ABSTRACT
Psoriasis is a common chronic, immune-mediated, inflammatory, proliferative, non-contagious disease of the skin affecting people who are genetically predisposed, with environment playing a critical role in the pathogenesis. There is no satisfactory treatment available in contemporary science as the recurrence rate is high, but Ayurved treatment can give promising result in such patients. Here in this case a 65 yrs old female came to OPD with complaints of cracks with intermittent bleeding in bilateral feet, thickened erythematous plaque, itching at the site of the lesion intense pain at the affected site, along with blackish discolouration of the bilateral feet. Looking into the Samprapti (pathogenesis) of the disease it Vata kapha pradhana tridosaja vikara, then the patient is administered with Kaishora gugulu and Maha manjisthadi Kashaya for internal medication along with Jeevantyadi yamak as external application. Within 1 month of treatment patient get satisfactory relieve in sign and symptoms.
ABSTRACT
Background: Recent studies have shown the association of disproportionate body size measurements with noncommunicable diseases like diabetes. This concept is described in Ayurveda (1500 BC), which uses Anguli Parimana (the breadth of one’s own finger as 1 unit) to measure the body proportions. Excessive tallness or shortness (deviation from the reference value of Anguli Parimana) indicated deranged meda dhaatu (mainly adipose tissue). Deranged meda dhatu was associated with Prameha (diabetes). Objectives: To find association of Anguli Parimana with modern parameters of adiposity and diabetes. Materials and Methods: We studied 192 village residents representing the whole population (94 men and 98 women) to measure height, arm span, facial structures and limbs and expressed them in Anguli pariman (ratio of each measure as: Length or height of the body part [cm]/anguli, i.e. average finger breadth [cm]). The Anguli measurements were associated with body mass index, body fat percentage by DEXA, glucose and fasting insulin levels. Results: The volunteers were adults between 20 and 40 years age. Their mean fasting and 2 h plasma glucose concentrations were 91.6 mg% and 102.8 mg%, respectively. Of all, only 6 subjects had impaired glucose tolerance, while 3 were diabetic (WHO 1999). When compared with reference Anguli measurements mentioned by Charaka Samhita and Sushruta Samhita, the participants had smaller height, facial structures, and lower limbs. Those, who had proportionately smaller facial, neck and limb structures, had higher obesity, adiposity, plasma glucose, insulin and insulin resistance (homeostatic model assessment [HOMA]‑R) indicating higher metabolic risk. In contrast, those who had proportionately larger forehead and face had higher beta cell function measured as HOMA‑B indicating lower risk for diabetes (r = 0.20 both P < 0.05 all, adjusted for age and gender). Conclusion: Compared with ancient Indian Anguli reference, our subjects were proportionately smaller in most of the measurements except fingers and upper arm. Relative smallness of body parts was predictive of increased risk of type 2 diabetes.
ABSTRACT
Background and Objectives: M The new syllabus for the Ashtang hridaya by CCIM has addition of few more concepts. On the other hand number of lectures for the subject are reduced. It is practically difficult to teach complete syllabus in the given time. In the changed course structure and reduced lecture hours. The classroom teaching hours can be managed by development of self learning modules for the subject. Objectives: To identify the need of self learning modules. To enlist the must know, nice to know and desired to know areas of Ashtang Hridaya. To enlist the areas for Self learning and Classroom teaching. To evaluate efficacy of Self learning e Modules. Materials and Methods : Online Survey Faculties working in the Department of Basic Principles. with Questionnaire (www.qualtrics.com) was conducted. (63 completed Responses) and data was analysed. Development of Self learning eModule:- on the Chapter “Gandushadividhi” in Ashtang Hridaya. Testing of Module. Results: Study indicates that faculty came out with a clear mandate of Need of Self Learning Module.( Chi squared P<0.01) Ashtang hriday syllabus was classified is 18 Chapters in for Must Know(18), Nice to know (4) and desirable to know(7). Chapters were identified for Classroom teaching(20) and self learning(10). Insignificant distribution was observed for 7 chapters. Self learning module created on Gandishadividhi Chapter was tested on I BAMS students by Pre test and Post Tests (with Questionnaire containing 15 Questions) shows statistically significant (p<0.001) results for paired t test. Conclusions: There is certainly need of self learning modules for the I BAMS course. Study distributes in must know, nice to know and desired to know and chapters in Ashtang hridaya and classifies chapters for Classroom teaching and self learning. The self learning e Module shown statistically significant results when evaluated on I BAMS students.
ABSTRACT
Background and Objectives: Mini-CEX method of assessment is widely accepted method which includes structured assessment of an observed clinical encounter, provides feedback to the student on skills essential to the provision of good clinical care, and improves the competencies expected & the confidence level of the student. There has been limited or negligible research in this area in the field of Faculty of Ayurved. Methodology: 45 students from 2nd BAMS students were included in the study. The standard nine point scale format was adopted for rating the students. Each student was assessed twice on real patients, with low or moderate complexity level. The cases were not repeated for the successive encounter. Each student was rated for the competencies; the time required for observation & providing feedback, the evaluators’ & trainees’ satisfaction using mini-CEX were noted. Feedback was obtained from the trainees after completing the entire task. Results: Total 81 encounters with 44 students against a planned figure of 90 were recorded giving a completion rate of 90%. The mean observation time was 22 minutes & feedback time was 08 minutes. The scores in medical interviewing, physical examination, communication & professional qualities, counselling skills, clinical judgement, organisation efficiency & overall clinical performance (p< 0.0001, paired t-test) show statistically significant change in the successive encounter. The satisfaction level of the students and the assessors achieved high score with the mean of 7.7/8.1 and 8.3/8.1 respectively. Feedback analysis from the faculty & trainees is as follows: Average 40% trainees were felt anxious being observed. The method helped the students to: be more attentive & regular in clinical postings, achieve the confidence level, improve interpersonal skills, & to analyse strengths and weak areas of the students. Conclusions: The mini-CEX is an effective tool of assessment in second B.A.M.S. students in Rognidan to improve the expected competencies in case presentation skills with confidence.
ABSTRACT
This study presents a preliminary data of occurrence of elemental concentration in medicinal plants i.e Apium graveolens (seed), Sida cordifolia (root), Solanum surattense (whole plant), Tribulus terrestris(fruit) and Withania somnifera (root) used in Ayurveda, using Atomic absorption spectrometer (AAS) following standard procedures. The elemental concentration i.e. Mn, Na, K, Cl, Ca, Cr, Co, Cu, Fe, Pb, Zn, Ni, Cd and Hg were found in various proportions. The data obtained from the study can be used to evaluate the potentiality of these plants in their used for Ayurvedic drugs.