International Journal of Integrated Health Sciences最新文献

{"title":"Role of speech–Language pathologist in rehabilitation in an individual with dysarthria in medically diagnosed case of Alexander disease – A single case report","authors":"Sarita Rautara, Himanshu Kant","doi":"10.4103/jihs.jihs_20_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_20_23","url":null,"abstract":"Alexander disease is a rare nervous system disorder resulting from GFAP gene mutation, cause dysarthria in children to adults. A comprehensive language and speech including voice, articulation, and speech intelligibility assessment were carried out before providing speech therapy. The result indicated a poor maintenance of voice and articulation with hypernasality, making the speech more unintelligible. However, after sessions of speech therapy, improvement was observed with reduced hypernasality, improved articulation, and overall speech intelligibility.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135912906","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}

{"title":"Autism spectrum disorder: Treated with homeopathic constitution medicine: A case series study","authors":"MS Uma Maheswari, PR Sisir","doi":"10.4103/jihs.jihs_11_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_11_23","url":null,"abstract":"Autism spectrum disorder (ASD) is characterized by persistent impairment in reciprocal social interaction and communication and restricted, repetitive patterns of behavior, interests, and activities. Thus, this pervasive developmental disorder poses a threat of lifelong disability. Two cases of ASD treated with Nux Vomica 1 M and Sulphur 1M at Sarada Krishna Homoeopathic Medical College are presented to show the significance of homeopathic constitutional medicine in ASD treatment. At the initial visit as well as the subsequent follow-up appointments, the Indian Scale for Autism Assessment (ISAA) was utilized to determine the degree of autism. The patients showed remarkable improvement over the course of the treatment. The ISAA score in the first case, which was 143 at the start of the treatment, decreased to 69 after receiving medication for 11 months (ISAA score 143: moderate autism). In the second case, the patient’s initial ISAA score of 73 (ISAA score 73: mild autism) dropped to a corresponding 44 after 10 months of treatment. These experiences have brought to light the significance of matching remedies to patients’ unique symptoms and demonstrated the value of homeopathic therapy in the treatment of ASD.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913363","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}

{"title":"Combined influences of stress and fibromyalgia on voice: A single-case report","authors":"Santosh Kumar, Mukesh Sharma","doi":"10.4103/jihs.jihs_24_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_24_23","url":null,"abstract":"Fibromyalgia may occur due to muscle tension while speaking or singing inaccurately. Symptoms of fibromyalgia are pain, fatigue, alteration in sleep, cognitive dysfunction, anxiety, depression, intestinal disorders, voice, and mood. Women are more affected than men. Voice was evaluated using the GRBAS scale and Dr. Speech software. Perceptually, voice was minimal dysphonia, and acoustically, voice parameters were within normal limits except harmonic–to-noise ratio.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913753","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}

{"title":"Multigenerational trauma: It did not start with you, but it must end with you","authors":"Pallerla Srikanth, Amulya Pusapati","doi":"10.4103/jihs.jihs_10_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_10_23","url":null,"abstract":"Dear Sir, People often encounter some or other traumas across their life cycle stages and not aware of how it could affect their life, other generations. The transmission of trauma from the survivors to their children subsequently affects the next generations as well. Thus, the impact of the trauma that can exist across the generations is called multi-generational trauma (MGT). Hence this MGT impact is not only restricted to the current generation.[1] This is also called intergenerational or transgenerational trauma. Many things get passed down through families subsequent generations from those who directly experience trauma, and it can be inherited too. It can impact on various domains among the trauma survivors such as biological, psychological, social, and vocational functioning. MGT can be transmitted as hushed, concealed, and undefined, surfacing through involuntarily, or implied through someone’s life. The MGT may stem from personal trauma such as child abuse or domestic abuse. The other causes could be drug addiction or alcohol addiction or any substance addiction, child neglect, refugees, war-related trauma, and other natural disasters.[2] Untreated mental illness and other significant social issues such as poverty, unemployment, homelessness, and child labor also cause for the MGT. The MGT occurs when parents unintentionally pass their trauma down to their children. Negative psych of abuse can lead to repeated traumas from generation to generation, if parents have unresolved traumas, they may develop negative coping mechanisms and they pass onto their children. Trauma can also be passed down through your genes; specifically through epigenetics is the way that your genetic code is expressed. It is very crucial to identify and seek appropriate help from the health-care professionals to address the issues associated with the traumas, and thus, it can prevent the MGT. Otherwise which not only affects the survivor psychosocial-vocational functioning adversely but also the next generations. The impact of MGT can be at various levels such as individual, family, and community level. At individual level, the effects would be developing anxiety, depression, insomnia, anger, and fear. It can impact on the self-esteem and efficacy of the survivor, and it can impact on the social functioning and vocational functioning of the trauma survivor. They tend to be isolated themselves from the community and high levels of the social withdrawal behavior will be noticed. The individuals who experience MGT are at high risk of developing the behavioral, emotional problems, and substance abuse. The behavioral problems are frequent lying, truancy, physical aggression, trust issues, and self-injurious behavior. The emotional problems are such as isolation, sadness, helplessness, anxiety, and hopelessness. The MGT can be impacted on the family level as well, and the effects would be continued financial constraints, high noise levels in the family, and poor cohesiven","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135912905","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}

{"title":"Cost-effective, easily height adjustable pylon tube for congenital anomalies, and growing age below-knee amputee","authors":"Rani Kumari","doi":"10.4103/jihs.jihs_13_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_13_23","url":null,"abstract":"For a long time, we have seen pediatric amputee and congenital anomalies, the socket is in normal condition but height of the prosthesis decrease due to the growth of the child after few months and few years they need to change the prosthesis. Hence, many companies are making different types of pylon tube but the problem is height adjustment is still ignored/compromised. In a simple pylon tube, we have to dismantle the full pylon tube then only we can adjust the height but in this design not need to dismantle the full pylon and prosthesis because we can adjust the height by rotating turnbuckle. A pylon tube is an important component of the transtibial prosthesis, which bears the weight of the patient. It influences the gait performance and comfort of the patient, where its flexibility can dictate the ground reaction forces associated with walking and step-down. Without an adjustable pylon, it is very difficult for congenital anomalies and pediatric amputee, so in this study, we are trying to adjust height with the growth of the child amputee. In this prosthesis has height adjustable option by rotating of turnbuckle, so we can do the height adjustment very easily. Patients can also increase/decrease their height by themselves, no require to visit clinic, so it may reduce time-consuming for patients as well prosthetist. To face these all challenges, we have designed and developed a new easily adjustable prosthetic pylon in a very low cost for lower-limb amputees.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913379","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}

{"title":"Effectiveness of a hospital-based comprehensive sickle cell care program to improve coverage of proven interventions in tribal areas of Western India","authors":"Kapilkumar Dave, Gayatri Desai, Reena Gupta, Dhiren Modi, Shrey Desai","doi":"10.4103/jihs.jihs_9_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_9_23","url":null,"abstract":"Objective: The objective of this study was to assess the effectiveness of a comprehensive hospital-based sickle cell disease (SCD) model involving improvements of proven interventions in a tribal area of Gujarat, India. Methods: This was a quasi-experimental study involving five primary health centers each in the intervention and control groups. This study was conducted from June 2016 to May 2018 in three tribal areas of Gujarat, India. The intervention was a hospital-based comprehensive care model for SCD patients. We included all SCD patients between the ages of 5 and 40 years in the study area. We measured outcomes at baseline and end line by household survey. The analysis was done using a difference-in-difference method. Results: A total of 84 and 101 patients were recruited in the intervention and control groups, respectively. The baseline characteristics were comparable in both the groups. At end line, there was a significant difference in coverage of proven interventions including pneumococcal vaccination- odds ratio (OR) 21.3 (95% CI 9.7–46.8, P value 0.002), folic acid - OR 4.1 (CI 2.2–7.8, P <0.001), chloroquine –OR 4.9 (CI 2.4–10.2, P <0.001), and hydroxyurea for severe SCD patients - OR7.1 (CI 1.8–28.6, P < 0.001) in the intervention group compared to the control group. The improvement for the clinical outcome indicators including pain crisis rate (mean difference [MD]: −0.18 [−1.17–0.812]), hospitalization rate (MD: −0.08 [−0.375–0.210]), and blood transfusion rate (MD: −0.60 [−0.532–0.412]) in the intervention group in comparison with the control group was nonsignificant. Conclusion: This study shows that the comprehensive hospital-based SCD model has great potential to improve the coverage of proven interventions for SCD. Further investigation is needed to assess the impact on clinical outcomes.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913748","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}

{"title":"Prospective of professionals toward role of speech-language pathologist in assessment and management of dysphagia","authors":"AjayKumar Mishra, Mukesh Sharma, Santosh Kumar, Mansha Parmar","doi":"10.4103/jihs.jihs_22_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_22_23","url":null,"abstract":"Background: Dysphagia is a disorder of swallowing and/or feeding. It is associated with malnutrition, dehydration, pulmonary pneumonia and increased mortality. Timely assessment and management of dysphagia carried out by speech and language pathologist is necessary. Speech Language Pathologist (SLP) evaluates and treats patients with dysphagia by using dysphagia therapy, postural changes, swallowing maneuvers and recommends texture modified dysphagia diet. Objective: The aim of the present study was to explore the level of awareness medical practitioner have regarding dysphagia and speech and language pathologist’s role in dysphagia. Methodology: A non-experimental, descriptive survey was conducted for the purpose of this research. Information was gathered by mean of a self-designed questionnaire. The data was collected from Sumandeep Vidhyapeeth University, Vadodara, Gujarat. The sample of the study consists of 100 medical practitioners (60 males and 40 females) working in different department, in which speech and language services were available and speech and language pathologists were accessible fulltime. Results: The data analysis was carried out with SPSS version 17.0 for windows. The score obtained by the participants were shows that medical practitioners do not have adequate knowledge regarding the assessment and management of patients who suffer from eating and drinking difficulties. Conclusion: On the basis of the present research, it was concluded that medical practitioners lack in their knowledge and understanding of basic dysphagia assessment and management practices. Their lack of awareness of SLP role results in decrease SLP referrals.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913362","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}

{"title":"Vulnerability assessment of maternal factors (Matrija Bhava) for the causation of metabolic disorders in childhood (0–6 years): A cross-sectional study","authors":"Priyanka Bhardwaj, Pooja Sabharwal","doi":"10.4103/jihs.jihs_1_23","DOIUrl":"https://doi.org/10.4103/jihs.jihs_1_23","url":null,"abstract":"Objective: The primary objective is to assess the vulnerability of Matrija Bhava for the causation of metabolic disorders in the purview of epigenetics. Data Source: This study was conducted at the PG Department of Rachana Sharir, CBPACS, New Delhi, and AIIMS, New Delhi. Materials and Methods: Twenty subjects of metabolic disorders, namely diabetes mellitus, obesity, and hypothyroidism cases, were taken to collect the data. The self-structured information sheet/case paper pro forma followed by a consent form was used to record all the data of the subject along with their mother’s history (at the time of pregnancy) included in the study. All the observations were recorded and furnished for statistical analysis. Results: It was observed that Lavana, Madhura, Amla, and Katu Rasa Ahara; Viruddha Ahara, Ratrijagrana and Divaswapna were observed as a potential factor affecting the Metabolism of the mother at the time of their pregnancy with the subject; thereby causing related metabolic disorders to the subject. Conclusion: Maternal factors (Matrija Bhava) are vulnerable to cause metabolic disorders in childhood.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913375","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}

{"title":"A comparative study of Muenster socket versus split socket with step-up hinge on very short transradial amputees","authors":"Rani Kumari","doi":"10.4103/jihs.jihs_21_22","DOIUrl":"https://doi.org/10.4103/jihs.jihs_21_22","url":null,"abstract":"Persons with very short transradial stump find extreme difficulty in performing daily routine activities. The Muenster socket prosthesis was compared to split socket with step-up hinge prosthesis in this study, while both the designs were compared in terms of their advantages and functional effects on very short transradial amputees. A goniometer was used for measuring elbow joint range of motion by computing the angle from the axis of the joint for each specific joint, in addition to block box test study and kinetics of prosthesis. In block box test, mild increment with split socket with step-up hinge was observed as compared to the Muenster prosthesis. This may be due to amplification by split socket of the elbow joint motion and speed of the forearm with a terminal device. The statistical analysis of the data revealed that split socket with step-up hinge prosthesis provided better functional control for very short transradial amputees than the Muenster socket prosthesis.","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913545","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}

{"title":"Artificial Intelligence in Health Care","authors":"AK Seth","doi":"10.4103/2347-6486.386493","DOIUrl":"https://doi.org/10.4103/2347-6486.386493","url":null,"abstract":"","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135798909","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}