THE DYSFUNCTIONAL UTERINE BLEEDING (DUB) DUE TO ENDOMETRIAL HYPERPLASIA WITH BULKY UTERUS IN AYURVEDIC VIEW – CASE STUDY

2020 ◽  
Vol 8 (06) ◽  
Author(s):  
Dr DIVYA PAWAR ◽  
Sameer Gholap
Keyword(s):  
Endometrial Hyperplasia ◽  
Treatment Protocol ◽  
Hormonal Treatment ◽  
Uterine Bleeding ◽  
The Body ◽  
Dysfunctional Uterine Bleeding ◽  
The Subject ◽  
Special Health

ABSTRACT :- Endometrial is inner lining of uterus. Hyperplasia is excessive growth of cells. Endometrial Hyperplasia is excessive cell growth or thickness of inner lining of uterus. Endometrial hyperplasia is excessive or abnormal thickening of the lining of the uterus, which is most probable cause of Dysfunctional Uterine Bleeding (DUB). In most of the cases, it is benign in nature. The treatment of endometrial hyperplasia of uterus is mainly done by hormonal treatment (especially by progesterone) and by surgical treatment such as hysterectomy, which are having their own side effects. Ayurveda is a health care system sensitive to women’s special health needs. Women are far more sensitive to the rhythms and cycles of nature, Ayurveda is founded on the principle of keeping the body toned in time with nature, and naturally, women find Ayurveda very suitable. In Ayurveda, Endometrial hyperplasia of uterus can be correlated with Lohitakshara Yonivyapada. The present case revealed the Raktastambhaka, Shothhara evum Tridoshahara properties of some Ayurvedicmedicines viz. Pushyanuga Churna, Ashokarishta and Dashamoola Kashaya in a known case of DUB due to endometrial hyperplasia with Bulky Uterus. After 3 months of treatment sonography report showed no hyperplasia of uterus. AIMS AND OBJECTIVES To evaluate the efficacy of Shamana Aushadhi in the management of Dysfunctional Uterine Bleeding (DUB) due to Endometrial Hyperplasia MATERIALS AND METHODS It is a case study of the subject of 35 yrs age with Dysfunctional Uterine Bleeding (DUB) due to Endometrial Hyperplasia who has been treated with Shamana Chikitsa. RESULTS AND DISCUSSION The subject is on follow up and without any medicine on normal cyclic rhythm till date with overall feeling of wellbeing. There is improvement and no evidence recurrence of Dysfunctional Uterine Bleeding and Endometrial Hyperplasia. CONCLUSION The selected treatment protocol i.e. Shamana Aushadha is very effective in the management of Endometrial Hyperplasia KEYWORDS –​ Ayurveda, Lohitakshara Yonivyapada, Endometrial Hyperplasia, Raktastambhaka Drugs

scholarly journals Targeted treatments for dysfunctional uterine bleeding based on endometrial thickness

2020 ◽  
Vol 9 (3) ◽  
pp. 900
Author(s):  
Thi Thi Htwe ◽  
Hla Hla Yi ◽  
Saw Kler Ku
Keyword(s):  
Endometrial Thickness ◽  
Hormonal Treatment ◽  
Uterine Bleeding ◽  
Dysfunctional Uterine Bleeding ◽  
Common Presentation ◽  
Targeted Treatments ◽  
One Year ◽  
The One

Background: Dysfunctional uterine bleeding is a common presentation to both general practitioner and gynaecologists which can have a significant effect on a woman’s quality of life. The aim of this study is to assess the effectiveness of treating dysfunctional uterine bleeding according to endometrial thickness.Methods: This study was a hospital based prospective study undertaken in gynecology outpatient clinic of Central Women’s Hospital, Mandalay, Myanmar for one-year period (2016). A total of 60 patients were recruited and divided into 3 groups based on endometrial thickness and offered targeted hormonal treatments. At the end of the one-month treatment, patients were asked to return for a follow-up visit and from their menstrual diaries, the number of bleeding days and bleeding scores were assessed and calculated.Results: Among sixty women with dysfunctional uterine bleeding, 55% of patients had endometrial thickness less than 6 mm, 25% had endometrial thickness 6-11 mm, with 20% of patients having endometrial thickness more than 11 mm. After one month of study period, treatment was found to be effective in 86.6% of the patients according to bleeding days and in 70% of the patients according to bleeding score.Conclusions: In women presenting with dysfunctional uterine bleeding, increased endometrial thickness was found to be associated with increased BMI. In the treatment of dysfunctional uterine bleeding, when the endometrial thickness of the patient was assessed and hormonal treatment was given according to the endometrial thickness, treatment was proven to be effective.

Management of complicated shunt infections: a clinical report

2008 ◽  
Vol 1 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Hector E. James ◽  
John S. Bradley
Keyword(s):  
Antibiotic Therapy ◽  
Treatment Protocol ◽  
Shunt Infection ◽  
The Body ◽  
Clinical Report ◽  
Intravenous Antibiotic ◽  
Once Daily ◽  
Intravenous Antibiotic Therapy ◽  
Shunt Infections

Object The authors present their experience with a protocol for the treatment of patients with complicated shunt infections. Methods Complicated shunt infections are defined for the purpose of this protocol as multiple compartment hydrocephalus, multiple organism shunt infection, severe peritonitis, or infections in other sites of the body. The initial treatment protocol for these patients was 3 weeks of intravenous antibiotic therapy and 2 weeks of twice daily intraventricular/intrashunt antibiotic therapy. Cerebrospinal fluid (CSF) cultures were monitored during therapy and obtained again 48 hours after completion. The shunt was completely replaced. Additionally, follow-up cultures were obtained in all patients 3–6 months after therapy was completed. Results A cure of the infection was achieved in all patients as defined by negative cultures obtained at completion of antibiotic therapy and in follow-up studies. The follow-up period was 2–11 years (mean 4.4 ± 2.5 years). The treatment protocol was modified in the patients treated after 1991, and 18 patients were treated with this modified treatment regime. In these patients, intraventricular antibiotics were administered only once daily for 14 days, and the CSF was cultured 24 hours after antibiotic therapy had been stopped instead of after 48 hours. The results were similar to those obtained with the initial protocol. Conclusions Based on their prospective nonrandomized series, the authors believe that patients with complicated shunt infections can be successfully treated with 2 weeks of intraventricular antibiotic therapy administered once daily, concurrent with 3 weeks of intravenous antibiotic therapy. This protocol reduces length of treatment and hospital stay, and avoids recurrence of infection.

Amavat in pediatric age group (multidisciplinary Ayurvedic approach): a single case study

2020 ◽  
Vol 8 (03) ◽  
Author(s):  
Mayuri Pawar
Keyword(s):  
Clinical Symptoms ◽  
Single Case ◽  
Treatment Protocol ◽  
Oral Intake ◽  
External Application ◽  
Pediatric Age Group ◽  
Patient Reported ◽  
Ayurvedic Treatment

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.

Effect of shodhana and shamana chikitsa in mandala kustha (psoriasis): A case study

2019 ◽  
Vol 7 (03) ◽  
Author(s):  
Jyoti Bala Sahu
Keyword(s):  
Body Temperature ◽  
The Body ◽  
Entire Body ◽  
Men And Women ◽  
Remarkable Improvement ◽  
Males And Females ◽  
Regulate Body Temperature ◽  
Old Men

Skin is the largest organ of the body both by surface area and weight. This covers the entire body. The thickness of skin varies considerably over all parts of the body and between young and old, men and women. It helps to regulate body temperature, stores water fat and permit sensation of touch. Psoriasis is a chronic dermatosis characterized by covered by silvery loose scales. Treatment available on contemporary system is not curative but suppressive only. The prevalence of psoriasis is 8%. Prevalence equal in males and females. A case of Mandala Kustha discussed here. Patient successfully treated with Shodhana (Virechana karma) & Shamana Chikitsa. After course of 2 months treatment provides significant relief in Sign and Symptoms. In our classics mentioned Shodhana Chikitsa for Kustha Roga. Considering the sign and symptoms of patient was treated with classical Virechana karma (therapeutic purgation) and Shamana Chikitsa according to line of treatment of Kustha (Psoriasis). Assessment was done on before treatment, after treatment and after follow up of 2 months; pictures were taken before treatment and after treatment. Remarkable improvement was noticed, induration and itching after Virechana treatment.

scholarly journals Thyroid disorders in women with dysfunctional uterine bleeding

2016 ◽  
Vol 6 (12) ◽  
pp. 1018-1020
Author(s):  
S Subedi ◽  
B Banerjee ◽  
C Manisha
Keyword(s):  
Reproductive Function ◽  
Hormonal Treatment ◽  
Abnormal Uterine Bleeding ◽  
Cross Sectional Study ◽  
Uterine Bleeding ◽  
Thyroid Disorders ◽  
Thyroid Disorder ◽  
Dysfunctional Uterine Bleeding ◽  
Cross Sectional ◽  
Menstrual Pattern

Background: Thyroid hormones play a key role in the menstrual and reproductive function of women .It is recognized universally that menstrual disturbances may accompany clinical alteration in thyroid function and every clinician has encountered altered menstrual pattern among women suffering from thyroid disorders. The aim of this study was to find the incidence of thyroid disorders in Dysfunctional uterine bleeding and its correlation with menstrual patterns.Materials and Methods: A hospital based cross-sectional study including 75 cases with dysfunctional uterine bleeding attending the OPD of Nobel Medical College, where incidence of thyroid disorder was evaluated along with its correlation with menstrual patterns and histopathology.Results: The incidence of Gynecological OPD attendance due to abnormal uterine bleeding was 3%.and the incidence of thyroid dysfunction was 10.6% with hypothyroidism being the commonest. (9.3%). The commonest menstrual pattern found was menorrhagia/polymenorrhoea in 8 percent.Conclusion: Prevalence of hypothyroidism was more common in DUB. Thus every woman with menstrual irregularities should undergo thyroid assessment and this will ultimately avoid unnecessary intervention like misuse of hormonal treatment and hysterectomy.

scholarly journals Upper and lower body coordination in FES-assisted sit-to-stand transfers in paraplegic subjects - A case study

2011 ◽  
Vol 2 (4) ◽  
Author(s):  
Jovana Jović ◽  
Christine Azevedo Coste ◽  
Philippe Fraisse ◽  
Charles Fattal
Keyword(s):  
Electrical Stimulation ◽  
Detection Algorithm ◽  
The Body ◽  
Lower Body ◽  
Trunk Movement ◽  
Sit To Stand ◽  
Trunk Acceleration ◽  
The Subject ◽  
Stimulation Pattern

AbstractThe objective of the work presented is to improve functional electrical stimulation (FES) assisted sit-to-stand motion in complete paraplegic individuals by restoring coordination between the upper part of the subject’s body, under voluntary control, and the lower part of the body, under FES control. The proposed approach is based on the observation of trunk movement during rising motion and a detection algorithm, which triggers a pre-programmed stimulation pattern. We present a pilot study carried out on one T6 paraplegic subject. We validated the ability of the subject to produce repeatable trunk acceleration during sit-to-stand transfers under FES and, the ability of the system to trigger the stimulator at the desired instant in time. We also analyzed the influence of the timing of leg stimulation, relative to the trunk acceleration profile, on upper limb efforts applied during sit-to-stand motion.

A Case Study of a Self-Help Intervention With Telephone Support for a Smoker With Weak Motivation to Quit

2007 ◽  
Vol 2 (2) ◽  
pp. 73-74
Author(s):  
Carmen Míguez ◽  
Elisardo Becoña
Keyword(s):  
Surgical Intervention ◽  
Telephone Support ◽  
Quit Smoking ◽  
Self Help ◽  
Cessation Intervention ◽  
Stop Smoking ◽  
Motivation To Quit ◽  
The Subject

AbstractSmokers who need help to stop smoking cannot always attend clinical treatment sessions, so it is important for other alternatives to be offered. We report a case study of a smoking cessation intervention administered to a 29-year-old male cigarette smoker who had made no previous attempts to quit and who did not want to stop smoking, but who was obliged to because he was about to undergo a surgical intervention. The intervention was a mailed behavioural program combined with telephone support, administered over a six-week period. The subject quit smoking after 4 weeks, and remained abstinent at 3-, 6-, and 12-month follow-ups. At the 12-month follow-up the carbon monoxide in expired air was used to verify his abstinence.

The ‘Negotiated Night’: An Embodied Conceptual Framework for the Sociological Study of Sleep

2005 ◽  
Vol 53 (2) ◽  
pp. 240-254 ◽  
Author(s):  
Robert Meadows
Keyword(s):  
Social Role ◽  
Body Schema ◽  
Analytical Framework ◽  
The Body ◽  
Male Body ◽  
Sociological Study ◽  
Sociology Of The Body ◽  
Health And Wellbeing ◽  
The Subject

Sleep is essential for our health and wellbeing but it has, historically, been the subject of little sociological study. Yet sleep is not, as common sense would have us believe, ‘asocial inaction’. Like our waking lives, it is a time of interaction. The sociology of sleep presently exists in a state similar to the early stages of development of the sociology of the body, waiting for something like Frank's (1991) typology of body action, which served as a heuristic guide through which action and its multifaceted components could be understood. This paper argues that one productive analytical framework is to adapt Watson's (2000) ‘male body schema’ for the sociological investigation of sleep. This revolves around four interrelated forms of embodiment: normative (opinions and perceptions about healthy sleep behaviour); pragmatic (‘normal’ as related to social role); experiential (feelings related to sleep); and visceral (the biological body and sleep). The possibilities this model provides for the sociology of sleep is illustrated in the paper through the analysis of a case study of sleep negotiation between a couple.

scholarly journals Role of Suryanamaskara in Polycystic Ovarian Disease- A Case Study

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Vinaya V Potdar ◽  
Pawar J J
Keyword(s):  
Menstrual Cycle ◽  
Sedentary Lifestyle ◽  
The Body ◽  
Metabolic Function ◽  
Physical And Mental Health ◽  
Polycystic Ovarian Disease ◽  
Ovarian Disease

The patient of Polycystic Ovarian Disease(PCOD) came at hospital, had complaint of irregular menstrual cycle, stress, obesity, hairfall. Sedentary lifestyle and Apana vayu vikruti were observed in patient which is responsible for vitiation of Tridosha and Rasa, Meda , Artava Dhatu as well as their Srotasa. In such condition Yoga posture of Suryanamsakara were advised and follow up taken for four month. Some significant results were observed. By practicing Suryanamaskara with Pranayama exercise were helpful to rejuvenation of physical and mental health by increasing the metabolic function of Agni and Satva Guna in the body. Also facilitate to regulate menstrual cycle, reduce BMI (obesity) and  hairfall by removing obstruction in the srotasa. So it is advisable in the management of PCOD

scholarly journals 3D-CFD Study of Oblique Streamlining Membranes on the Roof-Top of a Low-Rise Building, Targeting Pedestrian Comfort-A Case Study

2020 ◽  
pp. 51-68
Author(s):  
Alireza Mani ◽  
Kasra Amini
Keyword(s):  
Separated Flow ◽  
The Body ◽  
Navier Stokes ◽  
Wind Flow ◽  
Street Canyons ◽  
Controlling Mechanism ◽  
3D Geometry ◽  
The Subject ◽  
Reynolds Average

Considering the cubic nature of the most frequent geometries among the urban elements and their configurations, the manipulation of the free stream wind flow around the enormous objects, as well as within relatively narrow corridors, such as street canyons is significant in many regards. One of its instances could be mentioned as pedestrian comfort. In this case study, the implementation of an Oblique Streamlining Membrane (OSM) has been studied on a sub-branch of a low rise, but bulky, building, over which a roof-top outdoor food court area has been primarily designed. The OSM serves as the streamlining mechanism, preventing the roof-top area from the intense fluctuations of the wind flow after the flow is separated from the inlet corner side of the building in question. The optimization of sub-geometries and the proof of the concept for the OSM flow controlling mechanism were the subject of the current manuscript, for which a 3D numerical Reynolds Average Navier-Stokes (RANS) scheme has been used. An unstructured computational grid has been applied around the 3D geometry of the entire building and its sub-branching details, which is in contrast with most studies on full-scale geometries, tending to have simplifications on the body to reach a more generalized set of results. All cases have been numerically tested with and without the presence of the OSM. This comparison has been the grounds for proving the effectivity of the said flow controlling mechanism to eliminate high gradient fluctuations of the separated flow off the roof corners. This has led to pedestrian/resident comfort on the roof-top food court area located on top of the building.

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