A Review of the Role of Essential Ayurvedic Management in Covid Pandemics

At the end of 2019, China exploded COVID-19 and mushroomed rapidly throughout every nation. Due to the information received by the media, this message has spread somewhere in the minds of the people. Covid-19 is a complicated, difficult to treat, or horrifying disease. Although the severity of symptoms and the lethality of the virus directly causing the disease cannot be ruled out or ignored, but somewhere, the negligence of the imbalance in the nature of the basic elements of the body is the reason for the fatality of this disease. According to Aacharya Charak, "there can be hundreds of alternatives for the pathogen of any disease," but "this body is the only option for pathogens to cause hundreds of diseases." Which is why this should be the major focus for treatment in any stream of medical science and Ayurveda is a science of 'ayu', meaning harmony of health and life or journey of healthy life. This reveals that there is a high opportunity to evaluate the range of relevant drugs available in the Ayurvedic that may be employed more rationally to complement each stage of the disease. The Ayurvedic literature provides no explicit mention of this illness but according to the similarity of symptoms despite the occurrence of diseases, there is a special outbreak of Vata and Kapha. This disease can be reconciled in Janpadudhwansh janya diseases, Visham jwara and Vatshleshmic jwara.

Non-compliance to Antiretroviral Therapy:Road Blocks and Possible Solutions.

A hospital based interventional study was done at Anti Retroviral Therapy centre (ART) of SMS Medical College during August 2010 to January 2011 with the objectives of finding out the proportion of patients who did not adhere to ART, its associated factors, reasons for non-compliance and determine the effect of reinforced counselling through interpersonal communication addressing patient specific reasons and solution for increasing compliance. There were 2841 HIV patients on ART during study period and on an average 381 (13%) of them did not adhere to ART. Age, literacy, unemployment, presence of co-infections were significantly associated with non-compliance while marital status, sex of patient, area of living, family size, distance from ART centre and type of ART regime were not associated with non-compliance. Reasons stated for not coming to collect drugs or not consuming them were mainly patients were travelling, forget to take the pills, no one was there to accompany them, no money for fare, busy in agriculture or other day to day activities. 100 randomly selected non-compliant patients were offered reinforced counselling with focus on patient specific reasons for non compliance and with an intention to encourage the patients to come up with solutions in prevailing circumstances. 74 patients started taking drugs regularly at the end of study. One patient out of these hundred died during study period.

Antimicrobial and plaque inhibitory potential of herbal and probiotic oral rinses in children: A randomized clinical trial.

Background: Antimicrobial agents serve as an effective adjunct with mechanical means in plaque control. Chlorhexidine has been the gold standard in the field of dentistry, but these days a growing number of dentists are embracing the philosophy that natural agents are better for children’s oral health, and the focus is shifted toward biogenic agents for oral hygiene maintenance in children. Aim: The aim was to evaluate antimicrobial and plaque inhibitory potential of herbal and probiotic rinses against Streptococcus viridans with commonly used antimicrobial agent like 0.2% chlorhexidine digluconate. Materials and Methods: A randomized clinical trial was conducted on 60 subjects aged between 6 and 14 years and were divided into three groups comprising 20 subjects in each group. Three oral rinses were administered twice daily for a period of 1 week. Estimation of plaque scores and S. viridans counts was done before and after intervention, and the results were statistically analyzed. Results: The change in mean plaque index in Groups A, B, and C was 0.28 ± 0.16, 1.37 ± 0.43, and 0.60 ± 0.35 respectively. Furthermore, change in mean log10 colony forming unit (CFU)/ml of S. viridans in Groups A, B, and C was 0.13 ± 0.06, 0.53 ± 0.17, and 0.22 ± 0.06 CFU/ml, respectively. Conclusion: Based on observations done during the course of study herbal rinse proved equally effective as 0.2% chlorhexidine digluconate in reducing S. viridans counts and plaque accumulation after 1 week of intervention, whereas probiotic rinse was least effective. However, long‑term clinical trial with larger sample size needs to be undertaken, especially to evaluate beneficial effects of biogenic agents such as herbal and probiotic rinses.

H1N1 Deaths Reported at SMS Hospital.

Background: The influenza virus has unique ability to cause recurrent epidemics and global pandemics. Very few information is available regarding death pattern and associated factors till now so this study was conducted with the objective to evaluate the profile of H1N1 deaths reported at SMS hospital, Jaipur and it’s associated factors. Methods: The present study was conducted at SMS hospital, Jaipur during 22nd August 2009 to 13th January 2010. The secondary data related to case reports of death due to H1N1 2009 was collected. Data on following variables were collected age, sex, urban / rural, presenting clinical symptoms, associated illness if any, investigation done, time lag between admission and death, time lag of sample taken and reporting. The data so collected were analyzed with appropriate statistical procedures. Observation: There were total 34 deaths reported due to H1N1 related cause. Almost one fourth (8 /34) of deaths occurred in the age group of 21 to 25 years. Majority of the patients reported with high grade fever (88.2%), cough and breathlessness (79.4%) each, sore throat was present in 23.5%, 11.7% had some associating complications when admitted to the hospital. In 71.8% deaths were due to problems related to respiratory system. There were five H1N1 positive pregnant women who were admitted at SMS hospital and all five died.

Prevalence of reproductive tract infections amongst ever married women and sociocultural factors associated with it.

A community-based study was carried out to assess the prevalence of reproductive tract infections (RTIs) among ever married rural women aged 15 -45 years at village Naila during 2002. Six hundred houses were surveyed and all the eligible women residing in these houses were interviewed by MPWs and Interns and were offered medical examinations at rural health training centre, Naila. At least one symptom related to RTIs was found in 471(55%) out of 859 women. Only 50% (432/859) women gave consent for their gynaecological and microbiological examinations. Out of 432 women examined 61% (263/432) had at least one type of RTIs. Out of 263 cases, 43% had cervicitis, 26% had bacterial vaginitis, 14% had fungal infection, 8% had trichomonas vaginitis, 22% had pelvic inflammatory disease and 19% had cervical erosion. Prevalence of RTI was significantly associated with age, personal hygiene, material used for menstrual blood, gravida status, type of attendance at child birth, invasive contraceptives, gynaecological surgery but caste, literacy status and place of deliveries were not significantly associated with RTI status in the present study.