Download application for registration of subjects for dissertation

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
BANGALORE, KARNATAKA
ANNEXURE
- II
APPLICATION FOR REGISTRATION OF SUBJECTS FOR DISSERTATION
1
NAME OF THE
CANDIDATE AND
ADDRESS
2
NAME OF THE
INSTITUTION
COURSE OF STUDY AND
SUBJECT
M.D(HOMOEO) – REPERTORY
3
Dr.PRASHANTH.C
PG STUDENT , DEPT OF REPERTORY
H.K.E.SOCIETY’S HOMOEOPATHIC MEDICAL
COLLEGE AND HOSPITAL , GULBARGA585105
H.K.E.SOCIETY’S HOMOEOPATHIC MEDICAL
COLLEGE AND HOSPITAL, GULBARGA.
DATE OF ADMISSION
TO
THE COURSE
20/10/2011
5
TITLE OF THE TOPIC
“ CLINICAL UTILITY OF MINTON’S
UTERINE THERAPEUTICS IN TREATMENT
OF DYSFUNCTIONAL UTERINE BLEEDING ”
6
BRIEF RESUME OF THE
INTENDED WORK
4
6.1 NEED FOR STUDY
The DYSFUNCTIONAL UTERINE BLEEDING
is a condition where there are no demonstrable
structural or any other extra genital causes for
the excessive bleeding.
And is commonly found among the women
aged between 30 to 50 but it is becoming
more common around the menarche and peri
menopause due to stress, especially emotional
stress, grief, excessive use of contraceptives
and hormonal therapy. So the number of
women presenting with this complaint are
increasing day by day.
In allopathy there is no permanent cure for
dysfunctional uterine bleeding the reason
being that they only treat the symptoms of the
disease but not the patient as a whole. Their
method of treatment is only to relieve the
symptoms by infusing drugs like hormonal
2
supplements,
analgesics for pain, anti
inflammatory drugs, and when the symptoms
are not relieved by these drugs they opt for
surgical procedures like oophorectomy, uterine
packing and lastly hysterectomy. Thus instead
of giving relief to the patient these grave
procedures worsen the patient’s condition with
many complications like metorrhoegia and
some somato-psychic disorders.
In this regard, it’s the system of
HOMOEOPATHY
with
its
principle
of
individualistic and holistic approach plays a
‘VITAL ROLE’. That is it intends to cure the
person as a whole with consideration of the
psychological, social and biological aspects
rather than considering only the clinical
symptoms and ultimates (end results) of the
disease.
Because
the
cure
constitutes
restoration of the sick to cure as it termed.
Henry Minton’s repertory of uterine
therapeutics is based on the philosophy of
general to particular. This repertory is usefull
monograph on the problems of menstruation
and other related functions. The author has
collected and arranged systematically in a
convenient form all those symptoms of materia
medica that have any direct or specific bearing
upon the subject of uterine disorders.
In this regard it’s my privilege being an
homoeopath I would like to take up this task
in order to understand its clinical utility in the
management of dysfunctional uterine bleeding,
since it serves to be a very usefull tool and
thus serving the purpose or need of study.
6.2 REVIEW OF
LITERATURE
1. Henry Minton, Uterine therapeutics –
(clinical repertory ) B-Jain Publishers
New Delhi.1999
A
clinical
repertory
on
uterine
therapeutics. It has two parts,
First Part contains remedies and their
3
indications
Second part deals with repertory in
which
the
rubrics
are
arranged
alphabetically. The gradings used are
italic and ordinary roman.
2. Harsh Mohan, Text book of pathology
5th edition, pg no : 758, Jaypee
Brother’s Medical Publishers(P)Ltd
New Delhi.
Text
book
of
pathology
says
Dysfunctional
uterine
bleeding
is
excessive bleeding which occurs during
or between the menstrual periods
without causative uterine lesions such
as tumor, polyp, infection, hyperplasia,
trauma, blood dyscrasia or pregnancy.
3. Dr.Kent.J.T ,Repertory Of
Homoeopathic Materia Medica ,
B.Jain publication , 6th American
edition , Aug 2005.
Some of the rubrics found in kent’s
repertory for dysfunctional uterine
bleeding are
 MENSES-copious-pg no: 725,726
 MENSES-frequent-pg no:726
 METRRORHAGIA-729-731
4. Medline plus ( NATIONAL INSTITUTE
OF HEALTH ).com
Dysfunctional uterine bleeding (DUB) is
abnormal bleeding from the vagina that
is due to changes in hormone levels.
Dysfunctional uterine bleeding (DUB) most
commonly occurs when the ovaries do not
release an egg. Changes in hormone levels
cause your period to be later or earlier and
sometimes heavier than normal. About every
month, the levels of female hormones in a
woman's body rise and fall. Estrogen and
progesterone are two very important
hormones.
4
5. Padubidri VG and Shirish N Daftary,
Shaw’s Text Book Of Gynecology Elsevier publication 14th edition,
page no : 269
In a number of patients menorrhagias is not
associated with any structural abnormality,
disease in the pelvis or evidence either of
general or endocrine disease. If on bimanual
examination the uterus and appendages are
found to be normal, the term Dysfunctional
uterine bleeding is used. The aetiology is
purely hormonal and that the hypertrophy
and hyperplasia of the endometrium are
induced by a high titre of oestrogens in the
circulating blood.
6. DR.ASRANI. C.H ,National Journal Of
Homoeopathy, Vol-11 ,Jan -2009
pg no 10-11.
DUB dysfunctional uterine bleeding-any
vaginal bleeding that is not related to a
women’s normal menstrual pattern, any
abnormal uterine bleeding for which no
organic cause can be demonstrated is
called DUB.
7. Understanding Dysfunctional Uterine
Bleeding.com
Dysfunctional uterine bleeding (also known
as DUB) is a collective term for classifying
six separate conditions all relating to uterine
bleeding. These conditions vary from an
absence of bleeding (amenorrhea) to heavy
and
excessive
bleeding
(menorrhagia).Menstrual blood flow is
mostly controlled by the hormones estrogen
and progesterone. Estrogen stimulates a
buildup
of
the
uterine
lining
and
progesterone holds the lining together. There
is a fine balance between the two and if
there is a disruption to one or both
hormones, often the disruption can be
reflected in menstrual bleeding changes.
8. Teens health.com/dub
When a girl's period is irregular, doctors
may diagnose her with something called
dysfunctional uterine bleeding (DUB). DUB
can cause periods that last longer or have
5
more bleeding than normal.DUB isn't
usually a problem on its own. In fact,
doctors often don't do anything to treat mild
cases. But DUB can affect the health of
some girls. The most common worry is that
a girl might develop anemia if she's bleeding
more than she should.
9. Medscape.com/dub
Dysfunctional uterine bleeding (DUB) is
defined as abnormal uterine bleeding in the
absence of organic disease. Dysfunctional
uterine bleeding is the most common cause
of abnormal vaginal bleeding during a
woman's reproductive years. Dysfunctional
uterine bleeding can have a substantial
financial and quality-of-life burden.[1] It
affects women's health both medically and
socially.
10.
Web health.com/dub
Dysfunctional uterine bleeding is the most
common
abnormality
of
a
woman’s
menstrual cycle. Ordinarily the first day of
the period would be 28 days (26 to 30 range)
apart. When there has not been an ovulation
in the ovary (no egg release) in that cycle, it
causes a dysfunctional bleeding. In 50% of
cases, this happens in women older than 45
years; 20% in adolescents.
11.
Women livingnaturally.com/dub
The term "dysfunctional uterine bleeding" is
used to describe heavy vaginal bleeding that
isn't caused by a serious medical problem.
In most cases, heavy often irregular bleeding
is related to abnormal hormone levels that
throw
off
the
menstrual
cycle.
Dysfunctional uterine bleeding is not used
to describe vaginal bleeding caused by
medical conditions such as miscarriage,
uterine growths such as fibroids, cancer of
the cervix or uterus or blood diseases. If you
are having heavy vaginal bleeding, your
health professional must rule out these
other conditions before diagnosing you with
dysfunctional uterine bleeding.
6
6.3 OBJECTIVES OF
THE STUDY
1) To know the utility of Minton’s uterine
therapeutics in the treatment of
dysfunctional uterine bleeding.
2) To evolve a group of efficacious
homoeopathic
remedies
in
the
management of dysfunctional uterine
bleeding.
7
MATERIALS AND
METHODS
7.1 SOURCES OF
DATA
7.2 METHOD OF
COLLECTION OF
DATA
H.K.E.SOCIETY’S HOMOEOPATHIC MEDICAL
COLLEGE AND HOSPITAL (IPD’S AND OPD’S)
GULBARGA.
Including sampling procedure if any.
1.
2.
3.
4.
5.
By interrogation of individual case
By physical examination of the patient
By laboratory investigation
Sample size: 30 cases
Sampling procedure: simple random
sampling technique.
6. Statistical data analysis: all the variables
are qualitative ones by applying test,
data can be analyzed.
7. Inclusion criteria: Female Patients of
middle age between 30-50 years.
Irrespective of their socioeconomic
status.
8. Exclusion criteria: subjects who are with
uterine fibroid, carcinoma of cervix,
carcinoma of uterus.
9. Duration of study:
01-05-2012 to 30-04-2014
7
8
7.3 DOES THE STUDY
REQUIRE
ANY
INVESTIGATION
TO
BE
CONDUCTED
ON
PATIENTS
OR
OTHER
HUMANS
OR ANIMALS? IF
SO,
PLEASE
DESCRIBE
BRIEFLY.
ETHICAL
7.4 HAS
CLEARANCE BEEN
OBTAINED FROM
YOUR
INSTITUTION



LIST OF REFERENCES
1. Henry Minton, Uterine therapeutics –
(clinical repertory ) B.Jain publication
New Delhi, 1999
2. Harsh Mohan, Text book of pathology 5th
edition. Jaypee Brother’s Medical
Publishers(P)Ltd New Delhi.
3. Dr.Kent.J.T , Repertory Of Homoeopathic
Materia Medica , B.Jain publication,
6th American edition, Aug 2005.
4. Medline plus ( NATIONAL INSTITUTE OF
HEALTH ).com
5. Padubidri VG and Shirish N Daftary ,




Complete blood count (CBC)
Blood clotting profile
Hormone tests like FSH ,LH and
Thyroid function tests
Pap smear and culture to look for
infection
Biopsy
Transvaginal ultrasound
Ultrasonography–abdomen ( lower
abdomen)
YES ethical clearance has been obtained
from our institution.
Shaw’s Text Book Of Gynecology Elsevier publication,14th edition.
6. DR.ASRANI.C.H ,National Journal Of
Homoeopathy
Vol-11, Jan -2009
7. Understanding Dysfunctional Uterine
Bleeding.com
8. Teens health.com/dysfunctional uterine
bleeding.
9. Medscape.com/Dysfunctional uterine
bleeding.
10. Web health.com/dub
11. Women livingnaturally.com/dub
8
9
10
SIGNATURE OF THE
CANDIDATE
REMARKS
GUIDE
OF
THE
11 NAME AND
DESIGNATION OF (IN
BLOCK LETTERS)
11.1 GUIDE
Dr.VIJAYLAKSHMI.B.M M.D.(HOMOEO)
PROF.DEPARTMENT OF REPERTORY
H.K.E.SOCIETY’S HOMOEOPATHIC MEDICAL
COLLEGE AND HOSPITAL, GULBARGA.
11.2
SIGNATURE OF
THE GUIDE
11.3
CO-GUIDE
ANY)
11.4
SIGNATURE
11.5
HEAD OF THE
DEPERTMENT
11.6
SIGNATURE
12.1
REMARKS OF
CHAIRMAN &
PRINCIPAL
12.2
SIGNATURE
12
(IF
Dr.S.KRISHNA M.D.(HOMOEO)
PROF & HEAD DEPARTMENT OF
REPERTORY
H.K.E.SOCIETY’S HOMOEOPATHIC MEDICAL
COLLEGE AND HOSPITAL, GULBARGA.