Insulin Resistance: From Theory To Practice

Insulin resistance is at the core of the well recognised metabolic syndrome and possibly many other ailments commonly seen in the modern society. While the quantification of insulin resistance remains a difficult task, the problems associated with it are increasing in epidemic proportions. Need of the hour therefore is to develop concise dietary and pharmacotherapeutic guidelines for prevention and management of insulin resistanc

Clinical study to evaluate the effectiveness of Narikela Lavana, Navasadara Yuktha Yavakshara in comparision with Surya and Navasadara Paneeya Kshara in the management of Cholelithiasis

Cholelithiasis is a crystalline concretion formed within the gall bladder by accretion of bile components. Cholelithiasis can be considered as Pittashaya Ashmari, but there is no direct reference of this condition available in Ayurveda. In Ayurveda the effective treatment is Paneeya Kshara. Surya and Navasadara Paneeya Kshara is standard one and which is highly effective treatment in the management of Cholelithiasis but, persisting pain, presence of calculi has limited in its use. To overcome the lacunas present study has been carried out. This study was conducted at SJIIM Hospital Bengaluru and total of 40 patients were randomly allotted into two groups namely Group A with trial drug i.e. 2grams each of Narikela Lavana, Navasadara, Yava Kshara orally with Jala once daily in empty stomach in the morning, every day for 28 days and Group B with control drug i.e. 2grams of Surya and Navasadara Paneeya Kshara orally with Narikela Jala once daily in empty stomach in the morning, every day for 28 days. Assessment was made on Subjective and Objective parameters. Observations were made before the treatment and on 15th day and 30th day to know the efficacy of the treatment. The combination of Narikela Lavana, Navasadara Yuktha Yava Kshara showed a positive result

Management of Parikartika w.s.r to acute fissurein-ano with Karpoora Grita - A Case Study

Fissure in ano presents with features like severe pain in anus during and after defecation, constipation, stools streaked with blood. This is challenge to treat due to its nature of recurrence. The condition demands innovative techniques for its management. Many techniques are tried in its management, each by no means better than the other. The condition can be correlated with Parikartika according to Ayurveda. Ayurvedic treatment is beneficial in such cases which includes conservative management like Deepana, Pachana, Vatanulomana and Basti Karma and local application of Madhura-Sheetha-Snighdha Dravyas, Taila Poorana, Lepa and Pichudharana. A case study of patient having features of Parikartika was selected from OPD and Karpoora Ghrita Pichu was done for 7 days. Assessment was done on Pain, per rectal bleeding, constipation, sphincter tone and burning sensation. Significant improvement was observed after treatment

A case study on management of Carpal Tunnel Syndrome (Manibandha Sandisthitha Snayugatha Vata) with Marmakkoottu Lepa and Agnikarma with Panchadhatu Shalaka

Carpal tunnel syndrome is an entrapment neuropathy caused by compression of median nerve as it passes through the carpal tunnel i.e., the space between the carpal bones posteriorly and the flexor retinaculum anteriorly.[1] The compression can be caused by skeletal abnormalities, swelling of other tissues within the tunnel or thickness of the retinaculum. The condition is common in middle aged women at the menopause. In younger patients the cause may be rheumatoid disease, pregnancy or tenosynovitis. It is a condition that causes pain, numbness, tingling, and weakness in the hand and wrist.[2] Carpal tunnel syndrome has fast growing annual incidence rate of 5 to 50 per Ten thousand populations. Modern treatment for this condition includes injecting hydrocortisone into flexor sheaths at the carpal tunnel, wearing cock-up splint and longitudinal division of the flexor retinaculum.[3] On the basis of structures involved and features of carpal tunnel syndrome this condition can be correlated with Snayugata Vata Vikara which affects tendons ligaments and nerve. Among the treatment modalities mentioned by Ayurveda, Agnikarma and Alepa with Marmakkoottu Lepa are taken up for study. In Agnikarma a strong stimulus is given to reduce the pain. Alepa improves local tissue metabolism, reduces inflammation and relaxes musculature

A case study to evaluate Jalaukavacharana in the management of Siraja Granthi with special reference to Varicocele

Varicocele is state of varicosity of testicular veins. It is the more frequent and more discomforting condition seen in mostly in teens or in early adult life of males. Occurs in approximately 15-20% of all healthy fertile males and 40% of infertile males. Varicocele can have destructive effects on mobility, concentration and morphology of sperm and can reduce its DNA integrity and other functions. The treatment protocol in varicocele mainly includes laparoscopic ligation of the testicular veins and embolism of testicular vein under radiological control. The major drawback is surgical intervention. It is done only in advanced stage or when there is severe pain or remarkable oligospermia. There are chances of recurrence. There is no direct reference of varicocele as a separate disease in the classics. But Siraja Garnthi is quoted in all Brihatrayees which has similar etiopathogenesis and clinical presentations. The line of treatment mentioned is Siravyadha. Even Purvarupa of Vruddi mentioned by Acharya Sushruta in Vruddinidhna in Nidanastana, can be considered as varicocele. By considering the site and presentation, varicocele can be co-related with Siraja Garnthi of Vrushana Kosha and the treatment protocol to be followed is Siravyadha. Since the pampiniform plexus and testicular veins are of smaller diameter, Jalakavacharana can be considered. Hence, Jalaukavacharana is carried out to see the effectiveness in Varicocele

Pharmaceutico analytical study of Mukha Kanthikara Lepa and development of its new dosage form into Cream and Gel

The need for cosmetics is seen from very ancient days; peoples were using variety of cosmetic products both for curative purpose as well as enhancing beauty. Mukhakantikara Lepa is a polyherbal formulation mentioned in Sharandhara Samhita in the form of Churna, which is extensively used to enhance skin complexion. In present time, the difficulty of portability, application, removal and shelf life of the Churna is a great challenge to Lepa form though being effective. Here arises a need for newer dosage form. Creams and gels are semisolid preparations which may be defined as topical products intended for application on skin or accessible mucous membrane to provide localised and sometimes systemic effects at the site of application. This dosage forms are more stable, easy to handle, easy to apply and remove. Hence, modification of Mukhakatikara Lepa into Cream and Gel can be a better idea to overcome the shortcoming of Lepa form

Pharmaceutical analytical study and their nutritive evaluation of Samsarjanopayogi Pathya Kalpas and their modified form

In present era demand for quick, more convenient, healthy and quality instant food preparations are increasing and there is a leading edge to pharmaceutically modify them in accordance to the patient compliance, portability, and to provide best quality and hygiene by utilizing the presently available sophisticated modern technology. Hence, the study has been specially planned to modify the Peyadi Pathya Kalpas into instant form and assess their physico chemical properties and to evaluate their nutritive values. Flaking technique was used for raw ingredients of Peyadi Pathya preparations. Fresh form of Manda, Peya and Vilepi were prepared using Shashtika Shali and white rice (Tandula) respectively. In same way Yusha was prepared using Mudga and Kulattha separately. The cooking time required for raw grains were 35±1.42, 12±0.41, 35±1.17 and 45±0.73 minutes respectively. The flaked ingredients cooking time was 6±1.35, 3±1.13, 3±1.40, 4±1.20 minutes respectively. The percentage of Carbohydrate observed in raw samples i.e. Shashtika Shali 75.2%, white rice 78.52% respectively and percentage of carbohydrate content in flaked samples were 77.43%, 79.49%. The protein content of raw samples of Mudga and Kulattha are 22.93% and 21.91% respectively and flaked samples were 22.93%, 20.91% respectively, so the flaking technique was used to convert the raw ingredients into flakes which were helpful to reduce the cooking time, energy consumption and less compromising with the nutritive values as concerned

The Institute of Chartered Accountants of India V/S National Financial Reporting Authority

In India traditionally accounting and audit related standards are regulated by The Institute of Chartered Accountants of India (ICAI). The ICAI was established to set a code of conduct that needs to be followed by all the professional accounting practitioners including auditing firms. ICAI working as an autonomous institution under Government of India, but Government has set up another regulatory body calledNational Financial Reporting Authority (NFRA)over ICAI for recommendations to the Central Government on formulating high-quality accounting standards and auditing polices, which mandatorily adapt by companies or auditors. NFRA is given complete power to regulate &control audit practices. Howeverone can observe that there are two equivalent organisation operating with the same objective which may create more bureaucratic hurdles in the system

Awareness and Use pattern of Electronic Resources among the Doctoral Research Scholars of Central University of Tamil Nadu, Tiruvarur, India: A study

This paper\u27s main objective is to examine the awareness and use pattern of electronic resources by doctoral research scholar’s community of the Central University of Tamil Nadu. The investigator adopted a survey method used for the study. Structured questionnaires were administered to the 100 respondents to collect data for the study and returned questionnaires were analysed using simple percentage by the SPSS software. Findings of the survey revealed that the majority of doctoral students aware of electronic resources and user education/training programs are the most important for maximum utilization of electronic resources in University Library