Objective This work was designed as undertaken to evaluate the protective effect of Arsenicum album 30C against COVID-19.
Design The work was designed as a prospective parallel cluster cohort study.
Intervention Participants were enrolled in a homeopathy intervention (HI) cohort (who received Arsenicum album) or in a non-intervention (NI) cohort (who received no systematic intervention) from COVID-19 containment areas of Delhi. Individuals of age 5 years or above were given four medicated pills of Arsenicum album 30C, while those from 1 to 5 years old were given two medicated pills in each dose.
Results The analysis included 10,180 individuals residing in 11 COVID-19 containment areas in Delhi, out of which 6,590 individuals were in the HI cohort and 3,590 individuals were in the NI cohort. The overall protective effect of Arsenicum album 30C was 83.43% (95% confidence interval [CI], 76.77 to 88.17): 45 cases per 6,590 (8.34 per 10,000 person-weeks) in the Arsenicum album 30C group versus 143 cases per 3,590 (45.01 per 10,000 person-weeks) in the NI cohort. The protective effect of Arsenicum album 30C against laboratory confirmed COVID-19 was 74.40% (95% CI, 55.08 to 85.41): 18 cases per 6,590 (3.32 per 10,000 person-weeks) in the Arsenicum album 30C group versus 38 cases per 3,590 (11.85 per 10,000 person-weeks) in the NI cohort.
Conclusion The use of Arsenicum album 30C was associated with some protection against probable and laboratory-confirmed COVID-19 in a containment-zone setting. Randomized controlled trials are needed to confirm or refute these results.
Introduction:Chorionic villus sampling (CVS) is the gold standard invasive procedure for first trimester prenatal diagnosis. 1 Trans-abdominal CVS is associated with a lower rate of procedure related miscarriage than trans-cervical CVS. In experienced hands CVS is a safe procedure with overall foetal loss rate of 0.
Conjoined twins are identical twins whose bodies are joined in utero. Parasitic twins occur when a twin embryo begins developing in utero, but the pair does not fully separate, and one embryo maintains dominant development at the expense of the other which becomes vestigial. Vestigial twin appears as parasitic because it is incompletely formed or wholly dependent on the body function of the complete fetus. The independent twin is called the autosite. In conjoined twins both remain healthy. In this study we have presented one parasitic twin and another conjoined twin. In 1st case a 28 yrs old lady delivered a female parasitic twin by caesarean section due to failure of induction of labour. Unfortunately the baby died on 3rd postoperative day. In 2nd case, a 25years old lady diagnosed as a case of conjoined twin by ultrasonography for the first time at her 35wks of pregnancy. Emergency caesarean section was arranged on the day of admission as she started labour pain. A conjoined twin was delivered which were joined at thorax and abdomen and both were alive. Parents were offered surgical separation but they refused it and take the babies home.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11027 BSMMU J 2012; 5(1):65-68
Introduction: Henoch-Schönlein purpura is an IgA-mediated small vessel vasculitis involving mainly skin, gastrointestinal system and kidneys. It is predominantly a disease of young children. Most common symptoms are rash (95-100%), sometimes necrotizing involving specially the legs, subcutaneous oedema (20-50%), abdominal pain and vomiting(85%), bloody stool and joint pain (60-80%) involving mainly the knees and ankles. Diagnosis is clinical and not based on laboratory evaluation. Its occurrence during pregnancy is exceptional. Materials & Methods: On literature search, till date only 17-18 cases of Henoch-Schönlein purpura in pregnancy were found. Case: Here we present a case report on this rare disease in pregnancy. A 39 year old lady, para 1+ 8 abortions, diagnosed as Henoch-Schönlein purpura at 24 weeks of gestation, treated with steroids and was cured almost completely. She was readmitted at 37 weeks of gestation with few purpuric rashes. Elective caesarean section was planned and a healthy male baby was delivered. But sub-total hysterectomy was needed for intractable bleeding from placental bed. Her post operative period was uneventful. Conclusion: Very few information we got on literature search on Henoch-Schönlein purpura in pregnancy. Corticosteroids and plasmapheresis have been practiced as treatment during pregnancy. If kidneys are unaffected, obstetrical prognosis is good. Key Words- Henoch-Schönlein Purpura; Pregnancy DOI: 10.3329/bjog.v23i2.4964 Bangladesh J Obstet Gynaecol, 2008; Vol. 23(2) : 73-77
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