1 2356 61 VALSALVA HAEMORRHAGIC RETINOPATHY IN PREGNANCY AFTER YOGA. A 35-YEAR-OLD PREGNANT CAUCASIAN WOMAN AT 27 WEEKS GESTATION PRESENTED WITH SUDDEN ONSET PAINLESS LOSS OF VISION AND A LARGE FLOATER IN HER LEFT EYE WHILE DOING YOGA. SHE WAS FOUND TO HAVE A DENSE VITREOUS HAEMORRHAGE WITH A SMALL PRERETINAL HAEMORRHAGE. ULTRASOUND IMAGING CONFIRMED THE HAEMORRHAGE AND SHOWED NO OTHER RETINAL DAMAGE. SHE WAS DIAGNOSED WITH VALSALVA HAEMORRHAGIC RETINOPATHY AND WAS TREATED CONSERVATIVELY. AFTER 5 MONTHS OF FOLLOW-UP, THIS WOMAN HAD HAD A NORMAL DELIVERY AND HER HAEMORRHAGES AND VISION LOSS HAD RESOLVED. 2017 2 2914 14 [SPONTANOUS PNEUMOMEDIASTINUM AFTER YOGA PRACTICE - A CASE REPORT]. PNEUMOMEDIASTINUM IS DEFINED AS INTERSTITIAL AIR IN THE MEDIASTINUM, WITHOUT ANY APPARENT PRECIPATING FACTOR SUCH AS TRAUMA, OESOPHAGEAL PERFORATION OR INFECTIONS. IT IS VERY UNCOMMON AND USUALLY AFFECTS YOUNG OTHERWISE HEALTHY INDIVIDUALS. THE MOST COMMON SYMTOMS ARE CHEST PAIN AND DYSPNEA WITH SUBCUTANEOUS EMPHYSEMA FOUND ON EXAMINATION. TREATMENT IS USUALLY CONSERVATIVE WITH PAIN RELIEF. HERE, WE PRESENT AN UNUSUAL CASE OF A 23-YEAR-OLD PREVIOUSLY HEALTHY MALE WHO WAS DIAGNOSED WITH PNEUMOMEDIASTINUM AFTER PRACTISING YOGA. THIS CASE DEMONSTRATES THE NEED TO STUDY PATIENTS WITH CHEST PAIN OF UNKNOWN CAUSE IN DETAILS TO FIND CAUSES. 2009 3 2911 18 [PSEUDOARTHROSIS OF THE FIRST RIB IN A PATIENT WHO PRACTICES YOGA. A CASE REPORT]. INTRODUCTION: PSEUDOARTHROSIS OF THE FIRST RIB IS A RARE CONDITION THAT MAY OCCUR IN ATHLETES AS A RESULT OF REPETITIVE ACTIVITIES, MAINLY OVERHEAD. THE USUAL CLINICAL PRESENTATION IS PAIN IN THE NECK OR THE IPSILATERAL SHOULDER. CASE REPORT: THIS IS THE CASE OF A 19-YEAR-OLD FEMALE PATIENT WHO HAD SUDDEN PAIN OF THE BASE OF THE NECK WHILE DOING YOGA. PSEUDOARTHROSIS OF THE FIRST RIB WAS DIAGNOSED WITH X-RAYS AND CAT SCAN. TREATMENT CONSISTED OF A REHABILITATION AND PHYSICAL THERAPY PROGRAM THAT WAS SUCCESSFUL DESPITE THE PERSISTENCE OF THE PSEUDOARTHROSIS. DISCUSSION: CASES OF FIRST RIB FRACTURES HAVE BEEN REPORTED IN ATHLETES PRACTICING MULTIPLE ACTIVITIES; HOWEVER, PSEUDOARTHROSIS CASES ARE RARE SINCE MOST OF THEM PROGRESS TO BONE HEALING. THIS IS THE FIRST REPORTED CASE OF A FRACTURE OR PSEUDOARTHROSIS IN A PATIENT PRACTICING YOGA. AS IN MOST REPORTED CASES, CONSERVATIVE TREATMENT WAS SUCCESSFUL. CONCLUSION: FRACTURES AND PSEUDOARTHROSIS OF THE FIRST RIB ARE RARE IN ATHLETES AND SHOULD BE INCLUDED IN THE DIFFERENTIAL DIAGNOSIS OF ATHLETES PRESENTING WITH SHOULDER AND NECK PAIN. CONSERVATIVE TREATMENT IS SUCCESSFUL IN MOST CASES. 2009 4 1570 16 MANAGEMENT OF ACUTE CALCULUS CHOLECYSTITIS WITH INTEGRATED AYURVEDA AND YOGA INTERVENTION: A CASE REPORT. ACUTE CALCULUS CHOLECYSTITIS (ACC) IS A FREQUENTLY REPORTED MEDICAL CONDITION IN GENERAL PRACTICE. APPROXIMATELY 20% OF PATIENTS WITH GALLBLADDER STONES EXPERIENCE ACC IN THEIR LIFETIME. AYURVEDA AND YOGA ARE ANCIENT TRADITIONAL SYSTEMS OF MEDICINE USED FOR TREATMENT OF DISEASES AND IMPROVING AND MAINTAINING HEALTH. THERE HAS BEEN AN INCREASED USE OF AYURVEDA AND YOGA IN THE MANAGEMENT OF SEVERAL HEALTH CONDITIONS IN INDIA AND WORLDWIDE. THE PRESENT CASE STUDY IS OF 34 YEARS FEMALE PATIENT WHO HAD ACC. POST DIAGNOSIS OF ACC PATIENT WAS ADVISED TO UNDERGO CHOLECYSTECTOMY; HOWEVER, SHE APPROACHED ALTERNATIVE THERAPIES WITH C/O VOMITING, NAUSEA, ABDOMINAL PAIN, JAUNDICE, ITCHING, AND ABDOMINAL BLOATING WITH DERANGED LIVER FUNCTIONS. AYURVEDA AND YOGA INTERVENTION PROTOCOL WAS DESIGNED. AYURVEDA TREATMENT CONSISTED OF MILD PURGATION (MRUDUVIRECHANA) WITH TRIVRITTALEHYAM FOR CONSECUTIVE SEVEN DAYS, FOLLOWED BY ORAL ADMINISTRATION OF TAB LIV 52, BHUNIMBADI KADHA TWICE DAILY, AND AMALAKI RASAYANA IN THE MORNING FOR 45 DAYS. PATIENTS RECEIVED 8 TELEYOGA SESSIONS OVER A PERIOD OF 45 DAYS. A THERAPEUTIC DIET WAS ADVISED DURING TREATMENT PERIOD. AFTER TWO MONTHS PATIENT REPORTED COMPLETE RECOVERY IN SYMPTOMS, AND ALL LABORATORY INVESTIGATIONS REACHED TO NORMAL RANGE. THIS CASE STUDY SUGGESTS THE POSITIVE ROLE OF AYURVEDA AND YOGA INTERVENTION IN THE MANAGEMENT OF ACC. THIS CASE REPORT WARRANTS FUTURE CLINICAL STUDIES ON INTEGRATIVE MEDICINE IN ACC. 2021 5 1501 14 INVERTED YOGA AND NEAR SYNCOPE: AN UNUSUAL DIAGNOSIS OF RIGHT VENTRICULAR MYXOMA. PRIMARY CARDIAC TUMORS ARE EXTREMELY RARE AND ARE DIFFICULT TO DIAGNOSE. ALTHOUGH USUALLY BENIGN IN NATURE, MYXOMAS REQUIRE SURGICAL RESECTION DUE TO THEIR INCREASED RISK OF EMBOLIC AND CARDIAC COMPLICATIONS, WITH THE TIMING OF RESECTION DEPENDENT ON THE PRESENTATION AND SIZE OF THE TUMOR. HOWEVER, IF DIAGNOSED EARLY, PATIENTS WITH PRIMARY BENIGN CARDIAC TUMORS HAVE EXCELLENT PROGNOSIS FOLLOWING SURGERY. THEREFORE, A HIGH INDEX OF SUSPICION AND A WIDE DIFFERENTIAL DIAGNOSIS ARE VERY IMPORTANT IN DETECTING RARE CONDITIONS THAT CAN AFFECT OTHERWISE HEALTHY INDIVIDUALS. WE PRESENT AN UNCOMMON CASE OF A RIGHT VENTRICULAR MYXOMA THAT WAS DISCOVERED WHEN THE PATIENT WAS PERFORMING INVERTED YOGA AND EXPERIENCED A NEAR SYNCOPAL EPISODE. PATIENT SUBSEQUENTLY UNDERWENT AN ECHOCARDIOGRAPHIC EVALUATION AND WAS FOUND TO HAVE A RIGHT VENTRICULAR MYXOMA THAT WAS EXCISED. ALTHOUGH RECURRENCE IS RARE, IT IS IMPORTANT FOR PHYSICIANS TO REMAIN VIGILANT AND CONTINUE CAREFUL AND CONSISTENT FOLLOW-UP FOR PATIENTS WITH A HISTORY OF A CARDIAC MYXOMA. 2018 6 487 12 CLINICAL STUDY OF AN AYURVEDIC COMPOUND (DIVYADI YOGA) IN THE MANAGEMENT OF SHAYYAMUTRATA (ENURESIS). CHILD HEALTH HAS ASSUMED GREAT SIGNIFICANCE IN ALL OVER WORLD. ITS IMPORTANCE IS BEING REALIZED MORE AND MORE BY PEDIATRICIANS AND GENERAL PUBLIC IN DEVELOPING AS WELL AS DEVELOPED COUNTRIES. ENURESIS IS DEFINED AS THE VOLUNTARY OR INVOLUNTARY REPEATED DISCHARGE OF URINE INTO CLOTHES OR BED AFTER A DEVELOPMENTAL AGE WHEN BLADDER CONTROL SHOULD BE ESTABLISHED. THE PRESENT CLINICAL STUDY WAS PLANNED TO EVALUATE THE EFFECT OF DIVYADI YOGA ALONG WITH COUNSELING IN THE MANAGEMENT OF SHAYYAMUTRA. TOTAL 40 SELECTED CASES WERE DIVIDED INTO TWO GROUPS, I.E. 20 IN EACH GROUP. ONE GROUP OF CHILDREN WERE GIVEN THE TRIAL DRUG DIVYADI YOGA (D(1)) WITH COUNSELING AND OTHER GROUP OF CHILDREN WERE GIVEN PLACEBO DIVYADI YOGA (D(2)) WITH COUNSELING. DIVYADI YOGA WAS GIVEN IN THE DOSE OF 3-6 GMS. TWICE A DAY WITH LUKE WARM WATER. THE RESULT OF THE STUDY SHOWED THAT GROUPS PROVIDED A HIGHLY SIGNIFICANT. 2010 7 1763 23 POSTERIOR VITREOUS DETACHMENT PRECIPITATED BY YOGA. YOGA HAS RECENTLY BEEN TOUTED AS A MEANS TO IMPROVE PHYSICAL AND MENTAL WELL-BEING. HOWEVER, NO FORM OF EXERCISE IS WITHOUT ITS RISKS. A 32-YEAR-OLD CHINESE FEMALE WITH MODERATE MYOPIA COMPLAINED OF RIGHT EYE SUDDEN ONSET OF FLOATERS AND MILD BLURRING OF VISION AFTER THE HEAD-DOWN POSTURE. THE VISUAL ACUITY WAS 6/12 IN THE RIGHT EYE AND 6/9 IN THE LEFT EYE. A RIGHT EYE FUNDUS EXAMINATION SHOWED POSTERIOR VITREOUS DETACHMENT, WITH A SMALL BLOOD CLOT LOCATED AT THE INFERIOR MARGIN OF THE OPTIC DISC. THE PATIENT WAS DIAGNOSED WITH RIGHT EYE VITREOUS HEMORRHAGE SECONDARY TO ACUTE POSTERIOR VITREOUS DETACHMENT AND WAS MANAGED CONSERVATIVELY. ACUTE CHANGES IN POSTURE, ESPECIALLY BETWEEN AN UPRIGHT AND A HEAD-DOWN POSITION, MAY CAUSE ACUTE POSTERIOR VITREOUS DETACHMENT. AS YOGA PRACTITIONERS MAY BE REQUIRED TO ASSUME THIS HEAD-DOWN POSITION, MYOPIC PATIENTS SHOULD BE WARNED OF THE POSSIBLE OCULAR COMPLICATIONS OF THIS EXERCISE. 2018 8 379 14 BASILAR ARTERY OCCLUSION FOLLOWING YOGA EXERCISE: A CASE REPORT. BASILAR ARTERY OCCLUSION DEVELOPED IN A 34 YEAR OLD WOMAN 2 MONTHS AFTER ADOPTING UNUSUAL NECK POSTURES DURING YOGA PRACTICE. ON ANGIOGRAPHY, HER BASILAR ARTERY WAS FILLED WITH INTRALUMINAL CLOT WHILE THE VERTEBRAL ARTERIES WERE NORMAL. WE POSTULATE THAT A SEVERE REDUCTION IN BLOOD FLOW AND POSSIBLY AN INTIMAL TEAR TRIGGERED THROMBOSIS OF THE VERTEBRAL ARTERY AND THAT THE FINAL STROKE MECHANISM WAS ARTERY-TO-ARTERY EMBOLISM. 1993 9 533 10 COMPARISON OF TWO TAGTEACH ERROR-CORRECTION PROCEDURES TO TEACH BEGINNER YOGA POSES TO ADULTS. TEACHING WITH ACOUSTICAL GUIDANCE INVOLVES AUDITORY FEEDBACK (E.G., A CLICK SOUND WHEN A DESIRED BEHAVIOR OCCURS) AS PART OF A MULTICOMPONENT INTERVENTION KNOWN AS TAGTEACH. TAGTEACH HAS BEEN FOUND TO IMPROVE PERFORMANCE IN SPORT, DANCE, SURGICAL TECHNIQUE, AND WALKING. WE COMPARED THE EFFICACY AND EFFICIENCY OF THE STANDARD TAGTEACH ERROR-CORRECTION PROCEDURE AND A MODIFIED TAGTEACH ERROR-CORRECTION PROCEDURE TO TEACH 4 NOVICE ADULT YOGA PRACTITIONERS BEGINNER YOGA POSES. BOTH ERROR-CORRECTION PROCEDURES WERE EFFECTIVE FOR ALL PARTICIPANTS; HOWEVER, THE RELATIVE EFFICIENCY OF THESE ERROR-CORRECTION PROCEDURES WAS UNCLEAR. RESULTS ARE DISCUSSED IN TERMS OF LIMITATIONS AND CONSIDERATIONS FOR FUTURE RESEARCH. 2020 10 512 15 COMPARATIVE STUDY ON THE EFFECT OF SAPTAMRITA LAUHA AND YOGA THERAPY IN MYOPIA. BACKGROUND: MYOPIA IS VERY COMMON OPHTHALMIC DISEASE ESPECIALLY IN CHILDREN AND ADOLESCENCE. IN AYURVEDIC TEXTS, ONLY BY THE MAIN FEATURE IMPAIRMENT OF DISTANT VISION MYOPIA CAN BE CORRELATED WITH DRISHTIGATA ROGAS (2(ND) PATALGATA TIMIRA). AIM: TO COMPARE THE EFFECT OF SAPTAMRUTA LAUHA AND YOGA THERAPY IN MYOPIA. MATERIALS AND METHODS: IN PRESENT STUDY, A TOTAL 60 PATIENTS WITH AGE GROUP BETWEEN 8 TO 30 YEARS WERE SELECTED RANDOMLY FROM THE OUT-PATIENT DEPARTMENT OF SWASTHAVRITTA AND SHALAKYATANTRA DEPARTMENT OF GOVERNMENT AYURVEDA COLLEGE, TRIVANDRUM, AND WERE DIVIDED IN TWO GROUPS. IN GROUP A, SAPTAMRITA LAUHA 250 MG TWICE DAILY WITH UNEQUAL QUANTITY OF HONEY AND GHRITA WAS ADMINISTERED WHILE IN GROUP B, PATIENTS SUBJECTED TO YOGA THERAPY (JALA NETI, NADI SHODHANA, SHITALI PRANAYAMA AND POINT TRATAK) FOR 3 MONTHS DURATION WITH 1 MONTH FOLLOW-UP. RESULTS AND CONCLUSION: THE RESULT OBTAINED FROM THE STUDY REVEALS THAT THERE IS NO SIGNIFICANT REDUCTION IN THE VISUAL ACUITY AND CLINICAL REFRACTION, BUT ASSOCIATED CHANGES WERE OBSERVED AS REDUCED IN GROUP B WHEN COMPARED TO GROUP A. HOWEVER, RELIEF FROM HEADACHE WAS FOUND TO BE EQUALLY EFFECTIVE IN BOTH THE GROUPS. 2014 11 655 10 EEG PAROXYSMAL GAMMA WAVES DURING BHRAMARI PRANAYAMA: A YOGA BREATHING TECHNIQUE. HERE WE REPORT THAT A SPECIFIC FORM OF YOGA CAN GENERATE CONTROLLED HIGH-FREQUENCY GAMMA WAVES. FOR THE FIRST TIME, PAROXYSMAL GAMMA WAVES (PGW) WERE OBSERVED IN EIGHT SUBJECTS PRACTICING A YOGA TECHNIQUE OF BREATHING CONTROL CALLED BHRAMARI PRANAYAMA (BHPR). TO OBTAIN NEW INSIGHTS INTO THE NATURE OF THE EEG DURING BHPR, WE ANALYZED EEG SIGNALS USING TIME-FREQUENCY REPRESENTATIONS (TFR), INDEPENDENT COMPONENT ANALYSIS (ICA), AND EEG TOMOGRAPHY (LORETA). WE FOUND THAT THE PGW CONSISTS OF HIGH-FREQUENCY BIPHASIC RIPPLES. THIS UNUSUAL ACTIVITY IS DISCUSSED IN RELATION TO PREVIOUS REPORTS ON YOGA AND MEDITATION. IT IS CONCLUDED THIS EEG ACTIVITY IS MOST PROBABLY NON-EPILEPTIC, AND THAT APPLYING THE SAME METHODOLOGY TO OTHER MEDITATION RECORDINGS MIGHT YIELD AN IMPROVED UNDERSTANDING OF THE NEUROCORRELATES OF MEDITATION. 2009 12 1764 13 POSTNATAL DEVELOPMENT AND REPRODUCTIVE PERFORMANCE OF F1 PROGENY EXPOSED IN UTERO TO AN AYURVEDIC CONTRACEPTIVE: PIPPALIYADI YOGA. PIPPALIYADI YOGA OR PIPPALIYADI VATI IS AN AYURVEDIC CONTRACEPTIVE USED IN INDIA SINCE ANCIENT TIMES. IT IS A COMBINATION OF POWDERED FRUIT BERRIES OF EMBELIA RIBES BURM.F. (MYRSINACEAE), PIPER LONGUM L. (PIPERACEAE) AND BORAX IN EQUAL PROPORTION. THOUGH THE CONTRACEPTIVE POTENTIAL IS KNOWN SINCE ANCIENT TIMES, NO SYSTEMATIC DEVELOPMENTAL TOXICITY STUDIES HAVE BEEN CARRIED OUT. THE PRESENT STUDY WAS CARRIED OUT TO EVALUATE THE POSTNATAL DEVELOPMENTAL TOXICITY AND THE REPRODUCTIVE PERFORMANCE OF THE PROGENY EXPOSED IN UTERO TO PIPPALIYADI. PIPPALIYADI YOGA WAS OBTAINED FROM NATIONAL INSTITUTE FOR PHARMACEUTICAL EDUCATION AND RESEARCH (NIPER), INDIA AND THE DEVELOPMENTAL TOXICITY WAS STUDIED BY ADMINISTERING THREE DOSES, VIZ. 140, 300 AND 700 MG/(KG DAY) TO GRAVID FEMALES FROM DAY 6 TO DAY 16 OF GESTATION. PIPPALIYADI DID NOT HAVE ANY ADVERSE DEVELOPMENTAL EFFECTS WITH LOW DOSES, HOWEVER, WITH THE FIVE TIMES HIGHER DOSE, A DECREASE IN BODY WEIGHT OF THE PUPS WAS OBSERVED. THE REPRODUCTIVE PERFORMANCE OF THE PROGENY BORN TO MOTHERS TREATED WITH PIPPALIYADI WAS NOT SIGNIFICANTLY AFFECTED. THE PRESENT STUDY SUGGESTS THAT IN UTERO EXPOSURE TO PIPPALIYADI DOES NOT HAVE ANY ADVERSE EFFECT ON THE POSTNATAL DEVELOPMENT AND REPRODUCTIVE PERFORMANCE OF THE F(1) PROGENY. 2007 13 573 16 DELAYED UNION OF STRESS FRACTURE OF THE FIRST RIB IN A YOGA INSTRUCTOR: A CASE REPORT. CASE: WE DESCRIBE THE CASE OF A 38-YEAR-OLD WOMAN, A YOGA INSTRUCTOR, WHO HAD PAIN IN THE RIGHT SHOULDER AND SCAPULAR REGION OF 4 MONTHS' DURATION WHILE PERFORMING YOGA. RADIOGRAPHY AND COMPUTED TOMOGRAPHY DIAGNOSED DELAYED UNION OF A FIRST RIB STRESS FRACTURE. THE DELAYED UNION OF STRESS FRACTURE OF THE FIRST RIB WAS SUCCESSFULLY TREATED WITH THE LIMITING OF YOGA ACTIVITY AND LOW-INTENSITY PULSED ULTRASOUND (LIPUS). CONCLUSIONS: PHYSICIANS SHOULD BE AWARE THAT EVEN YOGA POSING CAN CAUSE STRESS FRACTURES OF THE FIRST RIB. LIPUS THERAPY MAY BE EFFECTIVE FOR DELAYED UNION IN ADDITION TO REST. 2021 14 1433 14 IMPROVING THE DEGREE OF PUBIC ARCH POST-YOGA EXERCISE DURING PREGNANCY. YOGA EXERCISES UNDERTAKEN DURING THE MATERNITY PERIOD MAY REDUCE UNPLEASANT SYMPTOMS DURING PREGNANCY AND REDUCE DELIVERY PAIN. FLEXIBILITY OF THE HIP JOINT IMPROVES THE DEGREE OF PUBIC ARCH CREATED IN AN OPEN-LEG POSTURE AND WIDENS THE PELVIC OUTLET REGION, SHORTENING THE TIME REQUIRED FOR DELIVERY AND FACILITATING EASY DELIVERY. THE DEGREE OF PUBIC ARCH IS RELATED TO THE FLEXIBILITY OF THE HIP JOINT. ALTHOUGH MANY STUDIES HAVE SHOWN THE EFFECT OF YOGA EXERCISE DURING PREGNANCY, THE EFFECT ON THE DEGREE OF THE PUBIC ARCH HAS NOT BEEN ELUCIDATED. TO ELUCIDATE WHETHER THE DEGREE OF THE PUBIC ARCH IS IMPROVED BY YOGA EXERCISE DURING PREGNANCY, THIS STUDY ENROLLED 177 PREGNANT SUBJECTS. THE DEGREE OF PUBIC ARCH PRE- AND POST-YOGA EXERCISE WAS MEASURED USING INSTRUMENTS IN AN OPEN-LEG POSTURE (SEATED WITH FEMURS ABDUCTED). THE MEAN PUBIC ARCH PRE- AND POST-YOGA WAS 122.61 AND 127.93 DEGREES, RESPECTIVELY. THE DEGREE OF PUBIC ARCH POST-YOGA SESSIONS WAS SIGNIFICANTLY INCREASED COMPARED WITH PRE-YOGA SESSIONS (P < 0.01). THIS STUDY SHOWED THAT YOGA EXERCISES DURING THE PREGNANCY PERIOD APPEAR TO IMPROVE THE DEGREE OF PUBIC ARCH. 2021 15 2873 14 YOGA-INDUCED MYOSITIS OSSIFICANS TRAUMATICA OF THE SCAPHOLUNATE LIGAMENT. BACKGROUND MYOSITIS OSSIFICANS TRAUMATICA (MOT) INVOLVES THE HETEROTOPIC DEVELOPMENT OF LAMELLAR BONE AFTER A TRAUMATIC INJURY. DESPITE BEING TERMED "MYOSITIS," MOT IS NOT LIMITED TO MUSCLE BUT RATHER CAN INVOLVE TENDONS, FAT, AND FASCIA. "TRAUMATICA" REFLECTS THAT LESIONS ARE USUALLY ASSOCIATED WITH A HISTORY OF SIGNIFICANT TRAUMA, THAT IS, FRACTURES OR SURGERY; HOWEVER, MANY REPORTS SUGGEST THEY CAN ALSO BE LINKED TO REPETITIVE LOW-ENERGY INSULTS. IN BOTH CASES, THE INFLAMMATORY RESPONSE SECONDARY TO TISSUE INJURY GENERATES A PROLIFERATIVE OSTEOBLASTIC CASCADE. CASE DESCRIPTION WE PRESENT A CASE OF PERSISTENT WRIST PAIN IN A 43-YEAR-OLD WOMAN ASSOCIATED WITH YOGA ACTIVITIES. HER RADIOGRAPHIC STUDIES DEMONSTRATED PARTIAL SCAPHOLUNATE (SL) LIGAMENT TEAR AND AN ASSOCIATED MASS LESION. SURGICAL PATHOLOGY REVEALED MOT INVOLVING THE SL LIGAMENT. LITERATURE REVIEW MOT LESIONS IN THE UPPER EXTREMITY ARE USUALLY LOCALIZED AROUND THE ELBOW, AND CASES IN THE HAND ARE RELATIVELY RARE. THERE ARE NO PRIOR REPORTS OF OCCURRENCES WITHIN THE WRIST JOINT OR IN ASSOCIATION WITH THE SL LIGAMENT. HOWEVER, BIOMECHANICAL STUDIES HAVE QUANTIFIED SIGNIFICANT MECHANICAL STRAINS ACROSS THE SL INTERVAL DURING VARIOUS YOGA POSES. THIS PATTERN OF MICROTRAUMA IS CAPABLE OF GENERATING MOT. CLINICAL RELEVANCE UPPER EXTREMITY WEIGHT-BEARING POSITIONS ARE COMMON IN YOGA AND SUBJECT THE WRIST, ESPECIALLY THE SL INTERVAL, TO HIGH MECHANICAL STRAINS. THIS PATTERN OF MICROTRAUMA SHOULD LEAD THE CLINICIAN TO SUSPECT MOT WHEN ENCOUNTERING A MASS IN THE WRIST, BUT MALIGNANCY AND INFECTION MUST BE RULED OUT. 2019 16 1360 10 IMMEDIATE EFFECTS OF YOGA BREATHING WITH INTERMITTENT BREATH HOLDING ON RESPONSE INHIBITION AMONG HEALTHY VOLUNTEERS. BACKGROUND: THERE IS VERY LITTLE EVIDENCE AVAILABLE ON THE EFFECTS OF YOGA-BASED BREATHING PRACTICES ON RESPONSE INHIBITION. THE CURRENT STUDY USED STOP-SIGNAL PARADIGM TO ASSESS THE EFFECTS OF YOGA BREATHING WITH INTERMITTENT BREATH HOLDING (YBH) ON RESPONSE INHIBITION AMONG HEALTHY VOLUNTEERS. MATERIALS AND METHODS: THIRTY-SIX HEALTHY VOLUNTEERS (17 MALES + 19 FEMALES), WITH MEAN AGE OF 20.31 +/- 3.48 YEARS FROM A UNIVERSITY, WERE RECRUITED IN A WITHIN-SUBJECT REPEATED MEASURES (RM) DESIGN. THE RECORDINGS FOR STOP SIGNAL TASK WERE PERFORMED ON THREE DIFFERENT DAYS FOR BASELINE, POST-YBH, AND POST YOGIC BREATH AWARENESS (YBA) SESSIONS. STOP-SIGNAL REACTION TIME (SSRT), MEAN REACTION TIME TO GO STIMULI (GO RT), AND THE PROBABILITY OF RESPONDING ON-STOP SIGNAL TRIALS (P [R/S]) WERE ANALYZED FOR 36 VOLUNTEERS USING RM ANALYSIS OF VARIANCE. RESULTS: SSRT REDUCED SIGNIFICANTLY IN BOTH YBH (218.33 +/- 38.38) AND YBA (213.15 +/- 37.29) GROUPS WHEN COMPARED TO BASELINE (231.98 +/- 29.54). NO SIGNIFICANT CHANGES WERE OBSERVED IN GO RT AND P (R/S). FURTHER, THE CHANGES IN SSRT WERE NOT SIGNIFICANTLY DIFFERENT AMONG YBH AND YBA GROUPS. CONCLUSION: BOTH YBH AND YBA GROUPS WERE FOUND TO ENHANCE RESPONSE INHIBITION IN THE STOP-SIGNAL PARADIGM. YBH COULD BE FURTHER EVALUATED IN CLINICAL SETTINGS FOR CONDITIONS WHERE RESPONSE INHIBITION IS ALTERED. 2018 17 2108 9 THE EFFECT OF YOGA ON PUBORECTALIS PARADOX. NINE PATIENTS WITH SEVERE DEFAECATION DIFFICULTIES PRIMARILY CONSIDERED TO BE DUE TO PUBORECTALIS DYSFUNCTION (PUBORECTALIS PARADOX), VERIFIED BY ELECTROMYOGRAPHY (EMG) OF THE STRIATED ANAL SPHINCTER MUSCLES, WERE OFFERED TRAINING IN YOGIC TECHNIQUES OF RELAXATION AND MUSCLE CONTROL IN ORDER TO CHANGE THE ACTIVITY OF THE PELVIC FLOOR MUSCLES DURING ATTEMPTED DEFAECATION. FIVE PATIENTS COMPLETED THE TRAINING PROGRAM OF 20 2-HOUR SESSIONS AND WERE RE-EXAMINED CLINICALLY AND WITH EMG. ONE PATIENT REGAINED A NORMAL EMG PATTERN BUT NONE OF THE PATIENTS IMPROVED CLINICALLY. 1991 18 804 11 EFFECT OF YOGA ON AEROBIC AND ANAEROBIC POWER OF MUSCLES. AEROBIC POWER (VO2 MAX) AND ANAEROBIC POWER WERE ESTIMATED IN MEDICAL STUDENTS BEFORE AND AFTER SIX WEEKS OF YOGIC TRAINING. A SIGNIFICANT INCREASE IN AEROBIC POWER AND A SIGNIFICANT DECREASE IN ANAEROBIC POWER WAS OBSERVED. THIS MAY BE DUE TO CONVERSION OF SOME OF THE FAST TWITCH (F.T.) MUSCLE FIBRES INTO SLOW TWITCH FIBRES (S.T.) DURING YOGIC TRAINING. 1991 19 1536 9 KETAMINE, TRANSCRANIAL MAGNETIC STIMULATION, AND DEPRESSION SPECIFIC YOGA AND MINDFULNESS BASED COGNITIVE THERAPY IN MANAGEMENT OF TREATMENT RESISTANT DEPRESSION: REVIEW AND SOME DATA ON EFFICACY. DEPRESSION AFFECTS ABOUT 121 MILLION PEOPLE WORLDWIDE AND PREVALENCE OF MAJOR DEPRESSIVE DISORDER (MDD) IN US ADULTS IS 6.4%. TREATMENT RESISTANT DEPRESSION (TRD) ACCOUNTS FOR APPROXIMATELY 12-20% OF ALL DEPRESSION PATIENTS AND COSTS $29-$48 BILLION ANNUALLY. KETAMINE AND REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (RTMS) HAVE USEFUL ROLES IN TRD, BUT THEIR UTILITY IN LONG TERM IS UNKNOWN. AS PER THE LATEST LITERATURE, THE INTERVENTIONS USING YOGA AND MEDITATION INCLUDING THE MINDFULNESS BASED COGNITIVE THERAPY (MBCT) HAVE BEEN USEFUL IN TREATMENT OF DEPRESSION AND RELAPSE PREVENTION. WE PRESENT A REVIEW OF RTMS, KETAMINE, AND MBCT AND ALSO REPORT EFFICACY OF A DEPRESSION SPECIFIC, INNOVATIVE, AND TRANSLATIONAL MODEL OF YOGA AND MINDFULNESS BASED COGNITIVE THERAPY (DEPS Y-MBCT), DEVELOPED BY THE FIRST AUTHOR. DEPS Y-MBCT AS AN ADJUNCTIVE TREATMENT SUCCESSFULLY AMELIORATED TRD SYMPTOMS IN 27/32 PATIENTS IN AN OPEN LABEL PILOT TRIAL IN TRD PATIENTS. CONSIDERING THE LIMITATIONS OF EXISTING TREATMENT OPTIONS, INCLUDING THOSE OF KETAMINE AND RTMS WHEN USED AS THE SOLE MODALITY OF TREATMENT, WE SUGGEST A "TIERED APPROACH FOR TRD" BY COMBINING KETAMINE AND RTMS (ALONE OR ALONG WITH ANTIDEPRESSANTS) FOR RAPID REMISSION OF ACUTE DEPRESSION SYMPTOMS AND TO USE DEPS Y-MBCT FOR MAINTAINING REMISSION AND PREVENTING RELAPSE. 2015 20 2396 10 YOGA AND CHEMOREFLEX RESPONSE TO HYPOXIA AND HYPERCAPNIA. WE TESTED WHETHER CHEMOREFLEX SENSITIVITY COULD BE AFFECTED BY THE PRACTICE OF YOGA, AND WHETHER THIS IS SPECIFICALLY BECAUSE OF A SLOW BREATHING RATE OBTAINED DURING YOGA OR AS A GENERAL CONSEQUENCE OF YOGA. WE FOUND THAT SLOW BREATHING RATE PER SE SUBSTANTIALLY REDUCED CHEMOREFLEX SENSITIVITY, BUT LONG-TERM YOGA PRACTICE WAS RESPONSIBLE FOR A GENERALISED REDUCTION IN CHEMOREFLEX. 2000