1 1944 138 SALT AND WATER BALANCE AFTER SWEAT LOSS: A STUDY OF BIKRAM YOGA. BIKRAM YOGA IS PRACTICED IN A ROOM HEATED TO 105 DEGREES F WITH 40% HUMIDITY FOR 90 MIN. DURING THE CLASS A LARGE VOLUME OF WATER AND ELECTROLYTES ARE LOST IN THE SWEAT, SPECIFICALLY, SODIUM IS LOST, THE MAIN CATION OF THE EXTRACELLULAR FLUID. THERE IS LITTLE KNOWN ABOUT THE VOLUME OF SWEAT AND THE AMOUNT OF SODIUM LOST IN SWEAT DURING BIKRAM YOGA OR THE OPTIMUM QUANTITY OF FLUID REQUIRED TO REPLACE THESE LOSSES. THE PARTICIPANTS WHO TOOK PART IN THIS SMALL FEASIBILITY STUDY WERE FIVE FEMALES WITH A MEAN AGE OF 47.4 +/- 4.7 YEARS AND 2.6 +/- 1.6 YEARS OF EXPERIENCE AT BIKRAM YOGA. THE TOTAL BODY WEIGHT, WATER CONSUMED, SERUM SODIUM CONCENTRATION, SERUM OSMOLALITY, AND SERUM ALDOSTERONE LEVELS WERE ALL MEASURED BEFORE AND AFTER A BIKRAM YOGA PRACTICE. SWEAT SODIUM CHLORIDE CONCENTRATION AND OSMOLALITY WERE MEASURED AT THE END OF THE PRACTICE. THE MEAN ESTIMATED SWEAT LOSS WAS 1.54 +/- 0.65 L, WHILE THE AMOUNT OF WATER CONSUMED DURING BIKRAM YOGA WAS 0.38 +/- 0.22 L. EVEN THOUGH ONLY 25% OF THE SWEAT LOSS WAS REPLENISHED WITH WATER INTAKE DURING THE BIKRAM YOGA CLASS, WE DID NOT OBSERVE A CHANGE IN SERUM SODIUM LEVELS OR SERUM OSMOLALITY. THE SWEAT CONTAINED 82 +/- 16 MMOL/L OF SODIUM CHLORIDE FOR AN ESTIMATED TOTAL OF 6.8 +/- 2.1 G OF SODIUM CHLORIDE LOST IN THE SWEAT. THE SERUM ALDOSTERONE INCREASED 3.5-FOLD FROM BEFORE TO AFTER BIKRAM YOGA. THERE WAS A DECREASE IN THE EXTRACELLULAR BODY FLUID COMPARTMENT OF 9.7%. SWEAT LOSS IN BIKRAM YOGA PREDOMINATELY PRODUCED A VOLUME DEPLETION RATHER THAN THE DEHYDRATION OF BODY FLUIDS. THE SWEATING-STIMULATED RISE IN SERUM ALDOSTERONE LEVELS WILL LEAD TO INCREASED SODIUM REABSORPTION FROM THE KIDNEY TUBULES AND RESTORE THE EXTRACELLULAR FLUID VOLUME OVER THE NEXT 24 HR. 2020 2 425 59 CALCIUM LOSS IN SWEAT DOES NOT STIMULATE PTH RELEASE: A STUDY OF BIKRAM HOT YOGA. IT HAS BEEN HYPOTHESIZED THAT SWEAT LOSS DURING EXERCISE CAUSES A DISRUPTION IN CALCIUM HOMEOSTASIS THAT ACTIVATES BONE RESORPTION AND OVER TIME LEADS TO LOW BONE MINERAL DENSITY. THE PURPOSE OF THIS SMALL PILOT STUDY WAS TO DETERMINE WHETHER DERMAL CALCIUM LOSS FROM A BOUT OF EXCESSIVE SWEATING DURING LIGHT INTENSITY PHYSICAL ACTIVITY TRIGGERS AN INCREASE IN BIOMARKERS OF BONE RESORPTION. BIOCHEMICAL MARKERS RELATED TO BONE HOMEOSTASIS WERE MEASURED BEFORE AND AFTER A 90 MIN BIKRAM HOT YOGA PRACTICE PERFORMED IN A ROOM HEATED TO 105 DEGREES F WITH 40 % HUMIDITY. PARTICIPANTS WERE FIVE FEMALES WITH A MEAN AGE OF 47.4 +/- 4.7 YEARS. NUDE BODY WEIGHT, SERUM TOTAL CALCIUM (CA(2+)), FREE IONIZED CALCIUM, ALBUMIN, PARATHYROID HORMONE (PTH) AND CTX-I WERE MEASURED BEFORE AND AFTER A BIKRAM HOT YOGA PRACTICE. MEAN ESTIMATED SWEAT LOSS WAS 1.54 +/- 0.65 L, WHICH ELICITED A 1.9 +/- 0.9 % DECREASE IN PARTICIPANT'S BODY WEIGHT. MEAN CA(2+) CONCENTRATION IN SWEAT WAS 2.9 +/- 1.7 MG/DL AND THE ESTIMATED MEAN TOTAL CALCIUM LOST WAS 41.3 +/- 16.4 MG. SERUM IONIZED CA(2+) INCREASED FROM 4.76 +/- 0.29 MG/DL TO 5.35 +/- 0.36 MG/DL AFTER THE BIKRAM HOT YOGA PRACTICE (P = 0.0118). SERUM PTH DECREASED FROM PRE- 33.9 +/- 3.3 PG/ML TO POST- 29.9 +/- 2.1 PG/ML YOGA PRACTICE (P = 0.0015) WHEN ADJUSTED FOR HEMOCONCENTRATION (PTHADJ), IMPLYING A DECREASE IN PTH SECRETION. WE CONCLUDE THAT CALCIUM LOSS IN SWEAT DURING 90 MIN OF BIKRAM HOT YOGA DID NOT TRIGGER AN INCREASE IN PTH SECRETION AND DID NOT INITIATE BONE RESORPTION. 2020 3 449 17 CHANGES IN CARDIOVASCULAR RISK FACTORS AND HORMONES DURING A COMPREHENSIVE RESIDENTIAL THREE MONTH KRIYA YOGA TRAINING AND VEGETARIAN NUTRITION. IN PARTICIPANTS OF A COMPREHENSIVE RESIDENTIAL THREE MONTH YOGA AND MEDIATION TRAINING PROGRAMME LIVING ON A LOW FAT LACTO-VEGETARIAN DIET CHANGES IN CARDIOVASCULAR RISK FACTORS AND HORMONES WERE STUDIED. SUBSTANTIAL RISK FACTOR REDUCTION WAS FOUND. BODY MASS INDEX, TOTAL SERUM AND LDL CHOLESTEROL, FIBRINOGEN, AND BLOOD PRESSURE WERE SIGNIFICANTLY REDUCED ESPECIALLY IN THOSE WITH ELEVATED LEVELS. URINARY EXCRETION OF ADRENALINE, NORADRENALINE, DOPAMINE, ALDOSTERONE, AS WELL AS SERUM TESTOSTERONE AND LUTEINIZING HORMONE LEVELS WERE REDUCED, WHILE CORTISOL EXCRETION INCREASED SIGNIFICANTLY. 1997 4 1656 15 MUSCULOSKELETAL INJURIES RELATED TO YOGA: IMAGING OBSERVATIONS. OBJECTIVE: THE PURPOSE OF THIS ARTICLE IS TO DESCRIBE THE IMAGING APPEARANCES OF MUSCULOSKELETAL INJURIES RELATED TO YOGA. WE PERFORMED AN AUTOMATED SEARCH IN THE DATABASE OF A LARGE TERTIARY CARE CENTER AND CONDUCTED A RETROSPECTIVE ANALYSIS OF THE IMAGING FINDINGS IN 38 PATIENTS OVER A 9-YEAR PERIOD. CONCLUSION: THE MOST FREQUENTLY ENCOUNTERED MUSCULOSKELETAL INJURIES WERE TENDINOUS LESIONS, INCLUDING TEARS OF THE SUPRASPINATUS, ACHILLES, AND PERONEUS BREVIS TENDONS AND FIBROCARTILAGINOUS TEARS INVOLVING THE MEDIAL MENISCUS, ACETABULAR LABRUM, GLENOID LABRUM, AND LUMBAR DISK WITH EXTRUSION. 2012 5 1736 19 PHOTO URTICARIA CAUSED BY EXPOSURE TO LED EMITTING 633-NM WAVELENGTH DURING HOT YOGA EXERCISE. PHOTO URTICARIA (PU) IS A RARE TYPE OF URTICARIA THAT DEVELOPS AFTER EXPOSURE TO VARIOUS WAVELENGTHS OF LIGHT. INDUCING URTICARIAL WHEALS USING LIGHT SOURCES OF PERTINENT WAVELENGTHS CAN HELP MAKE THE DEFINITIVE DIAGNOSIS OF PU. THE ACTION SPECTRA (AS) IN JAPANESE PATIENTS WITH PU COMMONLY FALL WITHIN THE ULTRAVIOLET RADIATION A AND VISIBLE LIGHT RANGE. HEREIN, TO THE BEST OF OUR KNOWLEDGE, WE PRESENT THE FIRST CASE OF PU CAUSED BY 633-NM WAVELENGTH WITHIN THE VISIBLE LIGHT SPECTRUM. OUR PATIENT WORKED AS A "HOT YOGA" INSTRUCTOR, WHERE LIGHT-EMITTING DIODES (LEDS) ON THE CEILING WERE USED TO IRRADIATE THE ENTIRE ROOM WITH 633-NM WAVELENGTH OF LIGHT FOR "LIGHT TREATMENT." SHE REPORTED ITCHING AND WHEALS ON THE FACE AND NECK DURING HER "HOT YOGA" SESSIONS. "HOT YOGA" HAS RECENTLY GAINED POPULARITY GLOBALLY. THE "LIGHT TREATMENT" IS BASED ON THE THEORY THAT 633-NM WAVELENGTH LIGHT WITHIN THE VISIBLE LIGHT SPECTRUM REPORTEDLY PREVENTS THE SKIN FROM AGING. WE INDUCED WHEALS WITH ERYTHEMA BY IRRADIATING HER SKIN USING A 633-NM LED AT A DOSE OF 0.008 J/CM(2) /S FOR 1 H. HER CONDITION WAS DIAGNOSED AS PU CAUSED BY EXPOSURE TO 633 NM. LIGHT. HER SYMPTOMS HAVE NOT RECURRED SINCE SHE HAS AVOIDED BEING EXPOSED TO THE 633-NM WAVELENGTH OF LED LIGHT. 2021 6 1323 31 HEMODYNAMIC OBSERVATIONS OF TUMO YOGA PRACTITIONERS IN A HIMALAYAN ENVIRONMENT. BACKGROUND: FEW ATTEMPTS HAVE BEEN MADE TO EVALUATE THE PHYSIOLOGY OF TRADITIONAL EASTERN HEALTH PRACTICES. THE GOAL OF THIS STUDY WAS TO EVALUATE THE HEMODYNAMIC EFFECTS OF THE MYSTERIOUS BUDDHIST PRACTICE OF TUMO. TUMO IS A MEDITATIVE PRACTICE THAT PRODUCES INNER HEAT THROUGH THE ALLEGED CULTIVATION OF BODY ENERGY-CHANNELS. METHODS: THIS STUDY WAS PERFORMED BY MEMBERS OF AN INTERNATIONAL EXPEDITION TO THE HIMALAYAN MOUNTAINS IN THE REPUBLIC OF INDIA. THE STUDY WAS PERFORMED IN AN UNPOPULATED OUTDOOR MOUNTAINOUS AREA AT AN ALTITUDE OF 16,400 FT WITH AMBIENT TEMPERATURES BETWEEN -10 AND -15( DEGREES )C. TWO (2) COHORTS OF SUBJECTS WERE STUDIED: HEALTHY NON-YOGI VOLUNTEERS AND TUMO PRACTITIONERS. ALL OF THE SUBJECTS WERE STRIPPED DOWN TO THEIR UNDERCLOTHES AND EXPOSED TO THE SUBZERO ATMOSPHERIC TEMPERATURES FOR 5 MINUTES. THE VOLUNTEERS WERE THEN PASSIVELY REWARMED WHILE THE TUMO PRACTITIONERS PERFORMED TUMO FOR UP TO 10 MINUTES. BLOOD PRESSURE, HEART RATE, AND STROKE VOLUME INDEX (SVI) AND CARDIAC INDEX WERE MEASURED NONINVASIVELY USING A NICOM HEMODYNAMIC MONITOR, WHILE CAROTID BLOOD FLOW AND BIVENTRICULAR PERFORMANCE WERE DETERMINED ECHOCARDIOGRAPHICALLY AT EACH STAGE OF THE EXPERIMENT. THE TOTAL PERIPHERAL RESISTANCE INDEX (TPRI), LEFT VENTRICULAR EJECTION FRACTION (LVEF), AND TRICUSPID ANNULAR PLANE SYSTOLIC EXCURSION (TAPSE) WERE DETERMINED USING STANDARD FORMULA. RESULTS: FOURTEEN (14) SUBJECTS (SIX VOLUNTEERS AND EIGHT TUMO PRACTITIONERS) COMPLETED THE STUDY. THERE WAS ONE FEMALE SUBJECT IN EACH GROUP. WITH COLD EXPOSURE, THE SVI AND CAROTID BLOOD FLOW DECREASED WHILE THE TPRI INCREASED SIGNIFICANTLY IN BOTH GROUPS. IN THE VOLUNTEER GROUP, THESE CHANGES RETUNED TO BASELINE WITH REWARMING. FOLLOWING TUMO, THE CARDIAC INDEX (4.8+/-0.6 VERSUS 4.0+/-0.5 L/M(2); P<0.01), CAROTID BLOOD FLOW (445+/-127 VERSUS 325+/-100 ML/MIN/M(2), P<0.01), LVEF (68+/-5 VERSUS 64+/-7%; P<0.05) AND TAPSE (2.9+/-0.4 VERSUS 2.4+/-0.5 CM; P<0.01) WERE SIGNIFICANTLY HIGHER WHEN COMPARED WITH BASELINE, WHILE THE TPRI WAS SIGNIFICANTLY LOWER (1786+/-189 VERSUS 2173+/-281; P<0.01). CONCLUSIONS: TUMO WAS ASSOCIATED WITH A HYPERDYNAMIC VASODILATED STATE WITH INCREASED BIVENTRICULAR PERFORMANCE. WE POSTULATE THAT TUMO RESULTS IN A MASSIVE INCREASE IN SYMPATHETIC ACTIVITY WITH ACTIVATION OF BROWN ADIPOSE TISSUE AND MARKED HEAT PRODUCTION. THE INCREASED HEAT PRODUCTION MAY EXPLAIN THE PARADOXICAL VASODILATATION IN TUMO PRACTITIONERS EXPOSED TO SUBZERO TEMPERATURES. 2014 7 2289 9 THE YOGA OF RAG GTPASES: DYNAMIC STRUCTURAL POSES CONFER AMINO ACID SENSING BY MTORC1. HETERODIMERIC RAG GTPASES PLAY A CRITICAL ROLE IN RELAYING FLUCTUATING LEVELS OF CELLULAR AMINO ACIDS TO THE SENSOR MECHANISTIC TARGET OF RAPAMYCIN COMPLEX 1. IMPORTANT MECHANISTIC QUESTIONS REMAIN UNRESOLVED, HOWEVER, REGARDING HOW GUANINE NUCLEOTIDE BINDING ENABLES RAG GTPASES TO TRANSITION DYNAMICALLY BETWEEN DISTINCT YOGA-LIKE STRUCTURAL POSES THAT CONTROL ACTIVATION STATE. EGRI AND SHEN IDENTIFIED A CRITICAL INTERDOMAIN HYDROGEN BOND WITHIN RAGA AND RAGC THAT STABILIZES THEIR GDP-BOUND STATES. THEY DEMONSTRATE THAT THIS LONG-DISTANCE INTERACTION CONTROLS RAG STRUCTURE AND FUNCTION TO CONFER APPROPRIATE AMINO ACID SENSING BY MECHANISTIC TARGET OF RAPAMYCIN COMPLEX 1. 2021 8 1265 15 FLEXIBILITY-NOT JUST FOR YOGA ANYMORE! OVER THE PAST FEW YEARS, NUCLEOSIDES HAVE MAINTAINED A PROMINENT ROLE AS ONE OF THE CORNERSTONES OF ANTIVIRAL AND ANTICANCER THERAPEUTICS, AND MANY APPROACHES TO NUCLEOSIDE DRUG DESIGN HAVE BEEN PURSUED. ONE SUCH APPROACH INVOLVES FLEXIBILITY IN THE SUGAR MOIETY OF NUCLEOSIDES, FOR EXAMPLE, IN THE HIGHLY SUCCESSFUL ANTI-HIV AND HBV DRUG TENOFOVIR. IN CONTRAST, INTRODUCTION OF FLEXIBILITY TO THE NUCLEOBASE SCAFFOLD HAS ONLY MORE RECENTLY GAINED SIGNIFICANCE WITH THE INVENTION OF OUR FLEXIMERS. THE HISTORY, DEVELOPMENT, AND SOME BIOLOGICAL RELEVANCE FOR THIS INNOVATIVE CLASS OF NUCLEOSIDES ARE DETAILED HEREIN. 2018 9 2874 12 YOGA-INDUCED UVEITIS GLAUCOMA HYPHEMA SYNDROME. A 74-YEAR-OLD PSEUDOPHAKIC WHITE WOMAN WITH PSEUDOEXFOLIATION SYNDROME PRESENTED WITH RIGHT EYE PAIN AND PHOTOPHOBIA AND WAS FOUND TO HAVE PSEUDOPHACODENESIS WITH RECURRENT EPISODES OF ANTERIOR UVEITIS, MICROHYPHEMA, AND ELEVATED INTRAOCULAR PRESSURE (IOP). ALL EPISODES OCCURRED AFTER YOGA SESSIONS WITH INTENSIVE FACEDOWN POSTURES. ULTRASOUND BIOMICROSCOPY (UBM) PERFORMED IN SUPINE AND PRONE POSITIONS DEMONSTRATED SIGNIFICANT CHANGE IN THE LENS-BAG COMPLEX POSITION, WITH LENS-IRIS TOUCH. THE PATIENT UNDERWENT INTRAOCULAR LENS (IOL) EXPLANTATION, ANTERIOR VITRECTOMY, AND FLANGED INTRASCLERAL HAPTIC-FIXATED IOL PLACEMENT VIA DOUBLE-NEEDLE TECHNIQUE, WITH RESOLUTION OF ALL SYMPTOMS. 2021 10 268 37 ACUTE PHYSIOLOGIC EFFECTS OF PERFORMING YOGA IN THE HEAT ON ENERGY EXPENDITURE, RANGE OF MOTION, AND INFLAMMATORY BIOMARKERS. PERFORMING YOGA IN A HEATED ENVIRONMENT (HY) IS A POPULAR EXERCISE MODE PURPORTED TO IMPROVE RANGE OF MOTION (ROM), BODY COMPOSITION, AND AEROBIC FITNESS. THE PURPOSE OF THIS INVESTIGATION WAS TO COMPARE A SESSION OF HY TO ROOM TEMPERATURE YOGA (RTY) WITH REGARDS TO ROM, OXYGEN CONSUMPTION, CALORIC EXPENDITURE, AND BIOMARKERS OF ACUTE STRESS AND INFLAMMATION. SIXTEEN EXPERIENCED YOGA PRACTITIONERS (F14, M2; 40 +/- 11YR; 22.6 +/- 1.8 KG/M(2)) COMPLETED A 1-HOUR STANDARDIZED BIKRAM SEQUENCE IN HY (105 DEGREES F, 40 DEGREES C) AND RTY (74 DEGREES F, 23.3 DEGREES C) CONDITIONS (ORDER OF CONDITIONS RANDOMIZED, HUMIDITY STANDARDIZED AT 40%). INTRA-EXERCISE METABOLIC GAS EXCHANGE AND HEART RATE (HR) WAS MONITORED USING A METABOLIC CART. ROM MEASURES WERE TAKEN PRE AND POST-EXERCISE AT THE ELBOW, SHOULDER, HIP, AND KNEE. CYTOKINES INTERLEUKIN 6,10 (IL-6, IL-10) AND TUMOR-NECROSIS-FACTOR ALPHA (TNF-ALPHA) WERE ANALYZED FROM BLOOD SAMPLES COLLECTED PRE- AND 30-MINUTES POST-EXERCISE. INTRA-EXERCISE METABOLIC GAS EXCHANGE AND HEART RATE (HR) WAS MONITORED USING A METABOLIC CART. BOTH BOUTS ELICITED SIMILAR ACUTE CHANGES IN ROM ALTHOUGH HY ELICITED A GREATER INCREASE IN HIP ABDUCTION (RTYDELTA DEGREES = 2.3 +/- 1.3|HYDELTA DEGREES = 6.6 +/- 1.5; P < 0.05). MEAN VO2, PEAK VO2, %VO2MAX, HR, AND KCAL EXPENDITURE DID NOT DIFFER BETWEEN CONDITIONS. RER WAS LOWER DURING THE HY (RTY = 0.95 +/- 0.02| HY = 0.89 +/- 0.02; P < 0.05) WITH A CONCOMITANT ELEVATION IN FAT OXIDATION (RTY = 0.05 +/- 0.01|HY = 0.09 +/- 0.01, G.MIN(-1); P < 0.05) AND DECREASE IN CARBOHYDRATE OXIDATION (RTY = 0.51 +/- 0.04|HY = 0.44 +/- 0.03, G.MIN(-1); P < 0.05). SERUM IL-6 WAS INCREASED (15.5 +/- 8.0-FOLD) FOLLOWING HY ONLY (P < 0.05). HY DOES NOT SIGNIFICANTLY ELEVATE AEROBIC ENERGY COST COMPARED TO RTY BUT MAY ACUTELY INCREASE FAT SUBSTRATE UTILIZATION AND HIP ROM. FUTURE STUDIES REMAIN NEEDED TO ESTABLISH DOSE-RESPONSE RELATIONSHIPS FOR INCLUDING HY OR RTY INTO WELL-ROUNDED FITNESS PROGRAMS. 2020 11 2893 22 YOGAMAN: AN INEXPENSIVE, ANATOMICALLY-DETAILED CHEST TUBE PLACEMENT TRAINER. INTRODUCTION: OPPORTUNITIES FOR CHEST TUBE PLACEMENT IN EMERGENCY MEDICINE TRAINING PROGRAMS HAVE DECREASED, MAKING COMPETENCE DEVELOPMENT AND MAINTENANCE WITH LIVE PATIENTS PROBLEMATIC. AVAILABLE TRAINERS ARE EXPENSIVE AND MAY REQUIRE COSTLY MAINTENANCE. METHODS: WE CONSTRUCTED AN ANATOMICALLY-DETAILED MODEL USING A HALLOWEEN SKELETON THORAX, DRESS FORM TORSO, AND YOGA MAT. PARTICIPANTS IN A TRIAL SESSION COMPLETED A SURVEY REGARDING EITHER THEIR COMFORT WITH CHEST TUBE PLACEMENT BEFORE AND AFTER THE SESSION OR THE REALISM OF YOGAMAN VS. CADAVER LAB, DEPENDING ON WHETHER THEY HAD PLACED <10 OR 10 OR MORE CHEST TUBES IN LIVE PATIENTS. RESULTS: INEXPERIENCED PROVIDERS REPORTED AN IMPROVEMENT IN COMFORT AFTER WORKING WITH YOGAMAN, (COMFORT BEFORE 47 MILLIMETERS [MM] [INTERQUARTILE RATIO {IQR}, 20-53 MM]; COMFORT AFTER 75 MM [IQR, 39-80 MM], P=0.01). EXPERIENCED PROVIDERS RATED REALISM OF YOGAMAN AND CADAVER LAB SIMILARLY (YOGAMAN 79 MM [IQR, 74-83 MM]; CADAVER LAB 78 MM [IQR, 76-89 MM], P=0.67). ALL EVALUATORS EITHER AGREED OR STRONGLY AGREED THAT YOGAMAN WAS USEFUL FOR TEACHING CHEST TUBE PLACEMENT IN A RESIDENCY PROGRAM. CONCLUSION: OUR CHEST TUBE TRAINER ALLOWED FOR LANDMARK IDENTIFICATION, TISSUE DISSECTION, PLEURA PUNCTURE, LUNG PALPATION, AND TUBE SECURING. IT IMPROVED COMFORT OF INEXPERIENCED PROVIDERS AND WAS RATED SIMILARLY TO CADAVER LAB IN REALISM BY EXPERIENCED PROVIDERS. IT IS EASILY REUSABLE AND, AT $198, COSTS A FRACTION OF THE PRICE OF AVAILABLE COMMERCIAL TRAINERS. 2019 12 379 15 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 13 1674 15 NURTURING THE FEMALE BODY: NOTIONS OF WELLBEING IN WOMB YOGA. ALTERNATIVE THERAPIES WHICH AIM TO ENHANCE WOMEN'S WELLBEING HAVE BEEN ACCUSED OF CONTRIBUTING TO HEALTHIST AND POSTFEMINIST AGENDAS WHICH REST UPON A NEOLIBERAL LOGIC. I CRITICALLY ENGAGE WITH THIS ISSUE HERE THROUGH AN ETHNOGRAPHIC STUDY OF WOMB YOGA, A WOMEN'S ALTERNATIVE THERAPY DEVELOPED IN THE UK. I ARGUE THAT WHILE BEING COMMERCIAL AND EMPHASIZING PERSONAL RESPONSIBILITY, WOMB YOGA LARGELY WORKS AGAINST THE CURRENT NEOLIBERAL OPTIMIZATION IDEAL. WOMB YOGA PRACTITIONERS DISMISS GOAL-ORIENTED SELF-MANAGEMENT AND DISCIPLINE, AND AVOID A SIMPLE REPRODUCTION OF GENDER STEREOTYPES BY DEFLECTING CARE AWAY FROM OTHER-DIRECTEDNESS AND OPENING THE INTERPRETATION OF FEMININITY TO THE IMAGINATIVE AND EXPERIENTIAL REALMS. 2021 14 2288 17 THE YOGA MAT TECHNIQUE IN POSTLESS HIP ARTHROSCOPY. HIP ARTHROSCOPY FOR THE TREATMENT OF FEMOROACETABULAR IMPINGEMENT SYNDROME WITH ANTI-SLIDING TECHNIQUES AND WITHOUT THE USE OF A PERINEAL POST TO ACHIEVE HIP DISTRACTION HAS INCREASED GREATLY IN THE PAST 5 TO 10 YEARS. TO ACCESS THE HIP JOINT, DISTRACTION IS MANDATORY TO TREAT INTRA-ARTICULAR DISORDERS SUCH AS LABRAL TEARS, ACETABULAR CARTILAGE DEFECTS, LOOSE BODIES, LIGAMENTUM TERES TEARS, AND AVASCULAR NECROSIS OF THE HIP. IN HIP DISTRACTION, COUNTER-DISTRACTION IS NEEDED, AND THIS IS ACHIEVED WITH A BULKY AND CUSHIONED PERINEAL POST. MOST OF THE DESCRIBED TECHNIQUES IN HIP ARTHROSCOPY WORLDWIDE USE A PERINEAL POST, BUT IATROGENIC PUDENDAL NERVE, GENITAL LACERATIONS, HEMATOMAS, AND GROIN COMPLICATIONS HAVE BEEN REPORTED TO OCCUR. IN LATIN AMERICAN COUNTRIES, DISPOSABLE HIP PAD DEVICES ARE EXPENSIVE, AND NOT ALL THE ARTHROSCOPIC COMPANIES PROVIDE THEM. OUR YOGA MAT TECHNIQUE PROVIDES ENOUGH COUNTERTRACTION TO ACHIEVE ADEQUATE HIP DISTRACTION. LABRAL REPAIR, LABRAL RECONSTRUCTION, AND DECOMPRESSION OF FEMOROACETABULAR IMPINGEMENT SYNDROME HAVE BEEN ACHIEVED PROPERLY, RELIABLY, AND REPRODUCIBLY, AND NO TRENDELENBURG POSITION IS NEEDED. POSTLESS HIP ARTHROSCOPY IS MADE SIMPLE, AND POSITIONING THE PATIENT IS NOT DIFFICULT. HIP SURGEONS CAN ADAPT THIS TECHNIQUE TO A FRACTURE TABLE, A HIP DISTRACTOR, AND A STANDARD OPERATING ROOM TABLE. 2021 15 1955 11 SELF - REALIZATION THROUGH THROUGH VEDANTA AND YOGA. THE SEEKER OF ULTIMATE TRUTH NEEDS THE UNDERSTANDING OF THE PRACTICAL SIDE OF VEDANTA PHILOSOPHY, THE FIVE KOSHAS OR SHEATHS BEYOND WHICH THE ATMAN, THE SELF REMAINS. THROUGH VEDANTA AND YOGA ONE CAN TRANSCEND THESE LAYERS IN A SYSTEMATIC MANNER TO ATTAIN SELF REALIZATION - ULTIMATE REALITY. 1983 16 1819 22 PROTEIN YOGA: CONFORMATIONAL VERSATILITY OF THE HEMOLYSIN II C-TERMINAL DOMAIN DETAILED BY NMR STRUCTURES FOR MULTIPLE STATES. THE C-TERMINAL DOMAIN OF BACILLUS CEREUS HEMOLYSIN II (HLYIIC), STABILIZES THE TRANS-MEMBRANE-PORE FORMED BY THE HLYII TOXIN AND MAY AID IN TARGET CELL RECOGNITION. INITIAL EFFORTS TO DETERMINE THE NMR STRUCTURE OF HLYIIC WERE HAMPERED BY CIS/TRANS ISOMERIZATION ABOUT THE SINGLE PROLINE AT POSITION 405 THAT LEADS TO DOUBLING OF NMR RESONANCES. WE USED THE MUTANT P405M-HLYIIC THAT ELIMINATES THE CIS PROLINE TO DETERMINE THE NMR STRUCTURE OF THE DOMAIN, WHICH REVEALED A NOVEL FOLD. HERE, WE EXTEND EARLIER STUDIES TO THE NMR STRUCTURE DETERMINATION OF THE CIS AND TRANS STATES OF WT-HLYIIC THAT EXIST SIMULTANEOUSLY IN SOLUTION. THE PRIMARY STRUCTURAL DIFFERENCES BETWEEN THE CIS AND TRANS STATES ARE IN THE LOOP THAT CONTAINS P405, AND STRUCTURALLY ADJACENT LOOPS. THERMODYNAMIC LINKAGE ANALYSIS SHOWS THAT AT 25 C THE CIS PROLINE, WHICH ALREADY HAS A LARGE FRACTION OF 20% IN THE UNFOLDED PROTEIN, INCREASES TO 50% IN THE FOLDED STATE DUE TO COUPLING WITH THE GLOBAL STABILITY OF THE DOMAIN. THE P405M OR P405A SUBSTITUTIONS ELIMINATE HETEROGENEITY DUE TO PROLINE ISOMERIZATION BUT LEAD TO THE FORMATION OF A NEW DIMERIC SPECIES. THE NMR STRUCTURE OF THE DIMER SHOWS THAT IT IS FORMED THROUGH DOMAIN-SWAPPING OF STRAND BETA5, THE LAST SEGMENT OF SECONDARY STRUCTURE FOLLOWING P405. THE PRESENCE OF P405 IN WT-HLYIIC STRONGLY DISFAVORS THE DIMER COMPARED TO THE P405M-HLYIIC OR P405A-HLYIIC MUTANTS. THE WT PROLINE MAY THUS ACT AS A "GATEKEEPER," WARDING OFF AGGREGATIVE MISFOLDING. 2021 17 1433 21 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 18 2694 20 YOGA INDUCED ACUTE ULNAR NERVE COMPRESSION BY A GANGLION CYST IN GUYON'S CANAL. ACUTE ULNAR NEUROPATHY AT THE WRIST CAN BE DIFFICULT TO DIAGNOSE, AS IT IS AN UNCOMMON NEUROPATHY WITH VARIABLE CLINICAL PRESENTATIONS AND NUMEROUS ETIOLOGIES. WE PRESENT A CASE OF ACUTE ULNAR NEUROPATHY OF THE DEEP MOTOR BRANCH CAUSED BY A GANGLION CYST IN GUYON'S CANAL. INTERESTINGLY, THIS CASE OF ACUTE LOSS OF MOTOR FUNCTION OCCURRED AFTER THE PATIENT PARTICIPATED IN YOGA (SPECIFICALLY THE DOWNWARD DOG POSITION), AND RESOLVED SPONTANEOUSLY OVER TIME AFTER STOPPING YOGA, WITHOUT SURGICAL EXCISION OF THE GANGLION, SUGGESTING EXACERBATION OR PROTRUSION OF AN OCCULT GANGLION CYST DUE TO INCREASED ACTIVITY AND COMPRESSION OF THE HYPOTHENAR EMINENCE. 2013 19 1416 18 IMPORTANCE OF MANAS TATTVA: A SEARCHLIGHT IN YOGA DARSHANA. SINCE TIME IMMEMORIAL 'MANAS' HAS BEEN THE SUBJECT OF CURIOSITY FOR SCHOLARS, SCIENTISTS AND PHILOSOPHERS. THE REASON BEHIND THIS CURIOSITY IS ITS IMPORTANCE IN THE DEVELOPMENT OF MANKIND. HUMAN BEING IS SUPERIOR TO OTHER CREATURES IN THE SERIES OF DEVELOPMENT. THIS SUPREMACY OF MAN REMAINS IN HIS QUALITY TO WORK AFTER THINKING, WHICH IS THE FUNCTION OF 'MANAS'. NO OTHER ANIMAL IS CAPABLE TO THINK LOGICALLY. THIS IS THE ONLY REASON WHICH LEADS THE MANKIND TO THE CREST OF DEVELOPMENT IN EVERY ASPECT. TO HIGHLIGHT THE CONCEPT OF MANAS IN YOGA DARSHANA, INFORMATION EXTRACTED FROM YOGA LITERATURES AND AYURVEDIC SAMHITAS. IN INDIAN CULTURE MIND HAS BEEN DESCRIBED FROM VARIOUS ANGLES. VEDIC, PHILOSOPHICAL AND AYURVEDIC LITERATURES HAVE A VAST AND EXCLUSIVE DESCRIPTION OF MANAS. PHILOSOPHERS EITHER ASTIKA OR NASTIKA HAVE DESCRIBED MANAS SIDDHANTA VIVIDLY. THOUGH MANY KINDS OF DIFFERENCE OF OPINIONS ARE THERE, YOGA DARSHANA ACCEPT THE IMPORTANCE OF MIND IN THE PROCESS OF PERCEPTION AND EVEN FOR THE BIRTH OF ANY INDIVIDUAL. 2014 20 409 21 BLENDING MARTIAL ARTS AND YOGA FOR HEALTH: FROM THE LAST SAMURAI TO THE FIRST ODAKA YOGA WARRIOR. THIS PAPER INTRODUCES THE CASE STUDY OF ODAKA YOGA, AN INNOVATIVE STYLE OF POSTURAL YOGA BLENDED WITH MARTIAL ARTS ELEMENTS WHICH EMPHASIZES THE IMPORTANCE OF PRACTITIONERS' HEALTH AND PROCESSES OF SELF-TRANSFORMATION AS PIVOTAL TO THE SCHOOL'S ETHOS. MORE SPECIFICALLY, THE PAPER EXPLORES HOW ODAKA YOGA'S PHILOSOPHICAL BACKDROPS AND PRACTICAL REPERTOIRE, COMPOSED BY A MIXTURE OF "EXOTIC" RESOURCES SUCH AS BUSHIDO, ZEN, YOGA, AND A CONSTANT REFERENCE TO THE OCEAN WAVES AND BIOMECHANICS, CONSTITUTE A VERY SPECIFIC VISION OF HEALTH AT THE INTERSECTION OF WESTERN SCIENCE AND ESOTERIC KNOWLEDGE. THEORETICALLY, THE PAPER BORROWS FROM JENNINGS' THEORY OF MARTIAL CREATION AND ENRICHES IT WITH SOME OF THE CENTRAL ANALYTICAL TOOLS PROPOSED BY THEORISTS SUCH AS BOURDIEU AND FOUCAULT. METHODOLOGICALLY, IT RELIES ON A MULTIMODAL APPROACH INCLUDING DISCURSIVE ANALYSIS OF THE SCHOOL'S PROMOTIONAL MATERIALS, INTERVIEWS WITH THE FOUNDERS AND OTHER KEY TEACHERS, AND OBSERVANT PARTICIPATION OF PRACTITIONERS' APPRENTICESHIP PROCESSES. MORE SPECIFICALLY, THIS PAPER DISCUSSES THE BIRTH OF ODAKA YOGA AS OCCURRING AT THE INTERSECTION OF ASIAN MARTIAL ARTS AND YOGA, AS WELL AS THE FOUNDERS' BIOGRAPHICAL TRAJECTORIES FROM THE WORLD OF COMPETITIVE MARTIAL ARTS AND FITNESS, TO YOGA; IT THEN TURNS TO AN EXAMINATION OF ODAKA YOGA'S CONCEPTION OF HEALTH AS A MIXTURE OF THE WESTERN BIOMEDICAL MODEL AND THE SUBTLE BODY MODEL OF ASIAN TRADITIONS SUCH AS YOGA AND MARTIAL ARTS. IT ARGUES THAT THE CONCEPTION OF HEALTH PROMOTED BY THIS SCHOOL GIVES RISE TO THE ODAKA YOGA WARRIOR, THE IDEAL-TYPICAL PRACTITIONER WHOSE BODY IS SIMULTANEOUSLY EXPOSED TO THE MEDICAL GAZE AND ITS IMPERATIVES OF CONTROL, KNOWLEDGE, AND MANIPULATION; WHILE IT ALSO DEIFIES IT, AS IT IS ANIMATED BY THE ELUSIVE FLOWS OF ENERGY (QI OR PRANA) THAT PROLONGED PRACTICE AIMS TO MASTER. THE PAPER CONCLUDES WITH A REFLECTION ON HYBRID CONCEPTIONS OF HEALTH AND THE UBIQUITOUS ROLE OF HEALTH DISCOURSES AND NARRATIVES ACROSS SOCIOCULTURAL DOMAINS. 2020