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Buccal Patch: A New Avenue for Better Patient Compliance in Management of Diabetes Mellitus 口腔贴片:改善糖尿病患者依从性的新途径
Pub Date : 2023-11-01 DOI: 10.22376/ijlpr.2023.13.6.p253-p276
Harsh Kumar Pandey, Anurag Kumar Yadav, Dr. Vimal Arora
Diabetes is a persistent metabolic condition that affects many individuals globally. To manage diabetes, patients need totake medication regularly, and the buccal patch has become a promising drug delivery option for this purpose. This review articlehighlights the potential of buccal patches as a novel approach to enhance patient compliance in treating diabetes mellitus. Byexploring the advantages of buccal patches as a non-invasive drug delivery system, this article emphasizes their potential to improvemedication adherence, thereby contributing to better management of diabetes mellitus. This article aims to evaluate the role ofbuccal patches in improving patient compliance in the treatment of diabetes mellitus. With the increasing global burden of diabetes,ensuring patient adherence to medication regimens is crucial for achieving optimal therapeutic outcomes. Traditional treatmentmethods often require frequent injections or oral administrations, which may lead to poor compliance due to various factors suchas fear of injections, inconvenience, or forgetfulness. Reviewing the literature on buccal patches as an alternative drug deliverysystem, this article explores their advantages in enhancing patient compliance. Buccal patches adhere to the inner lining of thecheek, providing a convenient and non-invasive route of drug administration. This approach eliminates the need for injections andreduces the frequency of oral medication intake, improving patient acceptance and adherence to treatment regimens. Furthermore,this article highlights the potential of buccal patches in delivering medications directly into the systemic circulation through thehighly vascularized oral mucosa. By bypassing first-pass metabolism in the liver, buccal patches can achieve higher drugconcentrations and improve therapeutic effects. Presenting the benefits of buccal patches for diabetes treatment encourages furtherresearch and development. So, the conclusion of this article is to promote awareness among healthcare professionals and patientsabout the potential of buccal patches as a patient-friendly approach to enhance compliance in the management of diabetes mellitus.
糖尿病是一种影响全球许多人的持续性代谢疾病。为了控制糖尿病,患者需要定期服药,而口腔贴片已成为一种很有前途的药物输送选择。这篇综述文章强调了口腔贴片作为一种提高糖尿病患者依从性的新方法的潜力。通过探讨口腔贴片作为一种无创给药系统的优势,本文强调了其在提高药物依从性方面的潜力,从而有助于更好地管理糖尿病。本文旨在评价口腔贴片在糖尿病治疗中提高患者依从性的作用。随着全球糖尿病负担的增加,确保患者遵守药物治疗方案对于实现最佳治疗效果至关重要。传统的治疗方法往往需要频繁注射或口服给药,由于害怕注射、不方便或遗忘等各种因素,这可能导致依从性差。本文回顾了口腔贴片作为一种替代给药系统的文献,探讨了其在提高患者依从性方面的优势。颊贴片粘附在脸颊内壁,提供了一个方便和非侵入性的给药途径。这种方法消除了注射的需要,减少了口服药物摄入的频率,提高了患者的接受度和对治疗方案的依从性。此外,这篇文章强调了口腔贴片通过高度血管化的口腔黏膜将药物直接输送到体循环中的潜力。通过绕过肝脏的首过代谢,口腔贴片可以获得更高的药物浓度,改善治疗效果。提出口腔贴片治疗糖尿病的好处鼓励了进一步的研究和开发。因此,本文的结论是提高医疗保健专业人员和患者对口腔贴片作为一种患者友好的方法的潜力的认识,以提高糖尿病管理的依从性。
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引用次数: 0
Case Study of Stomatitis Medicamentosa Due to Trigeminal Neuralgia Medication 三叉神经痛药物致药物性口炎病例分析
Pub Date : 2023-11-01 DOI: 10.22376/ijlpr.2023.13.6.l557-l561
Pavani Reddy, Ganesh C
Our study aim is to characterize and assess the case of Stomatitis medicamentosa in a patient who developed manyoral ulcers after using Carbamazepine for the treatment of Trigeminal Neuralgia of a 35-year-old female patient with a medicalhistory of hypertension for the past ten years and under medication. The patient also gave a history of electric shock-like painon the left side of the face for the past month and was prescribed Tegretol 100mg (Carbamazepine) twice daily. After taking thismedication, the patient suffered several mouth ulcers. The patient was asked to stop taking this medication and asked to takeoral antihistamines and systemic Gabapentin steroids for one month. After one week, the patient heals completely from thelesions. Burning sensation with altered taste sensation and difficulty while swallowing are common patient complaints. Mouthopening was restricted and painful. The skin test (prick test) is done, which shows red, papular, or vesicular reactions. Earlyidentification of the lesion and prompt withdrawal of the offending drug are key for successful management, and the drug can bereplaced with another drug of the same efficacy. Thus, adverse drug reactions can be minimised by asking the patient aboutallergy to any drug or food while writing a prescription, and the patient should be informed and familiarised with the drugpatient the patient is allergic.
我们的研究目的是描述和评估一名35岁的女性患者在使用卡马西平治疗三叉神经痛后出现的口腔溃疡,该患者有过去十年的高血压病史并正在服药。在过去的一个月里,患者也有左侧面部触电样疼痛的病史,并开了替格列托尔100mg(卡马西平),每日两次。服用这种药物后,病人出现了几处口腔溃疡。要求患者停止服用该药,并要求口服抗组胺药和全身加巴喷丁类固醇一个月。一周后,病人的损伤完全愈合。烧灼感伴味觉改变和吞咽困难是患者常见的主诉。张口受限且疼痛。皮肤试验(点刺试验)显示红色、丘疹或水疱反应。早期发现病变并及时停药是成功治疗的关键,而且这种药物可以用另一种疗效相同的药物代替。因此,在开处方时询问患者对任何药物或食物的过敏情况,可以最大限度地减少药物不良反应,并且患者应该被告知并熟悉患者过敏的情况。
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引用次数: 0
Analysis of Multiple PCR Bands in Drimia Species Obtained by R-Gene Specific Degenerate Primers 利用r基因特异退化引物获得的水蚤多条带分析
Pub Date : 2023-10-24 DOI: 10.22376/ijlpr.2023.13.6.l115-l121
H. M. Hanumantha Rao, L. Rajanna
: Many studies confirmed that degenerate primers LM638 and LM637 amplify NBS-LRR Type R gene encoding sequences in both monocots and dicots. In addition, these primers also amplify nonspecific multiple bands along with specific amplification. The current study aims to explore the structure, role and reason for nonspecific bands in the amplification. The genomic DNA-degenerate PCR method was used to isolate the NBS-LRR type R-genes in Drimia species (synonym Urginea). Agarose gel electrophoresis was carried out for separation and visualization of amplified bands. The kit-based gel extraction method was followed to purify the PCR bands. Purified PCR bands were subjected to TA cloning. The plasmids which contain desired PCR bands were sequenced using the Sanger sequencing method. Multiple sequence alignment tool CLUSTALW was used to align sequences and MISA-Web tool was used to identify simple sequence repeats (SSR). The results of the study revealed that multiple sequence analysis of PCR bands of 600bp/500bp showed random deletions, presence of indels and frameshift mutations in the alignment. The sequence alignment also showed monomorphic sites between two sequences. Both 600 and 500bp were devoid of simple sequence repeats and the ORF finder confirmed the presence of irregular stop codons in the 600 bp sequences. The multiple sequence alignment tool was used in disclosing the structure and ancestor relationship between aligned Drimia sequences. The current study would help to explore pseudo genes in the genome of Drimia and to differentiate the orthologous and paralogous relationships in the sequences.
许多研究证实,简并引物LM638和LM637在单子房和双子房中都扩增了NBS-LRR型R基因编码序列。此外,这些引物在特异性扩增的同时也扩增非特异性多条带。本研究旨在探讨非特异性条带在扩增过程中的结构、作用和原因。采用基因组dna -简并式PCR方法分离了水蛭属植物NBS-LRR型r基因。琼脂糖凝胶电泳用于扩增条带的分离和可视化。采用试剂盒凝胶提取法纯化PCR条带。纯化的PCR条带进行TA克隆。采用Sanger测序法对含有所需PCR条带的质粒进行测序。使用多序列比对工具CLUSTALW比对序列,使用MISA-Web工具鉴定简单序列重复序列(SSR)。研究结果显示,对600bp/500bp的PCR条带进行多序列分析,结果显示该比对中存在随机缺失、索引和移码突变。序列比对也显示两个序列之间存在单态位点。600 bp和500bp均无简单序列重复,ORF查找器证实600 bp序列存在不规则终止密码子。利用多序列比对工具揭示了已比对的Drimia序列的结构和祖先关系。本研究将有助于探索稻瘟虫基因组中的伪基因,并区分其同源和旁系关系。
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引用次数: 0
Recurrent Endometriotic Cyst with High Ca-125 Level Mimicking Malignancy 高Ca-125水平模拟恶性肿瘤的复发性子宫内膜异位囊肿
IF 0.2 Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l153-l157
Dr. Vidhya Selvam, Dr. C. Minu Priya
Gynecologists who treat endometriosis, a chronic, disabling disease, face difficulties diagnosing and treating the condition. Endometriotic cyst, with internal septations and opacities sonologically, mimics malignancy. Increased levels of CA 125 Are used as a tumor marker in epithelial ovarian malignancies. It is also an important prognostic indicator and follow-up tool in managing ovarian malignancies. A moderate increase in CA125 levels is observed in physiological conditions like ovulation and benign conditions like endometriosis and PID. We present here a case of extremely elevated serum CA 125 level in a patient who presented with recurrent ovarian endometriosis. Mrs. X, 46 years old, presented with a complex ovarian cyst with CA 125 level- 1021 iu/ml. With a history of laparotomy for endometriotic cysts in the past. Intraoperatively bilateral complex ovarian cysts were identified, which were densely adherent to the lateral pelvic wall and rectum posteriorly. The ovarian cysts were excised with a hysterectomy. The Patient developed dribbling of urine on the third postoperative day. CT urogram revealed a right ureterovaginal fistula. Laparotomy done. Uretero ureteral anastomosis done by a urologist. The Postoperative patient remained dry. Histopathological evaluation revealed benign endometriosis. Extensive and aggressive surgeries are usually done for ovarian malignancies to provide optimal reduction. However, in our patient, risk assessment for malignancy based on radiological factors and tumor markers was highly suggestive of malignancy. Yet, the histopathology turned out to be benign endometriosis. Therefore, to avoid invasive investigations and surgeries associated with high morbidity, emphasis must be made on the possibility of raised CA 125 levels in benign conditions such as endometriosis.
妇科医生治疗子宫内膜异位症是一种慢性致残性疾病,在诊断和治疗这种疾病时面临困难。子宫内膜异位囊肿,有内部隔膜和声像图上的阴影,模仿恶性肿瘤。CA125水平升高被用作上皮性卵巢恶性肿瘤的肿瘤标志物。它也是治疗卵巢恶性肿瘤的重要预后指标和随访工具。在生理条件如排卵和良性条件如子宫内膜异位症和PID中观察到CA125水平的适度升高。我们在此报告一例复发性卵巢子宫内膜异位症患者血清CA125水平极高的病例。X夫人,46岁,表现为复杂的卵巢囊肿,CA 125水平为-1021 iu/ml。既往有子宫内膜异位囊肿的剖腹手术史。术中发现双侧复杂的卵巢囊肿,其密集地粘附在骨盆侧壁和直肠后方。卵巢囊肿用子宫切除术切除。患者在术后第三天出现尿滴。CT尿路造影显示右侧输尿管阴道瘘。剖腹产手术完成。泌尿科医生进行的输尿管-输尿管吻合。术后病人仍然干燥。组织病理学评估显示良性子宫内膜异位症。通常对卵巢恶性肿瘤进行广泛而积极的手术,以提供最佳的减少效果。然而,在我们的患者中,基于放射学因素和肿瘤标志物的恶性肿瘤风险评估高度提示恶性肿瘤。然而,组织病理学结果是良性子宫内膜异位症。因此,为了避免与高发病率相关的侵入性调查和手术,必须强调在子宫内膜异位症等良性疾病中CA 125水平升高的可能性。
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引用次数: 0
Management of Gadget Addiction Through Ayurveda in Pediatric Patient: A Single Case Study 通过阿育吠陀治疗儿科患者的电子设备成瘾:一个个案研究
Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l186-l192
Dr Prasad Gajanan Yewale, Dr. Renu Rathi, Dr. Swapnali Mate, Dr. Ankush Dikondwar
11-year-old male patient brought by relatives in Kaumarbhritya OPD with complaints of spending excessive time on smartphones andcomputers with changes in the patient's behavior since 1 year. Relatives counseled the patient, but he didn't change his behavior. Previous Doctorsadvised Cognitive behavioral therapy, but that facility was not available at their place, and the parents could not afford it. Hence they came toAyurveda Hospital. The patient is assessed using the Internet addiction test scale and DSM-V scale for social behavior. The patient is diagnosed as acase of Gadget addiction (internet addiction) with abnormal social behavior. After proper physical examinations, the patient is counseled inexplaining the hazardous effects of excessive use of gadgets; along with this, he is advised daily Suryanamskara, &Dhyana(meditation) as a Yogaintervention. The patient was advised to play outdoor games daily, and his gadgets using time were reduced by systematic order. Parents wereadvised to be patient in family functions and social meetings & to spend time with children. All the training regarding intervention is given in PPTformat to the patient. The patient was asked to perform Suryanamaskara on follow-up days. On the 91st day, the patient was reassessed using theInternet addiction test scale and DSM-V scale for social behavior, which were normal. Gadget addiction is a common behavioral problem inchildren. Online gaming, gambling, excessive web browsing, and social media use are all included under the umbrella term "gadget addiction.". Evenif there is treatment for gadget addiction, people in remote areas may find it inconvenient due to a lack of infrastructure and specialized pediatricpsychologists. Hence, finding an effective and convenient treatment for Gadget addiction is necessary. This study aims to assess the efficacy ofAyurvedic management in Gadget addiction based on Ayurveda Non-pharmacological intervention. Any addiction results from bad decision-makingcapacity and less control over the mind. The intervention in this study, like Yoga, satvavajaya, proves beneficial to the patient.
11岁男性患者,由亲戚带到Kaumarbhritya OPD就诊,主诉使用智能手机和电脑时间过长,1年来行为发生变化。亲戚们劝过病人,但他没有改变自己的行为。以前的医生建议进行认知行为疗法,但他们那里没有这种设施,父母也负担不起。于是他们来到阿育吠陀医院。使用网络成瘾测试量表和DSM-V社会行为量表对患者进行评估。诊断为社交行为异常的Gadget成瘾(网瘾)病例。在进行适当的身体检查后,建议患者解释过度使用电子设备的危险影响;与此同时,他被建议每天静坐冥想,作为瑜伽的干预。建议患者每天进行户外游戏,并通过系统排序减少其使用电子设备的时间。父母被建议在家庭聚会和社交会议上要有耐心。花时间和孩子在一起。所有关于干预的培训都以ppt的形式提供给患者。患者被要求在随访日进行Suryanamaskara手术。第91天使用网络成瘾测试量表和DSM-V社会行为量表对患者进行重新评估,结果正常。电子产品成瘾是儿童常见的行为问题。网络游戏、赌博、过度浏览网页和使用社交媒体都属于“电子产品成瘾”的范畴。即使有治疗电子设备成瘾的方法,偏远地区的人们可能会因为缺乏基础设施和专业儿科心理学家而感到不便。因此,找到一个有效的和方便的治疗电子产品成瘾是必要的。本研究旨在评估基于阿育吠陀非药物干预的阿育吠陀治疗电子产品成瘾的疗效。任何成瘾都源于糟糕的决策能力和对思想的控制力不足。这项研究中的干预措施,如瑜伽,satvavajaya,证明对病人有益。
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引用次数: 0
Prevalence and Epidemiology of Gastrointestinal Parasitosis Among the People of Dehradun, Uttarakhand 北阿坎德邦德拉敦居民胃肠寄生虫病的流行病学研究
Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l22-l31
Ashok Kumar Sah, Ankur Vashishtha, Jesbin Johnson, Kajal Arora, Pankaj Issar, Rohit Rathore, Ritam Koley, Suresh Jaiswal, Farhana Zahir, Mohammad Mahamood
Gastrointestinal parasites play crucial roles in mortality and morbidity. They are most prevalent in rural areas. Parasitosis affects all age groups. Inchildren, it causes slow mental and physical growth, produces long-term effects, leads to a deficiency of vital nutrients, and hampers growth and development.This prospective study aimed to assess the prevalence of gastrointestinal parasitosis in stool samples among the people of Uttarakhand, especially of Dehradun,from January 2017 to January 2018. To identify intestinal parasites, 1528 samples were examined for consistency and the presence of any parasitic particlesusing the visual, direct wet mount, and concentration methods. The SPSS statistical program was used to conduct the statistical analysis. Differences with a pvalueof less than 0.05 were considered significant. The overall prevalence of intestinal parasitic infection rate was 32.85%. The prevalence of the parasites wasin the following order - Giardia lamblia (29.48%), Entamoeba histolytica (20.91%), Ascaris lumbricoides (18.52%), Hymenolepis nana (7.96%), Trichuris trichiura(7.56%), Taenia sp. (7.17%), Strongyloides stercoralis (5.97%), Ancylostoma duodenale (2.19%), and Enterobius vermicularis (0.19%). The chi-square test (χ2 – 30 andP-value = 0.224) was insignificant, while Levene’s test was significant (F = 10.08, P-value = 0.008) of A. duodenale in both genders. Parasitosis of high levels wasdetected among the children. Health education, personal hygiene, and safe drinking water would reduce infection. However, designing specific controlmeasures requires proper identification. The present study may prove helpful for developing such measures for Uttarakhand in general and Dehradun inparticular.
胃肠道寄生虫在死亡率和发病率中起着重要作用。它们在农村地区最为普遍。寄生虫病影响所有年龄组。在儿童中,它会导致智力和身体发育缓慢,产生长期影响,导致重要营养物质缺乏,并阻碍生长发育。这项前瞻性研究旨在评估2017年1月至2018年1月期间北阿坎德邦(Uttarakhand),特别是德拉顿(derhradun)人群粪便样本中胃肠道寄生虫病的患病率。为了鉴定肠道寄生虫,采用目测、直接湿载法和浓度法检测1528份样本的一致性和任何寄生颗粒的存在。采用SPSS统计程序进行统计分析。值小于0.05的差异被认为是显著的。总体肠道寄生虫感染率为32.85%。寄生虫检出率依次为:兰氏贾第鞭毛虫(29.48%)、溶组织内阿米巴(20.91%)、类蚓蛔虫(18.52%)、小膜膜绦虫(7.96%)、毛毛虫(7.56%)、带绦虫(7.17%)、粪圆线虫(5.97%)、十二指肠钩虫(2.19%)、蛭肠虫(0.19%)。卡方检验(χ2 - 30, p值= 0.224)差异无统计学意义;Levene检验(F = 10.08, p值= 0.008)差异有统计学意义。在儿童中检测到高水平的寄生虫病。健康教育、个人卫生和安全饮用水将减少感染。然而,设计具体的控制措施需要适当的识别。目前的研究可能有助于在整个北阿坎德邦,特别是德拉邦制定此类措施。
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引用次数: 0
A Critical Review On the Management of Kukunaka with Special Reference to Neonatal Conjunctivitis 新生儿结膜炎的治疗综述
Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l272-l279
Dr.Shruti Kapatkar, Dr. Renu Rathi, Dr Trupti Thakre, Dr.Manisha Panda
In Ksheerapa avastha, kukunaka is a specific inflammatory eye illness that most commonly affects infants under eight months.Kukunaka is mentioned as Vartmagata Kapha-Raktaj disease of eye. It is a Bala Netrarog linked to photophobia and ocular weakening.The most prevalent eye condition affecting infants is kukunaka, associated with neonatal conjunctivitis or Ophthalmia neonatorum.Local irritation, microorganisms, and the herpes simplex virus are the main causes of inflammation. It happens due to postpartumdifficulties or infections and maternal infections during labor and delivery. Because of an allergic reaction, the child keeps rubbing theirforehead, eyes, nose, and throat. This condition is characterized by watering and purulent discharge from both eyes and keratitis oruveitis may also be present. A neonate with neonatal conjunctivitis or ophthalmia neonatorum would have an inflamed conjunctiva.This review paper aims to review the management of Kukunaka from classical texts of Ayurveda. This review was conducted by learningAyurveda classical texts related to Kaumarbhrutya, Pediatrics texts on Neonatal diseases, published research journals on Pediatricdiseases, and electronic databases. This review's peculiarity is compiling all the data for kukunaka vyadhi from classic texts like its clinicalfeatures, causative factors, and various internal and external medications. Various formulations of kukunaka that are not studied yet areenlightened in this review, along with some shodhana karma that was indicated to nursing mothers and infants, are described in detail.The article concludes that this review is carried out for future research, which will be helpful for the management of kukunaka.
在Ksheerapa avastha, kukunaka是一种特殊的炎症性眼病,最常见于8个月以下的婴儿。Kukunaka被称为Vartmagata Kapha-Raktaj眼病。这是一种与畏光和视力减退有关的Bala Netrarog。影响婴儿的最普遍的眼病是眼病,与新生儿结膜炎或新生儿眼炎有关。局部刺激、微生物和单纯疱疹病毒是引起炎症的主要原因。它的发生是由于产后困难或感染和分娩期间的产妇感染。由于过敏反应,孩子不停地揉额头、眼睛、鼻子和喉咙。这种情况的特点是双眼流泪和脓性分泌物,也可能出现角膜炎或葡萄膜炎。新生儿结膜炎或眼炎会导致结膜发炎。本文旨在从阿育吠陀经典文本中回顾库库纳卡的管理。本综述是通过学习阿育吠陀与Kaumarbhrutya相关的经典文献、新生儿疾病的儿科文献、已发表的儿科疾病研究期刊和电子数据库进行的。这篇综述的独特之处在于,从经典文献中收集了有关kukunaka vyadhi的所有数据,如其临床特征、病因和各种内外部药物。在这篇综述中,我们对尚未研究过的各种“苦念”(kuukunaka)的表述进行了启发,并详细描述了一些对哺乳的母亲和婴儿所指示的舍达那业(shodhana karma)。本文的结论是,本文的研究对今后的研究有一定的指导意义。
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引用次数: 0
Sensitization and Assessment of Knowledge of Ayurveda Panchakarma Therapy Among ASHA Workers in Wardha Taluka Wardha Taluka ASHA工作人员对阿育吠陀Panchakarma疗法知识的敏感性和评估
IF 0.2 Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l92-l103
Dr. Jagruti Chaple, D. Sawarkar, Dr. Dhirajsingh S. Rajput
A village-level community health worker, an "Accredited Social Health Activist " (ASHA), bridges community and healthcare facilities. The ASHA workers act as catalysts in promoting various foundation programs and encourage people to avail the available benefits. The study aimed to assess knowledge of Panchakarma in ASHA Workers & Sensitization with the Panchakarma module in Wardha taluka. The study's objectives include designing a Panchakarma questionnaire module to assess the knowledge and awareness of ASHA workers of Wardha Taluka and sensitizing ASHA workers about Panchakarma procedures with the help of demonstration videos and lectures on Panchakarma. The work was planned to be conducted at Anji and Waifad villages under Wardha taluka. A questionnaire consisting of 30 questions was prepared to assess the knowledge, awareness, and attitudes regarding Panchakarma. Panchakarma's knowledge, awareness, and attitudes were analyzed using pre-and post-test scores. ASHA will be a facilitator for promoting awareness in the community about Panchakarma. The study concluded that the intervention of the Panchakarma module was highly influential in enhancing knowledge about Panchakarma among ASHA workers. In the future, this Panchakarma module will enable people in the community to accept the Panchakarma therapy in Ayurveda. ASHA will provide more referral services of panchakarma therapy to patients by encouraging them to undergo these therapies. It was the first footstep in developing the module on awareness regarding Panchakarma therapy to enrich the knowledge of ASHA workers as per their needs and implementation of this module by the ASHA in the community.
一名村级社区卫生工作者,一名“认可的社会卫生活动家”(ASHA),为社区和医疗机构搭建桥梁。ASHA的工作人员在促进各种基金会项目方面发挥了催化剂的作用,并鼓励人们利用现有的福利。本研究旨在评估ASHA工作人员对Panchakarma的了解以及Wardha taluka的Panchakara模块的敏感性。该研究的目标包括设计一个Panchakarma问卷模块,以评估Wardha Taluka ASHA工作人员的知识和意识,并借助Panchakara的演示视频和讲座,提高ASHA员工对Panchakar玛程序的认识。这项工作计划在Wardha taluka的Anji和Waifad村进行。编制了一份由30个问题组成的问卷,以评估有关Panchakarma的知识、意识和态度。Panchakarma的知识、意识和态度使用测试前和测试后的分数进行分析。ASHA将成为促进社区对Panchakarma认识的促进者。该研究得出的结论是,Panchakarma模块的干预对提高ASHA工作人员对Panchakara的了解具有很大影响。未来,这个Panchakarma模块将使社区中的人们能够接受阿育吠陀的Panchakar玛疗法。ASHA将通过鼓励患者接受这些治疗,为患者提供更多的panchakarma治疗转诊服务。这是开发Panchakarma治疗意识模块的第一步,以根据ASHA工作人员的需求和ASHA在社区中实施该模块来丰富他们的知识。
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引用次数: 0
Muscle Energy Technique Effects On Pain, Cervical Range of Motion, and Functional Disability 肌肉能量技术对疼痛、颈椎活动范围和功能障碍的影响
IF 0.2 Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l158-l170
Ayang Kino, Abhijit Dutta, Pompy Mahato, Abhijit Kalita
An unfavorable sensory or emotional encounter connected to actual or potential tissue injury is referred to as neck pain, and it affects the region of the neck between the superior nuchal line and the first thoracic spinous process. Mechanical neck pain often commences insidiously and is of multifactorial etiology, causing disability and clinical symptoms. It is a comparative study where 30 male and female subjects were assessed and identified with Mechanical Neck Pain, recruited for the study, and randomly divided into two groups with 15 subjects in each group. Outcome measures were the Visual Analogue Scale (VAS), goniometer, and neck disability index (NDI). Pre-Test and Post-Test were carried out for both groups and analyzed using paired 't-tests and independent 't-tests in an IBM SPSS statistics 26 software. This study aimed to compare the effectiveness of muscle energy technique with conventional therapy vs. kinesio taping with conventional therapy in chronic mechanical neck pain, cervical range of motion, and functional disability of the neck. KT provides sensory feedback, tension, and afferent stimulation to reduce pain and improve ROM. It also helps in lymphatic and vascular flow and corrects misaligned structures. Muscle energy technique and Kinesio taping showed significant improvement in VAS, Goniometer, and NDI in mechanical neck pain patients, making them suitable for inclusion in mechanical neck pain treatment.
与实际或潜在组织损伤相关的不利感觉或情绪遭遇被称为颈部疼痛,它影响颈上线和第一胸棘突之间的颈部区域。机械性颈部疼痛通常是隐性的,具有多因素病因,可导致残疾和临床症状。这是一项比较研究,招募了30名男性和女性受试者进行机械性颈部疼痛评估和鉴定,并随机分为两组,每组15名受试者。结果测量为视觉模拟量表(VAS)、角度计和颈部残疾指数(NDI)。对两组进行测试前和测试后,并在IBM SPSS statistics 26软件中使用配对t检验和独立t检验进行分析。本研究旨在比较肌肉能量技术与传统疗法、运动机能贴扎与传统疗法在慢性机械性颈部疼痛、颈部活动范围和颈部功能残疾方面的有效性。KT提供感觉反馈、张力和传入刺激,以减轻疼痛并改善ROM。它还有助于淋巴和血管流动,并纠正错位的结构。肌肉能量技术和Kinesio胶带显示,机械性颈部疼痛患者的VAS、Goniometer和NDI显著改善,使其适合纳入机械性颈部痛治疗。
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引用次数: 0
Teleconsultation During COVID-19 Pandemic in Chennai, India: A Cross- Sectional Study 印度金奈COVID-19大流行期间的远程会诊:一项横断面研究
Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l193-l204
Angeline Grace G, Swetha NB, Rashmi Gour, Umadevi R, Sujitha P
During the COVID-19 pandemic, people hesitate to visit hospitals for consultation, treatment, and follow-up. Theavailability of advanced technologies, like teleconsultation, helps people continue their access to healthcare, consult doctors fortheir symptoms, and get treated. Few studies have been done in Tamilnadu to assess people's experience in accessing healthcarethrough a teleconsultation approach. As the pandemic is ongoing, it is imperative to assess the quality of healthcare and patientsatisfaction with teleconsultation services. With the above background, this study was done to assess the patient's experience inthe use of teleconsultation during the COVID-19 pandemic in Chennai, Tamilnadu. The study's objectives were to determine theattitude towards the use of teleconsultation and to describe the quality of healthcare provided through this method. This studywas done among residents in the city of Chennai, Tamilnadu. Individuals aged 18 years and above, residing in Chennai, and had atleast one teleconsultation during the COVID-19 pandemic were included. Data were collected by an online, self-administeredquestionnaire disseminated through various social media platforms. Data were entered in Microsoft Excel and analyzed in Epiinfo. Among 405 study respondents, 61.2% were males. The mean age of the respondents was 34.6 years. Nearly 95.6% agreedthat teleconsultation services have made access to healthcare easier during the pandemic. Around 92.1% were satisfied with thequality of healthcare through teleconsultation. About 55.3% said they paid more for online consultation when compared todirect consultation. Among 92.6% of participants who were advised a follow-up consultation, only 52% completed the follow-up.About 90% still preferred direct consultation with healthcare providers in the future. Though many participants felt thatteleconsultation services improved access to healthcare during the pandemic, they still wished to contact healthcare providersdirectly in the future.
在2019冠状病毒病大流行期间,人们不愿去医院就诊、治疗和随访。远程会诊等先进技术的可用性有助于人们继续获得医疗保健,向医生咨询症状,并得到治疗。在泰米尔纳德邦很少进行研究,以评估人们通过远程咨询方法获得医疗保健的经验。由于大流行正在进行,必须评估医疗保健质量和患者对远程咨询服务的满意度。基于上述背景,本研究旨在评估泰米尔纳德邦金奈市2019冠状病毒病大流行期间患者使用远程会诊的经历。该研究的目的是确定对使用远程咨询的态度,并描述通过这种方法提供的医疗保健质量。这项研究是在泰米尔纳德邦金奈市的居民中进行的。年龄在18岁及以上、居住在金奈并在COVID-19大流行期间至少进行过一次远程会诊的个人被纳入研究对象。数据是通过各种社交媒体平台分发的在线自我管理问卷收集的。数据在Microsoft Excel中输入,在Epiinfo中分析。405名调查对象中,61.2%为男性。受访者的平均年龄为34.6岁。近95.6%的人认为,在大流行期间,远程咨询服务使获得医疗服务变得更容易。约92.1%的人对远程咨询的医疗质量感到满意。约55.3%的人表示,与直接咨询相比,他们为在线咨询支付的费用更高。在92.6%被建议进行随访咨询的参与者中,只有52%完成了随访。约90%的人未来仍倾向于直接咨询医疗服务提供者。虽然许多与会者认为,在大流行期间,咨询服务改善了获得保健服务的机会,但他们今后仍希望直接与保健提供者联系。
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引用次数: 0
期刊
International Journal of Life Science and Pharma Research
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