The amount of liver fibrosis usually correlates with portal pressure, which is measured as the hepatic venous pressure gradient (HVPG). The fact that portal pressure significantly decreases after ...treatment may increase cirrhotic patients' long-term survival suggests that measuring HVPG may offer specific information for outcome prediction. The study thus seeks to determine the relationship between the level of the HVPG and endoscopic and clinical parameters in decompensated chronic liver disease (CLD).
Thirty patients with CLD were studied and subjected to serum creatinine, total bilirubin, serum sodium, serum albumin, prothrombin time (PT), international normalized ratio (INR), esophagogastroduodenoscopy (upper gastrointestinal (UGI) endoscopy), and transjugular or transfemoral catheterization for HVPG measurement, and Child-Turcotte-Pugh (CTP) score and Model for End-Stage Liver Disease (MELD) score were calculated.
The results indicates a strong positive connection between MELD and HVPG, which is statistically significant (r=0.754; p<0.001). Similarly, CTP and HVPG also exhibit a significant positive association (r=0.793; p<0.001) suggesting a link between the severity of liver disease. Additionally, the moderate positive correlation for encephalopathy has a significant value (r=0.584; p=0.001), while the weak positive correlations for serum bilirubin, INR, and HVPG have non-significant values (r=0.244; p=0.194, and r=0.375; p=0.041, respectively). A strong negative connection between serum albumin and HVPG was also found (r=0.546; p=0.005) suggesting a relationship between worsening liver function.
In patients with decompensated CLD, the severity of the CLD as measured by the CTP and MELD score corresponds with HVPG, and higher HVPG associated with severe CLD and severe ascites, large varices, and variceal hemorrhage. Higher HVPG in cirrhotic patients also suggests the existence of sequelae, such as varices, severe ascites, and severe hepatic encephalopathy, although HVPG has little bearing on the underlying cause.
This paper analyses the fictional art and forte of Rabindranath Tagore with a focus on the sufferings, agonies, distractions faced by modern woman searching for self-identity, for which the young ...wife Kumo (from the short story Vision) is chosen for a brief evaluation and analysis, so as to bring home the point that the women is projected as a frustrated wife longing for love, proper care and kind treatment from her husband who is not at all ready and prepared to gives as many husbands normally do in Indian society. At a point when both husband and wife are separated, she became more aguish, the pain of separation is still worse than her sickness. Finally, Kumo lost her sight because of her foolish act. Being pioneers towards spiritual life is respectable but losing the life on behalf of it is a foolish act. Even though a woman gets a great advancement in life, she is still in the dark side of life. But Tagore is always a strong supporter of women, his concept of common hood is always something remarkable and appreciable in all respects. Keywords: Rabindranath Tagore, Short stories Vision, Wife's letter, Living or Dead?, The River Stairs, Personality, Womanhood, Popularity, self-identity, agony and frustration, racial discrimination, longing for love, exploitation, depression, liberation.
This paper correlates Sigmund Freud and Rabindranath Tagore's writings on mourning through two specific texts. Despite being contemporaries and profoundly influential, Tagore and Freud's spheres of ...influence have tended to be separate, so that there have been but few attempts at connecting their philosophies. This essay examines the second chapter of Tagore's novella Play of Four (Chaturanga, 1916) in the light of Freud's essay 'Mourning and melancholia' (1917). It explores how mourning may at once demand confirmation and denial; how it affects love and desire. The essay examines the Freudian concept of the unconscious through Tagore's symbolism; it also looks at Tagore and Freud's references to autobiographical elements and Shakespeare in their writing. The paper thus offers a close and juxtaposed reading of texts by two of the most important writers of the past century, who wrote and revolutionized our thinking about human minds and lives. In doing so, it throws new light on Tagore's novella and further proves the universality of Freud's propositions.
Comparatively studying the Hindu theologies of lila and the Christian theologies of play can provide a common ground for interreligious dialogue on divine delight, divine presence, and human ...flourishing. In doing so, Christians can aim to build a robust and embodied theology of play that affirms similarities and identifies differences with other faith traditions while reinforcing convictions. Using a Trinitarian-pneumatological framework, I invite Christians to create spaces of interreligious hospitality or "playgrounds" for playful expressions such as festivals, liturgical movement in worship, and Sabbath play rhythms that can ultimately contribute to overall human flourishing and encounters with God for all people.
This article is an attempt to comparing the national writers, represents their culture through their writers and focus on the depiction of women in their fictional world. Both Tagore and Dr. Mu. Va. ...concentrates on the importance of mother tongue and women's education through their literary creations, humanistically and optimistically projects their view about women. Keywords: Dr. Mu. Va.. Rabindranath Tagore, Optimistic Perspectives, Humanism, Women's education, Cultural values, Domination.
On his 70th birthday in 2000 his students published a book in his honour—“Mental Health in India 1950-2000”. A renowned physician-cum-psychiatrist, it was Naren's work in community mental health ...services and for the W.H.O. which earned him national and international acclaim. .the committee recommends decentralisation of Mental Health Services, integration of Mental Health Services with the general health service…”
The biggest conundrum in health today is understanding the paradox between China and India. Both countries are justifiably proud of their rich civilisations--histories and philosophies that offer the ...world distinctive traditions and values. Their ideas and beliefs provide deeper and frequently far more interesting insights into human meaning than the empirical iciness of western cultures. But when it comes to health, there is no easy comparison between the two nations.
Written with a tinge of pathos, or subtle humour and irony, the stories assert Tagore's empathy for the poor and the downtrodden, his disapproval of gender hierarchy and caste discrimination, and his ...opposition to the narrow utilitarian pursuit of the material at the expense of truth, creativity, morality and spirituality. ...characters such as Ratan (The Postmaster), Nirupama (Assets and Debts), Hemanta (Sacrifice), Chandara (Punishment), Balai (Balai), Kamala and Habir Khan (A Woman's Conversion to Islam) exemplify Tagore the reformist who relentlessly argued against societal inequalities and injustices. Tagore believed in a dialogic, interactive world, in which communities and nations would bear a deep sense of sympathy, generosity and mutuality towards one another, and shun exclusivity, parochialism and idolatry of geography for a centrifugal outlook, principle of universality and reciprocal recognitions. (xxiii) Translations are often criticised for failing to transport the delicate cultural and linguistic nuances from the source language to the target language.
This article is an attempt to understand the universally acknowledged versatile genius of Rabindranath Tagore and his writings which got permeated with a rich fund of creative imagination by ...rendering his vision and experience freely and spontaneously into his transcreations. It throws light on his mystic vision and cosmopolitan outlook by stating that Tagore is a poet of humanity par excellence. Tagore is a harmoniser trying to build a durable bridge of understanding between man and nature, man and God.
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