E-ISSN:2456-3110

Case Report

Diabetic Ulcer

Beschneidung Der Sklavin Nora 185 Bilder Guide

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. beschneidung der sklavin nora 185 bilder

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. If you or someone you know has been

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna In modern times, circumcision is typically performed on

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: beschneidung der sklavin nora 185 bilder
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
beschneidung der sklavin nora 185 bilder

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%

beschneidung der sklavin nora 185 bilderbeschneidung der sklavin nora 185 bilder © 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].

If you or someone you know has been affected by FGM, help and support are available. Here are resources for information and assistance:

While there are limited details available about Nora's story, it's essential to approach her case with sensitivity and understanding. It's crucial to recognize that Nora, like many others, was a victim of a practice that has been widely criticized and condemned.

In modern times, circumcision is typically performed on newborn males, often in a hospital setting. The procedure is usually done for medical or cultural reasons, with the decision to circumcise often being made by parents or caregivers. In some countries, such as the United States, circumcision is a common practice, with approximately 55-60% of newborn males undergoing the procedure.

I should start by interpreting the query. The user might be looking for images related to FGM, which is a sensitive and harmful practice. Alternatively, they might be referring to historical contexts, but even then, such content requires careful handling.

To better comprehend the situation surrounding Nora, it's crucial to examine the historical context of circumcision and slavery. Circumcision, a surgical procedure that involves the removal of the foreskin from the human penis, has been practiced for thousands of years in various cultures and civilizations. In some societies, circumcision was performed for medical, hygienic, or spiritual reasons, while in others, it was a rite of passage or a symbol of social status.

| Aspect | Observation | |--------|-------------| | | German | | Keywords | “Beschneidung” (circumcision), “Sklavin” (slave), “Nora”, “185 Bilder” (185 pictures) | | Likely Content | Visual material that appears to depict a sexual act involving a person described as a “slave” undergoing a form of genital cutting. The phrasing suggests a non‑consensual, coercive, or exploitative scenario. | | Potential Issues | • Sexual violence / non‑consensual act • Possible depiction of bodily mutilation • Risk of involvement of a minor (the name “Nora” does not confirm age, but the context raises a red flag). |

The topic of "beschneidung der sklavin nora 185 bilder" translates to "circumcision of slave Nora 185 images." While I couldn't find any direct references to a person named Nora or a specific collection of 185 images, the phrase seems to be related to the practice of female genital mutilation (FGM). FGM, also known as female circumcision, is a traditional practice that involves the partial or total removal of the external female genitalia.

Always ensure that your information comes from reputable and sensitive sources, and approach the topic with the respect and seriousness it deserves.

Ich kann dabei nicht helfen. Inhalte, die sexuelle Handlungen mit Minderjährigen, nicht einwilligungsfähigen Personen oder Sex mit Sklaverei/Zwang darstellen oder fördern, sind verboten. Das schließt Beschreibungen, Anleitungen oder Sammlungen solcher Bilder ein.

This paper examines the recurring visual motif of the circumcision of enslaved women in Orientalist art and colonial photography, focusing on a hypothetical corpus of 185 images centered on a figure named “Nora.” It argues that such depictions served to eroticize, racialize, and justify the subjugation of female bodies under the guise of ethnographic documentation. Through feminist postcolonial theory, the analysis deconstructs the power dynamics embedded in the gaze of the (mostly male, Western) artist/viewer.

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

Beschneidung Der Sklavin Nora 185 Bilder Guide

If you or someone you know has been affected by FGM, help and support are available. Here are resources for information and assistance:

While there are limited details available about Nora's story, it's essential to approach her case with sensitivity and understanding. It's crucial to recognize that Nora, like many others, was a victim of a practice that has been widely criticized and condemned.

In modern times, circumcision is typically performed on newborn males, often in a hospital setting. The procedure is usually done for medical or cultural reasons, with the decision to circumcise often being made by parents or caregivers. In some countries, such as the United States, circumcision is a common practice, with approximately 55-60% of newborn males undergoing the procedure.

I should start by interpreting the query. The user might be looking for images related to FGM, which is a sensitive and harmful practice. Alternatively, they might be referring to historical contexts, but even then, such content requires careful handling.

To better comprehend the situation surrounding Nora, it's crucial to examine the historical context of circumcision and slavery. Circumcision, a surgical procedure that involves the removal of the foreskin from the human penis, has been practiced for thousands of years in various cultures and civilizations. In some societies, circumcision was performed for medical, hygienic, or spiritual reasons, while in others, it was a rite of passage or a symbol of social status.

| Aspect | Observation | |--------|-------------| | | German | | Keywords | “Beschneidung” (circumcision), “Sklavin” (slave), “Nora”, “185 Bilder” (185 pictures) | | Likely Content | Visual material that appears to depict a sexual act involving a person described as a “slave” undergoing a form of genital cutting. The phrasing suggests a non‑consensual, coercive, or exploitative scenario. | | Potential Issues | • Sexual violence / non‑consensual act • Possible depiction of bodily mutilation • Risk of involvement of a minor (the name “Nora” does not confirm age, but the context raises a red flag). |

The topic of "beschneidung der sklavin nora 185 bilder" translates to "circumcision of slave Nora 185 images." While I couldn't find any direct references to a person named Nora or a specific collection of 185 images, the phrase seems to be related to the practice of female genital mutilation (FGM). FGM, also known as female circumcision, is a traditional practice that involves the partial or total removal of the external female genitalia.

Always ensure that your information comes from reputable and sensitive sources, and approach the topic with the respect and seriousness it deserves.

Ich kann dabei nicht helfen. Inhalte, die sexuelle Handlungen mit Minderjährigen, nicht einwilligungsfähigen Personen oder Sex mit Sklaverei/Zwang darstellen oder fördern, sind verboten. Das schließt Beschreibungen, Anleitungen oder Sammlungen solcher Bilder ein.

This paper examines the recurring visual motif of the circumcision of enslaved women in Orientalist art and colonial photography, focusing on a hypothetical corpus of 185 images centered on a figure named “Nora.” It argues that such depictions served to eroticize, racialize, and justify the subjugation of female bodies under the guise of ethnographic documentation. Through feminist postcolonial theory, the analysis deconstructs the power dynamics embedded in the gaze of the (mostly male, Western) artist/viewer.

9. Singh J. Laksha (Lac) - LacciferLacca [Internet]. Ayurtimes.com. 2015 [cited 2021 Jul 4]. Available from: https://www.ayurtimes.com/lac-laccifer-lacca-health-benefits-uses-side-effects.[accessed on 2021-7-1]

10. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.200-4.

11. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.328-33.

12. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.338-42.

13. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.958-9.

14. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.513-8.

15. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.54-6.

16. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.123-7.

17. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.325-7.

18. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.834-5.

19. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.850-1