scholarly journals Role of Haridradi Avaleha in the Management of Tamaka Shwasa (Childhood Bronchial Asthma) – A Single Case Study

2021 ◽  
pp. 255-260
Author(s):  
Rimpi Majumder ◽  
Aboli Patil ◽  
C. R. Swapnil
Keyword(s):  
Bronchial Asthma ◽  
Single Case ◽  
Hematological Parameters ◽  
Pathological State ◽  
Disease Entity ◽  
Asthma Control Test ◽  
Erythrocyte Sedimentation

The word Shwasa is derived from the root ‘Shwasa Prinane’– which actually means  difficulty in the entry of prana in the pranavaha srotas. Shwasa word  indicates  both  physiological  and  pathological state of  respiration. Tamaka Shwasa is one of the five types of disease shwasa. It is a disease of mainly pranavaha srotas. The sign and Symptoms and etiopathogenesis of Tamaka Shwasa explained in Ayurvedic  literature  have lot of similarities with the disease entity Bronchial Asthma. The goal of this study is to determine the efficacy of the formulation, Haridradi Avaleha in reducing the sign and symptoms of Childhood asthma. A 13 years old boy male Hindu patient from Limda village, Vadodara presented in the OPD of Kaumarbhritya department, Parul Ayurved Hospital, Parul University who presented clinical features of Tamaka Shwasa  was treated by internal Ayurvedic formulation, Haridradi Avaleha showed marked improvement in  the subjective parameters like breathlessness, cough, corzya, awakening in night etc and in objective parameters like ACT(Asthma Control Test), PEFR(Peak Expiratory Flow Rate) some hematological parameters viz. AEC (Absolute Eosinophil Count), ESR (Erythrocyte Sedimentation Rate), WBC Lymphocyte, Neutrophil, discussed here. All subjective and objective parameters were examined during 60 days of follow up-visits, and no instances of the above complaints were reported.

Artefacts and the Dynamics of Truces in Organizational Routines

2018 ◽  
Author(s):  
Nicolás J.B. Wiedemann ◽  
Leona Wiegmann ◽  
Juergen Weber
Keyword(s):  
Single Case ◽  
Single Case Study ◽  
Organizational Routines ◽  
Process Perspective ◽  
Temporary Settlement

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.

scholarly journals The Role of White Matter Disconnection in the Symptoms Relating to the Anarchic Hand Syndrome: A Single Case Study

2021 ◽  
Vol 11 (5) ◽  
pp. 632
Author(s):  
Valentina Pacella ◽  
Giuseppe Kenneth Ricciardi ◽  
Silvia Bonadiman ◽  
Elisabetta Verzini ◽  
Federica Faraoni ◽  
...  
Keyword(s):  
White Matter ◽  
Single Case ◽  
Brain Lesion ◽  
Structural Connectivity ◽  
Disconnection Syndrome ◽  
Neuroimaging Data ◽  
Neuropsychological Investigation ◽  
Anterior Posterior

The anarchic hand syndrome refers to an inability to control the movements of one’s own hand, which acts as if it has a will of its own. The symptoms may differ depending on whether the brain lesion is anterior, posterior, callosal or subcortical, but the relative classifications are not conclusive. This study investigates the role of white matter disconnections in a patient whose symptoms are inconsistent with the mapping of the lesion site. A repeated neuropsychological investigation was associated with a review of the literature on the topic to identify the frequency of various different symptoms relating to this syndrome. Furthermore, an analysis of the neuroimaging regarding structural connectivity allowed us to investigate the grey matter lesions and white matter disconnections. The results indicated that some of the patient’s symptoms were associated with structures that, although not directly damaged, were dysfunctional due to a disconnection in their networks. This suggests that the anarchic hand may be considered as a disconnection syndrome involving the integration of multiple antero-posterior, insular and interhemispheric networks. In order to comprehend this rare syndrome better, the clinical and neuroimaging data need to be integrated with the clinical reports available in the literature on this topic.

Individualized Behavioural Treatment of Severe Stuttering

1991 ◽  
Vol 19 (4) ◽  
pp. 347-357 ◽  
Author(s):  
Willi Ecker ◽  
Victor Meyer
Keyword(s):  
Oral Reading ◽  
Reading Improvement ◽  
Behavioural Treatment ◽  
Communication Situations ◽  
Cognitive Techniques ◽  
One Year

This case study illustrates the reduction of severe stuttering by an individually tailored treatment programme. Interventions are derived from a tripartite analysis (Lang, 1971) and include EMG biofeedback, regulated breathing, exposure in vivo to stressful communication situations and cognitive techniques to reduce relapse risk. The role of dysfunctional response system interactions in stuttering is emphasized. Treatment resulted in a marked reduction of stuttering and associated facial contortions during videotaped conversations with strangers and oral reading. Improvement was maintained at one-year follow-up.

scholarly journals Can We Generalize from Case Studies?

2015 ◽  
Vol 15 (3) ◽  
pp. 152-175 ◽  
Author(s):  
Paul F. Steinberg
Keyword(s):  
Case Studies ◽  
Single Case ◽  
Case Study Research ◽  
Political Systems ◽  
Ceteris Paribus ◽  
Large N ◽  
Climate Change Politics ◽  
The Comparative Study

This article considers the role of generalization in comparative case studies, using as exemplars the contributions to this special issue on climate change politics. As a research practice, generalization is a logical argument for extending one’s claims beyond the data, positing a connection between events that were studied and those that were not. No methodological tradition is exempt from the requirement to demonstrate a compelling logic of generalization. The article presents a taxonomy of the logics of generalization underlying diverse research methodologies, which often go unstated and unexamined. I introduce the concept of resonance groups, which provide a causeway for cross-system generalization from single case studies. Overall the results suggest that in the comparative study of complex political systems, case study research is, ceteris paribus, on par with large-N research with respect to generalizability.

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.

scholarly journals Integrality of care: challenges for the nurse practice

2017 ◽  
Vol 70 (3) ◽  
pp. 504-510 ◽  
Author(s):  
Solange Meira de Sousa ◽  
Elizabeth Bernardino ◽  
Karla Crozeta ◽  
Aida Maris Peres ◽  
Maria Ribeiro Lacerda
Keyword(s):  
Teaching Hospital ◽  
Participant Observation ◽  
Single Case ◽  
Team Work ◽  
Nursing Management ◽  
Care Needs ◽  
Units Of Analysis ◽  
Integration Of Services

ABSTRACT Objective: to understand the role of the nurse in the collegiate management model of a teaching hospital, in the integrality of care perspective. Method: a single case study with multiple units of analysis, with the theoretical proposition "integrality of care is a result of the care offered to the user by multiple professionals, including the nurse". Data were obtained in a functional unit of a teaching hospital through interviews with 13 nurses in a non-participant observation and document analysis. Results: from the analytical categories emerged subcategories that allowed understanding that the nurse promotes integrality of care through nursing management, team work and integration of services. Final considerations: the theoretical proposition was confirmed and it was verified that the nursing management focus on attending to health care needs and is a strategy to provide integrality of care.

scholarly journals Regeringsautonomi og delegeringstab i dansk EU-politik: Et principal-agent teoretisk perspektiv

Politik ◽  
2010 ◽  
Vol 13 (3) ◽  
Author(s):  
Rasmus Bruun Pedersen
Keyword(s):  
Research Design ◽  
Single Case ◽  
Maastricht Treaty ◽  
Single Case Study ◽  
Government Behavior ◽  
Eu Integration ◽  
Treaty Negotiations ◽  
Role Of Information

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. 

scholarly journals Geographic Information Systems and COVID-19: The Johns Hopkins University Dashboard

2020 ◽  
Author(s):  
BELMIRO N JOAO
Keyword(s):  
Information Systems ◽  
Single Case ◽  
Single Case Study ◽  
Epidemic Outbreak ◽  
Global Epidemic ◽  
Johns Hopkins University ◽  
Successful Case ◽  
Other Information

Abstract Background: This article presents a single case study on the development of a GIS for global monitoring of coronavirus (COVID-19). For such concepts presented about GIS, its use and evolution in epidemic events and a presentation of the context of the current coronavirus outbreak and the meaningless results of consolidating a panel with reliable data.Methods: A single case study of a GIS in continuous development with data sharing and comments from the scientific community was carried out. Because it is not a post-mortem analysis, or a follow-up to a successful case, it was not possible to use more rigorous and systematic approaches such as those used by Lee (1989) and Onsrud, Pinto and Azad (1992) for case studies in GIS.Results: The case study presents the results of the development of a control dashboard, as well as the availability of consolidated data made by researchers at Johns Hopkins University and who showed a reliable platform and a world reference for health comunity.Conclusions: Efforts to develop a dashboard and provide data on the coronavirus outbreak resulted in the immediate replication of several other information systems with different approaches (Power BI, R, Tableau), becoming a reference for any new global epidemic outbreak events.

scholarly journals Chest CT as a Complement to RT-PCR to Confirm and Follow-up COVID-19 Patients

Medicinus ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Aziza Ghanie Icksan ◽  
Muhammad Hafiz ◽  
Annisa Dian Harlivasari
Keyword(s):  
Chest Ct ◽  
Rt Pcr ◽  
High Resolution Computed Tomography ◽  
X Ray ◽  
First Case ◽  
Chest X Ray ◽  
Polymerase Chain

<p><strong>Background : </strong>The first case of COVID-19 in Indonesia was recorded in March 2020. Limitation of reverse-transcription polymerase chain reaction (RT-PCR) has put chest CT as an essential complementary tool in the diagnosis and follow up treatment for COVID-19. Literatures strongly suggested that High-Resolution Computed Tomography (HRCT) is essential in diagnosing typical symptoms of COVID-19 at the early phase of disease due to its superior sensitivity  (97%) compared to chest x-ray (CXR).</p><p>The two cases presented in this case study showed the crucial role of chest CT with HRCT to establish the working diagnosis and follow up COVID-19 patients as a complement to RT-PCR, currently deemed a gold standard.<strong></strong></p>

scholarly journals Hlutverk vátryggingafélaga við úrlausn umhverfislegra vandamála

2015 ◽  
Vol 11 (1) ◽  
pp. 87
Author(s):  
Lára Jóhannsdóttir ◽  
Snjólfur Ólafsson ◽  
Brynhildur Davíðsdóttir
Keyword(s):  
Environmental Issues ◽  
Insurance Companies ◽  
Group Differences ◽  
Faroe Islands ◽  
Loss Prevention ◽  
Insurance Sector ◽  
Climate Policies

The purpose of this paper is to discuss the role of insurance companies in solving environmental issues. Environmental issues we now face are many of such magnitude and severity that it is not just up to governments or heavy polluting companies to deal with them, everyone needs to contribute including authorities, institutions, corporations and individuals. Insurance systems differ between countries, but due to the size of the insurance sector and integration with almost every aspect oft society, insurers can be a powerful ally when it comes to implementing environment and climate policies of authorities. The article is based on a Ph.D. research of one of the authors which conducted a multi-case study of 16 Nordic insurance companies in the Åland Islands, Faroe Islands, Iceland, Denmark, Finland, Norway, and Sweden. The companies are divided into two case groups; the Islands group and the Mainland group. Differences in actions/inactions were evident between the case groups, meaning that most of the examples used are from the Mainland group. The environmental and climate change focus areas of the Mainland group are 1) products and services, 2) loss prevention and claim settlement, 3) investments, 4) companies own operation, 5) follow-up, and 6) insurers as a driving force of actions. In case of the Islands companies they mainly focus on loss prevention and few factors that affect their daily activities. Theoretical and practical contribution of the study is to highlight the role and contribution of insurance companies in dealing with environmental issues.

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