The aim of this study is to compare the analgesic efficacy of intraincisional infiltration of Inj. Tramadol versus Inj. Bupivacaine for postoperative pain relief in Caesarean section under spinal anaesthesia and to compare postoperative pain scores and total consumption of rescue analgesics. Materials and Methods: This study was carried out in the Department of Obstetrics and Gynaecology in Rajah Muthiah Medical College and Hospital from 2018 -2020 after getting the approval of Ethical Committee. Sixty Antenatal mothers of age group (18-35 yrs) with BMI (18.5 -40 Kg/m2) scheduled for caesarean under spinal anaesthesia were included in the study. Patients under exclusion criteria were excluded in this study. Informed written consent was obtained prior to procedure. Under spinal anaesthesia caesarean section was performed. At the time of skin closure patients were randomly divided into two groups. Group A (n=30)treated with Inj. Tramadol 40 mg. Group B (n= 30)treated with Inj. Bupivacaine 0.25% 0.7 mg/kg. All drugs were diluted with sterile normal saline to 20 ml solution and administered intraincisionally at the time of skin closure. On arrival in recovery room, pain intensity is assessed by Visual Analogue Scale ranging from 0 to 10 and then 15, 30, 60 minutes, 2 hrs, 6 hrs, 12 hrs, 24 hrs after arrival from recovery. If analgesia is considered inadequate, rescue analgesics Inj. Diclofenac 75 mg intramuscular or Inj. Tramadol 1mg/kg intramuscular was added. The frequency of nausea, vomiting, rigor and mean arterial blood pressure were evaluated.At the end of 24 hours patients were asked about the quality of pain relief using the following scoreexcellent -4,very good-3, good -2, poor-1. Results: Demographic data -age distribution, BMI, gravidity showed no significant difference. Mean age,
As the technology is evolving new methods and techniques are determined and implemented in a smart way to improve and achieve a greater insight in this smart era. The retrieval of image is popularly growing in this emerging trend. In this paper we have used how to build a very simple image retrieval system using a special type of Neural Network called auto encoders. Here the images can be retrieved with visual contents textures, shape and this method of image retrieval is called content based image retrieval.
Over the past years, advances in the acute pain management have continued, although reports of inadequate pain relief in hospital patients persist. Low-back pain is one of the top five reasons for which patients seek care; it reports for 5% of all visits to primary health care providers, chiropractitioners and physiotherapists. Only conservative treatment is available in modern medicine with much limitation. Many health care professionals are routinely approached for help with low back pain. This article is about the clinical study of 5 patients of Kati-Shoola (Low-back pain) registered from the Out-patient door, Department of Panchakarma, SDM College of Ayurveda and Hospital, Hassan. The present study is aimed at finding effective management of Kati-Shoola. The drugs selected for managing the patients of Kati-Shoola were Lanka (Capsicum annum), Lasuna (Allium sativum), Ardraka (Zingiber officinale), Nagavalli patra (Piper betle), Saindhava (Rock salt). This formulation was one of the efforts towards ayurvedic clinical research which was tried and successfully incorporated as an adjuvant procedure in the management of Kati-Shoola. In this clinical study patients got significant improvement and no complications were found during and after the clinical study.
AIM: To evaluate and compare the antibacterial effect of AH plus, epiphany root canal sealer - with or without Amoxicillin and Doxycycline against E. faecalis (An in vitro study). METHODOLOGY: Freshly mixed sealers with or without antibiotics were placed in agar plates inoculated with E.faecalis and incubated for 24hrs at 370C under aerobic condition and zone of inhibition measured at 1st, 3rd, 5th& 7th day. RESULTS: Antibacterial action of AH Plus sealer was better than Epiphany with/without antibiotics at all time intervals. The antibacterial action of AH Plus – Doxycycline combination was twice and AH Plus – Amoxicillin combination was thrice compared to AH plus sealer alone. Antibacterial action of Epiphany – Doxycycline combination was thrice and Epiphany - Amoxicillin combination was four times greater compared to Epiphany sealer. CONCLUSION: Sealer – Amoxicillin combination showed better antibacterial action compared to sealer – Doxycycline combination.
Swedana (sudation) is a common procedure which is practiced as Poorva karma (pre-operative) before any Panchakarma. Pinda (bolus) Sweda is a kind of passive body heat therapy, which is known to cause systemic hemodynamic changes. Pinda Sweda refers to the Swedana done in the form of the Pinda. According to the conditions of the patients, one can opt different types of Pinda Sweda as mentioned in Samhitas and one can make new combinations as per the need and availability and properties of drugs. The present review describes the survey on Pinda Sweda which is used as a treatment modality in Ayurvedic system of medicine and the possible modifications one can make according to the availability, demand, and condition.
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