The disease, fistula in ano, which is considered to be a minor ailment, has high morbidity. Besides fistulectomy; the father of surgery, Sushruta, has also described its treatment in his text Sushruta samhita by kshar sutra method considering it as nadi vrana (wound with tract). The aim of the study was to compare the effectiveness, hospital stay, post operative pain between fistulectomy and kshar sutra procedure. 30 patients underwent fistulectomy and 30 patients underwent kshar sutra procedure according to the inclusion and exclusion criteria of study. Post operative assessment of pain was done using VAS score, fecal incontinence, gas incontinence, wound healing, follow up complaints and recurrence. Mean hospital stay and recurrence was more in fistulectomy procedure and duration of healing of fistula was more in kshar sutra ligation procedure and there was significant difference in pain on 1 st , 2 nd and 3 rd post operative day. Kshar sutra procedure is safe, feasible and effective. In Ksharsutra procedure immediate post operative pain was much less with early discharge from the hospital, complete healing of wound was delayed with decreased morbidity, as compared to open method of fistulectomy.
Amlapitta is a gastrointestinal disorder caused due to suppression of Jatharagni (digestive fire) by increased Drava (watery) and Amla (sourness) gunas of Vidagdha Pachak Pitta (burned digestive enzymes). As the digestion is dependent on the proper functioning of Agni, there is metabolic disequilibrium leading to production of Ama (undigested food). Therefore what so ever food is taken remains undigested and gets changed into shukta (fermented) form and is manifested in the form of Amlapittta. Regarding this disease, a clinical trial having pre and post test design with 30 patients was carried out in Jammu Institute of Ayurveda and Research hospital, Jammu in 2011. Most of the patients with symptoms like tiktaamlodgara, utklesha, aruchi, avipaka, hrit-kantha daha responded well to the treatment. Overall effect of therapy showed the drug is statistically significant and 53.33% of the patients had and marked relief whereas only 3.33% patients have shown no relief.
This study presents the modeling and dynamic simulation of a high penetration wind diesel power system (WDPS) consisting of a diesel generator (DG) and a wind turbine generator (WTG). First the WDPS architecture and the models of the WDPS components are described. The WDPS is simulated in wind-only (WO) mode where the DG is not running and the WTG supply active power and in wind-diesel (WD) mode where both DG and WTG supply power. The simulation results are given showing graphs of the main electric variables in the WDPS (system frequency and voltage and active power in each component). Pitch angle controller is proposed which enables the wind turbine to regulate its active power in order to retain the frequency within prescribed limits. The pitch angle control enables the WT to smooth the load and wind power variations, so that the isolated system power quality is improved. The results show that the WDPS incorporating pitch angle controller gives better results in terms of frequency regulation.
Lithiasis occurs in various forms and at various sites in the body and the most common site is urinary tract. Urinary stones are one of the major problems and an important cause of morbidity and end stage renal failure in India. Urolithiasis affects up to 5 % of the population, with a recurrence rate of 50 to 80 %. Males are more frequently affected than the females. The objective of this study is to evaluate and compare the efficacy and safety of Herbal preparation (decoction of Boerhavia diffusa roots and Crataeva nurvala bark) and Tamsulosin in the treatment of patients with ureteric stones. A total of 110 patients with ureteric stones ranged from 4-10 mm were selected for the trial according to the inclusion and exclusion criteria of this study and were randomized into two groups where the first group (herbal group) included 55 patients treated with decoction of Boerhavia diffusa roots and Crataeva nurvala bark in the dose of 50 ml BD daily, and the second group (tamsulosin group) included 55 patients treated with tamsulosin 0.4 mg/day. All patients were randomly assigned to receive the designed SUSPEND trial (Spontaneous Urinary Stone Passage enabled by Drugs) for a maximum of 6 weeks. The Herbal preparation found statistically significant in increasing the expulsion rate, better control of ureteric pain and reduced expulsion time of ureteric stone impacted in any part of the ureter i.e. the upper, middle and lower ureteric tract and thereby decrease in number of URS procedure performed to remove the stone of unaffected patients. Tamsulosin group results in a better control of ureteric pain and reduced expulsion time of stones which are impacted in only lower ureter.
Aacharya Sushruta who is worshipped as the father of surgery has described various modalities relating to both surgical and parasurgical procedures. 'Agnikarma' is one amongst these parasurgical procedures. It has widely been practiced in the various clinical settings depending on the training and exposures of the physician. With renewed interest in the parasurgical procedures in the recent times agnikarma has gained foremost appraisal to attempt treatment to diseases of various categories. Agnikarma though is a parasurgical procedure yet is indicated as a therapy of choice in many diseases, formally being indicated in vata and kapha related morbidities. Moreover, the scope of this therapy is further extended to diseases that are found to be refractory to conventional sheeta-ushana-snigdha-rooksha kind of treatment. The final attribute of agnikarma can be considered on its tremendous prophylactic potential to do away certain diseases and also has developed as a precursor to 'cauterization' of modern era.
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