Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_178_22
Saniya Sumant, Surinder Kumar
PURPOSE: Stroke lies among the most disabling diseases and is world-wide a leading cause of death. Most of the stroke patients experience cognitive deficits associated with executive dysfunction (decision making, problem solving, working memory, and cognitive flexibility). Executive dysfunction in stroke makes the patients vulnerable to depression, anxiety as their daily activities like personal, social, cultural and occupational are severely affected. Thus, the dependency increases and their quality of life decreases. Problem solving is one such important executive function required in day-to-day life. Puzzle solving reflects onto ones problem-solving ability that requires understanding, conceptual knowledge recruitment, novel and insightful thinking, and processing a solution. The purpose of this study was to determine if noninvasive brain stimulation has any effect on puzzle-solving ability of stroke patients and to assess their performance on the same. METHOD: A 3-week interventional study on 11 stroke participants was done. The samples were assessed at baseline for cognitive impairment using Montreal Cognitive Assessment Scale. Participants with scores <26 were given a 30-piece Jigsaw Puzzle to solve and Wisconsin Card Sorting Test (WCST) was done, both at baseline and after 3 weeks. RESULTS: This study confirmed that there was improvement in the performance of solving the Jigsaw Puzzle after application of transcranial direct current stimulation (TDCS) (P = 0.005), but the scores on WCST showed no significant reliable change (P = 0.192). CONCLUSION: This study concluded that TDCS is effective in improving puzzle-solving ability in stroke patients.
{"title":"Effect of transcranial direct current stimulation on puzzle-solving ability in stroke patients with cognitive dysfunction: A pilot study","authors":"Saniya Sumant, Surinder Kumar","doi":"10.4103/bjhs.bjhs_178_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_178_22","url":null,"abstract":"PURPOSE: Stroke lies among the most disabling diseases and is world-wide a leading cause of death. Most of the stroke patients experience cognitive deficits associated with executive dysfunction (decision making, problem solving, working memory, and cognitive flexibility). Executive dysfunction in stroke makes the patients vulnerable to depression, anxiety as their daily activities like personal, social, cultural and occupational are severely affected. Thus, the dependency increases and their quality of life decreases. Problem solving is one such important executive function required in day-to-day life. Puzzle solving reflects onto ones problem-solving ability that requires understanding, conceptual knowledge recruitment, novel and insightful thinking, and processing a solution. The purpose of this study was to determine if noninvasive brain stimulation has any effect on puzzle-solving ability of stroke patients and to assess their performance on the same. METHOD: A 3-week interventional study on 11 stroke participants was done. The samples were assessed at baseline for cognitive impairment using Montreal Cognitive Assessment Scale. Participants with scores <26 were given a 30-piece Jigsaw Puzzle to solve and Wisconsin Card Sorting Test (WCST) was done, both at baseline and after 3 weeks. RESULTS: This study confirmed that there was improvement in the performance of solving the Jigsaw Puzzle after application of transcranial direct current stimulation (TDCS) (P = 0.005), but the scores on WCST showed no significant reliable change (P = 0.192). CONCLUSION: This study concluded that TDCS is effective in improving puzzle-solving ability in stroke patients.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"26 1","pages":"150 - 154"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84061115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_207_22
Anita Teli, Sheetal Harkuni, Deepti M. Kadeangadi, Madhumati J Patil
{"title":"An assessment of the effectiveness and perception of the doodle – Video reinforced teaching method","authors":"Anita Teli, Sheetal Harkuni, Deepti M. Kadeangadi, Madhumati J Patil","doi":"10.4103/bjhs.bjhs_207_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_207_22","url":null,"abstract":"","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89360283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of noncommunicable diseases and their risk factors among the population residing in the villages under a subcenter in Hassan: A community-based cross-sectional study","authors":"PriankaShashi Kumar, GM Venkatesh, Anjan Sreeranga","doi":"10.4103/bjhs.bjhs_1_23","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_1_23","url":null,"abstract":"","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75199690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_124_22
Smita Hegde, Rajat Hegde, S. Kulkarni, Mohd. Shannawaz, Kusal K. Das, P. Gai, R. Bulagouda
BACKGROUND: In India, hearing loss is a major but often ignored problem. Sixty-three million individuals (6.3%) in India have severe hearing loss. OBJECTIVE: The present study is the first to examine epidemiological factors that are pertinent to children from North Karnataka, India, who have nonsyndromic hearing loss. MATERIALS AND METHODS: This study was conducted by attending government and private ENT hospitals and special schools for deaf children in North Karnataka. A total of 638 children with hearing loss of age ranging from 1 to 18 years were screened. Two hundred and seventy out of 638 were excluded from the study because of other anomalies and some were not ready to participate in the study. A semistructured interview was followed for data collection. All the required personal demographic details and medical details of ear examination of inspection history, otoscopy, tympanometry, and pure-tone audiometry were noted. Age, gender, hearing loss type severity, family history, and consanguinity were considered epidemiological factors in the study. RESULTS: Statistical analysis showed that there was no significant association of age difference between the two genders, but the majority of male children were deaf compared to female children (63.9% vs. 36.1%). Prelingual hearing loss was observed in 94.6% and postlingual hearing loss was in 5.4%. 93.5% of children had bilateral deafness and only 6.5% had unilateral deafness. In the present study population, 3.5% of children had mild, 7.3% had moderate, 2.7% had severe, and 86.4% had profound hearing loss. 83.2% of the children had a family history of deafness. There was no significant association of consanguinity to deafness in our study group (P = 0.07). CONCLUSION: The prevalence of hearing loss was high in the North Karnataka population. We observed the following in our research group: gender, poor education or lack of awareness of pregnancy, and lack of knowledge of consanguinity. so, People need to Know more about these disorders and this is only possible by the Research or education.
{"title":"Epidemiological study on nonsyndromic hearing impairment: North Karnataka, India","authors":"Smita Hegde, Rajat Hegde, S. Kulkarni, Mohd. Shannawaz, Kusal K. Das, P. Gai, R. Bulagouda","doi":"10.4103/bjhs.bjhs_124_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_124_22","url":null,"abstract":"BACKGROUND: In India, hearing loss is a major but often ignored problem. Sixty-three million individuals (6.3%) in India have severe hearing loss. OBJECTIVE: The present study is the first to examine epidemiological factors that are pertinent to children from North Karnataka, India, who have nonsyndromic hearing loss. MATERIALS AND METHODS: This study was conducted by attending government and private ENT hospitals and special schools for deaf children in North Karnataka. A total of 638 children with hearing loss of age ranging from 1 to 18 years were screened. Two hundred and seventy out of 638 were excluded from the study because of other anomalies and some were not ready to participate in the study. A semistructured interview was followed for data collection. All the required personal demographic details and medical details of ear examination of inspection history, otoscopy, tympanometry, and pure-tone audiometry were noted. Age, gender, hearing loss type severity, family history, and consanguinity were considered epidemiological factors in the study. RESULTS: Statistical analysis showed that there was no significant association of age difference between the two genders, but the majority of male children were deaf compared to female children (63.9% vs. 36.1%). Prelingual hearing loss was observed in 94.6% and postlingual hearing loss was in 5.4%. 93.5% of children had bilateral deafness and only 6.5% had unilateral deafness. In the present study population, 3.5% of children had mild, 7.3% had moderate, 2.7% had severe, and 86.4% had profound hearing loss. 83.2% of the children had a family history of deafness. There was no significant association of consanguinity to deafness in our study group (P = 0.07). CONCLUSION: The prevalence of hearing loss was high in the North Karnataka population. We observed the following in our research group: gender, poor education or lack of awareness of pregnancy, and lack of knowledge of consanguinity. so, People need to Know more about these disorders and this is only possible by the Research or education.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"31 1","pages":"124 - 129"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74537516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_141_22
Sanatkumar B Nyamagoud, AgadiHiremath Viswanatha Swamy, Bharati Kangrali
{"title":"Assessment of knowledge, attitude, and practices in patients with Diabetes mellitus in a tertiary care hospital","authors":"Sanatkumar B Nyamagoud, AgadiHiremath Viswanatha Swamy, Bharati Kangrali","doi":"10.4103/bjhs.bjhs_141_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_141_22","url":null,"abstract":"","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78988176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Gaikwad, Avinash P. Dubbewar, R. Hiremath, S. Rai, Prathyusha Gouru
BACKGROUND: Placenta performs several functions including respiration, nutrition, and excretion for the fetus when playing a central role in regulating metabolic, endocrinological, and immunological functions during pregnancy. OBJECTIVE: To analyze the putative correlation of placental parameters including volume and thickness with adverse maternofetal outcomes. METHODOLOGY: A longitudinal observational study was undertaken for 2 years. The sample size was calculated, which was 140. Data were collected, and fetomaternal outcomes of gestational diabetes mellitus (GDM), gestational hypertension (HTN), preeclampsia, and intrauterine growth retardation (IUGR) were derived. A correlation was studied between placental volume (PV) and placental thickness (PT) with fetomaternal outcomes. RESULTS: Approximately half (42.85%) of the study population were primigravida, with overall mean age being 22.67 ± 2.94 years. 46 subjects had adverse fetomaternal outcomes in the form of gestational HTN, preeclampsia, GDM, and IUGR. The most frequent adverse outcome noted was IUGR in 19 cases (41.29%). Among the study population, 90% were term deliveries and 10% were preterm. Spontaneous vertex delivery was seen in 74.29% of the cases. 24.29% of the cases underwent lower segment cesarean section and 1.43% underwent vacuum-assisted delivery. The PV and PT (mm) were compared in healthy subjects with HTN, GDM, and IUGR pregnancies in all three trimesters. A strong correlation (R = 0.96, 95% confidence interval = 0.95–0.98) between birth weight with placental weight was noted. The difference between the means of PV during the first, second, and third trimester and hypertensive disorders in pregnancy was not statistically significant; among GDM and non-GDM patients, was statistically significant in the first and second trimester; and among IUGR and non-IUGR patients, was seen during the third trimester. Similarly, the difference between the means of PT in all trimesters and hypertensive disorders in pregnancy was not statistically significant; among GDM and non-GDM patients, a statistically significant association was seen during the second trimester; and among IUGR and non-IUGR patients, a statistically significant association was seen during the third trimester. CONCLUSIONS: PV in the 1st, 2nd, and 3rd trimesters is significantly less in patients with HTN and IUGR. PV is a predictor of adverse fetomaternal outcomes. Hypertensive subjects had thin placenta with low PV. Hypertensive subjects had thin placenta with low PV. IUGR subjects had thin placenta with low PV. Diabetic subjects had thick placenta. PT is also a predictor of adverse fetomaternal outcomes. Placental weight is known to correlate with fetal weight at term.
{"title":"Reviewing placental volumetry and thickness and its correlation with adverse feto maternal outcome - A cross sectional study in Western India","authors":"S. Gaikwad, Avinash P. Dubbewar, R. Hiremath, S. Rai, Prathyusha Gouru","doi":"10.4103/bjhs.bjhs_86_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_86_22","url":null,"abstract":"BACKGROUND: Placenta performs several functions including respiration, nutrition, and excretion for the fetus when playing a central role in regulating metabolic, endocrinological, and immunological functions during pregnancy. OBJECTIVE: To analyze the putative correlation of placental parameters including volume and thickness with adverse maternofetal outcomes. METHODOLOGY: A longitudinal observational study was undertaken for 2 years. The sample size was calculated, which was 140. Data were collected, and fetomaternal outcomes of gestational diabetes mellitus (GDM), gestational hypertension (HTN), preeclampsia, and intrauterine growth retardation (IUGR) were derived. A correlation was studied between placental volume (PV) and placental thickness (PT) with fetomaternal outcomes. RESULTS: Approximately half (42.85%) of the study population were primigravida, with overall mean age being 22.67 ± 2.94 years. 46 subjects had adverse fetomaternal outcomes in the form of gestational HTN, preeclampsia, GDM, and IUGR. The most frequent adverse outcome noted was IUGR in 19 cases (41.29%). Among the study population, 90% were term deliveries and 10% were preterm. Spontaneous vertex delivery was seen in 74.29% of the cases. 24.29% of the cases underwent lower segment cesarean section and 1.43% underwent vacuum-assisted delivery. The PV and PT (mm) were compared in healthy subjects with HTN, GDM, and IUGR pregnancies in all three trimesters. A strong correlation (R = 0.96, 95% confidence interval = 0.95–0.98) between birth weight with placental weight was noted. The difference between the means of PV during the first, second, and third trimester and hypertensive disorders in pregnancy was not statistically significant; among GDM and non-GDM patients, was statistically significant in the first and second trimester; and among IUGR and non-IUGR patients, was seen during the third trimester. Similarly, the difference between the means of PT in all trimesters and hypertensive disorders in pregnancy was not statistically significant; among GDM and non-GDM patients, a statistically significant association was seen during the second trimester; and among IUGR and non-IUGR patients, a statistically significant association was seen during the third trimester. CONCLUSIONS: PV in the 1st, 2nd, and 3rd trimesters is significantly less in patients with HTN and IUGR. PV is a predictor of adverse fetomaternal outcomes. Hypertensive subjects had thin placenta with low PV. Hypertensive subjects had thin placenta with low PV. IUGR subjects had thin placenta with low PV. Diabetic subjects had thick placenta. PT is also a predictor of adverse fetomaternal outcomes. Placental weight is known to correlate with fetal weight at term.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"40 7","pages":"78 - 84"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72477332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_167_22
K. Babu, Manibalan Vijayaraman, Deepti Shastri, E. Manivannan
INTRODUCTION: As per World Health Organization, Infertility is a condition which is characterized by not getting conceived with more than 1-year of unprotected sexual intercourse without usage of any contraceptive aids. Folate has a significant role in the metabolism of the cells, like nucleic acids synthesis, gene expression by means of remethylation of the homocysteine into methionine. In the males, deficiency of folate leads to reduced proliferation of the sperm cells. Polymorphisms of methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase genes result in alterations of the methylations resulting pathological conditions being a potential risk factor for male infertility. MATERIALS AND METHODS: A total of 100 diabetic infertile males were selected as the study group and 100 nondiabetic fertile males were included as the control group. Blood samples were analyzed for the MTHFR polymorphisms. DNA extraction was done and the extract is subjected to polymerase chain reaction amplification. The resultant is subjected to electrophoresis for MTHFR gene allele confirmation. Statistical analysis was done using IBM SPSS Statistics 20 package. Chi-square test, odds ratio has been done and P < 0.05 is considered statistically significant. RESULTS: Genotype frequencies of MTHFR C677T, A1298C in all the subjects were analyzed for the Hardy–Weinberg law of genetic equilibrium. Mutant polymorphisms of MTHFR C677T, i.e., thymine-thymine and cytosine-thymine were increased significantly. Similarly, MTHFR A1298C mutant polymorphisms, i.e. adenine-cytosine, cytosine-cytosine were increased significantly in the infertile group than in the fertile group. DISCUSSION: Mutations of both MTHFR C677T, A1298C are found to be linked with lowered enzyme activity. We found that the occurrence of mutant homozygous and mutant heterozygous genotypes was increased in a diabetic male infertile group when compared to nondiabetic fertile group. Hence, it can be concluded that presence of single-nucleotide polymorphisms of MTHFR will increase the risk of infertility in diabetic male population.
{"title":"Association of methylenetetrahydrofolate reductase polymorphism and male infertility in type 2 diabetes mellitus patients","authors":"K. Babu, Manibalan Vijayaraman, Deepti Shastri, E. Manivannan","doi":"10.4103/bjhs.bjhs_167_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_167_22","url":null,"abstract":"INTRODUCTION: As per World Health Organization, Infertility is a condition which is characterized by not getting conceived with more than 1-year of unprotected sexual intercourse without usage of any contraceptive aids. Folate has a significant role in the metabolism of the cells, like nucleic acids synthesis, gene expression by means of remethylation of the homocysteine into methionine. In the males, deficiency of folate leads to reduced proliferation of the sperm cells. Polymorphisms of methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase genes result in alterations of the methylations resulting pathological conditions being a potential risk factor for male infertility. MATERIALS AND METHODS: A total of 100 diabetic infertile males were selected as the study group and 100 nondiabetic fertile males were included as the control group. Blood samples were analyzed for the MTHFR polymorphisms. DNA extraction was done and the extract is subjected to polymerase chain reaction amplification. The resultant is subjected to electrophoresis for MTHFR gene allele confirmation. Statistical analysis was done using IBM SPSS Statistics 20 package. Chi-square test, odds ratio has been done and P < 0.05 is considered statistically significant. RESULTS: Genotype frequencies of MTHFR C677T, A1298C in all the subjects were analyzed for the Hardy–Weinberg law of genetic equilibrium. Mutant polymorphisms of MTHFR C677T, i.e., thymine-thymine and cytosine-thymine were increased significantly. Similarly, MTHFR A1298C mutant polymorphisms, i.e. adenine-cytosine, cytosine-cytosine were increased significantly in the infertile group than in the fertile group. DISCUSSION: Mutations of both MTHFR C677T, A1298C are found to be linked with lowered enzyme activity. We found that the occurrence of mutant homozygous and mutant heterozygous genotypes was increased in a diabetic male infertile group when compared to nondiabetic fertile group. Hence, it can be concluded that presence of single-nucleotide polymorphisms of MTHFR will increase the risk of infertility in diabetic male population.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"17 1","pages":"51 - 55"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75090256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_138_22
Anshul, Alok Srivastava
In pancytopenia due to aplastic anemia (AA), bone marrow hypocellularity leads to hazardous failure of hematopoiesis. Āyurveda treatment was given to a 30-year-old male patient known case of severe acquired AA, considering it under Pāṇḍūroga (~anemia). A study was carried out to search the effectiveness of Āyurveda medications, especially Rasāyana (~immunomodulator) mentioned in the treatment of Pāṇḍū in the management of AA. The patient was administered Rasāyana drugs, such as Śilājatukalpa, Amṛītā-Satta, Punarnavā, and Maṇḍūr having hepatoprotective, anxiolytic, and antioxidant properties, and ĀrogyavardhanīVaṭī, TrikaṭūCūrṇa. Hematological investigations of the patient were carried out every 2 months for 2 and ½ years. Erythrocyte sedimentation rate, white blood cell, and red cell distribution width coefficient of variation were in the normal range after treatment. Red blood cells, HB, and platelets were found to be increased, which were not growing before treatment. Liver function test, kidney function test, serum sodium, and potassium were normal during treatment. Complete relief in symptoms was found. The present study concludes that the severity of pancytopenia due to AA can be managed effectively with Ayurvedic medications.
{"title":"Positive effect of Ayurvedic drugs in normalization of hematological parameters in acquired aplastic anemia","authors":"Anshul, Alok Srivastava","doi":"10.4103/bjhs.bjhs_138_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_138_22","url":null,"abstract":"In pancytopenia due to aplastic anemia (AA), bone marrow hypocellularity leads to hazardous failure of hematopoiesis. Āyurveda treatment was given to a 30-year-old male patient known case of severe acquired AA, considering it under Pāṇḍūroga (~anemia). A study was carried out to search the effectiveness of Āyurveda medications, especially Rasāyana (~immunomodulator) mentioned in the treatment of Pāṇḍū in the management of AA. The patient was administered Rasāyana drugs, such as Śilājatukalpa, Amṛītā-Satta, Punarnavā, and Maṇḍūr having hepatoprotective, anxiolytic, and antioxidant properties, and ĀrogyavardhanīVaṭī, TrikaṭūCūrṇa. Hematological investigations of the patient were carried out every 2 months for 2 and ½ years. Erythrocyte sedimentation rate, white blood cell, and red cell distribution width coefficient of variation were in the normal range after treatment. Red blood cells, HB, and platelets were found to be increased, which were not growing before treatment. Liver function test, kidney function test, serum sodium, and potassium were normal during treatment. Complete relief in symptoms was found. The present study concludes that the severity of pancytopenia due to AA can be managed effectively with Ayurvedic medications.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"1 1","pages":"175 - 178"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80212807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_135_22
Snehal Sonani, T. Dudhamal
Diabetic patients are more prevalent to atherosclerosis (29.1%); however, its pathophysiology is still unclear. Such cases mostly convert into either amputation due to rapid spread or lifelong anticoagulant. Ayurveda is famed to be a tool in prevention and management of such fatal or disabling surgeries by parasurgical procedure, i.e., leech therapy, Agnikarma, etc. This study presents a case of postdiabetic atherosclerosis (male/54 years old) with a complaint of blackening of the great toe of the right lower limb and and other associated symptoms such as intermittent claudication (Garde 4), Burning in sole, occasional numbness in the foot. this case was managed by the Ayurveda para-surgical procedure (Leech therapy). The patient was a known case of DM and taking medication for it for the last 1 year, but his blood sugar level was found to be uncontrolled (HB1Ac: 9.90). The patient had surgical history of coronary artery bypass graft before 8 years. His bilateral lower limb computed tomography angiography was suggestive of diffuse atherosclerotic fibrocalcified wall plaques in abdominal aorta, iliac, femoral, and both leg arteries. Clinical examination revealed black right greater toe with line of demarcation and on palpation, feeble femoral artery and downstream non-palpable arteries. As a part of treatment, leech application along with some rejuvenating oral drugs i.e. Sanjvani vati and pippali churna was given to the patient. On 2nd week of treatment protocol, black gangrenous great- toe was amputed which afterwards become open wound(approx.2cm x 2 cm). Afterward, daily wound dressing was done with Apamarga kshar taila or Thumari taila (As per the status of the wound) after cleaning with Triphala Kwath. After completion of treatment protocol, the patient got 85-90% relief in clinical symptoms and also previously feeble arteries were felt with full volume.
{"title":"Leech therapy and adjuvant Ayurveda treatment in the management of diabetic foot ulcer with atherosclerosis","authors":"Snehal Sonani, T. Dudhamal","doi":"10.4103/bjhs.bjhs_135_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_135_22","url":null,"abstract":"Diabetic patients are more prevalent to atherosclerosis (29.1%); however, its pathophysiology is still unclear. Such cases mostly convert into either amputation due to rapid spread or lifelong anticoagulant. Ayurveda is famed to be a tool in prevention and management of such fatal or disabling surgeries by parasurgical procedure, i.e., leech therapy, Agnikarma, etc. This study presents a case of postdiabetic atherosclerosis (male/54 years old) with a complaint of blackening of the great toe of the right lower limb and and other associated symptoms such as intermittent claudication (Garde 4), Burning in sole, occasional numbness in the foot. this case was managed by the Ayurveda para-surgical procedure (Leech therapy). The patient was a known case of DM and taking medication for it for the last 1 year, but his blood sugar level was found to be uncontrolled (HB1Ac: 9.90). The patient had surgical history of coronary artery bypass graft before 8 years. His bilateral lower limb computed tomography angiography was suggestive of diffuse atherosclerotic fibrocalcified wall plaques in abdominal aorta, iliac, femoral, and both leg arteries. Clinical examination revealed black right greater toe with line of demarcation and on palpation, feeble femoral artery and downstream non-palpable arteries. As a part of treatment, leech application along with some rejuvenating oral drugs i.e. Sanjvani vati and pippali churna was given to the patient. On 2nd week of treatment protocol, black gangrenous great- toe was amputed which afterwards become open wound(approx.2cm x 2 cm). Afterward, daily wound dressing was done with Apamarga kshar taila or Thumari taila (As per the status of the wound) after cleaning with Triphala Kwath. After completion of treatment protocol, the patient got 85-90% relief in clinical symptoms and also previously feeble arteries were felt with full volume.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"59 1 1","pages":"192 - 196"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77759936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/bjhs.bjhs_101_22
Vaishali Talekar, Maharaj Singh, Kalpana Kamble, D. Mane
BACKGROUND: India is a developing country where malnutrition is the most common problems; we are dealing with emerging problems of consumption of convenience food and street food. These foods are easily available, awesome taste, have some packages and advertisements which attracts the new generations and skipping meals starts. Adolescent girls are getting the problems of overweight, underweight, thyroid disorders, anemia, and other hematological disorders. Ultimate aim of this research is to find out an association about between dietary habits and menstrual disorders in adolescent girls. METHODOLOGY: An observational study was carried out in adolescent girls of MGM School, Navi Mumbai, India, from October 2021 to December 2021, to find out the relation between dietary pattern verses menstrual disorders among adolescent girls. Numerical pain scale, modified women's health questionnaire, and daily diary were used to collect data from 100 adolescent girls. Nonprobability purposive sampling technique was used to select adolescent girls. STATISTICAL ANALYSIS: Statistical analysis was done using SPSS 24.0 software. RESULTS: The average age of menarche was 12.9 ± 2.7 years. The study showed that girls experienced moderate menstrual pain (54%), severe menstrual pain (21%), and premenstrual symptoms in 36% of adolescence girls. More than 42% of participants were eating street food and many of the girls had habits of skipping the meals in the afternoon. It was found that there was a significant association between dietary habits and menstrual problems (P ≤ 0.0001). The correlation coefficient between dietary habits and menstrual disorders was identified as r = 0.7 with P < 0.05. CONCLUSION: The menstrual disorders were arising problems among girls of schools of Navi Mumbai. Daily intake of appropriate amount of protein, CHO, fat, vitamins, and minerals can help reduce menstrual problems facing by adolescent girls.
背景:印度是一个发展中国家，营养不良是最常见的问题;我们正在处理方便食品和街头食品消费的新问题。这些食物很容易买到，味道很好，有一些吸引新一代的包装和广告，开始不吃饭。青春期女孩正面临超重、体重不足、甲状腺疾病、贫血和其他血液系统疾病的问题。本研究的最终目的是找出青春期女孩的饮食习惯和月经紊乱之间的联系。方法:于2021年10月至2021年12月对印度孟买MGM学校的青春期女孩进行观察性研究，以了解青春期女孩饮食模式与月经紊乱之间的关系。采用数值疼痛量表、修改后的女性健康问卷和日常日记对100名青春期少女进行数据收集。采用非概率有目的抽样方法对少女进行抽样。统计学分析:采用SPSS 24.0软件进行统计学分析。结果:初潮平均年龄为12.9±2.7岁。研究表明，青春期女孩中有中度痛经(54%)、重度痛经(21%)和36%的经前症状。超过42%的参与者吃街头小吃，许多女孩有下午不吃饭的习惯。研究发现，饮食习惯与月经问题之间存在显著相关性(P≤0.0001)。饮食习惯与月经紊乱的相关系数r = 0.7, P < 0.05。结论:新孟买地区学校女生月经紊乱问题日益突出。每天摄入适量的蛋白质、CHO、脂肪、维生素和矿物质有助于减少青春期女孩面临的月经问题。
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