S. Kulkarni, S. Kulkarni, Arvind D. Patil, Shefali Painginkar
BACKGROUND: Knee osteoarthritis (OA) is the major source of disability worldwide. OA of knee is a joint disease that affects the elderly. It is characterized by progressive articular cartilage damage which further causes pain and loss of function. Total knee replacement (TKR) is the standard treatment for severe OA knee. Telerehabilitation is one of the new treatment ways and is speedily growing as an alternative for therapies. OBJECTIVES: The objective of this study was to compare the effects of domiciliary rehabilitation, telerehabilitation, and home exercise program on pain, function, and quality of life (QOL) in patients with TKR. MATERIALS AND METHODS: A total of 108 individuals were enrolled as per eligibility criteria during the study period and then were randomly divided into three groups by computer-generated, randomized sequence numbers. The parameters were obtained preoperatively, postoperatively, and at the end of 1 month using the Visual Analog Scale (VAS), Knee Injury and Osteoarthritis Outcome Score, Quality of Well-being, methadone maintenance treatment (MMT), and knee range of motion (ROM) test. P < 0.05 was considered statistically significant. RESULTS: All the three groups showed a reduction in VAS scores and improved function in patients with TKR. QOL and MMT did not prove to be significant in any of the three groups. When ROM was considered, only Groups A and C showed statistical significance whereas Groups A and B showed clinical significance according to the mean difference values. CONCLUSION: All the three modes of rehabilitation among OA patients, i.e., domiciliary rehabilitation, telerehabilitation, and home-based exercise program, have shown similar effects on study variables including pain intensity, knee function, and QOL in patients with TKR. Therefore, we recommend to include telerehabilitation as one of the treatment approaches for patients with TKR whenever needed.
{"title":"Effectiveness of domiciliary rehabilitation, telerehabilitation, and home exercise program on pain, function, and quality of life in patients with total knee arthroplasty: A randomized controlled trial","authors":"S. Kulkarni, S. Kulkarni, Arvind D. Patil, Shefali Painginkar","doi":"10.4103/bjhs.bjhs_57_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_57_22","url":null,"abstract":"BACKGROUND: Knee osteoarthritis (OA) is the major source of disability worldwide. OA of knee is a joint disease that affects the elderly. It is characterized by progressive articular cartilage damage which further causes pain and loss of function. Total knee replacement (TKR) is the standard treatment for severe OA knee. Telerehabilitation is one of the new treatment ways and is speedily growing as an alternative for therapies. OBJECTIVES: The objective of this study was to compare the effects of domiciliary rehabilitation, telerehabilitation, and home exercise program on pain, function, and quality of life (QOL) in patients with TKR. MATERIALS AND METHODS: A total of 108 individuals were enrolled as per eligibility criteria during the study period and then were randomly divided into three groups by computer-generated, randomized sequence numbers. The parameters were obtained preoperatively, postoperatively, and at the end of 1 month using the Visual Analog Scale (VAS), Knee Injury and Osteoarthritis Outcome Score, Quality of Well-being, methadone maintenance treatment (MMT), and knee range of motion (ROM) test. P < 0.05 was considered statistically significant. RESULTS: All the three groups showed a reduction in VAS scores and improved function in patients with TKR. QOL and MMT did not prove to be significant in any of the three groups. When ROM was considered, only Groups A and C showed statistical significance whereas Groups A and B showed clinical significance according to the mean difference values. CONCLUSION: All the three modes of rehabilitation among OA patients, i.e., domiciliary rehabilitation, telerehabilitation, and home-based exercise program, have shown similar effects on study variables including pain intensity, knee function, and QOL in patients with TKR. Therefore, we recommend to include telerehabilitation as one of the treatment approaches for patients with TKR whenever needed.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"62 1","pages":"225 - 231"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84996803","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}
Padmini Vijayasarathy, P. Chikkannaiah, Netravati B Sajjan, Vani Ramalingaiah, S. Venkataramanappa
Cancer and tuberculosis are the most common illnesses in the world; however, their coexistence is not uncommon and a challenge for pathologists and clinicians. The instances of mucinous carcinoma and disseminated tuberculosis are exceptional. Here, we present such a rare case of incidentally detected mucinous carcinoma of the breast with disseminated miliary tuberculosis in a 59-year-old female. The pertinent literature is being reviewed.
{"title":"Axillary lymphadenopathy in a case of breast carcinoma: Is it always metastatic?","authors":"Padmini Vijayasarathy, P. Chikkannaiah, Netravati B Sajjan, Vani Ramalingaiah, S. Venkataramanappa","doi":"10.4103/bjhs.bjhs_40_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_40_22","url":null,"abstract":"Cancer and tuberculosis are the most common illnesses in the world; however, their coexistence is not uncommon and a challenge for pathologists and clinicians. The instances of mucinous carcinoma and disseminated tuberculosis are exceptional. Here, we present such a rare case of incidentally detected mucinous carcinoma of the breast with disseminated miliary tuberculosis in a 59-year-old female. The pertinent literature is being reviewed.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"195 1","pages":"317 - 320"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74487681","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 : 2022-07-01DOI: 10.4103/bjhs.bjhs_117_21
Renu B Pattanshetty, Nikita Pawar, Mounica Y. Rao
Solid pseudopapillary carcinoma of pancreas is a cystic exocrine tumor of the pancreas which is common in females in the third and fourth decades. This report presents a rare case of an 11-year-old girl who operated for Frantz tumor and was referred for physical therapy. The therapy was beneficial in reducing the pain, improving the range of motion, and overall quality of life of the patient. To the best of our knowledge, this is the first case report found in the medical literature that reports of physical therapy management in a rare reported case of pediatric solid pseudopapillary carcinoma of pancreas.
{"title":"A tailor-made physical therapy protocol for a rare pediatric tumor","authors":"Renu B Pattanshetty, Nikita Pawar, Mounica Y. Rao","doi":"10.4103/bjhs.bjhs_117_21","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_117_21","url":null,"abstract":"Solid pseudopapillary carcinoma of pancreas is a cystic exocrine tumor of the pancreas which is common in females in the third and fourth decades. This report presents a rare case of an 11-year-old girl who operated for Frantz tumor and was referred for physical therapy. The therapy was beneficial in reducing the pain, improving the range of motion, and overall quality of life of the patient. To the best of our knowledge, this is the first case report found in the medical literature that reports of physical therapy management in a rare reported case of pediatric solid pseudopapillary carcinoma of pancreas.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"79 1","pages":"302 - 305"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83908945","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}
BACKGROUND: Competency-based medical education (CBME) is a learner-centered, outcome-based approach which motivates self-learning. Currently, the world is experiencing COVID-19 pandemic which led to shutdown of colleges, and hence, online teaching has become a key component in the continuity of medical education. The main aim of the study is to analyze the impact of COVID-19 pandemic on online teaching among 1st-year MBBS students and to assess the challenges faced during this time. METHODS: After obtaining institutional ethics committee clearance, a mixed-method study design was used to collect data from 100 respondents among 1st-year MBBS students of Kurnool Medical College, Kurnool, during the month of September 2020. A prevalidated, semi-structured questionnaire was sent to the participants through Google Forms. The quantitative analysis was done through survey questions on a five-point Likert scale. RESULTS: The reported challenges to online medical education during COVID-19 pandemic were lack of in-person communication (57%), technical issues while attending online classes (49%), difficulty in time management (50%), confusion in understanding course expectations/competencies (44%), and more focused on theory than practicals (59%). Some of them stated that “having online classes is really helpful than not having any classes at all.” CONCLUSIONS: Hence, we conclude that though challenges mentioned above were faced during online teaching of CBME curriculum, effective leadership and student teamwork would be helpful in successful online teaching.
{"title":"Challenges faced by 1st phase MBBS students during online teaching of competency-based medical education curriculum – COVID times","authors":"B. Sofia, S. Subhaprada","doi":"10.4103/bjhs.bjhs_3_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_3_22","url":null,"abstract":"BACKGROUND: Competency-based medical education (CBME) is a learner-centered, outcome-based approach which motivates self-learning. Currently, the world is experiencing COVID-19 pandemic which led to shutdown of colleges, and hence, online teaching has become a key component in the continuity of medical education. The main aim of the study is to analyze the impact of COVID-19 pandemic on online teaching among 1st-year MBBS students and to assess the challenges faced during this time. METHODS: After obtaining institutional ethics committee clearance, a mixed-method study design was used to collect data from 100 respondents among 1st-year MBBS students of Kurnool Medical College, Kurnool, during the month of September 2020. A prevalidated, semi-structured questionnaire was sent to the participants through Google Forms. The quantitative analysis was done through survey questions on a five-point Likert scale. RESULTS: The reported challenges to online medical education during COVID-19 pandemic were lack of in-person communication (57%), technical issues while attending online classes (49%), difficulty in time management (50%), confusion in understanding course expectations/competencies (44%), and more focused on theory than practicals (59%). Some of them stated that “having online classes is really helpful than not having any classes at all.” CONCLUSIONS: Hence, we conclude that though challenges mentioned above were faced during online teaching of CBME curriculum, effective leadership and student teamwork would be helpful in successful online teaching.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"93 1","pages":"258 - 261"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80198299","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}
BACKGROUND: The sudden appearance of the highly infectious novel coronavirus in December 2019 has created global havoc in a short time. In the present scenario where the cases are rising explosively and medical health care professionals are losing their lives to coronavirus disease 2019 (COVID-19), the role of dental surgeons needs to be redefined. OBJECTIVE: Keeping all these things into consideration; this questionnaire-based cross sectional survey was planned to understand how dental surgeons managed COVID-19 once they got infected, and how confident they are if in future they need to treat cases of COVID-19. MATERIALS AND METHODS: A cross-sectional survey was done to assess the knowledge of practising dental surgeons infected with COVID-19 of the disease and its management. RESULTS: One hundred and one respondents completed the questionnaire. Of those 81% were vaccinated while 19% were not vaccinated. Of these 50.5% felt confident that they had adequate knowledge regarding COVID-19 and can treat mild-to-moderate infections. 84.2% believed that short-term courses and workshops should be designed for dental surgeons to improve their knowledge, keeping in mind their future role in pandemic. CONCLUSION: Short-term courses need to be designed to improve the current knowledge of dental surgeons regarding COVID-19 and prepare them for future.
{"title":"Dental professional's understanding of COVID-19 management: Can they contribute to medical care?","authors":"A. Juneja, A. Sultan","doi":"10.4103/bjhs.bjhs_29_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_29_22","url":null,"abstract":"BACKGROUND: The sudden appearance of the highly infectious novel coronavirus in December 2019 has created global havoc in a short time. In the present scenario where the cases are rising explosively and medical health care professionals are losing their lives to coronavirus disease 2019 (COVID-19), the role of dental surgeons needs to be redefined. OBJECTIVE: Keeping all these things into consideration; this questionnaire-based cross sectional survey was planned to understand how dental surgeons managed COVID-19 once they got infected, and how confident they are if in future they need to treat cases of COVID-19. MATERIALS AND METHODS: A cross-sectional survey was done to assess the knowledge of practising dental surgeons infected with COVID-19 of the disease and its management. RESULTS: One hundred and one respondents completed the questionnaire. Of those 81% were vaccinated while 19% were not vaccinated. Of these 50.5% felt confident that they had adequate knowledge regarding COVID-19 and can treat mild-to-moderate infections. 84.2% believed that short-term courses and workshops should be designed for dental surgeons to improve their knowledge, keeping in mind their future role in pandemic. CONCLUSION: Short-term courses need to be designed to improve the current knowledge of dental surgeons regarding COVID-19 and prepare them for future.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"60 1","pages":"289 - 293"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87020976","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 : 2022-07-01DOI: 10.4103/bjhs.bjhs_108_21
Pravin Jawanjal, Swapnil Choudhary, P. Bedarkar, B. Patgiri
BACKGROUND: Trivanga Bhasma, a herbomineral formulation prepared by incineration of Vanga (Tin), Naga (Lead), Yashada (zinc). In Rasa Kaumudi Trivanga bhasma is mentioned as Triloha bhasma. AIM: The aim of the present study was analysis of various pharmaceutical methods, doses, indications, of Trivanga Bhasma mentioned in Ayurveda texts. INTRODUCTION: Trivanga Bhasma is indicated in MutraRoga (disorders of urine), Madhumeha (Diabetes) and Vandhyatva (Infertility), Napunasakta (Impotency), Shaktivardhaka (Strength) Swetapradara (Leucorrhea). METHODS: Ancient Ayurvedic classics included Rasatantrasara Evam Siddhaprayoga Sangraha, Ayurvedeeya Oushadi Gunadharma Shastra, Siddhayoga Sangraha, Rasa Kaumudi, Bhasma Vigyana, Rasa Raj Mahodadhi, and other available translations in various languages were viewed. Marana (incineration) method of Trivanga Bhasma mentioned in classics were collected and analyzed. A comprehensive review of Trivanga Bhasma has been attempted by searching of published literatures in various database including Web of Science, PubMed, Scopus, Taylor and Francis, Google Scholar, and University Grants Commission care journals list. DISCUSSION: In classical texts, fourteen methods of preparation of Trivanga Bhasma were found and in texts-Rasa Kaumudi-1, Rasayansara-2, SiddhaYoga Samgraha-1, Rasaraj Mahodadhi-1, Ayurvediya Aushadhi Guna Dharma Shastra-1, Rasatantra Sara Evam Siddha Prayoga Samgraha-2, Bhasma Vigyana-5, and Ayurvedic Formulary India-1 methods are mentioned. In these methods, 9 methods were Jarana followed by Putapaka, Jarana in 3 methods, Damaru Yantra Kramangi paka in 2 methods. CONCLUSION: A total of 14 methods of Marana with 22 media are mentioned for Trivanga Bhasma.
背景:Trivanga Bhasma是一种草本矿物配方，由焚烧Vanga(锡)，Naga(铅)，Yashada(锌)制成。在Rasa Kaumudi中，Trivanga bhasma被称为Triloha bhasma。目的:本研究的目的是分析阿育吠陀文献中提到的Trivanga Bhasma的各种药物方法，剂量，适应症。Trivanga Bhasma适用于MutraRoga(尿障碍)，Madhumeha(糖尿病)和Vandhyatva(不孕症)，Napunasakta(阳痿)，Shaktivardhaka(力量)Swetapradara(白带)。方法:查阅古代阿育吠陀经典，包括《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》、《阿育吠陀经典》以及其他多种语言的译本。收集并分析了经典中提到的特里万加·巴斯马的焚烧法。通过检索Web of Science、PubMed、Scopus、Taylor and Francis、谷歌Scholar和University Grants Commission care journals list等数据库中已发表的文献，试图对Trivanga Bhasma进行全面的综述。讨论:在经典文献中，发现了十四种制备Trivanga Bhasma的方法，并在文献中提到了rasa Kaumudi-1, Rasayansara-2，悉达瑜伽Samgraha-1, Rasaraj Mahodadhi-1，阿育吠陀ya Aushadhi Guna Dharma Shastra-1, Rasatantra Sara Evam Siddha Prayoga Samgraha-2, Bhasma Vigyana-5和阿育吠陀处方印度-1方法。其中耆那乐法9种，其次是布塔帕卡法，耆那乐法3种，大摩衍持克拉马吉法2种。结论:共有14种马拉那方法，22种介质。
{"title":"A comprehensive review of Trivanga bhasma (herbomineral trimetallic formulation)","authors":"Pravin Jawanjal, Swapnil Choudhary, P. Bedarkar, B. Patgiri","doi":"10.4103/bjhs.bjhs_108_21","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_108_21","url":null,"abstract":"BACKGROUND: Trivanga Bhasma, a herbomineral formulation prepared by incineration of Vanga (Tin), Naga (Lead), Yashada (zinc). In Rasa Kaumudi Trivanga bhasma is mentioned as Triloha bhasma. AIM: The aim of the present study was analysis of various pharmaceutical methods, doses, indications, of Trivanga Bhasma mentioned in Ayurveda texts. INTRODUCTION: Trivanga Bhasma is indicated in MutraRoga (disorders of urine), Madhumeha (Diabetes) and Vandhyatva (Infertility), Napunasakta (Impotency), Shaktivardhaka (Strength) Swetapradara (Leucorrhea). METHODS: Ancient Ayurvedic classics included Rasatantrasara Evam Siddhaprayoga Sangraha, Ayurvedeeya Oushadi Gunadharma Shastra, Siddhayoga Sangraha, Rasa Kaumudi, Bhasma Vigyana, Rasa Raj Mahodadhi, and other available translations in various languages were viewed. Marana (incineration) method of Trivanga Bhasma mentioned in classics were collected and analyzed. A comprehensive review of Trivanga Bhasma has been attempted by searching of published literatures in various database including Web of Science, PubMed, Scopus, Taylor and Francis, Google Scholar, and University Grants Commission care journals list. DISCUSSION: In classical texts, fourteen methods of preparation of Trivanga Bhasma were found and in texts-Rasa Kaumudi-1, Rasayansara-2, SiddhaYoga Samgraha-1, Rasaraj Mahodadhi-1, Ayurvediya Aushadhi Guna Dharma Shastra-1, Rasatantra Sara Evam Siddha Prayoga Samgraha-2, Bhasma Vigyana-5, and Ayurvedic Formulary India-1 methods are mentioned. In these methods, 9 methods were Jarana followed by Putapaka, Jarana in 3 methods, Damaru Yantra Kramangi paka in 2 methods. CONCLUSION: A total of 14 methods of Marana with 22 media are mentioned for Trivanga Bhasma.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"40 2 1","pages":"198 - 203"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78011508","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}
Y. Nalini, Sonal Gaonkar, I. Anjusha, A. Basavarajegowda
INTRODUCTION: While the availability and use of disposable sanitary pads have increased considerably in the last two decades, awareness about disposal and menstrual waste management has been neglected. This study was designed to determine the knowledge and practice of sanitary pad usage, disposal, and alternative methods of menstrual hygiene attitude toward menstrual leave among Indian undergraduate medical students. MATERIALS AND METHODS: The study participants were Indian undergraduate medical students. Self-administered online questionnaires were utilized, using Google Forms that requested personal details, menstrual history, usage and disposal of the sanitary pad, alternatives to the sanitary pad, and opinions about paid menstrual leave or sick leave policy. Quantitative data were summarized using mean and standard deviation, whereas qualitative data were summarized using percentages and frequencies. Data collected were analyzed using SPSS software version 20. RESULTS: Four hundred sixty-four students participated in the study. The mean age at menarche was 13 years. Menstrual bleeding lasted an average of 5.2 ± 1.6 days. Cycle length was 21–35 days in 92% of cases. Approximately 42.9% of respondents reported dysmenorrhea. 98% reported using the sanitary pad; among them, 48% reported they use a single pad (nonbio-degradable pads) for more than 6 h, and the most common mode of disposal is by wrapping in a newspaper. Menstrual cup followed by tampons is common alternatives to the sanitary pad. 48.7% reported that sometimes menstruation keeps them away from colleges. Eighty-two percent expressed menstrual leave policy of 1–2 days would be a positive and welcome move. CONCLUSIONS: Knowledge about sanitary pad disposal and alternatives is adequate among Indian undergraduate medical students but what is inadequate is the practice. Emphasis should be made on strategies that can be adopted to prevent the dumping of unsorted disposed of unsafe menstrual waste across the landfills resulting in a global health issue.
{"title":"Knowledge and practice regarding menstrual hygiene and alternatives to sanitary pad among Indian undergraduate medical students: A cross-sectional study","authors":"Y. Nalini, Sonal Gaonkar, I. Anjusha, A. Basavarajegowda","doi":"10.4103/bjhs.bjhs_2_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_2_22","url":null,"abstract":"INTRODUCTION: While the availability and use of disposable sanitary pads have increased considerably in the last two decades, awareness about disposal and menstrual waste management has been neglected. This study was designed to determine the knowledge and practice of sanitary pad usage, disposal, and alternative methods of menstrual hygiene attitude toward menstrual leave among Indian undergraduate medical students. MATERIALS AND METHODS: The study participants were Indian undergraduate medical students. Self-administered online questionnaires were utilized, using Google Forms that requested personal details, menstrual history, usage and disposal of the sanitary pad, alternatives to the sanitary pad, and opinions about paid menstrual leave or sick leave policy. Quantitative data were summarized using mean and standard deviation, whereas qualitative data were summarized using percentages and frequencies. Data collected were analyzed using SPSS software version 20. RESULTS: Four hundred sixty-four students participated in the study. The mean age at menarche was 13 years. Menstrual bleeding lasted an average of 5.2 ± 1.6 days. Cycle length was 21–35 days in 92% of cases. Approximately 42.9% of respondents reported dysmenorrhea. 98% reported using the sanitary pad; among them, 48% reported they use a single pad (nonbio-degradable pads) for more than 6 h, and the most common mode of disposal is by wrapping in a newspaper. Menstrual cup followed by tampons is common alternatives to the sanitary pad. 48.7% reported that sometimes menstruation keeps them away from colleges. Eighty-two percent expressed menstrual leave policy of 1–2 days would be a positive and welcome move. CONCLUSIONS: Knowledge about sanitary pad disposal and alternatives is adequate among Indian undergraduate medical students but what is inadequate is the practice. Emphasis should be made on strategies that can be adopted to prevent the dumping of unsorted disposed of unsafe menstrual waste across the landfills resulting in a global health issue.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"1 1","pages":"252 - 257"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88890860","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}
Usha Kushwaha, G. Supriya, Balakrishnan Nair, K. Chattopadhyay, Ashwini Nair, Sanjay Vishwakarma
INTRODUCTION: Blatta orientalis is an indicated remedy for asthma and other chronic obstructive pulmonary diseases in homeopathic medicine. Preclinical studies indicate that B. orientalis shows anti-asthmatic properties in animals when induced with bronchospasm using acetylcholine through nonselective anticholinergic and antihistaminic activities. However, no studies have explored the changes in the vital capacity of the lungs on administering the homeopathic remedy, B. orientalis. It is shown that isometric contraction of pectoral muscles enhances the vital capacity of lungs by increasing ventilation and decreasing alveolar partial pressure of carbon dioxide. It can act as a valuable tool for monitoring the vital capacity of the lungs before and after administration of B. orientalis. AIM: This preliminary research takes the first step toward exploring vital capacity through a randomized, placebo-controlled study elucidating the effects of ongoing isometric contraction of muscles on the vital capacity of lungs of healthy individuals on the administration of B. orientalis in different potencies. It aims to compare changes in the vital capacity of lungs in healthy participants during an acute bout of isometric contraction by handgrip dynamometer after administration of B. orientalis. MATERIALS AND METHODS: Eighteen participants who fulfilled the inclusion criteria gave voluntary consent to participate in this research study. The research team measured the Tmax (measured by handgrip dynamometer) and the vital capacity (measured by a vitalograph) of these participants at the baseline. The participants were then placed into three-medicine arms to administer medicine orally: Arm 1 – B. orientalis Q, Arm 2 – B. orientalis 30C, and Arm 3 – placebo, following allocation of six participants in each medicine arm. Lottery method was used for grouping participants randomly to each medicine arm. The participants were numbered from 1 to 18 using the lottery method, and it was made sure that each arm had one male and five females to have similar gender distribution. The research team blindfolded the participants with a cloth bandage (dupatta) before categorizing them into different medicine arms. The team measured each participant's Tmax and vital capacity, and then administered one dose of the assigned medicine. The team measured the Tmax and vital capacity of the participants after 10 min of administering the medicine. The process was repeated after every 24 h for 3 consecutive days. RESULTS: The effect of ongoing isometric contractions of the skeletal muscles on the vital capacity acted as a great tool to measure improvement in vital capacity. The vital capacity of the lungs was significantly decreased after oral administration of B. orientalis Q and B. orientalis 30C, whereas there was no significant effect found in the arm that received a placebo. CONCLUSION: This preliminary study shows that B. orientalis decreases the vital capacity of lungs in healthy su
简介:东方布兰是顺势疗法药物中治疗哮喘和其他慢性阻塞性肺疾病的适应症药物。临床前研究表明，当乙酰胆碱诱导支气管痉挛时，东方蓟通过非选择性抗胆碱能和抗组胺活性表现出抗哮喘特性。然而，没有研究探索在使用顺势疗法药物B. orientalis时肺部肺活量的变化。结果表明，胸肌的等长收缩通过增加通气和降低肺泡二氧化碳分压来增强肺活量。它可以作为一个有价值的工具，监测肺的肺活量前后给药。目的:本初步研究通过一项随机、安慰剂对照研究，向探索肺活量迈出了第一步，阐明了不同剂量的东方蓟对健康个体持续等距肌肉收缩对肺活量的影响。它的目的是比较在健康参与者的肺活量的变化，在急性发作等距收缩后，由手握测力仪给药。材料与方法:18名符合纳入标准的受试者自愿同意参加本研究。研究小组在基线时测量了这些参与者的Tmax(用握力计测量)和肺活量(用生命记录仪测量)。然后，参与者被分为三种药物组，口服药物:第1组-东方B. Q，第2组-东方B. 30C，第3组-安慰剂，每个药物组分配6名参与者。采用抽签法将参与者随机分组到每个药物组。参与者使用摇号法从1到18编号，并确保每个手臂有一名男性和五名女性具有相似的性别分布。研究小组用布绷带蒙住参与者的眼睛，然后将他们分为不同的药物组。研究小组测量了每个参与者的Tmax和肺活量，然后给他们服用一剂指定的药物。研究小组在给药10分钟后测量了参与者的Tmax和肺活量。每隔24 h重复该过程，连续3天。结果:骨骼肌持续等长收缩对肺活量的影响是衡量肺活量改善的重要工具。口服B. orientalis Q和B. orientalis 30C后，肺的肺活量显著降低，而在接受安慰剂的手臂中没有发现明显的影响。结论:本初步研究表明，东方蓟具有降低健康人肺活量的作用，需要在更高的效价和更广泛的实验参数上进一步探索其作用。根据相似定律，这一推断也增加了顺势疗法药物在限制性肺疾病患者中潜力的研究范围，这些患者的重要肺活量明显下降。
{"title":"A preliminary randomized, single-blinded, placebo-controlled clinical dose–response study to elucidate the effect of ongoing isometric contraction of muscles on the vital capacity of lungs on administering Blatta orientalis","authors":"Usha Kushwaha, G. Supriya, Balakrishnan Nair, K. Chattopadhyay, Ashwini Nair, Sanjay Vishwakarma","doi":"10.4103/bjhs.bjhs_46_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_46_22","url":null,"abstract":"INTRODUCTION: Blatta orientalis is an indicated remedy for asthma and other chronic obstructive pulmonary diseases in homeopathic medicine. Preclinical studies indicate that B. orientalis shows anti-asthmatic properties in animals when induced with bronchospasm using acetylcholine through nonselective anticholinergic and antihistaminic activities. However, no studies have explored the changes in the vital capacity of the lungs on administering the homeopathic remedy, B. orientalis. It is shown that isometric contraction of pectoral muscles enhances the vital capacity of lungs by increasing ventilation and decreasing alveolar partial pressure of carbon dioxide. It can act as a valuable tool for monitoring the vital capacity of the lungs before and after administration of B. orientalis. AIM: This preliminary research takes the first step toward exploring vital capacity through a randomized, placebo-controlled study elucidating the effects of ongoing isometric contraction of muscles on the vital capacity of lungs of healthy individuals on the administration of B. orientalis in different potencies. It aims to compare changes in the vital capacity of lungs in healthy participants during an acute bout of isometric contraction by handgrip dynamometer after administration of B. orientalis. MATERIALS AND METHODS: Eighteen participants who fulfilled the inclusion criteria gave voluntary consent to participate in this research study. The research team measured the Tmax (measured by handgrip dynamometer) and the vital capacity (measured by a vitalograph) of these participants at the baseline. The participants were then placed into three-medicine arms to administer medicine orally: Arm 1 – B. orientalis Q, Arm 2 – B. orientalis 30C, and Arm 3 – placebo, following allocation of six participants in each medicine arm. Lottery method was used for grouping participants randomly to each medicine arm. The participants were numbered from 1 to 18 using the lottery method, and it was made sure that each arm had one male and five females to have similar gender distribution. The research team blindfolded the participants with a cloth bandage (dupatta) before categorizing them into different medicine arms. The team measured each participant's Tmax and vital capacity, and then administered one dose of the assigned medicine. The team measured the Tmax and vital capacity of the participants after 10 min of administering the medicine. The process was repeated after every 24 h for 3 consecutive days. RESULTS: The effect of ongoing isometric contractions of the skeletal muscles on the vital capacity acted as a great tool to measure improvement in vital capacity. The vital capacity of the lungs was significantly decreased after oral administration of B. orientalis Q and B. orientalis 30C, whereas there was no significant effect found in the arm that received a placebo. CONCLUSION: This preliminary study shows that B. orientalis decreases the vital capacity of lungs in healthy su","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"41 1","pages":"306 - 311"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79718625","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}
Avaleha (linctus) is a unique dosage form of Ayurveda pharmaceutics, which is frequently used in various disorders and especially in respiratory disorders. Kantakari Avaleha (KA) is one such formulation being used extensively for Shwasa (asthma) and Kasa (cough) along with its classical use in various other disorders too. Because of its demand in clinical settings, many pharmaceutical companies are also preparing this, and hence freely available in market. This review was carried out to get thorough idea related to its composition, method of preparation, and therapeutic uses along with its pharmaceutical standards. For this review, classical and compiled texts having subject of Ayurveda pharmaceutics were screened from Central Library of Institute of Teaching and Research in Ayurveda, Jamnagar. Out of total 15 texts screened, 7 texts had mentioned KA, and hence reviewed for its ingredients, dose, Anupana, and therapeutic uses. Synonyms, Rasapanchaka (Ayurveda principles of drug action), and Dosha Karma (therapeutic action) of ingredients were compiled from Bhavaprakasha Nighantu. Pharmaceutical parameters of KA were compiled from original research articles from peer-reviewed journals through Google Scholar, PubMed, ResearchGate, and J-Gate portal. After review, it was found that Acharya Sharangdhara (12th Century) had described this formulation for the first time. There are four variations available in formulation composition. Milk or water should be the Anupana for this drug as per Ayurvedic Formulary of India and Pharmacopoeia of India (API). Almost all references have recommended its use in Shwasa and Kasa, along with Arati (distress), Shula (colicky pain), Gulma (a type of lump), Hikka (hiccup), and Hradroga (heart disease) mentioned in one and the other classics. Maximum ingredients of this formulation possess hot potency (12 out of 18 drugs) and pungent biotransformation property (11 out of 18 drugs). As per available original research works, two laboratory samples and one market sample of KA had fulfilled almost all analytical parameters, mentioned in API. The current review work may be helpful as stepping stone for various researches on KA such as network pharmacology, in silico, pharmacology, and longitudinal cross-sectional, clinical study.
{"title":"A bird's eye view on Kantakari Avaleha: A polyherbal Ayurveda formulation for bronchial asthma","authors":"S. Bhinde, Sonam S Bhinde, V. Kori, K. Patel","doi":"10.4103/bjhs.bjhs_61_21","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_61_21","url":null,"abstract":"Avaleha (linctus) is a unique dosage form of Ayurveda pharmaceutics, which is frequently used in various disorders and especially in respiratory disorders. Kantakari Avaleha (KA) is one such formulation being used extensively for Shwasa (asthma) and Kasa (cough) along with its classical use in various other disorders too. Because of its demand in clinical settings, many pharmaceutical companies are also preparing this, and hence freely available in market. This review was carried out to get thorough idea related to its composition, method of preparation, and therapeutic uses along with its pharmaceutical standards. For this review, classical and compiled texts having subject of Ayurveda pharmaceutics were screened from Central Library of Institute of Teaching and Research in Ayurveda, Jamnagar. Out of total 15 texts screened, 7 texts had mentioned KA, and hence reviewed for its ingredients, dose, Anupana, and therapeutic uses. Synonyms, Rasapanchaka (Ayurveda principles of drug action), and Dosha Karma (therapeutic action) of ingredients were compiled from Bhavaprakasha Nighantu. Pharmaceutical parameters of KA were compiled from original research articles from peer-reviewed journals through Google Scholar, PubMed, ResearchGate, and J-Gate portal. After review, it was found that Acharya Sharangdhara (12th Century) had described this formulation for the first time. There are four variations available in formulation composition. Milk or water should be the Anupana for this drug as per Ayurvedic Formulary of India and Pharmacopoeia of India (API). Almost all references have recommended its use in Shwasa and Kasa, along with Arati (distress), Shula (colicky pain), Gulma (a type of lump), Hikka (hiccup), and Hradroga (heart disease) mentioned in one and the other classics. Maximum ingredients of this formulation possess hot potency (12 out of 18 drugs) and pungent biotransformation property (11 out of 18 drugs). As per available original research works, two laboratory samples and one market sample of KA had fulfilled almost all analytical parameters, mentioned in API. The current review work may be helpful as stepping stone for various researches on KA such as network pharmacology, in silico, pharmacology, and longitudinal cross-sectional, clinical study.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"26 1","pages":"171 - 178"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89152199","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}
Anatomical disorders of the head and neck pose a serious challenge to an anesthesiologist in terms of difficult intubation. Securing airway requires a detailed preanesthesia evaluation to assess any issues associated with the disease, especially concerning the airway. This is the case of a 46-year-old male with congenital bilateral torticollis posted for elective functional endoscopic sinus surgery. A detailed preanesthetic checkup was done and was anticipated a difficult airway situation, hence planned for an awake intubation. We performed a successful awake fiber-optic intubation. Excessive muscular atrophy and fibrosis characterize congenital bilateral torticollis, resulting in sternocleidomastoid tension and limited cervical motion. During intubation, asymmetry in the face caused a mismatch between the facial and cervical midlines, making sniffing difficult. Successful anesthetic management in a case of congenital bilateral torticollis requires thorough knowledge about the anatomical changes and also the expertise in fiber-optic bronchoscopy.
{"title":"Difficult airway management in a case of bilateral congenital torticollis","authors":"C. Priyanka, S. Shanu, R. Brindha","doi":"10.4103/bjhs.bjhs_74_22","DOIUrl":"https://doi.org/10.4103/bjhs.bjhs_74_22","url":null,"abstract":"Anatomical disorders of the head and neck pose a serious challenge to an anesthesiologist in terms of difficult intubation. Securing airway requires a detailed preanesthesia evaluation to assess any issues associated with the disease, especially concerning the airway. This is the case of a 46-year-old male with congenital bilateral torticollis posted for elective functional endoscopic sinus surgery. A detailed preanesthetic checkup was done and was anticipated a difficult airway situation, hence planned for an awake intubation. We performed a successful awake fiber-optic intubation. Excessive muscular atrophy and fibrosis characterize congenital bilateral torticollis, resulting in sternocleidomastoid tension and limited cervical motion. During intubation, asymmetry in the face caused a mismatch between the facial and cervical midlines, making sniffing difficult. Successful anesthetic management in a case of congenital bilateral torticollis requires thorough knowledge about the anatomical changes and also the expertise in fiber-optic bronchoscopy.","PeriodicalId":9122,"journal":{"name":"BLDE University Journal of Health Sciences","volume":"88 1","pages":"323 - 324"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85983740","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}
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