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INTRODUCTION:Interventions to decrease stress and enhance resiliency and mindfulness are more likely to be widely implemented if they can be offered without the need for in-person training. The purpose of this study was to assess effectiveness of a self-directed Stress Management and Resiliency Training (SMART) program delivered using only written material for improving stress, resiliency, and mindfulness.
METHODS:
A total of 37 employees at a large medical center were recruited and given written material on the SMART program. Subjects were instructed to practice the skills presented in the written materials without any additional training. The skills included education about the neuropsychology of stress and resilience, training attention to focus in the present moment, and refining interpretations. Primary outcome measures assessed resilience, perceived stress, anxiety, and quality of life.
RESULTS:
Out of 37 employees, 34 (89%) enrolled subjects completed the study and provided the baseline and follow-up data. A statistically significant improvement in perceived stress, resilience, mindfulness, anxiety, and quality of life was observed at 12 weeks.
CONCLUSION:
This study demonstrated that a brief, self-directed program to decrease stress and enhance resilience and mindfulness provided excellent short-term effectiveness for enhancing resilience, mindfulness and quality of life, and decreasing stress and anxiety.
Context: Persons using one group of complementary and alternative medicine (CAM) may differ in important ways from users of other CAM therapies. Objectives: The aim of this study was to characterize the United States (US) adult population using exclusively mind-body medicine (MBM) and to determine if their characteristics differed from those using exclusively non-vitamin natural products. Design/Setting: Using the 2007 National Health Interview Survey (NHIS) and its periodic supplement on CAM use, descriptive characteristics of exclusive MBM users, as well as those using exclusively non-vitamin natural products were identified. Patients: A total of 75,764 persons completing the 2007 NHIS with adults aged 18 years and older. Main Outcome Measures: Characteristics of MBM users, prevalence of MBM use, and characteristics of exclusive MBM users compared to exclusive non-vitamin natural product users. Results: Among CAM users (N = 83,013,655), 21.8% of the adult population (age 18 or older) reported using exclusive MBM therapy. In multivariate models, exclusive MBM use was associated with female gender, higher educational attainment, younger age, residing in Northeast US, being Asian or black race, and a current smoker compared to those using exclusive non-vitamin natural products. Using bivariate comparisons, individuals that exclusively used MBM were more likely to be white females (60.5%), in a younger age category (18-39 years), educated beyond high school (68.3%), and more likely from the Southern US (32.4%). A greater level of depression in MBM users was noted compared to non-vitamin natural product users (6.6%).
The effect of pranayama a controlled breathing practice, on exercise tests was studied in athletes in two phases; sub-maximal and maximal exercise tests. At the end of phase I (one year) both the groups (control and experimental) achieved significantly higher work rate and reduction in oxygen consumption per unit work. There was a significant reduction in blood lactate and an increase in P/L ratio in the experimental group, at rest. At the end of phase II (two years), the oxygen consumption per unit work was found to be significantly reduced and the work rate significantly increased in the experimental group. Blood lactate decreased significantly at rest in the experimental group only. Pyruvate and pyruvate-lactate ratio increased significantly in both the groups after exercise and at rest in the experimental group. The results in both phases showed that the subjects who practised pranayama could achieve higher work rates with reduced oxygen consumption per unit work and without increase in blood lactate levels. The blood lactate levels were significantly low at rest.
Using recontructive ideas available in classical Indian original works, this book makes a departure in the style of modern writings on Indian moral philosophy.
<p>The article sheds light on the Thakalis' social reform in Pokhara, Nepal. It starts with a survey of Bista's work and many recent articles. Though their population is relatively small, the Thakalis' entrepreneurship and rapid rise to wealth and power has prompted attention. The article discusses one of the main institutions responsible for this on-going social reform - the Thakali Samaj Sudhar Sangh (Thakali social reform organization) of Pokhara. The Thakalis often appear as a marginal people living just outside the ethnic and economic sphere of the kingdom of Mustang. Actually the Thakali have long controlled the salt trade, and their many other enterprises gave them a great deal of cash which is now available for investment in the rapidly expanding economies of the South. Trucking, construction, hotels, large farms, and the cloth business provide good opportunities for investment and migration has been seen as a good option. From 1951 to 1971 the Thakalis became the fourth largest group of immigrants coming to Pokhara. The Thakali social reform organization has launched many social-reforms. One of the first moves toward cultural cost-cutting was seen in the funeral practices of the Thakalis where only the services of a jhankari were required whereas earlier they had combined rituals performed by both lamas and jhankaris in a complicated and costly affair. Other such cost-cutting social reforms are discussed. (Rajeev Ranjan Singh 2007-01-04)</p>
Considering the fact that the Mīmāṃsā, the Vedānta, the Sāṃkhya, and the Yoga schools owe their origin directly to the Vedas, the Brāhmaṇas, and the Upaniṣads, it may be expected that the doctrines of these would have been systematized and put together into the form of the Sūtras earlier than those of the Vaiśeṣika and the Nyāya schools, the essential tenets of which had their beginnings in a later and different kind of literature. This expectation, however, seems to be belied by the fact that the present Sāṃkhya-sūtras have been proved to belong to a very late period, as late as the fourteenth century a.d.; and the Yoga-sūtras are now believed by a number of scholars, following Professors Jacobi and Woods, to be as late as the fourth or fifth century a.d. Now, while the gap of an early systematic work on the Sāṃkhya is filled up by the Sāṃkhya-kārikā, or it may be explained by the surmise that there was an early Sūtra work, either a shorter form of the present one or altogether different from it, which is lost, the Yoga-sūtras are all that we have as a systematic exposition of the Yoga doctrines, and there is no reason to believe that they were preceded by another work of a similar nature. • The question, then, is whether the systematization of such an early school of thought as the Yoga would have been postponed until as late as the fourth or fifth century a.d., and until after the systematization of the doctrines of even the Vaiśeṣika and the Nyāya schools, which began later on, and the Sūtras of which definitely contain a reference to the Yoga doctrines of mystic intuition and concentration.
CONTEXT AND AIM: Complementary and alternative therapies (CAM) are gaining popularity amongst patients as add on to conventional medicine. Yoga stands third amongst all CAM that is being used by cancer patients today. Different schools of yoga use different sets of practices, with some using a more physical approach and many using meditation and/or breathing. All these modules are developed based on the needs of the patient. This paper is an attempt to provide the basis for a comprehensive need based integrative yoga module for cancer patients at different stages of treatment and follow up. In this paper, the holistic modules of the integrated approach of yoga therapy for cancer (IAYTC) have been developed based on the patient needs, as per the observations by the clinicians and the caregivers. Authors have attempted to systematically create holistic modules of IAYTC for various stages of the disease and treatment. These modules have been used in randomized trials to evaluate its efficacy and have shown to be effective as add-on to conventional management of cancer. Thus, the objective of this effort was to present the theoretical basis and validate the need based holistic yoga modules for cancer patients.MATERIALS AND METHODS: Literature from traditional texts including Vedas, Ayurveda, Upanishads, Bhagavat Gita, Yoga Vasishtha etc. and their commentaries were looked into for references of cancer and therapeutic directives. Present day scientific literature was also explored with regards to defining cancer, its etiopathology and its management. Results of studies done using CAM therapies were also looked at, for salient findings. Focused group discussions (FGD) amongst researchers, experienced gurus, and medical professionals involved in research and clinical cancer practice were carried out with the objectives of determining needs of the patient and yoga practices that could prove efficient. A list of needs at different stages of conventional therapies (surgery, chemotherapy and radiation therapy) was listed and yoga modules were developed accordingly. Considering the needs, expected side effects, the energy levels and the psychological states of the participants, eight modules evolved.
RESULTS: The results of the six steps for developing the validated module are reported. Step 1: Literature review from traditional yoga and ayurveda texts on etiopathogenesis and management of cancer (arbuda), and the recent literature on cancer stem cells and immunology of cancer. Step 2: Focused group discussions and deliberations to compile the needs of patients based on the expected side effects, energy levels and the psychological state of the patient as observed by the caregivers and the clinicians. Step 3: Content validation through consensus by the experts for the eight modules of IAYTC that could be used as complimentary to conventional management of cancer at different stages during and after the diagnosis was created. Step 4: Field testing for safety and feasibility of the modules through pilot studies. Step 5: Compilation of the results of efficacy trials through RCTs and step 6: A review of our studies on mechanisms to offer evidence for action of IAYTC on psycho-neuro-immunological pathways in cancer.
CONCLUSION: The evidence from the traditional knowledge and recent scientific studies validates eight modules of integrated approach of yoga therapy for cancer that can be used safely and effectively as complimentary during all conventional cancer therapies.
<p>The article is a brief statement of some of the chief findings made during the course of excavations in Dumakhal, a small village northeast of Kathmandu, Nepal. Dumakhal is a small Brahman village that lies on the west bank of the Manohara river. The article illustrates the topography of the site with a one page sketch. The excavated materials appear to be of the Licchavi period. It includes sketches of pottery and artifacts found. It includes 13 leaves of plates. (Rajeev Ranjan Singh 2007-02-11)</p>
Context: Hypertension (HTN) is a chronic medical condition affecting nearly 1 billion people worldwide. Yoga, typically thought of as a series of physical postures, also includes breath practices and meditation. It has the potential to reduce of blood pressure (BP) through a combination of stress reduction and modification of the physiology of the autonomic nervous system. Pranayama is the art of prolongation and control of breath and helps bring conscious awareness to breathing patterns.Objectives: The study aimed to measure the effects of Sheetali and Sheetkari pranayamas on BP, the autonomic nervous system, and respiratory functions among hypertensive participants.
Design: The study design was a randomized controlled trial.
Setting: The study was carried out at a clinical research center at Sri Dharmasthala Manjunatheshwara Yoga and Nature Cure Hospital (Belthangady, India).
Participants: The participants were 60 hypertensive individuals, aged from 25 to 65 y, who were recruited from the general population located in and around Ujire, Belthangady, Karnataka, India.
Intervention: Participants were randomly assigned either to an intervention group (n = 30) or wait-list control groups (n = 30). The intervention included 2 types of pranayama breath practices (ie, Sheetali and Sheetkari) each practiced for 10 min/d.
Outcome Measures: BP and autonomic and respiratory functions were measured at baseline and postintervention.
Results: Compared to control, the intervention group showed a significant mean decrease in (1) systolic blood pressure (SBP)-16.2 mm Hg (P ≤.001), (2) respiratory rate-3.4 rpm (P<.001), and (3) heart rate-6.7 bpm (P ≤.01). Heart rate variability parameters were improved in the intervention group, including high-frequency power (P = .01), the number of pairs of successive NN intervals that differ by more than 50 ms (ie, NN50, P = .01), and the proportion of NN50 divided by total number of NNs (ie, pNN50, P = .05).
Conclusions: Sheetali and Sheetkari pranayamas appear effective for lowering SBP in individuals with HTN. Within-group results suggest that the changes may be mediated through a modification in tone of the sympathovagal nervous system.
Cancer stem cells (CSCs) are stem-like tumor populations that are reported to contribute towards tumor growth, maintenance and recurrence after therapy. Hypoxia increases CSC fraction and promotes acquisition of a stem-cell-like state. Cancer stem cells are critically dependant on the hypoxia-inducible factor-1 (HIF-1) for survival, self-renewal, tumor growth and maintenance of their undifferentiated phenotype. Recent researches show that stage of differentiation of the tumor cells is predictive of their susceptibility to natural killer cell (NK) cell mediated cytotoxicity and cancer stem cells are significant targets of NK cell cytotoxicity. Studies also show that reversion of tumor cells to a less-differentiated phenotype can be achieved by blocking NFκB. Yoga therapy (yogic lifestyle modifications encompassing physical postures, breathing practices, relaxation techniques and meditations) is known to modulate neural, endocrine and immune functions at the cellular level through influencing cell cycle control, aging, oxidative stress, apoptosis and several pathways of stress signaling molecules. Yoga therapy has also been shown to enhance natural killer cell activity and modulate stress and DNA damage in breast cancer patients receiving radiotherapy. Recent study found that brief daily yogic meditation may reverse the pattern of increased NFκB-related transcription of pro-inflammatory cytokines in leukocytes. Thus, yoga therapy has the potential to reduce cancer stem cell survival, self -renewal and tumor growth by modifying the tumor micro-environment through various mechanisms such as; 1) reducing HIF-1 activity by enhanced oxygenation, 2) promoting NK cell activity directly (or indirectly through down regulating NFκB expression), thereby enhancing NK cell mediated CSC lysis, and 3) by minimizing the aberrant expressions or activities of various hormones, cytokines, chemokines and tumor signaling pathways. Yoga therapy may have a synergistic effect with conventional modalities of treatment in preventing cancer progression and recurrences.
The short-term effects of 4 weeks of intensive yoga practice on physiological responses in six healthy adult female volunteers were measured using the maximal exercise treadmill test. Yoga practice involved daily morning and evening sessions of 90 minutes each. Pre- and post-yoga exercise performance was compared. Maximal work output (Wmax) for the group increased by 21%, with a significantly reduced level of oxygen consumption per unit work but without a concomitant significant change in heart rate. After intensive yoga training, at 154 Wmin(-1) (corresponding to Wmax of the pre-yoga maximal exercise test) participants could exercise more comfortably, with a significantly lower heart rate (p < 0.05), reduced minute ventilation (p < 0.05), reduced oxygen consumption per unit work (p < 0.05), and a significantly lower respiratory quotient (p < 0.05). The implications for the effect of intensive yoga on cardiorespiratory efficiency are discussed, with the suggestion that yoga has some transparently different quantifiable physiological effects to other exercises.
Objective. To determine the effect of six weeks of yoga and meditation on medical students' levels of perceived stress and sense of wellbeing prior to taking their exams. Methods. We conducted a prospective case-control study of first-through-third-year medical students at our academic institution, measuring levels of perceived stress and sense of wellbeing before and after a six-week yoga and meditation intervention. Questionnaires used for evaluation included the perceived stress scale (PSS) and self-assessment surveys (SAS). The postintervention surveys were completed on the day of the students' written exams. Results. A total of thirteen women and fourteen men participated. Median age was 28 (24 yrs-32 yrs). 48.1% were Caucasian, 7.4% Black, 11.1% Hispanic, 11.1% Asian, and 22.2% other. Paired t-tests showed a statistically significant reduction in perceived stress (18.44 versus 14.52; p = 0.004) after the six-week yoga and meditation program. After the yoga intervention, self-assessment survey results showed a significant improvement in feelings of peace, focus, and endurance. Improvements in happiness, positivity, personal satisfaction, and self-confidence were also seen. An improvement in unsubstantiated parameters such as patience and fatigue was observed. Conclusion. Yoga and meditation may be effective in reducing stress levels and improving aspects of personal wellbeing in medical students.
We test the generally held belief that sacred forests are better managed thanforest reserves. Towards this end, tree diversity, population structure and their relation to site
disturbances were studied in five replicate stands each of sacred forests and reference reserve
forests in southern Eastern Ghats of Andhra Pradesh. In each of the study sites, two belt
transects of size 5 x 1000 m were laid down randomly for assessing tree species. A total of 7836
trees belonging to 158 species were inventoried in all the stands. The stands in the sacred
forests were more diverse, had higher basal area, and showed fewer signs of disturbance than
the reference forest stands, supporting the view that local communities afford better protection
and management to sacred groves. We suggest that the long-term sustenance of biodiversity in
sacred forest sites require an integrated approach involving local communities as well the
government sector.
OBJECTIVE: The present study was carried out to evaluate lung functions and develop prediction equations in Indian boys. SUBJECTS: 1555 normal healthy schoolboys from Hyderabad city who were in the age group of 5 to 15 years were selected for the present study. DESIGN: The anthropometric parameters such as height, sitting height, weight, and chest circumference were measured and body surface area (BSA) and percent body fat (% Fat) were derived. The lung functions studied were FEV1, FVC, FEV1% and PEFR. RESULTS: The height, sitting height, weight, BSA, chest circumference, body fat as well as FEV1, FVC, FEV1 % and PEFR were comparable with Indian boys. The height for age, weight for age and weight for height were found to be lower than 50th percentile of NCHS standards in the subjects studied. Similarly the lung function values of the study population were found to be lower than the values of corresponding western population. CONCLUSION: Regression equations were derived to predict FEV1, FVC and PEFR using physical characteristics. Height, chest circumference and fat free mass were the best predictors for FEV1, FVC, and PEFR. Age, height, sitting height, weight, chest circumference and fat free mass showed significant association with lung functions.
The World within the Mind presents us with teachings on non-duality and the way to realization, in the form of discourses given by a traditional teacher, the sage Vasishta, to his pupil, the righteous Prince Rama.These are extracts from a vast Sanskrit classic, composed probably in the first millenium CE, attributed to Valmiki, the author of Ramayana, although this may have been out of respect by later writers.