Knowledge & Attitude of Medical Students towards Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH)

Introduction: Amalgamation of AYUSH (Ayurveda, Yoga, Unani, Siddha& Homeopathy) with allopathy medicine is a practicable solution for scarcity of health care providers in India. In this regard Government of India has recently mainstreamed AYUSH in rural area by in cooperating it in National Rural Health Mission (NRHM). But the scope of this incorporation will be subjective to the acceptance of AYUSH by allopathic practitioners. Objective: To assess the knowledge and attitude of allopathic health care professionals (undergraduates, postgraduates and interns) towards AYUSH system of medicine. Material and Method: This was a cross-sectional study conducted in medical students of a college in Karnataka, India. Questionnaire was used and data was analyzed using SPSS 16.ver. Results: Out of 131 medical students 49% were males and 51% were females. Only 49.6% of them could expand AYUSH completely and 61% knew that AYUSH was included under NRHM. Attitude of the allopathic practitioners was positive towards AYUSH. 72.5% of them welcomed the Government move of mainstreaming AYUSH in primary health care delivery under NHM in rural areas. Conclusion: Majority of the medical students had positive attitude towards AYUSH and welcome the step of government to include them in NHM

Ayurvedic management of Diabetic Foot Ulcer - A Case Study

There are 424.9 million adults estimated to currently have diabetes globally.[1] Diabetic patients have an inherent risk of foot problems. Globally every 30 seconds, a major amputation occurs; 85% of which are preceded by trivial foot lesions.[2] In Ayurvedic literature, it is explained that Pidakas are formed in Adhoshaka in patients with Prameha due to the weakness of Rasayanis of lower limbs.[3] Such Pidakas if neglected over a period of time, without treatment will undergo Paaka and form a Vrana. Acharya Sushruta has described Shashti Upakramas (60 modalities) for the successful management of Vranas. Among them this article highlights the use of Shodhana, Kshara Varma, Chedana, Ropana and Bandhana Upakramas in the management of Diabetic Foot Ulcer/ Madhumehajanya Dushtavrana and also the need of Shastrakarma (surgical intervention) at the right time. In this study, Triphala Kashaya Avagaha and Pratisaraneeya kshara Karma for Vranashodhana, Chedana Karma followed by Ropana with Jatyaditaila was carried out. The course of treatment carried out brought about Dushtavranaavastha to Shuddhavranaavastha

Stock Price Prediction using Bat Algorithm

There is no such thing as a safe path of investment in the stock market because it is highly unpredictable, which has been a major concern of investors globally. As a result, stock market or stock price prediction has been a hot topic for scholars and researchers and a popular topic for investors worldwide

A randomized controlled trial of sublingual Misoprostol - 600µg versus intravenous Oxytocin - 10IU in prevention of post partum hemorrhage during cesarean section

Background: Mortality related to pregnancy and childbirth causes half a million women around the world to die annually. About 35% of these deaths are from postpartum hemorrhage (PPH). Prevention of PPH has been advised by the WHO by the use of Oxytocin 10 IU IM or IV and Misoprostol 600 µg in low resource settings in vaginal delivery. However there have been only a few reports on the use of Misoprostol during cesarean section. The best route and dose of Misoprostol is still being debated.Methods: One hundred women with term singleton pregnancy undergoing elective or emergency cesarean section under spinal anesthesia were randomly allocated to receive either Misoprostol 600µg sublingually or intravenous oxytocin 10 IU soon after delivery of the baby. Estimated blood loss and comparative change in preoperative hemoglobin to post operative hemoglobin levels and side effects were evaluated.Results: Blood loss was found to be more in Misoprostol than Oxytocin. Eight patients of the Misoprostol group required additional oxytocics. Oxytocin group did not receive any additional drugs. No surgical intervention was made in either of the groups.  The most common side effect with Misoprostol was shivering (46%) and in Oxytocin group fever (4%).Conclusions: Sublingual Misoprostol of 600µg works to prevent postpartum bleeding. In our study Oxytocin was more effective than Misoprostol in preventing PPH during cesarean section. Late onset of action of Misoprostol in comparison to Oxytocin may render suturing of the uterus difficult due to pooling of blood. In settings in which use of Oxytocin is not feasible, Misoprostol might be a suitable alternative for post-partum hemorrhage

Understanding of Vrikka Vidradhi w.s.r. to Renal Abscess

charya Sushruta and Charaka, described Vrikka Vidradhi under Abhyantara Vidradhi, Vrikka Vidradhi is also mentioned and reflect the symptom of Parshva Sankocha, and it can be correlated with Renal abscess. Renal Abscess is a collection of pus around kidney. Renal abscess is an uncommon disease caused by trauma and infection associated with kidney stone. Renal abscess is caused by infection with enteric gram-negative bacilli, Staphylococcus aureus is the etiologic agent in 90% of cortical abscess cases. Renal abscesses most commonly occur in individuals with diabetes mellitus with or without urinary tract obstruction. Common symptoms in patients with renal corticomedullary abscess include fever, chills, nausea / vomiting and flank or abdominal pain. Percutaneous drainage plus parenteral antibiotics is indicated as the initial treatment for abscesses 3-5cm in size. In cases that involve perirenal abscess or infected urinoma, also place a percutaneous perirenal drain. Hence an attempt is made to understand Vrikka Vidhradi in relation to renal abscess

Understanding the concept of Marma and their clinical applicaion in Shalya Tantra w.s.r. to Vital points

Marma therapy is the original point system of healing in the body. “Marma” come from the sanskrit “Mru” and which means “To kill” the 107 Marma points are categorised in terms of their effect on the vitality of the body. Marma is one of the unique and important topics discussed in Ayurveda. It plays an important role in surgery. Hence it is rightly called as Shalya Vishayardha. Marma plays a significant clinical role and may be correlated to the Acupressure/Acupuncture. Marma are the critical points of body associated with different organs and nerves. Ayurveda describe use of Marma therapy for various diseases and identification of Marma points which is to be cured, since injury to these Marma points may causes serious harmful effect. Different types of muscles, veins, bones, ligaments and joints meets with each other at the Marma point thus these points acts as a physiological junction. Discussion of Marma points is found in most of the great texts of Ayurveda but the most famous text to explore the subject is the Sushruta Samhita. Vaidya Sushruta described ‘the locations of the Marma points, as well as how they influence Prana. He stated that it is important for the surgeon to have knowledge of these points for the purpose of avoiding them, so as to cut into them could result in a catastrophic outcome. This article summarizes various perspectives of Marma and their clinical importance as per Ayurveda

Management of Fistula In Ano with Ksharasutra - A Case Study

Fistula in ano is a disease known to the humanity since ancient times. For reasons that are unknown, non specific anal fistula are more common in men than women. The overall incidence is about nine cases per 100000 population per year in western Europe, and those in there third, fourth and fifth decades of life are most commonly affected. It is a chronic illness which is, though not fatal but quite discomfirting and troublesome to the patient and often puts deep impact on the quality of life of a patient. Despite many advances in medical field, it still poses big challenge to the surgeon as there is no suitable curative treatment available so far. For the same reason, Sushruta (500BC) has aptly described this disease as one of the Ashtamahagada. He was first person to describe, etiology, clinical feature and management of Bhagandara. He described Ksharasutra therapy in Bhagandara. A Female patient of age 65 years history of Ischiorectal abscess before 1month, she came on 10-7-2019 with the complaint of itching, pus discharge, mild pain in perianal region. Patient was a diagnosed case of Diabetes mellitus from 8years, Hypertension from 4 years, after investigations and local examination, patient was planned and treated with Ksharasutra

Clinical study to evaluate the efficacy of Yavakshara with Varunaadi Kwatha Churna in Mutrashmari w.s.r to Urolithiasis - A Case Study

Mutrashmari is one of the commonest diseases of Mutravaha Srotas, Acharya Sushruta described it as one of the Ashta-Mahagadas and considered as “Yama” because it gives intolerable pain. Charaka mentioned Ashmari as one of Bastimarmashritha Vyadhi. In modern science it is correlated with Urolithiasis. The incidence rate of Calculi varies as per geographical distribution, sex and age. Generally, men are more affected than women in the ratio of 3:1. The highest incidence of Urolithiasis occurs between the ages of 30-50 years. In Ayurveda various conservative medicine are mentioned for the management Mutrashmari with less side effect, easily available, cost effective and minimum recurrences of stone formation. In this case report 40 years male patient visited OPD of Shalya Tantra with complaint of abdominal pain (radiating pain from loin to groin), nausea and burning micturation. The USG report showed two calculi measuring 6mm and 4mm seen in the left kidney, no evidence of hydronephrosis, 3 calculi measuring 6mm, 5mm and 4mm are seen in the right kidney, and right kidney shows mild HUN due to calculus measuring 5mm in the VUJ. The patient was treated with Yavakshara 3 Gunja Pramana twice a day with 2 Phala of prepared Varunaadi Kashaya for a period of 1 month. At the end of treatment and also in follow up period after 15 days patient got relief in signs and symptoms and USG report showed no evidence calculi in both the kidneys

Detection of epistasis through triple test cross (TTC) analysis in maize (Zea mays L.)

The present study was carried out to detect the epistasis present in two cross of maize through triple test cross (TTC) analysis. The mean squares due to total epistasis was highly significant at P?0.01 for all the characters in both C-I and C-II, except for ear length in C-I. The i type of epistasis was highly significant for the traits such as days totasseling, days to silking, earlength, ear circumference, kernels row-1,100 grain weight and shelling percentage in C-I and in C-II, ‘i’ type was non-significant for ASI, ear length, kernels row-1and grain yield plot-1. Both j type and l type of epistasis were significant for all characters in both C-I and C-II, except for ear length in C-I and days to silking in C-II. The estimate of additive genetic component (D) was highly significant for all characters in both C-I and C-II. Epistasis played a significant role in the inheritance of all the characters in both C-I and C-II except for ear length in C-I. Both additive and dominance components of genetic variance with a predominance of dominance genetic variance played an important role in the inheritance of all the quantitative traits except ear length in C-I and kernel rows ear-1 in C-II