1) Irrational prescribing in Ayurveda leads to misuse of resources, adverse health outcomes, and patient dissatisfaction.
2) Irrational practices include improper drug combinations, uncertain diagnosis and treatment, unnecessary expensive treatments, and lack of patient education.
3) These issues stem from lack of knowledge about the science-based standards and guidelines in Ayurveda. Training physicians and enforcing regulations based on evidence from Ayurvedic texts can help address irrational prescribing.
A large percentage of plants used in Ayurvedic practices and herbal medicines are subjected to controversy. Controversial drugs or Sandigdha Dravyas is term used for medicinal plants having controversial botanical sources due to polynomial nomenclature system of Sanskrit, non availability of plants and parallel evolved knowledge.
Adulterants and Substitutes are the common practices in herbal raw material trade. Adulteration is a debasement of article intentionally for commercial purpose or accidentally due to lack of knowledge of identification and proper collection.
Substitution is a replacement of equivalent drugs in place of original drugs on the basis of similar Rasa, Guna, Veerya, Vipak and mostly on Karma.
A large percentage of plants used in Ayurvedic practices and herbal medicines are subjected to controversy. Controversial drugs or Sandigdha Dravyas is term used for medicinal plants having controversial botanical sources due to polynomial nomenclature system of Sanskrit, non availability of plants and parallel evolved knowledge.
Adulterants and Substitutes are the common practices in herbal raw material trade. Adulteration is a debasement of article intentionally for commercial purpose or accidentally due to lack of knowledge of identification and proper collection.
Substitution is a replacement of equivalent drugs in place of original drugs on the basis of similar Rasa, Guna, Veerya, Vipak and mostly on Karma.
Ayurveda is a very well documented System of Health Care Practiced in Indian Sub-Continent.
Ayurvedic medicines are medicines intended for internal or external use, for or in the diagnosis ,treatment, mitigation or prevention of disease or disorder in human beings or animals.
Ayurvedic Drugs are obtained from the natural source that is from animal, plants and minerals.
Evaluation of drug means confirmation of its identity and determination of its quality and purity and detection of nature of adulteration.Evaluation of herbal drug is an important tool in the formulation of high quality herbal products. Quality of herb is
depends upon on many factors like cultivation, collection, drying, storage, processing for market etc. Now a day’s
substitution and adulteration of herb is very common due to scarcity of drug and its high price prevailing in the
market. Owing to medicinal properties attributed to an herb, it is necessary to maintain its quality and purity in the
commercial market. A present overview covering various tool like morphological, microscopical, physical, chemical
and biological employed for evaluation of herbal drugs.
Standardization of herbal drugs refers to “confirmation of its identity and determination of its quality, purity and detection of nature of adulterant by various parameters”.
Ayurveda is a very well documented System of Health Care Practiced in Indian Sub-Continent.
Ayurvedic medicines are medicines intended for internal or external use, for or in the diagnosis ,treatment, mitigation or prevention of disease or disorder in human beings or animals.
Ayurvedic Drugs are obtained from the natural source that is from animal, plants and minerals.
Evaluation of drug means confirmation of its identity and determination of its quality and purity and detection of nature of adulteration.Evaluation of herbal drug is an important tool in the formulation of high quality herbal products. Quality of herb is
depends upon on many factors like cultivation, collection, drying, storage, processing for market etc. Now a day’s
substitution and adulteration of herb is very common due to scarcity of drug and its high price prevailing in the
market. Owing to medicinal properties attributed to an herb, it is necessary to maintain its quality and purity in the
commercial market. A present overview covering various tool like morphological, microscopical, physical, chemical
and biological employed for evaluation of herbal drugs.
Standardization of herbal drugs refers to “confirmation of its identity and determination of its quality, purity and detection of nature of adulterant by various parameters”.
A very necessary intellectual uplift in fertility work up for practitioners, faculties and students of Ayurveda based on Science Based Evidence Based Ayurveda
Essential drug concept and rational use of medicinesPravin Prasad
Many medical students are unheard of the Essential Medicine List. This has been mentioned in very small sections in various textbooks that are in use in Nepal. The discussion on this topic is a must among medical and nursing students, as well as anyone related to field of Medicine
a beautiful ppt, illustrating the principles for prescribing, current concepts for clinical decision making, for practicing medicine and health care planning worldwide...
SBEBA is the practice of Evidence Based Medicine in Ayurveda . It is for the first tiime that a systematically standardised scientific decision making methodology is developed in this system of Medicine. SBEBA is developed by Drs. Rajkumar and Remya Krishnan
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. IRRATIONAL PRESCRIBING – AN UNRECOGNISED
CRIME IN AYURVEDA
Dr. Remya Krishnan MD PhD
Ayurveda physician & Faculty
Rajiv Gandhi Ayurveda Medical College
( Govt of Puducherry)
Mahe
2. Rational ??
• Rational treatment in Ayurveda requires that patients
who seek this system of Medicine are subjected to
guidelines of decision making strictly based on inbuilt
science led standards explained in Ayurvedic basic and
applied science in accordance to the state and stage of
the patient and the disease .
• All the practices which are not based on the above
standards leading to medically inappropriate and
economically ineffective use of drug resources is
irrational treatment
3. Consequences
• Misexploitation and wastage of precious raw drug resources
• Adverse clinical consequences including fatal ones in
patients
• Out of five patients who reach me , four of them have
unpleasant and terrible experiences with former Ayurvedic
treatment
• Neither the doctor nor the patient knows how and why it
has happened .
4. Several ways
• Misuse
• Unscientific drug manufacturing
• Uncertainity based prescribing
• Polytherapy
• Prescribing Ayurvedic medicines as adjuvants
for drugs in Modern Medicine in existing use (
dangerous and unpredictable drug
interactions )
5. A few examples
• Prescribing wrong medicines( medicines not
intended by science led guidelines for the
situation)
• Taking Agasthyarasayana in an infective
productive cough
• Taking turmeric in milk at times of allergy
• Performing nasya (nasal drops) in acute
sinusitis
• Hair oil in hair fall
6. • Prescibing empirical set of medicines and no
scientific diet and regimen strictly advocated
by science for the situation .
• Joint pain with Diabetes – Three herbal medicines-
Two kashayas+ Arishta + Tablets + patents+
Panchakarma
• Patient will be taking vegetarian diet, dairy, fruits,
diluted milk , fruit juices etc with a false notion that
it is “ scientific ”diet .
7. • The manufacture of irrational combination of
herbs or minerals not compatible with
evidence based guidelines of science for the
situation
• Patent drugs containing Arjuna , Bala ,
Dasamoola, Jatamansi, sarpagandha etc in
hypertension. There are large number of
examples .
8. Lack of patient education and councelling
regarding the cause- mechanism- effect of his
status and his crucial role in recovery process
• This happens by the ignorance of physician in the
above matters .
• This medicine- that disease approach is encouraged
in public by Ayurvedic medicine manufacturers in the
form of cook- book medicine publications for public
9. • The irrational employment of unnecessary expensive
medicines , treatments and Panchakarma procedures
leading to huge financial loss and unhealthy and
undesirable health consequences in the patients .
• More than 95% of all acute and chronic diseases do not
require any Panchakarma procedures for recovery .
• Empirical treatments of 10 times and even more cost
than what is required for science led intended
treatment is being done in Ayurveda today!
10. ILLITERACY IN SCIENCE BASED MEDICINE
• Ignorance of doctors in standards of practice of
Science Based Medicine of Ayurveda is the chief
most factor leading to this detrimental situation.
• Too many unscientific formulations are being
marketed every day which influence the public as
well as the ignorant prescribers to readily
recommend/ use them and invite complications
• No implementation of management, regulatory
or training interventions to check irrational
prescribing in Ayurveda
11. Defective education
• No educational interventions to train the
students, internees , practitioners and specialists ,
the very intended Science Based Evidence Based
Ayurveda .
• Science Based Evidence Based Ayurveda (SBEBA)
is defined as conscientious explicit judicious
employment of inbuilt science based evidences (
guidelines and core principles) which are the
evidence base for decision making in diagnosis
and management
12.
13. SBEBA
• SBEBA incorporates standardised science led
evidence based decision making tools and
strategies developed by physicians and
faculties Dr. Rajkumar and Dr. Remya krishnan
and the specific technique which is the golden
standard for decision making termed as “
Evidence Triad Approach” is explained in the
book “Evidence Based Ayurveda &Rational
prescribing “ authored by Dr. Remya krishnan
(2012)
14.
15. BHARAT MISSION BHISHAK
• In pilot studies conducted in a group of physicians from
different parts of India after training them on SBEBA tools
and strategies , their clinical performance after attending
training showed remarkable improvement in quality and
accuracy in comparison to the former status .
• Some of their self experiences after initiating training in
SBEBA is available in fb group of SBEBA Wisdom series and
you tube links in sbeba.org
• The SBEBA wisdom series is a systematic training
programme for physicians and students to understand and
practice the inbuilt tools and methodologies of Evidence
Based Medicine in Ayurveda which is science Based, the
programme is titled BHARAT MISSION BHISHAK
16.
17.
18. CURRENT PROBLEMS
Hospitals &nursing homes Prescribers (Physician) Patients
Lack of enforced
regulations and co-
ordination based on
science led evidence based
standards
Poor knowledge and skills
in the practice of Science
Based Medicine of
Ayurveda
Unable to differentiate
tradition and grandma’s
medicine from Ayurveda.
Lack of monitoring and
evaluating progress in
status of patients
No CMEs on Science Based
Medicine . The current
CMEs focus on Medicine
Based Science which is not
intended in Ayurveda.
Misled beliefs on the
system of Medicine
Unqualified people like
dispensing staff etc
treating patients
Empirical polytherapy,
uncertainity based
diagnsosis and treatmentd
ecision making
Cultural practices are
misinterpreted as
Ayurveda.
Poor hygiene Self medication
Unavailability of scientific
diet to patients owing to
ignorance of physicians
Telemedicine and its
potent hazards
19. What we need in Ayurveda for reformation ?
• A specific national body EXCLUSIVELY for
Ayurveda to take up and co-ordinate the policies
and practice of Science Based Evidence Based
Ayurveda
• Science Based Evidence Based guidelines for
compulsory training and physician for every
Ayurveda medical practitioner
• To have a list of essential classical medicines ( 15
number)which serve multipurpose based on
recommendations in science made available in
every part of India
20. What we need in Ayurveda for reformation ?
• Continuing Medical Education in SBEBA should be
made as a compulsory requirement for licensure
of practitioners .
• SBEBA awareness campaigns for public in every
part of India
• Adequate funding for developing infrastructure
and availability of medicines and SBEBA
healthcare personnels
• SBEBA cells in all Ayurveda teaching institutes
and hospitals to evaluate the decision making
standards adopted in both OPD and IPD .
21. SBEBA proposal which is submitted to Ministry
of AYUSH should be urgently taken up for
discussion and implementation .
Knowledge is the only way to ward off the
existing problems
Intense training should be initiated and effects
monitored at regular intervals