EFFECTIVE MANAGEMENT OF VATALA YONIVYAPDA W.S.R ENDOMETRIOSIS BY AYURVEDA: A CASE REPORT

Background: A married Hindu female patient of 44 years of age visited OPD of National Institute of Ayurveda, deemed to be university, Jaipur on 30 December 2020. She was having chief complaint of extreme and unbearable pain starting 2-3 days before menstruation and continuing in her menstruation also. Methodology: On reviewing her laboratory investigations (USG) she was diagnosed with Endometriosis. On de- tailed history, Dosha assessment was done based on the clinical features and mainly Vata Dosha was found to be vitiated in the present patient. Considering this, she was diagnosed with Vatala Yonivyapada, and treatment was given to her based on the line of treatment explained for Vatala Yonivyapada in classics. Result: Patients showed complete relief in extreme pain during menstruation in the very 1st first cycle following treatment and she is having complete relief in pain to date. Keywords: Vatala Yonivyapada, Endometriosis, Dysmenorrhea

Pengaruh Senam Yoga Terhadap Penurunan Nyeri Haid (Dismenorea) Pada Mahasiswi Prodi D-III Fisioterapi Widya Husada Semarang

ABSTRAK Latar Belakang : Menstruasi merupakan suatu kondisi awal yang menandai mulai matangnya organ reproduksi pada remaja wanita. Proses ovulasi dan menstruasi dimulai pada usia antara 6-14 bulan setelah menarche (haid pertama). Menstruasi biasanya identik dengan nyeri haid (dismenorea), gangguan fisik serta emosi menjelang masa menstruasi atau biasa disebut PMS. Dismenorea terkadang dapat menimbulkan nyeri yang tak tertahankan hingga jatuh pingsan. Wanita melakukan segala hal untuk mengurangi nyeri atau bahkan mencegahnya. Yoga dapat menciptakan suasana relaksasi yang mampu melepaskan ketegangan otot. Maka perlu dilakukan pembuktian pengaruh yoga dapat membantu mengurangi nyeri haid (dismenorea) Presentasi Kasus : Sampel yang diambil dalam penelitian ini berjumlah 27 orang yang mengalami nyeri haid (Disminorea). Dari 150 Responden yang dikumpulkan, kemudian dilakukan proses assessment dengan metode study kasus (wawancara, observasi dan documenter) setelah dilakukan seleksi didapatkan 27 sampel yang sesuai dengan kriteria. Metode : Laporan kasus ini menilai tingkat nyeri haid (Disminorea) perbedaan pada hasil pre-test dan post test. Hasil : Perlakuan senam yoga dapat menurunkan nyeri pada mahasiswa dengan penurunan tingkat nyeri yang berbeda. Kesimpulan : Populasi dalam penelitian ini adalah mahasiswi Fisioterapi Widya Husada Semarang sebanyak 27 orang, dari hasil penelitian didapatkan nyeri haid (dismenorea) yang berkurang cukup signifikan dari 24 nyeri berat menjadi 2 orang nyeri ringan, dan 3 orang nyeri ringan menjadi nyeri hilang. Kata Kunci : Nyeri Haid (Dismenorea), Senam Yoga ABSTRACT Background : Menstrual is an initial condition that marks the beginning of reproductive organs in the female teenager. The process ofovulation and menstrual began at the age between 6-14 months after menarche (first menstrual). Periods are usually identical with menstrual pain (dismenorea), physical disorders and emotion in the future period or commonly called PMS. Dislodges can sometimes cause unbearable pain to fall fainting. Women do everything to reduce pain or even prevent it. Yoga can create relaxation atmosphere capable of releasing muscle tensions. So it needs to be done proving yoga influence can help reduce menstrual pain (dismenorea). Case Presentation : Samples taken in this study were totaling 27 people who experienced menstrual pain (Disminorea). Of the 150 Respondents were collected, then the assessment process was conducted by study-study method (interviews, observation and documenter) After the selection, there were 27 samples that fit the criteria. Method : This case's report assesses the menstrual pain level (Disminorea) differences on pre-tests and post tests. Result: Yoga exercise for yoga treatment can reduce pain in students with different levels lowering pain. Conclusion: The population in this study is a student Physiotherapist Husada Semarang as much as 27 people, From the results of the study, it was found that menstrual pain (dysmenorrhoea) was significantly reduced from 24 severe pain to 2 mild pain, and 3 mild pain to lost pain. Keywords: Menstrual Pain (dismenorea), Gymnastics Yoga

BORDERLINE PERSONALITY DISORDER WITH PARANOID ELEMENTS

The case of patient V is one you want to dig for, being an example in which a Cluster B disorder (i.e., borderline personality disorder) is also accompanied by elements from Cluster A (such as those in the paranoid area). Symptoms from the dependent personality can be involved. Objective: The presentation of a medical case of an 18-year-old young man, initially diagnosed at the age of 16 with Bipolar Affective Personality Disorder, and whose personality structure is better explained by a Borderline Disorder is the aim of the present article. Method: The patient was hospitalized involuntarily. He was under medical supervision and treatment. He also underwent specialized investigations (EEG, brain CT), psychological and personality tests, as well as daily monitoring. Throughout the procedure there have been a collaboration with his family and the authorities. Results: From the detailed anamnesis and the reconstruction of the significant life events, a borderline personality structure emerged, having a paranoid core that provided V the capacity of being goal-oriented. The personality scales also showed elements of an antisocial nature, manipulation and desire to be socially liked. Psychodynamic interpretations show an emotional flattening, avoidance of being in touch with he's own emotions and feelings, his unconscious mind housing an unbearable pain. Conclusions: The diagnosis of Bipolar Personality Disorder, sustained two years ago, is refuted, the patient being included in an axis II frame (i.e. borderline personality with a strong paranoid core and pathology of addiction)

Insulin syringe for anaesthetic injection in ptosis surgery: A randomised controlled clinical study

Background: To evaluate the potential benefit of using insulin syringes for local anaesthesia in ptosis surgery.Methods: Sixty patients (120 eyelids) were included in this randomised, fellow eye-controlled study at a university‐based hospital. An insulin syringe was used on one eyelid and a conventional 30-gauge needle on the other. Patients were asked to score pain in both eyelids using a visual analogue scale (VAS) ranging from 0 (no pain at all) to 10 (unbearable pain). Ten minutes after the injection, an observer scored the degree of haemorrhage and oedema in both eyelids on a scale of 0 to 4.Results: The VAS score was 5.17 in the insulin syringe group and 5.35 in the 30-gauge needle group (p=0.264). Ten minutes after the anaesthesia, the haemorrhage score was 1.30 and 1.64 and eyelid oedema score was 1.50 and 1.80 in the insulin syringe and 30-gauge needle groups, respectively (haemorrhage, p=0.045; eyelid oedema, p=0.023). Conclusion: Injecting local anaesthesia using an insulin syringe, compared to conventional 30-gauge needles, significantly reduces haemorrhage and eyelid oedema before skin incision but does not significantly reduce the injection pain. Using insulin syringes also presents fewer complications related to tissue penetration and lesser distortion of anatomical structures compared to conventional 30-gauge needles. We recommend using an insulin syringe for local anaesthesia in ptosis surgery.Trial registration: registry – CRIS / registration number – KCT0005120 / date of registration: 12/06/2020 (retrospectively registered), https://cris.nih.go.kr/cris/index.jsp

The Study of Motivation in the Suicidal Process: The Motivational Interview for Suicidality

Introduction: Suicide is the outcome of a process starting with the experiences of an unbearable pain or hopelessness, passing from suicidal ideation and planning, to possible para-suicidal behaviors or actual attempts. Recent studies have evidenced the necessity to integrate approaches based on the identification of psychopathological diagnoses and other variables as possible predictors of suicidal conduct with a more clinically based approach. A clinical assessment is needed that focuses on the patients' mental state with respect to thoughts concerning death and suicide. In particular, a qualitative assessment of motivations underlying the suicidal process could represent an effective guide for clinicians engaged in the difficult field of preventing adolescents' suicidal gestures. Most instruments investigating the suicidal motivation are self-report measures, possibly resulting in a lack of sufficiently valid assessment of this area. In the present work, we present the Motivational Interview for Suicidality in Adolescence (MIS-A) aiming at identifying the motivational areas sustaining suicidal ideation and gestures in this phase of development.Materials and Methods: The identification of the different areas derives from a thorough review of the empirical literature subsequently vetted by expert clinicians who selected specific reasons behind suicidal ideation and gesture.Result: The MIS is a semi-structured clinician-report interview. The interview is composed of seven areas and 14 sub-areas, evaluated on a four-point Likert scale: illness motivated attempts area, chronic presence of internal pessimistic criticism area, sense of defeat and entrapment area, relational area, external motivated crisis area, extreme and unusual cases area, and lack of control area.Conclusions: The path followed in the creation of the MIS reflects both an empirically orientated and a clinically informed approach. Creating this MIS is the first step within a wider research project that will allow one to test the reliability of the instrument.

Runaway beauty as a cultural reality and empatic experience

The aesthetic foundations of culture are in the constant focus not only of humanitarian knowledge, but also serve as an actual subject of interdisciplinary research. The article argues the view of beauty as an imperative of culture and the experience of aestheticе trial. Beauty understanding is not shown to consist of the punctual detailing of beauty. The beauty of the object is higher than the object itself the beauty is a specific cultural phenomenon. Gaining the freedom through the beauty, a person restores his lost connection with nature and expands the boundaries of his being, his desires and opportunities. In beauty, the world is filled with meaning and assembled in harmony. Beauty has always remained a desirable, but elusive phenomenon for a person. In the aesthetic imagination of the drama of being, human nature finds the ability to overcome unbearable pain from its anthropological insufficiency and ontological alienation from the world that surrounds it and which it creates.

Hinguvachadi dysmenorrhoea case series article

Ayurveda considers women most precious because of their key role in continuing progeny. The diseases affecting the Yoni (female genital tract) and their therapeutics have been illustrated under the heading of Yonivyapad (diseases of female genital system). Artava (menstruation) when associated with unbearable pain is termed as Kashtartava. Vitiated Vata Dosha is the main causative factor of any kind of gynecological disorders. The process of menstruation is mainly under the control of Apana Vata. The treatment of this vitiated Vata remains main objective for treatment of Kashtartava (dysmenorrhoea). Along with internal medication, local soothing of pain is also important in general treatment of Vata Dosha. Thus, a treatment protocol was developed considering these aspects for management of patients suffering with Kashtartava (dysmenorrhoea). The protocol consisted of internal administration of Hinguvachadi Churna and local treatment of Tila Taila Yoni Parisheka (Vaginal douche). In the present case series, three eligible patients were explained the purpose and possible effect of multimodal treatment of Hinguvachadi Churna & Tila Taila Yoni Parisheka. Treatment was prescribed to the patients those who were willing for it. Patient outcomes were also noted and analysed. It was observed that multimodal treatment of Hinguvachadi Churna and Tila Taila Yoni Parisheka was effective in the cases where it was used.

What is it necessary to know about kidney stones?

Everyone who at least once in his/her life has suffered from a kidney stone, which, at a moment far from perfect, tried to go beyond the kidney and blocked the lumen of the ureter, subsequently recalls this situation as unbearable pain, the repetition of which is feared like the plague. This pain is explained by the stretching of the renal capsule with urine due to its inability to enter the bladder. The preferred localization of stones is the right kidney due to the peculiarities of its anatomical location; this pathology is noted more often in men. Kidney stones can occur at any age, and almost always bring a lot of suffering to patients. The general practitioner should have a general idea of the clinical picture of the manifestations of urolithiasis and the structure of stones, since recommendations in terms of adherence to a diet and an appropriate lifestyle depend on this knowledge.

A Case of Right Shoulder Penetrating Injury Inflicted by a Hollow Metal Fence

Background: Right shoulder penetrating injury are rare and challenging diagnoses that should not be missed.Case presentation: The patient, a 30-year-old male, had a clear mind, stable vital signs, a gcs score of 15 points, unbearable pain in his right shoulder and chest wall, and no abnormal breathing. His right radial artery was unclear, and the right ulnar artery was thin and unclear, suggesting comminuted fractures of the right humeral shaft and scapula. After the multi-disciplinary discussion in the emergency department, we planned to perform an emergency operation to take out the foreign body from his right shoulder.Conclusions: Penetrating injury is very important to systematically and comprehensively assess the peripheral vascular nerve and muscle tissue at the site of injury. The foreign body should be carefully removed during the operation to avoid further damage to the patient, and it is necessary to perform fluoroscopy again after the removal of the foreign body. The placement of drainage, secondary debridement and sutures, and fixation can effectively reduce postoperative infection.