ABSTRACT
Isolated sleep paralysis (disturbed sleep) is a condition in which a person is in a state of consciousness but is not able to move or speak in the bed even if he wants to. It is a dreadful condition for a person, in which he or she even fears to fall asleep. It can occur with or without being a part of a sleeping disorder named narcolepsy. According to Ayurveda conditions of isolated sleep paralysis occurring during rapid eye movements (REM) phase of sleep can be correlated to Tandra and Manovaha Sroto Dushti in a stressed individual (Alpa Satva Purush). Ayurveda has potential to treat sleep related disorders with the help of Panchkarma procedures namely Shirodhara. In modern medicine treatment of conditions like isolated sleep paralysis mainly depends on use of antidepressant and sedative medicines which has many side effects. In this case an effort has been made to treat a young male of 21 years with symptoms of helplessness or muscle atonia during initiation of his sleep hours with heaviness in chest, difficulty in respiration and choking sensation for past 2 years. Treatment given is Shirodhara for a period of 15 days with Brahmi oil and tablet Sarpangdha as an internal medicine. The result shows positive response by decreased frequency of attacks, time duration and other symptoms along with improvement in quality of life.
ABSTRACT
Due to rapid modernization in recent years, presence of nutritional abundance and sedentary lifestyle, metabolic disorders have emerged rapidly. Obesity is one of the nutritional lifestyle disorder affecting both developed and developing countries. Obesity is a disorder characterized by increased body weight and excess fat deposition. Obesity is the root cause of overconsumption of calories and reduced physical activity which lead to serious health complications. Multifactorial in nature in which environmental, lifestyle and genetic factors play an equally important role in its etiology. Ayurveda is one of the most ancient sciences of world describing basic and applied principles of health, disease and its management. In Ayurveda, obesity has been described under the caption Sthaulya. Sthaulya is mentioned under Santarpanjanyavikara (over nourishment of body). Sthaulya is among one of the 8 unwanted diseases mentioned by Acharyas. Using fatty diet, decreased physical activity and hereditary factors contribute to its etiology ultimately causing derangement of Agni of Medadhatu. This produces excess of Meda or fat. Sufficient focus has been given in the management of Sthaulya in form of diet and drugs to control the disease in Samhita. Ayurvedic treatment is addressed by correction of dietary patterns in form of Nidana Parivarjana and Pathya Aahar –Vihara and Aptarpana Chikitsa to correct vitiated Dosha and Agni. Obesity is a preventable lifestyle disorder which can be easily addressed by keeping an initial check on one’s dietary pattern. Medicine usage play a secondary role, keeping at par various metabolic disorders like diabetes, hypertension etc. It fulfills the first and foremost motto of Ayurveda which is prevention of disease being less expensive and more approachable than treatment.
ABSTRACT
Background: Statins are effectively used for the treatment of dyslipidemias in geriatric patients. The geriatric patients are more vulnerable to experience consequences of drug intensification leading to the manifestation of adverse effects, such as muscle related adverse effects (MRAE) with statins use. The main objective was to find the difference in the occurrence of MRAE of statins among geriatric and non-geriatric users.Methods: This was a cross-sectional, observational comparative study in which MRAE associated with statins and relevant patient information was noted. Creatine phosphokinase (CPK) levels which are considered as a marker for statin induced muscle damage were obtained for all patients. The different parameters were compared among geriatric and non-geriatric statin users.Results: Sixty one patients, 28 geriatric (≥60 years) and 33 non-geriatric (<60 years) statin users were enrolled in this study. Ten (38%) geriatric statin users as compared to 6 (20%) non-geriatric statin users were found to have MRAE (P = 0.207). No significant difference in the occurrence of MRAE among geriatric and non-geriatric statin users was found.Conclusions: The results obtained from the present study suggest that statins are relatively safe, even in older people. There was no evidence to suggest an increased risk of MRAE in geriatric patients receiving statin therapy as compared to non- geriatric patients.
ABSTRACT
Background: The global rise in the prevalence of diabetes mellitus and a wide variation in compliance to self-management of diabetes has become a challenging health care problem. Poor glycaemic control can lead to treatment failures and accelerated development of various diabetes-related complications. Our study aims to find out the compliance rate of the patients with type 2 diabetes to the prescribed medications and to find out its comparison across various socio-demographic variables. Methods: This is a cross sectional questionnaire based study that was conducted amongst patients with type 2 diabetes mellitus. A total of 136 patients were included in the study and interviewed by using a pre tested, structured interview schedule which captured socio-demographic variables and Diabetes Self-Management Questionnaire covering different aspects of diabetes self-management. Participants rate the extent to which each description applies to them on a four-point Likert scale. Results: Mean age of the participants was 44.53 ± 8.13. The mean duration of diabetes was 7.63 ± 6.49 years. The overall compliance score in our participants was 23.44 ± 4.17. None of the participants stated that they check their blood sugar levels regularly. Of self-care activities, 69.1% of the patients agree that they do not skip their diabetes medication. Compliance to the diabetes self-care decreased significantly with an increase in age (p<0.001) and duration of disease (p<0.01). The mean compliance score was also significantly lower among those who were illiterate (p<0.001) and unskilled workers (p=0.02). Conclusion: It can be concluded that the compliance score was not good among the participants. Significant association have been found between mean compliance scores and increasing age, illiteracy, unskilled occupation and longer duration of disease.