scholarly journals AN OBSERVATIONAL CLINICAL STUDY TO EVALUATE SHIROROGA NIDANA IN CEREBROVASCULAR ACCIDENT

2021 ◽  
Vol 9 (7) ◽  
pp. 1366-1371
Author(s):  
Lavanya V K ◽  
Arun Kumar M ◽  
Nagaraj S

Shiroroga is a broad term encompassing various diseases of the head involving Rakta Dushti due to vitiated Doshas.[1] resulting in different neurovascular presentations, which is comparable with the vascular pathology of stroke. Cerebrovascular diseases include some of the most devastating disorders such as ischemic stroke and haemorrhagic stroke, which result in episodes of brain dysfunction.[2] Currently, the stroke incidents in India is much higher and prevention of stroke is the best option, through control and/or avoiding risk factors such as hypertension. Objectives: This calls for an evaluation of the possible Shiroroga Nidana in the development of Cerebro Vascular Accident (CVA) to identify more risk factors. Methods: In this cross-sectional observational study, 30 subjects diagnosed with the cerebrovascular accident were selected. The probable incidence of Nidana (causes), in patients, were assessed through a questionnaire developed for the study. The recorded data were analysed with descriptive statistics. Results: Nidana, like Vegadharana and Rodana causes Rakta Dushti along with Vata Prakopa. Aharaja Nidanas of Shiroroga are similar to that of Rakta Dushti Nidana and directly causes Dhatu Pradooshana in the body. Manasika Nidana or anxiety and emotional stress acts as Vyanjaka or PrerakaHetu in Samprapti of Shiroroga. Conclusion: Bahya Hetu (external factors) triggers Dosha Kopa or causes Dhatu Pradooshana. In CVA patients, Vata Pradhana Tridosha Kopa and Rakta were vitiated to initiate the disease manifestation. Keywords: Cerebrovascular Accident; Nidana; Shiras; Shiroroga; Stroke.

2021 ◽  
Vol 9 (8) ◽  
pp. 1642-1647
Author(s):  
Silviniya Anitharaj Fernandes ◽  
Prasanna N Mogasale ◽  
Arun Kumar M ◽  
Nagaraj S

Asrigdara is a disease produced by Dosha Prakopa (vitiation of Dosha) along with Rakta Dushti (vitiation of blood components) primarily in Artavaha Srotas characterised by excessive excretion of menstrual blood where the increased Rakta mix with Raja (menstrual blood) thus, the quantity of Raja increases. It refers to all types of Abnormal Uterine Bleeding (AUB), in which Asrigdara is traditionally expressed as menorrhagia, metrorrhagia, polymenorrhea etc. Up to 1/3rd of women is experiencing abnormal uterine bleeding most commonly in menarche and menopause. Still, the cure of Asrigdara is facing difficulty, which shows that the understanding of Asrigdara is still incomplete, and this motivates to determine further, the other risk factors or other pathology involved in asrigdara. Objective: This calls for an evaluation of the possible Shonitha Dushti Nidana in Asrigdara to identify more risk factors. Methods: In this cross-sectional observational study, 36 subjects diagnosed with Asrigdara were selected. The probable incidence of Nidana (causes), in patients, were assessed through a questionnaire de- veloped for the study. The recorded data were analysed with descriptive statistics. Results: Aharaja Nidanas of Asrigdara acts as Viprakrushta Hetu (remote cause) causes Dhatu Pradooshana (vitiation of tissues) in the body. The Nidana Viruddha Ahara causes Rakta Dushti directly. The Manasika Nidanas such as Krodha (anger) is found to act as Vyanjaka Hetu (weak cause) in the manifestation of Asrigdara. Conclusion: Bahya Hetu (externalfactors) triggers Dosha Kopa or causes Dhatu Pradooshana. In Asrigdara patients, Pitta Pradhana Tridosha and Rakta were vitiated to initiate the disease manifestation. Keywords: Asrigdara, Rakta, Abnormal uterine bleeding, Raja.


2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Dalia Hegazy Ali ◽  
Doha Mostafa Elserafi ◽  
Marwa Abdel Rahman Soltan ◽  
Mohamed Fikry Eissa ◽  
Hanan Ahmed Zein ◽  
...  

Abstract Background Patients with schizophrenia suffer from diffuse cognitive impairment and high prevalence of cardiovascular metabolic risks, associated with poor clinical outcomes. We aimed in this study to test the presence of cognitive impairment in a sample of patients with schizophrenia, and evaluate its possible relations to patients’ metabolic profile. We recruited forty patients diagnosed with schizophrenia and their matched controls from the inpatient departments and outpatient services from January to December 2016. Schizophrenia diagnosis was confirmed by the ICD10 criteria checklist. Symptoms profile and severity were assessed by the Positive and Negative Syndrome Scale. Cognitive profile was assessed through (1) Trail Making Test, Parts A and B and (2) Wechsler Memory Scale-Revised Visual Reproduction Test. Metabolic profile was assessed by measuring the body mass index, fasting blood glucose, and lipid profile. SPSS (V. 22.0, IBM Corp., USA, 2013) was used for data analysis. Results The patients group had a significantly higher means in the speed of processing, executive function, attention, and working memory scores on TMT-A (p = 0.0), TMT-B (p = 0.00), and WMS-R (p = 0.029) and significantly higher FBG levels (p = 0.00). Correlation studies showed that the increase in patients’ age, illness duration, treatments, number of hospitalizations, number of episodes and of ECT sessions received, symptoms severity, and deficits in cognitive function scores was associated with higher BMI and FBG. Conclusions Patients with schizophrenia have a higher prevalence of cognitive impairment and vascular risk factors than the general population. Close monitoring and early management of these risk factors can promote better cognitive abilities and overall functions.


BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e015758 ◽  
Author(s):  
Fu-Liang Zhang ◽  
Zhen-Ni Guo ◽  
Yan-Hua Wu ◽  
Hao-Yuan Liu ◽  
Yun Luo ◽  
...  

ObjectivesEpidemiological studies aimed at stroke and its risk factors can help identify persons at higher risk and therefore promote stroke prevention strategies. We aimed to explore the current prevalence of stroke and its associated risk factors in northeast China.DesignPopulation based cross sectional study.SettingData were collected using a structured precoded questionnaire designed by the Stroke Screening and Prevention Programme of the National Health and Family Planning Commission of China, between January and March 2016.Participants4100 permanent residents, aged 40 years or older, who had lived in Dehui City of Jilin Province for more than 6 months volunteered to participate in the survey, with a response rate of 92.2%. For the purpose of the present analysis, 48 subjects were excluded due to missing values, giving a total of 4052 people included in this analysis.Main outcome measureThe questionnaire included demographic characteristics, stroke related behavioural factors, personal and family medical history of stroke, physical examination and laboratory testing.ResultsThe overall prevalence of stroke in Jilin Province was 7.2% (95% CI 6.3% to 8.2%). Of all stroke cases, 91.7% (95% CI 87.4% to 94.6%) were ischaemic stroke and 8.3% (95% CI 5.4% to 12.6%) were haemorrhagic stroke. The prevalence rates of dyslipidaemia, smoking and hypertension were ranked as the top three cerebrovascular risk factors and were 62.1%, 61.8% and 57.3%, respectively. We found that hypertension, dyslipidaemia and lack of exercise were associated with ischaemic stroke. However, only hypertension (OR=4.064, 95% CI 1.358 to 12.160) was significantly associated with haemorrhagic stroke.ConclusionsThe prevalence of stroke, especially ischaemic stroke, and associated cerebrovascular risk factors among adults aged 40 years or older in northeast China were high. A higher regional prevalence of hypertension, dyslipidaemia and lack of exercise may be responsible.


2018 ◽  
Vol 25 (4) ◽  
pp. 290-294 ◽  
Author(s):  
Jackson Fein ◽  
David Bogumil ◽  
Jeffrey S Upperman ◽  
Rita V Burke

BackgroundPrevious studies have identified risk factors for dog bites in children, but use data from individual trauma centers, with limited generalizability. This study identifies a population risk profile for pediatric dog bites using the National Trauma Data Bank. We hypothesized that the population at risk was younger boys, that such bites occur at home, are moderately severe, and are on the face or neck.MethodsFor this retrospective cross-sectional study, a sample of 7912 children 17 years old and younger with International Classification of Diseases (ICD)-9 event code E906.0, for dog bites, were identified. Datasets from 2007 to 2014 were used. Data included patient’s gender, age, ICD-9 primary and location E-codes, AIS body region and AIS severity.ResultsMost children were 6–12 years old and female, but a similar number fell into the narrower range of 0–2 years old. Injuries in the younger group frequently occurred at home, on the face and head, and with minor severity. Age of the child predicts the location of incident (P<0.001), the severity of injury (P<0.001) and the body region of the injury (P<0.001). Body region of the injury predicted its severity (P<0.001).DiscussionYounger children are more likely to receive dog bites, and bites incurred are likely of greater severity. Children this young cannot yet be taught how to properly interact with a dog.ConclusionsDog bites are a significant source of morbidity for children. Based on the population risk factors profile generated, this study recommends targeting live dog education towards the parents of young children.


Animals ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. 360 ◽  
Author(s):  
Arvind Sharma ◽  
Clive J. C. Phillips

The sheltering of old, unproductive and abandoned cows in traditional cow shelters, known as gaushalas, has been practiced in India since ancient times. Cows are kept in these shelters until they die of natural causes. The welfare of the cows in these shelters was assessed through a cross-sectional study of 54 cow shelters in six states of India. A total of 1620 cows were examined to assess the prevalence of lameness in these cows, and the associated risk factors for lameness were identified through the measurement of animal-based and resource-based welfare indicators. The overall lameness prevalence was 4.2%. The majority (86%) had mild to moderate hock joint swellings but no or only mild carpal joint injuries. Approximately one-half had mild to moderate hock joint hair loss and most were free of hock joint ulcerations. Claw overgrowth was present in almost one half of the cows. Lameness prevalence was positively correlated with coat dirtiness, hock and carpal joint lesions, diarrhea and claw overgrowth scores. In a multivariate analysis, lameness prevalence increased as the Body Condition Score (BCS) decreased and was associated with increased udder dirtiness, the ulceration of the hock joint, carpal joint injuries and claw overgrowth. Resource-based indicators measured at the shelter level suggested that an absence of bedding in the sheds and an increase in the gradient of the shed flooring increased lameness. Addressing the principle risk factors identified for lameness in the sheltered cows (low body condition, dirty udders, lesions on the hock and carpal joints, overgrown claws, and a steep floor gradient) may help to reduce this serious animal welfare problem.


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e029338 ◽  
Author(s):  
Laura Paalanen ◽  
Tommi Härkänen ◽  
Hanna Tolonen

IntroductionWith the rapid ageing of the population in Europe, reliable estimates of the future development of the disease and disability burden as well as healthy life years in the older sections of the population are crucial. Meanwhile, the future prospects of the health and functional ability of the working-aged population are critical. The aims ofthe Projections of the burden of disease and disability in Finland – health policy prospectsresearch project are to provide information about the long-term consequences of health-related behaviours of the population and to project the potential improvement of the burden of disease and disability based on realistic scenarios about the development of risk behaviours in the total population and its subgroups.Methods and analysisThe analyses will be based on data from representative cross-sectional and longitudinal health examination surveys (HESs) conducted between 1972 to 2017 in Finland, and register data from several national administrative registers. Included HESs (FINRISK Surveys from 1972 to 2012, Mini-Finland Survey from 1978 to 1980, the Health 2000/2011 Surveys and the FinHealth 2017 Study) provide abundant information about biological and behavioural risk factors and the health and morbidity of the population. The modifiable risk factors used as predictors include hypertension, hyperlipidaemia, obesity, diabetes, physical inactivity, smoking, alcohol use and unfavourable diet. The main outcomes are ischaemic heart disease, cerebrovascular diseases, lung cancer, chronic obstructive pulmonary disease, Alzheimer’s disease and diabetes. Within the project, novel projection techniques of data-driven Bayesian hierarchical models to provide robust and comparable estimates will be developed.Ethics and disseminationThe prevailing legislation and regulations have been followed for all surveys. Surveys since 1997 have been approved by the respective Ethics Committees covering the scope of this project. A written informed consent was obtained from participants since 1997. The outputs of the project will include 8 to 10 scientific papers in peer-reviewed journals.


2015 ◽  
Vol 12 (2) ◽  
pp. 72 ◽  
Author(s):  
Gloria Esperanza Zambrano-Plata ◽  
Yasmin Gabriela Otero-Esteban ◽  
Silvia Lisbeth Rodríguez-Berrio

Objetivo: identificar  los factores de riesgo relacionados con la prevalencia de sobrepeso y obesidad en adolescentes entre 10 y 18 años  que pertenecen a los colegios públicos de la ciudad de Cúcuta, durante el primer semestre del 2014. Materiales y Métodos: estudio descriptivo de corte transversal; con una población: 61.172 adolescentes y una muestra de 382 estudiantes matriculados en los colegios públicos de Cúcuta. El instrumento fue diseñado por las investigadoras para valorar las características sociodemográficas, medidas antropométricas, factores endógenos, exógenos y percepción del exceso de peso y de su imagen. Resultados: el exceso de peso presento alta proporción en la adolescencia temprana y en el estrato socioeconómico 2. Predominio de sobrepeso en mujeres y obesidad en hombres. En los factores endógenos asociados con estos trastornos, prevaleció el antecedente familiar de sobrepeso y obesidad, además recibieron otra alimentación y no leche materna durante los primeros seis meses, y como antecedentes personales presentaron ansiedad y parto prematuro. En los factores exógenos la alimentación de los adolescentes con sobrepeso es alta en grasas y en los obesos es alta en azúcares, baja en verduras y fibra. Los estudiantes con déficit y con peso normal, se sienten flacos y sanos; los adolescentes con sobrepeso perciben su silueta mayor, y los obesos la perciben menor a la establecida para su índice de masa corporal. Conclusiones: los adolescentes escolarizados presentan una alta prevalencia de sobrepeso y obesidad, observándose una mayor preponderancia de factores de riesgo endógenos y exógenos. De igual manera, presentan una imagen corporal que no corresponde a su estado nutricional. PALABRAS CLAVE: adolescentes, escolar, estado nutricional,  factores de riesgo. Risk factors associated with the prevalence of overweight and obesity among adolescent  ABSTRACTObjective: to identify risk factors associated with the prevalence of overweight and obesity in adolescents aged 10 to 18 who belong to public schools in Cucuta city, in the first half of 2014. Materials and Methods: a descriptive cross-sectional study; population: 61,172 adolescents as a sample: 382 students enrolled in public schools in Cúcuta. The instrument was designed by the researchers to assess sociodemographic, anthropometric measurements, endogenous factors, exogenous and perception of overweight and image. Results: there was a  high overweight proportion  in early adolescence and socioeconomic level 2: prevalence of overweight in women and obesity in men. According to endogenous factors associated with these disorders, the prevailing factors were: family history of overweight and obesity in addition they didn`t have other food and breast milk for the first six months, and as personal history showed anxiety and prematurity. In the exogenous factors, the adolescent feeding is high in fat and in obese adolescents is high in sugar, low in vegetables and fiber. Students with deficit and normal weight, feel thin and healthy; overweight adolescents perceive their greater size shape, obese students perceive a lower size than the established one for BMI. Conclusions: school teenagers have a high prevalence of overweight and obesity, showing a greater preponderance of endogenous and exogenous risk factors. Similarly, the body image of the adolescents does not correspond to their nutritional state. KEY WORDS: adolescents, school, nutritional state, risk factors. Os fatores de risco associados com a prevalência de sobrepeso e obesidade entre adolescentes                                                                      RESUMO  Objetivo: identificar fatores de risco associados com a prevalência de sobrepeso e obesidade em adolescentes de 10 a 18 anos que pertencem a escolas públicas na cidade de Cucuta, no primeiro semestre de 2014. Materiais e Métodos: um estudo descritivo transversal ; População: 61,172 adolescentes mostra: 382 alunos matriculados em escolas públicas de Cúcuta. O instrumento foi projetado pelos pesquisadores para avaliar sociodemográficas, medidas antropométricas, fatores endógenos, exógeno e percepção de excesso de peso e sua imagem. Resultados: sobrepeso alta proporção presente no início da adolescência e estratos sócio-econômicos 2: prevalência de excesso de peso em mulheres e obesidade em homens. Em fatores endógenos associados a esses distúrbios, a história da família predominante do sobrepeso e obesidade, além recebeu nenhum outro leite alimentos e de mama para os primeiros seis meses e, como história pessoal mostrou ansiedade e prematuridade. Nos factores exógenos alimentação adolescentes com sobrepeso é rico em gordura e obesidade é rico em açúcar, pobre em vegetais e fibras. Estudantes défice e de peso normal, se sentir magra e saudável; adolescentes com sobrepeso percebem sua maior silhueta, obesos e perceber inferiores aos estabelecidos para o IMC. Conclusões: adolescentes escola tem uma alta prevalência de sobrepeso e obesidade, mostrando uma maior preponderância de fatores de risco endógeno e exógeno. Da mesma forma, uma imagem do corpo que não corresponde ao seu estado nutricional é apresentada.PALAVRAS-CHAVE: adolescentes, escolares, estado nutricional, fatores de risco.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261080
Author(s):  
Laura Sánchez-Cirera ◽  
Saima Bashir ◽  
Adina Ciscar ◽  
Carla Marco ◽  
Verónica Cruz ◽  
...  

Background and purpose The Frank’s sign is a diagonal earlobe crease running from the tragus to the edge of the auricle at an angle of 45°. Many studies have associated this sign with coronary artery disease and some with cerebrovascular disease. The objective of this study was to analyse the prevalence of the Frank’s sign in patients suffering from acute stroke with a particular focus on its prevalence in each of the five aetiopathogenic stroke subtypes. Special interest is given to embolic stroke of undetermined source (ESUS), correlating the sign with clinical and radiological markers that support an underlying causal profile in this subgroup. Methods Cross-sectional descriptive study including 124 patients admitted consecutively to a stroke unit after suffering an acute stroke. The Frank’s sign was evaluated by the same blinded member of the research team from photographs taken of the patients. The stroke subtype was classified following SSS-TOAST criteria and the aetiological study was performed following the ESO guidelines. Results The Frank’s sign was present in 75 patients and was more prevalent in patients with an ischaemic stroke in comparison with haemorrhagic stroke (63.9 vs. 37.5, p<0.05). A similar prevalence was found in the different ischaemic stroke subtypes. The Frank’s sign was significantly associated with age, particularly in patients older than 70 who had vascular risk factors. Atherosclerotic plaques found in carotid ultrasonography were significantly more frequent in patients with the Frank’s sign (63.6%, p<0.05). Analysing the ESUS, we also found an association with age and a higher prevalence of the Frank’s sign in patients with vascular risk factors and a tendency to a high prevalence of atherosclerosis markers. Conclusion The Frank’s sign is prevalent in all aetiopathogenic ischaemic stroke subtypes, including ESUS, where it could be helpful in suspecting the underlying cardioembolic or atherothrombotic origin and guiding the investigation of atherosclerosis in patients with ESUS and the Frank’s sign.


2013 ◽  
Vol 2 (1) ◽  
pp. 60-63 ◽  
Author(s):  
Begum Nurun Nahar ◽  
GU Ashan ◽  
Nazmul A Khan

Low back pain (LBP) is common and affects most people at some point in their life. The exact cause of LBP among professional car drivers is still uncertain. Epidemiological studies of LBP have been performed among general populations and professional drivers in different countries; however the data on LBP in this professional category is scarce in Bangladesh. This paper investigates the prevalence of LBP among professional car drivers in Dhaka city and examines the relationship between back pain and years of driving, driving duration per day and the body weight of the drivers. A cross-sectional study was performed during December 2010 using a questionnaire and car drivers who experienced back pain for at least one day during the past 12 months were included in the study. The study demonstrated that 78% of car drivers reported LBP for at least one day during the past 12 months. The study also revealed age, daily and cumulative driving in drivers and stature are among the risk factors of LBP. Occupational health and safety management interventions should be implemented to prevent adverse health effects in professional car drivers.South East Asia J Public Health | Jan-June 2012 | Vol 2 Issue 1 | 60-62 DOI: http://dx.doi.org/10.3329/seajph.v2i1.15267


2017 ◽  
Vol 2 (4) ◽  
pp. 567-576 ◽  
Author(s):  
Sandip Kispotta ◽  
Md Faruk Islam ◽  
Md Fazlul Hoque ◽  
Md Shajedur Rahman ◽  
Adil Borman ◽  
...  

A detailed cross-sectional study was carried out to investigate the prevalence and associated risk factors of theileriosis and anaplasmosis in cattle of Dinajpur district over a period of six months from January to June 2014. A total of 200 samples were randomly collected from the cattle. A pretested questionnaire was implemented to collect data on different risk factors. Blood smears were prepared and examined under microscope (100 xs) with Giemsa’s stain. The study revealed proportional prevalence was 10% for theileriasis and 18.5% for anaplasmosis. The percentages of theileriasis and anaplasmosis 12.61% and 22.52% were higher in female than in male animal 6.74% and 13.48% respectively. In both cases, female showed higher positivity in compare with male. The univariate logistic regression analysis revealed cattle with a herd size >10 (OR=4.3), temperature (? 103ºF) (OR=3.27), presence of tick in the body surface (OR=3.09) and record of Ivermectin treatment (OR=4.47) were found significantly associated with theileriasis prevalence (p<0.05) and irregular bathing history was found significantly associated in the case of anaplasmosis prevalence (OR=0.23). However, in multivariate analysis, temperature (? 103ºF) (OR=2.89), presence of tick in the body surface (OR=2.80) and animal with a record of Ivermectin treatment (OR=4.24) showed significant association with theileriasis and herd size >10, deep brown; white colour and bathing history were significantly associated (P < 0.05) with the anaplasmosis. Good husbandry practice and adoption of hygienic measures are needed among the high risk group or individuals to minimize the spread of the disease.Asian J. Med. Biol. Res. December 2016, 2(4): 567-576


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