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In this brief article, the author draws attention to the fact that much of the current scientific research on yoga has tended to exclude spirituality as a focus of study. In response, he presents arguments and information regarding the value of incorporating spiritual constructs in yoga investigations and makes suggestions for future studies....
Background: There are many causes of the etiology of hypoglycemia. Hypoglycemia
is very rare in individuals without diabetes. Although it can accompany
islet cell malignancies such as insulinoma, it is much less common
in solid organ tumors such as hepatocellular carcinoma as a component of
paraneoplastic syndrome. Case Presentation: We present a 58-year-old male
patient with no additional disease, who was examined for resistant hypoglycemia
and was diagnosed as having hepatocellular carcinoma radiologically
for the first time. Insulin level measured when serum glucose was 44 mg/dl:
0.4 μU/mL, c-peptide level: 0.355 ng/mL detected. Viral serology was found
to be positive for HbsAg. In dynamic magnetic resonance imaging, showing
continuity in segments 6 - 7 and 8 in the right lobe, and also partially towards
5, heterogeneous hyperintense in T2 A’s, diffusion-limiting, heterogeneous
contrast enhancement in postcontrast series, cystic-necrotic in the center.
The alpha-fetoprotein level was 60,500 ng/mL. Conclusion: Paraneoplastic
hypoglycemia due to underlying malignancies should be considered in patients
presenting with hypoglycemia....
Introduction: We present a case of upper gastrointestinal bleeding in a woman
aged 56 years with liver cirrhosis who was diagnosed with isolated duodenal
variceal bleeding, which was successfully treated with histoacryl injection.
Case Presentation: A 57-year female cirrhotic patient presented with melena.
She had been diagnosed with duodenal variceal bleeding and treated successfully
with 2.4 ml histoacryl using a normal gastroscope. The patient subsequently
remained stable and free of any further GI bleeding. She was discharged
48 hours later. Her hemoglobin remained stable at 9 g/L. Conclusion:
The histoacryl glue injection provides an effective treatment. Hence, this should
ideally be performed by an experienced endoscopist who is aware of and vigilant
for the serious complications of this treatment option....
Amlapitta means a condition in which sourness of Pitta gets increased. Ã¢â?¬Å?AmlapittaÃ¢â?¬Â is the disease of Ã¢â?¬Å?Annavaha SrotasÃ¢â?¬Â.\nThe Nidana Sevana creates Mandagni and due to Mandagni, Ajirna is developed which leads to Annavisha production. This\nAnnavisha mixed with Pittadi Doshas then it produces the Amlapitta disease. According to modern view Ã¢â?¬Ë?HyperacidityÃ¢â?¬â?¢ can be\ncompared with Amlapitta. Aim of this research was to evaluate the efficacy of Ã¢â?¬Å?Chhinnodbhavadi Yoga GhanvatiÃ¢â?¬Â in the\nmanagement of Amlapitta. Total 15 patients of age group 16-60 years were registered. Assessment was done based on the relief\nin symptoms after 7 weeks of treatment, with a follow-up of 2 weeks. The data obtained in clinical study was analyzed by using\nÃ¢â?¬Å?tÃ¢â?¬Â test. Complete remission was found in 6.66% patients; 60% had marked improvement, 26.66% had moderate improvement\nand 6.66% had mildly improved. Research concludes that drug is effective in Amlapitta without any side effect....
Objective: While studies have demonstrated the beneficial effects of yoga for school-aged children and adults,\nthere is limited research on the influence of yoga on preschoolersÃ¢â?¬â?¢ motor abilities. The purpose of this study was\nto investigate how young children respond to Hatha yoga training by comparing preschoolersÃ¢â?¬â?¢ strength, flexibility,\ncoordination and balance before and after a 6-week yoga program.\nMethod: A cross-over design was used to compare performance of two groups of preschool children aged\n3-5 before and after a 6-week developmentally appropriate yoga training program. The short form of the Bruininks-\nOseretsky Test of Motor Proficiency, Second Edition (BOT-2) and long jump were used to quantify strength, balance\nand bilateral coordination. Knee extension strength was measured with hand-held dynamometry and functional\nflexibility of low back and hamstrings was quantified by the Sit and Reach Test (SRT).\nResults: When compared to a control group, the group participating in yoga demonstrated a statistically\nsignificant increase in static balance and functional lower extremity strength with a strong effect size, (d) =1.52,\n(d) = 0.82 respectively. When comparing individualÃ¢â?¬â?¢s performance before and after participating in the yoga\nprogram, individuals showed statistically significant improvements in at least one measure of strength, flexibility and\ncoordination indicating moderate effects of the yoga training.\nConclusion: The gross motor development of pre-school children may be enhanced by participation in a 6 week\nlong developmentally appropriate group yoga program....
Background: Health promotion at the work site in terms of physical activity has proven positive effects but\noptimization of relevant exercise training protocols and implementation for high adherence are still scanty.\nMethods/Design: The aim of this paper is to present a study protocol with a conceptual model for planning the\noptimal individually tailored physical exercise training for each worker based on individual health check, existing\nguidelines and state of the art sports science training recommendations in the broad categories of cardiorespiratory\nfitness, muscle strength in specific body parts, and functional training including balance training. The hypotheses of\nthis research are that individually tailored worksite-based intelligent physical exercise training, IPET, among workers\nwith inactive job categories will: 1) Improve cardiorespiratory fitness and/or individual health risk indicators,\n2) Improve muscle strength and decrease musculoskeletal disorders, 3) Succeed in regular adherence to worksite\nand leisure physical activity training, and 3) Reduce sickness absence and productivity losses (presenteeism) in office\nworkers. The present RCT study enrolled almost 400 employees with sedentary jobs in the private as well as public\nsectors. The training interventions last 2 years with measures at baseline as well as one and two years follow-up.\nDiscussion: If proven effective, the intelligent physical exercise training scheduled as well as the information for its\npractical implementation can provide meaningful scientifically based information for public health policy....
Background: Trained practitioners claim to identify the specific direction of superficial or deep lymphatic\ncirculation using a non-invasive technique called Manual Lymphatic Mapping (MLM). MLM is a recent advance in\nmanual therapy, a component of Lymph Drainage Therapy (LDT)/Osteopathic Lymphatic Technique (OLT).\nObjective: Assess the potential of trained practitioners to palpate superficial lymphatic flow.\nMethod: Each practitioner mapped the sole of the foot of a healthy volunteer, a region never previously studied.\nThe results of the mapping were compared between trained and untrained practitioners and physiologic lymph charts\nResults: Trained practitioners (n=393) provided significantly more correct mappings (correct answers = 245)\nthan untrained practitioners (n=411, correct answers = 11) (X2 = 329.54, p < 0.05), and OR = 60.20, p < 0.05.\nConclusion: Trained practitioners, but not untrained practitioners, mapped pedal flow by palpation, consistent\nwith standard physiologic lymphatic maps. Flow studies, by imaging in individual subjects mapped by palpation, must\nfurther test this finding....
Background: Laparoscopic Nissen fundoplication (LNF) is the most common surgical procedure for the surgical\nmanagement of gastro-esophageal reflux disease (GERD). Laparoscopic Toupet fundoplication (LTF) has been\nreported to have a lower prevalence of postoperative complications yet still obtain a similar level of reflux control.\nWe conducted a meta-analysis to confirm the value of LNF and LTF.\nMethods: PubMed, Medline, Embase, Cochrane Library and Springerlink were searched for randomized controlled\ntrials (RCTs) comparing LNF and LTF. Data regarding the benefits and adverse results of two techniques were\nextracted and compared using a meta-analysis.\nResults: Eight eligible RCTs comparing LNF (n = 625) and LTF (n = 567) were identified. There were no significant\ndifferences between LNF and LTF with regard to hospitalization duration, perioperative complications, patient satisfaction,\npostoperative heartburn, regurgitation, postoperative DeMeester scores, or esophagites. A shorter operative time and\nhigher postoperative lower esophageal sphincter pressure were associated with LNF. Prevalence of postoperative\ndysphagia, gas-bloating, inability to belch, dilatation for dysphagia and reoperation were higher after LNF, but\nsubgroup analyses showed that differences with respect to dysphagia between LNF and LTF disappeared over\ntime. Subgroup analyses did not support Ã¢â?¬Å?tailored therapyÃ¢â?¬Â according to preoperative esophageal motility.\nConclusions: LNF and LTF have equivalently good control of GERD and result in a similar prevalence of patient\nsatisfaction. Based on current evidence, it is not rational or advisable to abandon LNF when choosing a surgical\nprocedure for GERD....
Background: Although the Asian Pacific Association for the Study of the Liver acute-on-chronic liver failure (ACLF)
research consortium (AARC) ACLF score is easy to use in patients with hepatitis b virus-related ACLF (HBV-ACLF),
serum lactate is not routinely tested in primary hospitals, and its value may be affected by some interference factors.
Neutrophil-to-lymphocyte ratio (NLR) is used to assess the status of bacterial infection (BI) or outcomes in patients
with various diseases. We developed an NLR-based AARC ACLF score and compared it with the existing model.
Methods: A total of 494 HBV-ACLF patients, enrolled in four tertiary academic hospitals in China with 90-day
follow-up, were analysed. Prognostic performance of baseline NLR and lactate were compared between cirrhotic and
non-cirrhotic subgroups via the receiver operating curve and Kaplan–Meier analyses. A modified AARC ACLF (mAARC
ACLF) score using NLR as a replacement for lactate was developed (n = 290) and validated (n = 204).
Results: There were significantly higher baseline values of NLR in non-survivors, patients with admission BI, and those
with higher grades of ACLF compared with the control groups. Compared with lactate, NLR better reflected BI status
in the cirrhotic subgroup, and was more significantly correlated with CTP, MELD, MELD-Na, and the AARC score. NLR
was an independent predictor of 90-day mortality, and was categorized into three risk grades (< 3.10, 3.10–4.78, and
> 4.78) with 90-day cumulative mortalities of 8%, 21.2%, and 77.5% in the derivation cohort, respectively. The mAARC
ACLF score, using the three grades of NLR instead of corresponding levels of lactate, was superior to the other four
scores in predicting 90-day mortality in the derivation (AUROC 0.906, 95% CI 0.872–0.940, average P < 0.001) and validation
cohorts (AUROC 0.913, 95% CI 0.876–0.950, average P < 0.01), with a considerable performance in predicting
28-day mortality in the two cohorts.
Conclusions: The prognostic value of NLR is superior to that of lactate in predicting short-term mortality risk in
cirrhotic and non-cirrhotic patients with HBV-ACLF. NLR can be incorporated into the AARC ACLF scoring system for................
Aims: To investigate the diagnostic value of fecal calprotectin (FC) determined\nby a new immunofluorescence assay-fluorescence enzyme immunoassay\n(FEIA) in patient with inflammatory bowel disease (IBD) or functional\nbowel disease, compared with the typical ELISA kit. Methods: FC was determined\nsimultaneously by FEIA and an ELISA kit in 26 patients with functional\nbowel disease and 77 patients with IBD. We compared the difference of\nFC levels between patients with IBD and patients with functional bowel disease.\nReceiver operating characteristics curve (ROC) was constructed to obtain\nthe optimal cut-off value of FC for distinguishing IBD from functional\nbowel disease and the corresponding sensitivity and specificity. Results: The\nmedian FC levels of patients with IBD in clinical active stage or clinical remission\nstage was significantly higher than that of patients with functional\nbowel disease. The median FC levels of patients with IBD in clinical active\nstage, IBD in clinical remission stage and functional bowel disease were as\nfollow: 699.91....................
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