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
Scientific paper in Ayurveda is not same as modern science Remya Krishnan
There are enormous differences in the fundamental approach of scienticity and scientific approach of Modern science and Ayurveda. Read this to understand that
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
Scientific paper in Ayurveda is not same as modern science Remya Krishnan
There are enormous differences in the fundamental approach of scienticity and scientific approach of Modern science and Ayurveda. Read this to understand that
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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.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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2 Case Reports of Gastric Ultrasound
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Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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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.
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
WHY EVIDENCE BASED AYURVEDA DIFFER FROM EVIDENCE BASED WESTERN MEDICINE
1. Reflection of Science Based Evidence Based
Practice on Rational Prescribing
Dr. Remya Krishnan MD PhD ( Ay)
2. Definition
• Science Based Evidence Based Practice is the conscientious explicit
judicious employment of Science Based Evidences for a qualified
Ayurveda practitioner in accordance to the unique cause
circumstance sof every individual patient.
3. Consideration critical to responsible scientific clinical decision making
• Ayurveda science led literature comprises siddhanthas ( proven and
established theorems) and sutras ( decision making algorithms) for
thorough understanding of patient and his condition, HOW to choose
medicine in accordance to condition and how to evaluate the response to
appropriate therapeutic decisions.
• Evidence Based Practice of Ayurveda is not data led medicine oriented
but rather patient led inbuilt science oriented
• Science Based Evidence Based Ayurveda is the revolutionary initiative for
the most intended Evidence Based clinical practice in Ayurveda.
4. “Science” in SBEBA
• Science is not the process of sailing from uncertainity to uncertainity,
rather it is the process of recognising laws of nature and verifying the
truth in the same.
• Science is the wisdom required for a scientifically informed enterprise
and not blind testing of anything
• Science is full of sense and not non- sense.
• Science helps to differentiate sense and nonsense by its practical
accuracy and repeatability .
• Rationality of a medical system speaks about the reality about its
scientificity.
5. Evidence Based Practice- Crucial determinant
• The evidence based policy making of a medical system is to be
ultimately meant for maximising health outcomes for individual and
society based valid and reliable diagnostic and therapeutic decisions
and not data of observations in random population.
• Rationality of an innate medical system has nothing to do with
theories of probability led biostatistics and its calculations .
• Hence it is the background science and its true intentions which are
indispensable both for Ayurvedic researcher and physician ( infact
one should be the other also) and an honest Ayurveda physician
cannot refuse to know and use the shasthraarthas
6. SHAASTHRAARTHAS
• The knowledge and wisdom of shasthraarthas ( not the shasthrik
verses alone) is as necessary for being a qualified BHISHAK in
Ayurveda equally as the ability to write and read for a student .
• The crucial necessity to apply shasthraarthas in any clinical problem is
vital to practice Evidence Based Medicine in Ayurveda.
• The aim of an Ayurveda clinician is not to produce benefits and risks
but rather intended effects and health.
• The clinical judgement and pertinent reasoning for every situation
requires learning and application of shatshraarthas
7. Approach of SBEBA
• SBEBA treats the patient and not any disease .
• SBEBA practitioner therefore cannot take responsibility of one disease
alone by leaving the rest to other practitioners .
• Hence SBEBA practitioner must learn to acquire responsibility of the
patient on the whole instead of analytical reductionism of different
components of same disease or same components of different
diseases .
• SBEBA requires high knowledge potential and skills which could be
developed only by complete submission to learning and practice of
shasthraarthas
8. Standardisation of SCIENCE
• Unlike the quality of western medical practice/ research which relies upon
analysis of data and reporting of results Ayurvedic medical practice relies
upon accurate analysis of shasthraarthas and their application in the
situation.
• SBEBA for the first time in the history of Ayurveda incorporates
standardisation methodology for diagnosis, prognosis and treatment
decisions in variable health conditions for physicians .
• Hundred physicians of SBEBA speak one standardised opinion on one
condition regarding diagnosis and treatment decision and not hundred
different decisions . Hundred and first physician who learns SBEBA practice
would be able to adopt the same logics and procure the intended results in
intended time in place of his former uncertainity led empirical practice.
9. SBEBA webinars
• Attend with utmost concentration and write down the striking points
for reference and analysis for application.
• Webinars cannot cover the topic as in depth as seminars and
webinars cannot teach background science as seminars
• Webinars can be tough for beginners of SBEBA and it is absolutely
normal to feel blank in the first and second webinars but submission
to unlearning , relearning and practice of shasthraarthas will
effectively improve your knowledge and precision in decision making.
• “Shasthraartha karmaanusheelanena samskurveetha prajnaam”( AS
Su 23 )
10. Conclusion
• SBEBA is a solid science led enterprise for solving every kind of
existing dilemma and confusion in comprehension, diagnostics and
therapeutics of Ayurveda.
• SBEBA mission is meant for revolution in education, research and
clinical practice of Ayurveda and terminate all absurdity in the label of
Ayurveda .
• The SBEBA mission requires dedicated members for shasthraartha
karmaanusheelana and propagation of true science and Science led
Medicine of Ayurveda