Posttraumatic Growth Experiences of Adolescents With Parental Loss: A Phenomenological Study

This study examines the post-traumatic growth of adolescents who have lost their parents about their experiences. Eight adolescents whose parents had died participated in the study conducted in the phenomenological design. The data were collected with three-step semi-structured interviews and analyzed using the phenomenological analysis technique performed in five stages. The findings were grouped into three main themes as “reactions to loss,” “readjustment,” and “post-traumatic growth,” and nine subthemes under each, and these sub-themes were categorized into forty-five codes.

A retrospective study to analyze treatment of post traumatic cerebro spinal fluid rhinorrhea and role of trans cranial pedicled pericranial repair in present day context

: Skull base fractures are a major cause of morbidity and mortality in head injury. Anterior cranial Fossa (ACF) skull base fracture, leading to Cerebro Spinal Fluid (CSF) Rhinorrhea is one of the most commonly encountered presentation in ACF base fractures. The key to successful management of such cases lies in early diagnosis and surgical management before it leads to meningitis and avoidable mortality.To evaluate the cases of post traumatic CSF rhinorrhea and analyze the parameters utilized to guide the management strategies. An attempt was made to come up with guidelines for its management in a tertiary care hospital.This was a retrospective study in which all cases of traumatic CSF Rhinorrhea admitted to Tertiary care hospital were included. Patients were divided into three groups. First group was conservatively managed in which the rhinorrhea and serial imaging findings showed favourable response.In thesecond group patients were subjected to endoscopic repair by the ENT surgeon based on anatomical considerations. The third group included patients who were had failed the trial of conservative management and the site of leak did not favor endoscopic repair.The outcomes in all these groups were analyzed and conclusions drawn.A total of 54 patients were included in the study which was conducted between Jan 2014 to 2020. 24 were successfully managed conservatively,10 were managed with endoscopic repair and 20 were managed by bifrontal craniotomy and pedicled pericranial ACF Base repair. There was one case from the first group who developed CSF leak after one month necessitating ACF base repair. There was no recurrence reportedin the cases managed endoscopically, whereas one case subjected to craniotomy had recurrence requiring lumbar drain placement. With each transcranial surgery there was a refinement in the technique further minimizing complications. We have elaborated on the surgical nuances to ensurebetter outcomes. : Pedicledpericranial flap ACF base repair is an elegant approach which requires an understanding of the mechanism of CSF leak from skull base fractures. This procedure can easily be mastered and when performed correctly provides best results for cases where there are multiple ACF defects, those not accessible by endoscope and also in those cases where imaging is not able to localize the exact site of defect leading to CSF rhinorrhea. Anosmia is an in evitable complication of this procedure. However, the trade off between mortality resulting from meningitis versus anosmia makes it a viable and attractive treatment option.

Yognidra to Minimizing Stress during Pandemic: A Meta Analysis

The COVID-19 pandemic has had an influence on people's physical, emotional, and social health all across the world. Due to mental health issues that resulted in anxiety, sadness, and post-traumatic stress disorder symptoms among a variety of demographic groups, including healthcare staff, the general public, patients, and those who were confined. Yoganidra Meditation is an excellent meditative relaxation method for relieving stress and tension and achieving profound psychological and physiological benefits. According to studies, Yognidra can also be utilized as a therapeutic approach to treat psychological problems such as anxiety, anger, and sleeplessness, as well as psychosomatic illnesses such as asthma, coronary heart disease, cancer, and hypertension. The purpose of the study is to critically analyze the findings of other researchers on the application of Yognidra to reliving the stress of an individual. The study is a conceptual and qualitative Meta-analysis, and it deals with global stress management.