Management of Horse Shoe Fistula-In-Ano by IFTAK technique : A Case Study

Bhagandara is a notorious disorder because of its high recurrence rate and it is difficult to treat. In modern parlance it is corelated with Fistula in Ano. It is caused by cryptoglandular infection of Anal crypts. This case study was presented on a female patient aged 26 years. She was suffering from Fistula In Ano since 2 years and was operated for 3 times. An Innovative technique ‘IFTAK’ was adopted in her case for Ksharasutra application. Regular antiseptic dressing was done with Jatyadi oil daily. Patient completely cured within 1 month 21 days of procedure. Ksharasutra application by IFTAK technique is very effective in case of Horse Shoe shaped Fistula-in-Ano causing minimal scar formation,cost effective, and less time taking

Surgical management of complex Fistula-in-ano (Bhagandara) by Sphincter Preserving Technique (with Ksharasutra Therapy) - A Case Study

Surgical management of complex fistula-in-ano is difficult and it is a challenge to any surgeon because there is high chances of recurrence and fear of incontinence due to injury of anal sphincteric muscles during surgical intervention. Sushruta has developed many surgical procedures, Ksharasutra is one of them. It is a medicated alkaline thread, which cut the fistulous tract slowly and gradually followed by healing. It also helps in draining pus from fistulous tract. Its treatment is still a challenge to the surgeons because of its high reoccurrence rate. So, the main goals for the treatment of Fisutula-inAno are preservation of continence, cicatrisation as possible due to low rate of recurrence. In Ayurveda, Ksharasutra therapy could reduce recurrence with success rate of 96.67%. A 30 years/male came to Shalya OPD with complaints of intermittent watery discharge from perianal region. After local examination and investigations he diagnosed as a case of Fistula-in-ano. He got operated thrice already for this complaint. He was put on for Ksharasutra therapy and the patient got cured from fistula with no complications. Therefore, the Ayurvedic surgery has shown potential for larger public health benefits for such type of cases

Not Available

Not AvailableNot AvailableNot Availabl

Not Available

Not AvailableNot AvailableNot Availabl

Not Available

Not AvailableNot AvailableNot Availabl

Not Available

Not AvailableNot AvailableNot Availabl

Not Available

Not AvailableNot AvailableNot Availabl

Not Available

Not AvailableNAIP sub-project on ‘Strategies for sustainable management of degraded coastal land and water for enhancing livelihood security of farming communities’ was implemented from September 2009 to June 2014 under consortium mode with the specific objectives of (i) sustainable enhancement of the productivity of degraded land and water resources of the coastal region through integrated approaches; (ii) enhancement of livelihood security and employment generation for the poor farming communities of the coastal region; and (iii) empowerment through capacity building and skill development of stakeholders including men and women farmers. Central Soil Salinity Research Institute, Regional Research Station (CSSRI, RRS), Canning Town is the lead center of the consortium and the partners are Ramkrishna Ashram Krishi Vigyan Kendra (RAKVK), Nimpith, Central Institute of Brackishwater Aquaculture, Kakdwip Research Centre (CIBA, KRC), Kakdwip, Bidhan Chandra Krishi Viswavidyalaya (BCKV), Mohanpur and Central Agricultural Research Institute (CARI), Port Blair. The project sites are located in disadvantaged areas in Sundarbans region of Ganges delta (West Bengal) and Tsunami affected Andaman & Nicobar Islands covering 32 villages in 12 Clusters in 4 districts (2 in West Bengal and 2 in Andaman & Nicobar Islands). The project was implemented in 8 Clusters representing 7 Blocks viz. Canning I, Basanti, Patharpratima, Mathurapur II, Kultali, Namkhana and Kakdwip in South 24 Parganas District and 1 Block viz. Sandeshkhali II in North 24 Parganas District in Sundarbans and in 4 Clusters viz. Chouldari in Port Blair and Shoal Bay in Ferrargunj in South Andaman District, and Dashrathpur in Rangat and Deshbandhugram in Diglipur in North & Middle Andaman District in Andaman & Nicobar Islands. Major critical gaps identified in the project sites are (i) degraded land and water with high salinity, and water logging & drainage congestion; (ii) high scarcity of good quality of irrigation water during dry season with poor cropping intensity (mono-cropped) and low productivity of land and water; and (iii) poor soil health and unscientific soil fertility management. Various technological interventions suiting the prevailing land and water resources were implemented to bridge these gaps for higher land and water productivity in sustainable manner. The major technological interventions/ innovations implemented in the study areas were land shaping for improving drainage facility, rainwater harvesting and enhancing productivity of low lying degraded land including Tsunami affected land; cultivation of multiple and diversified crops including horticultural crops and their improved varieties for degraded saline and Tsunami affected lands, promotion of composting including vermi-composting, green manuring, INM, etc. for enhancing productivity of agriculture and aquaculture and improvement of soil health; skill and capacity building of farmers and other stakeholders; and establishment of Rural Technology Centers (RTCs) in villages at the project sites. About 370 ha of low productive salt affected degraded land in Sundarbans and Andaman& Nicobar Islands has been converted from mono-cropped to multi-cropped with integrated crop and fish cultivation through implementation of different land shaping techniques like farm pond, deep furrow & high ridge, paddy-cumfish, broad bed & furrow, three tire system, paired bed system and drainage improvement network. About 13,04,600 m3 rain water has been harvested annually under various land shaping techniques. Raising of land and creating water harvesting facilities reduced the problem of drainage congestion and salinity build up in soil thus, improved soil environment. Reduction of salinity and drainage congestion and increase in availability of fresh water for irrigation helped the farmers to grow multiple and diversified crops round the year instead of mono-cropping with rice in monsoon season (Kharif). The cropping intensity has been increased up to 240% from a base level value of 100%. Productivity of extremely salt affected 370 ha pilot area has been brought back to the productivity closer to non-saline areas. Income of the extremely poor farming family has increased by 6 -10 times or even more. About 5,11,600 man-days have been created from the farming activities after 4 years of implementation of land shaping techniques in the study area. As the farmers get employment in their own farm land throughout the year, this has checked the seasonal migration rate of the farm family. About 21 ha area has been brought under brackishwater aquaculture through shaping of land into shallow depth pond in the coastal areas particularly near the brackishwater rivers or sea coast which remain highly saline throughout the year and not suitable for crop cultivation. New crops and improved varieties of crops have been introduced in 388 ha area in mono-cropped areas of degraded land in dis-advantaged region of Sundarbans and Andaman & Nicobar Islands for sustaining food security and economic growth. Introduction of improved varieties and diversified new crops have increased productivity of degraded land, enhanced employment, reduced risk for crop failure, provided better food and nutritional security, improved soil health, reduced crop nutritional imbalances and increased farm income. Technological interventions like green manuring with Sesbania, fertilizer application on soil test basis and vermi-composting were introduced to enhance the health and fertility status of the degraded soils. About 121.2 ha of degraded land have been brought under improved nutrient management and 133 numbers of vermi-composting units have been established in the study areas. On-campus and off-campus training programmes and exposure visits of farmers were organized by all the partner institutions on various aspects for skill and capacity building of the farming communities of the study area. More than 6000 farmers participated in 133 nos. of trainings/exposure visits. Four numbers of Rural Technology Centres (RTCs) were established in Sundarbans region for dissemination of improved technologies in rural areas during the project period and post project period. About 6400 nos. of small and marginal farmers are using different technological interventions in the study area under this project. About 7,15,700 man-days have been generated under different activities of the project. For the post project sustainability village/cluster committees were set up, farmers club and SGHs were formed/ involved, reputed NGOs as well as line departments were involved, RTCs were constructed and a sustainability fund of about Rs. 1 core have has been generated to ensure continued technological upgrading and hand holding of the beneficiary farmers.GE

Nonlinear TeraHertz transmission by liquid water at 1 THz

The solvation properties of liquid water originate from the transient network of hydrogen-bonded molecules. In order to probe the coupling between the different modes of this network, nonlinear terahertz (THz) spectroscopy techniques are required. Ideally, these techniques should use a minimal volume and capitalize on sensitive field-resolved detection. Here we performed open aperture z-scan transmission experiments on static liquid cells, and detect the THz fields with electro-optical techniques. We show that it is possible to quantify the nonlinear response of liquid water at ~1 THz even when large signals originate from the sample holder windows