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Effective Ayurvedic Management of Steroid Resistant Nephrotic Syndrome - Case Study 阿育吠陀疗法对类固醇抵抗性肾病综合征的有效治疗 - 案例研究
Journal of Medical Science And clinical Research Pub Date : 2023-10-30 DOI: 10.18535/jmscr/v11i10.05
Dr Sarita Pradip Gaikwad
{"title":"Effective Ayurvedic Management of Steroid Resistant Nephrotic Syndrome - Case Study","authors":"Dr Sarita Pradip Gaikwad","doi":"10.18535/jmscr/v11i10.05","DOIUrl":"https://doi.org/10.18535/jmscr/v11i10.05","url":null,"abstract":"Nephrotic syndrome presents with heavy proteinuria (3.5 g Proteins/ 1.73 m2 body surface area/24 hour), dyslipidaemia/ hypercholesterolemia, hypoalbuminema, edema and hypertension. If left untreated or undiagnosed, there is progressive damage to glomeruli causing renal failure. Heavy proteinuria is the most characteristic feature of this syndrome. Several studies have noted that higher the 24-h urine protein excretion, more rapid is the decline in GFR. It may be primary or secondary to other systemic diseases. Case study: This 2 year old male child developed Nephrotic syndrome and was placed on steroids, used to relapse when steroids are withdrawn, and subsequently developed steroid resistance. He was poorly managed by modern line of treatment for last 10 years. The case had developed Cushingoid features due to long term use of steroids. This case was successfully managed by Ayurvedic treatment principles of Deepan-Pachan, Vatalunoman and Mutral chikitsa. Steroids were withdrawn gradually and completely. There was no relapse. He was free of proteinuria. His Cushingoid features disappeared. Edema and Ascites also disappeared. This case study is the example of importance of alternative medicine in treating steroid dependent/resistant cases. When modern treatment has definite limitations to treat such cases, it is ray of hope to thousands of poor sufferers of Steroid resistant Nephrotic syndrome, finding them an effective alternative of Ayurvedic treatment. Keywords: Nephrotic syndrome, Steroid resistance, Ayurvedic management, Dridamula Basti Shotha","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139311112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case Series on Clinical Profile, Risk Factors and Management of Idiopathic Intracranial Hypertension 特发性颅内高压的临床概况、风险因素和处理方法病例系列
Journal of Medical Science And clinical Research Pub Date : 2023-10-30 DOI: 10.18535/jmscr/v11i10.14
Mohamed Saleem EK
{"title":"A Case Series on Clinical Profile, Risk Factors and Management of Idiopathic Intracranial Hypertension","authors":"Mohamed Saleem EK","doi":"10.18535/jmscr/v11i10.14","DOIUrl":"https://doi.org/10.18535/jmscr/v11i10.14","url":null,"abstract":"Introduction Idiopathic intracranial hypertension (IIH) occurs when there is raised intracranial pressure (ICP) of unknown etiology and is diagnosed when all other causes of raised ICP have been excluded1 . IIH most commonly affects women of child-bearing age and overweight women2 . However, men, women of all ages and children of both genders are affected3 . Previously the terms like pseudo tumor cerebri and benign intracranial hypertension were used; however, in view of impending loss of vision it cannot be considered benign. Hence the term IIH is used nowadays. The diagnosis of IIH was made using modified Dandy criteria which includes presence of raised intracranial pressure, papilloedema, normal magnetic resonance imaging (MRI) and elevated CSF opening pressure with normal CSF composition. In the absence of papilledema, the diagnosis is challenging and requires specific neuroimaging criteria to be fulfilled.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139309799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Initial Infarct location of Acute Stroke in Middle Cerebral Artery Circulation and Its Clinical Outcome using modified rank in scale 使用改良等级量表的大脑中动脉循环急性卒中的初始梗死位置及其临床结果
Journal of Medical Science And clinical Research Pub Date : 2023-10-30 DOI: 10.18535/jmscr/v11i10.02
Fouz Parween P, Joy P Verghese, Brahmadathan MN
{"title":"Initial Infarct location of Acute Stroke in Middle Cerebral Artery Circulation and Its Clinical Outcome using modified rank in scale","authors":"Fouz Parween P, Joy P Verghese, Brahmadathan MN","doi":"10.18535/jmscr/v11i10.02","DOIUrl":"https://doi.org/10.18535/jmscr/v11i10.02","url":null,"abstract":"Abstract Introduction: Functional outcome after ischemic stroke is influenced by a variety of factors such as injured brain regions, extend and volume of the infarct. This study aim to correlate the infarct location and functional outcome of the patient. Materials and Method: This is a Prospective study done at MES Medical College, between December 2020 to June 2022, total 44 patients were admitted and taken MRI with a diagnosis of acute middle circulation ischemic stroke within 48 hours of symptom onset. Location of infarct is correlated with clinical outcome using a modified Rankin score taken at 45 days follow up. Results: Most of the infarct were located in the right hemisphere. A considerably high impact on functional outcome was found at the insula and surrounding opercular cortex.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139310043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emperipolesis, Apoptosis and Hemophagocytosis during Acute Epstein-Barr Virus (EBV) infection: A Case Report 急性爱泼斯坦-巴氏病毒（EBV）感染期间的表皮松解、细胞凋亡和嗜血细胞增多：病例报告
Journal of Medical Science And clinical Research Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.03
B. Mehrotra
{"title":"Emperipolesis, Apoptosis and Hemophagocytosis during Acute Epstein-Barr Virus (EBV) infection: A Case Report","authors":"B. Mehrotra","doi":"10.18535/jmscr/v11i9.03","DOIUrl":"https://doi.org/10.18535/jmscr/v11i9.03","url":null,"abstract":"An eight-year-old patient had intermittent high grade fever and pharyngitis since one week. Later, he developed left-sided cervical lymphadenitis. Subsequently, he also developed palatal petechiae. Absolute lymphocyte count (ALC) was raised (ALC 20,262 cells/mm³). Hepatosplenomegaly was also detected. Clinically, the current case was diagnosed as a case of infectious mononucleosis. Possibility of infection by Epstein-Barr virus was considered. FNAC was done. Blood-mixed aspirate showed monocytoid cells with mild pleomorphic nuclei, and clumped chromatin. Inconspicuous nucleoli and abundant eosinophilic cytoplasm were seen. Foci of apoptosis were also seen. Frequent mitoses were seen. Findings were suggestive of acute reactive lymphocytic hyperplasia with hemophagocytosis and apoptosis. EBV DNA was detected by RT PCR with linear reporting range of 3.3×104 IU/ml. Herewith, we describe a case of infectious mononucleosis with emperipolesis and hemophagocytosis. Keywords: Epstein-Barr virus associated hemophagocytosis syndrome (EBVAHS).","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dual Left Ventricular Outflow Tract Obstruction Presenting in Old Age 老年期出现的双左心室流出道梗阻
Journal of Medical Science And clinical Research Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.01
Dr Priyanka Singh
{"title":"Dual Left Ventricular Outflow Tract Obstruction Presenting in Old Age","authors":"Dr Priyanka Singh","doi":"10.18535/jmscr/v11i9.01","DOIUrl":"https://doi.org/10.18535/jmscr/v11i9.01","url":null,"abstract":"Hypertrophic obstructive cardiomyopathy with Rheumatic heart disease, severe aortic stenosis and severe mitral stenosis is an uncommon presentation. Diagnosis ofdual left ventricular outflow tract obstructive physiology, caused by severe symptomatic obstructive hypertrophic cardiomyopathy and concomitant moderate or severe aortic stenosis is of paramount importance for management. (myectomy and aortic valve replacement). Our case, is a 67 years old hypertensive male presented with complain of chest pain, diffuse, radiating to left arm, associated with sweating and also with history of loss of consciousness.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Acute Pancreatitis in Organophosphate Poisoning 一例有机磷中毒急性胰腺炎病例
Journal of Medical Science And clinical Research Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.11
Anoop Manish Chaudhary
{"title":"A Case of Acute Pancreatitis in Organophosphate Poisoning","authors":"Anoop Manish Chaudhary","doi":"10.18535/jmscr/v11i9.11","DOIUrl":"https://doi.org/10.18535/jmscr/v11i9.11","url":null,"abstract":"Organophosphate (OP) poisoning is one of the most harmful and easily accessible pesticides for suicide poisoning. It is linked to high mortality and morbidity. Cholinergic syndrome, intermediate syndrome, and syndrome of delayed polyneuropathy are the three primary syndromes that characterize OP poisoning. Organophosphates are strong toxins that are frequently used as pesticides in agriculture. Patients who have consumed organophosphorus may exhibit subclinical symptoms of acute pancreatitis. Correct biochemical analysis and clinical correlation assist in diagnosis. In the study, we described a 24-year-old female who suffered necrotizing pancreatitis after OP poisoning. Keywords: Organophosphate Poisoning, Pesticide, Pancreatitis.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associated Risk Factors with The Prevalence of Diabetes and Prediabetes in Gopalganj District 戈帕尔甘杰县糖尿病和糖尿病前期患病率的相关风险因素
Journal of Medical Science And clinical Research Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.06
Dr A. K. M. Azad Hossain
{"title":"Associated Risk Factors with The Prevalence of Diabetes and Prediabetes in Gopalganj District","authors":"Dr A. K. M. Azad Hossain","doi":"10.18535/jmscr/v11i9.06","DOIUrl":"https://doi.org/10.18535/jmscr/v11i9.06","url":null,"abstract":"People's lifestyles are changing a lot with time. Busy working life, indifference to ideal living, addiction to yummy junk food and lack of physical activity are causing many health hazards. Due to changes in lifestyle and dietary habits, the prevalence of several diseases has increased, among which diabetes can be identified as one of them. Diabetes is a chronic disease that affects people of all ages. There are several forms of diabetes. Type 2 is the most common. The number of people in Bangladesh who have type-2 diabetes has increased dramatically making it one of the country's major health problems. The rising prevalence of diabetes in Bangladesh is associated with overweight, age, family history of diabetic, physical activity, eating habit of high carbs food etc. So, we collected 320 individuals affected or take medication or checks themselves in any Diabetic Center in Gopalganj district for treatment or any suggestions. The aim of the study is to explain the status of diabetes affected peoples on average result and to find out any certain factor which relates to the disease. The variables included the age of the patient, job category, exercise time, meal plan and some other important factor that is considered to be related to diabetes. The dependent variable was chosen as the blood glucose level of the respondents. We used chi-square test and logistic regression to find any significant relation that can be described. Logistic regression analysis identified some important factors that significantly affect the blood glucose level of the respondents, namely average sleep time, rice for breakfast, diet, red meat, smoking and age. Keywords: Food habits, Diabetes, blood glucose level, Chi-square test, Logistic regression.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139333185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Cross Sectional Study of Short Term Mortality Assessment of on Pump and Off Pump Cabg Groups with Left Main Coronary Artery Disease 左主干冠状动脉疾病开泵和不开泵组短期死亡率评估的横断面研究
Journal of Medical Science And clinical Research Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.17
Dr C. Sayee Sankar Vinod MD
{"title":"A Cross Sectional Study of Short Term Mortality Assessment of on Pump and Off Pump Cabg Groups with Left Main Coronary Artery Disease","authors":"Dr C. Sayee Sankar Vinod MD","doi":"10.18535/jmscr/v11i9.17","DOIUrl":"https://doi.org/10.18535/jmscr/v11i9.17","url":null,"abstract":"Background: The main aim of the study is to investigate the prevelance of different risk factors, angiographic patterns undergoing cabg , the within 30 day mortality among cabg groups with left main coronary artery disease incidences and correlating them between on pump cabg group and off pump cabg group Methods: The present study is a retrospective cross sectional observational study with data from may 2016 to December 2021 undertaken in government general hospital Kurnool. The data considered includes the age, risk factors, echo reports, angiographic data, surgery details and post surgery status. Out of 108 CABG procedures done a total of 20 patients with LM disease where taken of which 10 on pump cabg group patients and 10 off pump cabg group patients where present eligible as per inclusion criteria and exclusion criteria","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139333739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Study of Correlation between Tear Film Break - Up Time (TBUT), Pterygium and Pinguicula on Patents Attending a Tertiary Centre, North Bengal Medical College & Hospital, Darjeeling, Sub Himalayan Region, India 泪膜破裂时间 (TBUT)、翼状胬肉与印度次喜马拉雅地区大吉岭北孟加拉医学院和医院三级医疗中心就诊患者胬肉之间的相关性研究
Journal of Medical Science And clinical Research Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.08
Dr Malabika Debbarma
{"title":"A Study of Correlation between Tear Film Break - Up Time (TBUT), Pterygium and Pinguicula on Patents Attending a Tertiary Centre, North Bengal Medical College & Hospital, Darjeeling, Sub Himalayan Region, India","authors":"Dr Malabika Debbarma","doi":"10.18535/jmscr/v11i9.08","DOIUrl":"https://doi.org/10.18535/jmscr/v11i9.08","url":null,"abstract":"Introduction: Degenerative changes in conjunctive are quite common in India, especially after 40 years of age. Degenerative changes like Pterygium and Pinguicula occurs especially due to prolonged exposure to ultra violet rays who lives in dry windy area and having pre-existing dry eye syndrome. Pterygium is a elastotic degeneration of the subconjunctival tissue approaches towards the cornea in a triangular fashion. Pterygium is mostly prevalent on the palpebral aperture mostly in the nasal side. It is thought that the predominantly nasal location is related to reflection of light from the nasal bridge on to the nasal conjunctiva. The ultraviolet light may be mediated by mutation in the P53 gene.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"276 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Observational Study of Effectiveness of Ligation of Intersphinsteric Fistula Tract (Lift) in Perianal Fistulas Operated at AIIMS Patna 在巴特那 AIIMS 进行的肛周瘘手术中结扎瘘管间管（提升器）效果的观察研究
Journal of Medical Science And clinical Research Pub Date : 2023-09-30 DOI: 10.18535/jmscr/v11i9.04
Dr Md Afsar Alam
{"title":"Observational Study of Effectiveness of Ligation of Intersphinsteric Fistula Tract (Lift) in Perianal Fistulas Operated at AIIMS Patna","authors":"Dr Md Afsar Alam","doi":"10.18535/jmscr/v11i9.04","DOIUrl":"https://doi.org/10.18535/jmscr/v11i9.04","url":null,"abstract":"Background: Perianal fistula or fistula-in-ano, is a chronic abnormal communication, usually lined by granulation tissue, which runs outwards from the anorectal lumen (the internalopening) to an external opening on the skin of the perineum and gluteal region. Perianal fistula develops as a result of anorectal sepsis. Ligation of intersphincteric fistula tract (LIFT) is a new sphincter saving method with good result in the management of fistula. The aim of study was to evaluate the effectiveness and functional outcomes of the LIFT patients operated at AIIMS Patna.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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