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RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
KARNATAKA, BANGALORE.
ANNEXURE – II
APPLICATION FOR REGISTRATION OF SUBJECTS FOR
DISSERTATION
1
NAME OF THE
Dr. MUTTURAJ. B. HOOGAR
CANDIDATE AND
ADDRESS
PRESENT ADDRESS:
A.M.SHAIKH HOMOEOPATHIC
MEDICAL COLLEGE, HOSPITAL AND
P.G.RESEARCH CENTRE, NEHRU
NAGAR, BELGAUM – 10
PERMANENT ADDRESS.
2
NAME OF THE
DR.M. B. HOOGAR.
NEAR GOVT HOSPITAL,
A/P-NOGANIHAL
TQ-HUKKERI- 591309,
DIST – BELGAUM – 10
A.M.SHAIKH HOMOEOPATHIC
INSTITUTION
MEDICAL COLLEGE, HOSPITAL AND
P.G.RESEARCH CENTRE, NEHRU
NAGAR, BELGAUM – 10
3
COURSE OF THE STUDY
DOCTOR OF MEDICINE
& SUBJECT
(HOMOEOPATHY)
REPERTORY
4
DATE OF ADMISSION
10-06-2011
TO THE COURSE
5
TITLE OF THE TOPIC
ROLE OF KENT’S REPERTORY IN
THE MANAGEMENT OF
“NOCTURNAL ENURESIS” –
UNDERSTANDING ITS
EFFECTIVENESS THROUGH
CLINICAL TRIAL.
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6. BRIEF RESUME OF THE INTENDED WORK
6.1. NEED FOR THE STUDY –
Enuresis is defined as normal nearly complete evacuation of the bladder at a
wrong place and time at least twice a month after the 5th year of life. Bed wetting at night
is known as nocturnal enuresis.
Although evacuation up to 5 year a common phenomenon. It is accompanied by or
which can cause distress and anxiety to the child & parents.
More than 85% children will have complete diurnal & nocturnal control by 5
years of age. The remaining 15% get continence at the rate of approximately 15% per
year. By adolescence 0.5 – 1% children continue to have enuresis.
CURRENT SCIENARIO:
The recent studies have shown that, the spontaneous
resolution of nocturnal enuresis occurs at the rate of 15% per annum4. In these days of
globalization & result oriented competitive life these problems put children on
psychological distress & discomfort; it is responsible for highest incidence of absenteeism
resulting in loss of overall growth of children life & anxiety about their children in
parents.
SCOPE : The current study has prepared to study the effectiveness of homoeopathic
medicines in the treatment of nocturnal enuresis because it is only through Homoeopathic
case taking the set of most distinct, individual symptoms are obtained which are truly
characteristic of the patient forming the basis of prescription which eventually lead to
cure.
In conventional system of medicine to treat nocturnal enuresis, the children are
put either on antidepressants or on hormone therapy, antidiuretic drugs. But these
therapies do not give permanent relief, always & affect the normal physiological
functions of the body, thus adding enormous side effects in the patient.
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Homoeopathy being therapeutic science manages each case on the virtue of
individualization. The individual suffering from nocturnal enuresis is alone treated
without disturbing the physiological functions.
Experimental hypothesis :
Homoeopathic medicines employed on the basis of constitutional approach are
effective in treating nocturnal enuresis.
6.2. REVIEW OF LITERATURE –
Nocturnal Enuresis can be defined as the involuntary voiding of urine at night, in a
child over 5 years of age without structural & neurological disease of the bladder &
urinary tract.1
Nocturnal enuresis which can cause much distress and anxiety to child & parents.1
Causes :
Nocturnal enuresis may be Primary or Secondary
i) PRIMARY (IDIOPATHIC) NOCTURNAL ENURESIS2
This is defined as repeated passage of urine at night, at least twice a week, for at
least three consecutive months.2
This can affect 10% of 7 years old children.
-
This is three times more common in boys.
-
There is usually family history in close relatives.
-
Recent genetic studies in familial nocturnal enuresis have located two marker
known as ENUR1, which flank the enuresis gene on chromosome 13 (Eiberg et al
1995).
-
It is related to sleep disorders, genetic & Psychological causes.
-
Reduced nocturnal ADH secretion.
-
Less than 3% causes have organic etiology such as obstructive uropathy and UTI.
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ii) SECONDARY ENURESIS2 –
Child has been dry for several months & again starts bedwetting. In such cases
look for underlying causes –
-
Too enthusiastic & immature toilet training can result in secondary enuresis.
-
Other causes include emotional stress,
Parent child maladjustment, UTI, Diabetes mellitus, Diabetes incipedus2.
Dr. J. T. Kent has described same useful constitutional remedies for treatment of
nocturnal enuresis namely Apis, Arn, Ars, Benz. acid, Caustic, Kreos, Nit. acid, Sep,
Silica, Sulph etc.
Related rubrics found Kent’s Repertory :
Chapter – Urinary Organs
Rubric – Urination
Sub rubric – Involuntary
- at night
Rubric – Bladder
Sub rubric – Inactivity 5
6.3. AIMS AND OBJECTIVES OF STUDY :
1)
To study the mode of presentation of nocturnal enuresis in clinical practice.
2)
To study the constitutional approach in the management of nocturnal enuresis.
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7. MATERIALS AND METHODS:
7.1. SOURCE OF DATA :
The subjects for this study will be taken from OPD’s/IPD’s, satellite OPD’s of
A.M. Shaikh Homoeopathic Medical College Hospital & PG center Belgaum & Village
health camps.
7.2. METHOD OF COLLECTION OF DATA (INCLUDING SAMPLING
PROCEDURES IF ANY):

Study Design – Prospective study of randomized clinical trial.

Sample Size – Minimum 30 in number.

Participant Subjects - Both male & female subjects of age groups 3-12 years,
irrespective their of socioeconomic ground.

Selection Criteria – On the basis of inclusion & exclusion Criteria, history.

Sample Method – Simple randomized sampling procedure will be adopted.

Duration of Study – All the cases of nocturnal enuresis are registered between
10th May 2012 to 30th August 2013 will be selected for the study.

Follow up – Follow up of every case will be done at every month up to 9 months
to assess the prognosis.
FOLLOWING IS THE INCLUSION CRITERIA FIXED FOR THE STUDY :
Children with emotional stress, parent child maladjustment, psychological causes.
All subjects will be selected based on clinical presentation.
FOLLOWING IS THE EXCLUSION CRITERIA FIXED FOR THE STUDY :
1.
Cases which have organic etiology such as obstructive uropathy or urinary treat
infection, urethral stricture.
2.
Cases having delay in neurological maturation to control bladder splinter
associated – mental retardation or spinal cord abnormalities.
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RESULT CRITERIA :

Recovered

Improved

Not improved
7.3.
DOES
THE
STUDY
REQUIRE
ANY
INVESTIGATIONS
OR
INTERVENTION TO BE CONDUCTED ON PATIENTS OR OTHER HUMAN
OR ANIMALS? IF SO PLEASE DESCRIBE BRIEFLY -
Investigations will be done as per requirement of the case.
-
Blood investigation – ESR, Blood sugar if needed.
-
Urine for routine, microscopy.
7.4. HAS ETHICAL CLEARANCE HAS BEEN OBTAINED FROM YOUR
INSTITUTION IN CASE OF 7.3?
Yes ethical clearance has been obtained from institution.
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8. LIST OF REFERENCES :
1.
Neil McIntosh Forfar and Arnel’s “TEXT BOOK OF PEDIATRICS” published
in UK, in 1998. 5th edition, pp957.
2.
GHAI O.P. “GHAI ESSENTIAL PEDIATRICS” published at Delhi in 1992, 6 th
edition, pp-61.
3.
NELSON’s “TEXT BOOK OF PEDIATRICS” pulished in Bangalore in 1996,
15th edition pp-1544.
4.
http://en.wikipedia.org/wiki/nocturnal enuresis. 28/02/2012
5.
KENT J.T.’s Repertory of Homoeopathic Materia Medica by J.T.KENT
published in New Delhi, in 1935. Indian 4th edition pp-659.
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9.
SIGNATURE OF CANDIDATE
10.
REMARKS OF THE GUIDE
11.
NAME AND DESIGNATION
OF
11.1 GUIDE
Dr. S. S. PUJAR M.D. (Hom.)
Professor and Guide. HOD
Department of Repertory,
A.M.Shaikh Homoeopathic Medical
College, Hospital & Post Graduate
research center Nehru Nagar,
Belgum-10
11.2 SIGNATURE
11.3 CO-GUIDE (IF ANY)
-------
11.4 SIGNATURE
…….
11.5 HEAD OF DEPARTMENT
Dr. S. S. PUJAR M.D.(Hom.)
Professor, Guide and HOD.
Department of Repertory,
A.M.Shaikh Homoeopathic Medical
College, Hospital & Post Graduate
research center Nehru Nagar,
Belgaum-10
11.6 SIGNATURE
12.
12.1 REMARKS OF
CHAIRMAN AND PRINCIPAL
12.2 SIGNATURE
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