1  426 96 CAN YOGA BE USED TO TREAT GASTROESOPHAGEAL REFLUX DISEASE? YOGA METHODS INCLUDING PRANAYAMA ARE THE BEST WAYS TO PREVENT MANY DISEASES AND THEIR PROGRESSION. EVEN THOUGH, YOGA IS WIDELY PRACTICED, ITS EFFECTS ON CERTAIN MEDICAL CONDITIONS HAVE NOT BEEN STUDIED OR REPORTED. GASTROESOPHAGEAL REFLUX DISEASE (GERD) IS ONE OF THEM. GERD IS EXTREMELY COMMON CONDITION REQUIRING FREQUENT CONSUMPTION OF OVER-THE-COUNTER OR PRESCRIBED PROTON PUMP INHIBITORS (PPI). IN SEVERE SYMPTOMS OF GERD AND IN THE PRESENCE OF MULTIPLE ETIOLOGIES, PPIS ARE INSUFFICIENT TO RELIEVE THE SYMPTOMS OF GASTRIC REFLUX. REGULAR AND PROPER USE OF THE YOGA ALONG WITH PPI CAN CONTROL THE SEVERE SYMPTOMS OF GERD AND CAN AVOID OR DELAY THE NECESSITY OF INVASIVE PROCEDURES. THIS EVIDENCE-BASED CASE REPORT FOCUSES ON THE EFFECTS OF YOGA ON GERD. OUR CASE REPORT SHOWED THAT REGULAR PRACTICE OF KAPALBHATI AND AGNISAR KRIYA ALONG WITH PPI, PATIENTS WITH HIATAL HERNIA HAD IMPROVEMENT IN SEVERE SYMPTOMS OF GERD, WHICH WERE INITIALLY REFRACTORY TO PPI ALONE.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2 1916 14 ROLE OF TEMPORALIS MUSCLE OVER ACTIVITY IN CHRONIC TENSION TYPE HEADACHE: EFFECT OF YOGA BASED MANAGEMENT. THE ROLE OF CENTRAL VERSUS PERIPHERAL MECHANISMS HAS ALWAYS BEEN QUESTIONED WHILE EXPLAINING THE ETIOPATHOGENESIS OF CHRONIC TENSION TYPE HEADACHE (CTTH). THE FOLLOWING STUDY WAS DONE TO STUDY THE ROLE OF MUSCLE SPASM IN CTTH. 15 PATIENTS OF CTTH AND 7 AGE MATCHED CONTROLS WERE INCLUDED IN THE STUDY AND THEIR M. TEMPORALIS EMG WAS RECORDED FOR ONE MINUTE EACH DURING REST, MENTAL ACTIVITY AND MAXIMAL VOLUNTARY CONTRACTION AND SUBJECTIVE PAIN SCORING WAS DONE BY VISUAL ANALOGUE SCALE. THE RESULTS REVEALED SIGNIFICANT OVERACTIVITY OF M.TEMPORALIS IN CTTH PATIENTS AT REST WHEN COMPARED WITH CONTROL SUBJECTS (P = 0.01 AND 0.03 LEFT AND RIGHT SIDE RESPECTIVELY). AFTER RESPECTIVE INTERVENTIONS NAMELY NON STEROIDAL ANTI INFLAMMATORY DRUGS, BOTULINUM TOXIN INJECTIONS AND YOGIC LIFE STYLE COURSE, THE EMG RECORDS REVEALED DECREASE IN THE MEAN EMG AMPLITUDE OF M. TEMPORALIS DURING REST AND MENTAL ACTIVITY MORE SIGNIFICANTLY AFTER YOGA BASED INTERVENTIONS (P = 0.03) AND SUBJECTIVE PAIN SCORES DECREASED FROM 7.00 +/- 2.10 TO 2.00 +/- 1.26 (P = 0.02) SUPPORTING THE BENEFICIAL EFFECT OF SUCH NON INVASIVE TECHNIQUES.	2007	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
3 1941 27 SAFETY AND EFFICACY OF AYURVEDIC INTERVENTIONS AND YOGA ON LONG TERM EFFECTS OF COVID-19: A STRUCTURED SUMMARY OF A STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: PRIMARY OBJECTIVE * TO ASSESS THE EFFICACY OF AYURVEDA INTERVENTIONS AND YOGA IN REHABILITATION OF COVID-19 CASES SUFFERING WITH LONG TERM EFFECTS OF COVID 19 AS COMPARED TO WHO REHABILITATION SELF-MANAGEMENT AFTER COVID-19- RELATED ILLNESS. SECONDARY OBJECTIVE * TO ASSESS THE SAFETY OF AYURVEDIC INTERVENTIONS IN CASES SUFFERING WITH LONG TERM EFFECTS OF COVID 19 TRIAL DESIGN: MULTI-CENTRIC, RANDOMIZED, CONTROLLED, PARALLEL GROUP, OPEN-LABEL, EXPLORATORY STUDY. THE STUDY DURATION IS 9 MONTHS AND THE INTERVENTION PERIOD IS 90 DAYS FROM THE DAY OF ENROLMENT OF THE PARTICIPANT. PARTICIPANTS: PATIENTS OF EITHER SEX BETWEEN 18 TO 60 YEARS, AMBULATORY, WILLING TO PARTICIPATE, WITH HISTORY (NOT MORE THAN 4 WEEKS) OF POSITIVE RT-PCR FOR COVID-19 OR IGM ANTIBODIES POSITIVITY FOR SARS COV-2, BUT HAVING NEGATIVE RT-PCR FOR COVID-19 AT THE TIME OF SCREENING WILL BE CONSIDERED ELIGIBLE FOR ENROLMENT IN THE STUDY. CRITICALLY ILL PATIENTS WITH ARDS (ACUTE RESPIRATORY DISTRESS SYNDROME), REQUIRING INVASIVE RESPIRATORY SUPPORT IN THE INTENSIVE CARE UNIT, KNOWN CASE OF ANY MALIGNANCY, IMMUNE-COMPROMISED STATE (E.G. HIV), DIABETES MELLITUS, ACTIVE PULMONARY TUBERCULOSIS, PAST HISTORY OF ANY CHRONIC RESPIRATORY DISEASE, MOTOR NEURON DISEASE, MULTIPLE SCLEROSIS, STROKE, IMPAIRED COGNITION, ATRIAL FIBRILLATION, ACUTE CORONARY SYNDROME, MYOCARDIAL INFARCTION, SEVERE ARRHYTHMIA, CONCURRENT SERIOUS HEPATIC DISEASE OR RENAL DISEASE, PREGNANT OR LACTATING WOMEN, PATIENTS ON IMMUNOSUPPRESSIVE MEDICATIONS, HISTORY OF HYPERSENSITIVITY TO THE TRIAL DRUGS OR THEIR INGREDIENTS, DEPRESSIVE ILLNESS (BEFORE COVID-19), DIAGNOSED PSYCHOTIC ILLNESSES, SUBSTANCE DEPENDENCE OR ALCOHOLISM WILL BE EXCLUDED. THE TRIAL WILL BE CONDUCTED AT TWO MEDICAL COLLEGES IN MAHARASHTRA, INDIA. INTERVENTION AND COMPARATOR: INTERVENTION ARM (GROUP-I): AYURVEDA INTERVENTIONS INCLUDING AGASTYA HARITAKI SIX GRAM AND ASHWAGANDHA TABLET 500 MG TWICE DAILY ORALLY AFTER MEALS WITH WARM WATER AND TWO SESSIONS OF YOGA (MORNING 30 MINUTES AND EVENING 15 MINUTES) DAILY FOR 90 DAYS, AS PER THE POST-COVID-19 CARE PROTOCOL PROVIDED IN NATIONAL CLINICAL MANAGEMENT PROTOCOL BASED ON AYURVEDA AND YOGA FOR MANAGEMENT OF COVID-19 PUBLISHED BY MINISTRY OF AYUSH, GOVERNMENT OF INDIA. COMPARATOR ARM (GROUP-II): WHO REHABILITATION SELF-MANAGEMENT AFTER COVID-19 RELATED ILLNESS FOR 90 DAYS. THE TRIAL DRUGS ARE BEING PROCURED FROM A GMP CERTIFIED PHARMACEUTICAL COMPANY. MAIN OUTCOMES: PRIMARY OUTCOME: CHANGE IN RESPIRATORY FUNCTION TO BE ASSESSED BY SAN DIEGO SHORTNESS OF BREATH QUESTIONNAIRE, 6-MINUTES WALK TEST AND PULMONARY FUNCTION TEST. SECONDARY OUTCOMES: CHANGE IN HIGH-RESOLUTION COMPUTED TOMOGRAPHY (HRCT) CHEST CHANGE IN FATIGUE SCORE ASSESSED BY MODIFIED FATIGUE IMPACT SCALE CHANGE IN ANXIETY SCORE ASSESSED BY HOSPITAL ANXIETY AND DEPRESSION SCALE SCORE CHANGE IN SLEEP QUALITY ASSESSED BY PITTSBURGH SLEEP QUALITY INDEX CHANGE IN THE QUALITY OF LIFE ASSESSED BY COV19-QOL SCALE SAFETY OF THE INTERVENTIONS WILL BE ASSESSED BY COMPARING HEMATOLOGICAL AND BIOCHEMICAL INVESTIGATIONS BEFORE AND AFTER THE INTERVENTION PERIOD AND ADVERSE EVENT/ ADVERSE DRUG REACTION TIMELINES FOR OUTCOME ASSESSMENT: SUBJECTIVE PARAMETERS AND CLINICAL ASSESSMENT WILL BE ASSESSED AT BASELINE, 15(TH) DAY, 30(TH) DAY, 60(TH) DAY AND 90(TH) DAY. LABORATORY PARAMETERS (CBC, LFT, KFT, HBA1C, HS-CRP, D-DIMER), PULMONARY FUNCTION TEST AND HRCT CHEST WILL BE DONE AT BASELINE AND AFTER COMPLETION OF STUDY PERIOD I.E. 90(TH) DAY. RANDOMISATION: STATISTICAL PACKAGE FOR SOCIAL SCIENCES (SPSS) VERSION 15.0 IS USED TO GENERATE THE RANDOM NUMBER SEQUENCES. THE PARTICIPANTS WILL BE RANDOMIZED TO TWO STUDY GROUPS IN THE RATIO OF 1:1. BLINDING (MASKING): THE STUDY IS OPEN-LABEL DESIGN. HOWEVER, THE OUTCOME ASSESSOR WILL BE KEPT BLINDED REGARDING THE STUDY GROUP ALLOCATION OF THE PARTICIPANTS. NUMBERS TO BE RANDOMISED (SAMPLE SIZE) SAMPLE SIZE: THE SAMPLE SIZE FOR THE STUDY IS CALCULATED ASSUMING IMPROVEMENT IN 6-MINUTES WALK TEST BY 40 METER IN GROUP I AND A CHANGE OF 10 METER IN GROUP II WITH A STANDARD DEVIATION OF 50 METER BASED ON THE RESULTS OF THE PREVIOUS STUDIES, WITH 95% CONFIDENCE LEVEL (ALPHA = 0.05) AND 80% POWER AND EXPECTING A DROPOUT RATE OF 20%. THE NUMBER OF PARTICIPANTS TO BE ENROLLED IN THE STUDY SHOULD BE APPROXIMATELY 55 IN EACH GROUP. HENCE, A TOTAL OF 110 PARTICIPANTS WILL BE ENROLLED IN THE TRIAL AT EACH STUDY SITE. TRIAL STATUS: PARTICIPANTS' RECRUITMENT STARTED ON 1(ST) MAY 2021. ANTICIPATED END OF RECRUITMENT IS AUGUST 2021. PROTOCOL NUMBER: CCRAS-01 PROTOCOL VERSION NUMBER: 1.1, 13TH JANUARY 2021. TRIAL REGISTRATION: THE TRIAL IS PROSPECTIVELY REGISTERED WITH THE CLINICAL TRIAL REGISTRY OF INDIA (CTRI) ON 03(RD) MARCH 2021 [ CTRI/2021/03/031686 ]. FULL PROTOCOL: THE FULL PROTOCOL IS ATTACHED AS AN ADDITIONAL FILE, ACCESSIBLE FROM THE JOURNAL WEBSITE (ADDITIONAL FILE 1). THIS COMMUNICATION SERVES AS A SUMMARY OF THE KEY ELEMENTS OF THE FULL PROTOCOL.	2021	

4 1272 18 FROM 200 BC TO 2015 AD: AN INTEGRATION OF ROBOTIC SURGERY AND AYURVEDA/YOGA. BACKGROUND: AMONG THE TRADITIONAL SYSTEMS OF MEDICINE PRACTICED ALL OVER THE WORLD, AYURVEDA AND YOGA HAS A DOCUMENTED HISTORY DATING BACK TO BEYOND 200 BC. ROBOTIC AND VIDEO ASSISTED THORACIC SURGERY (VATS) IS AN INVENTION OF THE 21(ST) CENTURY. WE AIM TO QUANTIFY THE EFFECTS OF INTEGRATION OF AYURVEDA AND YOGA ON PATIENTS UNDERGOING MINIMALLY INVASIVE ROBOTIC AND VATS. METHODS: FOUR HUNDRED AND FIFTY-FOUR PATIENTS UNDERGOING VATS AND ROBOTIC THORACIC SURGERY WERE INTRODUCED TO A PRE AND POSTOPERATIVE PROTOCOL OF YOGA THERAPY, MEDIATION AND OIL MASSAGES. YOGA EXERCISES INCLUDED PRANAYAM, ANULOM VILOM, AND OIL MASSAGES INCLUDED UROTARPAN. PREOPERATIVE AND POSTOPERATIVE RESPIRATORY FUNCTIONS WERE RECORDED. PATIENT SATISFACTION QUESTIONNAIRE WERE NOTED. STATISTICAL COMPARISON WAS MADE TO CONTROL GROUP UNDERGOING MINIMALLY INVASIVE THORACIC SURGERY WITHOUT INTEGRATIVE MEDICINE. ONLY ONE PATIENT REFUSED TO UNDERGO AYURVEDA THERAPY AND WAS DELETED FROM THE GROUP. RESULTS: ACCEPTABILITY WAS HIGH AMONG ALL PATIENTS. PREOPERATIVE TRAINING LED TO IMPLEMENTATION AS EARLY AS 6 HOURS POST SURGERY. PULMONARY FUNCTION TEST SHOWED SIGNIFICANT IMPROVEMENT. ALL PATIENTS SUGGESTED AN IMPROVEMENT IN SATISFACTION SCORE. PAIN SCORE WERE LESS IN STUDY PATIENTS. QUICKER MOBILIZATION LED TO EARLY DISCHARGE AND DRAIN REMOVAL. CHRONIC PAIN WAS PREVENTED IN PATIENTS HAVING OIL MASSAGES OVER THE HEALED WOUND SITES. CONCLUSIONS: INTEGRATION OF AYURVEDA, YOGA AND MINIMALLY INVASIVE ROBOTIC AND VATS IS ACCEPTABLE TO INDIAN PATIENTS AND GIVES BETTER CLINICAL RESULTS AND HIGHER PATIENT SATISFACTION.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5 2813 19 YOGA TO TREAT NONSPECIFIC LOW BACK PAIN. LOW BACK PAIN IS COMMON AND POSES A CHALLENGE FOR CLINICIANS TO FIND EFFECTIVE TREATMENT TO PREVENT IT FROM BECOMING CHRONIC. CHRONIC LOW BACK PAIN CAN HAVE A SIGNIFICANT IMPACT ON AN EMPLOYEE'S ABILITY TO REMAIN AN ACTIVE AND PRODUCTIVE MEMBER OF THE WORK FORCE DUE TO INCREASED ABSENTEEISM, DUTY RESTRICTIONS, OR PHYSICAL LIMITATIONS FROM PAIN. LOW BACK PAIN IS THE MOST COMMON CAUSE OF WORK-RELATED DISABILITY AMONG EMPLOYEES YOUNGER THAN 46 YEARS. ADVANCING TECHNOLOGY AND LESS INVASIVE SURGICAL PROCEDURES HAVE NOT IMPROVED OUTCOMES FOR EMPLOYEES WHO SUFFER FROM LOW BACK PAIN. MOST CONTINUE TO EXPERIENCE SOME PAIN AND DYSFUNCTION AFTER CONVENTIONAL TREATMENTS SUCH AS INJECTIONS AND SURGERY. AN ALTERNATIVE TREATMENT THAT COULD REDUCE NONSPECIFIC CHRONIC LOW BACK PAIN WOULD BENEFIT BOTH EMPLOYEES AND EMPLOYERS. EXERCISING AND REMAINING ACTIVE ARE PART OF MOST GUIDELINES' ROUTINE CARE RECOMMENDATIONS BUT ARE NOT WELL DEFINED.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
6  509 21 COMPARATIVE IMMEDIATE EFFECT OF DIFFERENT YOGA ASANAS ON HEART RATE AND BLOOD PRESSURE IN HEALTHY YOUNG VOLUNTEERS. INTRODUCTION: THIS STUDY PLANNED TO COMPARE IMMEDIATE CARDIOVASCULAR EFFECTS OF DIFFERENT YOGA ASANAS IN HEALTHY YOUNG VOLUNTEERS. MATERIALS AND METHODS: HEART RATE (HR), SYSTOLIC PRESSURE (SP), AND DIASTOLIC PRESSURE (DP), BLOOD PRESSURE (BP), WERE RECORDED USING THE NON INVASIVE BLOOD PRESSURE (NIBP) APPARATUS IN 22 HEALTHY YOUNG SUBJECTS, BEFORE AND AFTER THE PERFORMANCE OF DHANURASANA (DA), VAKRASANA (VA) (BOTH SIDES), JANUSIRASASANA (JSA) (BOTH SIDES), MATSYASANA AND SHAVASANA FOR 30 S. HR AND BP WERE FURTHER RECORDED DURING SUPINE RECOVERY AT 2, 4, 6, 8, AND 10 MIN. A REPEATED MEASURE OF ANOVA WAS USED FOR STATISTICAL ANALYSIS. RESULTS: THERE WERE SIGNIFICANT CHANGES IN HR AND BP BOTH IMMEDIATELY AFTER THE ASANAS AS WELL AS DURING THE RECOVERY PERIOD. OVERALL COMPARISONS OF % CHANGES IMMEDIATELY AFTER THE PERFORMANCE OF THE ASANAS REVEALED SIGNIFICANT DIFFERENCES WITH REGARD TO HR THAT INCREASED SIGNIFICANTLY AFTER DA. IN THE RECOVERY PHASE, THERE WERE SIGNIFICANT INTERGROUP DIFFERENCES FROM 2 MIN ONWARD IN BOTH SP AND DP. THE DECREASE OF SP AFTER VA (RIGHT SIDE) (VA-R) WAS SIGNIFICANTLY GREATER THAN SHAVASANA (4(TH), 6(TH), AND 8(TH) MIN) AND JSA (LEFT SIDE) (JSA-L) AT 6(TH) AND 8(TH) MIN. DP DECREASED SIGNIFICANTLY AFTER PERFORMING JSA-L COMPARED TO VA-R AT THE 6(TH) AND 8(TH) MIN. DISCUSSION: THE CARDIOVASCULAR CHANGES IMMEDIATELY AFTER THE ASANAS AND DURING THE RECOVERY PHASE REVEAL INHERENT DIFFERENCES BETWEEN THE SELECTED POSTURES. THE RISE OF HR IN DA MAY BE ATTRIBUTED TO INCREASED SYMPATHETIC RESPONSE DUE TO THE RELATIVE DIFFICULTY OF THE POSTURE AS WELL AS ABDOMINAL COMPRESSION OCCURRING IN IT. THE EFFECT OF SUPINE RELAXATION IS MORE PRONOUNCED AFTER THE PERFORMANCE OF THE ASANAS AS COMPARED TO MERE RELAXATION IN SHAVASANA. THIS MAY BE ATTRIBUTED TO A NORMALIZATION AND RESULTANT HOMEOSTATIC EFFECT OCCURRING DUE TO A GREATER, HEALTHIER DE-ACTIVATION OF THE AUTONOMIC NERVOUS SYSTEM OCCURRING TOWING TO THE PRESENCE OF PRIOR ACTIVATION. THERE WERE ALSO SUBTLE DIFFERENCES BETWEEN THE RIGHT SIDED AND LEFT SIDED PERFORMANCE OF VA AND JSA THAT MAY BE OCCURRING DUE TO THE DIFFERENT INTERNAL STRUCTURES BEING EITHER COMPRESSED OR RELAXED ON EITHER SIDE. CONCLUSION: OUR STUDY PROVIDES INITIAL EVIDENCE OF DIFFERENTIAL CARDIOVASCULAR EFFECTS OF ASANAS AND SUBTLE DIFFERENCES BETWEEN RIGHT AND LEFT SIDED PERFORMANCE. FURTHER, CARDIOVASCULAR RECOVERY IS GREATER AFTER THE PERFORMANCE OF THE ASANAS AS COMPARED TO SHAVASAN; THUS, IMPLYING A BETTER RESPONSE WHEN EFFORT PRECEDES RELAXATION.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
7 1808 20 PREVENTIVE ASPECT OF AYURVEDA AND YOGA TOWARDS NEWLY EMERGING DISEASE COVID-19. THE ONGOING CORONAVIRUS PANDEMIC IS CAUSED BY SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS COV 2) AND UNIQUE IN VARIOUS FACETS. THE EARLIER EXPERIENCE FROM THE PAST SEVERE ACUTE RESPIRATORY SYNDROME (SARS) EPIDEMICS SEEM TO BE INSUFFICIENT AND THERE IS NEED FOR BETTER STRATEGIES IN PUBLIC HEALTH AND MEDICAL CARE. AYURVED & YOG ARE WELL KNOWN FOR THEIR PREVENTIVE AND THERAPEUTIC ASPECT, BUT NOT GETTING UTILIZED PROPERLY FOR PREVENTION OF COVID 19 CRISIS WHICH MAY ALSO BE HELPFUL AS SUPPORTIVE THERAPY ALONG WITH CURRENT LINE OF MANAGEMENT. THIS PAPER IS AIMED AT UNREVEALING THE ROLE OF AYURVED AND YOGA GUIDELINES ESTABLISHED BY DEPARTMENT OF AYUSH FOR PREVENTION FROM SARS-COV-2 BY PROVIDING HELP TO IMPROVING THE QUALITY OF SUPPORTIVE/PROPHYLACTIC THERAPY IN RELATION WITH THEIR IMMUNITY.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
8  781 19 EFFECT OF YOGA ASANAS ON NERVE CONDUCTION IN TYPE 2 DIABETES. TWENTY TYPE 2 DIABETIC SUBJECTS BETWEEN THE AGE GROUP OF 30-60 YEARS WERE STUDIED TO SEE THE EFFECT OF 40 DAYS OF YOGA ASANAS ON THE NERVE CONDUCTION VELOCITY. THE DURATION OF DIABETES RANGED FROM 0-10 YEARS. SUBJECT SUFFERING FROM CARDIAC, RENAL AND PROLIFERATIVE RETINAL COMPLICATIONS WERE EXCLUDED FROM THE STUDY YOGA ASANAS INCLUDED SURYANAMSKAR. TADASAN, KONASAN, PADMASAN PRANAYAM, PASCHIMOTTANSAN ARDHMATSYENDRASAN, SHAVASAN, PAVANMUKTHASAN, SARPASAN AND SHAVASAN. SUBJECTS WERE CALLED TO THE CARDIO-RESPIRATORY LABORATORY IN THE MORNING TIME AND WERE GIVEN TRAINING BY THE YOGA EXPERT. THE YOGA EXERCISES WERE PERFORMED FOR 30-40 MINUTES EVERY DAY FOR 40 DAYS IN THE ABOVE SEQUENCE. THE SUBJECTS WERE PRESCRIBED CERTAIN MEDICINES AND DIET. THE BASAL BLOOD GLUCOSE, NERVE CONDUCTION VELOCITY OF THE MEDIAN NERVE WAS MEASURED AND REPEATED AFTER 40 DAYS OF YOGIC REGIME. ANOTHER GROUP OF 20 TYPE 2 DIABETES SUBJECTS OF COMPARABLE AGE AND SEVERITY, CALLED THE CONTROL GROUP, WERE KEPT ON PRESCRIBED MEDICATION AND LIGHT PHYSICAL EXERCISES LIKE WALKING. THEIR BASAL & POST 40 DAYS PARAMETERS WERE RECORDED FOR COMPARISON. RIGHT HAND AND LEFT HAND MEDIAN NERVE CONDUCTION VELOCITY INCREASED FROM 52.81 +/- 1.1 M/SEC TO 53.87 +/- 1.1 M/SEC AND 52.46 +/- 1.0 TO 54.75 +/- 1/1 M/SEC RESPECTIVELY. CONTROL GROUP NERVE FUNCTION PARAMETERS DETERIORATED OVER THE PERIOD OF STUDY, INDICATING THAT DIABETES IS A SLOWLY PROGRESSIVE DISEASE INVOLVING THE NERVES. YOGA ASANAS HAVE A BENEFICIAL EFFECT ON GLYCAEMIC CONTROL AND IMPROVE NERVE FUNCTION IN MILD TO MODERATE TYPE 2 DIABETES WITH SUB-CLINICAL NEUROPATHY.	2002	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
9  433 20 CAN YOGA THERAPY STIMULATE STEM CELL TRAFFICKING FROM BONE MARROW? IT HAS BEEN ESTABLISHED THAT MESENCHYMAL STROMAL CELLS (MSCS) FROM BONE MARROW ENTER THE PERIPHERAL CIRCULATION INTERMITTENTLY FOR POSSIBLE TISSUE REGENERATION, REPAIR AND TO TAKE CARE OF DAILY WEAR AND TEAR. THIS IS EVIDENT FROM THE DETECTION OF MSCS FROM PERIPHERAL BLOOD. THE FACTORS GOVERNING THIS MIGRATION REMAIN ELUSIVE. THESE MSCS CARRY OUT THE WORK OF POLICING AND ARE SUPPOSED TO REPAIR THE INJURED TISSUES. THUS, THESE CELLS HELP IN MAINTAINING THE TISSUE AND ORGAN HOMEOSTASIS. YOGA AND PRANAYAMA ORIGINATED IN INDIA AND IS NOW BEING PRACTICED ALL OVER THE WORLD FOR POSITIVE HEALTH. SO FAR, THE CHEMICAL STIMULATION OF BONE MARROW HAS BEEN WIDELY USED EMPLOYING INJECTION OF COLONY STIMULATING FACTOR. HOWEVER, THE ROLE OF PHYSICAL FACTORS SUCH AS MECHANICAL STIMULATION AND STRETCHING HAS NOT BEEN SUBSTANTIATED. IT IS CLAIMED THAT PRACTICING YOGA DELAYS SENESCENCE, IMPROVES THE PHYSIOLOGICAL FUNCTIONS OF HEART AND LUNG AND YOGA POSTURES MAKE THE BODY ELASTIC. IT REMAINS TO BE SEEN WHETHER THE YOGA THERAPY PROMOTES TRAFFICKING OF THE STEM CELLS FROM BONE MARROW FOR POSSIBLE REPAIR AND REGENERATION OF WORN OUT AND DEGENERATING TISSUES. WE COVER IN THIS SHORT REVIEW, MAINLY THE ROLE OF PHYSICAL FACTORS ESPECIALLY THE YOGA THERAPY ON STEM CELLS TRAFFICKING FROM BONE MARROW.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
10  867 27 EFFECT OF YOGA REGIMEN ON LUNG FUNCTIONS INCLUDING DIFFUSION CAPACITY IN CORONARY ARTERY DISEASE PATIENTS: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: LUNG FUNCTIONS ARE FOUND TO BE IMPAIRED IN CORONARY ARTERY DISEASE (CAD), CONGESTIVE HEART FAILURE, LEFT VENTRICULAR DYSFUNCTION, AND AFTER CARDIAC SURGERY. DIFFUSION CAPACITY PROGRESSIVELY WORSENS AS THE SEVERITY OF CAD INCREASES DUE TO REDUCTION IN LUNG TISSUE PARTICIPATING IN GAS EXCHANGE. AIMS AND OBJECTIVES: PRANAYAMA BREATHING EXERCISES AND YOGIC POSTURES MAY PLAY AN IMPRESSIVE ROLE IN IMPROVING CARDIO-RESPIRATORY EFFICIENCY AND FACILITATING GAS DIFFUSION AT THE ALVEOLO-CAPILLARY MEMBRANE. THIS STUDY WAS DONE TO SEE THE EFFECT OF YOGA REGIMEN ON LUNG FUNCTIONS PARTICULARLY DIFFUSION CAPACITY IN CAD PATIENTS. MATERIALS AND METHODS: A TOTAL OF 80 STABLE CAD PATIENTS BELOW 65 YEARS OF AGE OF BOTH SEXES WERE SELECTED AND RANDOMIZED INTO TWO GROUPS OF 40 EACH. GROUP I CAD PATIENTS WERE GIVEN YOGA REGIMEN FOR 3 MONTHS WHICH CONSISTED OF YOGIC POSTURES, PRANAYAMA BREATHING EXERCISES, DIETARY MODIFICATION, AND HOLISTIC TEACHING ALONG WITH THEIR CONVENTIONAL MEDICINE WHILE GROUP II CAD PATIENTS WERE PUT ONLY ON CONVENTIONAL MEDICINE. LUNG FUNCTIONS INCLUDING DIFFUSION CAPACITY WERE RECORDED THRICE IN BOTH THE GROUPS: 0 DAY AS BASELINE, 22(ND) DAY AND ON 90(TH) DAY BY USING COMPUTERIZED MS MEDISOFT CARDIO-RESPIRATORY INSTRUMENT, HYP'AIR COMPACT MODEL OF CARDIO-RESPIRATORY TESTING MACHINE WAS MANUFACTURED BY P K MORGAN, INDIA. THE RECORDED PARAMETERS WERE STATISTICALLY ANALYZED BY REPEATED MEASURES ANOVA FOLLOWED BY TUKEY'S TEST IN BOTH THE GROUPS. CARDIOVASCULAR PARAMETERS WERE ALSO COMPARED BEFORE AND AFTER INTERVENTION IN BOTH THE GROUPS. RESULTS: STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE SEEN IN SLOW VITAL CAPACITY, FORCED VITAL CAPACITY, PEAK EXPIRATORY FLOW RATE, MAXIMUM VOLUNTARY VENTILATION, AND DIFFUSION FACTOR/ TRANSFER FACTOR OF LUNG FOR CARBON MONOXIDE AFTER 3 MONTHS OF YOGA REGIMEN IN GROUP I. FORCED EXPIRATORY VOLUME IN 1(ST) SEC (FEV1), AND FEV1 % ALSO SHOWED A TREND TOWARD IMPROVEMENT ALTHOUGH NOT STATISTICALLY SIGNIFICANT. HR, SBP AND DBP ALSO SHOWED SIGNIFICANT IMPROVEMENT IN GROUP-I PATIENTS WHO FOLLOWED YOGA REGIMEN. CONCLUSIONS: YOGA REGIMEN WAS FOUND TO IMPROVE LUNG FUNCTIONS AND DIFFUSION CAPACITY IN CAD PATIENTS BESIDES IMPROVING CARDIOVASCULAR FUNCTIONS. THUS, IT CAN BE USED AS A COMPLIMENTARY OR ADJUNCT THERAPY ALONG WITH THE CONVENTIONAL MEDICINE FOR THEIR TREATMENT AND REHABILITATION.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
11 2004 25 STUDY OF IMMEDIATE NEUROLOGICAL AND AUTONOMIC CHANGES DURING KAPALBHATI PRANAYAMA IN YOGA PRACTITIONERS. BACKGROUND: KAPALBHATI IS A FAST PACE RESPIRATORY EXERCISE OR PRANAYAM, WHICH IS SUPPOSED TO BE PRACTICED BY YOGIS TO CLEAN THEIR BRAIN. PRANAYAMAS ARE WELL KNOWN TO IMPROVE HEART RATE VARIABILITY (HRV) ULTIMATELY LEADING TO BETTER AUTONOMIC FUNCTIONS. OTHER STUDIES HAVE OBSERVED THE IMMEDIATE EFFECT OF KAPALBHATI ON VARIOUS NEUROLOGICAL (BRAIN AND SPINE) AND AUTONOMIC FUNCTIONS, BUT THEIR RESULTS ARE VARIED AND INCONCLUSIVE. OBJECTIVE: THE AIM OF THIS STUDY IS TO FIND OUT THE CHANGES IN HRV AND BRAIN WAVES DURING AND AFTER PRACTICE OF KAPALBHATI AS COMPARED WITH THE BASELINE VALUES OF DIFFERENT PARAMETERS. METHODS: VARIOUS PARAMETERS WERE MEASURED AT BASELINE, DURING AND AFTER KAPALBHATI PRANAYAM WITH THE HELP OF DINAMIKA HRV-ADVANCED HRV TEST SYSTEM, MOSCOW, RUSSIA. STATISTICAL ANALYSIS WAS ACCOMPLISHED EMPLOYING REPEATED MEASURES ANALYSIS OF VARIANCE WITH BONFERRONI POST-HOC ANALYSIS AND HOLM'S MULTIPLE COMPARISONS USING THE VERSION 28.0.0.0 OF THE STATISTICAL PACKAGE FOR THE SOCIAL SCIENCES (SPSS) FOR WINDOWS (190) SPSS INC., CHICAGO. RESULTS: WE FOUND THAT DURING AND AFTER KAPALBHATI, CHANGES IN HRV WERE SIGNIFICANT IN TIME AND FREQUENCY DOMAIN SHOWING PARASYMPATHETIC WITHDRAWAL AND INSIGNIFICANT CHANGES IN BRAIN WAVES AS COMPARED WITH REFERENCE POINT VALUES. CONCLUSION: KAPALBHATI IS INITIALLY ENERGIZING, CLEANSING, AND HEATING. THERE OCCURS PARASYMPATHETIC WITHDRAWAL AND SYMPATHETIC ACTIVATION DURING PRANAYAMA. THERE IS AN INCREASE GAMMA WAVE ACTIVATION POST PRANAYAMA SHOWING CONTROL OF THE DEFAULT MODE NETWORK.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
12 1396 21 IMPACT OF YOGA IN A CASE OF VOCAL CORD DYSFUNCTION WITH DYSAUTONOMIA. A 23-YEAR-OLD FEMALE WITH A PAST MEDICAL HISTORY OF GASTROESOPHAGEAL REFLUX DISEASE PRESENTED WITH SHORTNESS OF BREATH INDUCED BY EXERCISE AND CERTAIN ODORS. SHE REPORTED THE SYMPTOMS OF AUTONOMIC DYSFUNCTION INCLUDING FATIGUE, CHEST PAIN, LIGHTHEADEDNESS, HEADACHES, NUMBNESS/TINGLING IN THE ARMS AND LEGS, AND EXERCISE INTOLERANCE. VITAL SIGNS WERE SIGNIFICANT FOR ORTHOSTATIC INTOLERANCE. VOLUME FLOW LOOP IN THE PULMONARY FUNCTION TESTS SHOWED A FLATTENING OF THE INSPIRATORY PORTION CHARACTERISTIC OF VOCAL CORD DYSFUNCTION. LARYNGOSCOPY SHOWED DYSKINESIA OF THE LEFT VOCAL CORD, ESPECIALLY AFTER EXERCISE. MULTIFACTORIAL APPROACH WAS USED INCLUDING INCREASED FLUID INTAKE AND BREATHING EXERCISES. AFTER 6 WEEKS OF BREATHING AND ISOMETRIC EXERCISES, THE PATIENT REPORTED IMPROVEMENT IN DYSPNEA AFTER EXERCISE. THIS CASE REPORT DEMONSTRATES THE THERAPEUTIC ROLE OF BREATHING AND ISOMETRIC EXERCISES IN THE MANAGEMENT OF VOCAL CORD AND AUTONOMIC DYSFUNCTION.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
13  443 22 CERVICAL ARTERIAL DISSECTION AND TRAUMATIC MYELOPATHY FOLLOWING YOGA: SURGICAL CASE REPORT. INTRODUCTION: CERVICAL SPONDYLOSIS CAN PREDISPOSE PATIENTS TO CENTRAL CANAL STENOSIS. IN THIS SETTING, MYELOPATHY THROUGH FURTHER FLATTENING OF THE CORD FROM EXTRINSIC COMPRESSION CAN BE PRECIPITATED BY RELATIVELY MINOR TRAUMAS. ARTERIAL DISSECTION IS SIMILARLY CONSIDERED A RESULT OF HIGH VELOCITY OR MOMENTUM DURING TRAUMA, COMMONLY ASSOCIATED WITH FRACTURES, CERVICAL HYPERFLEXION, OR DIRECT BLUNT FORCE TO THE NECK. OVERALL, PRECAUTIONS FOR BOTH ARTERIAL DISSECTION AND MYELOPATHY ARE RARELY CONSIDERED IN LOW-VELOCITY, STATIC ACTIVITIES SUCH AS YOGA. CASE PRESENTATION: THE AUTHORS REPORT THE CASE OF A 63-YEAR-OLD MAN WHO SUFFERED CONCURRENT CERVICAL MYELOPATHY FROM MULTILEVEL SPONDYLOPATHY, RIGHT VERTEBRAL ARTERY DISSECTION, AND LEFT CERVICAL CAROTID ARTERY DISSECTION FOLLOWING A YOGA SESSION. SYMPTOMATOLOGY CONSISTED OF ACUTE ONSET NECK PAIN, UPPER EXTREMITY SENSORY PARESTHESIA, WORSENING GAIT AND BALANCE, AND IMPAIRED DEXTERITY FOR SEVERAL WEEKS. CERVICAL MRI WAS OBTAINED GIVEN MYELOPATHIC SYMPTOMS AND REVEALED SPONDYLOSIS WITH COMPRESSION AND T2 SIGNAL CHANGE AT C3-C4. CT ANGIOGRAPHY OF THE NECK REVEALED AFOREMENTIONED DISSECTIONS WITHOUT FLOW LIMITING STENOSIS OR OCCLUSION. A THERAPEUTIC HEPARIN INFUSION WAS STARTED PREOPERATIVELY UNTIL THE PATIENT UNDERWENT C3-C4 ANTERIOR CERVICAL DISCECTOMY AND FUSION. ASPIRIN AND PLAVIX WERE THEN STARTED WITHOUT INCIDENCE AND THE PATIENT HAD SIGNIFICANT BUT GRADUAL IMPROVEMENT IN MYELOPATHIC SYMPTOMS AT 6-WEEK FOLLOW-UP. DISCUSSION: THE STATIC YET INTENSIVE POSES ASSOCIATED WITH YOGA PRESENT A RARE ETIOLOGY FOR ARTERIAL DISSECTION AND MYELOPATHY, BUT PATIENTS WITH PERSISTENT AND PROGRESSIVE SYMPTOMS SHOULD BE SCREENED WITH THE APPROPRIATE IMAGING MODALITY. CERVICAL DECOMPRESSION SHOULD BE EXPEDITED BEFORE INITIATING AN ANTIPLATELET MEDICATION.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
14  775 22 EFFECT OF YOGA AND NATUROPATHY ON LIVER, RENAL AND CARDIORESPIRATORY FUNCTIONS OF A PATIENT WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES: A CASE REPORT. A 39-YEAR-OLD, MARRIED MAN WAS DIAGNOSED WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES IN FEBRUARY 2016. HIS SYMPTOMS AS DESCRIBED BY HIM BEGAN WITH GENERALIZED BODY WEAKNESS, BREATHLESSNESS AND SUDDEN WEIGHT GAIN OF 16KG WITHIN 3 WEEKS. HISTORY OF REGULAR INTAKE OF ALCOHOL SINCE 7 YEARS AND TREMENDOUS FAMILY STRESS WERE PRESENT. PATIENT UNDERWENT CONVENTIONAL MEDICATION FOR 6 MONTHS AND AYURVEDIC MEDICATIONS FOR 4 MONTHS. IN JANUARY 2017, HE VISITED OUR HOSPITAL WITH THE SAME COMPLAINTS AND UNDERWENT INTEGRATED NATUROPATHY AND YOGA THERAPIES (INYTS) FOR 4 WEEKS ALONG WITH AYURVEDA AND CONVENTIONAL MEDICATIONS. THE RESULTS OF THIS STUDY SHOWED A BETTER REDUCTION IN BODY WEIGHT, BODY MASS INDEX, ABDOMINAL GIRTH, SYSTOLIC BLOOD PRESSURE AND DIASTOLIC BLOOD PRESSURE ALONG WITH IMPROVEMENT IN BREATH HOLDING TIME, HEMOGLOBIN LEVEL, LIVER FUNCTION TEST AND RENAL FUNCTION TEST. IT SUGGESTS THAT 4 WEEKS OF INYT WITH AYURVEDA AND CONVENTIONAL MEDICATIONS WAS EFFECTIVE IN PATIENTS WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES. FURTHER STUDIES ARE REQUIRED TO WARRANT THESE RESULTS.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
15 2283 34 THE USE OF INTEGRATIVE THERAPY BASED ON YOGA AND AYURVEDA IN THE TREATMENT OF A HIGH-RISK CASE OF COVID-19/SARS-COV-2 WITH MULTIPLE COMORBIDITIES: A CASE REPORT. BACKGROUND: WE REPORT A HIGH-RISK CASE OF A CORONAVIRUS DISEASE 19 (COVID-19)-POSITIVE PATIENT WITH COMORBIDITIES INCLUDING DIABETES MELLITUS (DM), HYPERTENSION (HTN), HYPOTHYROIDISM AND CHRONIC KIDNEY DISEASE (CKD), TREATED SUCCESSFULLY USING AN INTEGRATIVE THERAPY PLAN BASED ON AYURVEDA AND YOGA, ALONG WITH GOVERNMENT-MANDATED COMPULSORY MODERN WESTERN MEDICINE (MWM) TREATMENT. RECENTLY, SOME EVIDENCE HAS BEEN EMERGING ON THE USE OF AYURVEDA FOR TREATMENT OF COVID-19. THE CLASSICAL TEXTS OF AYURVEDIC MEDICINE SUCH AS CHARAKA SAMHITA AND SUSHRUTA SAMHITA CONTAIN DESCRIPTIONS OF PANDEMICS OF SIMILAR PROPORTIONS AND DESCRIBE THEM AS JANAPADODDHVANSA, MEANING THE DESTRUCTION OF COMMUNITIES, ALONG WITH THEIR CAUSES AND TREATMENT. CASE PRESENTATION: THE CASE REPORTED HEREIN IS A 55-YEAR-OLD MAN FROM DELHI, INDIA, WITH CONFIRMED (TESTED) COVID-19, WHO FIRST TOOK MWM FOR 7 DAYS BEFORE SEEKING INTEGRATIVE THERAPY. THE PATIENT HAS COMORBIDITIES INCLUDING DM, HTN, HYPOTHYROIDISM AND CKD AND HAD DEVELOPED SYMPTOMS INCLUDING FEVER (WHICH WAS RESOLVED BY THE TIME INTEGRATIVE THERAPY WAS STARTED), SORE THROAT, DRY COUGH, BODY ACHES, WEAKNESS, BAD TASTE AND SMELL, AND HEAVINESS IN THE ABDOMEN. BASED ON THE PATIENT'S SYMPTOMS AND COMORBIDITIES, A TREATMENT PLAN INCLUDING AYURVEDIC MEDICINES, YOGA PROTOCOL, DIETARY RECOMMENDATIONS AND LIFESTYLE MODIFICATIONS WAS PRESCRIBED BY A REGISTERED AYURVEDA DOCTOR AND A YOGA CONSULTANT. THE PATIENT STARTED EXPERIENCING IMPROVEMENT IN ALL THE SYMPTOMS WITHIN 2 DAYS AFTER STARTING THE TREATMENT; HE REPORTED APPROXIMATELY [FORMULA: SEE TEXT] RELIEF FROM THE SYMPTOMS AFTER 5 DAYS, AND ALMOST COMPLETE RELIEF WITHIN 9 DAYS. ALSO, THE BLOOD SUGAR LEVELS (BOTH FASTING BLOOD SUGAR [FBS] AND POSTPRANDIAL BLOOD SUGAR [PPBS]) EXHIBITED SIGNIFICANT IMPROVEMENT AFTER 5 DAYS, AND DECREASED TO WITHIN THE NORMAL RANGE WITHIN 12 DAYS. BESIDES RELIEF IN SYMPTOMS, THE PATIENT'S REAL-TIME REVERSE TRANSCRIPTION POLYMERASE CHAIN REACTION (RT-PCR) TEST DONE ON THE 19TH DAY RETURNED NEGATIVE RESULTS. CONCLUSIONS: INTEGRATIVE THERAPY WAS FOUND TO BE EFFECTIVE IN MITIGATING THE SYMPTOMS OF COVID-19 IN THIS PATIENT WITH MULTIPLE COMORBIDITIES. MOREOVER, A SIGNIFICANT IMPROVEMENT IN BLOOD SUGAR LEVELS (NOT UNDER CONTROL WITH MODERN MEDICINE) WAS ALSO ACHIEVED. INTEGRATIVE THERAPY BASED ON THE CLASSICAL TEXTS OF AYURVEDA AND YOGA MAY OFFER A PROMISING AND SCALABLE TREATMENT OPTION FOR COVID-19 PATIENTS. A CASE SERIES OR A SUITABLY DESIGNED RANDOMIZED CONTROLLED TRIAL IS NEEDED TO ASSESS ITS EFFICACY.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
16 1798 23 PREOPERATIVE REHABILITATION IN LUNG CANCER PATIENTS: YOGA APPROACH. LUNG CANCER IS ONE OF THE LEADING CAUSES OF CANCER DEATH WORLDWIDE. SURGICAL REMOVAL REMAINS THE BEST OPTION FOR MOST TUMORS OF THIS TYPE. REDUCTION OF CIGARETTE CONSUMPTION IN PATIENTS WITH LUNG CANCER CANDIDATES FOR THE SURGERY COULD LIMIT THE IMPACT OF TOBACCO ON POSTSURGICAL OUTCOMES. BREATHING EXERCISES APPEAR TO HELP COMBAT CIGARETTE CRAVINGS. YOGA EXERCISE BENEFITS HAVE BEEN STUDIED IN LUNG CANCER SURVIVORS, RATHER THAN IN THE PREOPERATIVE SETTING. IN THIS STUDY, WE HAVE RECRUITED 32 ACTIVE SMOKERS AFFECTED BY LUNG CANCER AND BEING CANDIDATES FOR PULMONARY SURGERY. THE PATIENTS WERE RANDOMLY ASSIGNED TO TWO GROUPS: ONE TREATED BY STANDARD BREATHING AND THE OTHER TREATED BY YOGA BREATHING (YB). THE GROUPS WERE EVALUATED AT TIMES T0 (BASELINE) AND T1 (AFTER 7 DAYS OF TREATMENT) TO COMPARE THE EFFECTS OF THE TWO BREATHING TREATMENTS ON PULMONARY PERFORMANCE IN A PRESURGERY SETTING. PULMONARY AND CARDIOCIRCULATORY FUNCTIONS HAVE BEEN TESTED USING A SELF-CALIBRATING COMPUTERIZED SPIROMETER AND A PORTABLE PULSE OXIMETRY DEVICE. THE FINDINGS DEMONSTRATE APPRECIABLE SHORT-TERM IMPROVEMENT IN LUNG FUNCTION ASSESSED BY SPIROMETRY. WE CONCLUDE THAT YOGA BREATHING CAN BE A BENEFICIAL PREOPERATIVE SUPPORT FOR THORACIC SURGERY.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
17  751 14 EFFECT OF SHORT TERM YOGA PRACTICE ON VENTILATORY FUNCTION TESTS. TWENTYFIVE NORMAL MALE VOLUNTEERS UNDERGOING A TEN WEEKS COURSE IN THE PRACTICE OF YOGA HAVE BEEN STUDIED BY SOME PARAMETERS OF VENTILATORY FUNCTIONS TESTS. THE OBSERVATIONS RECORDED AT THE END OF TEN WEEKS OF THE COURSE HAVE SHOWN IMPROVED VENTILATORY FUNCTIONS IN THE FORM OF LOWERED RESPIRATORY RATE, INCREASED FORCED VITAL CAPACITY, FEV1, MAXIMUM BREATHING CAPACITY AND BREATH HOLDING TIME, WHILE TIDAL VOLUME AND %FEV1, DID NOT REVEAL ANY SIGNIFICANT CHANGE. THUS, A COMBINED PRACTICE OF YOGA SEEMS TO BE BENEFICIAL ON RESPIRATORY EFFICIENCY.	1988	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
18  904 24 EFFECTIVENESS OF ADJUVANT YOGA THERAPY IN DIABETIC LUNG: A RANDOMIZED CONTROL TRIAL. CONTEXT: RECENT STUDIES PROVIDE AMPLE EVIDENCE OF THE BENEFITS OF YOGA IN VARIOUS CHRONIC DISORDERS. DIABETES MELLITUS IS A GROUP OF METABOLIC DISEASES CHARACTERIZED BY CHRONIC HYPERGLYCEMIA AND SANDLER COINED THE TERM "DIABETIC LUNG" FOR THE ABNORMAL PULMONARY FUNCTION DETECTED IN DIABETIC PATIENTS DUE UNDERLYING PULMONARY DYSFUNCTION. YOGA THERAPY MAY HELP IN ACHIEVING BETTER PULMONARY FUNCTION ALONG WITH ENHANCED GLYCAEMIC CONTROL AND OVERALL HEALTH BENEFITS. AIM: TO STUDY THE EFFECT OF ADJUVANT YOGA THERAPY IN DIABETIC LUNG THROUGH SPIROMETRY. SETTINGS AND DESIGN: RANDOMIZED CONTROL TRIAL WAS MADE AS INTERDISCIPLINARY COLLABORATIVE WORK BETWEEN DEPARTMENTS OF YOGA THERAPY, PULMONARY MEDICINE AND ENDOCRINOLOGY, OF MGMC & RI, SRI BALAJI VIDYAPEETH PUDUCHERRY. MATERIALS AND METHODS: 72 PATIENTS OF DIABETIC LUNG AS CONFIRMED BY SPIROMETRY (<70% OF EXPECTED) WERE RANDOMIZED INTO CONTROL GROUP (N=36) WHO RECEIVED ONLY STANDARD MEDICAL TREATMENT AND YOGA GROUP (N=36) WHO RECEIVED YOGA TRAINING THRICE WEEKLY FOR 4 MONTHS ALONG WITH STANDARD MEDICAL MANAGEMENT. YOGA THERAPY PROTOCOL INCLUDED YOGIC COUNSELING, PREPARATORY PRACTICES, ASANAS OR STATIC POSTURES, PRANAYAMA OR BREATHING TECHNIQUES AND RELAXATION TECHNIQUES. HATHENAS OF THE GITANANDA YOGA TRADITION WERE THE MAIN PRACTICES USED. SPIROMETRY WAS DONE AT THE END OF THE STUDY PERIOD. DATA WAS ANALYZED BY STUDENT'S PAIRED AND UNPAIRED 'T' TEST AS IT PASSED NORMALITY. RESULTS: THERE WAS A STATISTICALLY SIGNIFICANT (P < 0.05) REDUCTION IN WEIGHT, AND BMI ALONG WITH A SIGNIFICANT (P < 0.01) IMPROVEMENT IN PULMONARY FUNCTION (FEV1, FVC) IN YOGA GROUP AS COMPARED TO CONTROL GROUP WHERE PARAMETERS WORSENED OVER STUDY PERIOD. CONCLUSION: IT IS CONCLUDED FROM THE PRESENT RCT THAT YOGA HAS A DEFINITE ROLE AS AN ADJUVANT THERAPY AS IT ENHANCES STANDARD MEDICAL CARE AND HENCE IS EVEN MORE SIGNIFICANT IN ROUTINE CLINICAL MANAGEMENT OF DIABETES, IMPROVING PHYSICAL CONDITION AND PULMONARY FUNCTION.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
19  321 24 ANALOGY BETWEEN CLASSICAL YOGA/ZEN BREATHING AND MODERN CLINICAL RESPIRATORY THERAPY. ANESTHESIOLOGISTS AND INTENSIVISTS ARE MODERN-DAY PROFESSIONALS WHO PROVIDE APPROPRIATE RESPIRATORY CARE, VITAL FOR PATIENT SURVIVAL. RECENTLY, ANESTHESIOLOGISTS HAVE INCREASINGLY FOCUSED THEIR ATTENTION ON THE TYPE OF SPONTANEOUS BREATHING MADE BY NON-INTUBATED PATIENTS WITH PULMONARY DISEASE CARED FOR IN AN INTENSIVE CARE UNIT, AND ALSO PATIENTS WITH CHRONIC PAIN RECEIVING COGNITIVE BEHAVIORAL THERAPY. PRIOR TO OUR MODERN UNDERSTANDING OF RESPIRATORY PHYSIOLOGY, ZEN MEDITATORS RECOGNIZED THAT BREATHING HAS A SIGNIFICANT IMPACT ON A PERSON'S MENTAL STATE AND GENERAL PHYSICAL WELL-BEING. EXAMPLES OF THIS KNOWLEDGE REGARDING RESPIRATION INCLUDE THE BENEFICIAL EFFECTS OF DEEP INHALATION AND SLOW EXHALATION ON ANXIETY AND GENERAL WELLNESS. THE CLASSICAL LITERATURE HAS NOTED MANY SUGGESTIONS FOR BREATHING AND ITS PSYCHO-PHYSICAL EFFECTS. IN THE PRESENT REVIEW, WE EXAMINE THE EFFECT OF CLASSICAL BREATHING METHODS AND FIND AN ANALOGY BETWEEN TYPICAL YOGA/ZEN BREATHING AND MODERN CLINICAL RESPIRATORY THERAPY. EVIDENCE IS INCREASING ABOUT HISTORICAL BREATHING AND RELATED MEDITATION TECHNIQUES THAT MAY BE EFFECTIVE IN MODERN CLINICAL PRACTICE, ESPECIALLY IN THE FIELD OF ANESTHESIOLOGY, SUCH AS IN IMPROVING RESPIRATORY FUNCTION AND REDUCING CHRONIC PAIN. CLARIFICATION OF THE DETAILED MECHANISMS INVOLVED IS ANTICIPATED.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
20 1485 17 INTEGRATIVE APPROACH COMBINING AYURVEDA, COUNSELLING, YOGA AND MEDITATION WITH CONVENTIONAL MANAGEMENT OF ANKYLOSING SPONDYLITIS - A CASE REPORT. LIFELONG MEDICATIONS ARE REQUIRED FOR SYMPTOMATIC RELIEF IN ANKYLOSING SPONDYLITIS (AS). WE REPORT THE POTENTIAL OF AN INTEGRATIVE APPROACH IN REDUCING DEPENDENCE ON STEROIDS AND PAIN MEDICATIONS IN CHRONIC AS. A 59-YEAR-OLD HLA-B27 POSITIVE MALE PATIENT SUFFERING FROM AS FOR 40 YEARS SOUGHT AYURVEDIC TREATMENT FOR RELAPSE OF PAIN, STIFFNESS, FATIGUE, INTERMITTENT CONSTIPATION AND DISTURBED SLEEP. AYURVEDIC DIAGNOSIS WAS AMAVATA (A CLINICAL CONDITION CHARACTERISED BY JOINT INFLAMMATION) THE PATIENT WAS MANAGED AS OUTPATIENT FOR ELEVEN DAYS AND HOSPITALISED FOR THIRTY THREE DAYS. INTERNAL MEDICINES AND EXTERNAL THERAPIES WITH DIET MODIFICATION, LIFESTYLE ADJUSTMENTS, COUNSELLING, YOGA AND IAM TECHNIQUE (INTEGRATED AMRITA MEDITATION TECHNIQUE ) WERE ADMINISTERED DURING THE HOSPITAL STAY. AT YEARLY FOLLOW UP, C-REACTIVE PROTEIN WAS REDUCED TO 15.7 MG/L FROM THE BASELINE VALUE OF 37.5 MG/L, AND ESR FROM 103 MM/H TO 8 MM/H INDICATING REDUCTION IN INFLAMMATION. THE DOSE OF NSAID AND DMARD (DISEASE MODIFYING ANTIRHEUMATIC DRUG) COULD BE REDUCED FROM ONCE IN TWENTY-FOUR HOURS TO ONCE IN EIGHTY-FOUR HOURS AND STEROIDS FROM TWICE DAILY TO ONCE IN A WEEK. THERE WAS SIGNIFICANT REDUCTION IN PAIN AND STIFFNESS. INTEGRATION OF AYURVEDA AND YOGA WITH CONVENTIONAL TREATMENT CAN REDUCE DRUG DEPENDENCE AND IMPROVE QUALITY OF LIFE IN AS.	2022