Cme rheumatology
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The document outlines the schedule for a two-day CME workshop on musculoskeletal disorders held by SBEBA Wisdom Series on March 26-27. The workshop will cover topics including Tridosha siddhanta, Pancha samprapties, an Evidence Triad Approach for evidence-based Ayurvedic practice, choosing medicines, infection and inflammation pathophysiology, case taking formats, diagnostic decision making, applied pharmacology of formulations, and guidelines for decision making in musculoskeletal disorders. Participants will engage in case discussions and clarification of concepts through a practice of asking, arguing, clarifying and confirming. The workshop will be led by Dr. Rajkumar KC and Dr. Remya Krishnan.
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This document discusses various drugs used to treat angina, asthma, and respiratory conditions. It describes:
1) Anti-anginal drugs like organic nitrates, beta blockers, and calcium channel blockers that work to reduce oxygen demand on the heart and increase blood flow. Nitroglycerin specifically works by dilating veins and arteries.
2) Antiplatelet drugs that prevent blood clots like those containing aspirin. They work by inhibiting platelet aggregation and fibrin formation.
3) Bronchodilators for asthma including beta-2 agonists, methylxanthines, corticosteroids, and leukotriene receptor antagonists. These work on receptors to relax airways.
Lipid lowering drugs
Statins such as simvastatin lower LDL cholesterol by inhibiting HMG-CoA reductase and decreasing cholesterol synthesis in the liver. This increases LDL receptors in the liver, enhancing clearance of LDL from the bloodstream. Bile acid sequestrants like colestipol bind bile acids in the gut and block their reabsorption, increasing liver production of bile acids from cholesterol. This lowers cellular cholesterol levels and increases LDL receptors in the liver. Fibrates such as gemfibrozil increase clearance of VLDL and decrease its production, lowering LDL and raising HDL cholesterol levels.
ANTIHYPERTENSIVES- MOA
1. The document discusses various classes of antihypertensive drugs and their mechanisms of action in lowering blood pressure.
2. The classes covered include diuretics, peripheral alpha-1 blockers, central sympatholytics, beta-blockers, ACE inhibitors, calcium channel blockers, and vasodilators. Each works by a specific mechanism to reduce cardiac output and/or total peripheral resistance.
3. The key targets of antihypertensive therapy are the organ systems and mechanisms that control the physical factors influencing cardiac output and total peripheral resistance, such as the kidneys, blood vessels, heart, and brain centers. Properly matching a drug's mechanism to a patient's needs can optimize treatment
ANTIEPILEPTICS -PHARMACOLOGY
The document discusses the pharmacology of analgesics and antiepileptic drugs, covering their mechanisms of action, classifications, and side effects. It explains that analgesics like NSAIDs work by inhibiting prostaglandin production while opioids act on opioid receptors in the central nervous system to reduce pain transmission. The document also outlines how antiepileptic drugs target ion channels and neurotransmitter systems involved in seizure generation to help control epilepsy.
Anaesthesia power point for BAMS students
An anesthetic is a drug that induces reversible loss of consciousness to enable surgery. General anesthetics depress the central nervous system in stages from consciousness to respiratory paralysis. They act by enhancing inhibitory GABA receptors and inhibiting excitatory receptors. Anesthesia can be delivered via inhalation of gases/vapors or intravenous injection. Monitoring patient vital signs is essential during anesthesia. Regional anesthesia blocks nerves peripherally while the patient remains conscious. New trends involve balanced anesthesia using multiple drugs for each component.
Suggestions on Standard Treatment Guidelines
This document outlines suggestions for standardizing clinical decision-making in Ayurveda based on its foundational texts. It advocates developing Standardized Diagnostic Guidelines and Standard Treatment Guidelines using a methodology called Evidence Triad Approach. This methodology systematically evaluates a patient's condition to determine the specific Ayurvedic diagnosis and treatment. It aims to replace a "cookbook medicine" approach and instead focus on accurately applying principles from Ayurvedic texts to each unique patient. The document also emphasizes practicing Ayurveda as a science-based, evidence-based medicine to validate its scientific nature.
Scientificity of Modern Medicine - A critical analysis.pptx
Modern medicine relies on inductive reasoning and probabilistic research rather than deductive reasoning from fundamental scientific principles. This leads to uncertainties and probabilities rather than logical conclusions. Drug development is focused on rather than understanding and reversing the root causes of disease. Evidence from clinical trials only shows uncertain benefits and risks of interventions rather than proving the scientific validity of reversing disease. True scientific medicine would be based on understanding disease causation and applying principles to restore health.
AYURVEDA PHYSICIANS AND CLINICAL ERROR
Majority of Ayurveda physicians deny making mistakes because they were not taught about the possibility of errors in medical college. They rely on trial and error and shared experiences rather than scientific Ayurveda standards. Physicians often feel shame in admitting mistakes and believe their experience makes them incapable of errors. Success is often defined as acquiring patients rather than improving health, and mistakes go unrecognized without training in evidence-based Ayurvedic diagnostic and treatment strategies. Introducing science-based, evidence-based Ayurveda standards and clinical audits could help physicians identify errors and reduce dangerous irrational prescribing.
MODERN MEDICINE VERSUS AYURVEDA
- According to the document, Ayurveda and modern medicine differ in their approaches to teaching, clinical trials, perspectives for lay audiences, and definitions of disease reversal.
- Ayurveda relies on ancient texts for teaching and focuses clinical trials on evaluating logical principles. It aims to communicate simply for lay audiences and defines reversal as regained health rather than just absence of symptoms.
- Modern medicine teaches from various sources and conducts unpredictable trials of unknown compounds. It uses technical language that can mislead lay audiences and equates reversal with normal lab values rather than overall health.
- The document argues that Ayurveda is a science-based medicine focused on understanding root causes, while modern medicine acts primarily through suppression
BAMS GRADUATES, HERE'S A REASON TO GET ASHAMED !
Do not get proud for addressing ayurveda as tradition
instead be ashamed , ayurveda is not tradition
SEVEN MYTHS ON VIRAL FEVER DEBUNKED
1) Seven common myths about viral fevers are debunked. Myths include that viral fever is deadly, that temperature alone determines infection severity, and that external cooling and paracetamol are effective treatments.
2) The document explains that fever is the body's immune response, and factors like weakness, digestion, and sweating better indicate infection severity. External cooling can slow the immune response and prolong infection.
3) Relying only on "eat and rest" or folk remedies is discouraged. Ayurvedic treatment is tailored to each person's immune status and focuses on supporting the body's natural recovery processes rather than directly attacking pathogens.
SEVEN MYTHS ON VIRAL FEVER DEBUNKED
1) The document debunks 7 common myths about viral fever. It explains that fever is not deadly but rather the body's immune response, and that factors like weakness, digestion, and sweating determine the grade of infection more than temperature alone.
2) It notes that during fever the immune system is actively fighting infection, so complete rest and external cooling can impair this process. Specific nutrients in Ayurveda stimulate antiviral metabolism and recovery.
3) The last myth addressed is that fever ending means full recovery, but the document lists scientific Ayurvedic parameters for full recovery and notes a follow up nutrition plan is advised for one week after for complete health.
SEVEN MYTHS ON SBEBA DEBUNKED
SBEBA is not a new concept but rather the scientific practice of Ayurveda as intended. Over 15 years of clinical research by the pioneers of SBEBA, Drs. Rajkumar and Remya Krishnan, have debunked 7 common myths about SBEBA. SBEBA uses the evidence bases and diagnostic principles of Ayurveda tailored to each individual patient's condition, not a one-size-fits-all approach. Its goal is to raise Ayurveda to the level of a science-based practice and provide an enlightened professional community for Ayurveda.
SEVEN AYURVEDA MEDICINE MYTHS DEBUNKED !!!
This document debunks 7 common myths about Ayurvedic medicine. It explains that Ayurveda can effectively treat acute pain using guidelines to determine the underlying cause. It clarifies that Ayurveda is a science, not just traditional knowledge, and addresses health in a systematic way. While some classical Ayurvedic medicines are safe, new formulations require proper testing. Mixing Ayurvedic and other medicines can cause unpredictable hazards. Ayurvedic diets aim to correct imbalances, not cause malnutrition. Most health issues do not require intensive Panchakarma treatments. And following scientific Ayurvedic strategies, diseases can be reversed with minimal medications.
TEN DANGEROUS HEALTH - CARE MYTHS
Here are the ten major and commonest healthcare myths widely spread in society more dangerous than pandemics
SBEBA- A CLARION CALL FOR ACTION
SCIENCE BASED EVIDENCE BASED AYURVEDA INVITES A CLARION CALL FOR ACTION FOR PROFESSIONAL RENAISSANCE OF AYURVEDA
AYURVEDA IS NOT WHAT YOU THINK!
This document discusses key differences between Ayurveda and Western medicine in their approaches to research, diagnosis, treatment objectives, and evidence-based practice. It emphasizes that the goal of Ayurvedic research and treatment is to fully reverse a patient's morbidity by addressing underlying causes, not just alleviate symptoms. Ayurveda diagnoses seek to understand each unique patient and environment, while Western medicine focuses more on distinguishing diseases. The document argues that Ayurveda should be researched and practiced according to its own principles and not integrated with other medical systems without deep learning.
WHAT TO DO TO STOP COVID???
The document discusses strategies for stopping the spread of COVID-19. It argues that focusing on strengthening the innate immune system through guidelines from Science Based Evidence Based Ayurveda (SBEBA) is crucial. Adopting SBEBA's natural resistance strategies can help individuals eliminate infections from within, decreasing virulence and preventing spread. Targeting health and natural recovery over isolated treatments is key to stopping COVID-19 from becoming a disaster.
AYURVEDA EDUCATION REQUIRES RENAISSANCE
1) The document calls for reforms in Ayurvedic education to better align it with the scientific principles of Ayurveda and produce scientific practitioners.
2) It recommends revising the curriculum to incorporate fundamental Ayurvedic biological concepts from the first year and evaluate students based on clinical decision making.
3) The revisions aim to establish Ayurveda as an independent science and produce practitioners trained in Science Based Evidence Based Ayurveda principles for clinical practice and research.
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- 1. SCHEDULE OF CME &WORKSHOP OF SBEBA WISDOM SERIES Musculoskeletal disorders 26 and 27 of March
- 2. 26-02-2016 • 9-9.30am- Prayer & Introduction to SBEBA • 9.30-11am – Tridosha siddhanta- What is learnt wrong and what is right? • 11-11.30- Break • 11.30-12.15- Pancha samprapties and their clinical appraisal • 12.15-1pm – Evidence Triad Approach –Novel science led methodology for evidence based practice in Ayurveda
- 3. 26-02-2016 • 1-2 pm- Lunch break • 2-3.30 pm –How to choose medicine ? • 3.30-5pm – Know Infection and Inflammation and their Ayurvedic pathophysiology
- 4. 27-02-2016 • 9-9.30- SBEBA Case taking format for clinical and research objective • 9.30-10.30am – SBEBA led Diagnostic decision making in musculoskeletal disorders of infective, inflammatory, metabolic and degenerative types . • 10.30-11 AM- Vata-shonita is not a Joint disorder! • 11.30-1pm –Applied Pharmacology of some Science Based Evidence Based formulations in joint disorders
- 5. 27-02-16 • 2-3.30pm- SBEBA- Guidelines for decision making in Musculoskeletal disorders • 3-4 pm – Case discussion through decision making worksheets
- 6. SBEBA –WISDOM SERIES ASK- ARGUE- CLARIFY – CONFIRM –PRACTICE SHASTHRARTHAS Proposers and core faculties : Dr. Rajkumar.KC MD PhD Dr. Remya Krishnan MD PhD