Rajiv Gandhi University of Health Science Bangalore, Karnataka s1
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RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA,
BANGALORE.
COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
A COMPARATIVE clinical STUDY on the role of
SARPAGANDHA VATI AND JATAMANSI KWATHA in
the management of pre-operative anxiety
By
Dr.KUMAR KANTHIMATH
M. S. (AYU) SCHOLAR
Dept of P.G.Studies in Shalyatantra
S.D.M College of Ayurveda,
Udupi
Guide
Dr. SUBRAhMANYA BHaT
M.d. (Ayu)
PROFESSOR
Dept of P.G. Studies in Shalyatantra
S.D.M College of Ayurveda,
Udupi
Co-Guide
dr. JAYAKRISHNA nayak
m.s. (ayu)
Lecturer
Dept of P.G.Studies in Shalyatantra
S.D.M College of Ayurveda,
Udupi
2009 - 2010
S.D.M.COLLEGE OF AYURVEDA,
KUTHPADY, UDUPI.
From-
DR.KUMAR.KANTHIMATH
1st Year M.S.Scholar
Dept. of P.G. Studies in Shalyatantra
S.D.M.College of Ayurveda
Kuthpady, Udupi -574118.
To,
THE REGISTRAR,
Rajiv Gandhi University of Health Sciences
Karnataka, Bangalore.
Through-
THE PRINCIPAL,
S.D.M College of Ayurveda, Kuthpady
Udupi- 574118
Subject: Submission of completed proforma for registration of subject for dissertation.
Respected Sir,
I request you to kindly register the below mentioned subject against my name for the submission of dissertation to the Rajiv Gandhi University of Health Sciences, Bangalore for the partial fulfillment of M.S (Ayu) in Shalyatantra.
TITLE OF DISSERTATION:
A COMPARATIVE clinical STUDY ON THE role of
SARPAGANDHA VATI AND JATAMAnSI KWATHa in
the management of pre- operative anxiety
Herewith I am enclosing the completed proforma for registration of subject for dissertation.
Thanking you, yours faithfully,
Place: Udupi
Date: (Dr.Kumar.kanthimath.)
1) NAME OF CANDIDATE:
Dr.KUMAR.KANTHIMATH
1st Year M.S. scholar,
Dept of P.G. Studies in Shalyatantra
S.D.M.C.A. KUTHPADY, Udupi.
PERMANENT ADRESS:
DR.KUMAR.KANTHIMATH
S/O s.g.kanthimath
near sai temple, patanjali yoga mandir,
hatalageri road, gadag
pin-582101.
2) NAME OF INSTITUTION:
S.D.M.COLLEGE OF AYURVEDA
KUTHPADY, UDUPI-574118
3) COURSE OF STUDY AND SUBJECT: M.S. (AYU) IN SHALYATANTRA.
4) DATE OF ADMISSION TO COURSE: 23rd November 2009
5) TITLE OF TOPIC
A COMPARATIVE clinical STUDY on the role of
SARPAGANDHA VATI AND JATAMANSI KWATHA in
the management of pre- operative anxiety
6) BRIEF RESUME OF INTENDED WORK:
6.1) NEED FOR THE STUDY:
Pre operative anxiety plays a major role in patient morbidity during surgery. The actual surgical and anesthetic management starts with pre operative psychological preparation of the patient. The most important objective is to relieve anxiety before surgery.
Acharya Sushruta, considered as Father of Surgery, explained in detail about poorva karma, pradhan karma and pashcat karma on surgically posted patient1. Anxiety causes instability and behavior variation before surgery. Our Acharyas mentioned many methods and drugs, like Sarpagandha2 and jatamansi3, 4 to overcome anxiety.
Previous works proved that Sarpagandha and jatamansi are anxiolytic5, 6. As a part of continuation of previous research, to compare the therapeutic efficacy of both these drugs in the pre operative anxiety, the dissertation topic entitled “A comparative clinical study on Sarpagandha vati and Jatamansi kwatha in the management pre operative anxiety” is selected.
6.2) REVIEW OF LITERATURE:
This section will contain:-
Ø Description of manas and manoroga its nidana, lakshana, chikitsa, upadrava in Ayurveda literature.7
Ø Description of anxiety and its treatment in Modern science.8
Ø Detailed study of sarpagandha vati and jatamansi kwath.
PREVIOUS WORK DONE:
1. Dr Patil D.M.: Effect of Jatamansi kwath and Smritisagar rasa in the management of
Pre operative anxiety-a comparative study, Rajiv Gandhi University of Health Sciences
Karnataka, Bangalore 2004
2. Dr Kokada Mastanrao: Evaluation of Sarpagandha effect as pre operative medication,
Rajiv Gandhi University of Health Sciences Karnataka, Bangalore 2003-2004
6.3) OBJECTIVES OF STUDY:
Ø To study the literature about anxiety in detail
Ø Comparative study to evaluate the effect of sarpagandha vati and jatamansi kwatha in the management of pre operative anxiety.
7) MATERIAL AND METHODS:
7.1) SOURCE OF DATA:
Among patients posted for surgery, twenty are selected from Dhanvantari ward, S.D.M. Ayurveda Hospital; Udupi
7.2) METHOD OF COLLECTION OF DATA:
Data will be collected based on a detailed proforma.
Minimum of twenty patients suffering from pre operative anxiety in the age group of 20-60years will be selected and subjected to clinical trials.
7.3) DESIGN OF STUDY
This is a single blind comparative clinical study with pre test and post test design. Twenty patients will be selected. And made into two groups of ten patients each
Group A 10 patients Jatamansi kwatha 40ml orally
Group B 10 patients Sarpagandha vati 1gm orally
DURATION OF TREATMENT
Sarpagandha vati and jatamansi kwatha are given on the previous day of surgery in the evening at around 7pm and also in the morning on the day of surgery.
OBSERVATION PERIOD AND FOLLOW UP
The observations are made at different intervals of time, .i.e. ½ hour before and after administration of drug, 1hour after administration of drug, 1 ½ hour after administration of drug, on the day of surgery and after surgery. During surgery observations are not carried out.
INCLUSION CRITERIA:
Ø Patients aged between 20-60years.
Ø Patients of either sex are taken.
Ø Patients undergoing surgical procedure under spinal anesthesia like
- Herniorraphy
- Appendicectomy
- Hysterectomy
- Haemorrhoidectomy
EXCLUSION CRITERIA:
Ø Patient undergone any surgical procedure before.
Ø Patient having history of hypertension, diabetes mellitus and other systemic disorders.
Ø Patient on anti depressant treatment.
ASSESSMENT CRITERIA:
Ø The response will be assessed on subjective and objective parameters.
SUBJECTIVE PARAMETERS:
ACCORDING TO DSM-4
Ø Palpitation or accelerated heart rate
Ø Sweating
Ø Trembling or shaking
Ø Breathlessness
Ø Chocking
Ø Chest pain or discomfort
Ø Nausea
Ø Dizziness
Ø Fear of dying
Ø Chills or hot flushes
Ø Paresthesias
Ø Fear of losing control
Ø depersonalisation
OBJECTIVE PARAMETERS:
Ø Blood pressure
Ø Pulse rate
INVESTIGATION
Ø Hb%
- TC
- DC
- ESR
Ø Blood sugar and urine sugar
Ø Any other necessary investigations.
7.3) Does this study require any investigations or interventions to be conducted on patients or other humans or animals? If so please describe briefly?
Yes, the study will be conducted on humans and not on animals.
7.4) Has the ethical clearance been obtained from your institution in the case of 7.3?
YES, ethical clearance is obtained through the ethical committee formulated in this institution.
8) List of references:
1. Acharya Sushruta, Sushruta Samhita, commentry ’Nibandhasangraha’ of
Dalhanacharya and the Nyayachandrika Pankaja of Sri Gayadasachrya on
Nidanstana: edited by Vaidya Jadhavji Trikamji Acharya : published by Varanasi,
Choukambha Surbharati Prakashan, Ed 9th 2007, Pp-824,P-.18.
2. Acharya Bhavamisra ,Bhavaprakasa of Bhavamisra text english translation,
notes,appendacesand index By dr.Srikantha Murthy,volume 1, reprint
2008,Pp-738,p-185
3. Acharya Bhavamisra ,Bhavaprakasa of Bhavamisra text english translation, notes,
appendices and index By dr.Srikantha Murthy,volume 1, reprint 2008,Pp-738,p- 220
4. Acharya Caraka; caraka samhita, commentry 'ayurveda deepika’ of chakrapani
edited by Vaidya Yadhavji Trikamji Acharya : published by
Varanasi,Choukambha oriantalaya 2007,ED 5th,Pp-738,p-34.
5. Dr Kokada Mastanrao: Evaluation of Sarpagandha effect as pre operative medication, Rajiv
Gandhi University of Health Sciences Karnataka, Bangalore 2003
6. Dr Patil D.M.: Effect of Jatamansi kwath and Smritisagar rasa in the management
of Pre operative anxiety-a comparative study, Rajiv Gandhi University of Health
Sciences, Karnataka, Bangalore 2004
7. AcharyaCaraka; caraka samhita, commentry 'ayurveda deepika’ of chakrapani
edited by a Vaidya Yadhavji Trikamji Acharya : published by
VaranasiChoukambha oriantalaya 2007,ED 5th,Pp-738, p-288.
8. Harrison’s, principle of internal medicine Fanci, Braunawald, Kasper, Hauser,
Longo, Jameson,Losclzo ED17th, vol 2, pp-2754,p-2710
8. SIGNATURE OF CANDIDATE:
9. REMARKS OF GUIDE:
10. NAME AND DESIGATION OF:
1) GUIDE: DR.SUBRAHMANYA BHAT
M.S. (AYU)
PROFESSOR,
Dept of P.G. Studies in Shalyatantra
S.D.M. College of Ayurveda, Udupi
2) SIGNATURE:
3) CO-GUIDE: DR. JAYAKRISHNA NAYAK
M.S. (Ayu)
LECTURER,
Dept of P.G Studies in Shalyatantra
S.D.M College of Ayurveda,Udupi.
4) SIGNATURE:
5) HEAD OF DEPARTMENT: DR. K.R.RAMACHANDRA
B.SC. M.D. (AYU)
PROFESSOR H.O.D.
Dept of P.G Studies in Shalyatantra
S.D.M College of Ayurveda, Udupi
6) SIGNATURE:
12) REMARKS OF CHAIRMAN AND PRINCIPAL:
12.1) SIGNATURE: