MANAGEMENT OF ASTHI-MAJJA GATA VATA WSR INTER VERTIBRAL DISC PROLAPSE (IVDP) WITH SAGHRITHA KSHEERA BASTI – A CONCEPTUAL STUDY

Lumbago is the third most common symptom presented to general practitioners. Worldwide, 37% of low back pain was deemed attributable to occupational risk factor. Dhatus like Asthi and Majja in Prakrutha avastha does Dharana and Poorana to body and in Vikrutha avastha produce leads to Asthi shoola, Asthi kshaya, Asthi shoonyataetc.Gatatva (movement/passage) is a phenomenon which is used for explaining about the Samprapthi that results in Dhatu kshaya (diminished). The Lakshana of Asthi Majja gata vata is Bhedo asthi parvani (cracking of bones and joints) Sandhi shoola (piercing pain in the joints), Mamsa bala kshaya (diminution of muscle tissues), Aswapna (insomnia) Santata ruja (constant pain). The disease that which comes under these are Kati graha (low back stiffness), Gridhrasi (sciatica), etcInter vertebral prolapsed disc IVPD is a pathology condition which has symptom of lumbago, caused due to strenuous activities, it has 4 stages and once pathology crosses 2nd stage condition cannot be reversed. It starts from severe low back pain, which may be localized then radiates and progresses towards producing towards symptoms like numbness, reduced strength etc.Acharaya charaka while explaining about treatment for Asthimajja gata vata, emphasizes to consider both Asthi and Majja for treating through Snehan in both Bahya (externally) and Abhyantara (internally). While explaining about Asthi pradoshaja vikaara he explains to adopt treatment of Panchakarma in which he gives Importance to Basti, containing Ghritha and Ksheera as main Dravya.

Facile one-pot synthesis of CuO nanospheres: Sensitive electrochemical determination of hydrazine in water effluents

Hydrazine (HZ) is massively used in several industrial applications. Adsorption of HZ through human skin creates carcinogenicity by disturbing the human organ system and thus, the quantification of HZ levels in environmental water samples is highly needed. The present work describes the short-term development of copper oxide nanospheres (CuO NS) by one-step wet chemical approach and their implementation on glassy carbon electrode (GCE) for the sensitive and selective quantification of the environmentally hazardous HZ. The CuO NS formation was identified by X-ray diffraction (XRD), field-emission scanning electron microscopy (FE-SEM), transmission electron microscopy (TEM) and UV-visible spectroscopy. SEM images exhibited the uniform CuO NS with an average size of 85 nm. The linker-free CuO NS modified GCE offered high electrocatalytic activity against HZ determination by showing the linear range determination in the range of 0.5 to 500 µM, with the detection limit of 63 nM (S/N=3), and sensitivity of 894.28 µA mM-1 cm-2. Further, the developed HZ sensor displayed excellent repeatability and reproducibility and was successfully exploited for the determination of HZ in real environmental samples, implying that GCE/CuO-NS is a confident and low-cost electrochemical platform for HZ determination

Experimental and numerical study of stenotic flows

Atherosclerosis has been leading cause of deaths in several countries. Recent technical advances have allowed the investigation of stenotic flows and in understanding the implications with increased severity. Such studies shall provide detailed understanding of flow across stenosis and its progression. In the present study, a large artery representing segment of aorta is considered as test specimen. Experimental study is carried out by generating the pulsatile flow through pulsatile duplicator. Flow across normal and various severities of stenosis such as 25%, 50% and 75% are studied. Numerical simulation using CFD is also carried out in similar normal and stenosed models. A novel concept of using pulse duplicator to generate pulsatile waves and investigate the different stenosed models has been adopted. Results obtained experimentally and numerically are compared and agree well with that of clinical observations. This study demonstrates significant variation of haemodynamic in post-stenotic region with increased stenosis. Increased pulse pressure, phase lag is observed with increased severity. It is also observed that stenosis greater than 75% is significant as flow complexity is induced with considerable disturbance even in early and latter part of pulse cycle. Such study shall be useful in understanding the flow changes in stenosis and enhance clinical observation

Effect of Newtonian and non-Newtonian flow in subject specific carotid artery

Advances in the numerical simulation techniques has immensely helped in the demonstrating the importance of blood flow through elastic arteries and evaluating the disease progression and flow dynamics of cardiovascular diseases such as atherosclerosis. The present work deals with a case study of a patient diagnosed with partial narrowing of entire cervical segment of Internal Carotid Artery (ICA), while Common Carotid Artery (CCA) and External Carotid Artery (ECA) appears to be normal. Subject specific 3D carotid bifurcation CAD model is generated based on CT-angio scan data using MIMICS-14.0 and numerical analysis is performed using Computational Fluid Dynamics (CFD) in ANSYS-CFX-14.0. Pulsatile blood flow through the subject-specific artery is investigated to study the influence of rheology on the haemodynamics in the blood flow. The simulation results obtained through Carreau-Yasuda and Newtonian models are investigated. Flow behaviour observed during peak systole exhibits significant difference in the spatial parameters between both the Newtonian and nonNewtonians models. The comparison of local shear stress magnitude in CCA, ICA and ECA demonstrates that WSS is highly influenced by the shear thinning property of blood. This variation is also observed artery branches with reduced lumen diameter, lumen narrowing due to stenosis and in the bifurcation zone

Fluid-structure interaction study of stenotic flow in subject specific carotid bifurcation: a case study

Advances in numerical simulation have allowed the investigation of complex interaction of blood flow through elastic arteries which can be useful in demonstrating the disease progression and haemodynamics of cardiovascular diseases such as atherosclerosis. In the present study, patient is diagnosed with an occluded right Internal Carotid Artery (ICA) with partial stenosis at root of right External Carotid Artery (ECA) and partial stenosis at the root of left ICA. 3D patient specific carotid bifurcation is generated based on CT scan data using MIMICS-14.0 and numerical analysis is performed using FSI in ANSYS-14.5. The blood flow is assumed to be incompressible, homogenous and Newtonian, while artery wall is assumed to behave linearly elastic. The two-way sequentially coupled transient FSI analysis is performed using FSI solver for three pulse cycles and haemodynamic parameters such as flow pattern, Wall Shear Stress (WSS), pressure contours and arterial wall deformation are studied at the bifurcation and critical zones. The variation in flow behavior is investigated throughout the pulse and simulation results obtained reveals that there is a considerable increase in the flow behavior in partially stenosed carotid unlike occluded carotid. The investigation also demonstrates disturbed flow pattern especially at the bifurcation and stenosed zone elevating the haemodynamic variation during peak systole and later part of pulse cycle. The obtained results agree well with the clinical observation and demonstrate the potential of patient specific numerical studies in prognosis of disease progression and plaque rupture

The Association Between FokI Vitamin D Receptor Polymorphisms With Metabolic Syndrome Among Pregnant Arab Women

Metabolic syndrome (MetS) is a serious health condition that is becoming extremely threatening in Saudi Arabia. The link between vitamin D receptor (VDR) gene polymorphisms and maternal MetS has been observed in several ethnic groups, but is yet to be clarified in the Arabian population. This study aims to investigate the relationship between the FokI VDR genotype and the risk of MetS and its components in pregnant Saudi women. A cross-sectional study was conducted using 368 pregnant Saudi women on first trimester screened for MetS (44 with MetS and 324 without MetS). Measurements included anthropometrics, glycemic and lipid profile and 25(OH)D. TaqMan genotyping assay was used to determine Fokl VDR genotype of participants. Vitamin D deficiency (25(OH)D <50nmol/l) was seen in 85% of the participants. An estimated 12% of participants had MetS. In the MetS group, the FokI VDR genotyping frequencies for FF, Ff, and ff genotypes were 50%, 36.4% and 13.6%, respectively. In controls, the frequencies were 62.7%, 31.4% and 5.9%, respectively. No significant association between the individual MetS components and FokI VDR genotypes were observed. Nevertheless, carriers of the ff allele had a significant risk for full maternal MetS [Odds Ratio 4.2 (95% Confidence Interval 1.4-12.2; adjusted p=0.009). The study suggests that the ff FokI VDR genotype is a genetic marker of maternal MetS in pregnant Arabian women. Prospective studies that include neonatal outcomes may confirm present findings

Influence of Adiposity-Related Genetic Markers in a Population of Saudi Arabians Where Other Variables Influencing Obesity May Be Reduced

Large scale studies in Europeans have clearly identified common polymorphism affecting BMI and obesity. We undertook a genotype study to examine the impact of variants, known to influence obesity, in a sample from the Saudi Arabian population, notable for its profound combination of low mean physical activity indices and high energy intake. Anthropometry measures and genotypes were obtained for 367 Saudis, taken from King Saud University and Biomarker Screening Project in Riyadh (Riyadh Cohort). We observed large effect sizes with obesity for rs10767664 (BDNF) (OR = 1.923, P=0.00072) and rs3751812 (FTO) (OR = 1.523, P=0.016) in our sample and, using weighted genetic risk scores, we found strong evidence of a cumulative effect using 11 SNPs taken predominantly from loci principally affecting appetite (OR = 2.57, P=0.00092). We used conditional analyses to discern which of our three highly correlated FTO SNPs were responsible for the observed signal, although we were unable to determine with confidence which best marked the causal site. Our analysis indicates that markers located in loci known to influence fat mass through increased appetite affect obesity in Saudi Arabians to an extent possibly greater than in Europeans. Larger scale studies will be necessary to obtain a precise comparison

Trends of obesity and abdominal obesity in Tehranian adults: a cohort study

<p>Abstract</p> <p>Background</p> <p>Considering the increasing trend of obesity reported in current data, this study was conducted to examine trends of obesity and abdominal obesity among Tehranian adults during a median follow-up of 6.6 years.</p> <p>Methods</p> <p>Height and weight of 4402 adults, aged 20 years and over, participants of the Tehran Lipid and Glucose Study (TLGS), were measured in 1999-2001(phase I) and again in 2002-2005(phase II) and 2006-2008 (phase III). Criteria used for obesity and abdominal obesity defined body mass index (BMI) ≥ 30 and waist circumference ≥ 94/80 cm for men/women respectively. Subjects were divided into10-year groups and the prevalence of obesity was compared across sex and age groups.</p> <p>Results</p> <p>The prevalence of obesity was 15.8, 18.6 and 21% in men and 31.5, 37.7 and 38.6% in women in phases I, II and III respectively (p < 0.001). The prevalence of abdominal obesity in men was 36.5, 57.2 and 63.3% and in women was 76.7, 83.8 and 83.6% in the three periods mentioned (p < 0.001). Men aged between 20-29 years had highest increase rates of obesity and abdominal obesity in phase III in comparison with phase I (with a respective rates of 2.2- and 3.3-fold). In both sexes, an increased trend was observed between phases I and II, whereas between phases II and III, this trend was observed in men, but not in women.</p> <p>Conclusion</p> <p>This study demonstrates alarming rises in the prevalences of both obesity and abdominal obesity in both sexes especially in young men, calling for urgent action to educate people in lifestyle modifications.</p

Diminishing benefits of urban living for children and adolescents’ growth and development

Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income&nbsp;countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was &lt;1.1 kg m–2 in the vast majority of&nbsp;countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified

Maternal mortality and morbidity burden in the Eastern Mediterranean region : findings from the Global Burden of Disease 2015 study

Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life