scholarly journals A CRITICAL REVIEW ON HYPOTENSION AND ITS MANAGEMENT FROM AYURVEDIC PERSPECTIVE

2020 ◽  
Vol 11 (5) ◽  
pp. 114-120
Author(s):  
Soumya P. Viswan ◽  
Rashmi R
Keyword(s):  
Chronic Conditions ◽  
Disease Process ◽  
Research Articles ◽  
Classical Text ◽  
Major Health Problem ◽  
Major Health ◽  
Increased Risk ◽  
Motor Activities ◽  
Risk Of Falls

Hypotension is a major health problem worldwide with a prevalence rate of 29.3% in older adults. It is associated with increased risk of falls, syncope, reduced quality of life and even death due to organ failure. Despite of its increasing incidence in general population and serious complications, hypotension is often neglected in clinical practice and in the field of research. The present article is an effort to learn the clinical significance, risk factors and co-morbidities of hypotension and understand the disease process and management aspects from Ayurvedic perspective. The sources of literary review were Ayurvedic classical text books, research articles published in indexed journals and electronic sources. Thorough literature review revealed that Hypotension should be considered as a condition caused due to Raktakshaya (depletion of blood tissue) and vyanavatakopa (vitiation of Vyana vata, a subtype of vata responsible for circulation and motor activities). Compound formulations found effective in Hypotension and their therapeutic actions are detailed in the management. Efficacy of Ayurveda in both acute and chronic conditions is elucidated here. This work also provides a framework for further studies on the neglected aspect of research on Hypotension.

Prevention and Treatment of Early Childhood Caries (ECC)

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Jeffrey .
Keyword(s):  
Early Childhood ◽  
Health Problem ◽  
Early Childhood Caries ◽  
Health Providers ◽  
Missing Teeth ◽  
Optimal Basis ◽  
Major Health Problem ◽  
Major Health ◽  
Childhood Caries

Early Childhood Caries (ECC) is a chronic disease that can be prevented. It commonlyaffects children involving in one or more decayed (with lesions or not) teeth, missing teeth (dueto caries), or teeth with fillings in children aged under 71 months. The disease is sometimesoverlooked, but this condition usually affects the general health of children. Early detection ofEarly Childhood Caries (ECC) can prevent problems which are harmful to children. Therefore,the ECC must be prevented and for teeth that have had dental caries they should be givenproper treatment so as not to worsen and affect the quality of life in children. Prevention of thisdisease is a significant component in any health program to prepare for the optimal basis forthe oral health of children. This condition will become a serious health problem if not handledproperly, and it is a major health problem for health providers throughout the world.Primarypreventive must be initiated since a woman getting pregnant.Keywords: Early Childhood Caries (ECC), prevention, treatment

scholarly journals Serial blood lactate levels as a prognostic factor for sepsis mortality

2014 ◽  
Vol 54 (3) ◽  
pp. 168
Author(s):  
Keswari Aji Patriawati ◽  
Nurnaningsih Nurnaningsih ◽  
Purnomo Suryantoro
Keyword(s):  
Blood Lactate ◽  
Lactate Clearance ◽  
Major Health Problem ◽  
Major Health ◽  
Serial Blood ◽  
Factors Associated ◽  
Relative Risks ◽  
Increased Risk ◽  
Lactate Levels ◽  
Blood Lactate Levels

Background Sepsis is a major health problem in children and aleading cause of death. In recent decades, lactate has been studiedas a biomarker for sepsis, and as an indicator of global tissuehypoxia, increased glycolysis, endotoxin effect, and anaerobicmetabolism. Many studies h ave shown both high levels andincreased serial blood lactate level measurements to be associatedwith increased risk of sepsis mortality.Objective To evaluate serial blood lactate levels as a prognosticfactor for sepsis mortality.Methods We performed an observational, prospective study in thePediatric Intensive Care Unit (PICU) at DR. Sardjito Hospital,Yogyakarta from July to November 2012. We collected serialblood lactate specimens of children with sepsis, first at the time ofadmission, followed by 6 and 24 hours later. The outcome measurewas mortality at the end ofintensive care. Relative risks and 95%confidence intervals of the factors associated with mortality werecalculated using univariate and multivariate analyses.Results Sepsis was found in 91 (50.3%) patients admitted tothe PIW , of whom 75 were included in this study. Five patients(6. 7%) died before the 24-hour lactate collection and 39 patients(52.0%) died during the study. Blood lactate levels of ~ 4mmol;Lat the first and 24-hour specimens were associated with mortality(RR 2.9; 95%CI 1.09 to 7 .66 and RR 4.92; 95%CI 1.77 to 13.65,respectively). Lactate clearance of less than 10% at 24 hours(adjusted RR 5.3; 95% CI 1.1 to 24.5) had a significantly greaterrisk fo llowed by septic shock (adjusted RR 1.54; 95%CI 1.36 to6.4 7) due to mortality.Conclusion In children with sepsis there is a greater risk of mortalityin those with increasing or persistently high serial blood lactatelevels, as shown by less than 10% lactate clearance at 24-hours afterPIW admission.

scholarly journals Prevalence of Malnutrition (Overweight and Underweight) in Children Aged 10-13 Years in Schools in Manipal and Utopia, Karnataka

2020 ◽  
Vol 10 (1) ◽  
pp. 94
Author(s):  
Fatemeh Jahani
Keyword(s):  
Physical Activity ◽  
Statistical Analysis ◽  
Activity Level ◽  
Normal Height ◽  
Major Health Problem ◽  
Major Health ◽  
Severe Stunting ◽  
Increased Risk ◽  
Child Eating ◽  
Height For Age

Background. Malnutrition is a major health problem in India. It mostly affects children of school going age with serious health problems putting them at an increased risk for developing chronic diseases later in life. This study aims to study the prevalence of malnutrition (overweight and underweight) in children aged 10-13 years in schools in Manipal and Utopia, Karnataka. Materials and Methods. In this study, a total 400 students were studied. Their anthropometric measurements like height, weight, BMI and MUAC, dietary pattern, physical activity level, and child eating behavior. Questionnaire was used to note the student’s information. The data collected was subjected to statistical analysis using SPSS version 21, Diet Cal, and Anthroplus1.0.4. Results. It was observed that in the childhood category 10-13 years there were 222 (55.5%) male and 178(44.5%) female. According to the BMI for age 53.4% of them falls under the normal category; 22.3% falls under the mild wasting category; About 18.3% falls under the obese category and 8% falls under the moderate wasting category. There is no students falling under the severe wasting and overweight category according to the BAZ classification. When the height for age was done for all the children, about 36.3% falls under normal height; About 35.5% falls under mild stunting; 19.3% falls under the moderate stunting; 8.3% falls under the severe stunting category; and 1% falls under tall category according to the HAZ classification. Conclusions. In conclusion, mild stunting and wasting was observed among children. There are no students falling under the severe wasting and overweight category according to the BAZ classification.

scholarly journals Acupuncture at Zusanli (ST36) for Experimental Sepsis: A Systematic Review

2020 ◽  
Vol 2020 ◽  
pp. 1-16 ◽  
Author(s):  
Fang Lai ◽  
Yang Ren ◽  
Chengzhi Lai ◽  
Rui Chen ◽  
Xuelian Yin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chinese Literature ◽  
Severe Infection ◽  
Experimental Sepsis ◽  
Major Health Problem ◽  
Major Health ◽  
Immune Balance ◽  
Kidney Liver ◽  
Complementary Strategy

Background. Sepsis is a global major health problem with high mortality rates. More effective therapy is needed for treating sepsis. Acupuncture has been used for various diseases, including severe infection, in China for more than 2,000 years. Previous studies reported that acupuncture at Zusanli (ST36) might be effective in treating sepsis, but the efficacy and the quality of evidence remain unclear since there is no systematic review on acupuncture at ST36 for sepsis. Methods. Seven databases were searched from the inception of each database up to May 2019. Ultimately, 54 studies using acupuncture at ST36 for the treatment of experimental sepsis were identified in both English and Chinese literature with systematic review procedures. Results. Acupuncture might be useful in reducing injuries induced by sepsis in cardiac, lung, kidney, liver, gastrointestinal tract, and immune system. Its potential mechanisms for antisepsis might include reducing oxidative stress and inflammation, improving microcirculatory disturbance, and maintaining the immune balance mediated by dopamine. However, the positive findings should be interpreted with caution due to poor methodological quality and publication bias. Conclusion. Acupuncture at ST36 might be a promising complementary strategy for controlling sepsis inflammation, yet further studies are needed.

scholarly journals A Systematic Review of Rhubarb (a Traditional Chinese Medicine) Used for the Treatment of Experimental Sepsis

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Fang Lai ◽  
Yan Zhang ◽  
Dong-ping Xie ◽  
Shu-tao Mai ◽  
Yan-na Weng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Severe Infection ◽  
Experimental Sepsis ◽  
Major Health Problem ◽  
Major Health ◽  
Immune Balance ◽  
Pharmacological Studies ◽  
Sepsis Therapy ◽  
Experimental Trials

Sepsis is a global major health problem in great need for more effective therapy. For thousands of years, Rhubarb had been used for various diseases including severe infection. Pharmacological studies and trials reported that Rhubarb may be effective in treating sepsis, but the efficacy and the quality of evidence remain unclear since there is no systematic review on Rhubarb for sepsis. The present study is the first systematic review of Rhubarb used for the treatment of experimental sepsis in both English and Chinese literatures by identifying 27 studies from 7 databases. It showed that Rhubarb might be effective in reducing injuries in gastrointestinal tract, lung, and liver induced by sepsis, and its potential mechanisms might include reducing oxidative stress and inflammation, ameliorating microcirculatory disturbance, and maintaining immune balance. Yet the positive findings should be interpreted with caution due to poor methodological quality. In a word, Rhubarb might be a promising candidate that is worth further clinical and experimental trials for sepsis therapy.

scholarly journals Tensional headache in medicine graduation

2021 ◽  
Author(s):  
Paulo Victor Protásio Bezerra ◽  
Gustavo Soares Gomes Barros Fonseca ◽  
Maria Luiza Mendes Machado ◽  
Natália Murad Schmitt ◽  
Euler Nicolau Sauaia Filho
Keyword(s):  
Quality Of Life ◽  
Medical Student ◽  
Medical Students ◽  
Tension Headache ◽  
Epidemiological Data ◽  
Muscle Relaxants ◽  
Major Health Problem ◽  
Major Health ◽  
The Relationship

Introduction: Tension headache has become a major health problem for medical students. This can trigger a worsening in the quality of life of the student and hinder their learning, corroborating for an impaired education. Better understanding of the topic is necessary so the academics can have a better overview of the problem. Objective: Clarify the relationship between tension headache and the quality of life of medical students. Methods: Articles from the last ten years were selected on the Scielo and Google Scholar portal platforms, which made it possible through an online scenario. Results: The mechanisms of tension headache are controversial and their pathophysiology complex and poorly understood. In crises, analgesics, antiinflammatories, muscle relaxants and/or caffeine are applied. In the articles studied, epidemiological data suggest that most students (99%) have already had a headache case during their lifetime and such occurrences are related to moments of stress and tiredness (74%). It is visible, that the academic affected by various activities, is a target for the disease. Conclusion: The prevalence of tension headache in the medical student was higher than that of the general population, with stress as the main reason. then a resolution on the issue of pain regarding stress is necessary since it proved to be inappropriate.

scholarly journals Peer Support for People with Chronic Conditions: A Systematic Review of Reviews

2021 ◽  
Author(s):  
Dean M. Thompson ◽  
Lesley Booth ◽  
Jonathan Mathers
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Lived Experience ◽  
Peer Support ◽  
Chronic Conditions ◽  
Outcome Measurement ◽  
Behavioural Change ◽  
Increased Risk ◽  
Review Of Reviews

Abstract Background: People with chronic conditions experience functional impairment, lower quality of life, and greater economic hardship and poverty. Social isolation and loneliness are common for people with chronic conditions, with multiple co-occurring chronic conditions predicting an increased risk of loneliness. Peer support is a socially driven intervention involving people with lived experience of a condition helping others to manage the same condition, potentially offering a sense of connectedness and purpose, and experiential knowledge to manage disease. However, it is unclear what outcomes are important to patients across the spectrum of chronic conditions, what works and for whom. The aims of this review were to (1) collate peer support intervention components, (2) collate the outcome domains used to evaluate peer support, (3) synthesise evidence of effectiveness, and (4) identify the mechanisms of effect, for people with chronic conditions.Methods: A systematic review of reviews was conducted. Reviews were included if they reported on formal peer support between adults or children with one or more chronic condition. Data were analysed using narrative synthesis.Results: The search identified 6222 unique publications. Thirty-one publications were eligible for inclusion. Components of peer support were organised into nine categories: social support, psychological support, practical support, empowerment, condition monitoring and treatment adherence, informational support, behavioural change, encouragement and motivation, and physical training. Fifty-five outcome domains were identified. Quality of life, and self-efficacy were the most measured outcome domains identified. Most reviews reported positive but non-significant effects.Conclusions: The effectiveness of peer support is unclear and there are inconsistencies in how peers are defined, a lack of clarity in research design and intervention reporting, and widely variable outcome measurement. This review presents a range of components of peer support interventions that may be of interest to clinicians developing new support programmes. However, it is unclear precisely what components to use and with whom. Therefore, implementation of support in different clinical settings may benefit from participatory action research so that services may reflect local need.

scholarly journals CONCEPTUAL STUDY OF MUSTADI KWATH IN STHOULYA (OBESITY)

2020 ◽  
Vol 08 (11) ◽  
pp. 5105-5110
Author(s):  
Kirti 1 ◽  
Singh O O. P ◽  
Tripathi S. K.
Keyword(s):  
Quality Of Life ◽  
Cardiac Disease ◽  
Dietary Habits ◽  
Behavioral Disorder ◽  
Modern World ◽  
Major Health Problem ◽  
Major Health ◽  
The Gift ◽  
Conceptual Study

Objective: Sthoulya is a major health problem affecting a high proportion of population in India. Ayurveda is the science of life with the aim of achieving health and curing diseases. (Obesity) Sthoulya is a burning problem in this world scenario and has acquired status of an epidemic. The sedentary lifestyles, stress and dietary habits etc., which are the gift of modern world, are primary predisposing factors for Sthoulya. Obe-sity is basically a behavioral disorder. Method: The major risk related with Sthoulya is that it favors com-plicated pathologies like hypertension, cardiac disease, diabetes mellitus, atherosclerosis, stroke, etc. Re-sult: Conservative management of Sthoulya according to Ayurvedic principles provides significant relief and improves quality of life. Mustadi Kwath is mentioned in Charak Samhinta in Santarpaniya Adhayaya (Chapter 23). Conclusion: Mustadi Kwath consists of Triphala, Haridra, Musta, Aarghawadha, Patha, Devadaru, Swadamshtra, Khadira, Nimba, Daruharidra, Kutaja, Twaka.

scholarly journals Associations between the measures of physical function, risk of falls and the quality of life in haemodialysis patients: a cross-sectional study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Karsten Vanden Wyngaert ◽  
Amaryllis H. Van Craenenbroeck ◽  
Sunny Eloot ◽  
Patrick Calders ◽  
Bert Celie ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Physical Function ◽  
Exercise Intolerance ◽  
Cross Sectional ◽  
Walking Test ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Quadriceps Force

Abstract Background Impaired physical function due to muscle weakness and exercise intolerance reduces the ability to perform activities of daily living in patients with end-stage kidney disease, and by consequence, Health-Related Quality of Life (HRQoL). Furthermore, the risk of falls is an aggregate of physical function and, therefore, could be associated with HRQoL as well. The present study examined the associations between objective and subjective measures of physical function, risk of falls and HRQoL in haemodialysis patients. Methods This cross-sectional multicentre study included patients on maintenance haemodialysis. Physical function (quadriceps force, handgrip force, Sit-to-Stand, and six-minute walking test), the risk of falls (Tinetti, FICSIT-4, and dialysis fall index) and HRQoL (PROMIS-29 and EQ-5D-3 L) were measured and analysed descriptively, by general linear models and logistic regression. Results Of the 113 haemodialysis patients (mean age 67.5 ± 16.1, 57.5% male) enrolled, a majority had impaired quadriceps force (86.7%) and six-minute walking test (92%), and an increased risk of falls (73.5%). Whereas muscle strength and exercise capacity were associated with global HRQoL (R2 = 0.32) and the risk of falls, the risk of falls itself was related to psycho-social domains (R2 = 0.11) such as depression and social participation, rather than to the physical domains of HRQoL. Objective measures of physical function were not associated with subjective fatigue, nor with subjective appreciation of health status. Conclusions More than muscle strength, lack of coordination and balance as witnessed by the risk of falls contribute to social isolation and HRQoL of haemodialysis patients. Mental fatigue was less common than expected, whereas, subjective and objective physical function were decreased.

scholarly journals A Review of Nutritional Factors in Hypertension Management

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Ha Nguyen ◽  
Olaide A. Odelola ◽  
Janani Rangaswami ◽  
Aman Amanullah
Keyword(s):  
Blood Pressure ◽  
Pressure Control ◽  
Current Evidence ◽  
Dietary Modification ◽  
Hypertension Management ◽  
Major Health Problem ◽  
Major Health ◽  
Nutritional Factors

Hypertension is a major health problem worldwide. Its attendant morbidity and mortality complications have a great impact on patient’s quality of life and survival. Optimizing blood pressure control has been shown to improve overall health outcomes. In addition to pharmacological therapies, nonpharmacological approach such as dietary modification plays an important role in controlling blood pressure. Many dietary components such as sodium, potassium, calcium, and magnesium have been studied substantially in the past decades. While some of these nutrients have clear evidence for their recommendation, some remain controversial and are still of ongoing study. Dietary modification is often discussed with patients and can provide a great benefit in blood pressure regulation. As such, reviewing the current evidence will be very useful in guiding patients and their physician and/or dietician in decision making. In this review article of nutritional factors in hypertension management, we aim to examine the role of nutritional factors individually and as components of whole dietary patterns.

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