A CLINICAL STUDY TO EVALUATE EFFECT OF KSHEERBALA TAILA NASYA IN THE MANAGEMENT OF AVABAHUK w.s.r. FROZEN SHOULDER

Avabahuk is the disease that usually affect Amsa sandhi (shoulder joint).. Even though the term Avabahuk is not mentioned in the nanatmaj Vatavyadhi. Acharya Sushrut and others have considered Avabahuk as a Vatajvikar. Avabahuk is one such disease which hampers the day to day activity of an individual.. In Avabahuk, vitiated vata dosha localizes in amsa pradesh and does the sankoch of siras leading to the manifestation1. Sira sankoch and bahupraspanditharam can be correlated with painful stiffness and loss of motion of the shoulder. Hence it can be correlated with frozen shoulder as described in the modern system of medicine.Frozen shoulder is more common in diabetics. The general line of treatment mentioned for vatavyadhi in ayurvedic classics include snehan (both internal and external), swedan, mrudusamshodhan, basti, shirobasti, Nasya . Acharya Charak further states that, depending on the location and dushya (tissue element vitiated by vata) each patient should be given specific therapies. Acharya Vagbhata has mentioned Nasya karma in the jatruurdhwavatavikaras. Present study was conducted to assess the efficacy of Nasya with Ksheerbala taila in Avbahuka 15 patients of avabahuka were taken in an open label single group clinical study for nasya with ksheerbalataila.Results of this study showed that Nasya with Ksheerbala taila was effective in relieving the symptoms of Avabahuka and found statistically significant.

Design, Fabrication, and Evaluation of Polyglycolic Acid Modules with Canals as Tissue Elements in Cellular-Assembly Technology

The aim of the present study was to design and fabricate polyglycolic acid (PGA) modules on the basis of the Raschig ring as a tissue element for bottom–top tissue engineering to increase the feasibility of cellular-assembly technology. Three types of modules, namely, cylindrical, Raschig ring, and transverse-pore modules, with different numbers and orientations of canals, were designed and fabricated by modified selective-laser-sintering (SLS) technology. These modules maintained their structure in a flowing culture environment, and degradation did not create an acidic environment, hence promoting their ability to scale up to highly functional tissue. The modules were seeded with human hepatoma Hep G2 cells and cultured for 10 days. The transverse-pore modules were found to have the highest glucose consumption, albumin production, and cell viability among the three tested modules. Our study showed that the proposed module design provided better mass transfer and possessed the required mechanical strength to enable use in the construction of large tissue.

Midfoot and forefoot fractures and dislocations

♦ Mid- and forefoot injuries are common♦ Minimally displaced and stable injuries allow early weight-bearing rehabilitation and lead to a good functional outcome♦ Displaced and unstable injuries require restoration of the length, alignment, and joint congruency followed by stable fixation♦ Respect the soft tissue element of the foot injury.