these interviews were then triangulated with corporate materials to allow generalisations to develop. Findings – Through the three “types” of partnership themes of conflict and project drift were identified, although the overarching “Plan A” commitment is seen as a potential exemplar in sustainability. Difficulties were identified with respect to the dissemination of the outputs from the partnership, some of which were too complex, where others appeared to change to be more appealing to the consumer. Social implications – Although a single case study, it highlights the challenges and benefits to both partners. As such, it provides insight into the practical issues of delivering sustainability commitments and projects in partnership. Such approaches are critical not only for the viability of business, but also for the long-term health of our planet. Originality/value – This represents a case study of the development of a sustainable partnership between a large corporate and an NGO, which could represent a template for sustainable business. This paper in responds to the growing demand for such case-study examples.


2006 ◽  
Vol 16 (1) ◽  
pp. 96-109 ◽  
Author(s):  
Alberto Luis Fernández ◽  
Laura M. V. Manoiloff ◽  
Angel A. Monti

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