Rationale. Bacopa monnieri, popularly known as Brahmi, has been traditionally used in Ayurveda since ages for its memory enhancing properties. However, data on placebo-controlled trial of Bacopa monnieri on intellectual sample is scarce. Hence this study was planned to evaluate the effect of Bacopa monnieri on memory of medical students for six weeks. Objective. To evaluate the efficacy of Bacopa monnieri on memory of medical students with six weeks' administration. Method and Material. This was a randomized double blind placebo-controlled noncrossover, parallel trial. Sixty medical students of either gender from second year of medical school, third term, regular batch, were enrolled from Government Medical College, Nagpur, India. Baseline biochemical and memory tests were done. The participants were randomly divided in two groups to receive either 150 mg of standardized extract of Bacopa monnieri (Bacognize) or matching placebo twice daily for six weeks. All baseline investigations were repeated at the end of the trial. Students were followed up for 15 days after the intervention. Results. Statistically significant improvement was seen in the tests relating to the cognitive functions with use of Bacopa monnieri. Blood biochemistry also showed a significant increase in serum calcium levels (still within normal range).
Pulmonary tuberculosis (TB) during pregnancy mimics some of the physiological changes that occur during pregnancy. Diagnosis is challenging, especially when the patient presents with acute respiratory distress. The incidence of pleural effusion in TB is 3-25% and in the majority of patients, is unilateral. We describe the intensive care management of a 27-year-old pregnant woman admitted to our hospital with life threatening respiratory distress and circulatory shock. She continued to have severe metabolic and respiratory acidosis with shock in spite of the resuscitative measures undertaken. At that point, a bedside lung ultrasonography showed bilateral pleural effusion which was followed with therapeutic thoracocentesis of the right side. This resulted in the stabilization of the respiratory mechanics and haemodynamics of the patient. The pleural fluid culture tested positive for acid fast bacilli after 4 weeks in the intensive care unit. Anti-TB therapy was started and she made a rapid recovery with liberation from mechanical ventilation. The early use of bedside lung ultrasonography was instrumental in the successful management of this patient.
Tiwary, R., Hoque, M., Maiti, S.K., Singh, G.R. and Kumar, N. 2006. Comparative evaluation of suture materials and suture techniques for the management of traumatic teat lesions in buffaloes. J. Appl. Anim.Res., 29: 33-36.
To evaluate two suture materials and techniques in teat surgery, sixteen buffaloes with teat lesions were divided into four equal groups. Internal suturing included single layer continuous lockstitch with catgut 3-0 (group A), single layer continuous lockstitch with polyglycolic acid (PGA) 3-0 (group B), double layer simple continuous with catgut 3-0 (group C) and double layer simple continuous with PGA 3-0 (group D).Double layer simple continuous suturing with PGA reported best results followed by double layer suturing with catgut. Suture line leakage and complications were more common with single layer lockstitch patterns. Double layer suturing of teat lesions with PGA and catgut provided functional recovery of the teat, however, PGA had an edge over catgut.
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