Role of Dhatryadi Rasakriya Anjana in Refractive errors

Ayurveda the science of life deals with not only the treatment of diseases but has shown way of living & prevention of diseases. Now day’s refractive errors are most common presenting feature in ophthalmic practice, though exact modern medicine against refractive errors is yet to be established. At present spectacles, contact lenses, refractive surgery is only treatment with their own hazards.Ayurveda has mentioned various measures to keep vision normal throughout life in the form of ANJANA, TARPANA, ASHCHYOTANA etc. These measures can be applied in diseased state of eyes. Timira can be correlated with refractive errors. It can be well treated by Anjana karma. Considering contents of dosha-dushya, myopia, hypermetropia, astigmatism & presbyopia. [Refractive errors] are vata- kapha dominant in nature so it can be well treated by vata-kaphaghna, lekhana & dhatupushtikar anjana. Dhatryadi Raskriya anjana is one of the best vata- kaphaghna, lekhana, dhatupushtikar anjana described in Charaka chikitsasthana 26th adhyaya. It consists of Dhatri, Saindhava, Pippali, Marich & Honey. Among the refractive errors 30 patients of each myopia, hypermetropia, astigmatism & presbyopia were selected, in which Dhatryadi rasakriya anjana was applied. The effect of treatment was seen in each group

Role of chemoports in children with hematological/solid tumor malignancies - Technical implications and complications: An institutional experience

Aim: The aim of this retrospective analysis was to identify the variously related complications and to study preventive and therapeutic measures for these complications. Materials and Methods: A total of 72 catheters were inserted in 69 patients (mean follow-up of 1140 days) from December 2002 to May 2017. Sixty-four children were diagnosed to have hematological malignancies, and five children had solid tumors. The youngest child was 2 months of age, and the oldest was 15 years, 5 months. Records were analyzed retrospectively for the age, indication, route of insertion, and postoperative complications. A protocol-based insertion and postinsertion handling by trained nursing staff/doctors were instituted, including a periodic training program for those concerned. Results: Chemoport-related complications were infection in 3 (4.16%), necessitating port removal in one patient. The rest were managed by antibiotic-lock therapy. The other problems were catheter tip occlusion in 1 (1.38%) and extravasation in two patients (2.77%) leading to a sterile collection around the port chamber. An unsightly scar in 4 (5.55%) and granuloma formation at scar site in 1 (1.38%) patient were noted. Conclusion: Totally implantable chemoports are preferred in children with solid and hematological malignancies because of decreased pain, the rate of infection, and ability to maintain patency for the long term. Despite significant advantages over other types of central venous access, chemoports have their own complications. It was also noted that the rate of complications could be minimized by periodic training of all the personnel concerned and following protocol-based handling of ports

Role of ano rectal myomectomy in children with chronic refractory constipation

Background: Chronic refractory constipation (CRC) is an uncommon type of constipation. These children have persistent symptoms even after treatment with high dose laxatives, which may cause abdominal distension, vomiting, cramping and bloating. We conducted this study to assess the diagnostic and therapeutic role of anorectal myomectomy in children with CRC. Materials and Methods: This study includes 107 patients who fit the criteria of CRC. Complete bowel preparation with polyethylene glycol solution, enemas and antibiotics was carried out before surgery in all patients. The anorectal myomectomy was carried out under general anaesthesia with the patient in the high lithotomy position. The patients were followed up from 6 months to 13 years postoperatively. The success of myomectomy was based on the daily and complete passage of stools without the need for medication or enemas. Results: A total of 99 patients were included in the study, of which, 86 (86.86%) patients showed a good response to anorectal myomectomy. Of these, 32 patients had normal histology, 14 had histology suggestive of Hirschsprung's disease, 8 had hypoganglionosis, 10 had ultra-short segment Hirschsprung's disease and 22 had hypertrophic nerves with immature ganglia. Poor response was seen in 13 (13.13%) patients of whom 5 had normal histology, 5 had Hirschsprung's disease, 2 had hypoganglionosis and 1 had ultra-short segment Hirschsprung's disease. Conclusion: Anorectal myomectomy is an effective and technically simple procedure in selected patients with CRC for both diagnostic and therapeutic purposes