Primary Cartilage Tympanoplasty: Our Technique And Results.(dr Mubarak Khan,pune) Am J Otolaryngol. 2010 Sep 9. [epub Ahead Of Print]primary Cartilage Tympanoplasty: Our Technique And Results.khan Mm, Parab Sr.abstractcartilage Has Shown To Be A Promising Graft Material To Close Tympanic Membrane Perforations. However, Due To Its Rigid Quality, Doubts Are Raised Regarding Its Sound Conduction Properties. It Has Been Suggested That Acoustic Benefit May Be Obtained By Thinning The Cartilage. We Describe Our Innovative Method For Harvesting Tragal Cartilage From The Same Endaural Incision And Also Describe Preparation Of The Graft By Slicing It. We Present Our 3-year Experience Of Shield Cartilage Type 1 Tympanoplasty Using Sliced Tragal Cartilage-perichondrium Composite Graft.aim: The Aim Of This Study Was To Prove The Success Rate Of Our Technique Of Shield Cartilage Tympanoplasty Using Sliced Tragal Cartilage Graft In Terms Of Functional And Anatomic Results.study Design: Retrospective Analysis Of Type 1 Cartilage Tympanoplasties Using Sliced Tragal Cartilage Was Carried Out In Mimer Medical College And Sushrut Ent Hospital During May 2005 To January 2008 With A Minimum Follow-up Of 2 Years.method And Materials: A Total Of 223 Ears Were Operated By Our Technique.results: The Overall Success Rate Of Our Technique Was 98.20% In Terms Of Perforation Closure And Air Bone Gap Closure Within 7.06 ± 3.39 Db. The Success Rates In The Various Age Group Are As Follows: 11 To 20 Years, 97.67%; 21 To 40 Years, 99.12%; And 41 To 60 Years, 96.96%.conclusion: Our Technique Of Type 1 Cartilage Tympanoplasty Achieves Good Anatomic And Functional Results.

Spirit Release Therapy,hypnotherapist In Coimbatore Earthbound Spirits, Negative Thought Forms, Dark Energies And, Upon Occasion, Demonic Energies Can Attach Themselves To Humans At Times When They Are Vulnerable Or Suffering From Trauma Or Negative Emotions. At The End Of A Life That Has Ended With Shock, Confusion Or Unresolved Issues, Be They Positive: Not Wanting To Leave A Loved One Or Negative: A Desire To Get Revenge, The Soul Energy Of A Person Does Not Travel Into The Light. As A Result They Can Be Stuck On The Earth Plane And, At A Loss For Where Else To Go, Will Be Attracted To A Person Displaying Similar Energy. The Emotions And Feelings Connected With A Sudden, Traumatic Death Can Become The Force Which Attaches A Spirit To The Earth Plane. Anger, Fear, Jealousy, Resentment, Guilt, Distress, Even Strong Ties Of Love, Can Interfere With The Universal Transition Into The Light. If A Person Dies By Drug Overdose, The Newly Deceased Spirit May Attach To Someone Who Uses Drugs Or Alcohol In Order To Maintain The Sensations Of The Habit. Sometimes At Death A Spirit Or Soul Is Confused Or Simply Out Of Fear Does Not Return To Where It Belongs. We Have A Choice Even At The Moment Of Our Death. We're Free To Return Home To The Light Or Remain On Earth And Rove Around. If We Are A Victim Of Murder, We May Also Have A Choice To Attach Ourself To The Person Who Took Our Life And Cause Them Trouble In Their Life. Many Spirits Remain On The Earth Plane Because Of A Lack Of Awareness Of Their Own Death. Confusion, Distrust And Disbelief Concerning Religion And Spirituality Can Prevent The Spirit From Moving Into The Light. A Person Subjected To This Experience May Just Report Hearing Voices Yet Have No Other Psychotic Symptom Or Behaviour. A Newly Formed Attachment May Be Evidenced By The Sudden Onset Of Drug Or Alcohol Usage, Unusual And Inappropriate Expression And Behaviour Patterns, Or Noticeable Personality Changes Following Surgery, Accident, Emotional Upset, Suicide Of A Family Member, Even Moving Into A New Home. As The Result Of An Attachment, Or Possession, Physical Appetites For Food, Sex, Alcohol, And Drugs Can Increase Greatly. Personal Attitudes And Beliefs Can Suddenly Change, As Can Personal Tastes. The Voice And Even Facial Features And Appearance Can Alter Dramatically. An Earthbound Spirit Retains The Psychic Energy Pattern Of Its Own Thinking, And Can Transmit To It`s Victim Any Mental Abnormality Or Emotional Disturbance, As Well As Any Symptom Of Physical Illness. This Condition Can Be Extremely Confusing And Frightening For A Person, And For Friends And Family. Attachment To Any Given Person May Be Completely Unplanned, Even Accidental. An Attachment Can Be Benevolent In Nature, Self Serving To Fulfil A Personal Need Of The Spirit, Harmful In Intention, Or Completely Neutral. It Can Occur Simply Because Of Physical Proximity To A Dying Person At The Time Of The Death. The Connection May Be Established By The Purposeful Choice Of Either The Spirit Or The Living Human, Because Of A Strong Emotional Bond Between Them. A Person Can Be Vulnerable And Open To Attachment Due To Any Mental Or Physical Symptom Or Condition, Strong Emotion, Repressed Negative Feeling, Conscious Or Unconscious Want Or Need. This Vulnerability Can Act Like A Magnet To Attract A Foreign Entity With The Same Or Similar Emotion, Condition, Need Or Feeling. Severe Stress May Cause Susceptibility To The Influence Of An Intrusive Spirit. Alteration Of The Consciousness With The Use Of Alcohol Or Drugs, Especially Mind Drugs, Opens The Unconscious Mind To Invasion By Discarnate Beings. The Same Can Be True For The Use Of Anaesthetic Drugs For Surgery. Spirit Release Therapy Uses Hypnosis To Open Up A Safe Communication With Any Energies That Do Not Belong With A Person And A Therapeutic Discussion Ensues, Allowing The Energy To Be Gently Returned To The Light. Even Dark Energies Contain Light And These Too Can Be Dealt With With Compassion And Love. Spirit Releasement Is A Therapy, Not A Rite. Unlike Exorcism, It Comes From A Position Of Compassion, Not Confrontation. It Aims Both To Free The Client And To Assist The Attached Spirit To Continue Its Evolutionary Journey. Past Life Therapy Is Often Usefully Combined With Spirit Releasement Therapy.

The Medical Care Of The Child During Its First Two Years Of Life Not Merely Requires Of The Physical, But Also Of The Mental Health And Development. This Begins, Not At The Time Of Birth But In Utero. It Is Essential To Guard The Health Of The Mother During Pregnancy, Her Mental And Physical If The Best Possible Child Is To Be Born. There Are Various Disabilities From Which The Mother May Suffer Which Have An Adverse Effect On The Unborn Infant. Some Are Conditions Peculiar To Pregnancy: Others Are Ailments Which Attack Indiscriminately The Pregnant And Non-pregnant. Let Us Take First A Few Of The Conditions Peculiar To Pregnancy. On The Physical Side We Have Excessive Vomiting, Albuminaria, Constipation With Toxic Absorption, Or Diarrhoea. On The Mental Side There Are Such Things As Undue Depression, Morbid Fears, Sleeplessness, And The Effects Of Frights. In This Sphere Homoeopathy Has Much To Offer In Advance Of Ordinary Medicine. For Example: Excessive Vomiting Of Pregnancy, If Allowed To Continue, Will Lead To The Death Of The Foetus, Either Naturally, Or Artificially Induced To Save The Life Of The Mother. In A Very Large Percentage Of Cases, When The Vomiting Of Pregnancy Starts, A Few Homoeopathic Doses Of Ipecacuanha Will Completely Control It. The Danger Is Prevented And Does Not Need To Be Met. In Those Unfortunate Cases In Which The Condition Has Not Been Homoeopathically Treated From The Start, The Response To The Homoeopathic Drug Is Startling, Though The Choice Of The Drug Is More Difficult And Is Dictated By The Symptoms Of The Individual Case. Albuminuria Of Pregnancy Is One Of The Terrors Of The Obstetrician. It Is One Of The Great Danger Signals, One Of The Signs That The Strain Is Telling On The Mother, And Through Her On The Child. It Is The Precursor Of Convulsions With All Their Horrors And Anxieties. Small Pills Of Homoeopathy Remedies Like Apis, Plumbum, Acidum Phosphoricum Or Terebinthina Remove The Albumin From The Urine And Make The Case Settle In No Times. Constipation In Pregnancy Is A Common Trouble. Where It Exists Toxic Absorption Is Bound To Follow, And While It Persists The Patient Is In Danger Of The Severer Complications Due To Infection By The Bacillus Coli. In The Great Majority Of Cases A Few Doses Of Nux Vomica, Opium, Or Alumina Will Put Matters Right, Provided The Mother's Diet Is Rational. Diarrhoea In Pregnancy Is Always A Serious Matter, And If Not Speedily Relieved May Lead To Miscarriage. The Gentle Action Of A Small Dose Of Aloe, Podophyllum Or Mercurius Can Give An Instantaneous Relief. Rubella, Or German Measles If Acquired During Pregnancy, Especially During The First Four Months, May Have An Adverse Effect On The Unborn Child. In The Event Of Exposure To Infection During Pregnancy It Would Be Wise To Prescribe The Rubella Nosode. On The Mental Side The Effects Of Morbid States In The Mother Have A Very Definite Effect On The Foetus. The Morbid Depression Will Fade Away After The Judicious Administration Of Pulsatilla, Aurum, Or Sepia. Fears Lose Their Terror Under The Action Of Aconitum Napellus, Arsenicum Album, Argentum Nitricum, Ignatia Amara Or One Of The Dindred Drugs. Sleep Returns To The Weary Mother Helped By Aconitum Napellus, Belladonna, Coffea Cruda, Nux Vomica, Etc., And The Fright Loses Its Evil Effect Under The Sedative Influence Of Aconitum Napellus, Ignatia Amara, Opium, Phosphorus, Pulsatilla Nigricans, Etc. The Mother's Nervous System Has Not Been Dulled, Not Has The Unborn Infant Been Poisoned By Any Of These Drugs. The Next Factor Seriously Affecting The Well-being Of The Child Is Its Birth. Here There Are Great Possibilities Of Injury; Unavoidable Injury At The Hands Of The Most Skilful Attendant, Due To The Necessity For Manipulation Of Instruments, Or Injury Due To Prolonged And Difficult Labour, Without Any Outside Interference. These Injuries May Be To Limbs Or, Much More Serious, May Involve Intracranial Haemorrhages And Consequent Brain Damage. There Are Two Problems To Be Considered Here: How To Avoid The Risk, If Possible; And What Can Be Done For The Infant Who Is Suffering From The Effects Of A Difficult Labour. It Is An Experience Common To Homeopathic Doctors Everywhere, Who Are Conducting A General Practice, That Their Patients Do Not Suffer From Difficult Labour. That Does Not Prove Anything, But It Is A Fortunate Fact For The Patients. There Are Two Factors Which Have A Bearing On This Happy Experience: A Pregnant Woman Who Is Treated Throughout Her Pregnancy With Homoeopathic Medicine Will Approach Her Confinement Freed From The Physical And Mental Ailments Which So Often Are Factors In The Production Of An Unsatisfactory Confinement; And, There Is A Drug, Caulephyllum, Which Has The Power Of Regulating The Processes Of Labour, A Fact Which Was Known And Used By Homoeopaths Many Years Ago, And Is Equally True To-day.