1 1532 125 IYENGAR YOGA THERAPY INTERVENTION FOR ISCHIAL PRESSURE ULCERS IN A PATIENT WITH AMYOTROPHIC LATERAL SCLEROSIS: A CASE STUDY. BACKGROUND: ALTHOUGH SOME RESEARCH SUGGESTS THAT THE FORMATION OF PRESSURE ULCERS IS RARE IN PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS (ALS), SEVERAL PATIENTS HAVE NONETHELESS DEVELOPED THIS PROBLEM. TO DATE, HOWEVER, NO CASE REPORTS IN THE LITERATURE HAVE DESCRIBED PATIENTS WITH ALS WHO DEVELOP ISCHIAL PRESSURE ULCERS. OUTSIDE OF THE ALS LITERATURE, EVIDENCE SUGGESTS THAT ISCHIAL PRESSURE ULCERS FREQUENTLY DEVELOP IN WHEELCHAIR USERS AND ALSO IN PATIENTS TREATED IN VARIOUS HEALTH CARE SETTINGS. CASE DESCRIPTION: A PATIENT DIAGNOSED WITH ALS REPORTED THE DEVELOPMENT OF ISCHIAL PRESSURE ULCERS AFTER CONSISTENT IMMOBILITY FOR 1 YEAR (32 MONTHS AFTER HER ALS DIAGNOSIS). THIS PATIENT, WHO WAS SITTING ON THE WOUNDS, WAS TREATED WITH OINTMENT AND MORPHINE; THE LATTER WAS INEFFECTIVE IN CONTROLLING THE PAIN. MOVING THE PATIENT FROM SITTING TO SUPINE, LATERAL, OR SEMILATERAL POSITIONS, EITHER ON THE BED OR WHEELCHAIR, TO SEPARATE THE ULCERS FROM THE SURFACE OF THE CHAIR OR BED WAS DEEMED IMPOSSIBLE BECAUSE OF EXAGGERATION OF OTHER SYMPTOMS, INCLUDING SHORTNESS OF BREATH AND PAIN IN OTHER PARTS OF THE BODY. A NEW METHOD OF POSTURAL ALIGNMENT WAS DEVELOPED TO ALLEVIATE THE PAIN ASSOCIATED WITH THE PRESSURE ULCER. THIS METHOD, IYENGAR YOGA THERAPY, WHICH USES PROPS TO REPOSITION A PATIENT, ALLEVIATED PAIN AND HEALING OF TWO PRESSURE ULCERS OF THE PATIENT AFTER 3 WEEKS OF STARTING THIS INTERVENTION. CONCLUSION: ALTHOUGH THE ISCHIAL PRESSURE ULCERS WERE SUCCESSFULLY TREATED IN A PATIENT WITH ALS, FURTHER STUDY IS NECESSARY TO INVESTIGATE THE EFFECTIVENESS OF THIS POSTURAL ALIGNMENT INTERVENTION IN ALS AND OTHER PATIENT POPULATIONS FOR THE MANAGEMENT OF ISCHIAL PRESSURE ULCERS. 2015 2 140 25 A PROSPECTIVE STUDY ON TYPE-2 DIABETIC COMPLICATIONS AND EFFICACY OF INTEGRATED YOGA: A PAN INDIA 2017. BACKGROUND: TYPE 2 DIABETES (T2DM) CONTRIBUTES TO HIGH MORTALITY AND MORBIDITY BECAUSE OF ITS MAJOR COMPLICATIONS RELATED TO KIDNEY, HEART, BRAIN, AND EYES. IT ALSO POSES A HIGH RISK FOR MORTALITY BECAUSE OF COVID-19. STUDIES SUGGEST THE POSSIBLE IMPLICATIONS OF YOGA IN DELAYING OR ATTENUATING SUCH COMPLICATIONS. METHODOLOGY: THIS WAS A PAN-INDIA MULTI CENTERED CLUSTER-RANDOMIZED (4 LEVEL) TWO-ARMED TRIAL IN THE RURAL AND URBAN POPULATION OF ALL POPULOUS STATES OF INDIA. DATA WERE OBTAINED USING MOBILE APP IN ALL ADULTS IN THE HOUSEHOLD OF THE SELECTED CLUSTERS. RESULTS: WE REPORT THE DIABETES RELATED COMPLICATIONS IN 16623 ADULTS (48% MALES, 52% FEMALES) FROM 65 DISTRICTS (1 IN 10 DISTRICTS, 2011 CENSUS) OF 29 (OUT OF 35) STATES AND UNION TERRITORIES OF INDIA; MEAN AGE WAS 48.2 +/- 12.46 YEARS. OUT OF THIS 40% LIVED IN RURAL AND 62% IN URBAN LOCATIONS. IN HIGH RISK DIABETES INDIVIDUALS (SCORED >/= 60 POINTS ON INDIAN DIABETES RISK SCORE KEY), 18.0% HAD SELF-REPORTED HISTORY OF (PERIPHERAL NEUROPATHY, 6.1% HAD H/O MAJOR STROKES, 5.5% HAD MINOR STROKES (TRANSIENT ISCHEMIC EPISODES), 18.1% HAD LOWER LIMB CLAUDICATION, 20.5% LEG ULCERS, 4.4% HAD H/O CARDIAC SURGERY, 4.8% ANGIOPLASTY, AND 15.1% HAD DIABETES RETINOPATHY. COMPLICATIONS WERE HIGHER IN RURAL THAN IN URBAN AREAS, HIGHER IN PEOPLE WITH EXTENDED DURATION OF DIABETES. INTEGRATED YOGA MODULE FOR THREE MONTHS (ONE HOUR DAILY) SHOWED SIGNIFICANTLY BETTER REDUCTION IN SYMPTOMS RELATED TO COMPLICATIONS AS COMPARED TO CONTROL GROUP (P < .001). CONCLUSION: THE ALARMING HIGH PREVALENCE OF COMPLICATIONS IN DIABETES POPULATION CALLS FOR URGENT ACTION, WHERE YOGA MAY SHOW THE BENEFITS IN REDUCTION OF SYMPTOMS OF COMPLICATIONS. 2021 3 2261 23 THE PRECEDENCE AND VIABILITY OF YOGA IN THE LIVES OF D3-DENTAL STUDENTS, DENTAL PRACTITIONERS, AND DENTAL PATIENTS. DENTISTRY AS A PROFESSION IS QUITE DEMANDING AND CHALLENGING AND IS ALSO ASSOCIATED WITH OCCUPATIONAL HAZARDS LIKE MUSCULOSKELETAL DISORDERS AND STRESS-RELATED PROBLEMS. THE PRACTICE OF YOGA HAS BEEN PROVEN TO BE EFFICACIOUS IN MANAGEMENT OF QUITE A LOT OF STRESS AND LIFESTYLE DISORDERS. IT STRENGTHENS ONE PHYSICALLY, MENTALLY, AND EMOTIONALLY. MOREOVER, YOGA CAN ALSO BE USED IN THE MANAGEMENT OF DENTAL PATIENTS FOR STRESS-RELATED ORAL CONDITIONS LIKE LICHEN PLANUS, BURNING MOUTH SYNDROME, APHTHOUS ULCERS, ETC., YOGA HAS ALSO BEEN FOUND TO HAVE ANTIINFLAMMATORY, ANTIANXIETY EFFECT, AND ALSO A LOT OF OTHER BENEFICIAL EFFECTS. THIS REVIEW EMPHASIZES ON THE RELEVANCE OF YOGA IN THE DENTAL PROFESSION, FROM THE PRACTITIONERS, STUDENTS, AND PATIENTS VIEWPOINT. DATA PERTAINING TO THE SUBJECT WAS OBTAINED AFTER A THOROUGH SEARCH OF THE PUBMED LITERATURE AND GOOGLE SEARCH ENGINE. 2019 4 783 27 EFFECT OF YOGA BASED LIFESTYLE INTERVENTION ON STATE AND TRAIT ANXIETY. CONSIDERABLE EVIDENCE EXISTS FOR THE PLACE OF MIND BODY MEDICINE IN THE TREATMENT OF ANXIETY DISORDERS. EXCESSIVE ANXIETY IS MALADAPTIVE. IT IS OFTEN CONSIDERED TO BE THE MAJOR COMPONENT OF UNHEALTHY LIFESTYLE THAT CONTRIBUTES SIGNIFICANTLY TO THE PATHOGENESIS OF NOT ONLY PSYCHIATRIC BUT ALSO MANY OTHER SYSTEMIC DISORDERS. AMONG THE APPROACHES TO REDUCE THE LEVEL OF ANXIETY HAS BEEN THE SEARCH FOR HEALTHY LIFESTYLES. THE AIM OF THE STUDY WAS TO STUDY THE SHORT-TERM IMPACT OF A COMPREHENSIVE BUT BRIEF LIFESTYLE INTERVENTION, BASED ON YOGA, ON ANXIETY LEVELS IN NORMAL AND DISEASED SUBJECTS. THE STUDY WAS THE RESULT OF OPERATIONAL RESEARCH CARRIED OUT IN THE INTEGRAL HEALTH CLINIC (IHC) AT THE DEPARTMENT OF PHYSIOLOGY OF ALL INDIA INSTITUTE OF MEDICAL SCIENCES. THE SUBJECTS HAD HISTORY OF HYPERTENSION, CORONARY ARTERY DISEASE, DIABETES MELLITUS, OBESITY, PSYCHIATRIC DISORDERS (DEPRESSION, ANXIETY, 'STRESS'), GASTROINTESTINAL PROBLEMS (NON ULCER DYSPEPSIA, DUODENAL ULCERS, IRRITABLE BOWEL DISEASE, CROHN'S DISEASE, CHRONIC CONSTIPATION) AND THYROID DISORDERS (HYPERTHYROIDISM AND HYPOTHYROIDISM). THE INTERVENTION CONSISTED OF ASANAS, PRANAYAMA, RELAXATION TECHNIQUES, GROUP SUPPORT, INDIVIDUALIZED ADVICE, AND LECTURES AND FILMS ON PHILOSOPHY OF YOGA, THE PLACE OF YOGA IN DAILY LIFE, MEDITATION, STRESS MANAGEMENT, NUTRITION, AND KNOWLEDGE ABOUT THE ILLNESS. THE OUTCOME MEASURES WERE ANXIETY SCORES, TAKEN ON THE FIRST AND LAST DAY OF THE COURSE. ANXIETY SCORES, BOTH STATE AND TRAIT ANXIETY WERE SIGNIFICANTLY REDUCED. AMONG THE DISEASED SUBJECTS SIGNIFICANT IMPROVEMENT WAS SEEN IN THE ANXIETY LEVELS OF PATIENTS OF HYPERTENSION, CORONARY ARTERY DISEASE, OBESITY, CERVICAL SPONDYLITIS AND THOSE WITH PSYCHIATRIC DISORDERS. THE OBSERVATIONS SUGGEST THAT A SHORT EDUCATIONAL PROGRAMME FOR LIFESTYLE MODIFICATION AND STRESS MANAGEMENT LEADS TO REMARKABLE REDUCTION IN THE ANXIETY SCORES WITHIN A PERIOD OF 10 DAYS. 2006 5 1531 51 IYENGAR YOGA THERAPY AS AN INTERVENTION FOR CRAMP MANAGEMENT IN INDIVIDUALS WITH AMYOTROPHIC LATERAL SCLEROSIS: THREE CASE REPORTS. OBJECTIVES: PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS (ALS), A NEURODEGENERATIVE DISEASE OF MOTOR NEURONS, EXPERIENCE CRAMPS AT ALL STAGES OF THE ILLNESS. THERE IS, AT PRESENT, NO EFFECTIVE MEDICATION TO CONTROL THE CRAMPS AND NO AGREEMENT ON HOW TO TREAT THE SYMPTOM IN ALS PATIENTS. SUBJECTS: THREE INDIVIDUALS WHO WERE DIAGNOSED WITH ALS AND REPORTED SUFFERING CRAMPS IN VARIOUS PARTS OF THE BODY, WHICH LIMITED THEIR ACTIVITIES OR AFFECTED THEIR SLEEP WERE INVITED TO TRY IYENGAR YOGA. INTERVENTION AND OUTCOME: YOGA THERAPY, COMPOSED OF STRETCHING, BREATHING, AND RELAXATION EXERCISES, WAS PRESCRIBED FOR EACH CASE, BASED ON THE SUBJECT'S PHYSICAL DISABILITY AND THE PRESENCE OF OTHER SYMPTOMS. ALTHOUGH TWO SUBJECTS EXPERIENCED CRAMPS DURING THE FIRST THERAPY SESSION, ALL THREE SUBJECTS REPORTED THE COMPLETE CESSATION OF CRAMPING WITHIN 3 WEEKS TO 8 WEEKS OF THERAPY. ONE OF THE SUBJECTS DEVELOPED CRAMPS IN THE HAND AFTER DISCONTINUING YOGA THERAPY FOR 7 MONTHS. HOWEVER, THE SYMPTOM STOPPED WITHIN 2 WEEKS OF RESUMING YOGA THERAPY. CONCLUSION: THE ALLEVIATION OF CRAMPS IN THESE THREE SUBJECTS INDICATES THE POSSIBILITY OF YOGIC INTERVENTION FOR THE MANAGEMENT OF CRAMPS IN INDIVIDUALS WITH ALS, BUT FURTHER RESEARCH IS NECESSARY TO UNDERSTAND THE EFFECTIVENESS OF YOGA THERAPY AND TO DETERMINE THE EXERCISES THAT ARE MORE PRONE TO LEAD TO CRAMPING IN SOME ALS INDIVIDUALS. 2014 6 1911 20 ROLE OF AYURVEDA AND YOGA-BASED LIFESTYLE IN THE COVID-19 PANDEMIC - A NARRATIVE REVIEW. THE COVID-19 PANDEMIC HAS POSED AN IMMENSE CHALLENGE TO HEALTH CARE SYSTEMS AROUND THE GLOBE IN TERMS OF LIMITED HEALTH CARE FACILITIES AND PROVEN MEDICAL THERAPEUTICS TO ADDRESS THE SYMPTOMS OF THE INFECTION. THE CURRENT HEALTH CARE STRATEGIES ARE PRIMARILY FOCUSED ON EITHER THE PATHOGEN OR THE ENVIRONMENTAL FACTORS. HOWEVER, EFFORTS TOWARDS STRENGTHENING THE HOST IMMUNITY ARE IMPORTANT FROM PUBLIC HEALTH PERSPECTIVE TO PREVENT THE SPREAD OF INFECTION AND DOWNREGULATE THE POTENCY OF THE INFECTIOUS AGENT. WHILE A VACCINE CAN INDUCE SPECIFIC IMMUNITY IN THE HOST, NON-SPECIFIC WAYS OF IMPROVING OVERALL HOST IMMUNITY ARE NEEDED AS WELL. THIS SCENARIO HAS PAVED THE WAY FOR THE USE OF TRADITIONAL INDIAN THERAPIES SUCH AS AYURVEDA AND YOGA. THIS REVIEW AIMS AT COLLATING AVAILABLE EVIDENCE ON AYURVEDA, YOGA, AND COVID-19. FURTHER, IT DRAWS INFERENCES FROM RECENT STUDIES ON YOGA AND AYURVEDA ON IMMUNITY, RESPIRATORY HEALTH, AND MENTAL HEALTH RESPECTIVELY TO APPROXIMATE ITS PROBABLE ROLE IN PROPHYLAXIS AND AS AN ADD-ON MANAGEMENT OPTION FOR THE CURRENT PANDEMIC. 2022 7 921 26 EFFECTIVENESS OF YOGA AS THE PUBLIC HEALTH INTERVENTION MODULE IN THE MANAGEMENT OF DIABETES AND DIABETES ASSOCIATED DEMENTIA IN SOUTH EAST ASIA: A NARRATIVE REVIEW. BACKGROUND: DIABETES MELLITUS (DM) IS WIDELY SPREAD IN SOUTH ASIAN (ASEAN) AND INDIAN SUB-CONTINENT. THE INCREASING HEALTHCARE COSTS OF DM CAN BE PREVENTED IN THE DEVELOPING WORLD BY IMPROVED PUBLIC HEALTHCARE INTERVENTIONS. MODIFIABLE RISK FACTORS OF DM LIKE SEDENTARY LIFESTYLE, OBESITY, AND STRESSFUL CONDITIONS ARE ASSOCIATED WITH ITS PROGRESSION; HOWEVER, THE EPIDEMIOLOGICAL DATA COLLECTED BY PUBLIC INSTITUTIONS ARE LIMITED. SUMMARY: A REVIEW OF PUBLISHED LITERATURE DESCRIBING GEOGRAPHIC DISTRIBUTION OF DM AND ASSOCIATED DEMENTIA IN SOUTH ASIAN REGION, PARTICULARLY INDIA, WAS CONDUCTED WITH THE PURPOSE OF ASSESSING THE FEASIBILITY AND CHALLENGES ASSOCIATED WITH THE YOGA-BASED RISK REDUCTION. PUBMED AND GOOGLE SCHOLAR DATABASES WERE SEARCHED FOR DM AND DEMENTIA-RELATED ARTICLES BY USING A COMBINATION OF KEYWORDS: DIABETES, DIABETES RELATED DEMENTIA SOUTHEAST ASIA, PRE-DIABETES, YOGA, LIFESTYLE MODIFICATION, DEMENTIA AND EXERCISE. THE EPIDEMIOLOGICAL DATA GENERATED FROM THESE DISEASES HAVE NOT PROMPTED TO ANY MAJOR PUBLIC HEALTH POLICIES. YOGA CAN BE A COST-EFFECTIVE INTERVENTION FOR THE PREVENTION OF TYPE 2 DM (T2DM) AND ITS ASSOCIATED COGNITIVE DECLINE WHEN DETECTED EARLY. IF NATIONWIDE INTERVENTION OF YOGA IS BROUGHT ABOUT BY THE STATE, ITS INTEGRATION IN HEALTH CARE WILL BECOME MORE MEANINGFUL AND ACCEPTABLE. KEY MESSAGE: STUDIES SUGGEST THAT YOGA AND CHANGE IN LIFESTYLE CAN MODIFY THE HEALTH RISKS ASSOCIATED WITH T2DM AND ASSOCIATED DEMENTIA IF IT IS MAINSTREAMED WITH THE PUBLIC HEALTH INITIATIVE OF AYUSHMAN BHARAT SCHEME. 2020 8 94 23 A NARRATIVE REVIEW ON ROLE OF YOGA AS AN ADJUVANT IN THE MANAGEMENT OF RISK FACTOR, DISEASE PROGRESSION AND THE COMPLICATIONS OF TYPE 2 DIABETES MELLITUS. TYPE 2 DIABETES MELLITUS (T2DM) IS ONE OF THE MAJOR HEALTH PROBLEMS IN THE WORLD AS WELL AS IN INDIA THAT GREATLY AFFECTS THE HEALTH CARE SECTOR AND ECONOMY. USE OF DRUGS HAS ITS OWN DRAWBACKS AND IN RECENT DAYS THE USE OF NON-MEDICAL MEASURES WERE REPORTED NOT ONLY TO MANAGE T2DM, BUT ALSO TO PREVENT ITS COMPLICATIONS. THROUGH THERE ARE VARIOUS REVIEW ARTICLES THAT ARE DEALING WITH THE EFFECT OF YOGA ON RISK PROFILES, MANAGEMENT ALONG WITH THE MECHANISMS OF ACTION OF YOGA IN T2DM SEPARATELY, THERE IS A LACK OF COMPREHENSIVE REVIEW ON THE EFFECT OF YOGA IN COMBINATION WITH ALL THE ABOVE MENTIONED INCLUDING THE EFFECT OF YOGA IN THE MANAGEMENT OF T2DM COMPLICATIONS. HENCE, WE PERFORMED A NARRATIVE REVIEW IN MEDLINE/PUBMED USING KEYWORD "YOGA AND DIABETES". ALL THE RELEVANT ARTICLES PUBLISHED TILL 08TH NOVEMBER 2016 WERE INCLUDED. BASED ON THE AVAILABLE LITERATURE, IT COULD BE CONCLUDED THAT YOGA PLAYS A VITAL ROLE AS AN ADJUVANT IN THE MANAGEMENT OF RISK FACTORS, DISEASE PROGRESSION AND THE COMPLICATIONS OF THE T2DM. FURTHER STUDIES ARE WARRANTED USING STANDARD RESEARCH DESIGNS AND VARIABLES TO FIND OUT THE VARIOUS MECHANISMS OF EFFECTS OF YOGA IN DETAIL. 2017 9 1669 23 NEUROPHYSIOLOGICAL AND NEUROCOGNITIVE MECHANISMS UNDERLYING THE EFFECTS OF YOGA-BASED PRACTICES: TOWARDS A COMPREHENSIVE THEORETICAL FRAMEWORK. DURING RECENT DECADES NUMEROUS YOGA-BASED PRACTICES (YBP) HAVE EMERGED IN THE WEST, WITH THEIR AIMS RANGING FROM FITNESS GAINS TO THERAPEUTIC BENEFITS AND SPIRITUAL DEVELOPMENT. YOGA IS ALSO BEGINNING TO SPARK GROWING INTEREST WITHIN THE SCIENTIFIC COMMUNITY, AND YOGA-BASED INTERVENTIONS HAVE BEEN ASSOCIATED WITH MEASUREABLE CHANGES IN PHYSIOLOGICAL PARAMETERS, PERCEIVED EMOTIONAL STATES, AND COGNITIVE FUNCTIONING. YBP TYPICALLY INVOLVE A COMBINATION OF POSTURES OR MOVEMENT SEQUENCES, CONSCIOUS REGULATION OF THE BREATH, AND VARIOUS TECHNIQUES TO IMPROVE ATTENTIONAL FOCUS. HOWEVER, SO FAR LITTLE IF ANY RESEARCH HAS ATTEMPTED TO DECONSTRUCT THE ROLE OF THESE DIFFERENT COMPONENT PARTS IN ORDER TO BETTER UNDERSTAND THEIR RESPECTIVE CONTRIBUTION TO THE EFFECTS OF YBP. A CLEAR OPERATIONAL DEFINITION OF YOGA-BASED THERAPEUTIC INTERVENTIONS FOR SCIENTIFIC PURPOSES, AS WELL AS A COMPREHENSIVE THEORETICAL FRAMEWORK FROM WHICH TESTABLE HYPOTHESES CAN BE FORMULATED, IS THEREFORE NEEDED. HERE WE PROPOSE SUCH A FRAMEWORK, AND OUTLINE THE BOTTOM-UP NEUROPHYSIOLOGICAL AND TOP-DOWN NEUROCOGNITIVE MECHANISMS HYPOTHESIZED TO BE AT PLAY IN YBP. 2015 10 2298 18 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 11 2879 16 YOGA. YOGA IS AN ANCIENT TRADITION THAT HAS BEEN WESTERNIZED AND OFTEN PRACTICED FOR ITS PROPOSED HEALTH BENEFITS. TRADITIONAL TEXTS DESCRIBE ITS BENEFITS FOR MANY TYPES OF ARTHRITIS. TWO LIMITED STUDIES OF YOGA IN OSTEOARTHRITIS OF THE HANDS AND CARPAL TUNNEL SYNDROME SHOW GREATER IMPROVEMENT IN PAIN THAN IN CONTROL GROUPS. YOGA USES STRETCHING AND IMPROVES STRENGTH SO THAT IT THEORETICALLY SHOULD BE BENEFICIAL FOR SOME MUSCULOSKELETAL PROBLEMS. YOGA MERITS FURTHER STUDY INTO ITS CELLULAR AND PHYSIOLOGIC EFFECTS. 2000 12 2057 21 THE BENEFITS OF YOGA FOR ADULTS WITH TYPE 2 DIABETES: A REVIEW OF THE EVIDENCE AND CALL FOR A COLLABORATIVE, INTEGRATED RESEARCH INITIATIVE. TYPE 2 DIABETES (T2DM) IS A GLOBAL PUBLIC HEALTH CRISIS. RESEARCH SUGGESTS THAT YOGA HOLDS PROMISE FOR T2DM MANAGEMENT. THIS ARTICLE SUMMARIZES EVIDENCE REGARDING THE EFFICACY OF YOGA FOR T2DM MANAGEMENT AND ENCOURAGES THE DEVELOPMENT OF AN INTEGRATED RESEARCH AGENDA AND A COLLABORATIVE WORK GROUP TO TEST IT. WE PRESENT A BRIEF OVERVIEW OF THE GLOBAL RISE IN T2DM AND ITS CONSEQUENCES AND COSTS, REVIEW THE EVIDENCE REGARDING THE POTENTIAL BENEFITS OF YOGA FOR T2DM MANAGEMENT, OUTLINE LIMITATIONS IN THE LITERATURE, DISCUSS POSSIBLE MECHANISMS UNDERLYING THE EFFECTS OF YOGA ON T2DM, AND SUGGEST HOW A COLLABORATIVE, MULTINATIONAL EFFORT BY YOGA THERAPIST AND RESEARCH COMMUNITIES MIGHT CONTRIBUTE TO RESEARCH AND INFORM CLINICAL PRACTICE. YOGA PROTOCOLS THAT SERVE T2DM PATIENTS AND A RESEARCH FRAMEWORK FOR CREATING AN EVIDENCE BASE TO SUPPORT THE USE OF YOGA FOR T2DM MANAGEMENT ARE CLEARLY NEEDED. 2013 13 2486 29 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 1824 28 PSYCHO-NEURO-ENDOCRINE-IMMUNE MECHANISMS OF ACTION OF YOGA IN TYPE II DIABETES. YOGA HAS BEEN FOUND TO BENEFIT ALL THE COMPONENTS OF HEALTH VIZ. PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL WELL BEING BY INCORPORATING A WIDE VARIETY OF PRACTICES. PATHOPHYSIOLOGY OF TYPE II DM AND CO-MORBIDITIES IN TYPE II DM HAS BEEN CORRELATED WITH STRESS MECHANISMS. STRESS SUPPRESSES BODY'S IMMUNE SYSTEM AND NEURO-HUMORAL ACTIONS THEREBY AFF ECTING NORMAL PSYCHOLOGICAL STATE. IT WOULD NOT BE WRONG TO STATE THAT CORRELATION OF DIABETES WITH STRESS, ANXIETY AND OTHER PSYCHOLOGICAL FACTORS ARE BIDIRECTIONAL AND LEAD TO DIFFICULTY IN UNDERSTANDING THE INTERRELATED MECHANISMS. TYPE II DM CANNOT BE UNDERSTOOD IN ISOLATION WITH PSYCHOLOGICAL FACTORS SUCH AS STRESS, ANXIETY AND DEPRESSION, NEURO-ENDOCRINE AND IMMUNOLOGICAL FACTORS. THERE IS NO REVIEW WHICH TRIES TO UNDERSTAND THESE MECHANISMS EXCLUSIVELY. THE PRESENT LITERATURE REVIEW AIMS TO UNDERSTAND INTERRELATED PSYCHO-NEURO-ENDOCRINE AND IMMUNOLOGICAL MECHANISMS OF ACTION OF YOGA IN TYPE II DIABETES MELLITUS. PUBLISHED LITERATURE CONCERNING MECHANISMS OF ACTION OF YOGA IN TYPE II DM EMPHASIZING PSYCHO-NEURO-ENDOCRINE OR IMMUNOLOGICAL RELATIONS WAS RETRIEVED FROM PUBMED USING KEY WORDS YOGA, TYPE II DIABETES MELLITUS, PSYCHOLOGICAL, NEURAL, ENDOCRINE, IMMUNE AND MECHANISM OF ACTION. THOSE STUDIES WHICH EXPLAINED THE PSYCHO-NEUROENDOCRINE AND IMMUNE MECHANISMS OF ACTION OF YOGA WERE INCLUDED AND REST WERE EXCLUDED. ALTHOUGH PRIMARY AIM OF THIS STUDY IS TO EXPLAIN THESE MECHANISMS IN TYPE II DM, SOME STUDIES IN NON-DIABETIC POPULATION WHICH HAD A SIMILAR PATHWAY OF STRESS MECHANISM WAS INCLUDED BECAUSE MANY INSIGHTFUL STUDIES WERE AVAILABLE IN THAT AREA. SEARCH WAS CONDUCTED USING TERMS YOGA OR YOGIC AND DIABETES OR DIABETIC IN TITLE OR ABSTRACT FOR ENGLISH ARTICLES. OF THE 89 ARTICLES, WE EXCLUDED NON-ENGLISH ARTICLES (22), EDITORIALS (20) AND LETTERS TO EDITOR (10). 37 STUDIES WERE CONSIDERED FOR THIS REVIEW. THE POSTULATED MECHANISM OF ACTION OF YOGA IS THROUGH PARASYMPATHETIC ACTIVATION AND THE ASSOCIATED ANTI STRESS MECHANISM. IT REDUCES PERCEIVED STRESS AND HPA AXIS ACTIVATION THEREBY IMPROVING OVERALL METABOLIC AND PSYCHOLOGICAL PROFILES, INCREASING INSULIN SENSITIVITY, AND IMPROVING GLUCOSE TOLERANCE AND LIPID METABOLISM. YOGA HAS POSITIVE EFFECTS ON IMMUNE SYSTEM OF DIABETICS.- OVERALL, TYPE II DM IS INFLUENCED BY PSYCHO-NEURO-ENDOCRINE AND IMMUNE MECHANISMS WHERE YOGA HAS IMPORTANT POSITIVE ROLE IN COMBATING STRESSORS AND IMPROVING THESE SYSTEMS TO REGAIN HEALTH. 2015 15 320 17 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 16 1803 26 PREVALENCE OF DIABETES AND ITS DETERMINANTS IN THE YOUNG ADULTS INDIAN POPULATION-CALL FOR YOGA INTERVENTION. BACKGROUND: THE YOUNG INDIAN POPULATION, WHICH CONSTITUTES 65% OF THE COUNTRY, IS FAST ADAPTING TO A NEW LIFESTYLE, WHICH WAS NOT KNOWN EARLIER. THEY ARE AT A HIGH RISK OF THE INCREASING BURDEN OF DIABETES AND ASSOCIATED COMPLICATIONS. THE NEW EVOLVING LIFESTYLE IS NOT ONLY AFFECTING PEOPLE'S HEALTH BUT ALSO MOUNTING THE MONETARY BURDEN ON A DEVELOPING COUNTRY SUCH AS INDIA. AIM: WE AIMED TO COLLECT INFORMATION REGARDING THE PREVALENCE OF RISK OF DIABETES IN YOUNG ADULTS (<35 YEARS) IN THE 29 MOST POPULOUS STATES AND UNION TERRITORIES (7 ZONES) OF INDIA, USING A VALIDATED QUESTIONNAIRE. METHODS: A USER-FRIENDLY QUESTIONNAIRE-BASED SURVEY USING A MOBILE APPLICATION WAS CONDUCTED ON ALL ADULTS IN THE 29 MOST POPULOUS STATES/UNION TERRITORIES OF INDIA, AFTER OBTAINING ETHICAL CLEARANCE FOR THE STUDY. HERE, WE REPORT THE ESTIMATION OF THE PREVALENCE OF THE RISK OF DIABETES AND SELF-REPORTED DIABETES ON 58,821 YOUNG INDIVIDUALS BELOW THE AGE OF 35 YEARS. RISK FOR DIABETES WAS ASSESSED USING A STANDARDIZED INSTRUMENT, THE INDIAN DIABETES RISK SCORE (IDRS), THAT HAS 4 FACTORS (AGE, FAMILY HISTORY OF DIABETES, WAIST CIRCUMFERENCE, AND PHYSICAL ACTIVITY). SPEARMAN'S CORRELATION COEFFICIENT WAS USED TO CHECK THE CORRELATIONS. RESULTS: THE PREVALENCE OF HIGH (IDRS SCORE > 60), MODERATE (IDRS SCORE 30-50), AND LOW (IDRS < 30) DIABETES RISK IN YOUNG ADULTS (<35 YEARS) WAS 10.2%, 33.1%, AND 56.7%, RESPECTIVELY. THOSE WITH HIGH-RISK SCORES WERE HIGHEST (14.4%) IN THE JAMMU ZONE AND LOWEST (4.1%) IN THE CENTRAL ZONE. THE PREVALENCE OF SELF-REPORTED DIABETES WAS 1.8% WITH A SMALL DIFFERENCE BETWEEN MEN (1.7%) AND WOMEN (1.9%), AND THE HIGHEST (8.4%) IN THOSE WITH A PARENTAL HISTORY OF DIABETES. THE SOUTH ZONE HAD THE HIGHEST (2.5%), AND THE NORTH WEST ZONE HAD THE LOWEST (4.4%) PREVALENCE. CONCLUSIONS: INDIAN YOUTH ARE AT HIGH RISK FOR DIABETES, WHICH CALLS FOR AN URGENT ACTION PLAN THROUGH INTENSIVE EFFORTS TO PROMOTE LIFESTYLE BEHAVIOR MODIFICATIONS DURING THE PANDEMICS OF BOTH COMMUNICABLE AND NONCOMMUNICABLE DISEASES. 2020 17 2796 29 YOGA THERAPY FOR OBSESSIVE COMPULSIVE DISORDER (OCD): A CASE SERIES FROM INDIA. YOGA IS AN ANCIENT SCIENCE WHICH HAS BEEN FOUND TO BE HELPFUL IN THE MANAGEMENT OF SEVERAL PSYCHIATRIC DISORDERS INCLUDING OBSESSIVE COMPULSIVE DISORDER (OCD). YOGA AS ADD-ON TREATMENT IN OCD MAY HELP ADDRESS ISSUES LIKE PARTIAL RESPONSE AND ADVERSE EFFECTS OF MEDICATIONS. HOWEVER, RESEARCH IN THIS AREA IS SPARSE, WHICH LED US TO EXPLORE IT THROUGH THIS CASE SERIES. IN THIS CASE SERIES WE HAVE DESCRIBED THE BENEFITS OF 1 MONTH OF YOGA AS ADD-ON TREATMENT IN PATIENTS WITH OCD. ALL PATIENTS WERE ON STABLE DOSES OF MEDICATIONS PRIOR TO AND DURING YOGA PRACTICE. PRE-POST ASSESSMENTS FOR THE CORE SYMPTOMS OF OBSESSION/COMPULSIONS AS WELL AS DEPRESSIVE AND ANXIETY SYMPTOMS WERE DONE. THE ASSESSMENTS SHOWED SIGNIFICANT IMPROVEMENT IN Y-BOCS AND HAM-D SCORES AFTER 1 MONTH OF YOGA. YOGA THERAPY COULD BE AN EFFECTIVE ADD-ON THERAPY FOR THE TREATMENT OF OCD. 2021 18 1639 16 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 1773 24 POTENTIAL YOGA MODULES FOR TREATMENT OF HEMATOPOIETIC INHIBITION IN HIV-1 INFECTION. THIS ARTICLE IS EXPECTED TO CONTRIBUTE TOWARDS UNDERSTANDING THE THERAPEUTIC BENEFITS OF SPECIFIC YOGA MODULES ON THE INHIBITION OF REPLICATION AND ENHANCEMENT TO NORMAL LEVELS OF HEMATOPOIESIS IN HIV-1 INFECTED SUBJECTS. MORE UNIQUE COULD BE THE EFFECTS OF YOGA ON THE INDIRECT EFFECTS OF HIV-1 INDUCED HEMATOPOIETIC INHIBITION OF THE CD34+ PROGENITOR STEM CELLS, VIA THE CD4+ T LYMPHOCYTES. SUCH INDIRECT EFFECTS MAY BE CAUSED BY HOST CELLULAR FACTORS. YOGA PRACTICES MAY ALSO IMPROVE THE SELF RENEWAL CAPACITY (A STEP THAT PRECEDES COMMITMENT OF CD34+ PROGENITOR CELLS TO TERMINAL DIFFERENTIATION), VIA STAT5 GENE REGULATION. THIS MAY ELIMINATE THE NEED FOR CONSTITUTIVE STAT5 GENE EXPRESSION THROUGH GENE THERAPY. IN THIS ARTICLE RECENT RESEARCH AND ANCIENT INDIAN LITERATURE ARE REVIEWED TO DEVISE YOGA MODULES FOR THE POTENTIAL TREATMENT OF HEMATOPOIETIC INHIBITION IN HIV-1 INFECTION. THE POSSIBLE MECHANISMS THROUGH WHICH HEMATOPOIETIC INHIBITION MAY OCCUR IN HIV-1 INFECTED PATIENTS ARE FIRST DESCRIBED FOLLOWED BY THE ROLE OF STRESS IN THE PROGRESSION OF HIV WHERE PROBABLE INVOLVEMENT OF PSYCHO-NEURO-IMMUNOLOGICAL AXIS (PNI) IS HIGHLIGHTED. YOGA THERAPY IS INTRODUCED AND ITS EFFECTIVENESS IN TERMS OF EVIDENCE IN RELEVANT AREA IS REVIEWED. FURTHER, THE BASIC PRINCIPLES OF INTEGRATED APPROACH OF YOGA THERAPY [IAYT] ARE DESCRIBED AND DEPENDING ON THE POTENTIAL MECHANISMS THROUGH WHICH YOGA THERAPY MAY ACT, BOTH MODERN SCIENTIFIC RESEARCH AND ANCIENT "SCRIPTURAL" EVIDENCE ARE PROVIDED AT ALL THE FIVE LEVELS OF EXISTENCE (BODY, LIFE FORCE, EMOTIONAL, INTELLECTUAL AND BLISS). THIS WILL ENABLE TO DESIGN COMPREHENSIVE YOGA MODULES THAT MAY INTERVENE IN THIS INDIRECT INHIBITION OF HAEMATOPOIESIS IN HIV-1 INFECTED INDIVIDUALS AND POTENTIALLY RESTORE NORMAL LEVELS OF HAEMATOPOIESIS. 2010 20 2436 21 YOGA AND PSYCHIATRIC DISORDERS: A REVIEW OF BIOMARKER EVIDENCE. TRADITIONALLY, YOGA HAS BEEN USED AS A MEANS FOR SPIRITUAL GROWTH BUT OVER THE PAST TWO DECADES OR SO ITS THERAPEUTIC BENEFITS IN PSYCHIATRIC DISORDERS HAVE BEEN SCIENTIFICALLY EXPLORED. YOGA HAS BEEN SHOWN TO BE USEFUL AS A MONO-THERAPY IN MILD TO MODERATE DEPRESSION AND AS AN ADJUVANT IN SEVERAL PSYCHIATRIC DISORDERS INCLUDING SCHIZOPHRENIA, ANXIETY DISORDERS, SUBSTANCE USE DISORDERS AND MILD COGNITIVE IMPAIRMENT. FURTHERMORE, SYSTEMATIC ATTEMPTS HAVE BEEN MADE TO UNDERSTAND THE BIOLOGICAL CORRELATES OF YOGA IN THESE PSYCHIATRIC DISORDERS. GIVEN THAT NO PSYCHIATRIC DISORDER HAS STRONG AND ESTABLISHED BIOMARKERS, IT IS INTERESTING THAT PRELIMINARY RESEARCH HAS DEMONSTRATED SIGNIFICANT CHANGES IN CERTAIN IMPORTANT BIOMARKERS FOLLOWING REGULAR YOGA PRACTICE. IN THIS BRIEF REVIEW, WE PROVIDE AN UPDATE ON THE EFFECTS OF YOGA ON BIOCHEMICAL, NEURO-PHYSIOLOGICAL AND NEURO-IMAGING RELATED BIO-MARKERS IN PSYCHIATRIC DISORDERS. ALTHOUGH FINDINGS AND TRENDS ARE PROMISING, MUCH MORE RESEARCH IS WARRANTED TO ESTABLISH A DEFINITE BIOLOGICAL BASIS FOR YOGA IN PSYCHIATRY. 2021