1 744 101 EFFECT OF ROSARY PRAYER AND YOGA MANTRAS ON AUTONOMIC CARDIOVASCULAR RHYTHMS: COMPARATIVE STUDY. OBJECTIVE: TO TEST WHETHER RHYTHMIC FORMULAS SUCH AS THE ROSARY AND YOGA MANTRAS CAN SYNCHRONISE AND REINFORCE INHERENT CARDIOVASCULAR RHYTHMS AND MODIFY BAROREFLEX SENSITIVITY. DESIGN: COMPARISON OF EFFECTS OF RECITATION OF THE AVE MARIA (IN LATIN) OR OF A MANTRA, DURING SPONTANEOUS AND METRONOME CONTROLLED BREATHING, ON BREATHING RATE AND ON SPONTANEOUS OSCILLATIONS IN RR INTERVAL, AND ON BLOOD PRESSURE AND CEREBRAL CIRCULATION. SETTING: FLORENCE AND PAVIA, ITALY. PARTICIPANTS: 23 HEALTHY ADULTS. MAIN OUTCOME MEASURES: BREATHING RATE, REGULARITY OF BREATHING, BAROREFLEX SENSITIVITY, FREQUENCY OF CARDIOVASCULAR OSCILLATIONS. RESULTS: BOTH PRAYER AND MANTRA CAUSED STRIKING, POWERFUL, AND SYNCHRONOUS INCREASES IN EXISTING CARDIOVASCULAR RHYTHMS WHEN RECITED SIX TIMES A MINUTE. BAROREFLEX SENSITIVITY ALSO INCREASED SIGNIFICANTLY, FROM 9.5 (SD 4.6) TO 11.5 (4.9) MS/MM HG, P<0.05. CONCLUSION: RHYTHM FORMULAS THAT INVOLVE BREATHING AT SIX BREATHS PER MINUTE INDUCE FAVOURABLE PSYCHOLOGICAL AND POSSIBLY PHYSIOLOGICAL EFFECTS. 2001 2 1347 21 HYPOXIA IN CNS PATHOLOGIES: EMERGING ROLE OF MIRNA-BASED NEUROTHERAPEUTICS AND YOGA BASED ALTERNATIVE THERAPIES. CELLULAR RESPIRATION IS A VITAL PROCESS FOR THE EXISTENCE OF LIFE. ANY CONDITION THAT RESULTS IN DEPRIVATION OF OXYGEN (ALSO TERMED AS HYPOXIA) MAY EVENTUALLY LEAD TO DELETERIOUS EFFECTS ON THE FUNCTIONING OF TISSUES. BRAIN BEING THE HIGHEST CONSUMER OF OXYGEN IS PRONE TO INCREASED RISK OF HYPOXIA-INDUCED NEUROLOGICAL INSULTS. THIS IN TURN HAS BEEN ASSOCIATED WITH MANY DISEASES OF CENTRAL NERVOUS SYSTEM (CNS) SUCH AS STROKE, ALZHEIMER'S, ENCEPHALOPATHY ETC. ALTHOUGH SEVERAL STUDIES HAVE INVESTIGATED THE PATHOPHYSIOLOGICAL MECHANISMS UNDERLYING ISCHEMIC/HYPOXIC CNS DISEASES, THE KNOWLEDGE ABOUT PROTECTIVE THERAPEUTIC STRATEGIES TO AMELIORATE THE AFFECTED NEURONAL CELLS IS MEAGER. THIS HAS AUGMENTED THE NEED TO IMPROVE OUR UNDERSTANDING OF THE HYPOXIC AND ISCHEMIC EVENTS OCCURRING IN THE BRAIN AND IDENTIFY NOVEL AND ALTERNATE TREATMENT MODALITIES FOR SUCH INSULTS. MICRORNA (MIRNAS), SMALL NON-CODING RNA MOLECULES, HAVE RECENTLY EMERGED AS POTENTIAL NEUROPROTECTIVE AGENTS AS WELL AS TARGETS, UNDER HYPOXIC CONDITIONS. THESE 18-22 NUCLEOTIDE LONG RNA MOLECULES ARE PROFUSELY PRESENT IN BRAIN AND OTHER ORGANS AND FUNCTION AS GENE REGULATORS BY CLEAVING AND SILENCING THE GENE EXPRESSION. IN BRAIN, THESE ARE KNOWN TO BE INVOLVED IN NEURONAL DIFFERENTIATION AND PLASTICITY. THEREFORE, TARGETING MIRNA EXPRESSION REPRESENTS A NOVEL THERAPEUTIC APPROACH TO INTERCEDE AGAINST HYPOXIC AND ISCHEMIC BRAIN INJURY. IN THE FIRST PART OF THIS REVIEW, WE WILL DISCUSS THE NEUROPHYSIOLOGICAL CHANGES CAUSED AS A RESULT OF HYPOXIA, FOLLOWED BY THE CONTRIBUTION OF HYPOXIA IN THE NEURODEGENERATIVE DISEASES. SECONDLY, WE WILL PROVIDE RECENT UPDATES AND INSIGHTS INTO THE ROLES OF MIRNA IN THE REGULATION OF GENES IN OXYGEN AND GLUCOSE DEPRIVED BRAIN IN ASSOCIATION WITH CIRCADIAN RHYTHMS AND HOW THESE CAN BE TARGETED AS NEUROPROTECTIVE AGENTS FOR CNS INJURIES. FINALLY, WE WILL EMPHASIZE ON ALTERNATE BREATHING OR YOGIC INTERVENTIONS TO OVERCOME THE HYPOXIA ASSOCIATED ANOMALIES THAT COULD ULTIMATELY LEAD TO IMPROVEMENT IN CEREBRAL PERFUSION. 2017 3 1329 32 HIGH-FREQUENCY CEREBRAL ACTIVATION AND INTERHEMISPHERIC SYNCHRONIZATION FOLLOWING SUDARSHAN KRIYA YOGA AS GLOBAL BRAIN RHYTHMS: THE STATE EFFECTS. CONTEXT: RESPIRATION IS KNOWN TO MODULATE NEURONAL OSCILLATIONS IN THE BRAIN AND IS MEASURED BY ELECTROENCEPHALOGRAM (EEG). SUDARSHAN KRIYA YOGA (SKY) IS A POPULAR BREATHING PROCESS AND IS ESTABLISHED FOR ITS SIGNIFICANT EFFECTS ON THE VARIOUS ASPECTS OF PHYSIOLOGY AND PSYCHOLOGY. AIMS: THIS STUDY AIMED TO OBSERVE NEURONAL OSCILLATIONS IN MULTIFREQUENCY BANDS AND INTERHEMISPHERIC SYNCHRONIZATION FOLLOWING SKY. SETTINGS AND DESIGN: THIS STUDY EMPLOYED BEFORE- AND AFTER-STUDY DESIGN. SUBJECTS AND METHODS: FORTY HEALTHY VOLUNTEERS (AVERAGE AGE 25.45 +/- 5.75, 23 MALES AND 17 FEMALES) PARTICIPATED IN THE STUDY. NINETEEN-CHANNEL EEG WAS RECORDED AND ANALYZED FOR 5 MIN EACH: BEFORE AND AFTER SKY. SPECTRAL POWER FOR DELTA, THETA, ALPHA, BETA, AND GAMMA FREQUENCY BAND WAS CALCULATED USING MULTI-TAPER FAST FOURIER TRANSFORM (CHRONUX TOOLBOX). THE ASYMMETRY INDEX WAS CALCULATED BY SUBTRACTING THE NATURAL LOG OF POWERS OF LEFT (L) HEMISPHERE FROM THE RIGHT((R)) TO SHOW INTERHEMISPHERIC SYNCHRONIZATION. STATISTICAL ANALYSIS: PAIRED T-TEST WAS USED FOR STATISTICAL ANALYSIS. RESULTS: SPECTRAL POWER INCREASED SIGNIFICANTLY IN ALL FREQUENCY BANDS BILATERALLY IN FRONTAL, CENTRAL, PARIETAL, TEMPORAL, AND OCCIPITAL REGIONS OF THE BRAIN AFTER LONG SKY. ELECTRICAL ACTIVITY SHIFTED FROM LOWER TO HIGHER FREQUENCY RANGE WITH A SIGNIFICANT RISE IN THE GAMMA AND BETA POWERS FOLLOWING SKY. ASYMMETRY INDEX VALUES TENDED TOWARD 0 FOLLOWING SKY. CONCLUSIONS: A SINGLE SESSION OF SKY GENERATES GLOBAL BRAIN RHYTHM DOMINANTLY WITH HIGH-FREQUENCY CEREBRAL ACTIVATION AND INITIATES APPROPRIATE INTERHEMISPHERIC SYNCHRONIZATION IN BRAIN RHYTHMS AS STATE EFFECTS. THIS SUGGESTS THAT SKY LEADS TO BETTER ATTENTION, MEMORY, AND EMOTIONAL AND AUTONOMIC CONTROL ALONG WITH ENHANCED COGNITIVE FUNCTIONS, WHICH FINALLY IMPROVES PHYSICAL AND MENTAL WELL-BEING. 2020 4 2500 16 YOGA AS THE "NEXT WAVE" OF THERAPEUTIC MODALITIES FOR TREATMENT OF INSOMNIA. INSOMNIA RATES CONTINUE TO RISE, ESPECIALLY AMONG SPECIFIC POPULATIONS. CURRENT NONPHARMACOLOGICAL TREATMENTS RELY PRIMARILY UPON COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA (CBT-I), WHICH WAS INTRODUCED IN THE 1970S. NEWER TREATMENTS HAVE INCORPORATED CBT "THIRD WAVE" TECHNIQUES, INCLUDING MINDFULNESS AND ACCEPTANCE TECHNIQUES. YOGA PRACTICE IS WELL SUITED TO COMPLEMENT EXISTING THERAPIES AND TO ADDRESS SLEEP PROBLEMS IN A MORE HOLISTIC WAY. CURRENT THEORETICAL AND EMPIRICAL APPROACHES TO TREATING INSOMNIA ARE DISCUSSED, WITH AN EMPHASIS ON THE ROLE OF YOGA IN ADDRESSING PRECIPITATING AND PERPETUATING FACTORS IN INSOMNIA THAT HAVE PREVIOUSLY BEEN LARGELY OVERLOOKED.AN ESTIMATED ONE-THIRD OF U.S. ADULTS SUFFER FROM INSOMNIA (CHEN, GELAYE, & WILLIAMS, 2013; MELLINGER, BALTER, & UHLENHUTH, 1985; OHAYON, 2002), AND THE PROBLEM APPEARS TO BE GROWING. WHILE TREATMENT FOR INSOMNIA HAS HELPED TO ALLEVIATE THE PROBLEM FOR SOME (IRWIN, COLE, & NICASSIO, 2006; MORIN ET AL., 2009), PREVALENCE OF INSOMNIA IS ON THE RISE, ESPECIALLY AMONG CERTAIN GROUPS, INCLUDING ELDERLY AND MILITARY POPULATIONS (MORIN, 2009; MYSLIWIEC ET AL., 2013). RISING RATES OF INSOMNIA HAVE BEEN ATTRIBUTED TO CHANGES IN LIFESTYLE AND ENVIRONMENTAL FACTORS, INCLUDING INCREASED RELIANCE ON TECHNOLOGY AND DECREASED SYNCHRONY WITH NATURAL WAKE-SLEEP RHYTHMS (BRAHINSKY, 2013; WALLACE-GUY ET AL., 2002; YUN, BAZAR, GERBER, LEE, & DANIEL, 2005). 2014 5 407 14 BIOLOGICAL SIGNIFICANCE OF PIEZOELECTRICITY IN RELATION TO ACUPUNCTURE, HATHA YOGA, OSTEOPATHIC MEDICINE AND ACTION OF AIR IONS. PIEZOELECTRIC PROPERTIES OF BIOLOGICAL MACROMOLECULES SUCH AS PROTEINS, NUCLEIC ACIDS AND MUCOPOLYSACCHARIDES ARE REVIEWED IN THIS PAPER. IT IS INDICATED THAT THE STRUCTURAL ELEMENTS OF THE HUMAN BODY COMPOSED OF THESE PIEZOELECTRIC SUBSTANCES ARE CAPABLE OF TRANSDUCING A MECHANICAL ENERGY INTO AN ELECTRIC CURRENT. SUCH A TRANSDUCTION MAY BE BROUGHT ABOUT BY MOVEMENTS OF AN ACUPUNCTURE NEEDLE, OSTEOPATHIC MANIPULATIONS; HATHA YOGA POSTURES OR ACTION OF NEGATIVELY CHARGED AIR IRONS. IT IS POSTULATED THAT ELECTRIC CURRENT INDUCED BY STIMULATION OF THE SPECIFIC SITES ON THE SURFACE OF HUMAN BODY FLOWS TOWARDS THE INTERNAL ORGANS ALONG THE SEMICONDUCTIVE CHANNELS OF BIOLOGIC MACROMOLECULES. ELECTRIC CURRENT INDUCED EITHER BY THE PIEZOELECTRIC TRANSDUCTION OR DIRECTLY APPLIED FROM AN EXTERNAL SOURCE MAY IN TURN STIMULATE INDIVIDUAL CELLS IN THE TARGET ORGAN. INVOLVEMENT OF ELECTRICAL PHENOMENA IN REGULATORY MECHANISMS ON CELLULAR AND MOLECULAR LEVELS IS DISCUSSED. 1977 6 1649 20 MULTI-OMICS INTEGRATION AND INTERACTOMICS REVEALS MOLECULAR NETWORKS AND REGULATORS OF THE BENEFICIAL EFFECT OF YOGA AND EXERCISE. BACKGROUND: YOGA IS A MULTIFACETED SPIRITUAL TOOL THAT HELPS IN MAINTAINING HEALTH, PEACE OF MIND, AND POSITIVE THOUGHTS. IN THE CONTEXT OF ASANA, YOGA IS SIMILAR TO PHYSICAL EXERCISE. THIS STUDY AIMS TO CONSTRUCT A MOLECULAR NETWORK TO FIND HUB GENES THAT PLAY IMPORTANT ROLES IN PHYSICAL EXERCISE AND YOGA. METHODOLOGY: WE COMBINED DIFFERENTIALLY EXPRESSED GENES (DEGS) IN YOGA AND EXERCISE USING COMPUTATIONAL BIOINFORMATICS FROM PUBLICLY AVAILABLE GENE EXPRESSION OMNIBUS (GEO) DATASETS AND IDENTIFIED THE CODIFFERENTIALLY EXPRESSED MRNAS WITH GEO2R. THE CO-DEGS WERE DIVIDED INTO FOUR DIFFERENT GROUPS AND EACH GROUP WAS SUBJECTED TO PROTEIN-PROTEIN INTERACTION (PPI) NETWORK, PATHWAYS ANALYSIS, AND GENE ONTOLOGY. RESULTS: OUR STUDY IDENTIFIED IMMUNOLOGICAL MODULATION AS A DOMINANT TARGET OF DIFFERENTIAL EXPRESSION IN YOGA AND EXERCISE. YOGA PREDOMINANTLY MODULATED GENES AFFECTING THE TH1 AND NK CELLS, WHEREAS CYTOKINES, MACROPHAGE ACTIVATION, AND OXIDATIVE STRESS WERE AFFECTED BY EXERCISE. WE ALSO OBSERVED THAT WHILE YOGA REGULATED GENES FOR TWO MAIN PHYSIOLOGICAL FUNCTIONS OF THE BODY, NAMELY CIRCADIAN RHYTHM (BHLHE40) AND IMMUNITY (LBP, T-BOX TRANSCRIPTION FACTOR 21, CEACAM1), EXERCISE-REGULATED GENES INVOLVED IN APOPTOSIS (BAG3, PROTEIN KINASE C ALPHA), ANGIOGENESIS, AND CELLULAR ADHESION (EPH RECEPTOR A1). CONCLUSION: THE DISSIMILARITY IN THE GENETIC EXPRESSION PATTERNS IN YOGA AND EXERCISE HIGHLIGHTS THE DISCRETE EFFECT OF EACH IN BIOLOGICAL SYSTEMS. THE INTEGRATION AND CONVERGENCES OF MULTI-OMICS SIGNALS CAN PROVIDE DEEPER AND COMPREHENSIVE INSIGHTS INTO THE VARIOUS BIOLOGICAL MECHANISMS THROUGH WHICH YOGA AND EXERCISE EXERT THEIR BENEFICIAL EFFECTS AND OPENS UP POTENTIAL NEWER RESEARCH AREAS. 2022 7 1775 11 PRACTICE OF YOGA MAY CAUSE DAMAGE OF BOTH SCIATIC NERVES: A CASE REPORT. SCIATIC NERVE TRAUMATIC DAMAGE VERY RARELY OCCURS BILATERALLY. WE DESCRIBE THE CASE OF A 67-YEAR-OLD WOMAN WHO REPORTED A BILATERAL TRAUMATIC LESION OF THE SCIATIC NERVE DURING PRACTICE OF YOGA. NERVE CONDUCTION STUDIES SHOWED A BILATERAL SCIATIC NERVE NEUROPATHY, MOSTLY AFFECTING THE PERONEAL COMPONENT. LUMBAR PLEXUS MRI DOCUMENTED REGULAR ANATOMICAL FEATURES OF THE MAIN PRINCIPAL NERVE ROOTS WITH BILATERAL T2 SIGNAL ALTERATION OF ROOTS L4, L5 AND S1 THAT EXTENDED INTO THE SCIATIC NERVES SHOWING BOTH INCREASE IN SIZE, PROBABLY RELATED TO CHRONIC INJURY OF NERVES, AND AN ALTERATION IN DIFFUSION SIGNAL THAT SUGGESTED A RECENT ACUTE OVERLAPPED PROCESS. 2013 8 82 23 A MECHANISTIC MODEL FOR YOGA AS A PREVENTIVE AND THERAPEUTIC MODALITY. YOGA IS AN ANCIENT INDIAN TECHNIQUE OF HEALTHY LIVING. NUMEROUS STUDIES HAVE CORROBORATED YOGA'S BENEFICIAL EFFECTS, INCLUDING A FAVORABLE INFLUENCE ON AUTONOMIC FUNCTION AND NEGATIVE EMOTIONS. EXTENSIVE RESEARCH IN THE LAST FEW DECADES HAS REVEALED THE CRITICAL ROLE THAT YOGA CAN PLAY IN ERADICATING STRESS. THIS HAS LAID TO THE FOUNDATION FOR A SCIENTIFIC UNDERSTANDING OF PATHOPHYSIOLOGICAL CHANGES ATTRIBUTED TO STRESS, PARTICULARLY AT THE MOLECULAR AND GENETIC LEVELS. THIS PRIMARILY HAS HELPED UNDERSTAND THE EPIGENETIC AND GENETIC MECHANISM AT PLAY TO INDUCE AND ALLEVIATE STRESS, PARTICULARLY THOSE RELATED TO EMOTIONAL ABERRATIONS. AS RESEARCH HAS INDICATED, NEGATIVE EMOTIONS ARE TRANSLATED INTO VASCULAR INFLAMMATION APPROPRIATELY ACCENTUATED BY A SYMPATHETIC PREDOMINANT AUTONOMIC FUNCTION. THIS CASCADE IS BOLSTERED BY MULTIPLE FACTORS, INCLUDING ACTIVATION OF "STRESSOR" GENES AND ELABORATING HORMONES, INCLUDING STEROIDS WITH SOMETIMES NOCUOUS CONSEQUENCES, PARTICULARLY WHEN CHRONIC. YOGA HAS BEEN CATEGORICALLY FOUND TO HAVE INHIBITED EACH AND EVERY ONE OF THESE BANEFUL EFFECTS OF STRESS. IN FACT, IT ALSO CHANGES THE NEURONAL CIRCUITS THAT POTENTIATE SUCH A PLETHORA OF PATHOLOGICAL CHANGES. THIS, IN TURN, HAS ACCENTUATED YOGA'S RELEVANCE AS A POWERFUL PREVENTIVE INTERVENTION IN NONCOMMUNICABLE DISEASES (NCD). NCDS, INCLUDING HEART DISEASE, STROKE, AND RHEUMATOLOGICAL DISORDERS, ARE ESSENTIALLY INFLAMMATORY DISEASES THAT PERPETUATE INFLAMMATION IN DIFFERENT BEDS LIKE VASCULAR OR JOINT SPACES. THE PRECISE MECHANISM BY WHICH YOGA INDUCES SUCH BENEFICIAL CHANGES IS YET TO BE DELINEATED. HOWEVER, A CORNUCOPIA OF POINTERS INDICATES THAT NEURAL, ENDOCRINE, IMMUNOLOGICAL, CELLULAR, GENETIC, AND EPIGENETIC MECHANISMS ARE AT PLAY. THIS ARTICLE ATTEMPTS TO COBBLE TOGETHER NEWFANGLED RESEARCH TO DELINEATE A MEDICAL MODEL FOR THIS 5000-YEAR-OLD PRACTICE FROM INDIA. THIS IS IMPERATIVE, AS A MECHANISTIC MODEL OF THIS ANCIENT-BUT-COMPLEX SYSTEM WOULD ENABLE A MORE COMPREHENSIVE UNDERSTANDING OF ITS MECHANISM AND REVEAL ITS YET-UNDISCOVERED POSITIVE HEALTH EFFECTS. 2021 9 2724 7 YOGA NEUROPATHY. A SNOOZER. SCIATIC NERVE COMPRESSION VERY RARELY OCCURS BILATERALLY. THE AUTHORS PRESENT A WOMAN WITH PROFOUND LOWER EXTREMITY WEAKNESS AND SENSORY ABNORMALITY AFTER FALLING ASLEEP IN THE HEAD-TO-KNEES YOGA POSITION (ALSO CALLED "PASCHIMOTTANASANA"). CLINICAL AND ELECTRODIAGNOSTIC FINDINGS ARE DISCUSSED IN DETAIL AND A BRIEF REVIEW OF THE LITERATURE IS PRESENTED. 2005 10 1496 18 INTRACEREBRAL PAIN PROCESSING IN A YOGA MASTER WHO CLAIMS NOT TO FEEL PAIN DURING MEDITATION. WE RECORDED MAGNETOENCEPHALOGRAPHY (MEG) AND FUNCTIONAL MAGNETIC RESONANCE IMAGING (FMRI) FOLLOWING NOXIOUS LASER STIMULATION IN A YOGA MASTER WHO CLAIMS NOT TO FEEL PAIN WHEN MEDITATING. AS FOR BACKGROUND MEG ACTIVITY, THE POWER OF ALPHA FREQUENCY BANDS PEAKING AT AROUND 10 HZ WAS MUCH INCREASED DURING MEDITATION OVER OCCIPITAL, PARIETAL AND TEMPORAL REGIONS, WHEN COMPARED WITH THE NON-MEDITATIVE STATE, WHICH MIGHT MEAN THE SUBJECT WAS VERY RELAXED, THOUGH HE DID NOT FALL ASLEEP, DURING MEDITATION. PRIMARY PAIN-RELATED CORTICAL ACTIVITIES RECORDED FROM PRIMARY (SI) AND SECONDARY SOMATOSENSORY CORTICES (SII) BY MEG WERE VERY WEAK OR ABSENT DURING MEDITATION. AS FOR FMRI RECORDING, THERE WERE REMARKABLE CHANGES IN LEVELS OF ACTIVITY IN THE THALAMUS, SII-INSULA (MAINLY THE INSULA) AND CINGULATE CORTEX BETWEEN MEDITATION AND NON-MEDITATION. ACTIVITIES IN ALL THREE REGIONS WERE INCREASED DURING NON-MEDITATION, SIMILAR TO RESULTS IN NORMAL SUBJECTS. IN CONTRAST, ACTIVITIES IN ALL THREE REGIONS WERE WEAKER DURING MEDITATION, AND THE LEVEL WAS LOWER THAN THE BASELINE IN THE THALAMUS. RECENT NEUROIMAGING AND ELECTROPHYSIOLOGICAL STUDIES HAVE CLARIFIED THAT THE EMOTIONAL ASPECT OF PAIN PERCEPTION MAINLY INVOLVES THE INSULA AND CINGULATE CORTEX. THOUGH WE CANNOT CLEARLY EXPLAIN THIS UNUSUAL CONDITION IN THE YOGA MASTER, A CHANGE OF MULTIPLE REGIONS RELATING TO PAIN PERCEPTION COULD BE RESPONSIBLE, SINCE PAIN IS A COMPLEX SENSORY AND EMOTIONAL EXPERIENCE. 2005 11 2912 20 [RECENT MEDICAL RESEARCH ON YOGA AND STATES OF CONCENTRATION]. TRADITIONAL ORIENTAL THINKING ATTRACTS THE GROWING SCIENTIFIC INTEREST OF OCCIDENTAL PRACTITIONERS. DR. PIERRE ETEVENON, HEAD OF THE DEPARTMENT OF NEURO-PSYCHO-PHARMACOLOGY AT THE FRENCH INSTITUTE FOR HEALTH AND MEDICAL RESEARCH (INSERM), HELD SEVERAL CONVERSATIONS AND SCIENTIFIC EXCHANGES WITH THE AUTHOR, AND KINDLY PROVIDED COPIES OF SOME OF HIS WORKS. THEY ARE AT THE BASIS OF THE PRESENT PAPER. M. A. DESCAMPS (PARIS) FOUND THAT ASANAS--YOGA POSTURES-- ARE GENERATORS OF DYNAMIC ACTION WHEN THERE IS AN EXTENSION OF THE SPINAL COLUMN, WHILST THEY LEAD TO QUIET STATES WHEN THERE IS A FLEXION OF IT. CLAEYS AND GONES (BELGIUM) PROVED THAT OVERALL GLOBAL RELAXATION, AS WELL AS DIFFERENTIAL RELAXATION WERE FAR MORE EFFECTIVE AND DEEP WHEN OBTAINED BY YOGIS THAN THOSE ATTEMPTED BY UNIVERSITY STUDENTS MAJORING IN PHYSICAL EDUCATION. LONSDORFER AND NUSSBAUM (FRANCE) STUDIED SEVERAL PARAMETERS CONCERNING HATHA-YOGA AND CONCLUDED THAT IT PROVIDES A REGULAR FUNCTIONING OF THE MAIN BODILY FUNCTIONS FOSTERING THUS A PSYCHO-PHYSICAL BALANCE. WALLACE AND BENSON (U.S.A.) PROVED THAT TRANSCENDENTAL MEDITATION INCREASES AEROBIC METABOLISM, COUNTERACTING ANAEROBIC METABOLISM WHICH IS RELATED TO MENTAL DISTRESS. ETEVENON (PARIS) INVESTIGATED NEUROPHYSIOLOGICAL EFFECTS OF YOGA IN CONNECTION TO ANCIENT INDIAN CONCEPTS (UPANISHADS) ON SLEEPING, MEDITATION AND DEGREE OF CONSCIOUSNESS. DR. ETEVENON HAS STUDIED THE PHYLOGENETIC EVOLUTION OF WAKING-SLEEPING CYCLES, FOCUSING ON PHYLOGENETIC AND ONTONGENETIC APPEARANCES OF REM CYCLES (ACTIVATED SLEEP). A CORRELATION HAS BEEN MADE WITH EEG STUDIES DURING STATES OF CONCENTRATION (YOGA, TRANSCENDENTAL MEDITATION, ZEN). THESE STATES HAVE BEEN FOUND TO BE SPECIFIC BRAIN ACTIVITIES, AND DIFFERENT FROM DEEP SLEEP, IN SPITE OF CERTAIN SIMILARITIES IN THE EEG. SEVERAL HYPOTHESIS ARE SET FORTH TO EXPLAIN BRAIN ACTIVITIES UNDERLYING SITES OF CONCENTRATION. THE POSSIBILITIES OF DEVELOPING A CONSCIOUS MASTERING OF DREAMS ARE ALSO UNDER RESEARCH, AND SPECIAL ATTENTION IS PAID TO THE WORKS OF SAINT DENYS (1867), AND HINDU TRADITION. THIS PAPER DISCUSSES ALSO THE PSYCHOLOGICAL, THERAPEUTIC AND ANTHROPOLOGICAL IMPLICATIONS OF RECENT DISCOVERIES IN THE FIELD. 1975 12 655 13 EEG PAROXYSMAL GAMMA WAVES DURING BHRAMARI PRANAYAMA: A YOGA BREATHING TECHNIQUE. HERE WE REPORT THAT A SPECIFIC FORM OF YOGA CAN GENERATE CONTROLLED HIGH-FREQUENCY GAMMA WAVES. FOR THE FIRST TIME, PAROXYSMAL GAMMA WAVES (PGW) WERE OBSERVED IN EIGHT SUBJECTS PRACTICING A YOGA TECHNIQUE OF BREATHING CONTROL CALLED BHRAMARI PRANAYAMA (BHPR). TO OBTAIN NEW INSIGHTS INTO THE NATURE OF THE EEG DURING BHPR, WE ANALYZED EEG SIGNALS USING TIME-FREQUENCY REPRESENTATIONS (TFR), INDEPENDENT COMPONENT ANALYSIS (ICA), AND EEG TOMOGRAPHY (LORETA). WE FOUND THAT THE PGW CONSISTS OF HIGH-FREQUENCY BIPHASIC RIPPLES. THIS UNUSUAL ACTIVITY IS DISCUSSED IN RELATION TO PREVIOUS REPORTS ON YOGA AND MEDITATION. IT IS CONCLUDED THIS EEG ACTIVITY IS MOST PROBABLY NON-EPILEPTIC, AND THAT APPLYING THE SAME METHODOLOGY TO OTHER MEDITATION RECORDINGS MIGHT YIELD AN IMPROVED UNDERSTANDING OF THE NEUROCORRELATES OF MEDITATION. 2009 13 757 15 EFFECT OF SLOW AND DEEP BREATHING ON BRAIN WAVES IN REGULAR YOGA PRACTITIONERS. VARIOUS YOGIC PRACTICES FOCUS ON BREATHING. BREATHING MAY AFFECT BRAIN WAVES. THIS CROSS-SECTIONAL STUDY WAS CONDUCTED TO SEE THE EFFECT SLOW AND DEEP RESPIRATION ON EEG ACTIVITY IN EXPERIENCED YOGA PRACTITIONERS AT THE DEPARTMENT OF PHYSIOLOGY AT AIIMS, BHOPAL, INDIA. THE DURATION OF THE STUDY WAS ABOUT ONE YEAR. EEG WAS TAKEN AND WAS ANALYZED BY DINAMIKA - ADVANCED TEST SYSTEM, MOSCOW, RUSSIA. PAIRED T-TEST USING GRAPH PAD SOFTWARE WAS USED FOR STATISTICAL ANALYSIS. THE DELTA PERCENTAGE DECREASED AND THE OTHER WAVE'S PERCENTAGES THETA, ALPHA, AND BETA INCREASED SIGNIFICANTLY. THE PERSON BECOMES DEEPLY RELAXED AND MORE FOCUSSED ON SLOW AND DEEP BREATHING. 2021 14 2887 15 YOGA: CAN IT BE INTEGRATED WITH TREATMENT OF NEUROPATHIC PAIN? BACKGROUND: NEUROPATHIC PAIN (NP) IS A DEBILITATING CONDITION THAT MAY RESULT FROM SPINAL CORD INJURY (SCI). NEARLY 75% OF ALL SCI RESULTS IN NP AFFECTING 17,000 NEW INDIVIDUALS IN THE UNITED STATES EVERY YEAR, AND AN ESTIMATED 7-10% OF PEOPLE WORLDWIDE. IT IS CAUSED BY DAMAGED OR DYSFUNCTIONAL NERVE FIBERS SENDING ABERRANT SIGNALS TO PAIN CENTERS IN THE CENTRAL NERVOUS SYSTEM CAUSING SEVERE PAIN THAT AFFECTS DAILY LIFE AND ROUTINE. THE MECHANISMS UNDERLYING NP ARE NOT FULLY UNDERSTOOD, MAKING TREATMENT DIFFICULT. IDENTIFICATION OF SPECIFIC MOLECULAR PATHWAYS THAT ARE INVOLVED IN PAIN SYNDROMES AND FINDING EFFECTIVE TREATMENTS HAS BECOME A MAJOR PRIORITY IN CURRENT SCI RESEARCH. YOGA HAS THERAPEUTIC APPLICATIONS MAY PROVE BENEFICIAL IN TREATING SUBJECTS SUFFERING CHRONICALLY WITH SCI INDUCED NP, CHRONIC BACK AND ASSOCIATED PAINS IF NECESSARY EXPERIMENTAL DATA IS GENERATED. SUMMARY: THIS REVIEW AIMS TO DISCUSS THE IMPLICATIONS OF VARIOUS MECHANISTIC APPROACHES OF YOGA WHICH CAN BE TESTED BY NEW STUDY DESIGNS AROUND VARIOUS NOCICEPTIVE MOLECULES INCLUDING MATRIX METALLOPROTEINASES (MMPS), CATION-DEPENDENT CHLORIDE TRANSPORTER (NKCC1) ETC IN SCI INDUCED NP PATIENTS. KEY MESSAGES: THUS, YOGIC PRACTICES COULD BE USED IN MANAGING SCI INDUCED NP PAIN BY REGULATING THE ACTION OF VARIOUS MECHANISMS AND ITS ASSOCIATED MOLECULES. MODERN PRESCRIPTIVE TREATMENT STRATEGIES COMBINED WITH ALTERNATIVE APPROACHES LIKE YOGA SHOULD BE USED IN REHABILITATION CENTERS AND CLINICS IN ORDER TO AMELIORATE CHRONIC NP. WE RECOMMEND PRACTICAL CONSIDERATIONS OF CAREFUL YOGA PRACTICE AS PART OF AN INTEGRATIVE MEDICINE APPROACH FOR NP ASSOCIATED WITH SCI. 2019 15 1634 21 MODELING THE EFFECTS OF YOGA ON THE PROGRESSION OF ALZHEIMER'S DISEASE IN A DISH. ALZHEIMER'S DISEASE (AD) ACCOUNTS FOR 80% OF ALL DEMENTIA CASES, MAKING IT THE MOST COMMON FORM OF DEMENTIA. AGING SERVES AS THE MAIN RISK FACTOR FOR AD, BUT EARLY ONSET AD CAN ALSO OCCUR IN INDIVIDUALS YOUNGER THAN 65 YEARS. AD RESULTS FROM PROGRESSIVE NEURODEGENERATION LEADING TO DYSFUNCTIONAL SYNAPTIC TRANSMISSION IN THE BRAIN. THE CASCADE HYPOTHESIS OF AD STATES THAT AMYLOID PRECURSOR PROTEIN (APP) METABOLISM BECOMES IMPAIRED EITHER BY MUTATION OR AN INTERLEUKIN-MEDIATED STRESS RESPONSE TO INJURY, RESULTING IN THE SPLICING OF HARMFUL OLIGOMERIC FORMS OF AMYLOID BETA (ABETA). THESE OLIGOMERS DISRUPT EXTRACELLULAR RECEPTOR BINDING, INTRACELLULAR FUNCTION, AND CELLULAR MEMBRANE INTEGRITY. YOGA AND MEDITATIVE PRACTICES SLOW THE PROGRESSION OF THE COGNITIVE DECLINE ASSOCIATED WITH AD. HOWEVER, THE BIOLOGICAL MECHANISMS UNDERLYING THIS THERAPEUTIC EFFECT REMAIN ELUSIVE. HERE, WE INVESTIGATED THE ABILITY OF NEUROTRANSMITTERS RELEASED DURING YOGA AND MEDITATIVE PRACTICES TO RESCUE NEURONS FROM SYNAPTIC DYSFUNCTION IN AN IN VITRO ALZHEIMER'S MODEL CREATED BY CULTURING BASAL FOREBRAIN CHOLINERGIC NEURONS WITH PHYSIOLOGICALLY RELEVANT LEVELS OF THE I-42 ISOFORM OF OLIGOMERIC ABETA (OALPHABETAI-42). WE FOUND THAT THE NEUROTRANSMITTERS DOPAMINE AND HISTAMINE PRODUCE A COOPERATIVE ACTION WITH SEROTONIN TO REVERSE THE LOSS OF CHOLINE ACETYLTRANSFERASE (CHAT) BY OALPHABETAI-42. THE LOSS OF CHAT, THE ENZYME RESPONSIBLE FOR PROCESSING THE CHOLINERGIC NEUROTRANSMITTER ACETYLCHOLINE, CONTRIBUTES TO THE SYNAPTIC DYSFUNCTION EXPERIENCED DURING AD. THESE NEUROTRANSMITTERS INHIBIT NITRIC OXIDE SYNTHESIS CAUSED BY OALPHABETAI-42, PREVENTING OXIDATIVE AND NITROSATIVE STRESS. SEROTONIN ACTIVATES AN ALTERNATE CLEAVAGE OF APP TO PRODUCE A FRAGMENT WITH KNOWN NEUROTROPHIC EFFECTS, GIVING IT THE UNIQUE ABILITY TO INHIBIT THE OALPHABETAI-42 PRODUCTION CYCLE. WE HYPOTHESIZE HERE THAT THESE CONCERTED ACTIONS LEAD TO THE PROTECTION OF CHOLINERGIC SYNAPTIC TRANSMISSION IN AD. 2018 16 499 22 COMBINED YOGA AND TRANSCRANIAL DIRECT CURRENT STIMULATION INCREASE FUNCTIONAL CONNECTIVITY AND SYNCHRONIZATION IN THE FRONTAL AREAS. TRANSCRANIAL DIRECT CURRENT STIMULATION (TDCS) IS A NON-INVASIVE NEURO-STIMULATION TECHNIQUE THAT CAN MODULATE CORTICAL EXCITABILITY. SIMILARLY, YOGA IS SHOWN TO AFFECT THE BRAIN'S NEURAL ACTIVITY AND NETWORKS. HERE, WE AIMED TO INVESTIGATE THE EFFECT OF COMBINED YOGA AND TDCS ON BRAIN OSCILLATIONS AND NETWORKS USING RESTING-STATE ELECTROENCEPHALOGRAPHY RECORDINGS. IN A RANDOMIZED, CROSS-OVER, DOUBLE-BLIND DESIGN, TWENTY-TWO HEALTHY SUBJECTS PARTICIPATED IN A YOGA/ACTIVE TDCS SESSION (2 MA; 20 MIN; ANODE-F3, CATHODE F4) OR YOGA/SHAM TDCS ON 2 SEPARATE DAYS. RESTING-STATE EEG DATA WERE COLLECTED BEFORE AND AFTER EACH INTERVENTION. POWER SPECTRAL DENSITY (PSD) AND FUNCTIONAL CONNECTIVITY, MEASURED BY A SYNCHRONIZATION MEASURE, PHASE-LOCKING VALUE, WERE COMPUTED FOR EACH CONDITION. THERE WERE NO SIGNIFICANT DIFFERENCES IN PSD VALUES AMONG THE TWO INTERVENTIONS. THE NETWORK-BASED STATISTIC METHOD WAS EMPLOYED FOR DETECTING FUNCTIONAL CONNECTIVITY DIFFERENCES BETWEEN YOGA/ACTIVE AND YOGA/SHAM TDCS INTERVENTIONS. RESULTS SHOW THAT THE ADDITION OF ACTIVE TDCS TO YOGA IS ASSOCIATED WITH INCREASED FUNCTIONAL CONNECTIVITY OF THE SCALP AND SOURCE EEG DATA IN THE FRONTAL AREA. THE CHANGES WERE WIDESPREAD, INTRA-HEMISPHERIC, AND INTER-HEMISPHERIC CONNECTIONS, WHICH WERE MAINLY BETWEEN THE FRONTAL AREA TO OTHER REGIONS. AT THE SOURCE LEVEL, MOST OF THE CONNECTIVITY CHANGES WERE FOUND IN THE FRONTO-PARIETAL NETWORK. THESE FINDINGS SUGGEST THAT COMBINING YOGA WITH TDCS MIGHT LEAD TO BRAIN NETWORK CHANGES RELATED TO THE EXECUTIVE AND ATTENTIONAL FUNCTIONS. 2022 17 1565 19 LOW AND THEN HIGH FREQUENCY OSCILLATIONS OF DISTINCT RIGHT CORTICAL NETWORKS ARE PROGRESSIVELY ENHANCED BY MEDIUM AND LONG TERM SATYANANDA YOGA MEDITATION PRACTICE. MEDITATION PROFICIENCY IS RELATED TO TRAIT-LIKE (LEARNED) EFFECTS ON BRAIN FUNCTION, DEVELOPED OVER TIME. PREVIOUS STUDIES SHOW INCREASES IN EEG POWER IN LOWER FREQUENCY BANDS (THETA, ALPHA) IN EXPERIENCED MEDITATORS IN BOTH MEDITATION STATES AND BASELINE CONDITIONS. HIGHER GAMMA BAND POWER HAS BEEN FOUND IN ADVANCED BUDDHIST MEDITATORS, YET IT IS NOT KNOWN IF THIS OCCURS IN YOGA MEDITATION PRACTICES. THIS STUDY USED ELORETA TO COMPARE DIFFERENCES IN CORTICAL SOURCE ACTIVITY UNDERLYING SCALP EEG FROM INTERMEDIATE (MEAN EXPERIENCE 4 YEARS) AND ADVANCED (MEAN EXPERIENCE 30 YEARS) AUSTRALIAN MEDITATORS FROM THE SATYANANDA YOGA TRADITION DURING A BODY-STEADINESS MEDITATION, MANTRA MEDITATION, AND NON-MEDITATION MENTAL CALCULATION CONDITION. INTERMEDIATE YOGA MEDITATORS SHOWED GREATER SOURCE ACTIVITY IN LOW FREQUENCIES (PARTICULARLY THETA AND ALPHA1) DURING MENTAL CALCULATION, BODY-STEADINESS AND MANTRA MEDITATION. A SIMILAR SPATIAL PATTERN OF SIGNIFICANT DIFFERENCES WAS FOUND IN ALL CONDITIONS BUT THE NUMBER OF SIGNIFICANT VOXELS WAS DOUBLE DURING BODY-STEADINESS AND MANTRA MEDITATION THAN IN THE NON-MEDITATION (CALCULATION) CONDITION. THESE DIFFERENCES WERE GREATEST IN RIGHT (R) SUPERIOR FRONTAL AND R PRECENTRAL GYRI AND EXTENDED BACK TO INCLUDE THE R PARIETAL AND OCCIPITAL LOBES. ADVANCED YOGA MEDITATORS SHOWED GREATER ACTIVITY IN HIGH FREQUENCIES (BETA AND ESPECIALLY GAMMA) IN ALL CONDITIONS BUT GREATLY EXPANDED DURING MEDITATION PRACTICE. ACROSS ALL CONDITIONS (MEDITATION AND NON-MEDITATION) DIFFERENCES WERE GREATEST IN THE SAME REGIONS: R INSULA, R INFERIOR FRONTAL GYRUS AND R ANTERIOR TEMPORAL LOBE. DISTINCT R CORE NETWORKS WERE IDENTIFIED IN ALPHA1 (8-10 HZ) AND GAMMA (25-42 HZ) BANDS, RESPECTIVELY. THE VOXELS RECRUITED TO THESE NETWORKS GREATLY EXPANDED DURING MEDITATION PRACTICE TO INCLUDE HOMOLOGOUS REGIONS OF THE LEFT HEMISPHERE. FUNCTIONAL INTERPRETATION PARALLELS TRADITIONALLY DESCRIBED STAGES OF DEVELOPMENT IN YOGA PROFICIENCY. 2014 18 1639 18 MODULATION OF IMMUNE RESPONSES IN STRESS BY YOGA. STRESS IS A CONSTANT FACTOR IN TODAY'S FASTPACED LIFE THAT CAN JEOPARDIZE OUR HEALTH IF LEFT UNCHECKED. IT IS ONLY IN THE LAST HALF CENTURY THAT THE ROLE OF STRESS IN EVERY AILMENT FROM THE COMMON COLD TO AIDS HAS BEEN EMPHASIZED, AND THE MECHANISMS INVOLVED IN THIS PROCESS HAVE BEEN STUDIED. STRESS INFLUENCES THE IMMUNE RESPONSE PRESUMABLY THROUGH THE ACTIVATION OF THE HYPOTHALAMIC-PITUITARY ADRENAL AXIS, HYPOTHALAMIC PITUITARY-GONADAL AXIS, AND THE SYMPATHETIC-ADRENAL-MEDULLARY SYSTEM. VARIOUS NEUROTRANSMITTERS, NEUROPEPTIDES, HORMONES, AND CYTOKINES MEDIATE THESE COMPLEX BIDIRECTIONAL INTERACTIONS BETWEEN THE CENTRAL NERVOUS SYSTEM (CNS) AND THE IMMUNE SYSTEM. THE EFFECTS OF STRESS ON THE IMMUNE RESPONSES RESULT IN ALTERATIONS IN THE NUMBER OF IMMUNE CELLS AND CYTOKINE DYSREGULATION. VARIOUS STRESS MANAGEMENT STRATEGIES SUCH AS MEDITATION, YOGA, HYPNOSIS, AND MUSCLE RELAXATION HAVE BEEN SHOWN TO REDUCE THE PSYCHOLOGICAL AND PHYSIOLOGICAL EFFECTS OF STRESS IN CANCERS AND HIV INFECTION. THIS REVIEW AIMS TO DISCUSS THE EFFECT OF STRESS ON THE IMMUNE SYSTEM AND EXAMINE HOW RELAXATION TECHNIQUES SUCH AS YOGA AND MEDITATION COULD REGULATE THE CYTOKINE LEVELS AND HENCE, THE IMMUNE RESPONSES DURING STRESS. 2008 19 2907 11 [ON THE METHODOLOGICAL APPROACH TO THE ELUCIDATION OF MECHANISMS UNDERLYING THERAPEUTIC EFFECTIVENESS OF CIGUN, INDIAN AND TIBETAN YOGA THERAPY]. THE METHODOLOGICAL APPROACH IS PROPOSED ALLOWING TO OBJECTIVELY CHARACTERIZE NEUROPHYSIOLOGICAL MECHANISMS UNDERLYING THERAPEUTIC EFFECTIVENESS OF CIGUN, INDIAN AND TIBETAN YOGA THERAPY. EXECUTION OF EXERCISES STIPULATED IN THESE PROGRAMS IS INTERPRETED AS A CONSCIOUSNESS-INSPIRED SPECIFIC FORM OF HUMAN BEHAVIOUR (ACTIVITY). STEP-BY-STEP ANALYSIS OF MENTALLY-ORGANIZED BODY'S FUNCTIONAL SYSTEMS AS A NEUROPHYSIOLOGICAL BASIS OF REALIZABLE BEHAVIOUR IS PRESENTED. OPERATIONAL INTERPRETATION OF INTERNAL MECHANISMS UNDERLYING THE SYSTEM'S FUNCTIONING PERMITS TO EVALUATE THE STEREOTYPE BRAIN CONDITION ACTUALIZED BY SPECIFIC REQUIREMENTS AND MOTIVATIONS THAT INITIATES SENSORY DEPRIVATION TO ENSURE PRIORITY REALIZATION OF INTERNAL GENETICALLY DETERMINED ACTIVITY OF THE HUMAN BODY. MOBILIZATION OF THIS INTERNAL ACTIVITY IS DESCRIBED AS A PROCESS OF SELECTIVE FORMATION OF MANY COMPLICATED INTERACTIONS BETWEEN VARIOUS STRUCTURES OF THE RETICULAR FORMATION, LIMBIC SYSTEM, SUBCORTICAL CENTRES, AND NEOCORTEX MAINTAINING PRIORITY FUNCTIONING OF HOMEOSTATIC MECHANISMS OF SELF-REGULATION AND INBORN HUMAN BEHAVIOUR. THESE MECHANISMS ARE BELIEVED TO UNDERLIE THE AUTORECONSTRUCTIVE POTENTIAL OF HUMAN ORGANISM BY ENSURING SYSTEMIC CORRECTION AND RESTORATION OF ITS FUNCTIONAL RESOURCES. 2010 20 1952 14 SEASONAL AFFECTIVE DISORDER AND THE YOGA PARADIGM: A RECONSIDERATION OF THE ROLE OF THE PINEAL GLAND. SEASONAL AFFECTIVE DISORDER IS A PSYCHIATRIC DISORDER WHOSE PATHOPHYSIOLOGY AND CLINICAL PRESENTATION ARE POORLY UNDERSTOOD. BY APPLYING THE ANCIENT PARADIGM OF YOGA PSYCHOLOGY TO THIS SUBJECT, NEW UNDERSTANDINGS OF THE SYNDROME EMERGE REGARDING THE POSSIBLE ROLE OF THE PINEAL GLAND, THE CLINICAL PRESENTATION OF THE SYNDROME, AND THE POSSIBLE MECHANISM OF ACTION OF PHOTOTHERAPY. THE ENERGY DEPLETION MODEL PRESENTED HERE TIES TOGETHER SUCH DIVERSE ELEMENTS AS: DOSE-RESPONSE ASPECTS OF PHOTOTHERAPY, ANERGIA AS A PRIMARY SYMPTOM OF SAD, 'SPRING FEVER', MYOFASCIAL PAIN DISORDER, THE ANTI-GONADOTROPHIC EFFECT OF MELATONIN, AND PINEAL SUPERSENSITIVITY IN BIPOLAR PATIENTS. CLINICAL PREDICTIONS ARE MADE, AND SIMPLE RESEARCH PROTOCOLS ARE SUGGESTED WHICH CAN DIRECTLY TEST THE HYPOTHESES GENERATED BY THIS PARADIGM. 1990