scholarly journals MANAGEMENT OF MIGRAINE THROUGH PANCHKARMA - A CASE STUDY

2021 ◽  
Vol 9 (4) ◽  
pp. 913-915
Author(s):  
Sunita Sunita ◽  
Aakanksha Sharma ◽  
Mahesh Kumar Sharma ◽  
Gyan Prakash Sharma
Keyword(s):  
Treatment Modalities ◽  
Financial Cost ◽  
Unilateral Headache ◽  
Keywords Migraine ◽  
Cardinal Symptoms ◽  
Impaired Quality ◽  
Term Management

Ardhavabhedaka is a type of Shiroroga. It is unilateral headache with Compli- cations of blindness and hearing loss. It can be clinically correlated with migraine based on clinical manifestation. Affecting at least 1 adult in every 7 in the world (WHO). It is 3 time more common in women than men. it causes moderate to severe pain that is throbbing or pulsating, requiring long-term management. It causes personal suffer- ing, impaired quality of life and high financial cost. Nasya Karma and Shirodhara are the prime treatment modalities for Shirogata disease. A 19 year old girl patient came to OPD with complaining of severe headache. Shirodhara done with milk + Dashmool - Kwath and Mahanarayan tail. After done this Panchkarma treatment patient got highlysignificant relief in the cardinal symptoms of Ardhavabhedaka. Keywords: Migraine, Ardhavbhaedaka, Shirodhara

A ROLE OF AYURVEDA IN THE MANAGEMENT OF APASMARA (EPILEPSY): A CASE STUDY

2021 ◽  
Vol 12 (4) ◽  
pp. 24-29
Author(s):  
Shruti . ◽  
C V Rajashekhar ◽  
Manjunatha Adiga
Keyword(s):  
Antiepileptic Drugs ◽  
Palliative Treatment ◽  
Cognitive Level ◽  
Frequent Seizure ◽  
Seizure Attack ◽  
Seizure Attacks

Apasmara (epilepsy) is defined as the apagama (deterioration) of smriti (memory) associated with bibhasta cheshta (seizures) due to derangement of dhi and satwa, mainly related to vata and rajo dosha vitiation, which effects both Sharira (body) and Mana (mind). The present antiepileptic drugs control the seizure attack, but long-term use generates adverse effect at cognitive level and leads to behavioral disorders, hence there is need of safe and effective treatment which not only controls seizure attack but helps to cure the disease. A 44-year-old man approached Kayachikitsa OPD with the complaints of frequent seizure attacks, since from at the age of one and half year with regular oral antiepileptic drugs medications (allopathic), the dose of medications increasing yearly and he was not satisfied with treatment, so he was advised with Panchakarma treatment starting from Deepana, Pachana, Vamana (medicated emesis), Virechana (medicated purgation), Basti (medicated enema), Shirodhara along with palliative treatment. After each treatment it was observed that the patient was satisfied with treatment and the complaints of seizure attack reduced in frequency and duration with improved quality of life. Palliative treatment was advised to continue along with modern medications.

scholarly journals Adrenal Insufficiency - Aetiology, Diagnosis and Treatment

2015 ◽  
Vol 3 (1) ◽  
pp. 36-47
Author(s):  
Nazma Akter ◽  
Nazmul Kabir Qureshi
Keyword(s):  
Quality Of Life ◽  
Adrenal Insufficiency ◽  
Presenting Symptoms ◽  
Life Saving ◽  
Life Threatening ◽  
Diagnostic Work ◽  
Work Up ◽  
Term Management

Adrenal insufficiency is caused by either primary adrenal failure or by hypothalamic-pituitary impairment of the corticotropic axis. Adrenal insufficiency, first codified in 1855 by Thomas Addison, remains relevant in 2014 because of its lethal nature. Though, it is a rare disease but is life threatening when overlooked. Main presenting symptoms such as fatigue, anorexia and weight loss are nonspecific, thus diagnosis is often delayed. The diagnostic work-up is well established but some pitfalls remain. The diagnosis is adequately established by the 250 ?g ACTH (adrenocorticotropic hormone) stimulation test in most cases. Glucocorticoids provide life saving treatment but long-term quality of life is impaired, perhaps because therapy is not given in a physiologic way. Dehydroepiandrosterone-replacement therapy has been introduced that could help to restore quality of life. It may be useful in pubertal girls, but not in adults. Monitoring of glucocorticoid-replacement is difficult due to lack of objective methods of assessment and is therefore largely based on clinical grounds. Thus, long-term management of patients with adrenal insufficiency remains a challenge, requiring an experienced specialist. DOI: http://dx.doi.org/10.3329/dmcj.v3i1.22238 Delta Med Col J. Jan 2015; 3(1): 36-47

scholarly journals Lessons For Toronto From Melbourne’s City Centre Revitalization

2021 ◽  
Author(s):  
Brent Gilliard
Keyword(s):  
Public Space ◽  
Public Life ◽  
Public Spaces ◽  
City Centre ◽  
Physical Quality ◽  
Social Quality

Public space is important to a city’s economic and social quality. Downtown Toronto is not known for its public spaces but Melbourne is widely recognized for recently revitalizing its city centre with improved public spaces. A case study of Melbourne investigates its comparability to Toronto as well as the details of its "renaissance." It is concluded that Melbourne is, in fact, highly comparable to Toronto. Interventions in Melbourne were characterized by the principles: long-term vision, emphasizing local strengths, investment in quality, making space for people on foot, and using effective arguments and evidence. To emulate Melbourne’s city-centre revitalization, Toronto first should facilitate a civic conversation about the long-term vision for its downtown; second, it should initiate a public life survey of the downtown; third, it should invest is the physical quality of downtown public spaces; and fourth, it should begin an incremental program to reclaim roadway space from cars in locations of high pedestrian use.

scholarly journals Late Effects and Survivorship Issues in Patients with Neuroblastoma

Children ◽  
2018 ◽  
Vol 5 (8) ◽  
pp. 107 ◽  
Author(s):  
Danielle Friedman ◽  
Tara Henderson
Keyword(s):  
Late Effects ◽  
Survival Rates ◽  
Premature Mortality ◽  
The Past ◽  
Excess Morbidity ◽  
Related Risk ◽  
Impaired Quality ◽  
Made In

Over the past two decades, marked progress has been made in understanding the biology of neuroblastoma; this has led to refined risk stratification and treatment modifications with resultant increasing 5-year survival rates for children with neuroblastoma. Survivors, however, remain at risk for a wide variety of potential treatment-related complications, or “late effects”, which may lead to excess morbidity and premature mortality in this cohort. This review summarizes the existing survivorship literature on long-term health outcomes for survivors of neuroblastoma, focusing specifically on potential injury to the endocrine, sensory, cardiovascular, pulmonary, and renal systems, as well as survivors’ treatment-related risk for subsequent neoplasms and impaired quality of life. Additional work is needed to assess the potential late effects of newer multimodality therapies with the aim of optimizing long-term medical and psychosocial outcomes for all survivors of neuroblastoma.

scholarly journals Radio Planning Considerations in TETRA to LTE Migration for PPDR Systems: A Radioelectric Coverage Case Study

2019 ◽  
Vol 9 (2) ◽  
pp. 250 ◽  
Author(s):  
Diego del Rey Carrión ◽  
Leandro Juan-Llácer ◽  
José-Víctor Rodríguez
Keyword(s):  
Radio Communications ◽  
The Real ◽  
Lte Network ◽  
Real Scenario ◽  
The Cost ◽  
Areas Of Interest ◽  
Radio Planning

Transitioning a Terrestrial Trunked Radio (TETRA) network to a Long-Term Evolution (LTE) network in public protection and disaster relief (PPDR) systems is a path to providing future services requiring high radio interface throughput and allowing broadband PPDR (BB-PPDR) radio communications. Users of TETRA networks are currently considering how to deploy a BB-PPDR network in the coming years. This study offers several radio planning considerations in TETRA to LTE migration for such networks. The conclusions are obtained from a case study in which both measurements and radioelectric coverage simulations were carried out for the real scenario of the Murcia Region, Spain, for both TETRA and LTE systems. The proposed considerations can help PPDR agencies efficiently estimate the cost of converting a TETRA network to an LTE network. Uniquely in this study, the total area is divided into geographical areas of interest that are defined as administrative divisions (region, municipal areas, etc.). The analysis was carried out using a radio planning tool based on a geographic information system and the measurements have been used to tune the propagation models. According to the real scenario considered, the number of sites needed in the LTE network—for a specific quality of service (90% for the whole region and 85% for municipal areas)—is a factor of 2.4 higher than for TETRA network.

scholarly journals Alternatives to groundwater abstraction as a measure to stop land subsidence: a case study of Semarang, Indonesia

2019 ◽  
Vol 125 ◽  
pp. 01003 ◽  
Author(s):  
Wesley Beek ◽  
Bart Letitre ◽  
H. Hadiyanto ◽  
S. Sudarno
Keyword(s):  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Drinking Water Treatment ◽  
Decision Makers ◽  
Groundwater Abstraction ◽  
Short Term ◽  
Treatment Services

The Water as Leverage project aims to lay a blueprint for urban coastal areas around the world that are facing a variety of water-related issues. The blueprint is based upon three real case studies in Bangladesh, India and Indonesia. The case of Indonesia focuses on Semarang, a city that faces issues like flooding, increased water demand, and a lack of wastewater treatment. In this report I summarise the different techniques available to tackling these issues. Along with this I provide a cost-benefit analysis to support decision makers. For a short term it is recommended to produce industrial water from (polluted) surface water as a means to offer an alternative to groundwater abstraction. On a long term it is recommended to install additional wastewater and drinking water treatment services to facilitate better hygiene and a higher quality of life.

Impaired quality of life in patients with treated acromegaly despite long-term biochemically stable disease: Results from a 5-years prospective study

2017 ◽  
Vol 86 (6) ◽  
pp. 806-815 ◽  
Author(s):  
Nikolaos Kyriakakis ◽  
Julie Lynch ◽  
Stephen G. Gilbey ◽  
Susan M. Webb ◽  
Robert D. Murray
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Stable Disease ◽  
Impaired Quality

scholarly journals Intravenous Honokiol in Drug-Resistant Cancer: Two Case Reports

2020 ◽  
Vol 19 ◽  
pp. 153473542092261
Author(s):  
Isaac Eliaz ◽  
Elaine Weil
Keyword(s):  
Drug Resistance ◽  
Cancer Patients ◽  
Complete Blood Count ◽  
Case Reports ◽  
Clinical Results ◽  
Drug Resistant ◽  
Magnolia Officinalis

Context: Long-term patient survival in cancer is affected by drug resistance. Honokiol (HNK) is a small-molecule polyphenol isolated from the bark and seed cones of Magnolia officinalis. HNK has been shown to enhance the effects of chemotherapy and inhibit drug resistance in preclinical models. HNK was well tolerated in multiple animal models when administered orally, intravenously (IV), and via intraperitoneal route. However, there are limited human data on the use of HNK in general, and specifically via IV (HNK-IV) in cancer. Objective: We aim to assess the efficacy, safety, and tolerability of HNK-IV in patients with drug-resistant tumors. Methods: This is a case study of 2 cancer patients who utilized HNK-IV as part of their cancer treatment regimen. The initial infusion of HNK was 10 mg/kg body weight, and subsequent treatments were increased up to 50 mg/kg according to individual tolerance, over 2 weeks. Results: Positive clinical response was achieved in both patients, including improved symptoms and quality of life. No serious adverse side effects occurred, and there were no adverse effects on laboratory parameters (complete blood count, kidney, and liver function). Transient sedation and minor nausea were noted and resolved postinfusion. Conclusions: This is the first report of HNK-IV in human patients. Given the positive clinical results, safety, and tolerability, the use of HNK-IV warrants further investigation regarding optimum formulation, and its use as adjunctive therapy in cancer patients.

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