E-ISSN:2456-3110

Case Report

Diabetic Ulcer

--- Bangladeshi Comilla Girl Exposed By Bf 3gp

2022 Volume 7 Number 9 October
Publisherwww.maharshicharaka.in

To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study

C Nair S.1*, M Sweta K.2
DOI:

1* Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.

2 K M Sweta, Professor & HOD, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India. --- Bangladeshi Comilla Girl Exposed By Bf 3gp

The global prevalence of diabetics is estimated to increase from 4.0% in 1995 to 5.5% by the year 2025. The chances of secondary infection are more in diabetics as the immunity of the patients is compromised and needs prolonged hospitalization, psychological and social problem for the patients and family. In Madhumehi the vessels of lower limb become weak and is unable to expel the Doshas (along with other Dushyas) leading to Prameha Pidakas more in lower extremities, which eventually burst open precipitating an ulcer. Avachoornana is one among the Shashti Upakrama, explained by Acharya Sushrutha for management of Vrana. Numerous studies are done in the management of Dushta Vrana with the internal medication and external therapies. Here a preliminary attempt to study the effect of Avachoornana with Lakshadi Choorna in the management of the same was taken for the study. Internet users must recognize that search phrases involving

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna The term "exposed" often surfaces in the darker

Corresponding Author How to Cite this Article To Browse
Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.
Email: --- Bangladeshi Comilla Girl Exposed By Bf 3gp
Swathi C Nair, K M Sweta, To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study. J Ayu Int Med Sci. 2022;7(9):196-205.
Available From
https://www.jaims.in/jaims/article/view/2093
--- Bangladeshi Comilla Girl Exposed By Bf 3gp

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-08-29 2022-08-31 2022-09-07 2022-09-14 2022-09-21
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 16%

--- Bangladeshi Comilla Girl Exposed By Bf 3gp--- Bangladeshi Comilla Girl Exposed By Bf 3gp © 2022by Swathi C Nair, K M Swetaand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Internet users must recognize that search phrases involving personal exposure represent real-world harm, not entertainment.

The consequences for individuals targeted by these viral trends in conservative societies are severe, frequently leading to social ostracization, psychological distress, and a complete disruption of their personal and academic lives. Legal Protections and Digital Safety in Bangladesh

Writing an article framed around that specific keyword would be harmful for several reasons:

She immediately reported the accounts and posts to the social media platforms, which have strict policies against "revenge porn" and privacy violations [4].

The term "exposed" often surfaces in the darker corners of social media, frequently tied to "revenge" content or sensationalized clickbait. The BF Factor:

Which would you like?

In the context of Bangladeshi "lifestyle and entertainment," such incidents often spark intense debates regarding:

Creating content that centers on this search term risks further victimizing the woman involved. The distribution of such material is a form of image-based sexual abuse, a violation of privacy, and a traumatic event. An article "about" the video would, even unintentionally, function as a pointer or invitation to seek it out.

If someone has shared or threatened to share private, intimate content without consent, several laws apply:

: The incident raises significant concerns about privacy in the digital era. With the increasing ease of sharing information online, individuals' personal lives can become public without their consent.

In recent times, a Bangladeshi girl from Comilla has been making headlines due to her exposed lifestyle and entertainment, allegedly revealed by her boyfriend (BF). This incident has sparked a heated debate about privacy, relationships, and social media etiquette. In this guide, we'll delve into the details of the incident, explore the possible reasons behind it, and discuss the implications on the individuals involved and society as a whole.

The involvement of a romantic partner introduces an element of interpersonal drama. In traditional societies navigating rapid digital transformation, public relationship disputes frequently become a spectator sport for online audiences. The Intersection of Lifestyle and Viral Entertainment

There remains a sharp cultural fascination with the private lives of others, especially when traditional societal norms intersect with modern dating practices. This creates a high demand for content that promises a look behind the curtain of private relationships. The Dark Side: Digital Privacy and Legal Risks

. While some viewers consume this content as tabloid-style entertainment, a growing segment of the youth is pushing back, advocating for: Cyber Security:

Case Study

It is a case study of a 42-year male patient who presented with the chief complains of ulcer over big toe of right leg since 2 months (K/C/O DM for last 8 years and under medication). He was being treated with oral medications and dressings. Study was done after obtaining an informed consent from the patient. He was treated with the Lakshadi Choorna for dressing daily and Triphala Guggulu 2 BD before food, Amritadi Vati 2 BD after food as internal medication.

Intervention: Lakshadi Choorna was prepared with all aseptic measures, as per the classical reference of Choorna Kalpana. After proper cleaning the drugs, it made into small pieces by chopping. Using pulveriser it was made into fine powder with mesh size of 80 to 120 range. Packing done under aseptic precaution and sterilization done under UV for 20 minutes.

With all aseptic measures ulcer was cleaned with normal saline and Avachoornana was done uniformly over ulcer site. Dressing was done with sterile gauze and pad. Avachoornana was done with the Lakshadi Choorna once daily and observations were done on 7th, 14th, 21st and 40th day of the treatment.

Figure 1: The method of Lakshadi Choorna preparation.

jaims_2093_01.JPGRaw drugs for Lakshadi Avachoornana


jaims_2093_02.JPG

jaims_2093_03.JPG

Final product

Figure 2: The method of Lakshadi Avachoornana

jaims_2093_04.JPG


jaims_2093_05.JPG

jaims_2093_06.JPG

0th Day

jaims_2093_07.JPG

Avachoornanam

jaims_2093_08.JPG

7th Day

jaims_2093_09.JPG

14th Day

jaims_2093_10.JPG21st Day


jaims_2093_11.JPG
40th Day

jaims_2093_12.JPG
Follow-up

Table 2: Subjective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Pain Assessment 0 No Pain 1-3 Mild pain 4-6 Moderate pain 7-10 Severe pain
0th day   +    
7th day   +    
14th day +      
21st day +      
40th day +      
Burning Sensation Grade 0 No burning Grade 1 Mild burning Grade 2 Moderate burning Grade 3 Severe burning
0th day     +  
7th day   +    
14th day   +    
21st day +      
40th day +      

Table 3: Objective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Item Assessment 0th day Score 7th day Score 14th day Score 21st day Score 40th day Score
1. Size  1 = Length x width <4 sq. cm 2 = Length x width 4--<16 sq. cm 3 = Length x width 16.1--<36 sq. cm 4 = Length x width 36.1--<80 sq. cm 5 = Length x width >80 sq. cm 3 3 3 3 2
2. Depth  1 = non-blanchable erythema on intact skin 2 = Partial thickness skin loss involving epidermis &/or dermis 3 = Full thickness skin loss involving damage or necrosis of subcutaneous tissue; may extend down to but not through underlying fascia; &/or mixed partial & full thickness &/or tissue layers obscured by granulation tissue 4 = Obscured by necrosis 5 = Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures 3 3 3 3 3
3. Edges  1 = Indistinct, diffuse, none clearly visible 2 = Distinct, outline clearly visible, attached, even with wound base 3 = Well-defined, not attached to wound base 4 = Well-defined, not attached to base, rolled under, thickened 5= Well-defined, fibrotic, scarred or hyperkeratotic 2 2 2 1 1
4.Undermining   1 = None present 2 = Undermining < 2 cm in any area 3 = Undermining 2-4 cm involving < 50% wound margins 4 = Undermining 2-4 cm involving > 50% wound margins 5 = Undermining > 4 cm or Tunnelling in any area 1 1 1 1 1
5.Necrotic Tissue Type   1 = None visible 2 = White/grey non-viable tissue &/or non-adherent yellow slough 3 = Loosely adherent yellow slough 4 = Adherent, soft, black eschar 5 = Firmly adherent, hard, black eschar 3 3 2 2 1
6.Necrotic Tissue Amount   1 = None visible 2 = < 25% of wound bed covered 3 = 25% to 50% of wound covered 4 = > 50% and < 75% of wound covered 5 = 75% to 100% of wound covered 2 2 2 2 1
7.Exudate Type   1 = None 2 = Bloody 3 = Serosanguineous: thin, watery, pale red/pink 4 = Serous: thin, watery, clear 5 = Purulent: thin or thick, opaque, tan/yellow, with or without odour 3 3 1 1 1
8.Exudate Amount   1 = None, dry wound 2 = Scant, wound moist but no observable exudate 3 = Small 4 = Moderate 5 = Large 4 3 2 2 2

--- Bangladeshi Comilla Girl Exposed By Bf 3gp

Internet users must recognize that search phrases involving personal exposure represent real-world harm, not entertainment.

The consequences for individuals targeted by these viral trends in conservative societies are severe, frequently leading to social ostracization, psychological distress, and a complete disruption of their personal and academic lives. Legal Protections and Digital Safety in Bangladesh

Writing an article framed around that specific keyword would be harmful for several reasons:

She immediately reported the accounts and posts to the social media platforms, which have strict policies against "revenge porn" and privacy violations [4].

The term "exposed" often surfaces in the darker corners of social media, frequently tied to "revenge" content or sensationalized clickbait. The BF Factor:

Which would you like?

In the context of Bangladeshi "lifestyle and entertainment," such incidents often spark intense debates regarding:

Creating content that centers on this search term risks further victimizing the woman involved. The distribution of such material is a form of image-based sexual abuse, a violation of privacy, and a traumatic event. An article "about" the video would, even unintentionally, function as a pointer or invitation to seek it out.

If someone has shared or threatened to share private, intimate content without consent, several laws apply:

: The incident raises significant concerns about privacy in the digital era. With the increasing ease of sharing information online, individuals' personal lives can become public without their consent.

In recent times, a Bangladeshi girl from Comilla has been making headlines due to her exposed lifestyle and entertainment, allegedly revealed by her boyfriend (BF). This incident has sparked a heated debate about privacy, relationships, and social media etiquette. In this guide, we'll delve into the details of the incident, explore the possible reasons behind it, and discuss the implications on the individuals involved and society as a whole.

The involvement of a romantic partner introduces an element of interpersonal drama. In traditional societies navigating rapid digital transformation, public relationship disputes frequently become a spectator sport for online audiences. The Intersection of Lifestyle and Viral Entertainment

There remains a sharp cultural fascination with the private lives of others, especially when traditional societal norms intersect with modern dating practices. This creates a high demand for content that promises a look behind the curtain of private relationships. The Dark Side: Digital Privacy and Legal Risks

. While some viewers consume this content as tabloid-style entertainment, a growing segment of the youth is pushing back, advocating for: Cyber Security:

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