A CASE REPORT OF SHADBINDU TAILA NASYA AND TRIKATU DHOOMAPANA ON APEENASA-ATROPHIC RHINITIS

Acharya Sushruta stated 28 Nasagata rogas. Out of these 28 Nasagata rogas some features of Pootinashya, Dushtha Pratishyaya and Apeenasa are similar to the clinical features of Atrophic Rhinitis (AR). Apeenasa is a Nasagata Roga characterized by nasal obstruction, running nose, Dryness of nose, anosmia, and loss of taste. This condition can be co-related with Atrophic Rhinitis. Though there are many modalities described in modern ENT, still it is not possible to cease the Permanent Impairment. In Ayurved many modalities are being described for Urdhwajatrugata Rogas and for Nasagata Vikara. Among them Nasya (administered of drugs in to nasal cavity) is best. As it is a Kapha Pradhana Vikara, Katu Dhoomapana can also be added to this procedure. The Nashya procedure is explained by Brihatrayees. The complete procedure of Nashya includes Poorva Karma (Snehana and Swedana), mobilizes the Doshas to the site of elimination and causes vasodilatation which helps in elimination of Doshas and provides better channel for absorption of the Oushadhi. Pradhana Karma (Nashya) eliminates the Doshas. Kavala as Paschat Karma eliminates the remaining Doshas and causes better absorption of the Oushadhi which ultimately eliminates the symptoms of the disease. A clinical observation has shown effective result in the treatment of AR with Shadbindu Taila Nasya and Trikatu Dhoomapana. And here we are revalidating the statement of our Acharyas. A case report of a female, aged 38 years with complain of nasal obstruction, foul smell from nose, anosmia, headache, nasal discharge, sneezing and general weakness has been presented here

DIABETIC RETINOPATHY AND ITS INTERPRETATIONS THROUGH AYURVED

Chaksyu is the Pradhana-anga that is affected in Diabetic retinopathy. So the Netra Rakshana is highly essential for the human being in Diabetic retinopathy. Now-a-Days Diabetic retinopathy is a major vision threatening factor. The prevalence rates are; Diabetic retinopathy (34.6%), Proliferative Diabetic retinopathy (7%), diabetic macular oedema (6.8%) and Vision threatening Diabetic retinopathy (10.2%). To treat the disease we need to know the level of impairment, the signs and its etiopathology. In Ayurved it is very important to know the Samprapti before treating the disease. Now-a-days Pratyaksha gyana plays a vital role to trace out the disease. Complain of the patient, sign and symptom of the disease along with the pathogenesis is necessary to diagnose and to treat the disease. The features occurs in the fundus in Diabetic retinopathy cannot visualize by Pratyaksha, explained in classical literatures. Many ophthalmic investigations, procedures have been developed so far like fundoscopy, OCT, B’scan, fluorescent test etc. to detect the pathology occurred in the fundus of Diabetic retinopathy eyes. So it is very important for all Shalaki is to correlate the disease, to derive a conclusion according to the Ayurvedic Samprapti/ pathogenesis and terminology described in classical literatures. By analyzing the Samprapti of the disease we can conclude that, the pathology occurred in fundus are most probably due to the Dhatu-kshaya janya, Urdhwaga-raktapittaja, Mandagni janya and Avarana janya. Diabetic retinopathy can be correlated with Pramehaja Timira and its treatment is the treatment of Prameha explained in classics having Chakshushya property

Prepared to react? Assessing the functional capacity of the primary health care system in rural Orissa, India to respond to the devastating flood of September 2008

Background: Early detection of an impending flood and the availability of countermeasures to deal with it can significantly reduce its health impacts. In developing countries like India, public primary health care facilities are frontline organizations that deal with disasters particularly in rural settings. For developing robust counter reacting systems evaluating preparedness capacities within existing systems becomes necessary. Objective: The objective of the study is to assess the functional capacity of the primary health care system in Jagatsinghpur district of rural Orissa in India to respond to the devastating flood of September 2008. Methods: An onsite survey was conducted in all 29 primary and secondary facilities in five rural blocks (administrative units) of Jagatsinghpur district in Orissa state. A pre-tested structured questionnaire was administered face to face in the facilities. The data was entered, processed and analyzed using STATA® 10. Results: Data from our primary survey clearly shows that the healthcare facilities are ill prepared to handle the flood despite being faced by them annually. Basic utilities like electricity backup and essential medical supplies are lacking during floods. Lack of human resources along with missing standard operating procedures; pre-identified communication and incident command systems; effective leadership; and weak financial structures are the main hindering factors in mounting an adequate response to the floods. Conclusion: The 2008 flood challenged the primary curative and preventive health care services in Jagatsinghpur. Simple steps like developing facility specific preparedness plans which detail out standard operating procedures during floods and identify clear lines of command will go a long way in strengthening the response to future floods. Performance critiques provided by the grass roots workers, like this one, should be used for institutional learning and effective preparedness planning. Additionally each facility should maintain contingency funds for emergency response along with local vendor agreements to ensure stock supplies during floods. The facilities should ensure that baseline public health standards for health care delivery identified by the Government are met in non-flood periods in order to improve the response during floods. Building strong public primary health care systems is a development challenge. The recovery phases of disasters should be seen as an opportunity to expand and improve services and facilities

A creative destruction approach to replication: implicit work and sex morality across cultures

How can we maximize what is learned from a replication study? In the creative destruction approach to replication, the original hypothesis is compared not only to the null hypothesis, but also to predictions derived from multiple alternative theoretical accounts of the phenomenon. To this end, new populations and measures are included in the design in addition to the original ones, to help determine which theory best accounts for the results across multiple key outcomes and contexts. The present pre-registered empirical project compared the Implicit Puritanism account of intuitive work and sex morality to theories positing regional, religious, and social class differences; explicit rather than implicit cultural differences in values; self-expression vs. survival values as a key cultural fault line; the general moralization of work; and false positive effects. Contradicting Implicit Puritanism's core theoretical claim of a distinct American work morality, a number of targeted findings replicated across multiple comparison cultures, whereas several failed to replicate in all samples and were identified as likely false positives. No support emerged for theories predicting regional variability and specific individual-differences moderators (religious affiliation, religiosity, and education level). Overall, the results provide evidence that work is intuitively moralized across cultures