LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000026

Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

Identifieur interne : 000026 ( PascalFrancis/Corpus ); précédent : 000025; suivant : 000027

Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

Auteurs : Saravu R. Narahari ; Kuthaje S. Bose ; Madhur G. Aggithaya ; GADDAM KUMARA SWAMY ; Terence J. Ryan ; Bhaskaran Unnikrishnan ; Reynold G. Washington ; BALU PALICHERALU SREENIVASA RAO ; Shrikrishna Rajagopala ; Kadengodlu Manjula ; Usha Vandana ; THAIVALATH ANANDAN SREEMOL ; Mathew Rojith ; Shanappa Y. Salimani ; Mohammed Shefuvan

Source :

Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2013.

RBID : Pascal:13-0281576

Descripteurs français

Pascal (Inist)
- Lymphoedème, Filariose lymphatique, Morbidité, Contrôle, Traitement, Homme, Inde, Maladie tropicale, Compression, Médecine tropicale, Pronostic, Maladie négligée.

English descriptors

KwdEn :
- Check, Compression, Human, India, Lymphatic filariasis, Lymphedema, Morbidity, Neglected disease, Prognosis, Treatment, Tropical disease, Tropical medicine.

Abstract

Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`03`	`1`		`@1 AGGITHAYA (Madhur G.)`
A11	`04`	`1`		`@1 GADDAM KUMARA SWAMY`
A11	`05`	`1`		`@1 RYAN (Terence J.)`
A11	`06`	`1`		`@1 UNNIKRISHNAN (Bhaskaran)`
A11	`07`	`1`		`@1 WASHINGTON (Reynold G.)`
A11	`08`	`1`		`@1 BALU PALICHERALU SREENIVASA RAO`
A11	`09`	`1`		`@1 RAJAGOPALA (Shrikrishna)`
A11	`10`	`1`		`@1 MANJULA (Kadengodlu)`
A11	`11`	`1`		`@1 VANDANA (Usha)`
A11	`12`	`1`		`@1 THAIVALATH ANANDAN SREEMOL`
A11	`13`	`1`		`@1 ROJITH (Mathew)`
A11	`14`	`1`		`@1 SALIMANI (Shanappa Y.)`
A11	`15`	`1`		`@1 SHEFUVAN (Mohammed)`
A14	`01`			`@1 Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod @2 Kerala 671124 @3 IND @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 10 aut. @Z 11 aut. @Z 12 aut. @Z 13 aut. @Z 14 aut. @Z 15 aut.`
A14	`02`			`@1 National Ayurveda Research Institute For Vector Borne Diseases, New Rajeevnagar @2 Payakapuram, Vijayawada-520015 @3 IND @Z 4 aut.`
A14	`03`			`@1 Department of Dermatology, Churchill Hospital @2 Oxford @3 GBR @Z 5 aut.`
A14	`04`			`@1 Dept. of Community Medicine, Kasturba Medical College Manipal University @2 Mangalore, Karnataka @3 IND @Z 6 aut.`
A14	`05`			`@1 Karnataka Health Promotion Trust @2 Bangalore, Karnataka @3 IND @Z 7 aut.`
A14	`06`			`@1 Dept. of Community Medicine, JJM Medical College @2 Davangere, Karnataka @3 IND @Z 8 aut.`
A14	`07`			`@1 Dept. of Kaumarabhritya, Institute of Post Graduate Teaching & Research in Ayurveda @2 Jamnagar, Gujarat @3 IND @Z 9 aut.`
A20				`@1 566-577`
A21				`@1 2013`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 3084 @5 354000506585260060`
A44				`@0 0000 @1 © 2013 INIST-CNRS. All rights reserved.`
A45				`@0 25 ref.`
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A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Transactions of the Royal Society of Tropical Medicine and Hygiene`
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C01	`01`		`ENG`	@0 Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.
C02	`01`	`X`		`@0 002B01`
C02	`02`	`X`		`@0 002B12B04`
C02	`03`	`X`		`@0 002B05E03B4D`
C03	`01`	`X`	`FRE`	`@0 Lymphoedème @5 01`
C03	`01`	`X`	`ENG`	`@0 Lymphedema @5 01`
C03	`01`	`X`	`SPA`	`@0 Linfedema @5 01`
C03	`02`	`X`	`FRE`	`@0 Filariose lymphatique @5 02`
C03	`02`	`X`	`ENG`	`@0 Lymphatic filariasis @5 02`
C03	`02`	`X`	`SPA`	`@0 Filariasis linfática @5 02`
C03	`03`	`X`	`FRE`	`@0 Morbidité @5 07`
C03	`03`	`X`	`ENG`	`@0 Morbidity @5 07`
C03	`03`	`X`	`SPA`	`@0 Morbilidad @5 07`
C03	`04`	`X`	`FRE`	`@0 Contrôle @5 08`
C03	`04`	`X`	`ENG`	`@0 Check @5 08`
C03	`04`	`X`	`SPA`	`@0 Control @5 08`
C03	`05`	`X`	`FRE`	`@0 Traitement @5 09`
C03	`05`	`X`	`ENG`	`@0 Treatment @5 09`
C03	`05`	`X`	`SPA`	`@0 Tratamiento @5 09`
C03	`06`	`X`	`FRE`	`@0 Homme @5 10`
C03	`06`	`X`	`ENG`	`@0 Human @5 10`
C03	`06`	`X`	`SPA`	`@0 Hombre @5 10`
C03	`07`	`X`	`FRE`	`@0 Inde @2 NG @5 13`
C03	`07`	`X`	`ENG`	`@0 India @2 NG @5 13`
C03	`07`	`X`	`SPA`	`@0 India @2 NG @5 13`
C03	`08`	`X`	`FRE`	`@0 Maladie tropicale @5 14`
C03	`08`	`X`	`ENG`	`@0 Tropical disease @5 14`
C03	`08`	`X`	`SPA`	`@0 Enfermedad tropical @5 14`
C03	`09`	`X`	`FRE`	`@0 Compression @5 15`
C03	`09`	`X`	`ENG`	`@0 Compression @5 15`
C03	`09`	`X`	`SPA`	`@0 Compresión @5 15`
C03	`10`	`X`	`FRE`	`@0 Médecine tropicale @5 16`
C03	`10`	`X`	`ENG`	`@0 Tropical medicine @5 16`
C03	`10`	`X`	`SPA`	`@0 Medicina tropical @5 16`
C03	`11`	`X`	`FRE`	`@0 Pronostic @5 30`
C03	`11`	`X`	`ENG`	`@0 Prognosis @5 30`
C03	`11`	`X`	`SPA`	`@0 Pronóstico @5 30`
C03	`12`	`X`	`FRE`	`@0 Maladie négligée @4 CD @5 96`
C03	`12`	`X`	`ENG`	`@0 Neglected disease @4 CD @5 96`
C03	`12`	`X`	`SPA`	`@0 Enfermedad olvidada @4 CD @5 96`
C07	`01`	`X`	`FRE`	`@0 Nématodose`
C07	`01`	`X`	`ENG`	`@0 Nematode disease`
C07	`01`	`X`	`SPA`	`@0 Nematodosis`
C07	`02`	`X`	`FRE`	`@0 Helminthiase`
C07	`02`	`X`	`ENG`	`@0 Helminthiasis`
C07	`02`	`X`	`SPA`	`@0 Helmintiasis`
C07	`03`	`X`	`FRE`	`@0 Parasitose`
C07	`03`	`X`	`ENG`	`@0 Parasitosis`
C07	`03`	`X`	`SPA`	`@0 Parasitosis`
C07	`04`	`X`	`FRE`	`@0 Infection`
C07	`04`	`X`	`ENG`	`@0 Infection`
C07	`04`	`X`	`SPA`	`@0 Infección`
C07	`05`	`X`	`FRE`	`@0 Asie @2 NG`
C07	`05`	`X`	`ENG`	`@0 Asia @2 NG`
C07	`05`	`X`	`SPA`	`@0 Asia @2 NG`
C07	`06`	`X`	`FRE`	`@0 Prévention @5 37`
C07	`06`	`X`	`ENG`	`@0 Prevention @5 37`
C07	`06`	`X`	`SPA`	`@0 Prevención @5 37`
C07	`07`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 38`
C07	`07`	`X`	`ENG`	`@0 Cardiovascular disease @5 38`
C07	`07`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 38`
C07	`08`	`X`	`FRE`	`@0 Pathologie des vaisseaux lymphatiques @5 39`
C07	`08`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 39`
C07	`08`	`X`	`SPA`	`@0 Linfático patología @5 39`
N21				`@1 266`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 13-0281576 INIST
ET :	Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study
AU :	NARAHARI (Saravu R.); BOSE (Kuthaje S.); AGGITHAYA (Madhur G.); GADDAM KUMARA SWAMY; RYAN (Terence J.); UNNIKRISHNAN (Bhaskaran); WASHINGTON (Reynold G.); BALU PALICHERALU SREENIVASA RAO; RAJAGOPALA (Shrikrishna); MANJULA (Kadengodlu); VANDANA (Usha); THAIVALATH ANANDAN SREEMOL; ROJITH (Mathew); SALIMANI (Shanappa Y.); SHEFUVAN (Mohammed)
AF :	Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod/Kerala 671124/Inde (1 aut., 2 aut., 3 aut., 10 aut., 11 aut., 12 aut., 13 aut., 14 aut., 15 aut.); National Ayurveda Research Institute For Vector Borne Diseases, New Rajeevnagar/Payakapuram, Vijayawada-520015/Inde (4 aut.); Department of Dermatology, Churchill Hospital/Oxford/Royaume-Uni (5 aut.); Dept. of Community Medicine, Kasturba Medical College Manipal University/Mangalore, Karnataka/Inde (6 aut.); Karnataka Health Promotion Trust/Bangalore, Karnataka/Inde (7 aut.); Dept. of Community Medicine, JJM Medical College/Davangere, Karnataka/Inde (8 aut.); Dept. of Kaumarabhritya, Institute of Post Graduate Teaching & Research in Ayurveda/Jamnagar, Gujarat/Inde (9 aut.)
DT :	Publication en série; Niveau analytique
SO :	Transactions of the Royal Society of Tropical Medicine and Hygiene; ISSN 0035-9203; Coden TRSTAZ; Royaume-Uni; Da. 2013; Vol. 107; No. 9; Pp. 566-577; Bibl. 25 ref.
LA :	Anglais
EA :	Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.
CC :	002B01; 002B12B04; 002B05E03B4D
FD :	Lymphoedème; Filariose lymphatique; Morbidité; Contrôle; Traitement; Homme; Inde; Maladie tropicale; Compression; Médecine tropicale; Pronostic; Maladie négligée
FG :	Nématodose; Helminthiase; Parasitose; Infection; Asie; Prévention; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Lymphedema; Lymphatic filariasis; Morbidity; Check; Treatment; Human; India; Tropical disease; Compression; Tropical medicine; Prognosis; Neglected disease
EG :	Nematode disease; Helminthiasis; Parasitosis; Infection; Asia; Prevention; Cardiovascular disease; Lymphatic vessel disease
SD :	Linfedema; Filariasis linfática; Morbilidad; Control; Tratamiento; Hombre; India; Enfermedad tropical; Compresión; Medicina tropical; Pronóstico; Enfermedad olvidada
LO :	INIST-3084.354000506585260060
ID :	13-0281576

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Pascal:13-0281576

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<author><name sortKey="Balu Palicheralu Sreenivasa Rao" sort="Balu Palicheralu Sreenivasa Rao" uniqKey="Balu Palicheralu Sreenivasa Rao" last="Balu Palicheralu Sreenivasa Rao">BALU PALICHERALU SREENIVASA RAO</name>
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<author><name sortKey="Rajagopala, Shrikrishna" sort="Rajagopala, Shrikrishna" uniqKey="Rajagopala S" first="Shrikrishna" last="Rajagopala">Shrikrishna Rajagopala</name>
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<author><name sortKey="Manjula, Kadengodlu" sort="Manjula, Kadengodlu" uniqKey="Manjula K" first="Kadengodlu" last="Manjula">Kadengodlu Manjula</name>
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<author><name sortKey="Vandana, Usha" sort="Vandana, Usha" uniqKey="Vandana U" first="Usha" last="Vandana">Usha Vandana</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
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<author><name sortKey="Thaivalath Anandan Sreemol" sort="Thaivalath Anandan Sreemol" uniqKey="Thaivalath Anandan Sreemol" last="Thaivalath Anandan Sreemol">THAIVALATH ANANDAN SREEMOL</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
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<author><name sortKey="Rojith, Mathew" sort="Rojith, Mathew" uniqKey="Rojith M" first="Mathew" last="Rojith">Mathew Rojith</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
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<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study</title>
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<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
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<author><name sortKey="Bose, Kuthaje S" sort="Bose, Kuthaje S" uniqKey="Bose K" first="Kuthaje S." last="Bose">Kuthaje S. Bose</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
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<author><name sortKey="Aggithaya, Madhur G" sort="Aggithaya, Madhur G" uniqKey="Aggithaya M" first="Madhur G." last="Aggithaya">Madhur G. Aggithaya</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
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<author><name sortKey="Gaddam Kumara Swamy" sort="Gaddam Kumara Swamy" uniqKey="Gaddam Kumara Swamy" last="Gaddam Kumara Swamy">GADDAM KUMARA SWAMY</name>
<affiliation><inist:fA14 i1="02"><s1>National Ayurveda Research Institute For Vector Borne Diseases, New Rajeevnagar</s1>
<s2>Payakapuram, Vijayawada-520015</s2>
<s3>IND</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Ryan, Terence J" sort="Ryan, Terence J" uniqKey="Ryan T" first="Terence J." last="Ryan">Terence J. Ryan</name>
<affiliation><inist:fA14 i1="03"><s1>Department of Dermatology, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Unnikrishnan, Bhaskaran" sort="Unnikrishnan, Bhaskaran" uniqKey="Unnikrishnan B" first="Bhaskaran" last="Unnikrishnan">Bhaskaran Unnikrishnan</name>
<affiliation><inist:fA14 i1="04"><s1>Dept. of Community Medicine, Kasturba Medical College Manipal University</s1>
<s2>Mangalore, Karnataka</s2>
<s3>IND</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
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<author><name sortKey="Washington, Reynold G" sort="Washington, Reynold G" uniqKey="Washington R" first="Reynold G." last="Washington">Reynold G. Washington</name>
<affiliation><inist:fA14 i1="05"><s1>Karnataka Health Promotion Trust</s1>
<s2>Bangalore, Karnataka</s2>
<s3>IND</s3>
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</affiliation>
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<author><name sortKey="Balu Palicheralu Sreenivasa Rao" sort="Balu Palicheralu Sreenivasa Rao" uniqKey="Balu Palicheralu Sreenivasa Rao" last="Balu Palicheralu Sreenivasa Rao">BALU PALICHERALU SREENIVASA RAO</name>
<affiliation><inist:fA14 i1="06"><s1>Dept. of Community Medicine, JJM Medical College</s1>
<s2>Davangere, Karnataka</s2>
<s3>IND</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
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<author><name sortKey="Rajagopala, Shrikrishna" sort="Rajagopala, Shrikrishna" uniqKey="Rajagopala S" first="Shrikrishna" last="Rajagopala">Shrikrishna Rajagopala</name>
<affiliation><inist:fA14 i1="07"><s1>Dept. of Kaumarabhritya, Institute of Post Graduate Teaching & Research in Ayurveda</s1>
<s2>Jamnagar, Gujarat</s2>
<s3>IND</s3>
<sZ>9 aut.</sZ>
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<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
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<author><name sortKey="Vandana, Usha" sort="Vandana, Usha" uniqKey="Vandana U" first="Usha" last="Vandana">Usha Vandana</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
<sZ>1 aut.</sZ>
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<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
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<sZ>1 aut.</sZ>
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<author><name sortKey="Rojith, Mathew" sort="Rojith, Mathew" uniqKey="Rojith M" first="Mathew" last="Rojith">Mathew Rojith</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
<sZ>1 aut.</sZ>
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<sZ>3 aut.</sZ>
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<author><name sortKey="Salimani, Shanappa Y" sort="Salimani, Shanappa Y" uniqKey="Salimani S" first="Shanappa Y." last="Salimani">Shanappa Y. Salimani</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
<sZ>1 aut.</sZ>
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<author><name sortKey="Shefuvan, Mohammed" sort="Shefuvan, Mohammed" uniqKey="Shefuvan M" first="Mohammed" last="Shefuvan">Mohammed Shefuvan</name>
<affiliation><inist:fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
<sZ>1 aut.</sZ>
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<series><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title>
<title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title>
<idno type="ISSN">0035-9203</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title>
<title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title>
<idno type="ISSN">0035-9203</idno>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Check</term>
<term>Compression</term>
<term>Human</term>
<term>India</term>
<term>Lymphatic filariasis</term>
<term>Lymphedema</term>
<term>Morbidity</term>
<term>Neglected disease</term>
<term>Prognosis</term>
<term>Treatment</term>
<term>Tropical disease</term>
<term>Tropical medicine</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Filariose lymphatique</term>
<term>Morbidité</term>
<term>Contrôle</term>
<term>Traitement</term>
<term>Homme</term>
<term>Inde</term>
<term>Maladie tropicale</term>
<term>Compression</term>
<term>Médecine tropicale</term>
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<front><div type="abstract" xml:lang="en">Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.</div>
</front>
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<fA08 i1="01" i2="1" l="ENG"><s1>Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>NARAHARI (Saravu R.)</s1>
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<fA11 i1="02" i2="1"><s1>BOSE (Kuthaje S.)</s1>
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<fA11 i1="03" i2="1"><s1>AGGITHAYA (Madhur G.)</s1>
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</fA11>
<fA14 i1="01"><s1>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod</s1>
<s2>Kerala 671124</s2>
<s3>IND</s3>
<sZ>1 aut.</sZ>
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<fA14 i1="02"><s1>National Ayurveda Research Institute For Vector Borne Diseases, New Rajeevnagar</s1>
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<s3>IND</s3>
<sZ>4 aut.</sZ>
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<fA14 i1="03"><s1>Department of Dermatology, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Dept. of Community Medicine, Kasturba Medical College Manipal University</s1>
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<sZ>6 aut.</sZ>
</fA14>
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<s3>IND</s3>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Dept. of Kaumarabhritya, Institute of Post Graduate Teaching & Research in Ayurveda</s1>
<s2>Jamnagar, Gujarat</s2>
<s3>IND</s3>
<sZ>9 aut.</sZ>
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<fC01 i1="01" l="ENG"><s0>Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.</s0>
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<s5>01</s5>
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<fC03 i1="01" i2="X" l="ENG"><s0>Lymphedema</s0>
<s5>01</s5>
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<fC03 i1="01" i2="X" l="SPA"><s0>Linfedema</s0>
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<fC03 i1="04" i2="X" l="ENG"><s0>Check</s0>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Control</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Traitement</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Treatment</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Homme</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Human</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Hombre</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Inde</s0>
<s2>NG</s2>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>India</s0>
<s2>NG</s2>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>India</s0>
<s2>NG</s2>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Maladie tropicale</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Tropical disease</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Enfermedad tropical</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Compression</s0>
<s5>15</s5>
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<fC03 i1="09" i2="X" l="ENG"><s0>Compression</s0>
<s5>15</s5>
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<fC03 i1="09" i2="X" l="SPA"><s0>Compresión</s0>
<s5>15</s5>
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<s5>16</s5>
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<s5>16</s5>
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<s5>16</s5>
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<s5>30</s5>
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<s5>30</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Pronóstico</s0>
<s5>30</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Maladie négligée</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Neglected disease</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Enfermedad olvidada</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Nématodose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Nematode disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Nematodosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Helminthiase</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Helminthiasis</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Helmintiasis</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Parasitose</s0>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Parasitosis</s0>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Parasitosis</s0>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Infection</s0>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Infection</s0>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Infección</s0>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Prévention</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Prevention</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Prevención</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>39</s5>
</fC07>
<fN21><s1>266</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
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<server><NO>PASCAL 13-0281576 INIST</NO>
<ET>Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study</ET>
<AU>NARAHARI (Saravu R.); BOSE (Kuthaje S.); AGGITHAYA (Madhur G.); GADDAM KUMARA SWAMY; RYAN (Terence J.); UNNIKRISHNAN (Bhaskaran); WASHINGTON (Reynold G.); BALU PALICHERALU SREENIVASA RAO; RAJAGOPALA (Shrikrishna); MANJULA (Kadengodlu); VANDANA (Usha); THAIVALATH ANANDAN SREEMOL; ROJITH (Mathew); SALIMANI (Shanappa Y.); SHEFUVAN (Mohammed)</AU>
<AF>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod/Kerala 671124/Inde (1 aut., 2 aut., 3 aut., 10 aut., 11 aut., 12 aut., 13 aut., 14 aut., 15 aut.); National Ayurveda Research Institute For Vector Borne Diseases, New Rajeevnagar/Payakapuram, Vijayawada-520015/Inde (4 aut.); Department of Dermatology, Churchill Hospital/Oxford/Royaume-Uni (5 aut.); Dept. of Community Medicine, Kasturba Medical College Manipal University/Mangalore, Karnataka/Inde (6 aut.); Karnataka Health Promotion Trust/Bangalore, Karnataka/Inde (7 aut.); Dept. of Community Medicine, JJM Medical College/Davangere, Karnataka/Inde (8 aut.); Dept. of Kaumarabhritya, Institute of Post Graduate Teaching & Research in Ayurveda/Jamnagar, Gujarat/Inde (9 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Transactions of the Royal Society of Tropical Medicine and Hygiene; ISSN 0035-9203; Coden TRSTAZ; Royaume-Uni; Da. 2013; Vol. 107; No. 9; Pp. 566-577; Bibl. 25 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Currently there is no global program to manage lymphoedema as a result of lymphatic filariasis (LF). The primary aim of this study was to determine the efficacy of a previously proposed integrative treatment protocol, using locally available resources to address the morbidity, in a community village setting. Methods: Two LF endemic districts of south India, Gulbarga in Karnataka (GK) and Alleppey in Kerala (AK), were selected for the study. All known patients were invited to an LF camp. Patients with grade two late or three lymphoedema were enrolled. All patients were given training in the integrative procedure which involved patient education and the domiciliary protocol. Results: A total of 730 patients (851 limbs) completed the three and half month follow up. There was a statistically significant (1%) reduction up to mid thigh level volume measurement for both small (0.7-1.1 liters) and large (1.8-5.0 liters) limbs, p < 0.000. In AK inflammatory episodes at the three months interval reduced from 37.5% (127 patients) to 28.3% (96 patients) and in GK from 37.6% (147 patients) to 10.2% (40 patients), p < 0.000. All patients had reduced bacterial entry points. There was an overall improvement in quality of life in all domains of LF specific quality of life questionnaire p < 0.000. Conclusions: Self care and integrative treatment is possible in resource poor Indian village settings. Further work is needed to explore factors leading to better compliance by randomizing the interventions such as washing and emollient compression vs Ayurvedic and yoga interventions before integrative treatment is considered for national health programmes in developing countries.</EA>
<CC>002B01; 002B12B04; 002B05E03B4D</CC>
<FD>Lymphoedème; Filariose lymphatique; Morbidité; Contrôle; Traitement; Homme; Inde; Maladie tropicale; Compression; Médecine tropicale; Pronostic; Maladie négligée</FD>
<FG>Nématodose; Helminthiase; Parasitose; Infection; Asie; Prévention; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Lymphatic filariasis; Morbidity; Check; Treatment; Human; India; Tropical disease; Compression; Tropical medicine; Prognosis; Neglected disease</ED>
<EG>Nematode disease; Helminthiasis; Parasitosis; Infection; Asia; Prevention; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Filariasis linfática; Morbilidad; Control; Tratamiento; Hombre; India; Enfermedad tropical; Compresión; Medicina tropical; Pronóstico; Enfermedad olvidada</SD>
<LO>INIST-3084.354000506585260060</LO>
<ID>13-0281576</ID>
</server>
</inist>
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Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

Community level morbidity control of lymphoedema using self care and integrative treatment in two lymphatic filariasis endemic districts of South India: a non randomized interventional study

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