1 2885 167 YOGA: AS AN ADJUNCT THERAPY TO TRIM DOWN THE AYURVEDIC DRUG REQUIREMENT IN NON INSULIN-DEPENDENT DIABETES MELLITUS. INTRODUCTION: IN SPITE OF A LARGE NUMBER OF DRUGS SHOWING ANTI-HYPERGLYCEMIC ACTIVITIES, NONE OF THEM HAVE BEEN SUCCESSFUL IN COMPLETE MANAGEMENT OF DIABETES MELLITUS (DM). YOGA AND AYURVEDA ARE THE TWO SCHOOLS OF THOUGHT IN INDIA, WHICH HAVE A HISTORY OF CURING DISEASES SINCE THOUSANDS OF YEARS. YOGIC TECHNIQUES AND AYURVEDIC HERBS HAVE PROVEN THEIR ANTI-DIABETIC POTENTIAL WITHOUT INDUCING UNTOWARD EFFECTS. THE PRESENT STUDY COMBINES AYURVEDIC MEDICATION WITH YOGA TECHNIQUES AS A NEW APPROACH TOWARD HEALING DM. AIMS AND OBJECTIVES: TO ASSESS THE EFFECT OF YOGA THERAPY IN THE MANAGEMENT OF NON INSULIN-DEPENDENT DM (NIDDM) AND TO DECREASE THE ORAL DRUG DOSE REQUIREMENT OF GUDUCI GHANA TABLET. MATERIALS AND METHODS: THIRTY KNOWN NIDDM PATIENTS OF BOTH GENDERS, WHO WERE ON GUDUCI GHANA (SOLIDIFIED AQUEOUS EXTRACT OF TINOSPORA CORDIFOLIA (WILLD.) MIERS.) TABLETS FROM PAST 2 MONTHS AS AYURVEDIC REMEDY FOR DM WERE SELECTED. ALONG WITH GUDUCI GHANA ADMINISTRATION, THE SUBJECTS WERE INSTRUCTED TO FOLLOW YOGIC PROCEDURES INCLUDING ASANAS, PRANAYAMA, AND SUDDHI KRIYAS. THE STUDY WAS CONDUCTED FOR 8 WEEKS, WHEREIN FASTING BLOOD SUGAR (FBS) AND POSTPRANDIAL BLOOD SUGAR (PPBS) LEVELS ALONG WITH RELIEF IN SIGN AND SYMPTOMS WERE ASSESSED AT EVERY 2 WEEKS INTERVALS, AND ACCORDING TO RELIEF IN SIGN AND SYMPTOMS, TAPERING OF DRUG DOSAGE WAS CARRIED OUT. THE OBTAINED DATA WERE ANALYZED STATISTICALLY BY APPLYING PAIRED T-TEST. RESULTS AND CONCLUSION: THE RESULTS OBTAINED WERE PROMISING AS THE RELIEF IN DIABETIC SYMPTOMATOLOGY WAS HIGHLY SIGNIFICANT IN TERMS OF P VALUE. 80.83% REDUCTION IN DOSE OF GUDUCI GHANA TABLETS AND 7.85% AND 8.78% FALL IN FBS AND PPBS LEVELS, RESPECTIVELY, AFTER THE COMPLETE COURSE OF TREATMENT. THE OBTAINED P VALUE SHOWED HIGHLY SIGNIFICANT RESULTS. 2014 2 2668 24 YOGA IN MAJOR DEPRESSIVE DISORDER: MOLECULAR MECHANISMS AND CLINICAL UTILITY. MAJOR DEPRESSIVE DISORDER (MDD) IS A MIND-BODY DISORDER. CELLULAR AGING HAS BEEN IMPLICATED IN THE PATHOGENESIS OF MDD WITH THE ALTERED MIND-BODY COMMUNICATION MARKERS LIKE STRESS RESPONSE, IMMUNE RESPONSE, NUTRITION SENSING, AND A RANGE OF OTHER REGULATORY FEEDBACK SYSTEMS. IN THIS AGE OF SUPER SPECIALIZATIONS, ONE SPECIFIC TARGET AND INTERVENTIONS (PREFERABLY A DRUG) ON IT ARE BEING RIGOROUSLY SOUGHT BY THE HEALTH CARE COMMUNITY AND INDUSTRY, BUT HAVE FAILED IN IT IN THE LAST FIFTY YEARS IN SPITE OF ADVANCES IN TECHNOLOGY. SINCE, DEPRESSION IS A COMPLEX DISORDER ASSOCIATED WITH INCREASED INCIDENCE OF OTHER COMPLEX DISORDERS, IT MUST BE TREATED BY AN INTEGRATED HOLISTIC APPROACH THAT CAN ADDRESS THE COMPLEXITY OF MDD. INTERVENTIONS TARGETING ACCELERATED BIOLOGICAL AGING TO INCREASE CELLULAR HEALTH IN WHOLE BODY HAVE POTENTIAL TO MANAGE COMPLEX CONDITIONS LIKE MDD AND ITS OVERLAPPING SYMPTOMS AND COMORBIDITIES. YOGA HAS THE POTENTIAL TO BE THE NEXUS BETWEEN, CLINICAL MANAGEMENT OF MDD AND OTHER LIFESTYLE DISEASES. 2021 3 2615 37 YOGA FOR SCHIZOPHRENIA: PATIENTS' PERSPECTIVE. CONTEXT: YOGA-BASED INTERVENTION IS EMERGING AS AN EFFECTIVE ADD-ON THERAPY IN THE MANAGEMENT OF SCHIZOPHRENIA. HOWEVER, MANY BARRIERS MAKE IT DIFFICULT FOR PATIENTS TO AVAIL YOGA THERAPY PROGRAMS. ONE OF THEM IS MOTIVATION FOR YOGA THERAPY. WAYS TO ADDRESS THE BARRIERS ARE CRITICAL TO EMPLOY YOGA AS A TREATMENT IN THIS POPULATION. AIM: THIS STUDY AIMS AT EXPLORING PATIENTS' WILLINGNESS TO PARTICIPATE IN ADD-ON YOGA THERAPY PROGRAMS ON OUT-PATIENT BASIS. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED ON 100 SCHIZOPHRENIA PATIENTS ATTENDING PSYCHIATRY OUT-PATIENT SERVICES OF A TERTIARY CARE HOSPITAL. MATERIALS AND METHODS: A TOTAL OF 100 SCHIZOPHRENIA PATIENTS (MALE: FEMALE = 57:43; AGE: 35.8 +/- 9.2 YEARS) ATTENDING THE PSYCHIATRY OUT-PATIENT SERVICES OF A TERTIARY NEUROPSYCHIATRY HOSPITAL WERE ADMINISTERED A SURVEY QUESTIONNAIRE. STATISTICAL ANALYSIS USED: CHI-SQUARE TEST WAS USED FOR TESTING THE SIGNIFICANCE OF PROPORTIONS. P < 0.05 WAS TAKEN TO BE SIGNIFICANT. RESULTS: ABOUT 46% WERE AWARE THAT YOGA IS ALSO ONE OF THE COMPLEMENTARY THERAPIES USEFUL IN SCHIZOPHRENIA. 32% HAD TRIED YOGA IN THE PAST FOR SOME REASONS, BUT ONLY 31% OF THEM WERE CONTINUING YOGA; COMMONEST REASONS FOR NOT CONTINUING BEING LACK OF MOTIVATION (31%) AND INABILITY TO SPARE TIME (27.6%). HOWEVER, THE MAJORITY (88.5%) OF THEM WERE WILLING TO TAKE UP ADD-ON YOGA THERAPY ON OUT-PATIENT BASIS ALONG WITH THEIR REGULAR MEDICAL FOLLOW-UP. CONCLUSIONS: IN SPITE OF THE LACK OF MOTIVATION TO PRACTICE YOGA, THE MAJORITY OF PATIENTS WERE WILLING TO PARTICIPATE IN ADD-ON YOGA THERAPY PROGRAMS IF GIVEN ON OUT-PATIENT BASIS ALONG WITH THEIR REGULAR CONVENTIONAL MEDICAL FOLLOW-UP. 2015 4 299 28 ALTERNATIVE MEDICINE IN ATRIAL FIBRILLATION TREATMENT-YOGA, ACUPUNCTURE, BIOFEEDBACK AND MORE. THE LAST DECADE HAS SEEN A SIGNIFICANT IMPROVEMENT IN THE MANAGEMENT OF ATRIAL FIBRILLATION (AF) WITH THE DEVELOPMENT OF NEWER MEDICATIONS AND IMPROVEMENT IN CATHETER ABLATION TECHNIQUES. RECURRENCE OF AF REMAINS A SIGNIFICANT PROBLEM IN THESE PATIENTS AND MEDICATIONS OFFER LIMITED SUPPORTIVE ROLE. COMPLEMENTARY AND ALTERNATIVE TREATMENT STRATEGIES THEREFORE REMAIN A VIABLE OPTION FOR THESE AF PATIENTS. SEVERAL STUDIES HAVE SHOWN IMPROVEMENT IN AF SYMPTOMS WITH YOGA THERAPY, ACUPUNCTURE AND BIOFEEDBACK. THERE ARE ALSO SEVERAL HERBAL MEDICINE AND SUPPLEMENTS SUCH AS OMEGA-3 FATTY ACIDS, ANTIOXIDANT VITAMINS, BARBERRY, MOTHERWORT, CINCHONA, SHENSONGYANGXIN, HAWTHORN, KELLA AND WENXIN KELI THAT HAVE BEEN EVALUATED AS POTENTIAL THERAPEUTIC OPTIONS IN AF. THESE STUDIES ARE HOWEVER LIMITED BY SMALL SAMPLE SIZES WITH MIXED RESULTS. BESIDES THE PHARMACOLOGICAL ACTION, METABOLISM, INTERACTIONS WITH OTHER MEDICATIONS AND THE ADVERSE EFFECTS OF THE HERBAL MEDICATIONS AND SUPPLEMENTS REMAIN POORLY UNDERSTOOD. IN SPITE OF THE ABOVE LIMITATIONS, COMPLEMENTARY THERAPIES REMAIN A PROMISING OPTION IN THE MANAGEMENT OF AF AND FURTHER STUDIES ARE NECESSARY TO VALIDATE THEIR SAFETY AND EFFICACY. 2015 5 2910 21 [PREVENTIVE AND CURATIVE VALUE OF YOGA IN CARDIOMETABOLIC DISEASES]. YOGA AND OTHER BODY-MIND TECHNIQUES ENJOY AN INCREASING POPULARITY IN MANY FIELDS OF HEALTH MAINTAINING PRACTICES, IN PREVENTION OF SOME ILLNESSES AND IN CURATIVE MEDICINE IN SPITE OF OUR INCOMPLETE KNOWLEDGE ABOUT ITS APPLICABILITY AND EFFECTS. THERE ARE LARGE DIFFERENCES AMONG THE VARIOUS YOGA-SCHOOLS AND THE HETEROGENEITY OF INDICATIONS ETC. IN THIS ARTICLE A BUCKET OF RECENT INFORMATION IS OFFERED FOR THE INQUIRERS ON THE POTENTIAL ADVANTAGES OF YOGA (DIET, MIND-EXERCISES, ASANAS, PRANAYAMAS) FOR DECREASING CARDIO-METABOLIC RISK FACTORS, STABILIZING MENTAL HEALTH, AND ITS ADDICTIVE USE IN CURATIVE MEDICINE. FEW ADVERSE SIDE-EFFECTS MAY OCCUR ONLY IN THE CASE OF MISAPPLICATION. ITS ADVANTAGES ARE LOW COSTS, AVAILABILITY FOR BROAD POPULATION, AND VERY FEW CONTRAINDICATIONS. DISADVANTAGES INCLUDE DIFFERENCES IN THE ABILITY OF YOGA INSTRUCTORS AND IN YOGA PRACTICES. 2016 6 373 25 AYURVEDA AND YOGA IN CARDIOVASCULAR DISEASES. AYURVEDA IS DERIVED FROM 2 SANSKRIT WORDS, NAMELY, "AYUS" AND "VEDA," MEANING LIFE AND KNOWLEDGE, RESPECTIVELY. IT LITERALLY MEANS SCIENCE OF LIFE. AYURVEDA, OF WHICH YOGA IS AN INTEGRAL PART, IS WIDELY PRACTICED IN INDIA AND IS GAINING ACCEPTANCE IN MANY COUNTRIES AROUND THE WORLD. IT IS A COMPREHENSIVE AND A HOLISTIC SYSTEM, THE FOCUS OF WHICH IS ON THE BODY, MIND, AND CONSCIOUSNESS. THE AYURVEDIC TREATMENT CONSISTS OF THE USE HERBAL PREPARATIONS, DIET, YOGA, MEDITATION, AND OTHER PRACTICES. BASED ON THE REVIEW OF AVAILABLE STUDIES, THE EVIDENCE IS NOT CONVINCING THAT ANY AYURVEDIC HERBAL TREATMENT IS EFFECTIVE IN THE TREATMENT OF HEART DISEASE OR HYPERTENSION. HOWEVER, THE USE OF CERTAIN SPICES AND HERBS SUCH AS GARLIC AND TURMERIC IN AN OVERALL HEALTHY DIET IS APPROPRIATE. MANY HERBS USED BY AYURVEDIC PRACTITIONERS SHOW PROMISE AND COULD BE APPROPRIATE FOR LARGER RANDOMIZED TRIALS. YOGA, AN INTEGRAL PART OF AYURVEDA, HAS BEEN SHOWN TO BE USEFUL TO PATIENTS WITH HEART DISEASE AND HYPERTENSION. YOGA REDUCES ANXIETY, PROMOTES WELL-BEING, AND IMPROVES QUALITY OF LIFE. ITS SAFETY PROFILE IS EXCELLENT. ITS USE AS A COMPLEMENTARY THERAPEUTIC REGIMEN UNDER MEDICAL SUPERVISION IS APPROPRIATE AND COULD BE WORTH CONSIDERING. 2005 7 2224 26 THE IMPACT OF THE "YOGIC LIFESTYLE" ON CANCER PROGNOSIS AND SURVIVAL: CAN WE TARGET CANCER STEM CELLS WITH YOGA? CANCER HAS RECENTLY BEEN KNOWN TO ORIGINATE FROM STEM CELL-LIKE CELLS, CALLED CANCER STEM CELLS (CSCS). THEIR UNIQUE PROPERTIES OF SELF-DUPLICATION, MULTIPLICATION, AS WELL AS MIGRATION GIVE THE CSC RESISTANCE OVER CONVENTIONAL CANCER THERAPIES. NEWER THERAPIES ARE IN DEVELOPMENTAL STAGE TO TARGET THESE STEM CELL-LIKE POPULATIONS AND BECOME THE VANGUARD OF FUTURE TREATMENTS. SEVERAL COMPLEMENTARY AND ALTERNATIVE TREATMENTS HAVE BEEN USED IN CANCER MANAGEMENT AS AN ADJUNCT TO CONVENTIONAL THERAPY TO IMPROVE THE OVERALL QUALITY OF LIFE AND REDUCE RECURRENCE. YOGA STANDS AS THE THIRD MOST POPULAR OF ALL COMPLEMENTARY AND ALTERNATIVE MEDICINE TREATMENTS CURRENTLY USED IN CANCER PATIENTS TODAY. PRELIMINARY RESULTS SHOW THAT YOGA MODULATES NEURAL, HORMONAL, AND IMMUNE FUNCTIONS AT A CELLULAR LEVEL. THE SCOPE OF THIS COMMENTARY IS TO DISCUSS THE CURRENT EVIDENCE-BASED MEDICINE ON YOGA AND ITS EFFECT ON CSCS. 2017 8 2841 22 YOGA, BIOENERGETICS AND EATING BEHAVIORS: A CONCEPTUAL REVIEW. YOGA IS AN ANCIENT ORIENTAL DISCIPLINE THAT EMERGED FROM MYSTICAL AND PHILOSOPHICAL CONCEPTS. TODAY IT IS PRACTICED IN THE WEST, PARTLY DUE TO THE PROMOTION OF ITS BENEFITS TO IMPROVE THE LIFESTYLE AND OVERALL HEALTH. AS COMPARED TO NON-HATHA YOGA (HY) PRACTITIONERS, HEALTHIER AND BETTER-EATING PATTERNS HAVE BEEN OBSERVED IN THOSE WHO PRACTICE IT. AGREEMENT WITH THE BROUGHT BENEFITS, HY CAN BE USED AS A THERAPEUTIC METHOD TO CORRECT ABNORMAL EATING BEHAVIORS (AEB), OBESITY, AND SOME METABOLIC DISEASES. HOWEVER, THE ENERGY EXPENDITURE DURING TRADITIONAL PROTOCOLS OF HY IS NOT HIGH; HENCE, IT IS NOT VERY EFFECTIVE FOR REDUCING OR MAINTAINING BODY WEIGHT OR TO IMPROVE CARDIOVASCULAR CONDITIONING. EVEN SO, SEVERAL OBSERVATIONAL STUDIES SUGGEST SIGNIFICANT CHANGES IN EATING BEHAVIORS, LIKE A REDUCTION IN DIETARY FAT INTAKE AND INCREMENTS IN THAT OF FRESH VEGETABLES, WHOLE GRAINS AND SOY-BASED PRODUCTS, WHICH IN TURN MAY REDUCE THE RISK FOR CARDIOVASCULAR DISEASES. GIVEN THE INCONSISTENCY OF THE RESULTS DERIVED FROM CROSS-SECTIONAL STUDIES, MORE CASE-CONTROL STUDIES ARE NEEDED TO DEMONSTRATE THE EFFICACY OF HY AS AN ALTERNATIVE METHOD IN THE CLINICAL TREATMENT OF DISORDERED EATING AND METABOLIC DISEASES. 2015 9 2407 24 YOGA AND HEALTH. YOGA HAS BEEN THE SUBJECT OF RESEARCH IN THE PAST FEW DECADES FOR THERAPEUTIC PURPOSES FOR MODERN EPIDEMIC DISEASES LIKE MENTAL STRESS, OBESITY, DIABETES, HYPERTENSION, CORONARY HEART DISEASE, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. INDIVIDUAL STUDIES REPORT BENEFICIAL EFFECT OF YOGA IN THESE CONDITIONS, INDICATING THAT IT CAN BE USED AS NONPHARMACEUTICAL MEASURE OR COMPLEMENT TO DRUG THERAPY FOR TREATMENT OF THESE CONDITIONS. HOWEVER, THESE STUDIES HAVE USED ONLY YOGA ASANA, PRANAYAMA, AND/ OR SHORT PERIODS OF MEDITATION FOR THERAPEUTIC PURPOSES. GENERAL PERCEPTION ABOUT YOGA IS ALSO THE SAME, WHICH IS NOT CORRECT. YOGA IN FACT MEANS UNION OF INDIVIDUAL CONSCIOUSNESS WITH THE SUPREME CONSCIOUSNESS. IT INVOLVES EIGHT RUNGS OR LIMBS OF YOGA, WHICH INCLUDE YAMA, NIYAMA, ASANA, PRANAYAMA, PRATYAHARA, DHARANA, DHYANA, AND SAMADHI. INTENSE PRACTICE OF THESE LEADS TO SELF-REALIZATION, WHICH IS THE PRIMARY GOAL OF YOGA. AN ANALYTICAL LOOK AT THE RUNGS AND THE GOAL OF YOGA SHOWS THAT IT IS A HOLISTIC WAY OF LIFE LEADING TO A STATE OF COMPLETE PHYSICAL, SOCIAL, MENTAL, AND SPIRITUAL WELL-BEING AND HARMONY WITH NATURE. THIS IS IN CONTRAST TO PURELY ECONOMIC AND MATERIAL DEVELOPMENTAL GOAL OF MODERN CIVILIZATION, WHICH HAS BROUGHT SOCIAL UNREST AND ECOLOGICAL DEVASTATION. 2014 10 1928 36 ROLE OF YOGA IN DIABETES. THE SCIENCE OF YOGA IS AN ANCIENT ONE. IT IS A RICH HERITAGE OF OUR CULTURE. SEVERAL OLDER BOOKS MAKE A MENTION OF THE USEFULNESS OF YOGA IN THE TREATMENT OF CERTAIN DISEASES AND PRESERVATION OF HEALTH IN NORMAL INDIVIDUALS. THE EFFECT OF YOGIC PRACTICES ON THE MANAGEMENT OF DIABETES HAS NOT BEEN INVESTIGATED WELL. WE CARRIED OUT WELL DESIGNED STUDIES IN NORMAL INDIVIDUALS AND THOSE WITH DIABETES TO ASSESS THE ROLE OF YOGIC PRACTICES ON GLYCAEMIC CONTROL, INSULIN KINETICS, BODY COMPOSITION EXERCISE TOLERANCE AND VARIOUS CO-MORBIDITIES LIKE HYPERTENSION AND DYSLIPIDEMIA. THESE STUDIES WERE BOTH SHORT TERM AND LONG-TERM. THESE STUDIES HAVE CONFIRMED THE USEFUL ROLE OF YOGA IN THE CONTROL OF DIABETES MELLITUS. FASTING AND POSTPRANDIAL BLOOD GLUCOSE LEVELS CAME DOWN SIGNIFICANTLY. GOOD GLYCAEMIC STATUS CAN BE MAINTAINED FOR LONG PERIODS OF TIME. THERE WAS A LOWERING OF DRUG REQUIREMENT AND THE INCIDENCE OF ACUTE COMPLICATIONS LIKE INFECTION AND KETOSIS WAS SIGNIFICANTLY REDUCED. THERE WERE SIGNIFICANT CHANGES IN THE INSULIN KINETICS AND THOSE OF COUNTER-REGULATORY HORMONES LIKE CORTISOL. THERE WAS A DECREASE IN FREE FATTY ACIDS. THERE WAS AN INCREASE IN LEAN BODY MASS AND DECREASE IN BODY FAT PERCENTAGE. THE NUMBER OF INSULIN RECEPTORS WAS ALSO INCREASED. THERE WAS AN IMPROVEMENT IN INSULIN SENSITIVITY AND DECLINE IN INSULIN RESISTANCE. ALL THESE SUGGEST THAT YOGIC PRACTICES HAVE A ROLE EVEN IN THE PREVENTION OF DIABETES. THERE IS A BENEFICIAL EFFECT ON THE CO-MORBID CONDITIONS LIKE HYPERTENSION AND DYSLIPIDEMIA. 2007 11 798 35 EFFECT OF YOGA LIFESTYLE IN PATIENTS WITH HEART FAILURE: A RANDOMIZED CONTROL TRIAL. BACKGROUND: IN SPITE OF SIGNIFICANT ADVANCES IN THE MANAGEMENT OF HEART FAILURE (HF), MORBIDITY AND MORTALITY REMAIN HIGH. THEREFORE, THERE IS A NEED FOR ADDITIONAL STRATEGIES. WE DID A RANDOMIZED CLINICAL TRIAL TO STUDY EFFECT OF YOGA IN PATIENTS WITH HF IN TERMS OF QUALITY OF LIFE (QOL), LEFT VENTRICLE EJECTION FRACTION (LVEF), C-REACTIVE PROTEIN (CRP), AND NTPROBNP. MATERIALS AND METHODS: 60 PATIENTS WITH STABLE HF NEW YORK HEART ASSOCIATION CLASS II WITH LVEF 30%-40% WERE RANDOMIZED INTO CONTROL GROUP (CG) AND YOGA GROUP (YG). CG RECEIVED THE GUIDELINE-BASED THERAPY AND YG IN ADDITION PRACTICED THE YOGA, ONE HOUR DAILY FOR 3 MONTHS. ALL PATIENTS WERE ASSESSED FOR QOL, CRP, NTPROBNP, AND LVEF AT BASELINE AND AFTER 3 MONTHS. RESULTS: A SIGNIFICANT DIFFERENCE WAS OBSERVED IN ALL FOUR PARAMETERS IN THE YG AS COMPARED TO THE CG (P < 0.01) AFTER 12 WEEKS. QOL AS ASSESSED BY MINNESOTA LIVING WITH HEART FAILURE QUESTIONNAIRE SCORE IMPROVED SIGNIFICANTLY IN YG AS COMPARED TO CG (10 V/S 14, P < 0.001). THERE WAS A SIGNIFICANT IMPROVEMENT WITHIN YG IN TERMS OF LVEF (33.4-36.8, P = 0.001), AND THE PERCENTAGE CHANGE IN LVEF WAS SIGNIFICANT BETWEEN THE GROUPS (10% V/S 5%, P = 0.001). NTPROBNP ALSO SIGNIFICANTLY REDUCED BY 69.8% FROM 755 TO 220 PMOL/L IN YG AS COMPARED TO 39.3% IN CG (679-406 PMOL/L). CRP DECREASED BY 49.3% (5.36-2.73 MG/L) IN YG AND 35.8% (5.39-3.45 MG/L) IN CG. CONCLUSION: THE RESULT OF THIS PILOT STUDY SUGGESTS THAT ADDITION OF YOGA TO GUIDELINE-BASED THERAPY FOR HF PATIENTS SIGNIFICANTLY IMPROVES QOL, LVEF, AND NTPROBNP AND REDUCES CRP LEVEL. LARGER STUDIES ARE NEEDED TO CONFIRM THESE FINDINGS. 2022 12 1212 30 EXPLORING KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING YOGA AMONG PATIENTS ATTENDING CARDIOLOGY AND NEUROLOGY CLINICS IN A TERTIARY CARE HOSPITAL IN NORTHERN INDIA. BACKGROUND THE USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE, PARTICULARLY YOGA IS INCREASING IN NON-COMMUNICABLE DISEASES (NCDS). WE ASSESSED THE OVERALL AWARENESS REGARDING YOGA AMONG PATIENTS AND THEIR OPINION ABOUT IT AS AN ADJUNCT THERAPY FOR NCDS. METHODS WE INCLUDED 384 PATIENTS ATTENDING THE CARDIOLOGY AND NEUROLOGY CLINICS AT A TERTIARY CARE CENTRE IN NORTHERN INDIA. A QUESTIONNAIRE WAS DEVELOPED TO ASSESS THE KNOWLEDGE, ATTITUDE AND PRACTICE OF YOGA AS A THERAPY. RESULTS NINETY PER CENT OF PATIENTS WERE AWARE OF YOGA, MAINLY THROUGH PRINT AND ELECTRONIC MEDIA. OF THE SURVEYED PATIENTS, 22% PRACTISED YOGA. LACK OF TIME AND KNOWLEDGE WERE CITED AS THE MAIN REASONS FOR NON-PRACTICE AMONG THE NON-PRACTISING PATIENTS (88%), OF WHICH 82% BELIEVED THAT YOGA COULD BE PRACTISED ALONG WITH MODERN MEDICINE. IN ADDITION, 61% WERE READY TO ACCEPT TREATMENT IF OFFERED AT THE SURVEYED TERTIARY CARE CENTRE. CONCLUSIONS ADEQUATE KNOWLEDGE, AWARENESS AND ATTITUDE TOWARDS YOGA APPEARS TO BE PRESENT IN CONTRAST TO THE LOW PRACTICE AMONG THE PATIENT POPULATION SURVEYED. IF IMPLEMENTED IN AN INTEGRATED FASHION, THE PATIENTS WERE WILLING TO ACCEPT YOGA AS AN ADJUNCT THERAPY FOR THEIR CARDIAC AND NEUROLOGICAL DISORDERS-AN ENCOURAGING SIGN GIVEN THE BURDEN OF NCDS IN INDIA. 2022 13 2486 33 YOGA AS AN INTEGRATIVE APPROACH FOR PREVENTION AND TREATMENT OF ORAL CANCER. DESPITE TREMENDOUS ADVANCEMENTS IN MEDICINE, THE NUMBER OF ORAL CANCER CASES CONTINUES TO INCREASE, AND THE NEED FOR INTEGRATING ALTERNATE MEDICINE OR ADOPTING AN INTEGRATIVE APPROACH HAS BECOME A COMPELLING COST-EFFECTIVE REQUIREMENT FOR THE MANAGEMENT AND TREATMENT OF DISEASES. CONVENTIONAL TREATMENT OF ORAL CANCER INVOLVES SURGERY FOLLOWED BY RADIOTHERAPY WITH OR WITHOUT CHEMOTHERAPY WHICH CAUSES SEVERAL COMPLICATIONS INCLUDING POOR QUALITY OF LIFE AND HIGH CHANCES OF RECURRENCE OF CANCER. ORAL CANCER IS OFTEN LINKED WITH OBESITY WHICH IS MAJOR RISK FACTORS IN OTHER CANCERS. APART FROM OBESITY, ORAL CANCER IS THOUGHT TO HAVE AN INVERSE RELATION WITH NEURODEGENERATIVE DISORDERS PRESUMABLY BECAUSE CELL DEATH DECREASES IN THE FORMER CASE AND INCREASES IN THE LATTER. ANCIENT MIND-BODY TECHNIQUES SUCH AS YOGA HAVE NOT BEEN ADEQUATELY TESTED AS A TOOL TO SYNERGIZE THE CELLULAR EQUILIBRIUM PERTAINING TO THE TREATMENT OF ORAL CANCER. NERVE GROWTH FACTOR (NGF), TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA), AND INTERLEUKIN-6 (IL-6) ARE AMONG THE EARLY EXPERIMENTAL CELLULAR BIOMARKERS THAT MAY BE USED TO PROBE THE MODULATION OF ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS. YOGA HAS BEEN REPORTED TO INFLUENCE THESE MOLECULES IN HEALTHY INDIVIDUALS BUT WHETHER THEIR EXPRESSION CAN BE ALTERED IN PATIENTS OF ORAL CANCER BY YOGA INTERVENTION IS THE SUBJECT OF THIS RESEARCH BEING DISCUSSED IN THIS REVIEW ARTICLE. THEREFORE, THE PRESENT ARTICLE NOT ONLY REVIEWS THE CURRENT STATUS OF RESEARCH STUDIES IN ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS BUT ALSO HOW THESE ARE LINKED TO EACH OTHER AND WHY THE INVESTIGATIONS OF THE PUTATIVE NGF PATHWAY, INVOLVING TNF-ALPHA AND IL-6, COULD PROVIDE USEFUL CLUES TO UNDERSTAND THE MOLECULAR EFFECTS BROUGHT ABOUT BY YOGA INTERVENTION IN SUCH PATIENTS. 2018 14 2570 19 YOGA FOR DERMATOLOGIC CONDITIONS. AS BOTH A DERMATOLOGY RESIDENT AND YOGA INSTRUCTOR, I FIND THE POTENTIAL CORRELATION BETWEEN THE 2 DISCIPLINES TO BE INTERESTING AND A GROWING TOPIC OF ATTENTION IN THE MEDIA TODAY. WITH THE RISING TREND OF PRACTICING YOGA, WHICH ENCOMPASSES PHYSICAL POSTURES, BREATHING EXERCISES, AND MEDITATION OR MINDFULNESS, IT IS INEVITABLE THAT PATIENTS WILL INQUIRE ABOUT THE BENEFITS OF YOGA IN MANAGING DERMATOLOGIC PROBLEMS. IN THIS COLUMN, I WILL DISCUSS THE DERMATOLOGIC MANIFESTATIONS OF STRESS AS WELL AS THE KNOWN HEALTH BENEFITS OF YOGA AS DESCRIBED IN THE LITERATURE SO THAT RESIDENTS MAY OFFER AN OBJECTIVE OPINION ABOUT YOGA IN RESPONSE TO PATIENT INQUIRIES. 2015 15 1639 21 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 16 1918 25 ROLE OF YOGA AND MEDITATION AS COMPLIMENTARY THERAPEUTIC REGIME FOR STRESS-RELATED NEUROPSYCHIATRIC DISORDERS: UTILIZATION OF BRAIN WAVES ACTIVITY AS NOVEL TOOL. DURING RECENT DECADES, STRESS-RELATED NEUROPSYCHIATRIC DISORDERS SUCH AS ANXIETY, DEPRESSION, CHRONIC TENSION HEADACHE, AND MIGRAINE HAVE ESTABLISHED THEIR STRONGHOLD IN THE LIVES OF A VAST NUMBER OF PEOPLE WORLDWIDE. IN ORDER TO ADDRESS THIS GLOBAL PHENOMENON, INTENSIVE STUDIES HAVE BEEN CARRIED OUT LEADING TO THE ADVANCEMENT OF DRUGS LIKE ANTI-DEPRESSANTS, ANXIOLYTICS, AND ANALGESICS WHICH ALTHOUGH HELP IN COMBATING THE SYMPTOMS OF SUCH DISORDERS BUT ALSO CREATE LONG-TERM SIDE EFFECTS. THUS, AS AN ALTERNATIVE TO SUCH CLINICAL PRACTICES, VARIOUS COMPLEMENTARY THERAPIES SUCH AS YOGA AND MEDITATION HAVE BEEN PROVED TO BE EFFECTIVE IN ALLEVIATING THE CAUSES AND SYMPTOMS OF DIFFERENT NEUROPSYCHIATRIC DISORDERS. THE ROLE OF ALTERED BRAIN WAVES IN THIS CONTEXT HAS BEEN RECOGNIZED AND NEEDS TO BE PURSUED AT THE HIGHEST LEVEL. THUS, THE CURRENT STUDY PROVIDES A REVIEW FOCUSED ON DESCRIBING THE EFFECTS OF YOGA AND MEDITATION ON ANXIETY AND DEPRESSION AS WELL AS EXPLORING BRAIN WAVES AS A TOOL FOR ASSESSING THE POTENTIAL OF THESE COMPLEMENTARY THERAPIES FOR SUCH DISORDERS. 2020 17 2298 19 THERAPEUTIC ROLE OF YOGA IN TYPE 2 DIABETES. YOGA ORIGINATED IN INDIA MORE THAN 5,000 YEARS AGO AND IS A MEANS OF BALANCING AND HARMONIZING THE BODY, MIND, AND EMOTIONS. YOGA PRACTICE IS USEFUL IN THE MANAGEMENT OF VARIOUS LIFESTYLE DISEASES, INCLUDING TYPE 2 DIABETES. PSYCHO-NEURO-ENDOCRINE AND IMMUNE MECHANISMS ARE INVOLVED IN THE BENEFICIAL EFFECTS OF YOGA ON DIABETES. INCORPORATION OF YOGA PRACTICE IN DAILY LIFE HELPS TO ATTAIN GLYCAEMIC CONTROL AND REDUCES THE RISK OF COMPLICATIONS IN PEOPLE WITH DIABETES. IN THIS REVIEW, WE BRIEFLY DESCRIBE THE ROLE OF VARIOUS YOGA PRACTICES IN THE MANAGEMENT OF DIABETES BASED ON EVIDENCE FROM VARIOUS CLINICAL STUDIES. 2018 18 320 19 AN INTRODUCTION TO KUNDALINI YOGA MEDITATION TECHNIQUES THAT ARE SPECIFIC FOR THE TREATMENT OF PSYCHIATRIC DISORDERS. THE ANCIENT SYSTEM OF KUNDALINI YOGA INCLUDES A VAST ARRAY OF MEDITATION TECHNIQUES AND MANY WERE DISCOVERED TO BE SPECIFIC FOR TREATING THE PSYCHIATRIC DISORDERS AS WE KNOW THEM TODAY. ONE SUCH TECHNIQUE WAS FOUND TO BE SPECIFIC FOR TREATING OBSESSIVE-COMPULSIVE DISORDER (OCD), THE FOURTH MOST COMMON PSYCHIATRIC DISORDER, AND THE TENTH MOST DISABLING DISORDER WORLDWIDE. TWO PUBLISHED CLINICAL TRIALS ARE DESCRIBED HERE FOR TREATING OCD USING A SPECIFIC KUNDALINI YOGA PROTOCOL. THIS OCD PROTOCOL ALSO INCLUDES TECHNIQUES THAT ARE USEFUL FOR A WIDE RANGE OF ANXIETY DISORDERS, AS WELL AS A TECHNIQUE SPECIFIC FOR LEARNING TO MANAGE FEAR, ONE FOR TRANQUILIZING AN ANGRY MIND, ONE FOR MEETING MENTAL CHALLENGES, AND ONE FOR TURNING NEGATIVE THOUGHTS INTO POSITIVE THOUGHTS. PART OF THAT PROTOCOL IS INCLUDED HERE AND PUBLISHED IN DETAIL ELSEWHERE. IN ADDITION, A NUMBER OF OTHER DISORDER-SPECIFIC MEDITATION TECHNIQUES ARE INCLUDED HERE TO HELP BRING THESE TOOLS TO THE ATTENTION OF THE MEDICAL AND SCIENTIFIC COMMUNITY. THESE TECHNIQUES ARE SPECIFIC FOR PHOBIAS, ADDICTIVE AND SUBSTANCE ABUSE DISORDERS, MAJOR DEPRESSIVE DISORDERS, DYSLEXIA, GRIEF, INSOMNIA AND OTHER SLEEP DISORDERS. 2004 19 1817 15 PROPOSED IDENTIFICATION OF PHYSIOLOGICAL CLASSIFICATION AND THEORETICAL MECHANISMS OF YOGASANAS. YOGA IN THE THEORETICAL AND PRACTICAL FORM IS NOW ACCEPTED ALL OVER THE WORLD, BY THE RESEARCHERS AS WELL AS BY THE GENERAL POPULATION. YOGASANA OR YOGIC POSTURES ARE ONE OF THE MAIN FOUNDATIONS OF PRACTICAL YOGA. MECHANISMS OF MEDIATION AND PRANAYAMA HAS ALREADY BEEN ESTABLISHED. IN THIS ARTICLE, THE AUTHOR IS FOR THE FIRST TIME PROPOSING PHYSIOLOGICAL CLASSIFICATION OF YOGASANA I.E. (A) STRETCH (B) CONTRACTION (C). NEUROMUSCULAR COORDINATION (D) SENSE REDUCTION (E) SPINE BRAIN ACTIVATION. IN SUPPORT OF THIS PHYSIOLOGICAL CLASSIFICATION AUTHOR HAS PROPOSED FIVE HYPOTHETICAL THEORIES I.E. (I) STRETCH RELAXATION AWARENESS (II) CONTRACTION RELAXATION AWARENESS (III) BALLASTIC CONTRACTION RELAXATION AWARENESS (IV) SENSORY MOTOR FUNCTION AWARENESS AND (V) VITAL ENERGY FLOW AWARENESS TO UNDERSTAND THE UNDERLYING MECHANISMS OF YOGASANA PRACTICE AND TO EXPLAIN ITS BENEFITS. 2021 20 1640 30 MOLECULAR SIGNATURE OF THE IMMUNE RESPONSE TO YOGA THERAPY IN STRESS-RELATED CHRONIC DISEASE CONDITIONS: AN INSIGHT. THE WORLD HEALTH ORGANIZATION DEFINES HEALTH AS COMPLETE WELL-BEING IN TERMS OF PHYSICAL, MENTAL AND SOCIAL, AND NOT MERELY THE ABSENCE OF DISEASE. TO ATTAIN THIS, INDIVIDUAL SHOULD ADAPT AND SELF-MANGE THE SOCIAL, PHYSICAL AND EMOTIONAL CHALLENGES OF LIFE. EXPOSURE TO CHRONIC STRESS DUE TO URBANIZATION, WORK STRESS, NUCLEAR FAMILY, POLLUTION, UNHEALTHY FOOD HABITS, LIFESTYLE, ACCIDENTAL DEATH IN THE FAMILY, AND NATURAL CALAMITIES ARE THE TRIGGERING FACTORS, LEADING TO HORMONAL IMBALANCE AND INFLAMMATION IN THE TISSUE. THE RELATIONSHIP BETWEEN STRESS AND ILLNESS IS COMPLEX; ALL CHRONIC ILLNESSES SUCH AS CARDIOVASCULAR DISEASE AND ASTHMA HAVE THEIR ROOT IN CHRONIC STRESS ATTRIBUTED BY INFLAMMATION. IN RECENT TIMES, YOGA THERAPY HAS EMERGED AS AN IMPORTANT COMPLEMENTARY ALTERNATIVE MEDICINE FOR MANY HUMAN DISEASES. YOGA THERAPY HAS A POSITIVE IMPACT ON MIND AND BODY; IT ACTS BY INCORPORATING APPROPRIATE BREATHING TECHNIQUES AND MINDFULNESS TO ATTAIN CONSCIOUS DIRECTION OF OUR AWARENESS OF THE PRESENT MOMENT BY MEDITATION, WHICH HELPS ACHIEVE HARMONY BETWEEN THE BODY AND MIND. STUDIES HAVE ALSO DEMONSTRATED THE IMPORTANT REGULATORY EFFECTS OF YOGA THERAPY ON BRAIN STRUCTURE AND FUNCTIONS. DESPITE THESE ADVANCES, THE CELLULAR AND MOLECULAR MECHANISMS BY WHICH YOGA THERAPY RENDERS ITS BENEFICIAL EFFECTS ARE INADEQUATELY KNOWN. A GROWING BODY OF EVIDENCE SUGGESTS THAT YOGA THERAPY HAS IMMUNOMODULATORY EFFECTS. HOWEVER, THE PRECISE MECHANISTIC BASIS HAS NOT BEEN ADDRESSED EMPIRICALLY. IN THIS REVIEW, WE HAVE ATTEMPTED TO HIGHLIGHT THE EFFECT OF YOGA THERAPY ON IMMUNE SYSTEM FUNCTIONING WITH AN AIM TO IDENTIFY IMPORTANT IMMUNOLOGICAL SIGNATURES THAT INDEX THE EFFECT OF YOGA THERAPY. TOWARD THIS, WE HAVE SUMMARIZED THE AVAILABLE SCIENTIFIC EVIDENCE SHOWING POSITIVE IMPACTS OF YOGA THERAPY. FINALLY, WE HAVE EMPHASIZED THE EFFICACY OF YOGA IN IMPROVING PHYSICAL AND MENTAL WELL-BEING. YOGA HAS BEEN A PART OF INDIAN CULTURE AND TRADITION FOR LONG; NOW, THE TIME HAS COME TO SCIENTIFICALLY VALIDATE THIS AND IMPLEMENT THIS AS AN ALTERNATIVE TREATMENT METHOD FOR STRESS-RELATED CHRONIC DISEASE. 2020