Madhu Agnikarma in the pain management of Tennis Elbow - A Case Study

Lateral epicondylitis, also known as ‘tennis elbow’, is a very common condition that presents with pain and tenderness on the lateral side of the elbow due to the repetitive stress, results in inflammation of the common extensor tendon of the lateral epicondyle of the humerus. According to Ayurveda, Snayugata Vikara can be correlated with the condition of tennis elbow. Agnikarma being superior among all surgical and parasurgical procedure by its action seems to be more effective in providing instant pain relief. The therapeutic effects of Agnikarma with Kshoudra include relief of pain and muscle spasm, acceleration of healing, promotion of resolution of inflammation and increase in the range of movement of joint

To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer : A Case Study

The global prevalence of diabetics is estimated to increase from 4.0% in 1995 to 5.5% by the year 2025. The chances of secondary infection are more in diabetics as the immunity of the patients is compromised and needs prolonged hospitalization, psychological and social problem for the patients and family. In Madhumehi the vessels of lower limb become weak and is unable to expel the Doshas (along with other Dushyas) leading to Prameha Pidakas more in lower extremities, which eventually burst open precipitating an ulcer.  Avachoornana is one among the Shashti Upakrama, explained by Acharya Sushrutha for management of Vrana. Numerous studies are done in the management of Dushta Vrana with the internal medication and external therapies. Here a preliminary attempt to study the effect of Avachoornana with Lakshadi Choorna in the management of the same was taken for the study

Application of Katupila Rasakriya for Vrana Shodhana in Venous Ulcer : A Case Study

Katupila (Seccurinega leucopyrus (Wild.) Muell) is a dessert climate plant widely known in Sri Lanka as a traditional folk remedy for treating / addressing acute, chronic, and non-healing wounds. Majority of the chronic leg ulcers arises from venous ulcers, which occurs due to abnormal venous hypertension in the lower third of the leg, ankle and dorsum of foot. The study aims to explore the potential benefits of Katupila Rasakriya for Vrana Shodhana in venous ulcer. It is a case report of a 54 year old male patient who presented with the chief complains of a non-healing ulcer above right lateral malleolus since 2 months. Associated with pain, burning sensation, seropurulent discharge with unpleasant odour. He was examined and diagnosed as venous ulcer. The wound was dressed with Katupila Rasakriya twice for a period of 14 days. Significant healing in wound was observed within 2 weeks of treatment. Healing of Venous ulcers are a major clinical challenge. In spite of the fact that the healing of vrana is a natural process, it should be protected against Dosha Dushti, and micro-organisms which may delay the healing process. Thus, before initiating Ropana, It is important to focus on making a Vrana Sudha. In the present study, Katupila Rasakriya demonstrated promising results in the better management of venous ulcer. Further clinical study is needed to evaluate the effectiveness in larger sample

An Ayurvedic perspective of Haemostatic Measures - A Review Article

The Raktadhatu i.e., the blood is given greater importance in life sciences, especially in the field of surgery. Acharya Susruta has even considered it as an important Dosha as Tridoshas in the etiopathology of diseases, its curative measures and in maintenance of health. To prevent loss of this entity, Acharya Susruta has elaborately described this under a specific heading namely Chaturvidha Rakta Sthambhana Upayas, namely Sandhana, Skandana, Dahana and Pachana. Sandhana is applying Kashayarasa Dravyas in different forms, suturing, ligation, application of pressure and pressure bandages etc. Skandhana is application of cold by any means. Pachana is application of caustic ashes and alkalis. Dahana is to burn by different means. In above methods haemostasis is achieved by inducing vasoconstriction, coagulation, mechanical and physical obliteration of vessels. Thus Skandana, Sandhana, Pachana, Dahana are the absolute haemostatic measures, understanding of which will equip surgeons to face haemorrhage with every available resources.&nbsp

Multimodal Sentiment Sensing and Emotion Recognition Based on Cognitive Computing Using Hidden Markov Model with Extreme Learning Machine

In today's competitive business environment, exponential increase of multimodal content results in a massive amount of shapeless data. Big data that is unstructured has no specific format or organisation and can take any form, including text, audio, photos, and video. Many assumptions and algorithms are generally required to recognize different emotions as per literature survey, and the main focus for emotion recognition is based on single modality, such as voice, facial expression and bio signals. This paper proposed the novel technique in multimodal sentiment sensing with emotion recognition using artificial intelligence technique. Here the audio and visual data has been collected based on social media review and classified using hidden Markov model based extreme learning machine (HMM_ExLM). The features are trained using this method. Simultaneously, these speech emotional traits are suitably maximised. The strategy of splitting areas is employed in the research for expression photographs and various weights are provided to each area to extract information. Speech as well as facial expression data are then merged using decision level fusion and speech properties of each expression in region of face are utilized to categorize. Findings of experiments show that combining features of speech and expression boosts effect greatly when compared to using either speech or expression alone. In terms of accuracy, recall, precision, and optimization level, a parametric comparison was made

Genetic population structure of the malaria vector Anopheles baimaii in north-east India using mitochondrial DNA

<p>Abstract</p> <p>Background</p> <p><it>Anopheles baimaii </it>is a primary vector of human malaria in the forest settings of Southeast Asia including the north-eastern region of India. Here, the genetic population structure and the basic population genetic parameters of <it>An. baimaii </it>in north-east India were estimated using DNA sequences of the mitochondrial cytochrome oxidase sub unit II (COII) gene.</p> <p>Methods</p> <p><it>Anopheles baimaii </it>were collected from 26 geo-referenced locations across the seven north-east Indian states and the COII gene was sequenced from 176 individuals across these sites. Fifty-seven COII sequences of <it>An. baimaii </it>from six locations in Bangladesh, Myanmar and Thailand from a previous study were added to this dataset. Altogether, 233 sequences were grouped into eight population groups, to facilitate analyses of genetic diversity, population structure and population history.</p> <p>Results</p> <p>A star-shaped median joining haplotype network, unimodal mismatch distribution and significantly negative neutrality tests indicated population expansion in <it>An. baimaii </it>with the start of expansion estimated to be ~0.243 million years before present (MYBP) in north-east India. The populations of <it>An. baimaii </it>from north-east India had the highest haplotype and nucleotide diversity with all other populations having a subset of this diversity, likely as the result of range expansion from north-east India. The north-east Indian populations were genetically distinct from those in Bangladesh, Myanmar and Thailand, indicating that mountains, such as the Arakan mountain range between north-east India and Myanmar, are a significant barrier to gene flow. Within north-east India, there was no genetic differentiation among populations with the exception of the Central 2 population in the Barail hills area that was significantly differentiated from other populations.</p> <p>Conclusions</p> <p>The high genetic distinctiveness of the Central 2 population in the Barail hills area of the north-east India should be confirmed and its epidemiological significance further investigated. The lack of genetic population structure in the other north-east Indian populations likely reflects large population sizes of <it>An. baimaii </it>that, historically, were able to disperse through continuous forest habitats in the north-east India. Additional markers and analytical approaches are required to determine if recent deforestation is now preventing ongoing gene flow. Until such information is acquired, <it>An. baimaii </it>in north-east India should be treated as a single unit for the implementation of vector control measures.</p

Role of Ventral Subiculum in Context-Induced Relapse to Alcohol Seeking after Punishment-Imposed Abstinence

In many human alcoholics, abstinence is self-imposed because of the negative consequences of excessive alcohol use, and relapse is often triggered by exposure to environmental contexts associated with prior alcohol drinking. We recently developed a rat model of this human condition in which we train alcohol-preferring P rats to self-administer alcohol in one context (A), punish the alcohol-reinforced responding in a different context (B), and then test for relapse to alcohol seeking in Contexts A and B without alcohol or shock. Here, we studied the role of projections to nucleus accumbens (NAc) shell from ventral subiculum (vSub), basolateral amygdala, paraventricular thalamus, and ventral medial prefrontal cortex in context-induced relapse after punishment-imposed abstinence. First, we measured double-labeling of the neuronal activity marker Fos with the retrograde tracer cholera toxin subunit B (injected in NAc shell) and demonstrated that context-induced relapse is associated with selective activation of the vSub→NAc shell projection. Next, we reversibly inactivated the vSub with GABA receptor agonists (muscimol+baclofen) before the context-induced relapse tests and provided evidence for a causal role of vSub in this relapse. Finally, we used a dual-virus approach to restrict expression of the inhibitory κ opioid-receptor based DREADD (KORD) in vSub→NAc shell projection neurons. We found that systemic injections of the KORD agonist salvinorin B, which selectively inhibits KORD-expressing neurons, decreased context-induced relapse to alcohol seeking. Our results demonstrate a critical role of vSub in context-induced relapse after punishment-imposed abstinence and further suggest a role of the vSub→NAc projection in this relapse. SIGNIFICANCE STATEMENT In many human alcoholics, abstinence is self-imposed because of the negative consequences of excessive use, and relapse is often triggered by exposure to environmental contexts associated with prior alcohol use. Until recently, an animal model of this human condition did not exist. We developed a rat model of this human condition in which we train alcohol-preferring P rats to self-administer alcohol in one context (A), punish the alcohol-reinforced responding in a different context (B), and test for relapse to alcohol seeking in Contexts A and B. Here, we used neuroanatomical, neuropharmacological, and chemogenetic methods to demonstrate a role of ventral subiculum and potentially its projections to nucleus accumbens in context-induced relapse after punishment-imposed abstinence

Post-implementation Review of the Himalaya Home Care Project for Home Isolated COVID-19 Patients in Nepal

Background: The emergence of coronavirus disease 2019 (COVID-19) has resulted in a pandemic that has significantly impacted healthcare systems at a global level. Health care facilities in Nepal, as in other low- and middle-income countries, have limited resources for the treatment and management of COVID-19 patients. Only critical cases are admitted to the hospital resulting in most patients in home isolation. Methods: Himalaya Home Care (HHC) was initiated to monitor and provide counseling to home isolated COVID-19 patients for disease prevention, control, and treatment. Counselors included one physician and four nurses. Lists of patients were obtained from district and municipal health facilities. HHC counselors called patients to provide basic counseling services. A follow-up check-in phone call was conducted 10 days later. During this second call, patients were asked about their perceptions of the HHC program. Project objects were: (1) To support treatment of home isolated persons with mild to moderate COVID-19, decrease burden of hospitalizations, and decrease risks for disease transmission; and, (2) To improve the health status of marginalized, remote, and vulnerable populations in Nepal during the COVID-19 pandemic. Results: Data from 5823 and 3988 patients from May 2021-February 2022 were entered in initial and follow-up forms on a REDCap database. The majority of patients who received counseling were satisfied. At follow-up, 98.4% of respondents reported that HHC prevented hospitalization, 76.5% reported they could manage their symptoms at home, and 69.5% reported that counseling helped to limit the spread of COVID-19 in their household. Conclusions: Telehealth can be an essential strategy for providing services while keeping patients and health providers safe during the COVID-19 pandemic

Therapeutic efficacy of artemether–lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria from three highly malarious states in India

Additional file 1. Flowchart showing site-wise enrolment and follow-up profile