ABSTRACT
Introduction: CAPD is one of the renal replacement therapieswhich is gaining popularity in the developing world especiallyIndia. This study was aimed to study the clinical profile andcomplication of Complications of Continuous AmbulatoryPeritoneal Dialysis (CAPD).Material and Methods: Patients on CAPD at our center wereevaluated for their clinical profile, complication and outcomeon follow-up.Results: A total of 100 patients were included in the study.There were 66%males and 34% females. Mean age of thepatients was 47.95± 6 years. Hypertension was seen as etiologyin 36%, Diabetes in 27%, chronic glomerulonephritis in 22%,Analgesic nephropathy in 4%, Obstructive nephropathy in 3%and in 4% cases no obvious cause for CKD could be found.Among the complications pain was seen in 11%, pericatheterleak in 5%, bleeding 7%, intestinal perforation in 2%, herniain 5%, total obstruction in 4%, exit site infection in 7%,tunnel infection in 2% and total 111 episodes of peritonitis.Technique survival at 1 year and 2 years was 97%and 94%respectively. Patient survival at one and two years was 90%and 78% respectivelyConclusion: CAPD presents a viable form of renalreplacement therapy. There has been sustained decrease incomplication rates and improvement in technique and patientsurvival with advancement in catheter implantation andcomplication management
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Introduction: Use of muscle relaxants in cardiac surgeryposes a challenge to anaesthesia due to narrow margin of safetyand limited cardiovascular function. Therefore aim of presentstudy is to find out the hemodynamic effects of Rocuroniumbromide and other muscle relaxant in cardiac surgery.Material and Methods: Present study was carried out on sixty(60) patients of different age groups from both sexes scheduledfor various cardiac surgical procedures at L.P.S. Institute ofCardiology, GSVM medical college Kanpur during the periodof August 1998 to August 1999. Patients were classified in 3equal groups. Muscle relaxants were given according to thegroup and hemodynamic parameters were recorded carefullyat the interval of two, five and ten minutes.Results: No statistically significant changes were observed insystolic blood pressure, diastolic blood pressure and centralvenous pressure at 2 minutes, 5 minutes and 10 minutes afterthe administration of all three drugs (P >0.05) comparedwith control values. Significant increase in heart rate wasobserved at 2 minutes and 5 minutes after the administrationof Pancuronium (P <0.05).Conclusion: On basis of present study’s result, it can besaid that Rocuronium bromide is safer in cardiac surgery ascompared to Vecuronium & Pancuronium.
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In acute and chronic wounds, Katupila (Securinega leucopyrus) (Willd.) Muell is a commonly used folklore remedy in Sri Lanka and Saurashtra region of India. We report a case of Madhumehajanya Dushta Vrana (chronic diabetic wound) that was treated with local application of S. leucopyrus in paste form once daily. Wound healed within a month with normal pigmentation and minimal scar. This case also demonstrated possible antimicrobial potential in the treatment of Dushta Vrana.
ABSTRACT
Tennis elbow is a painful condition and causes restricted movement of forearm which requires treatment for long period. Till date only symptomatic treatments are available like use of anti-infl ammatory analgesic drugs, steroids injection, physiotherapy, exercise etc. But none of these provide satisfactory result. Long term use of anti-infl ammatory, analgesic drugs and steroids injection is also not free from the adverse effects. Usually, 'wait-and-see policy' of treatment guideline is recommended in most of medical texts. According to Ayurveda, snayugata vata can be correlated with the condition of tennis elbow. Sushruta has advised Agnikarma for disorders of snayu (ligaments and tendons), asthi (bone), siddhi (joints) etc. Hence, in this study a case of tennis elbow (snayugata vata) was treated by Agnikarma, along with administration of powder of Ashwagandha and Navajivana Rasa orally, for a period of 03 weeks. This combination therapy provided considerable relief in pain and movement of the elbow joint.