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Comparison of traditional stimuli versus novel stimulus-evoked masseteric vestibular-evoked myogenic potential in normal-hearing adults 正常听力成人传统刺激与新型刺激诱发的咬肌前庭诱发肌原电位的比较
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_19_23
Kalpesh Bheda
Background: Vestibular-evoked myogenic potentials (VEMPs) are the electromyographic (EMG) responses, widely used to assess the functional integrity of otolith organs, i.e., utricle recorded via ocular VEMPs at the level of inferior oblique muscle and saccule via cervical VEMPs at sternocleidomastoid muscle. In addition, VEMPs can also be recorded from other regions of the body as well that includes triceps muscle, trapezius muscle, gastrocnemius muscle, and masseter muscle. The short-latency inhibitory EMG responses recorded at the level of active masseter muscles with acoustic stimulation of vestibular end organ are referred to as masseteric VEMPs (mVEMPs). Aims and Objectives: The present study aimed at comparing various parameters of mVEMP responses such as latency, amplitude, and asymmetry gain across different stimuli. Materials and Methods: A total of 21 normal-hearing healthy individuals with a mean age of x̄ = 21.14 years and σ =1.7 participated in the study with a pure-tone average of 15 dBHL in air and bone conduction testing and normal immittance results for both ears. Results: Therefore, the median latency values for P11 were obtained as M = 11.84 ms, M = 14.67 ms, and M = 11.33 ms in the right ear and M = 11.83 ms, M = 14.83 ms, and M = 11.33 ms in the left ear for clicks, 500 Hz tone burst, and 500 Hz narrow band level specific (NBLS) chirp, respectively. Similarly, for N21, latency values were M = 20 ms, M = 25.16 ms, and M = 20.16 ms in the right ear and M = 19.67 ms, M = 24.67 ms, and M = 19.33 ms in the left ear for clicks, 500 Hz tone burst, and 500 Hz NBLS chirp, respectively. Conclusion: The study suggested mVEMP response to have significantly early latencies and largest amplitudes for 500 Hz NBLS chirp than clicks and 500 Hz tone burst stimuli. The NBLS chirp is an appropriate substitution for clicks and tone burst in assessing vestibulo-trigeminal pathway.
背景:前庭诱发肌源性电位(VEMPs)是肌电图(EMG)反应,广泛用于评估耳石器官的功能完整性,即通过眼下斜肌水平的VEMPs记录小囊,通过胸锁乳突肌水平的颈VEMPs记录小囊。此外,vemp也可以从身体的其他区域记录,包括三头肌、斜方肌、腓肠肌和咬肌。前庭末梢器官声刺激下咬肌活动水平的短潜伏期抑制性肌电反应称为咬肌VEMPs (mVEMPs)。目的和目的:本研究旨在比较不同刺激下mVEMP反应的各种参数,如潜伏期、振幅和不对称增益。材料与方法:21例听力正常的健康人群,平均年龄为x′= 21.14岁,σ =1.7岁,空气和骨传导测试纯音平均值为15 dBHL,双耳阻抗正常。结果:因此,P11的中位潜伏期值在右耳分别为M = 11.84 ms、M = 14.67 ms和M = 11.33 ms,在左耳分别为M = 11.83 ms、M = 14.83 ms和M = 11.33 ms,分别为500 Hz的音调突发和500 Hz的窄带水平特异性(NBLS)啁啾。同样,对于N21,右耳的延迟值分别为M = 20 ms, M = 25.16 ms和M = 20.16 ms,左耳的点击,500 Hz的音调爆发和500 Hz的NBLS啁啾分别为M = 19.67 ms, M = 24.67 ms和M = 19.33 ms。结论:500 Hz NBLS啁啾刺激下的mVEMP反应潜伏期明显早,且振幅最大。在评估前庭-三叉神经通路时,NBLS啁啾是一种合适的替代咔嗒声和音调爆发的方法。
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引用次数: 0
A case of scrub typhus presenting with acute respiratory distress syndrome and its management in intensive care unit 以急性呼吸窘迫综合征为表现的恙虫病1例及其在重症监护病房的处理
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_25_22
AarjuvHemant Majmundar, SakshiR Jain, ShubhamR Darda, JitendraD Lakhani
Orientia tsutsugamushi causes a zoonotic infection called scrub typhus, which is transmitted by trombiculid mite larvae. The infection is widely distributed throughout the Asia-Pacific region and has also been reported in various parts of India. The disease is an important cause of “tropical sepsis” and could produce severe complications such as encephalitis, pneumonia, myocarditis, cardiac arrhythmia, and acute respiratory distress syndrome (ARDS). A thorough physical examination is required by the physician, as the rash or eschar could sometimes be unnoticed or absent, and finding one could help in early diagnosis and preventing further complications with prompt treatment. Hereby, we present a case of scrub typhus that complicated into ARDS and was diagnosed on the basis of the presence of an eschar, a positive Weil–Felix result, and a positive quick diagnostic kit (immunochromatographic assay). We will also elaborate on the noninvasive management of the patient in the intensive care unit.
恙虫病东方体引起一种称为恙虫病的人畜共患感染,它是由恙螨幼虫传播的。这种感染在整个亚太地区广泛分布,在印度各地也有报告。该病是“热带败血症”的重要病因,可产生严重并发症,如脑炎、肺炎、心肌炎、心律失常和急性呼吸窘迫综合征(ARDS)。医生要求进行彻底的身体检查,因为皮疹或焦痂有时可能被忽视或不存在,发现一个可以帮助早期诊断和防止进一步的并发症,及时治疗。在此,我们报告一例合并为ARDS的恙虫病,并根据痂的存在、Weil-Felix结果阳性和快速诊断试剂盒(免疫层析分析)阳性进行诊断。我们还将详细介绍重症监护病房患者的无创管理。
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引用次数: 0
Burning mouth syndrome – An ayurvedic approach 灼口综合征——阿育吠陀疗法
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_17_23
Kshama Gupta, Prasad Mamidi
Dear Editor, Burning mouth syndrome (BMS) is by burning sensation of the oral mucosa without having specific lesions in the oral cavity. Chronic oral burning pain is the chief complaint of BMS patients with or without altered taste sensation and dry mouth. The nature of the oral mucosal pain in BMS patients is like burning or scalding or annoying or tingling or tender or numb feeling, especially in the tongue, hard palate, and labial mucosa. BMS patients are usually frustrated and absence of pathological lesions in the oral cavity is mandatory for its diagnosis.[1] The chronic burning pain of BMS is often debilitating and has a negative impact on quality of life.[2] Irritability, depression, and decreased sociability are frequently seen in BMS patients. Fatigue, stress, and speech might increase the intraoral burning sensation in BMS patients.[3] The prevalence of BMS ranges from 0.7% to 4.6%.[4] The mean age of BMS is between 55 and 60 years and the ratio between females and males is around 3:1–16:1. Hence, far BMS remains a fascinating and poorly understood condition.[5] BMS is having multifactorial origin and its exact etiopathogenesis is often unknown. There is no definitive cure for BMS. Although there are plenty of treatment methods and medications available, none of them proves to be satisfactory in the management of BMS. BMS seems to have complex etiopathology.[1] Psychogenic, genetic, environmental factors, and dysregulated pain pathways (both central and peripheral) have been postulated in the pathogenesis of BMS. The diagnosis of BMS should be made after excluding all local and systemic causes.[2] BMS is classified into two categories, i.e., primary (idiopathic) and secondary (as a consequence of any local or systemic illness).[4] Laboratory investigations are usually unremarkable in BMS patients.[2] The management of BMS is challenging and its prognosis is poor. Complete remissions are observed in only 3% of the BMS patients within 5 years after the onset.[3] No single drug or procedure has been known to provide complete relief in BMS patients to date. A systematic and interdisciplinary approach is essential to manage BMS patients in a better way.[1] Attempts of treatment are often unsuccessful for BMS patients; hence, they do consult one physician after another. Some patients of BMS may become cancerophobic. To avoid unrealistic expectations, patients should be informed that there is no cure for BMS and its treatment is purely symptomatic.[2] BMS patients are usually depressed, anxious, and tired due to unsuccessful treatments and limited knowledge about their condition.[3] Patients suffering with various chronic and rare diseases may seek the help of Ayurveda (traditional Indian System of Medicine) for sustained and better relief. Diagnosis and management of BMS according to Ayurveda is still unknown and the scientific literature published on this topic is scarce. According to a case report, BMS occurs due to the imbalance of Pitta
亲爱的编辑,灼口综合征(BMS)是由口腔粘膜的灼烧感引起的,而口腔内没有特定的病变。慢性口腔灼痛是BMS患者伴或不伴味觉改变和口干的主要主诉。BMS患者口腔黏膜疼痛的性质是如灼烧感或烫伤感或恼人感或刺痛感或触痛感或麻木感,尤以舌、硬腭、唇黏膜为主。BMS患者通常感到沮丧,口腔内没有病理病变是其诊断的必要条件。[1]BMS的慢性灼痛通常会使人虚弱,并对生活质量产生负面影响。[2]易怒、抑郁和社交能力下降是BMS患者常见的症状。疲劳、压力和言语可能会增加BMS患者的口内烧灼感。[3]BMS的患病率从0.7%到4.6%不等。[4]BMS的平均年龄在55 - 60岁之间,男女比例约为3:1-16:1。因此,到目前为止,BMS仍然是一种令人着迷但知之甚少的疾病。[5]BMS有多因素的起源,其确切的发病机制往往是未知的。BMS没有明确的治疗方法。虽然有很多治疗方法和药物可用,但没有一种被证明是令人满意的BMS管理。BMS似乎具有复杂的病因病理学。[1]心理因素、遗传因素、环境因素和失调的疼痛通路(包括中枢和外周)被认为是BMS的发病机制。BMS的诊断应在排除所有局部和全身性原因后做出。[2]BMS分为两类,即原发性(特发性)和继发性(由任何局部或全身性疾病引起)。[4]BMS患者的实验室检查通常不显著。[2]BMS的治疗具有挑战性,预后较差。只有3%的BMS患者在发病后5年内完全缓解。[3]迄今为止,还没有一种药物或治疗方法能完全缓解BMS患者的症状。系统和跨学科的方法对于更好地管理BMS患者至关重要。[1]BMS患者的治疗尝试往往不成功;因此,他们会一个接一个地咨询医生。一些BMS患者可能会产生癌症恐惧症。为了避免不切实际的期望,患者应该被告知BMS无法治愈,其治疗纯粹是对症治疗。[2]由于治疗不成功和对病情的了解有限,BMS患者通常会感到抑郁、焦虑和疲倦。[3]患有各种慢性和罕见疾病的患者可能会寻求阿育吠陀(印度传统医学体系)的帮助,以获得持续和更好的缓解。根据阿育吠陀的诊断和管理BMS仍然未知,发表的关于这一主题的科学文献很少。根据一份病例报告,BMS的发生是由于Pitta Dosha(一种负责消化、新陈代谢和温度的身体幽默)的不平衡,而阿育吠陀治疗被证明是有益的。[6]阿育吠陀将疾病分为两大类,即Nija(内源性)和Agantuja(外源性);内源性或Agantuja疾病再次分为两种类型,即Samanyaja(由两个或三个Dosha(即Vata, Pitta和Kapha)的损害引起)和Nanatmaja(由于任何单个Dosha的损害而独立表现的疾病)。[7]Pittaja Nanatmaja Vikaras (PNVs)是完全由于Pitta Dosha的损害而发生的疾病(没有其他Dosha参与或共病的疾病表现)。虽然pnv据说是无数的,但在各种阿育吠陀经典文献中列出了40种类型的pnv。[8]达哈是40种类型的pnv之一,表明广泛性烧灼感,它是由于皮塔多沙的损害而发生的。[9]“Dava”是一种独立的疾病实体,其特征是口腔(Mukha)、嘴唇(Oshtha)和腭(Taalu)的烧灼感(Daha)。Dava是40种pnv中的一种,在阿育吠陀经典文本“Ashtanga Samgraha”中首次提到。Pitta Dosha的破坏是Dava显化的必要条件。Dava的病因、发病机制和治疗方法与其他pnv相似。[10]Dava似乎是BMS最合适的诊断,因为两者具有相似的临床表现,即口腔(Mukha Daha)、硬腭(Taalu Daha)和嘴唇(Oshtha Daha)的烧灼感。具有安抚皮塔多沙特性的药物和程序,如Virechana(治疗性净化)、Snehana(油按摩)、Surabhi Gandha(香气疗法)、Shishira Salila Majjanam(冷水浸泡)、Geeta Shravanam(音乐疗法)、Ghrita Paana(摄入普通或药用酥油)、Gandusha(持有液体物质)。即中药煎剂、油、药液、鲜汁等。 在BMS的管理中,应实施Kavala(用草药煎剂或输液或油等漱口)和Nasya Karma(用油、酥油、汤剂、粉末等鼻腔给药)。[7]根据阿育吠陀,BMS应该被诊断为“Dava”,治疗应该集中在安抚皮塔多莎上。财政支持及赞助无。利益冲突没有利益冲突。
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引用次数: 0
A questionnaire-based analysis of parental perspectives on pediatric cochlear implant rehabilitation services in India 基于问卷调查的印度儿童人工耳蜗康复服务的父母观点分析
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_25_23
Mansha Parmar, Mukesh Sharma, Santosh Kumar
Background: Hearing loss has an impact on the development of speech, language, and social skills in children. A cochlear implant is the best option for most of the child’s communication development. Aims and Objectives: The study aimed to analyze the parental perspectives on rehabilitation services offered for pediatric cochlear implant (CI). Materials and Methods: A nonstandardized questionnaire comprising 25 items was created to understand the perspectives of parents of pediatric CI users. Questionnaire was designed in order to examine rehabilitation services such as parental stress, reasons for delay in obtaining services, sources of emotional support and parents’ views of their children post-CI. The questionnaire was posed to 100 parents, and responses were recorded and coded. Results: Qualitative and quantitative analyses based on parents’ responses identified several factors that significantly influenced parental perspectives during each stage. The major factors delaying the decision to go for CI included a fear of surgery, lack of funds for CI and the subsequent rehabilitation process, and limited knowledge. Key concerns were the child’s academic performance and social acceptance. A significant reduction in the parental stress levels was observed following CI surgery. Conclusion: Parents indicated that local support for therapy, financial assistance, and better guidance at each stage would substantially help in lowering stress levels.
背景:听力损失对儿童言语、语言和社交技能的发展有影响。人工耳蜗是大多数儿童沟通发展的最佳选择。目的与目的:本研究旨在分析家长对儿童人工耳蜗(CI)康复服务的看法。材料和方法:制作了一份包含25个项目的非标准化问卷,以了解儿童CI使用者父母的观点。设计问卷调查康复服务,包括父母压力、延迟获得服务的原因、情感支持的来源和父母对儿童ci后的看法。调查问卷被提交给100名家长,他们的回答被记录下来并编码。结果:基于父母的反应进行定性和定量分析,确定了几个在每个阶段显著影响父母观点的因素。延迟决定进行CI的主要因素包括害怕手术,缺乏CI和随后的康复过程的资金,以及有限的知识。主要的担忧是孩子的学习成绩和社会接受度。CI手术后观察到父母压力水平显著降低。结论:家长表示,当地支持治疗,经济援助,并在每个阶段更好的指导,将大大有助于降低压力水平。
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引用次数: 0
Effectiveness of pocket reference booklet on knowledge regarding the prevention and management of central line-associated bloodstream infection: A preexperimental pretest–posttest study 关于预防和管理中央静脉相关血流感染知识的袖珍参考手册的有效性:一项实验前-测试-测试后研究
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_12_23
JayKumar Sharma
Background: Central line-associated bloodstream infections (CLABSIs) are the major causes of death in intensive care units (ICUs). Central venous catheter is mostly used in ICU for critically ill patients to provide long-time intravenous access, parenteral nutrition, medication, blood products, etc., However, it can cause bloodstream infections and sepsis that cause the death of the patient. Hence, the prevention and management of CLABSI is very necessary to control the mortality rate. Objective: The important objective of this study was to assess the effectiveness of the pocket reference booklet on knowledge regarding the prevention and management of CLABSI. Design: This study adopted a quantitative research approach with a preexperimental one-group pretest–posttest research design. Setting (s): ICUs of Mathura Das Mathur Hospital, Jodhpur. Participants: A nonprobability convenient sampling technique was used to select 80 ICU nurses. Subjects and Methods: Data were collected using a self-structured knowledge questionnaire. The questionnaire (30 multiple-choice questions) was given to the participant to complete the pretest. After this, the intervention (pocket reference booklet on prevention and management of CLABSI) was implemented to sample and posttest was taken. Results: The data showed that the mean difference between pretest and posttest knowledge scores was 5.75 ± 1.754 and the t-value was 29.32 (P < 0.001, highly significant) at 5% of the level of significance. Conclusion: After the data analysis of this study, the pocket reference booklet on prevention and management of CLABSI was found to be effective to increase the level of knowledge on prevention and management regarding CLABSI in ICU.
背景:中心静脉相关血流感染(CLABSIs)是重症监护病房(icu)死亡的主要原因。中心静脉导管多用于ICU重症患者,提供长时间静脉通路、肠外营养、药物、血液制品等,但可引起血流感染和脓毒症,导致患者死亡。因此,预防和管理CLABSI对于控制死亡率是非常必要的。目的:本研究的重要目的是评估关于预防和管理CLABSI知识的袖珍参考手册的有效性。设计:本研究采用定量研究方法,采用实验前一组前测后测研究设计。地点:焦特布尔马图拉·达斯·马图尔医院重症监护室。对象:采用非概率方便抽样方法抽取80名ICU护士。对象和方法:采用自结构化知识问卷收集资料。问卷(30道选择题)被试完成前测。在此之后,对样本进行干预(预防和管理CLABSI袖珍参考手册)并进行后测。结果:数据显示,前测与后测知识得分的平均差异为5.75±1.754,t值为29.32 (P < 0.001,高度显著),在5%的显著性水平下。结论:通过本研究的数据分析,发现《CLABSI预防与管理袖口手册》可以有效提高ICU对CLABSI预防与管理的认识水平。
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引用次数: 0
Three-dimensional printing: A tool for redefining pediatric dental practice 三维打印:重新定义儿童牙科实践的工具
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_5_23
PratikB Kariya, Barkha Bansal
As the technology is emerging rapidly, the health industry has shifted its standard towards providing the best and minimally invasive, novel treatment options to the patients to choose from three-dimensional (3D) printing technology. After its introduction in medicine and health care, 3D printing technologies are advanced manufacturing technologies based on computer-aided design (CAD) digital objects to create customized 3D objects automatically with the help of software. 3D printing technology is valuable to clinicians as well as patients as it is time-saving and helps the clinician to view the precise anatomy and fabricate patient-specific models, surgical guides, stents, prostheses, and drug delivery systems. Because of its advantages, it is widely used in various branches of dentistry and its application in Pediatric dentistry has also taken a broad path. 3D printing will play a larger role in dentistry in the future. The integration of scanning, visualization, CAD, milling, and 3D printing technology, together with the profession’s intrinsic curiosity and innovation, makes this an exciting time to be in dentistry. Hence, the aim of this review article is to provide knowledge and awareness about 3D printing and its application in pediatric dentistry.
随着3D打印技术的迅速发展,医疗行业已经将其标准转向为患者提供最好的、微创的、新颖的治疗方案,让他们从3D打印技术中进行选择。3D打印技术是一种以计算机辅助设计(CAD)数字对象为基础,借助软件自动创建定制化3D对象的先进制造技术,在医药卫生领域得到应用。3D打印技术对临床医生和患者都很有价值,因为它节省了时间,可以帮助临床医生查看精确的解剖结构,并制作患者特定的模型、手术指南、支架、假体和药物输送系统。由于其优点,被广泛应用于牙科的各个分支,在小儿牙科的应用也走了一条广阔的道路。未来,3D打印将在牙科领域发挥更大的作用。扫描、可视化、CAD、铣削和3D打印技术的集成,加上行业内在的好奇心和创新,使这成为牙科行业一个激动人心的时刻。因此,这篇综述文章的目的是提供关于3D打印及其在儿科牙科中的应用的知识和意识。
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引用次数: 0
Sprint time performance in pittu: A traditional Indian sport pittu的冲刺时间表演:一项传统的印度运动
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_14_23
PrachiKhandekar Sathe, Harshada Awachat, Sunita Mardi, Abhinav Sathe, DVijay Kumar, Abhishek Gupta
Introduction: Pittu, a traditional sport deeply rooted in southern Asian culture, has been played since ancient times and holds national significance across multiple nations. This study aimed to assess the performance of male and female pittu players using the 20-m sprint time test, a valuable tool for evaluating running duration and enhancing players’ proficiency in the sport. In addition, the study focused on exploring the correlation between sprint performance and anthropometric factors that influence the players’ performance. Methodology: This study was conducted with a total of 48 pittu players, including 33 males and 15 females, who participated in the Second Senior National Pittu Championship organized by the Madhya Pradesh Pittu Association, under the Pittu Federation of India. The age range of the participants was 15–22 years. A sprint time test was administered, measuring the players’ performance over a distance of 20 m. Demographic variables and sprint performance data were collected for analysis. Results: The study presents valuable data of sprint performance measured by 20-m sprint performance test. A significant difference (P < 0.05) in weight (P = 0.003), bone mass (P = 0.023), and muscle mass (P = 0.0001) was observed between male and female participants in terms of sprint time performance. Furthermore, the findings of the study revealed a negative correlation between sprint performance and specific demographic variables, including weight (P = 0.003), bone mass (P = 0.023), and muscle mass (P = 0.0001). Conclusion: The findings shed light on the impact of gender on sprint performance in pittu players, emphasizing the importance of considering physiological characteristics when assessing and optimizing players’ performance in this traditional Indian sport. This study also highlights the negative correlation and significant differences associated with various physiological factors in relation to sprint time performance in pittu players.
Pittu是一项深深植根于南亚文化的传统运动,自古以来就有,在多个国家都具有民族意义。本研究旨在利用20米冲刺时间测试来评估男女pittu运动员的表现,这是一个评估跑步时间和提高运动员运动熟练程度的有价值的工具。此外,本研究还重点探讨了短跑成绩与影响运动员成绩的人体测量因素之间的相关性。方法:本研究共对48名pittu运动员进行了研究,其中包括33名男性和15名女性,他们参加了由印度pittu联合会下属的中央邦pittu协会组织的第二届全国高级pittu锦标赛。参与者的年龄范围为15-22岁。进行了冲刺时间测试,测量运动员在20米距离上的表现。收集人口统计变量和短跑成绩数据进行分析。结果:本研究提供了有价值的20米短跑成绩测试的短跑成绩数据。在短跑时间表现方面,男女参与者在体重(P = 0.003)、骨量(P = 0.023)和肌肉量(P = 0.0001)方面存在显著差异(P < 0.05)。此外,研究结果还揭示了短跑成绩与特定人口统计学变量之间的负相关,包括体重(P = 0.003)、骨量(P = 0.023)和肌肉量(P = 0.0001)。结论:研究结果揭示了性别对pittu运动员短跑表现的影响,强调了在评估和优化运动员在这项印度传统运动中的表现时考虑生理特征的重要性。本研究还强调了与pittu运动员冲刺时间表现相关的各种生理因素的负相关和显著差异。
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引用次数: 0
Ayambil; Jain fast, its possible health effects Ayambil;耆那教斋戒,其可能影响健康
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_6_23
BhaumilD Shah, JitendraD Lakhani, AshishP Shah, Pinkal Shah, ChetsiS Shah
Ayambil is a form of Jain spiritual and religious practice that encompasses austerity (Tap) and fasting (Upavas). It is a form of intermittent fasting in which one meal of boiling grains is consumed without the addition of any dairy products, sugar, ghee, spices, curd, milk, or raw vegetables. The current study reflects Ayambil’s health advantages, which have a lot of room for further study. The autophagy phenomenon, which is related to fasting, may have a role in the body’s rejuvenation, recycling, and elimination of harmful waste. As in Ayambil, intermittent fasting improves inflammatory markers. Intermittent fasting can be beneficial for inflammatory disorders including acute myocardial infarction and other atherosclerotic vascular diseases. Fasting is one of the interventions for better health and for disease conditions. One treatment for illness conditions and for better health is fasting. Ayambil also recommends a particular diet that affects brain energy usage patterns, intermittent metabolic switch effect, chrononutrition, and phytonutrition. In addition to intermittent fasting, ayambil fasting offers numerous other health benefits that help the body and the mind. Reduction in weight, blood pressure, stress, insulin resistance, and Neurogenin-3 (Ngn3) signal expression are all advantages of it, and the latter promotes pancreatic cell regeneration activity. The spiritual, psychic, and neurological benefits it produces will promote wellbeing and whole-person health.
Ayambil是耆那教精神和宗教实践的一种形式,包括紧缩(Tap)和禁食(Upavas)。这是一种间歇性禁食的形式,一顿饭只吃煮沸的谷物,不添加任何乳制品、糖、酥油、香料、凝乳、牛奶或生蔬菜。目前的研究反映了阿亚比勒的健康优势,这有很大的研究空间。与禁食有关的自噬现象可能在身体的再生、回收和消除有害废物方面发挥作用。与阿亚比尔一样,间歇性禁食可以改善炎症标志物。间歇性禁食可有益于炎性疾病,包括急性心肌梗死和其他动脉粥样硬化性血管疾病。禁食是改善健康和疾病状况的干预措施之一。治疗疾病和改善健康的一种方法是禁食。Ayambil还推荐了一种影响大脑能量使用模式、间歇性代谢转换效应、时间营养和植物营养的特殊饮食。除了间歇性禁食外,阿亚比尔禁食还提供了许多其他有益身心的健康益处。减轻体重、血压、应激、胰岛素抵抗和神经原素-3 (Neurogenin-3, Ngn3)信号表达都是它的优点,后者促进胰腺细胞再生活性。它所产生的精神、心理和神经方面的益处将促进幸福和整个人的健康。
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引用次数: 0
Speech language and hearing aspects in west syndrome: A single-case report 西氏综合征的言语、语言和听力方面:1例报告
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_23_23
Mukesh Sharma, Mansha Parmar, Santosh Kumar
West syndrome (WS), or infantile spasms, is a rare type of epilepsy that usually appears in the 1st year of life. It is characterized by a specific type of seizure called a spasm, which involves sudden, brief jerks of the arms, legs, or trunk. These spasms can occur in clusters and may be accompanied by other seizure types. The cause of WS is not clear, but it is thought to be related to abnormal brain development or damage. In some cases, it may be associated with genetic mutations or other underlying conditions such as Down syndrome or tuberous sclerosis. Early diagnosis and treatment are important, as untreated WS can lead to developmental delays and intellectual disability. In this article, a 2-year and 7-month-old male was diagnosed with WS; his hearing evaluation was carried out to assess the impact of syndrome on audition. Audiological test battery was used which reveals hearing sensitivity within normal limits in both the ears. Speech and language skills development were delayed.
韦斯特综合征(WS),或婴儿痉挛,是一种罕见的癫痫类型,通常出现在生命的第一年。它的特点是一种特殊类型的癫痫发作,称为痉挛,包括手臂、腿或躯干突然、短暂的抽搐。这些痉挛可成群发生,并可能伴有其他类型的癫痫发作。WS的病因尚不清楚,但被认为与大脑发育异常或损伤有关。在某些情况下,它可能与基因突变或其他潜在疾病有关,如唐氏综合症或结节性硬化症。早期诊断和治疗很重要,因为未经治疗的WS会导致发育迟缓和智力残疾。在这篇文章中,一名2岁零7个月大的男性被诊断为WS;对他的听力进行评估,以评估综合症对听力的影响。使用听力学测试电池,显示双耳听力灵敏度在正常范围内。言语和语言技能发展迟缓。
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引用次数: 0
The Behaviour Triangle Model: A Framework for Predicting Adolescents’ Behaviour 行为三角模型:一个预测青少年行为的框架
Pub Date : 2022-12-01 DOI: 10.51219/jih/dhally-m-menda/3
Dhally M. Menda
The Behaviour Triangle Model, a mental framework that I developed, which gives a simplified helicopter view of all the main societal determinants of adolescents’ health and behaviour, and which highlights the nature and nurture interactions in the dynamics of their development is presented along with descriptions of the model purpose, goal, tenets and major core constructs. Evidence from recent articles and books provide relevant examples to enhance scholarly understanding and application of the model. It is expected that the Behaviour Triangle Model will guide the development of adolescents and young people’s courses and curricula to prepare competent parents, adolescent programmer and educators; guide future administrative and leadership policies and procedures; and inform public policies related to adolescents’ health.
行为三角模型是我开发的一个心理框架,它对青少年健康和行为的所有主要社会决定因素进行了简化的直升机视图,并强调了他们发展动态中的自然和培育相互作用,同时描述了模型的目的、目标、原则和主要核心结构。来自最近的文章和书籍的证据提供了相关的例子,以加强对该模型的学术理解和应用。预期行为三角模式将指导青少年和青年人的课程和课程的发展,以培养称职的父母、青少年方案编制员和教育工作者;指导未来的行政和领导政策和程序;并告知与青少年健康有关的公共政策。
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引用次数: 1
期刊
International Journal of Integrated Health Sciences
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