ABSTRACT
Amajirna is a common clinical condition that has symptoms such as - Yadhabhukta Avidagdha Udgara, Praseka, Utkleda, Gatra Gaurava, Akshikoota sotha. As per classics, the treatment of Amajirna includes Dipana and Pachana. Amajirna has resemblance with dyspepsia. Dyspepsia or indigestion is a common gastro-intestinal disorder with symptoms like nausea, bloating, early satiety, post prandial fullness, abdominal discomfort etc. There are various causes for the occurrence of dyspepsia including micro-organisms. The present case report is of a 41 years old male with onset of symptoms such as nausea, bloating, abdominal discomfort, early satiety, Yadhabhukta Avidagdha Udgara (burping with the same taste of food consumed), Praseka (excess salivation) and Utkleda (nausea) since one or two weeks in every month for the last 6 months. He was taking antacids while coming to the OPD, and got temporary relief. Gradually, even after taking his normal diet, the symptoms started to re-occur and effect of his medications lasted for only a few weeks. The patient was given Pathyadi Churna with Masthu as Anupana for 7 days. It was observed after the completion of treatment that all the symptoms disappeared after 7 days. Also, no reoccurrence for the next 4 months. This shows the Pathyadi Churna with Masthu has a significant effect in relieving the symptoms of dyspepsia/Amajirna.
ABSTRACT
Rural health training centres (RHTCs) and urban health training centres (UHTCs) are an integral part of every medical college in India. They are mandatory for obtaining approval from the Medical Council of India (MCI) for opening a new medical college.1 These centres provide community-based learning for undergraduate (UG) and postgraduate (PG) students as well as interns, build capacity of the staff and facilitate field research.2 In view of their value for different stakeholders, it is worth reviewing their functioning and outlining their future role.
ABSTRACT
Aims: The study was conducted to obtain information about place and mode of child delivery and compare unsafe deliveries between tribal and non-tribal areas. Study Design: This was a retrospective study with the follow up of registered pregnant women in the Primary Health Centers (PHC). Place and Duration of Study: The study was conducted in the PHCs of the State of Maharashtra, India. They were divided into two groups, tribal and non-tribal. The study was carried out in 2009-10. Method: A format was prepared to obtain details of delivery of children by women. The Auxiliary Nurse Midwives filled the format for all the pregnant women registered during calendar year 2008, through house to house visits in their respective areas. Results: More than one million pregnancies were registered. There were 21.88% home deliveries, of which 6.96% were not attended by a skilled birth attendant. About 5% of the babies were delivered through Cesarean section. The proportion of home deliveries (46.79%) and the absence of a skilled birth health professional (16.19%) were significantly higher in tribal areas. Even in institutional deliveries, interventional assistance was offered to lesser extent in these areas. The relative risk of undergoing unsafe delivery was 3.25 (95%, C.I. 3.20-3.29) in tribal PHCs. The district wise analysis Original Research Article British Journal of Medicine & Medical Research, 4(27): 4570-4581, 2014 4571 also supported the findings that home deliveries and overall unsafe deliveries were more in tribal districts. Conclusion: The study concludes that substantial number of women from tribal areas is exposed to unsafe deliveries.