scholarly journals HEALING OF A TRAUMATIC WOUND WITH HERBO-MEDICINAL OINTMENT; MARHAM-E-RAAL: A CASE STUDY

2020 ◽  
Vol 9 (6) ◽  
pp. 152-155
Author(s):  
Saiyad Shah Alam ◽  
Waseem Ahmad ◽  
Md Rizwanullah ◽  
Mohammad Muzammil
Keyword(s):  
Wound Healing ◽  
Treatment Plan ◽  
Type Ii Diabetes Mellitus ◽  
Management Plan ◽  
Complete Healing ◽  
Mucus Membrane ◽  
Traumatic Wound ◽  
Large Wound

Introduction: A wound can be defined as the discontinuity in skin or mucus membrane. Healing is nothing but neogranulation in the depth and neo-epithelialization at the edges of the wound which ultimately results in the complete repair of such discontinuity. This case report deals with a patient of traumatic large wound at the heel who receives Unani management for wound healing. He was diagnosed as avulsion of pad of right heel with type-II diabetes mellitus. The treatment plan included mechanical debridement, cleaning with solution of alum powder (Sufuf-e-zaaj/alusol) and dressing with Marham-e-raal. The patient was advised to continue oral hypoglycemic agent with subcutaneous injection of insulin. On 85th day of treatment, the wound was healed by almost 98% and on subsequent 1st and 2nd follow up, each with a gap of 15 days, no recurrence of wound was recorded. Methodology: A male patient of traumatic wound was taken into study and given Unani management plan which included debridement, cleaning and washing with solution of Alum powder (Alusol)/ or, in Unani, Sufuf-e-zaaj and dressing of the wound with Marham-e-raal with full aseptic precautions for a period of about 3 months. Discussion: Wound healing is credited to muhallil(anti-inflammatory), daf’eta’ffun (antimicrobial), mujaffif (desiccant) and mundamil (wound healing) properties of Marham-e-raal due to presence of several phytoconstituents like camphor, linalool, borneol, cineole, terpenoids, Bergenin, Phenols and flavonoids, hopeaphenol, Oligostilbenoids, Monoterpenes, kaempferol, Quercetin and Catechin. Result: The wound completely healed at the end of 3 months with no recurrence noted on the 15th day of follow up after complete healing.

scholarly journals A CASE STUDY ON WOUND HEALING BY VRUNA SHODHAN CHIKITSA

2020 ◽  
Vol p5 (01) ◽  
pp. 2638-2640
Author(s):  
Vijayalakshmi Hadimani
Keyword(s):  
Wound Healing ◽  
Prevalence Rate ◽  
Causative Factor ◽  
Chronic Ulcer ◽  
Wound Management ◽  
Treatment Modalities ◽  
Treat Ment ◽  
Mucus Membrane ◽  
Surgical Field

An ulcer is the break in the continuity of skin or mucus membrane either by molecular death or traumatic removal1. It is essential to treat ulcer in surgical field as prevalence rate of chronic ulcer is 4.5 / 1000 popu-lation in India. These ulcers mostly caused by trauma, poor blood supply, diabetes, infections, and periph-eral vascular disorders etc. Ulcers heal when the causative factor will be removed and by the proper wound management, Acharya Sushruth, has explained 60 Vruna upakrams2(60 treatment modalities for wound) for the treat-ment of Dusta Vruna (chronic ulcer), among that Vruna Shodhan (wound cleaning) and Vruna Ropan (wound healing) modalities have been applied in this case, and observed the wound healing in detail and successful results noted

scholarly journals A prospective randomized controlled trial comparing the immediate post-operative complications between open and semi-open hemorrhoidectomy

2019 ◽  
Vol 22 (1) ◽  
pp. 18-22
Author(s):  
Bhuban Rijal ◽  
Robin Bahadur Basnet
Keyword(s):  
Wound Healing ◽  
Pain Score ◽  
Treatment Plan ◽  
Complication Rates ◽  
Open Technique ◽  
Narcotic Analgesics ◽  
Fourth Degree ◽  
Patient Discomfort ◽  
Open Hemorrhoidectomy

Introduction: Hemorrhoids are one of the most common anorectal pathologies encountered by general surgeons during their practice. Open technique as described by Milligan and Morgan and closed technique as described by Ferguson are the most widely used. A semi-open technique that has lesser complications than the conventional open hemorrhoidectomy has been described. This study aims to compare the immediate postoperative complications between open and semi-open hemorrhoidectomy. Methods: A prospective randomized study, where patients with third and fourth-degree hemorrhoids undergoing hemorrhoidectomy, were taken for the study. The subjects were randomized into two groups, where they underwent either open or semi-open hemorrhoidectomy. Both groups received standard postoperative care and were evaluated after 24 hours after surgery for pain and urine retention and were then discharged with the same treatment plan for both groups. First, follow up was done in one week and the second was done in two weeks after discharge, where pain score, bleeding, wound healing, use of narcotic analgesics and patient discomfort were recorded. Results: A total of 44 patients were divided into two groups, where the age, sex, and grade of hemorrhoids were matched. The pain score using VAS in the first week was compared and it showed that the pain perceived by the patients in the open hemorrhoidectomy was greater than in the semi-open method ((p=0.06, 95% CI= 0.22 to 1.23). Bleeding rate after the surgeries were not different between the two groups (p=0.43) and the urinary retention between them was also not significant (p=0.47). The use of breakthrough narcotic analgesics was more in the open hemorrhoidectomy group (p=0.01). On the fourteenth day follow up, the wound of those who underwent semi-open hemorrhoidectomy, had significantly healed as compared to those who had undergone the open procedure (p= 0.04, 95% CI=0.23 to 0.76), and the patients who had semi-open hemorrhoidectomy had lesser discomfort as compared to the open technique (p=0.02). Conclusion: Semi-open hemorrhoidectomy has fewer post-operative complication rates as compared to open hemorrhoidectomy with decreased pain, faster wound healing rates, and lesser patient discomfort.

Sludge production and management processes: case study in China

2006 ◽  
Vol 54 (5) ◽  
pp. 189-196 ◽  
Author(s):  
D.J. Lee ◽  
L. Spinosa ◽  
P.J. He ◽  
T.B. Chen
Keyword(s):  
Heavy Metals ◽  
Carbon Dioxide ◽  
Production Rate ◽  
Treatment Plan ◽  
Carbon Dioxide Emission ◽  
Management Plan ◽  
Management Processes ◽  
Centralized System ◽  
Sludge Production

In 2010, the sewage sludge production rate will be 178,500 t dried solids (ds) for Beijing and 294,000 t-ds for Shanghai, respectively. Beijing adopts a centralized system to stabilize 78% of her sludge in three rural Stabilization Centres. Aerated composting technique will be used. Shanghai on the contrary decentralizes the management plan to treat the sludge on site. Diverse treatment trains, such as aerobic/anaerobic digestion, drying, incineration, and composting will be applied. Production rate, treatment plan, and the associated costs, energy consumption, carbon dioxide emission, and risk assessment for heavy metals and pathogens on human health were evaluated in this report for sludges yielded in Beijing and Shanghai, China.

Pilot Study of Personalized Video Visit Summaries for Patients With Cancer

2018 ◽  
pp. 1-8
Author(s):  
John C. Krauss ◽  
Vaibhav Sahai ◽  
Matthias Kirch ◽  
Diane M. Simeone ◽  
Lawrence An
Keyword(s):  
Treatment Plan ◽  
Office Visit ◽  
Management Plan ◽  
Patients With Cancer ◽  
Video Summary ◽  
Personalized Education ◽  
Short Video ◽  
Education Tool ◽  
Personalized Video

Purpose The treatment of cancer is complex, which can overwhelm patients and lead to poor comprehension and recall of the specifics of the cancer stage, prognosis, and treatment plan. We hypothesized that an oncologist can feasibly record and deliver a custom video summary of the consultation that covers the diagnosis, recommended testing, treatment plan, and follow-up in < 5 minutes. The video summary allows the patient to review and share the most important part of a cancer consultation with family and caregivers. Methods At the conclusion of the office visit, oncologists recorded the most important points of the consultation, including the diagnosis and management plan as a short video summary. Patients were then e-mailed a link to a secure Website to view and share the video. Patients and invited guests were asked to respond to an optional survey of 15 multiple-choice and four open-ended questions after viewing the video online. Results Three physicians recorded and sent 58 video visit summaries to patients seen in multidisciplinary GI cancer clinics. Forty-one patients logged into the secure site, and 38 viewed their video. Fourteen patients shared their video and invited a total of 46 visitors, of whom 36 viewed the videos. Twenty-six patients completed the survey, with an average overall video satisfaction score of 9 on a scale of 1 to 10, with 10 being most positive. Conclusion Video visit summaries provide a personalized education tool that patients and caregivers find highly useful while navigating complex cancer care. We are exploring the incorporation of video visit summaries into the electronic medical record to enhance patient and caregiver understanding of their specific disease and treatment.

scholarly journals Possibilities of endodontic therapy of endodonic-periodontal lesions

2009 ◽  
Vol 137 (7-8) ◽  
pp. 351-356
Author(s):  
Jelena Neskovic ◽  
Slavoljub Zivkovic
Keyword(s):  
Treatment Plan ◽  
Complete Healing ◽  
Endodontic Treatment ◽  
Canal System ◽  
Vital Pulp Therapy ◽  
Combined Lesions ◽  
Root Canal System ◽  
Radiographic Improvement ◽  
Observation Period

Intoduction. Endoperiodontal lesions are frequent in clinical practice and may require complex therapy. It is very important to determine differential diagnosis and the origin of the lesion, because the treatment plan is based on aetiology and stadium of the development of the lesion. Objective. The aim of this clinical study was to analyze the efficacy of endodontic treatment in different types of endodontic- periodontal lesions. Methods. Thirty patients and 42 teeth with diagnosed endoperiodontal lesions were included in the study and divided in two groups. Vital pulp therapy was applied to 18 vital teeth where the diagnosis was perio-endodontic lesions. The therapy of infected canal system was applied to 24 teeth with endodontic- periodontal or combined lesions. Standard endodontic procedure consisted of cleaning and shaping of the root canal system and between sessions filling with calcium-hydroxide paste. Obturation was made by lateral compact of the guttapercha and Apexit paste. Efficiency was evaluated clinically and radiographically three, six and twelve months later. Results. Radiographic and clinical follow-up showed a significant radiographic improvement and absence of subjective symptoms in a very high percentage of the treated vital and avital teeth. The results of this study showed that in the observation period of 12 months endodontic therapy was successful in 88.89% of vital teeth, and in the group of avital teeth the percentage was 91.67%. Conclusion. Endodontic treatment of the endoperiodontal lesions was sufficient and it was the basic condition to achieve a complete healing of endodontic-periodontal lesions. Such therapy ensures significant improvement or even complete healing of both types of lesions, of endodontic and periodontal origin.

Initial Experience Using a Hyaluronate-Iodine Complex for Wound Healing

2011 ◽  
Vol 77 (3) ◽  
pp. 355-359 ◽  
Author(s):  
Robert A. Brenes ◽  
Michael S. Ajemian ◽  
Shady H. Macaron ◽  
Lucian Panait ◽  
Stanley J. Dudrick
Keyword(s):  
Wound Healing ◽  
Surgical Techniques ◽  
Antimicrobial Properties ◽  
Healing Time ◽  
Complete Healing ◽  
The European Union ◽  
Iodine Complex ◽  
Healing Agent ◽  
Lost To Follow Up

Hyaluronate-iodine complex is a wound healing adjuvant approved for use in the European Union. The objective of this study is to validate hyaluronate-iodine as a potential wound healing agent. Patients were recruited from the hospital, the outpatient clinic, and the wound healing center. Hyaluronate-iodine soaked gauze was applied to wounds either daily or every other day depending on the amount of wound exudate. Wounds were measured weekly, and progression was documented with digital photography. All wounds were debrided as needed using standard surgical techniques. Fourteen patients (19 wounds) were entered into this prospective study, and 10 patients completed treatment. Fourteen wounds progressed to complete healing with a mean healing time of 18.1 ± 15.1 weeks. Treatment was interrupted in four patients. One patient discontinued treatment due to pain related to application of hyaluronate-iodine, another patient for transportation issues, and the other two patients were lost to follow-up due to relocation out of state and noncompliance with scheduled appointments. Hyaluronate-iodine was helpful in the healing of all types of wounds treated in this pilot study. The antiadhesive and antimicrobial properties of hyaluronate-iodine create a desirable environment conducive to wound healing without apparent detrimental effects.

The Behavioural Treatment of Faeces Retention: An Expanded Case Study

1986 ◽  
Vol 14 (2) ◽  
pp. 124-136 ◽  
Author(s):  
Grania T. Phillips ◽  
Jane E. Smith
Keyword(s):  
Treatment Plan ◽  
Successful Outcome ◽  
Future Research ◽  
Management Skills ◽  
Behavioural Treatment ◽  
Therapist Variables ◽  
The Family ◽  
Family Variables

The successful treatment of faeces retention in a 6-year-old boy is discussed in the light of recent findings in the literature which suggest the need to take both family and therapist variables into account when training parents in child management skills. Details are given of the family variables considered relevant to the presenting problem in this case: lack of paternal motivation to co-operate in treatment, maternal depression and social isolation, and problem behaviour in a sibling. The treatment plan designed to take account of these variables is described, as well as the problems (and their resolution) encountered in implementing it. Successful outcome was maintained at three and six month follow-up. It is argued that wider use of this model of an expanded case study would provide useful hypotheses for future research, as well as clinical relevance for other practitioners.

scholarly journals Local and therapeutic intervention in the management of dushta vrana w.s.r. to tropic ulcer – a case study

2018 ◽  
Vol 6 (04) ◽  
Author(s):  
Abhishek Nimje ◽  
Dnyaneshwar Chavan
Keyword(s):  
Wound Healing ◽  
Marked Improvement ◽  
Young Male ◽  
The Body ◽  
Vascular Insufficiency ◽  
Injured Part ◽  
Contaminated Wound ◽  
Nonspecific Ulcer

An ulcer is a break in the continuity of the covering epithelium- skin or mucous membrane. Trophic ulcer is a kind of nonspecific ulcer. Wound healing is a mechanism where the body attempts to restore the integrity of the injured part. A clear wound heals earlier with a minimum scar as compared to contaminated wound. Several factors affect the normal process of wound healing such as the site of ulcer, vascular insufficiency, malnutrition, neurological deficit and drugs like corticosteroids. AcharyaSushruta mentioned 60 Upakramasfor the management of Vrana, Kashay Are among them. With NyagrodhadiKashaypatient was treated successfully and after the follow up ulcer was healed completely and the patient showed marked improvement. A case report of 26-year young male presented with an ulcer over the left foot which was painless, slough on the floor and loss of sensation over the distal 2/3rd of left foot has been presented here.

scholarly journals Outcomes of Redivac Drain in Primary Closure of Pilonidal Sinus

2021 ◽  
Vol 15 (7) ◽  
pp. 1557-1559
Author(s):  
Samina Karim ◽  
Ahmad Shah ◽  
Ahmad Raza Nsar
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
Study Design ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Complete Healing ◽  
Provincial Hospital ◽  
Group I ◽  
Group Ii

Aim: To determine the effectiveness of redivac drain in primary closure of pilonidal sinus. Study Design: Comparative study Place and Duration of Study: Department of Surgery Unit-1, Sandeman Provincial Hospital Quetta from 1st January 2020 to 31st December 2020. Methods: Ninety patients of both genders were presented in this study. Patient’s details demographics age, sex and BMI were recorded after taking written consent. Patients were divided into two groups; group I and group II. Group I had 45 patients and underwent for redivac drain and group II was without redivac drain and had 45 patients. Complete follow up was done in duration of 6 months. Outcomes wound healing, infection of wound and recurrence of pilonidal sinus in both groups were observed. Results: Majority of the patients 66 (73.33%) were males and 24 (26.67%) were females. Mean age of the patients in group I was 28.52±6.88 years with mean BMI 24.16±7.33 kg/m2 and in group II mean age was 29.68±7.45 years with mean BMI 25.14±3.16 kg/m2. In group I 36 (80%) cases showed complete healing, partially healing was observed among 7 (15.55%) and 2 (4.44%) showed non-recurrence and in group II complete healing was among 26 (57.8%) patients, partially healing was found in 14 (31.11%) and non recurrence was among 5 (11.11%) patients. Rate of recurrence in group I was 3 (6.67%) less than that of group II (8.9%). Conclusion: The redivac was more effective as compared to primary closure of pilonidal sinus without redivac. Keywords: Redivac drain, Primary closure, Pilonidal sinus, Recurrence

Fifty-Patient Study Evaluating the Efficacy of Modified Collagen With Glycerin in Periwound Skin Management

2018 ◽  
Vol 17 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Harikrishna K. R. Nair
Keyword(s):  
Wound Healing ◽  
Large Scale ◽  
Standard Treatment ◽  
Treatment Protocol ◽  
Complete Healing ◽  
Diabetic Patients ◽  
Treatment Protocols ◽  
Compression Bandaging ◽  
Complete Wound Healing

The management of chronic nonhealing ulcers pose a great challenge because they are associated with morbidity and increased costs. This report presents the observations of standard management along with application of modified collagen with glycerin (MCG) in the periwound area for management of nonhealing wounds. This observational report included 50 patients (33 male, 17 female) aged 24 to 94 years having nonhealing wounds. All wounds were treated using standard treatment protocols (TIME concept), whereas the periwound severity was assessed using the Harikrishna Periwound Skin Classification (HPSC). All patients received once-daily application of MCG lotion directly in the periwound areas and compression bandaging until there was complete wound healing. Patient compliance was ensured by regular follow-up and counseling. All diabetic patients were counseled to ensure glycemic control during the entire follow-up period. The criteria used for wound healing were based on clinical observation, and proper epithelialization of the wound was the end point. The median age of the wounds was 12.0 weeks (95% CI = 8.00 – 58.08). Majority of the non-healing wounds were diabetic foot ulcers with age of wound between 4 weeks to 15 years. The median time to complete wound healing was 12.71 (95% CI = 10.00-16.67) weeks. Standard treatment protocol of TIME principle with periwound area assessment based on HPSC 2015 and treatment accordingly with topical application of MCG along with additional measures has shown complete healing of nonhealing wounds. However, further large-scale comparative studies are needed to substantiate these effects on a larger population.

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