10 research outputs found

    Beneficial Remedies of Ayurvedic Medicines Against Allopathic Drugs In Peptic Ulcer

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    Ayurveda has long been regarded as the most dependable and secure medical system. The effectiveness of Ayurvedic Remedies becomes evident after a certain period of time. These remedies operate by enhancing the immune response or eliciting antagonistic reactions. Ayurvedic treatments utilize substances derived from plants, marine sources, and minerals. These remedies tend to have minimal to no observed side effects due to their natural origin. Here, we compared the Allopathic therapies with Ayurvedic remedies for Peptic Ulcer disease

    Cytological diagnosis of syringocystadenoma papilliferum a rare adnexal tumor

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    Syringocystadenoma papilliferum is an uncommon benign adnexal tumor occurring most commonly on scalp and face. The clinical presentation varies from nodular swelling to ulcerated lesions. The lesion was on a rare site (eyebrow) was diagnosed cytologically

    Chondrosarcoma radiotherapy with helical delivery and analysis of MR guidance

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    Purpose: To screen cell and metabolic qualities of chondrosarcoma of thoracic spine through the span of standard 6 week chemoradiation treatment on helical delivery with compound trade immersion exchange - MRI; and to recognize the most suitable process for CEST could decide consequent restorative reaction. Material and Methods: Twelve patients with recently analyzed chondrosarcoma were selected, and CEST-MRI was obtained promptly previously (Day0), 2 weeks (Day14) and a month (Day28) into treatment, and multi month after the finish of treatment (Day70). A few CEST measurements, including charge exchange proportion and region under the bend of CEST tops relating to atomic Overhauser impact and amide protons (MTRNOE, MTRAmide, CESTNOE, and CEST Amide separately), polarization exchange (MT), and direct water impact were examined. Normal tissue volume with target volume coverage was analyzed with plans yielding mean low dose. Absence of early movement was resolved as no expansion in tumor size or intensifying of clinical side effects as per routine post-chemoradiation serial auxiliary MRI. Results : Changes in MTRNOE (nonprogressors = 1.35 ± 0.18, progressors = 0.97 ± 0.22, P = .006) and MTRAmide (nonprogressors = 1.25 ± 0.17, progressors = 0.99 ± 0.10, P = .017) between pattern (Day0) and Day14 brought about the best detachment of nonprogressors from progressors. Besides, the pattern (Day0) MTRNOE (nonprogressors = 6.5% ± 1.6%, progressors = 9.1% ± 2.1%, P = .015), MTRAmide (nonprogressors = 6.7% ± 1.7%, progressors = 8.9% ± 1.9%, P = .028), MT (nonprogressors = 3.8% ± 0.9%, progressors = 5.4% ± 1.4%, P = .019), and CESTNOE (nonprogressors = 4.1%ċHz ± 1.7%ċHz, progressors = 6.1%ċHz ± 1.9%ċHz, P = .044) could distinguish progressors even before the beginning of the treatment

    Comparison of nebulized dexmedetomidine and ketamine for premedication in pediatric patients undergoing hernia repair surgery: a randomized comparative trial

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    Background Allaying anxiety and providing calm children in the operating room is a challenging task for anesthesiologists. This study was designed to compare the use of nebulized dexmedetomidine and ketamine for premedication in pediatric patients under general anesthesia. Methods Seventy patients, aged 2 to 8 years of both sexes, with American Society of Anesthesiologists physical status I/II scheduled for hernia repair surgery under general anesthesia, were randomized to two equal groups using a computer-generated random number table. Patients in group D received dexmedetomidine (2 µg/kg), and patients in group K received ketamine (2 mg/kg) by a jet nebulizer before the induction of anesthesia. The study's primary objective was comparing the level of sedation, which was achieved at 30 min after a study drug administration using the Ramsay sedation scale, between the two groups. The secondary objectives were the two-group comparison of parental separation anxiety scale, acceptance of the mask, hemodynamic variables, recovery time, incidence of emergence agitation, and adverse events. Results The median Ramsay sedation scale at 30 min was 3 (1–4) in group D and 3 (1–3) in group K (P = 0.002). Patients in group D had a more acceptable parental separation anxiety scale (P = 0.001) and a satisfactory mask acceptance scale (P = 0.042). Conclusions Nebulized dexmedetomidine (2 µg/kg) provided better sedation along with smooth parental separation and satisfactory mask acceptance during induction of anesthesia with a similar emergence agitation profile and adverse reactions compared to nebulized ketamine in pediatric patients

    The Dermatomyositis Disease Symptom Questionnaire (DM-DSQ): A Measure to Assess the Patient Experience of Dermatomyositis Symptoms

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    Objective: Dermatomyositis (DM) symptoms negatively impact the quality of life of individuals living with the disease. Disease-specific, patient-reported outcome (PRO) instruments are needed to assess symptoms important to individuals with DM. This study conceptualized patient DM experience and disease activity definition, which refined development of a novel PRO instrument capturing patient-reported symptoms, the Dermatomyositis Disease Symptom Questionnaire (DM-DSQ). Methods: An observational, qualitative study was conducted with 30 individuals with DM (age ≥18 years) in the US. A 1-hour semi-structured interview, including concept elicitation and cognitive debriefing, was conducted with each participant. Inductive coding was used to identify concepts; a saturation analysis was conducted to confirm sample size. Concepts from transcripts were used to refine the preliminary conceptual model and DM-DSQ items. Results: Concept elicitation analysis findings included disease symptoms (e.g., muscle weakness) and functional impacts (e.g., walking). The analysis achieved conceptual saturation: the first 5 interviews uncovered most of the concepts. During cognitive debriefing of the DM-DSQ, participants found the items relevant, comprehensive, and easily understood (except for “skin sensitivity in sunlight”). The revised DM-DSQ content preliminarily appears valid in the patient population surveyed, pending further additions and debriefing based on refinement of the preliminary conceptual disease model and items. Conclusions: The DM-DSQ is being used in a phase 2 clinical trial and could become a valuable tool for studies evaluating PROs in patients with DM. Preliminary results indicate its content validity; extensive psychometric analysis using clinical trial data will determine its ability to capture symptoms for patients with DM. <br/

    International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module

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    We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study using the Centers for Disease Control and Prevention's (CDC) U.S. National Healthcare Safety Network (NHSN) definitions for device-associated health care–associated infection (DA-HAI), we collected prospective data from 605,310 patients hospitalized in the INICC's ICUs for an aggregate of 3,338,396 days. Although device utilization in the INICC's ICUs was similar to that reported from ICUs in the U.S. in the CDC's NHSN, rates of device-associated nosocomial infection were higher in the ICUs of the INICC hospitals: the pooled rate of central line–associated bloodstream infection in the INICC's ICUs, 4.9 per 1,000 central line days, is nearly 5-fold higher than the 0.9 per 1,000 central line days reported from comparable U.S. ICUs. The overall rate of ventilator-associated pneumonia was also higher (16.8 vs 1.1 per 1,000 ventilator days) as was the rate of catheter-associated urinary tract infection (5.5 vs 1.3 per 1,000 catheter days). Frequencies of resistance of Pseudomonas isolates to amikacin (42.8% vs 10%) and imipenem (42.4% vs 26.1%) and Klebsiella pneumoniae isolates to ceftazidime (71.2% vs 28.8%) and imipenem (19.6% vs 12.8%) were also higher in the INICC's ICUs compared with the ICUs of the CDC's NHSN
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