Suchergebnisse

Guillain-Barre syndrome is an acute, frequently severe and fulminant polyradiculopathy that is autoimmune in nature. Guillain Barre syndrome is a rare disorder that causes immune systems to attack peripheral nervous system (PNS). A 46 year old male patient, presenting with sudden onset, complete paralysis of all four limbs (quadriplegia), unable to walk, stand, sit, difficulty in deglutition (dysphagia) and dysarthia, was having foley's catheter and Ryle's Tube brought by relative to Out Door Patient Department (OPD) of Government Ayurvedic Hospital, Nagpur; He was provisionally diagnosed as subacute sensory motor paraplegia. Previously patient admitted and treated in Government Medical College (GMC) Nagpur but did not show any sign of improvement so patient was admitted and treated with Ayurvedic treatment for about 50 days. As per Ayurvedic classics, this condition can be correlated with sarvāṅ gagatavātavyādhi (~vāta disorder affecting all parts of the body), which is apatarpaṇa in nature (~diseases with deprived nourishment of body tissue) preceded by jvara (~(H/O fever before onset of GBS). Hence, the principle of treatment is santarpaṇa cikitsā (~nourishing treatment). Santarpaṇa (~nourishing treatment) includes bahyopakramas (~nourishing external treatment modalities), such as abhyaṅga (~oleation therapy) and ṣaṣṭikaśālipiṇḍasveda (~sudation using of hot and processed ṣaṣṭika rice), karmabasti (~medicated enema) śirodhārā (gentle pouring of medicated liquid over forehead) and jvaraghna cikitsā (~treatment of fever) using various Ayurvedic herbomineral compounds. Remarkable results were observed in the form of improvement in the muscle power from zero to five of all four limbs with improvement in speech. There was no difficulty post treatment in deglutition, sitting, standing and walking; and now patient has near to normal movements.

9 páginas, 2 tablas, 5 figuras. ; ICZM relies heavily on the definition of major multidisciplinary characteristics/elements of the coastal area of interest. Usually, only terrestrial boundaries are considered, which tend to respond to a specific sectoral problem and can be determined by administrative limits. In this study, we propose a method for establishing a decision-making tool to inform boundarydelimitation for ICZM initiatives that is proactive and widely applicable as opposed to reactive and problem specific. This method integrates environmental, economic and societal characteristics of the marine and terrestrial boundaries of the coastalzone, starting at the boundary of the jurisdictional zone of influence (shoreline units), increasing in detail through the definition of their influential areas from jurisdictional, environmental or socio-economic perspectives (functional areas) and, within them, specifying the finest scale at which relevant indicator data may be obtained (analysis units). ; This work has been carried out within the framework of the "IntegratedCoastalZoneManagement Project (UGIZC)", funded by the Conselleria de Economía, Hisenda e Innovació from the Government of the Balearic Islands. Partial support from Grups Competitius Award (Government of the Balearic Islands) is also gratefully acknowledged. ; Peer reviewed