scholarly journals The Role of Siravyadha in the management of Psoriasis a case study.

Author(s):  
DR BHAGYASHREE GOPAL PURANIK DR BHAGYASHREE GOPAL PURANIK

In Ayurveda skin disease are described under Kushtha. It is further divided into Mahakushtha and Kshudrakushtha. Rakta Dosha is predominant in Kushtha. Signs and symptoms of Ekakushtha which comes under Kshudrakushtha can be correlate with Psoriasis.  It produces significant adverse effects on psychological and social aspects of life mainly because of visibility. Psoriasis is chronic re-occurring condition that varies in severity from minor localised patches to complete body coverage. Kushtha Chikitsa is classified into Shodhan, Shamana and Nidanparivarjana. Amongst which Shodhan Chikitsa is of greater significance in skin diseases. Raktamokshana is an effective and safe treatment for Kushtha. Acharya Sushruta has mentioned detailed practical guidelines for bloodletting which is considered as Ardhachiktsa. Disease which does not get pacified so quickly by therapeutic measures like Snehana, Swedana etc. are specified by Siravyadha. This is a single case study to evaluate the efficacy of Shodhana in terms of Siravyadha in the management of psoriasis.

Author(s):  
Nicolás J.B. Wiedemann ◽  
Leona Wiegmann ◽  
Juergen Weber

Organizational routines can constitute a temporary settlement of individual actors’ diverging interests, described as a truce that enables the routine as a collective accomplishment to proceed. In this regard, scholars have recognized the central but ambiguous role of artefacts; they may be used to coordinate the interactions in routines but may also be mobilized to serve individual interests. Following this line of thinking, this chapter assumes a process perspective to advance our understanding of how such temporal settlements are continuously formed and in particular, the role artefacts play in this process. Based on a single case study over a period of thirty-three months, it analyses the use of a newly implemented artefact that inadvertently impeded smooth routine functioning as the artefact provided content that gave actors leeway to act out their interests in enacting the routine.


Politik ◽  
2010 ◽  
Vol 13 (3) ◽  
Author(s):  
Rasmus Bruun Pedersen

Where do states’ positions on EU-integration come from? Despite a large number of studies we simply do not know which factors determine states’ positions in specific cases and why. This article analyses position making between ‘governments’ and ‘parliaments’ during the Maastricht Treaty negotiations. Furthermore, an analysis of the role of information asymmetries as intermediating factors in generating ‘influence on position’ will be carried out. The question asked is: Do governments enjoy relative autonomy vis-à-vis the Folketing that enables them to develop ‘positions’ they feel are in ‘the national interest’ or is Parliament able to control government behavior? The conclusions indicate that Parliaments control governmental positions, but also that governments, are able to exploit the negotiations to pursue certain ‘policy drifts’. The research design used is an in-dept single case study that analyses the level of inFluence on a multitude of different issues varied over the conflict level between the actors. 


Author(s):  
Ted Bibbes ◽  
Minna Rollins ◽  
Wesley J. Johnston

The areas Project Management and Knowledge Management include studies on the project and project team levels, but a specific focus on the role of the Project Manager in managing knowledge within the team has received less focus. The authors show how knowledge is created within the project team environment, and the specific role of the Project Manager as an individual uniquely situated to drive the creation of knowledge in the environment by facilitating, directing, and controlling team activities through the four SECI model phases. Using a single case study approach, this research shows how the PM acts as a “mixing valve” in the flow of knowledge in a dynamic, multi-directional, process within the project team environment.


1998 ◽  
Vol 54 (3) ◽  
pp. 4-7
Author(s):  
Debbie Davidson

Atlanto-axial rotatory subluxation is a rare, controversial and frequently misdiagnosed condition occurring primarily in children. A single case study design was used to evaluate the effectiveness of cervical stabilisation training and correction of muscle imbalance, following reduction of this condition, in a nine-year-old boy. The study was conducted over a six-week period during which the subject maintained a daily diary to record his symptoms. The programme consisted of various muscle relaxation and lengthening techniques, endurance training of the deep cervical flexors and lower scapular stabilisers, as well as postural re-education. No treatment was directed at the articular component. The patients signs and symptoms were greatly reduced during the study period. This study supports the importance of correcting the muscle dysfunction component in cervicogenic pain sufferers.


2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Natalie A. Benjamin ◽  
Jennifer Jelsma

Introduction: Peripheral neuropathy (PN) is the most common neurological condition seen in people living with human immunodeficiency virus (HIV) and has been estimated to be present in up to 30% of people with AIDS. Prevalence may be increasing as it appears to be related to the use of antiretroviral therapy in many cases, particularly medication containing stavudine. It is often characterised by burning and numbness in the feet. It can interfere severely with function and sufferers resort to a large number of strategies in an attempt to reduce pain.Case presentation: A 50-year-old man presented with severe PN and showed symptoms of extreme weakness and sensitivity of both lower limbs. His symptoms gradually worsened over a period of 18 months to such an extent that he was unable to walk. Medication had no effect on his pain or related symptoms. The authors tested the use of a Vibromat clinical vibrator to treat his PN symptoms. The patient was treated using the same modality for five evenly spaced (monthly) sessions.Outcome: The patient showed marked improvement in pain, numbness and pins and needles symptoms after the first session. He was able to walk a short distance with assistance. Treatment was continued and after the third session he was able to walk unaided. Symptom relief was maintained for 4 months.Conclusion: This is the first case demonstrating the use of the Vibromat in successfully treating the signs and symptoms of PN. This is important for clinicians who manage patients with HIV-related PN and pain.


2018 ◽  
Vol 33 (2) ◽  
pp. 151-170 ◽  
Author(s):  
Stephan Schneider ◽  
Jan Wollersheim ◽  
Helmut Krcmar ◽  
Ali Sunyaev

In recent years, organizations have increasingly sourced cloud-based enterprise software (ES). Although comprehensively capturing organizations’ requirements considerably affects the success of an ES sourcing project, little is known about how requirements evolve beyond the implementation. We conduct a longitudinal, exploratory single-case study of the life cycle of cloud-based ES in a medium-sized organization. Over 5 years, we trace the evolution of requirements throughout the ES life cycle, beginning with the initial adoption decision and ending with considerations to retire the ES. We develop a process theory that explains how requirements evolve beyond ES implementation and throughout its life cycle. We isolate nine mechanisms that explain how contextual factors and experiences are intertwined and shape the evolution of requirements. We then develop seven propositions that explain how sourcing cloud-based ES alters the mechanisms that shape the evolution of requirements. Our findings emphasize that the evolution of requirements for cloud-based ES follows similar mechanisms to that of the requirements for on-premises ES but changes how particular mechanisms manifest. Sourcing cloud-based ES changes the influence of business divisions in acquisition and configuration activities, the role of upgrade and customization procedures, and the influence of the ES’ ecosystem.


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