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 : 001A33 ( PubMed/Curation ); précédent : 001A32; suivant : 001A34Community 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 ShefuvanSource :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 1878-3503 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Autosoins (), Bandages de compression, Exercices respiratoires, Femelle, Filariose lymphatique (), Humains, Inde (épidémiologie), Lymphoedème (), Lymphoedème (étiologie), Maladies négligées, Mâle, Médecine ayurvédique, Médecine intégrative (), Pouvoir (psychologie), Rubia, Réseaux communautaires (utilisation), Yoga.
- MESH :
- utilisation : Réseaux communautaires.
- épidémiologie : Inde.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Autosoins, Bandages de compression, Exercices respiratoires, Femelle, Filariose lymphatique, Humains, Lymphoedème, Maladies négligées, Mâle, Médecine ayurvédique, Médecine intégrative, Pouvoir (psychologie), Rubia, Yoga.
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Adult, Breathing Exercises, Community Networks (utilization), Compression Bandages, Elephantiasis, Filarial (complications), Female, Humans, India (epidemiology), Integrative Medicine (methods), Lymphedema (etiology), Lymphedema (therapy), Male, Medicine, Ayurvedic, Middle Aged, Neglected Diseases, Power (Psychology), Rubia, Self Care (methods), Yoga.
- MESH :
- geographic , epidemiology : India.
- complications : Elephantiasis, Filarial.
- etiology : Lymphedema.
- methods : Integrative Medicine, Self Care.
- therapy : Lymphedema.
- utilization : Community Networks.
- Adult, Breathing Exercises, Compression Bandages, Female, Humans, Male, Medicine, Ayurvedic, Middle Aged, Neglected Diseases, Power (Psychology), Rubia, Yoga.
Abstract
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.
DOI: 10.1093/trstmh/trt054
PubMed: 23832181
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Saravu R. Narahari<affiliation><nlm:affiliation>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod, Kerala 671124 India. srnarahari@sify.com</nlm:affiliation><wicri:noCountry code="subField">Kerala 671124 India</wicri:noCountry></affiliation>Le document en format XML
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Narahari</name><affiliation><nlm:affiliation>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod, Kerala 671124 India. srnarahari@sify.com</nlm:affiliation><wicri:noCountry code="subField">Kerala 671124 India</wicri:noCountry></affiliation></author><author><name sortKey="Bose, Kuthaje S" sort="Bose, Kuthaje S" uniqKey="Bose K" first="Kuthaje S" last="Bose">Kuthaje S. Bose</name></author><author><name sortKey="Aggithaya, Madhur G" sort="Aggithaya, Madhur G" uniqKey="Aggithaya M" first="Madhur G" last="Aggithaya">Madhur G. Aggithaya</name></author><author><name sortKey="Swamy, Gaddam Kumara" sort="Swamy, Gaddam Kumara" uniqKey="Swamy G" first="Gaddam Kumara" last="Swamy">Gaddam Kumara Swamy</name></author><author><name sortKey="Ryan, Terence J" sort="Ryan, Terence J" uniqKey="Ryan T" first="Terence J" last="Ryan">Terence J. Ryan</name></author><author><name sortKey="Unnikrishnan, Bhaskaran" sort="Unnikrishnan, Bhaskaran" uniqKey="Unnikrishnan B" first="Bhaskaran" last="Unnikrishnan">Bhaskaran Unnikrishnan</name></author><author><name sortKey="Washington, Reynold G" sort="Washington, Reynold G" uniqKey="Washington R" first="Reynold G" last="Washington">Reynold G. 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Salimani</name></author><author><name sortKey="Shefuvan, Mohammed" sort="Shefuvan, Mohammed" uniqKey="Shefuvan M" first="Mohammed" last="Shefuvan">Mohammed Shefuvan</name></author></analytic><series><title level="j">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><idno type="eISSN">1878-3503</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Breathing Exercises</term><term>Community Networks (utilization)</term><term>Compression Bandages</term><term>Elephantiasis, Filarial (complications)</term><term>Female</term><term>Humans</term><term>India (epidemiology)</term><term>Integrative Medicine (methods)</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Medicine, Ayurvedic</term><term>Middle Aged</term><term>Neglected Diseases</term><term>Power (Psychology)</term><term>Rubia</term><term>Self Care (methods)</term><term>Yoga</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins ()</term><term>Bandages de compression</term><term>Exercices respiratoires</term><term>Femelle</term><term>Filariose lymphatique ()</term><term>Humains</term><term>Inde (épidémiologie)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Maladies négligées</term><term>Mâle</term><term>Médecine ayurvédique</term><term>Médecine intégrative ()</term><term>Pouvoir (psychologie)</term><term>Rubia</term><term>Réseaux communautaires (utilisation)</term><term>Yoga</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>India</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Integrative Medicine</term><term>Self Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Réseaux communautaires</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Community Networks</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Inde</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Breathing Exercises</term><term>Compression Bandages</term><term>Female</term><term>Humans</term><term>Male</term><term>Medicine, Ayurvedic</term><term>Middle Aged</term><term>Neglected Diseases</term><term>Power (Psychology)</term><term>Rubia</term><term>Yoga</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Bandages de compression</term><term>Exercices respiratoires</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Lymphoedème</term><term>Maladies négligées</term><term>Mâle</term><term>Médecine ayurvédique</term><term>Médecine intégrative</term><term>Pouvoir (psychologie)</term><term>Rubia</term><term>Yoga</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Inde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23832181</PMID><DateCreated><Year>2013</Year><Month>08</Month><Day>07</Day></DateCreated><DateCompleted><Year>2014</Year><Month>07</Month><Day>16</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-3503</ISSN><JournalIssue CitedMedium="Internet"><Volume>107</Volume><Issue>9</Issue><PubDate><Year>2013</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Transactions of the Royal Society of Tropical Medicine and Hygiene</Title><ISOAbbreviation>Trans. R. Soc. Trop. Med. Hyg.</ISOAbbreviation></Journal><ArticleTitle>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.</ArticleTitle><Pagination><MedlinePgn>566-77</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/trstmh/trt054</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Narahari</LastName><ForeName>Saravu R</ForeName><Initials>SR</Initials><AffiliationInfo><Affiliation>Institute of Applied Dermatology, IAD Junction, Uliyathadka, Madhur Road, Kasaragod, Kerala 671124 India. srnarahari@sify.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bose</LastName><ForeName>Kuthaje S</ForeName><Initials>KS</Initials></Author><Author ValidYN="Y"><LastName>Aggithaya</LastName><ForeName>Madhur G</ForeName><Initials>MG</Initials></Author><Author ValidYN="Y"><LastName>Swamy</LastName><ForeName>Gaddam Kumara</ForeName><Initials>GK</Initials></Author><Author ValidYN="Y"><LastName>Ryan</LastName><ForeName>Terence J</ForeName><Initials>TJ</Initials></Author><Author ValidYN="Y"><LastName>Unnikrishnan</LastName><ForeName>Bhaskaran</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Washington</LastName><ForeName>Reynold G</ForeName><Initials>RG</Initials></Author><Author ValidYN="Y"><LastName>Rao</LastName><ForeName>Balu Palicheralu Sreenivasa</ForeName><Initials>BP</Initials></Author><Author ValidYN="Y"><LastName>Rajagopala</LastName><ForeName>Shrikrishna</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Manjula</LastName><ForeName>Kadengodlu</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Vandana</LastName><ForeName>Usha</ForeName><Initials>U</Initials></Author><Author ValidYN="Y"><LastName>Sreemol</LastName><ForeName>Thaivalath Anandan</ForeName><Initials>TA</Initials></Author><Author ValidYN="Y"><LastName>Rojith</LastName><ForeName>Mathew</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Salimani</LastName><ForeName>Shanappa Y</ForeName><Initials>SY</Initials></Author><Author ValidYN="Y"><LastName>Shefuvan</LastName><ForeName>Mohammed</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>07</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trans R Soc Trop Med Hyg</MedlineTA><NlmUniqueID>7506129</NlmUniqueID><ISSNLinking>0035-9203</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001945" MajorTopicYN="N">Breathing Exercises</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019058" MajorTopicYN="N">Community Networks</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="Y">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058128" MajorTopicYN="N">Compression Bandages</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004605" MajorTopicYN="N">Elephantiasis, Filarial</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007194" MajorTopicYN="N" Type="Geographic">India</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055048" MajorTopicYN="N">Integrative Medicine</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008515" MajorTopicYN="N">Medicine, Ayurvedic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058069" MajorTopicYN="N">Neglected Diseases</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011209" MajorTopicYN="N">Power (Psychology)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045470" MajorTopicYN="N">Rubia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015013" MajorTopicYN="N">Yoga</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ayurveda</Keyword><Keyword MajorTopicYN="N">Compression therapy</Keyword><Keyword MajorTopicYN="N">Empowering patients</Keyword><Keyword MajorTopicYN="N">Integrative medicine</Keyword><Keyword MajorTopicYN="N">Neglected tropical disease</Keyword><Keyword MajorTopicYN="N">Yoga</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>7</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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