scholarly journals MANAGEMENT OF TAMAKA SHWASA WITH GHRITA BHRISHTA HARIDRA

2021 ◽  
Vol 9 (9) ◽  
pp. 2262-2266
Author(s):  
Shridharaiah M.H ◽  
Venkatesh P
Keyword(s):  
Chronic Condition ◽  
Proper Time ◽  
Early Morning ◽  
Cold Season ◽  
Chronic Inflammatory Disease ◽  
Not Given ◽  
Life Threatening ◽  
Air Passage

Shwasa is a chronic condition that developed as a result of Pranavaha sroto dushti, here the shwasa roga is developed due to two types of srodo dushti i.e. sangha (Due to kapha avarodha) and vimarga gamana (of the udana vata). Asthma is a condition that affects the quality of life of an individual. Especially this condition aggravates and worsens in the cold season. Depending on the sign and symptoms Shwasa roga can be compared with Asthma. Asthma is a chronic inflammatory disease that affects the airway of lungs and leads to narrowing of air passage, it is an episodic disease manifested clinically by paroxysms of dyspnoea, tightness of chest along with wheezing sound and coughing usually more at night or early morning. Asthma rapidly increasing in India due to pollution, Among India’s 1.31 billion people, about 6% of children and 2% of adults are suffering from asthma.[1] Tamaka shwasa is one among the Shwasaroga and it is predominantly Vatakaphajavyadhi. This disease is maintainable by giving proper medication like shodhana (Vmana, Virechana, etc...) and shamana chikitsa (Swasa kutara rasa, swasamrita etc...), if the proper treatment is not given to the patient is proper time, then this condition gets worse and become life-threatening. So, the following case study is explaining about the management of Swasa roga of 8 years history with Ayurvedic medications. Keywords: Tamaka Shwasa, Deppana, Paachana, Shodhana, Shamana.

scholarly journals An analysis of early morning acth levels in the first case of pembrolizumab-induced adrenalitis as a delayed immune-related event (dire) – case study

2020 ◽  
Vol 73 (2) ◽  
pp. 396-400
Author(s):  
Igor Alexander Harsch ◽  
Anastasiia Gritsaenko ◽  
Peter Christopher Konturek
Keyword(s):  
Replacement Therapy ◽  
Early Morning ◽  
Related Event ◽  
Special Situation ◽  
Melanocyte Stimulating Hormone ◽  
First Case ◽  
Life Threatening ◽  
Dual Release ◽  
One Year

The aim: The levels of adrenocorticotrophic hormone (ACTH) are elevated in primary adrenal failure (Addison’s disease) with a peak in the early morning hours. This also occurs under hydrocortisone replacement therapy due to the unphysiological substitution regime. The aim was to study ACTH levels under two different replacement regimens. This is exemplified in a patient with adrenalitis after immunotherapy for malignant melanoma (MM), since (elevated) levels of ACTH and its cleavage product alpha-melanocyte stimulating hormone (α-MSH) raise concerns since receptors for both hormones can be expressed in melanoma cells. Material and methods: A female with MM had immunotherapy with pembrolizumab and developed adrenalitis with Addison crisis about one year after discontinuation of this therapy (delayed immune-related event = DIRE). ACTH levels were measured hourly (4-8 a.m.) during a “conventional” hydrocortisone replacement therapy and during a therapy with dual-release hydrocortisone. Results: Salient differences between the morning ACTH profiles under the “conventional” hydrocortisone replacement regimen with 10-5-5 mg/die compared to the single-dose regimen with 20 mg dual-release hydrocortisone were not discernible. Conclusion: DIRE could be an underestimated problem in immunotherapy and could put the patients at hazard. Especially in case of an endocrinological DIRE concerning the adrenocorticotrophic axis, life-threatening situations can arise for the patients. As for the special situation with M. Addison and MM, where hormonal feedback mechanisms may cause further problems beyond the normal hormonal replacement therapy, we observed no salient differences in the early morning ACTH profiles under different hydrocortisone replacement regimens.

scholarly journals Quality of Life in Iranian Patients with Acne

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
H. Safizadeh ◽  
S. Shamsi-Meymandy ◽  
A. Naeimi
Keyword(s):  
Quality Of Life ◽  
Life Quality ◽  
Chronic Inflammatory Disease ◽  
Self Image ◽  
Related Quality ◽  
Health Related ◽  
Life Threatening ◽  
The Mean ◽  
Iranian Context

Acne is a chronic inflammatory disease of pilosebaceous units. Although the acne isnot a life threatening disease, studies have revealed that it has significant effect on self-image and quality of life. The purpose of this paper was to investigate the health-related quality of life in patients with acne in an Iranian context. Dermatology Life Quality Index (DLQI) and Cardiff Acne Disability Index (CADI) were used for measuring quality of life, and severity of acne was measured by Global Acne Grading System (GAGS). The mean (±SD) of DLQI and CADI scores was 6.42 (±4.77) and 5.97 (±2.97), respectively. Acne influenced the quality of life in 51.8% of patients from moderate to very much, and the quality of life was affected by the severity of acne (P< 0.01). Since acne has significant effects on patient’s quality of life, the management of patients with acne requires more attention to different aspects of quality of life.

scholarly journals Spontaneous cardiac tamponade associated with dabigatran use in an elderly woman

2021 ◽  
Vol 2 (3) ◽  
pp. 27-30
Author(s):  
Anupam Bhambhani ◽  
Sahithi Sharma ◽  
Aditi Nadamani
Keyword(s):  
Risk Factors ◽  
Cardiac Tamponade ◽  
Rare Case ◽  
Early Morning ◽  
Sudden Onset ◽  
Anticoagulant Drugs ◽  
Life Threatening ◽  
Direct Anticoagulants ◽  
Dabigatran Therapy

We report here a rare case of dabigatran-related spontaneous cardiac tamponade, which appeared in absence of the known risk factors that predispose the patient to bleed related to anticoagulant drugs. A 65-year-old lady presented to the emergency room with sudden onset dyspnea which woke her up in the early morning hours. Four days earlier, she had been started on dabigatran therapy for DVT. On examination, she was in shock. Transthoracic echocardiography confirmed cardiac tamponade. Emergent pericardiocentesis was done, draining 480 ml of haemorrhagic fluid, which tested negative for microbes and malignant cells. The patient recovered rapidly and fluid did not re-accumulate after withdrawal of dabigatran therapy. Spontaneous cardiac tamponade is rare with the use of direct anticoagulants, especially dabigatran, in the absence of predisposing risk factors. This case study highlights the need for clinicians to be cognizant of this potentially life-threatening adverse drug reaction of dabigatran so that appropriate timely action can be taken toward diagnosis and management of this complication.

scholarly journals PILOT MENTAL WORKLOAD IN FLIGHT OPERATION A Case study: Indonesian Civilian Pilot

2017 ◽  
Vol 6 (1) ◽  
pp. 37 ◽  
Author(s):  
Abadi Dwi Saputra
Keyword(s):  
Land Surface ◽  
Mental Workload ◽  
High Stress ◽  
Early Morning ◽  
Three Dimensions ◽  
Physical Workload ◽  
Time Dimension ◽  
High Stress Level

This type of activity or work with high stress level and requires more concentration and attention, in this case is the aircraft operation. Thereby mental workload is the most dominant than the physical workload. And this is what should have been a concern, because if mental workload endured by pilot is excessive, it will lower down the quality of work and lead to work safety;  in this case the aircraft operation. Subjective Workload Assessment Technique (SWAT) method is used to measure mental workload value, this method consists of three dimensions with their levels, there are: time, mental effort, and psychological stress load. The aim of this study was to know the mental workload of the pilot of an aircraft in flight dimensions: phases of time, phase of flight, terrain condition, and weather, and identifies what factors the most dominant for build of mental workload. The results of studies showed that pilot mental workload will increase when a pilot faced with flight conditions do at early morning (00.00-05:59 am), during weekend and enters the peak season period, and the aircraft will be landing procedures, and also in case of change of wind conditions in flight, and will increasingly when pilot exposed to aircraft operating with route condition which has a land surface is mountainious. This study also showed that the time dimension factor (T) significantly affects the mental workload of pilots, indicating that they put more emphasis on this factor when they are considering workloads.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Chronic Refractory Cough: A Case Study

2017 ◽  
Vol 2 (3) ◽  
pp. 57-62
Author(s):  
Anna Maria Siciliano
Keyword(s):  
Quality Of Life ◽  
Adult Female ◽  
Chronic Cough ◽  
Treatment Regime ◽  
Speech Language Pathology ◽  
Old Adult ◽  
Language Pathology

This paper presents a successful behavioral case study in treatment of chronic refractory cough in a 60-year-old adult female. The efficacy for speech-language pathology treating chronic cough is discussed along with description of treatment regime. Discussion focuses on therapy approaches used and the patient's report of changes in quality of life and frequency, duration, and severity reduction of her cough after treatment.

Manajemen Stratejik Pemanfaatan Teknologi Informasi dan Komunikasi untuk Peningkatan Mutu Pembelajaran SMK Ciledug Al Musaddadiyah dan SMKN 1 Garut

2020 ◽  
Vol 3 (2) ◽  
pp. 109-119
Author(s):  
Partono Partono
Keyword(s):  
High School ◽  
Strategic Management ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
General Description ◽  
Vocational High School ◽  
Information And Communication ◽  
School Learning

So far, in implementing school strategies, they tend not to utilize Information and Communication Technology (ICT), despite the availability of ICT resources available. Stages of strategic management are needed to generate the vision, mission, objectives, policy, program, budget, and procedures as well as control and evaluation process as an effort to utilize ICT to improve school quality. Based on the interpretation and the results of the study, it is concluded that schools have organized stages in strategic management that enable schools to have a quality profile. The impact of effective utilization of ICTs for schools is the achievement of effective school management, as per the National Education Standards, which is characterized by effective planning, implementation, control, and evaluation of school ICTs.The purpose of this study is to get a general description, describe, and reveal the Strategic Management of Information and Communication Technology Utilization to Improve the Quality of School Learning in Ciledug Al Musaddadiyah Vocational High School and Garut 1 Vocational High School, both on environmental analysis, strategic formulation, implementation and strategic evaluation. The research method used in this research is the case study method, because the problems studied occur in the place and situation of Ciledug Al Musaddadiyah Vocational School and Vocational High School 1 Garut. The use of case study models in this study is based on the consideration that to provide an overview of the strategic management activities of the use of ICTs carried out at vocational high schools with the ultimate goal of being able to improve the quality of school learning. Based on observations in the field of SMK 1 Garut and SMK Al Musaddadiyah Ciledug Garut is one of the public schools and private schools that have these advantages.

Value of cone beam computed tomography to evaluate complication of intracranial haemorrhage in endovascular treatment (evt): a case report

2019 ◽  
Vol 1 (1) ◽  
pp. 16-18 ◽  
Author(s):  
Norafida Bahari ◽  
Nik Azuan Nik Ismail ◽  
Jegan Thanabalan ◽  
Ahmad Sobri Muda
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Malformation ◽  
Endovascular Treatment ◽  
Cone Beam Computed Tomography ◽  
Diagnostic Value ◽  
Cone Beam ◽  
Brain Arteriovenous Malformation ◽  
Embolic Materials

In this article, we evaluate the effectiveness of Cone Beam Computed Tomography, through a case study, in assessing the complication of intracranial bleeding during an endovascular treatment of brain arteriovenous malformation when compared to Multislice-Detector Computed Tomography performed immediately after the procedure. The image quality of Cone Beam Computed Tomography has enough diagnostic value in differentiating between haemorrhage, embolic materials and the arteriovenous malformation nidus to facilitate physicians to decide for further management of the patient.

Value of cone beam computed tomography to evaluate complication of intracranial haemorrhage in endovascular treatment (evt): a case report.

2019 ◽  
pp. 16-18
Author(s):  
Norafida Bahari ◽  
NikAzuan Nik Ismail ◽  
Jegan Thanabalan ◽  
Ahmad Sobri Muda
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Malformation ◽  
Endovascular Treatment ◽  
Cone Beam Computed Tomography ◽  
Diagnostic Value ◽  
Cone Beam ◽  
Brain Arteriovenous Malformation ◽  
Embolic Materials

In this article, we evaluate the effectiveness of Cone Beam Computed Tomography, through a case study, in assessing the complication of intracranial bleeding during an endovascular treatment of brain arteriovenous malformation when compared to Multislice-Detector Computed Tomography performed immediately after the procedure. The image quality of Cone Beam Computed Tomography has enough diagnostic value in differentiating between haemorrhage, embolic materials and the arteriovenous malformation nidus to facilitate physicians to decide for further management of the patient.

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