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Effect of Pratimarsha Nasya (Nasal Instillation of oil) and Yoga based Protocol (Omkar chanting, Bhramari Pranayam, and Relaxation Technique) in reducing Geriatric stress with reference to Manas Swasthya (Mental Welbeing): A Randomized Control Trial – A study Protocol Pratimarsha Nasya(鼻腔注射精油)和基于瑜伽的方案(Omkar吟唱、Bhramari Pranayam和放松技巧)在减轻老年压力方面对Manas Swasthya(心理健康)的影响:随机对照试验--研究方案
Pub Date : 2023-12-02 DOI: 10.18535/jmscr/v11i11.03
Maheshwari Diwakar Joshi
Today age-related cognitive decline stands as a major public health issue, with high societal costs and few preventative options. Geriatric age group is very prone to the age related psychological disturbances. This study will provide cost effective and easily acceptable solution for geriatric stress if proved positive. Aim: To Study effect of Pratimarsh nasya and yoga based protocol - (Omkar chanting, Bhramari Pranayam, and relaxation technique) to relive stress in geriatric Patients w.r.t manas swasthya Primary Objective:1) To study the effect of Pratimarsha Nasya and yoga based protocol in mental stress of geriatric patients. 2) To assess the effect by assessment criteria (WHO QOL and PSS Scale) Secondary Objective: 1) To study and develop a Yoga based protocol 2) To study the geriatric problems related manas swasthya 3) Standardization of Nasya drug (Bramhi Siddha Tail) 4) To prepare an audio for Relaxation technique 5) To study the WHO QOL and PSS Scale as an assessment criteria for relieving geriatric stress. Methodology: This study will be carried out on 132 subjects of geriatric stress, One group will undergo Bramhi tail nasya and other will undergo Nasya and the yoga based protocol for 3 months. Assessment: Assessment will be done based upon PSS Score and WHO –QOL Score with appropriate statistical tests. Conclusion: Conclusion will be drawn on the basis of Observations, Data analysis, test for significance. Keywords: Pratimarsha Nasya, Yoga based Protocol, Geriatric stress, Manas Swasthya.
如今,与年龄相关的认知能力下降已成为一个重大的公共卫生问题,社会成本高昂,而预防措施却很少。老年人群是非常容易出现年龄相关心理障碍的人群。这项研究将提供成本效益和容易接受的解决方案,如果证明是阳性的老年压力。目的:研究以瑜伽为基础的瑜伽疗法(念诵奥姆卡尔、梵天调息和放松法)对老年患者缓解压力的效果。主要目的:1)研究以瑜伽为基础的瑜伽疗法对老年患者精神压力的缓解效果。2)以WHO生活质量和PSS量表评估效果。次要目的:1)研究和开发基于瑜伽的方案2)研究与manas swasthya相关的老年问题3)Nasya药物(Bramhi Siddha Tail)标准化4)制作放松技术音频5)研究WHO生活质量和PSS量表作为缓解老年压力的评估标准。方法:本研究将对132名老年压力受试者进行为期3个月的研究,其中一组将进行Bramhi tail nasya,另一组将进行nasya和瑜伽基础方案。评估:将根据PSS评分和世卫组织-生活质量评分进行评估,并进行适当的统计测试。结论:结论将在观察、数据分析、显著性检验的基础上得出。关键词:Pratimarsha Nasya,基于瑜伽的方案,老年压力,Manas Swasthya。
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引用次数: 0
A Clinical Study on Complications of Port Site in Laparoscopic Surgeries at GGH 关于普通外科医院腹腔镜手术切口并发症的临床研究
Pub Date : 2023-12-02 DOI: 10.18535/jmscr/v11i12.05
Dr Namburi Sai Venkatesh
The study aims to assess the morbidity associated with ports at the site of their insertion in laparoscopic surgery, to define, control risk factors for complications and their management. All patients who underwent laparoscopic surgeries, between 2022 and 2023, at GGH, Guntur, in the Department of General Surgery after receipt of written consent were included, and port sites were monitored for complications. Data collected and analysed by various statistical methods. Of the 100 patients undergoing laparoscopic surgery, 36 had developed complications directly linked to the port-site during a minimum follow-up of two-year period; port site discharge (PSD) was the most frequent, followed by port site infection, bleeding.
本研究的目的是评估腹腔镜手术中与植入部位的端口相关的发病率,以确定、控制并发症的危险因素及其处理。所有在2022年至2023年期间在Guntur GGH普通外科部门接受腹腔镜手术的患者在收到书面同意后被纳入,并监测港口地点的并发症。通过各种统计方法收集和分析的数据。在接受腹腔镜手术的100名患者中,在至少两年的随访期间,36名患者发生了与端口部位直接相关的并发症;以port site discharge (PSD)最为常见,其次为port site infection(感染)、bleeding(出血)。
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引用次数: 0
Evaluation of weight alteration in patients undergoing orthodontic treatment in KIST dental hospital 评估在韩国科学技术院牙科医院接受正畸治疗的患者体重变化情况
Pub Date : 2023-12-01 DOI: 10.18535/jmscr/v11i12.02
Rosha Shrestha
Introduction: Fixed orthodontic treatment is the most favored treatment of choice of young individuals nowadays who are motivated by a desire to improve appearance.1 Fixed orthodontic treatment usually takes around 1½ to 3 years for its completion and during this duration many dietary restrictions and modifications are advised.2 The changes in dietary patterns might result in an increase or decrease in weight. This present study is conducted to assess the amount of weight loss in patients undergoing fixed orthodontic treatment. Methods: The height and weight of the study population was measured using stadiometer and digital weighing scale respectively. BMI of each individual was calculated. These measurements were taken three times in the duration of the study; first measurement collected pretreatment, second measurement in 1st follow up after starting of fixed orthodontic treatment and the third measurement will be collected in 2nd follow up i.e. after 2 months. The results were tabulated and analyzed with the Statistical Package for the Social Sciences software (SPSS). The mean changes between different parameters in three visits were compared. Results: When we compared the pretreatment weight and weight at 1st follow up statistically significant difference was observed. Similarly, the difference in pretreatment weight and weight at 3rd follow up was found statistically significant. The difference in pretreatment BMI and BMI at 2nd follow up was statistically not significant. Similarly the difference in pretreatment BMI and BMI at 3rd follow up was also statistically not significant. Conclusion: This study confirms the reduction in weight seen in patients undergoing fixed orthodontic treatment in the first month after initiation of treatment. If the nutritional demand and the intake can be monitored during the treatment, proper health can also be maintained for a long run along with the proper treatment outcome.
介绍:固定正畸治疗是当今年轻人最喜欢的治疗选择,他们的动机是改善外表的愿望固定正畸治疗通常需要大约1年半到3年才能完成,在此期间,建议进行许多饮食限制和调整饮食模式的改变可能导致体重的增加或减少。本研究旨在评估接受固定正畸治疗的患者体重减轻的程度。方法:采用体重计和数字体重秤分别测量研究人群的身高和体重。计算每个个体的BMI。这些测量在研究期间进行了三次;第一次测量采集于治疗前,第二次测量于固定正畸治疗开始后第一次随访,第三次测量于第二次随访即2个月后采集。结果用社会科学统计软件包软件(SPSS)制表和分析。比较三次就诊中各参数的平均变化。结果:术前体重与第一次随访体重比较,差异有统计学意义。同样,治疗前体重和第3次随访时体重的差异也有统计学意义。治疗前BMI与第二次随访时BMI差异无统计学意义。同样,治疗前BMI与第3次随访时BMI的差异也无统计学意义。结论:本研究证实,在开始治疗后的第一个月内,接受固定正畸治疗的患者体重减轻。如果在治疗过程中监测营养需求和摄入量,也可以长期保持适当的健康和适当的治疗结果。
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引用次数: 0
Amyand’s Hernia: Case Series in Our Hospital Amyand疝气本院病例系列
Pub Date : 2023-11-30 DOI: 10.18535/jmscr/v11i11.09
Dr R. Sumanth
A vermiform appendix as content in inguinal hernia is known as amyand’s hernia. Incidence of having appendix within hernia. Hernia sac varies from 0.5% to 1% whereas only 0.1% of cases complicate into acute appendicitis, underscoring the rarity of condition. Keywords: Amyand’s hernia, appendix in hernia sac, bassini’s repair, inguinal hernia, obstructed hernia.
腹股沟疝中的蚯蚓状阑尾被称为amyand疝。疝囊内有阑尾的发生率为 0.5%至 1%,而并发急性阑尾炎的病例仅为 0.1%。疝囊内有阑尾的发病率为 0.5% 至 1%,而并发急性阑尾炎的病例仅占 0.1%,这说明这种情况非常罕见。关键词Amyand疝、疝囊中的阑尾、Bassini修补术、腹股沟疝、梗阻性疝。
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引用次数: 0
A Study on Assessment and Progression of Retinopathy of Prematurity at Tertiary Care Centre 关于三级医疗中心早产儿视网膜病变评估和进展的研究
Pub Date : 2023-11-30 DOI: 10.18535/jmscr/v11i11.07
Dr Nikhil Dilip Charhate, Dr Ajit Gulabrao Khune, Dr Dhiraj Namdeo Balwir
Background: The study was conducted to assess the retinopathy of prematurity in pre mature infants and see the progression of the disease. Aims and Objectives: To study the progression and the risk factors for Retinopathy of Prematurity (ROP) in infants. Material and Methods: Prospective Observational Study from October 2020 to December 2022 done on 96 infants which was conducted in a tertiary care centre in NICU set up with the criteria: birth weight <1700g, gestational age at birth of <34-35 weeks, oxygen exposure of >30 days and infants with birth weight >1700g and gestational age >37 weeks with associated risk factors were assessed. Result: Of 96 patients 24(25% incidence) found to be ROP positive with 13 requiring treatment had severe ROP. Average birth weight of ROP babies was 1491.45g and average gestational age was 31.41±2.82 weeks. 8/24 newborns had avascular retina later progressed to ROP. Conclusion: Early assessment and detection of ROP is necessary to prevent further progression of disease. Keywords: Retinopathy of prematurity, assessment, Progression, Risk factors.
研究背景本研究旨在评估早产儿的早产儿视网膜病变,并观察疾病的进展情况。目的和目标:研究早产儿视网膜病变的进展和风险因素:研究早产儿视网膜病变(ROP)的进展和风险因素。材料与方法:2020 年 10 月至 2022 年 12 月,在一家三级护理中心的新生儿重症监护室对 96 名婴儿进行了前瞻性观察研究,评估标准为:出生体重 30 天、出生体重大于 1700 克、胎龄大于 37 周的婴儿以及相关风险因素。结果:在 96 名患者中,有 24 名(发生率为 25%)被确诊为早产儿视网膜病变阳性,其中 13 名需要接受治疗,并患有严重的早产儿视网膜病变。视网膜病变婴儿的平均出生体重为 1491.45 克,平均胎龄为 31.41±2.82 周。8/24 名新生儿患有血管性视网膜,后来发展为 ROP。结论早期评估和检测视网膜病变对防止疾病进一步发展十分必要。关键词:早产儿视网膜病变早产儿视网膜病变 评估 进展 危险因素
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引用次数: 0
Frequency and Distribution of ABO and Rhesus (D) Blood group Antigens among Blood Donors at a District Hospital Blood Bank in North Goa 北果阿某地区医院血库献血者 ABO 和恒河猴 (D) 血型抗原的频率和分布情况
Pub Date : 2023-11-30 DOI: 10.18535/jmscr/v11i11.18
R. P. M. D. S. S. D. M. S. Dr Krupa Jog
Background: Many blood grouping systems and blood group antigens have been described in the available literature. ABO and Rh grouping systems are the most prevalent amongst these. The prevalence of these varies between different regions and races. The present study was conducted at a District hospital blood centre, to study the frequency and; age and sex distribution of ABO and Rh groups in the study population, in the North District of Goa, to help in managing the blood bank inventory and serve patients better. Methods: The study population included 5438 blood donors (voluntary and replacement). Blood groups were determined by conventional test tube agglutination methods – forward and reverse grouping, using standard antisera. Data obtained from the blood centre records was reported as numbers and percentages, and findings were compared with the available literature. Results: Blood group O was the most prevalent in our study population, followed by A, B and AB. Rh positivity was seen in 93.6% blood donors. Rest all donors were Rh negative. Majority donors belonged to the age group 31-40 years, followed by 21-30 years, with majority (88%) being males. 97% donors were voluntary and 3% were replacement donors. Conclusion: O Positive was the commonest blood group in our study population and AB negative was the least common. Keywords: blood donors, voluntary, replacement, blood groups, ABO group, Rh group, distribution, age, gender.
背景:现有文献中描述了许多血型系统和血型抗原。其中以 ABO 和 Rh 血型系统最为普遍。不同地区和不同种族之间的发病率各不相同。本研究是在果阿邦北部地区的一家区级医院血液中心进行的,目的是研究 ABO 和 Rh 血型在研究人群中的频率、年龄和性别分布,以帮助管理血库库存,更好地为患者服务。研究方法研究对象包括 5438 名献血者(自愿和替补)。使用标准抗血清,通过传统试管凝集法--正向和反向分型--测定血型。从血液中心记录中获得的数据以数字和百分比的形式进行报告,并将结果与现有文献进行比较。结果在我们的研究人群中,O 型血最为普遍,其次是 A 型、B 型和 AB 型。93.6% 的献血者为 Rh 阳性。其余献血者均为 Rh 阴性。大多数献血者的年龄在 31-40 岁之间,其次是 21-30 岁,男性占大多数(88%)。97% 的献血者是自愿的,3% 是替代献血者。结论在我们的研究人群中,O 型阳性是最常见的血型,AB 型阴性是最不常见的血型。关键词:献血者、自愿、替代、血型、ABO 血型、Rh 血型、分布、年龄、性别。
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引用次数: 0
A Rare Coexistence of Cervical Node Tuberculosis in CA Pancreas 罕见的加州胰腺宫颈结节结核并存病例
Pub Date : 2023-11-30 DOI: 10.18535/jmscr/v11i11.14
Dr Mohammed Hidayath Hussain, Dr Kaushal G Vira, Dr RJ Bhavna Srivastav
The association of TB with carcinoma was initially described ∼200 years ago by Bayle who considered ‘cavitation cancereuse’ as one of the various types of TB(1) Since both disorders are common, we support the notion that in most cases their co-existence may be explained by chance alone. Nowadays, research for carcinogenesis is expanding and the possible correlation between chronic inflammation and cancer development is slowly being unraveled. Although TB and cancer are very common diseases, there has been little attention to the pathophysiological and practical implications of their co-existence. We sought to review the available evidence and identify the data that refer to the correlation between TB and malignancy in order to highlight neglected aspects of this association and probably derive clinically useful information.
早在 200 年前,贝勒(Bayle)就首次描述了肺结核与癌症的关系,他认为 "空洞症"(cavitation cancereuse)是肺结核的各种类型之一(1)。由于这两种疾病都很常见,我们支持这样一种观点,即在大多数情况下,它们的共存可能仅仅是出于偶然。如今,有关致癌的研究正在不断扩大,慢性炎症与癌症发展之间可能存在的关联也在慢慢被揭开。尽管肺结核和癌症是非常常见的疾病,但人们很少关注它们同时存在的病理生理学和实际意义。我们试图回顾现有的证据,找出结核病与恶性肿瘤之间相关性的数据,以强调这种关联中被忽视的方面,并可能从中获得对临床有用的信息。
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引用次数: 0
Study of Fever Presentation in DAE Hospital 对 DAE 医院发烧症状的研究
Pub Date : 2023-11-30 DOI: 10.18535/jmscr/v11i11.16
D. Sitaraman
Introduction Background-Although earliest fever curves was created in 10th century by Akhawayni, fever was reported by Beeson (1961) as the presence of an endogenous pyrogen in rabbit PMNL. Today the granulocyte factor is the central role in pathogenesis of fever. Normal body temp is 98.6*f and fever is a complex physiological response involving the innate immune system and any temperature beyond the normal. Hippocrates and Kos (377BCE) attributed to pyretos and therme (fever and heat) which arose from 4 elements-blood, phlegm, black bile and yellow bile. Farenheit and Celsius were pioneers in development of thermometer and axillary temperatures were first used for fever Then Mackowiak and collegues described an oral thermometer and they gave 98.6*f as normal and 99.9*f as upper limit of normal. Thermoregulatory behaviours (brown adipose tissue thermogenesis, shivering, sweating, vasoconstriction and vasodilation) are the control loops in response to core and skin temperature. Of the illnesses, infection, neoplasia, inflammatory, miscellaneous and undiagnosed illness form the main group. In India, infections constitute 16-55% of cases. Now in industrialized countries, undiagnosed cases have risen. Among the infections, UTI, TB, viral and protozoal abcess, endocarditis are frequently diagnosed out of which viral infections predominate. In older patients infections are less frequent cause of fever which is opposite to pediatric population. Travel history and vaccination history is important as in COVID era. Lab findings were consistant with clinical presentation in 90% of cases .Mortality out of fever was very negligible only in older patients (1-3%).
导言 背景-尽管最早的发热曲线是在 10 世纪由 Akhawayni 创造的,但 Beeson(1961 年)报道发热是由于兔 PMNL 中存在内源性致热原。如今,粒细胞因子已成为发热发病机制的核心。正常体温为 98.6*华氏度,发热是一种复杂的生理反应,涉及先天免疫系统和任何超出正常体温的温度。希波克拉底和科斯(公元前 377 年)将发热和发热归因于 4 种元素--血液、痰、黑胆汁和黄胆汁。随后,Mackowiak 及其同事描述了一种口腔温度计,他们认为 98.6*f 为正常值,99.9*f 为正常值上限。体温调节行为(棕色脂肪组织产热、颤抖、出汗、血管收缩和血管扩张)是对核心温度和皮肤温度做出反应的控制回路。在各种疾病中,感染、肿瘤、炎症、杂症和未确诊疾病是主要病种。在印度,感染占病例的 16-55%。现在,在工业化国家,未确诊病例也有所增加。在感染病例中,UTI、肺结核、病毒和原虫脓肿、心内膜炎是常见的诊断病例,其中以病毒感染为主。在老年患者中,感染是较少见的发热原因,这与儿童患者的情况相反。与 COVID 时代一样,旅行史和疫苗接种史也很重要。90%的病例的实验室检查结果与临床表现一致,只有老年患者的发热死亡率非常低(1-3%)。
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引用次数: 0
Colonic Duplication Cyst with Gastric Heterotopia Haemorrhage and Mucosal Ulceration: A Case Report 结肠重复囊肿伴胃异位出血和黏膜溃疡:病例报告
Pub Date : 2023-11-30 DOI: 10.18535/jmscr/v11i11.15
Bandana Mehrotra
Present report relates to duplication of ascending colon with cyst formation along with ectopia of gastric glands in lamina propria of colon. Heterotopia or ectopia is defined as presence of an organ outside its normal anatomic site. Ileum is the commonest site of heterotopia in gastrointestinal tract. Rarely, heterotopia may involve ascending colon. In the present case, cyst wall also had a thickened area, measuring 1×1×0.5 cm, consisting of hypertrophic muscularis. Cyst wall showed ulceration in continuity with colonic columnar epithelium. In addition, lamina propria also showed mixed leucocytic infiltration. The lesion was finally diagnosed as duplication of ascending colon with cyst formation and heterotopia of benign gastric glands, hemorrhage and ulceration. Keywords: Large intestinal cyst with two corresponding parts, ectopia of gastric glands with ulceration and haemorrhage.
本报告涉及升结肠重复,并在结肠固有层形成囊肿和胃腺异位。异位或异位是指器官出现在其正常解剖部位之外。回肠是胃肠道异位最常见的部位。罕见的异位可能涉及升结肠。在本病例中,囊壁也有一个增厚区,面积为 1×1×0.5 厘米,由肥厚的肌肉组成。囊壁与结肠柱状上皮呈连续性溃疡。此外,固有层也出现混合性白细胞浸润。该病变最终被诊断为升结肠重复伴囊肿形成、良性胃腺异位、出血和溃疡。关键词大肠囊肿有两个相应的部分,胃腺异位伴溃疡和出血。
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引用次数: 0
The Role of Anesthesia in Pain Management: Advancements in Perioperative Analgesia 麻醉在疼痛管理中的作用:围术期镇痛的进展
Pub Date : 2023-11-30 DOI: 10.18535/jmscr/v11i11.17
Abdelaziz Saleh AL Zahrani
This paper examines in detail the important role of anesthesia in perioperative pain management, focusing on recent advances in perioperative analgesia on. This paper examines the fundamental relationship between anesthesia and analgesia, with particular emphasis on recent innovations in surgical analgesic techniques. This study aims to elucidate the evolving panorama of anesthesia in surgical settings, losing light on how those trends are improving ache manipulate for sufferers. This paper uses a rigorous research approach including an extensive literature review and empirical data collection to support the findings. This study demonstrates the significant impact of modern anesthesia, including important insights into alternative mechanisms of action and effectiveness, for healthcare professionals and researchers in this field gain valuable insights. By addressing these factors, this paper seeks to inform the understanding of how anesthesia plays an important role in improving the perioperative experience of patients by improving pain and to make progress. Keywords: Anesthesia, Pain Management, perioperative Analgesia, Healthcare professionals, Patients care.
本文详细探讨了麻醉在围术期疼痛管理中的重要作用,重点介绍了围术期镇痛的最新进展。本文探讨了麻醉与镇痛之间的基本关系,特别强调了手术镇痛技术的最新进展。本研究旨在阐明手术麻醉不断发展的全景,揭示这些趋势如何改善患者的疼痛控制。本文采用了严格的研究方法,包括广泛的文献综述和实证数据收集,以支持研究结果。本研究展示了现代麻醉的重大影响,包括对替代作用机制和有效性的重要见解,使该领域的医护人员和研究人员获得了宝贵的见解。通过探讨这些因素,本文试图让人们了解麻醉如何通过改善疼痛在改善患者围术期体验方面发挥重要作用,并取得进展。关键词麻醉 疼痛管理 围术期镇痛 医护人员 患者护理
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引用次数: 0
期刊
Journal of Medical Science And clinical Research
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