scholarly journals CRITICAL ANALYSIS OF NIDANA AND NIDANAPARIVARJANA IN HRIDROGA

2021 ◽  
Vol 9 (9) ◽  
pp. 2088-2092
Author(s):  
Namratha M V ◽  
Prashanth Jain ◽  
Geetha B Markande
Keyword(s):  
Chronic Disease ◽  
Cardiovascular Diseases ◽  
Cause Of Death ◽  
Critical Analysis ◽  
Physical Inactivity ◽  
Medical Science ◽  
Treatment Protocol ◽  
The Elderly ◽  
Causative Factors ◽  
Planning Treatment

Ayurveda is the oldest medical science of human civilization which helps in preventing diseases and promoting health and longevity. Cardiovascular diseases are chronic disease pathology with acute manifestation and is a major cause of death in both the elderly and middle-aged. Nidana is the foremost component of Nidana Panchaka, which not only gives knowledge about causative factors of diseases but also helps in planning treatment protocol. Cardi- ovascular disorders as per Ayurveda can be studied under the spectrum of Hridroga. Over nourishment accompa- nied with physical inactivity leading to Santarpana state is well known to cause plethora of diseases like Hridroga. Consumption of food having mutual contradictory qualities results in morbid accumulation of Kapha and Meda in Raktamarga heralding Margavarana. It is said that the best treatment is Nidanaparivarjana i.e, to abstain from the causative factors. This paper deals with all the Nidanas of Hridroga and the importance of Nidanaparivarjana in preventing them. Keywords: Hridroga, Cardiovascular diseases, Nidana, Nidanaparivarjana

scholarly journals Epidemiology, Risk Factors, Clinical Current, Diagnostics, Principles Of Treatment And Prevention Of Acute Myocardial Infarction In The Elderly And Old Population (Review)

2020 ◽  
Vol 02 (11) ◽  
pp. 106-114
Author(s):  
Rakhmatova Dilbar Baxriddinovna ◽  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiovascular Diseases ◽  
Medical Science ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Scientific Data ◽  
Treatment And Prevention ◽  
Principles Of Treatment ◽  
Social Importance

In view of the special medico-social importance of cardiovascular diseases, their prevention is one of the most important tasks facing medical science and the health care system. Ischemic heart disease and its most serious complication, acute myocardial infarction, is the main and most dangerous disease of the cardiovascular system. Epidemiological studies and screening measures for the prevention of cardiovascular diseases contain scientific data that can not only reduce the incidence, but, undoubtedly, prolong the life of the elderly and senile population.

scholarly journals “CONCEPT OF AGNI AND ITS ROLE IN THE PATHOGENESIS OF AMLAPITTA VYADHI : A REVIEW ”

2021 ◽  
Vol 5 (04) ◽  
Author(s):  
Dr. Anuja Katkhede
Keyword(s):  
Proper Time ◽  
Medical Science ◽  
Treatment Protocol ◽  
Biological Response ◽  
Disease Diagnosis ◽  
The Body ◽  
Metabolic Disturbances ◽  
Weak State ◽  
Causative Factors ◽  
Almost All

The ancient system of Indian medical science Ayurveda describes various concepts related to physiological functioning and biological response. Agni is considered responsible for the digestive & metabolic functioning of the body. The digestion & assimilation of ingested food performed by the Agni which is very essential process for the growth and development of human body. Ayurveda emphasizes that all the diseases are the result of the weak state of Agni i.e. Mandagni. Improper functioning of Agni leads to various gastrointestinal disorders as well as various metabolic disturbances. Agni offers Arogya, Ayu, Bala, Swasthyam, Varnam, Utsaha, Ojha, Prabha,& Teja to the body which all resembles a healthy physical and mental state. Agni Dusthi is one of the causative factors for many diseases, therefore, Agni play important role towards understanding of disease pathogenesis, disease diagnosis, & setting of the treatment protocol. Amlapitta is a disease which is commonly found in almost all parts of the world. Peculiarities of this disease are, increased prevalence, vast field of manifestation of symptoms, requires prolonged dietetic control, if not treated in proper time, it may create major problems. Amlapitta is one of the commonest Vyadhi of Annavaha Strotas, caused by vitiated Agni. Amlapitta is a condition where Amla Guna of Pachak Pitta increases due to Samata.  The main principle of treatment of all diseases as per Ayurveda is to restore and to strengthen the Agni. This article emphasized the conceptual understanding of Agni & its role in the pathogenesis of Amlapitta Vyadhi.

A Comparative clinical evaluation of Sirodhara with Sukhosnajala, Tila Tailam and Brahmi Tailam in the management of mild to moderate essential hypertension

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Bhargavi M ◽  
Shilpa PN ◽  
K. Chaithanya
Keyword(s):  
Essential Hypertension ◽  
Clinical Evaluation ◽  
Lifestyle Modification ◽  
Medical Science ◽  
Initial Therapy ◽  
Joint National Committee ◽  
Moderate Essential Hypertension ◽  
National Committee ◽  
Antihypertensive Medications ◽  
Causative Factors

In worldwide 25% of population is suffering with Hypertension. As it is an instrumental disease, asymptomatic in nature, it was named as Silent killer. The causative factors of Essential hypertension were Genetic predisposition and environmental factors but these factors are triggered by stress hence it comes under stress related psycho-somatic disorder. In Hypertensive patients, Decrease in 5mm of Hg in SBP and DBP results in decrease in cardiovascular risk, stroke which decreases mortality rate worldwide. The management aspect of modern medical science remains symptomatic with troublesome side effects. The Joint National Committee (JNC 8) guideline advise higher blood pressure goals, less use of several types of antihypertensive medications and suggests lifestyle modification and relaxation are the best initial therapy. In Ayurveda, Shirodhara is one of the panchakarma therapy meant for relaxation and stress reducing procedure mentioned in Dharakalpaas a preventive and curative treatment for many stress related disorders. So, Present study is planned as “A Comparative clinical evaluation of Shirodhara with Sukhos̩n̩ajala, Tila tailam and Brahmitailamin the management of mild to moderate essential hypertension”was selected. This paper is going to describe about conclusion drawn from the study i.e. effect of three types of dhara on Objective parameters SBP, DBP, PP, and MAP.

A new medical Internet system in healthcare: innovation of Telegeriatrics and healthcare demands of older patients of different age groups (Preprint)

2020 ◽  
Author(s):  
Yu Gong ◽  
Jianyuan Zhou
Keyword(s):  
Cardiovascular Diseases ◽  
General Practitioners ◽  
Older Patients ◽  
Metabolic Diseases ◽  
Treatment Plan ◽  
Age Groups ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
World Health ◽  
New Model

BACKGROUND Healthcare for older patients is a worldwide challenge for public health system. A new medical Internet system in healthcare which is a new model of telegeriatrics system has been established. The key innovation is the new telegeriatrics system was conducted jointly by general practitioners in the Community Health Service Center and specialists in university teaching hospital. Unlike the typical telemedicine that has been practiced in other countries, the new model provides a solution for the key issues in telemedicine where a doctor is unable to conduct a direct physical examination and the associated potential diagnostic error. OBJECTIVE This study is to introduce the operation mechanism of the new Telegeriatrics system and analyze healthcare demands of older patients in different age groups applying the new Telegeriatrics system. METHODS 472 older patients (aged≥60) were enrolled and divided into the young older group (aged 60 to 74), the old older group (aged 75 to 89) and the very old group (aged≥90) according to the age stratification of World Health Organization. Proportion of the top 10 diseases of older patients of different age groups was analyzed. RESULTS The process of older patients’ diagnosis and treatment made by specialist and general practitioners formed a closed loop. It ensures the timeliness and effectiveness of diagnosis and treatment of older patients. The treatment effect can be observed by general practitioners and specialist can adjust the treatment plan in time. In this study, it was found that older patients in different age groups have different healthcare demands. Coronary heart disease and type 2 diabetes mellitus were found to be the main diseases of the older patients and the young older patients as well as the old older patients applying Telegeriatrics. CONCLUSIONS The new telegeriatrics system can provide convenient and efficient healthcare services for older patients and overcome the disadvantage of currently used models of telegeriatrics. Older patients in different age groups have different medical care demands. Cardiovascular diseases and metabolic diseases have become the main diseases of the elderly applying the new Telegeriatrics system. Healthcare policy makers should invest more medical resources to the prevention of cardiovascular diseases and metabolic diseases in the elderly.

scholarly journals Long-term effectiveness of elderly health care voucher scheme strategies: a system dynamics simulation analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ka Chun Chong ◽  
Hong Fung ◽  
Carrie Ho Kwan Yam ◽  
Patsy Yuen Kwan Chau ◽  
Tsz Yu Chow ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Public Sector ◽  
System Dynamics ◽  
The Elderly ◽  
Healthcare Services ◽  
Dynamics Simulation ◽  
Public And Private ◽  
The Public ◽  
The Impact

Abstract Background The elderly healthcare voucher (EHCV) scheme is expected to lead to an increase in the number of elderly people selecting private primary healthcare services and reduce reliance on the public sector in Hong Kong. However, studies thus far have reported that this scheme has not received satisfactory responses. In this study, we examined changes in the ratio of visits between public and private doctors in primary care (to measure reliance on the public sector) for different strategic scenarios in the EHCV scheme. Methods Based on comments from an expert panel, a system dynamics model was formulated to simulate the impact of various enhanced strategies in the scheme: increasing voucher amounts, lowering the age eligibility, and designating vouchers for chronic conditions follow-up. Data and statistics for the model calibration were collected from various sources. Results The simulation results show that the current EHCV scheme is unable to reduce the utilization of public healthcare services, as well as the ratio of visits between public and private primary care among the local aging population. When comparing three different tested scenarios, even if the increase in the annual voucher amount could be maintained at the current pace or the age eligibility can be lowered to include those aged 60 years, the impact on shifts from public-to-private utilization were insignificant. The public-to-private ratio could only be marginally reduced from 0.74 to 0.64 in the first several years. Nevertheless, introducing a chronic disease-oriented voucher could result in a significant drop of 0.50 in the public-to-private ratio during the early implementation phase. However, the effect could not be maintained for an extended period. Conclusions Our findings will assist officials in improving the design of the EHCV scheme, within the wider context of promoting primary care among the elderly. We suggest that an additional chronic disease-oriented voucher can serve as an alternative strategy. The scheme must be redesigned to address more specific objectives or provide a separate voucher that promotes under-utilized healthcare services (e.g., preventive care), instead of services designed for unspecified reasons, which may lead to concerns regarding exploitation.

scholarly journals Physical inactivity as a determinant of the physical activity level in the elderly

2001 ◽  
Vol 25 (7) ◽  
pp. 935-939 ◽  
Author(s):  
EP Meijer ◽  
AHC Goris ◽  
L Wouters ◽  
KR Westerterp
Keyword(s):  
Physical Activity ◽  
Physical Activity Level ◽  
Physical Inactivity ◽  
The Elderly ◽  
Activity Level

scholarly journals Physical inactivity and health inequality during coronavirus: a novel opportunity or total lockdown?

2020 ◽  
Vol 6 (1) ◽  
pp. e000903
Author(s):  
Natalie F Shur ◽  
David Johns ◽  
Stefan Kluzek ◽  
Nicholas Peirce
Keyword(s):  
Public Health ◽  
Health Inequality ◽  
Physical Inactivity ◽  
The Elderly ◽  
Restricted Movement ◽  
Socioeconomic Groups ◽  
Lower Socioeconomic ◽  
The World ◽  
Additional Burden ◽  
Public Health Promotion

Government-restricted movement during the coronavirus pandemic in various countries around the world has led to rapid and fundamental changes in our health behaviour. As well as being at a higher risk of contracting and being hospitalised with COVID-19, the elderly, those with chronic disease and lower socioeconomic groups are also disproportionately affected by restriction of movement, further widening the physical activity health inequality. In this viewpoint we discuss the physiological sequelae of physical inactivity, and the additional burden of ageing and inflammation. We provide recommendations for public health promotion and interventions to try to mitigate the detrimental effects of physical inactivity and rebalance the health inequality.

scholarly journals The impact of chronic disease and disability on the elderly

1999 ◽  
Vol 55 (3) ◽  
pp. 9-14
Author(s):  
C. J. Eales
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Health Care Systems ◽  
The Elderly ◽  
Therapeutic Interventions ◽  
Elderly Persons ◽  
Care Systems ◽  
And Function ◽  
The Impact

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.

scholarly journals Incidence and predictors of hospitalization in patients with atrial fibrillation: results from the Chinese atrial fibrillation registry study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhaojie Dong ◽  
Xin Du ◽  
Shangxin Lu ◽  
Chao Jiang ◽  
Shijun Xia ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiovascular Diseases ◽  
Risk Model ◽  
Age Groups ◽  
Gastrointestinal Disorder ◽  
The Elderly ◽  
Chronic Obstructive ◽  
Unique Identifier ◽  
Clinical Registry

Abstract Background Patients with atrial fibrillation (AF) underwent a high risk of hospitalization, which has not been paid much attention to in practice. Therefore, we aimed to assess the incidence, causes and predictors of hospitalization in AF patients. Methods From August 2011 to December 2017, a total number of 20,172 AF patients from the Chinese Atrial Fibrillation Registry (China-AF) Study were prospectively selected for this study. We described the incidence, causes of hospitalization by age groups and sex. The Fine-Gray competing risk model was employed to identify predictors of first all-cause and first cause-specific hospitalization. Results After a mean follow-up of 37.3 ± 20.4 months, 7,512 (37.2%) AF patients experienced one or more hospitalizations. The overall incidence of all-cause hospitalization was 24.0 per 100 patient-years. Patients aged < 65 years were predominantly hospitalized for AF (42.1% of the total hospitalizations); while patients aged 65–74 and ≥ 75 years were mainly hospitalized for non-cardiovascular diseases (43.6% and 49.3%, respectively). We found patients complicated with heart failure (HF)[hazard ratio (HR) 1.10, 95% confidence interval (CI) 1.02–1.18], established coronary artery disease (CAD) (HR 1.24, 95%CI 1.17–1.33), ischemic stroke/transient ischemic attack (TIA) (HR 1.22, 95%CI 1.15–1.30), diabetes (HR 1.14, 95%CI 1.08–1.20), chronic obstructive pulmonary disease (COPD) (HR 1.28, 95%CI 1.02–1.62), gastrointestinal disorder (HR 1.37, 95%CI 1.21–1.55), and renal dysfunction (HR 1.24, 95%CI 1.09–1.42) had higher risks of hospitalization. Conclusions More than one-third of AF patients included in this study were hospitalized at least once during over 3-year follow-up. The main cause for hospitalization among the elderly patients (≥ 65 years) is non-cardiovascular diseases rather than AF. Multidisciplinary management of comorbidities should be advocated to reduce hospitalization in AF patients older than 65 years old. Clinical Registryhttp://www.chictr.org.cn/showproj.aspx?proj=5831. Unique identifier: ChiCTR-OCH-13003729. The registration date is October 22, 2013.

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