Efficacy of Ayurvedic herbal gel in the management of Dandruff: A case study

Dandruff (Darunak)is the common skin disease affecting the scalp area with the presence of itching, hair fall, dryness of scalp and dander. It is affecting the half of the adult population of either gender worldwide. Even though the prevalence is so high, its etiology being varied the treatment modalities are also different. Although dandruff is not among those disease to cause severe illness or morbidity, but it has a lot of social concern which reflects individual’s confidence and self-esteem. This paper aims to present clinical case study presentation with diagnosis using advance technique of Trochoscopy and the management of dandruff with the topical application of Dashemani Kandughna gel which showed excellent results.

Eyes-Free Tongue Gesture and Tongue Joystick Control of a Five DOF Upper-Limb Exoskeleton for Severely Disabled Individuals

Spinal cord injury can leave the affected individual severely disabled with a low level of independence and quality of life. Assistive upper-limb exoskeletons are one of the solutions that can enable an individual with tetraplegia (paralysis in both arms and legs) to perform simple activities of daily living by mobilizing the arm. Providing an efficient user interface that can provide full continuous control of such a device—safely and intuitively—with multiple degrees of freedom (DOFs) still remains a challenge. In this study, a control interface for an assistive upper-limb exoskeleton with five DOFs based on an intraoral tongue-computer interface (ITCI) for individuals with tetraplegia was proposed. Furthermore, we evaluated eyes-free use of the ITCI for the first time and compared two tongue-operated control methods, one based on tongue gestures and the other based on dynamic virtual buttons and a joystick-like control. Ten able-bodied participants tongue controlled the exoskeleton for a drinking task with and without visual feedback on a screen in three experimental sessions. As a baseline, the participants performed the drinking task with a standard gamepad. The results showed that it was possible to control the exoskeleton with the tongue even without visual feedback and to perform the drinking task at 65.1% of the speed of the gamepad. In a clinical case study, an individual with tetraplegia further succeeded to fully control the exoskeleton and perform the drinking task only 5.6% slower than the able-bodied group. This study demonstrated the first single-modal control interface that can enable individuals with complete tetraplegia to fully and continuously control a five-DOF upper limb exoskeleton and perform a drinking task after only 2 h of training. The interface was used both with and without visual feedback.

Cerebral autosomo-dominant arteriopathy with subcortical infarctions and leukoencephalopathy

The article presents an analysis of the literature and a clinical case of a rare disease from the group of diseases of small vessels — cerebral autosomal dominant arteriopathy with subcortical infarction and leukoencephalopathy (CADASIL).It is based on the deposition of osmiophilic granulation material in vessels of small and medium caliber. A mutation in the NOTCH3 gene on chromosome 19p13 leads to significant structural changes in the walls of small arteries due to impaired differentiation and maturation of smooth muscle cells.CADASIL is characterized by four key symptoms: migraines, recurrent ischemic strokes, mental disorders, and cognitive decline. The clinical case study is presented from the standpoint of a multidisciplinary patient-oriented approach of joint work of neurologists and morphologists. On the basis of clinical and laboratory criteria, a probable diagnosis was made. To confirm it, a muscle biopsy was performed (a musculocutaneous flap from the inner surface of the thighs and forearms), in order to conduct light and electron microscopy. The details of the results of the morphological study, which made it possible to verify the patient’s diagnosis, are presented. Differential diagnostic judgments are presented and recommendations for genetic studies in the family, prognosis and treatment of the patient are given.

Clinical Case Study: Muscle Tension Dysphonia

Purpose: The purpose of this problem-based learning case study is to review and interact with a clinical case involving a patient diagnosed with muscle tension dysphonia. Included in the case study is a case history, a voice sample, and a laryngeal exam. Conclusions: The case study provides an opportunity to practice conducting an auditory-perceptual assessment and acoustic voice assessment on the provided voice sample. The case study also provides the opportunity to rate endoscopic and stroboscopic parameters on the laryngeal exam. Supplemental Material https://doi.org/10.23641/asha.16799641

PSICODIAGNÓSTICO INTERVENTIVO COMO FERRAMENTA DE SUPORTE AO CONTROLE DA HETEROAGRESSIVIDADE

This article is a clinical case study based on an experience report, with the aim of reporting the experience of interventional psychodiagnosis with an individual with symptoms of heteroaggression and intrusive thoughts. The case study methodology was based on the experience of the Basic Supervised Internship in Psychology and Assessment and Diagnosis Processes, the procedures performed were: reception, observation, listening, psychological interview (semi-structured), psychological testing - HTP Test (Home - tree - person), for personality assessment, STAXI - 2 (Anger Expression Inventory as State and Trait), for assessment of anger expression and feedback interview. It is concluded that the interventional psychodiagnostic process resulted in an improvement in the symptoms, providing, from the operations, that facilitated the expression of feelings and emotions, allowing reflection, self-perception and awareness of invasive thoughts and heteroaggression, enabling access to difficulties experienced and thus mobilize psychic resources for the change stage.

Electroconvulsive therapy: a clinical case study and review

Electroconvulsive therapy is deemed one of the most effective treatments for alleviating symptoms in individuals diagnosed with severe depression, yet it remains one of the most controversial psychiatric treatments in contemporary mental health nursing practice. As such, its use and efficacy continue to be questioned. The following article analyses the case of Albert, a fictional character who represents the presentation of several patients who have received electroconvulsive therapy. The application of electroconvulsive therapy is evaluated, by referring to the most recent policy and national guidelines. Despite the associated stigma, electroconvulsive therapy can save lives, as portrayed by Albert. However, further research is required and updated guidance from National Institute for Health and Care Excellence is needed, specifically with regards to maintenance and relapse prevention. It is important to be aware of the implications of side effects, just as with other interventions. Overall, this article highlights the importance of safe, recovery-focused and person-centred care.

A Case Report on Central Post-stroke Pain in Medullary Infarction Treated with BackJun-pill

Objective: This study addressed a case of central post-stroke pain described as right arm painful with coldness and left lateral medullary infarction.Methods: A patient, 71 years old female with medullary infarction, was treated with a Korean herbal medication (BackJun-pill). The improvement of symptoms was evaluated using the Numeral Rating Scale and reports of coldness and pain in the affected areas. We also measured the body temperature difference between the left and right arms using digital infrared thermographic imaging (DITI).Results: After six weeks of treatment with Korean medicine, the patient’s pain and sensation of coldness decreased.Conclusions: This clinical case study suggests that BackJun-pill may be effective for alleviating pain and coldness due to central post-stroke pain.