A Giant Lipoma In The Hand - Report Of A Rare Case

A 38 years old male patient presented with a large painless swelling in the right palm with ultrasound examination suggestive of fatty nature of the swelling MRI showing a well-circumscribed soft tissue swelling in the deep palmar space. The giant tumor of 6.5 X 4 cm was excised and the patient was symptom free two years following the surgery

The effect of Asthapada Panchaloha Shalaka Agnikarma in the pain management of Gridhrasi w.s.r. to Sciatica

Gridhrasi is a disease explained by Brihatrayees in the context of Vatavyadhi Adhyaya. The earliest reference about the details of Gridhrasi is available from Sushruta Samhita (1500 BC). Gridhrasi is included in Vatajna Natmaja Vyadhi and also considered as Mahagada by Acharya Charaka. In all Ayurvedic literature, there is no direct reference regarding Nidana, but it is included in Vataja Nanatmaja Vyadhi, general Vata Prakopaka Hetus are to be considered. On the basis of symptoms, Gridhrasi can be correlated with the disease Sciatica in the modern parlance, which occurs because of spinal nerve irritation and characterized by its distinct nature of pain in distribution of sciatic nerve and often it is associated with lumbago. The Gridhrasi is commonly seen in society as a major problem which incapacitates patient to perform his daily routine activities because of severe pain from Kati Pradesha to Padanguli. In modern medicine in reference to sciatica treatment, there is no definite curative treatment other than symptomatic management. Objectives of the study was to evaluate the effect of Asthapada Panchaloha Shalaka Agnikarma in the pain management of Gridhrasi w.s.r. to Sciatica and to compare the effect of Bindu Panchaloha Shalaka Agnikarma in the pain management of Gridhrasi. In present study 40 patients with confirmed clinical diagnosis of Gridhrasi/Sciatica were selected randomly and divided into two groups of each 20 patients. Group A patients were treated with Asthapada Panchaloha Shalaka Agnikarma and Group B patients were treated with Bindu Panchaloha Shalaka Agnikarma. After the treatment it was observed that there was statistically significant results in the main signs and symptoms i.e. pain in lumbar region, numbness, SLR test. The study shows that the treatment is statistically significant in Group A when compared to Group B. Group A overall result is 87.29% and Group B overall result is 84.64%

Role of Apamarga Yavakshara in the management of Mutrashmari - A Conceptual Study

Mutrashmari is one of the most common disorders of the Mutravaha Srotas. It is one of the Astamahagada and considered as "Yama” because sometimes it causes acute excruciating pain.[1] In contemporary medical science it is correlated with urolithiasis. Symptoms in general include radiating pain from loin to groin, hematuria, burning micturition, malaise. Prevalence of Urolithiasis varies according to geographical distribution, sex and age. The treatment modalities of urolithiasis in conventional science are conservative medications and surgical procedures which are expensive, involve invasive treatments, needs hospitalization and in most of the cases recurrence rate is high. Ayurveda explains variety of Yogas for the management of Mutrashmari. A combination of Apamarga and Yava Kshara is indicated in Mutrashmari as per Rasatarangini.[2] So this study is taken up, to explore the combined effect of Apamarga and Yava Kshara in Mutrashmari keeping in view the shortcomings of different modern medical treatments

Effect of isolated and combined practice of Yoga and Ayurveda Therapy on pain among Cervical Osteoarthritis Patients

Cervical Osteoarthrities is one of the most common disorder of the cervical spine. It is caused by degenarative changes in the vertebral and intervertebral discs, that occur because of constant improper stress on the cervical spine due to abnormal posture, injury, aging, rheumatoid disease. The medical management options inclued use of analgesics for pain. However due to the adverse effects that they produce it has its own limitations. This study has been designed to evaluate the combined effect of Yoga Therapy and Ayurvedic Medications in Cervical Osteoarthritis. It was a Randomized single blind study conducted in 30 patients attending O.P.D. of S.H.E.S. A.M.C. College Kalaburagi, Karnataka and grouped into three. The first group of subjects received Yoga treatment, the second group received Ayurvedic treatment and the third group received both Yoga and Ayurvedic treatment for eight weeks. The result of the study showed that the combined group of Yoga and Ayurveda treatment (Group C) shows good response compaired to Ayurveda (Group-A) and Yoga (Group-B)

Prevalence and correlates of achieving recommended physical activity levels among children living in rural South Asia—A multi-centre study

Background: We report the prevalence of recommended physical activity levels (RPALs) and examine the correlates of achieving RPALs in rural South Asian children and analyse its association with anthropometric outcomes. Methods: This analysis on rural South Asian children aged 5–14 years (n = 564) is a part of the Chronic Disease Risk Factor study conducted at three sites in India (Chennai n = 146; Goa n = 218) and Bangladesh (Matlab; n = 200). Data on socio-demographic and lifestyle factors (physical activity (PA); diet) were collected using an interviewer-administered questionnaires, along with objective anthropometric measurements. Multivariate logistic regression models were used to examine whether RPALs (active travel to school (yes/no); leisure-time PA ≥ 1 h/day; sedentary-activity ≤ 2 h/day) were associated with socio-demographic factors, diet and other forms of PA. Multivariate linear regression models were used to investigate associations between RPALs and anthropometrics (BMI- and waist z-scores). Results: The majority of children (71.8 %) belonged to households where a parent had at least a secondary education. Two-thirds (66.7 %) actively travelled to school; 74.6 % reported ≥1 h/day of leisure-time PA and 55.7 % had ≤2 h/day of sedentary-activity; 25.2 % of children reported RPALs in all three dimensions. Older (10–14 years, OR = 2.0; 95 % CI: 1.3, 3.0) and female (OR = 1.7; 95 % CI: 1.1, 2.5) children were more likely to travel actively to school. Leisure-time PA ≥ 1 h/day was more common among boys (OR = 2.5; 95 % CI: 1.5, 4.0), children in Matlab, Bangladesh (OR = 3.0; 95 % CI: 1.6, 5.5), and those with higher processed-food consumption (OR = 2.3; 95 % CI: 1.2, 4.1). Sedentary activity ≤ 2 h/day was associated with younger children (5–9 years, OR = 1.6; 95 % CI: 1.1, 2. 4), children of Goa (OR = 3.5; 95 % CI: 2.1, 6.1) and Chennai (OR = 2.5; 95 % CI: 1.5, 4.3) and low household education (OR = 2.1; 95 % CI: 1.1, 4.1). In multivariate analyses, sedentary activity ≤ 2 h/day was associated with lower BMI-z-scores (β = −0.3; 95 % CI: −0.5, −0.08) and lower waist-z-scores (β = −1.1; 95 % CI: −2.2, −0.07). Conclusion: Only one quarter of children in these rural areas achieved RPAL in active travel, leisure and sedentary activity. Improved understanding of RPAL in rural South Asian children is important due to rapid socio-economic transition

MANAGEMENT OF GUILLAIN BARRE SYNDROME THROUGH AYURVEDA-A CASE STUDY

Guillain-Barré syndrome (GBS) is an acute, rapidly evolving are flexic motor paralysis with or without sensory disturbance. It occurs year around at arate of between 1 and 4 cases per 100,000 annually. Age is an important factor determining outcome, and prognosis. In children is said to be favourable as compared to adults. Direct correlation of GBS with Ayurvedic terminology is difficult. The presentation and Doshadooshyasamoorchana is considered first and then one should proceed with the treatment. Here a case of 7 year old female child presented with sudden onset of loss of power in lower limb, unable to get up, walk and stand with a past history of fever brought to OPD of SKAMC&HRC Bangalore. She was provisionally diagnosed as a case of acute inflammatory demyelinating polyneuropathy (AIDP-type of GBS). As per Ayurvedic classics, this condition we have taken as Sarvangavata (Vata affecting the whole body) which precedes Jwara (H/O fever before onset of symptoms). Hence, the line of treatment we have adopted Jwara Chikitsa and Vatavyadhichikitsa which included Aamapachana as well as Brihmanachikitsa along with Shamanoushadhis. The outcome was very remarkable with the patient able to walk on her own

UNH Law Alumni Magazine, Winter 2011

https://scholars.unh.edu/alumni_mag/1005/thumbnail.jp

A SIMPLE INDEX OF SMOKING

Background: Cigarette smoking is implicated in a large number of diseases and other adverse health conditions. Among the dimensions of smoking are number of cigarettes smoked per day, duration of smoking, passive smoking, smoking of filter cigarettes, age at start, and duration elapsed since quitting by ex-smokers. The practice so far is to study most of these separately. We develop a simple index that integrates these dimensions of smoking into a single metric, and suggest that this index be developed further. Method: The index is developed under a series of natural assumptions. Broadly, these are (i) the burden of smoking monotonically increases with the cigarette-years but it is more severe in the beginning, (ii) start of smoking early in life is more burdensome than a late start, and (iii) the burden gradually reverses as the duration elapsed since cessation by ex-smokers increases. Result: The index so arrived is: S = (3 – a/15)*1/2*sqrt[sumof(pi*ni*xi) – 0.5] - y for S greater than equal to 0, and sumof(pi*ni*xi) greater than equal to 0.5; otherwise zero (use a =30 for a\u3e30); where i = 1, 2, …, I, and I is the number of segments in life with different smoking pattern and a is the age at start of smoking, pi is the proportion of smoke inhaled in case of passive smoking (or adjustment for filter cigarettes or for other forms of smoking), xi is the number of cigarettes smoked for ni years, and y is the number of years elapsed since cessation by ex-smokers. Negative values of S are to be considered equal to zero. Examples are given that demonstrate the use of this index. Conclusion: Just as almost any other composite index, our index too could be good as a comprehensive measure of burden of smoking but not to study its individual dimensions. This measures the present burden in absolute sense and not the risk of smoking-related diseases. Like body-mass index, the smoking index may have good correlation with the risk of some diseases and poor for many others, depending upon the extent to which the risk of disease agrees to our postulations

Role of Virechana Purvaka Shamana Sneha with Rasayana drugs in the management of Psoriasis (Ekakustha)

Skin diseases are taken up as a social stigma, due to altered appearance. Psoriasis is one of the most repulsive skin diseases which may disturb patient’s life. It usually runs a chronic course with remission and exacerbations. As far as treatment is concerned modern medical science has number of therapeutic measures which provide temporary relief accompanied by side effects and which make the patients to take lifelong treatment. So it is a need to find out an effective radical cure for psoriasis through Ayurveda. According to Ayurveda all skin diseases are taken under generalized term Kustha. In present study psoriasis is considered as Ekakustha, one type of Kshudrakustha. As Shodhana therapy is essential in the management of all skin diseases, Virechana Karma was selected because it is the only procedure which acts upon all three Doshas and Raktadi Dushyas which are vitiated in Kustha. After Virechana Karma, Shamana treatment was also given to alleviate remaining Doshas and to continue the normal state of Dhatus. This clinical trial was conducted on total 13 patients of psoriasis (Ekakustha) to compare the effect of Virechana Purvaka Shamana with only Shamana. For Shamana purpose Shamana Sneha (Panchatikta Ghrita) along with some Rasayana drugs were used. Duration of Shamana treatment was 2 months in both groups. Patients of both the groups showed significant results. But Virechana Purvaka Shamana was found to be more effective than only Shamana