1 1144 102 ELECTROMYOGRAPHIC PATTERN DURING GAIT INITIATION DIFFERENTIATES YOGA PRACTITIONERS AMONG PHYSICALLY ACTIVE OLDER SUBJECTS. DURING GAIT INITIATION, POSTURAL ADJUSTMENTS ARE NEEDED TO DEAL WITH BALANCE AND MOVEMENT. WITH AGING, GAIT INITIATION CHANGES AND REFLECTS FUNCTIONAL DEGRADATION OF FRAILTY INDIVIDUALS. HOWEVER, PHYSICAL ACTIVITIES HAVE DEMONSTRATED BENEFICIAL EFFECTS OF DAILY MOTOR TASKS. THE AIM OF OUR STUDY WAS TO COMPARE CENTER OF PRESSURE (COP) DISPLACEMENT AND ANKLE MUSCLE CO-ACTIVATION DURING GAIT INITIATION IN TWO PHYSICALLY ACTIVE GROUPS: A GROUP OF WALKERS (N = 12; MEAN AGE +/- SD 72.6 +/- 3.2 YEARS) AND A YOGA GROUP (N = 11; 71.5 +/- 3.8 YEARS). COP TRAJECTORY AND ELECTROMYOGRAPHY OF LEG MUSCLES WERE RECORDED SIMULTANEOUSLY DURING FIVE SUCCESSIVE TRIALS OF GAIT INITIATION. OUR MAIN FINDING WAS THAT YOGA PRACTITIONERS HAD SLOWER COP DISPLACEMENTS (P < 0.01) AND LOWER LEG MUSCLES % OF COACTIVATION (P < 0.01) IN COMPARISON WITH WALKERS. THESE PARAMETERS WHICH CHARACTERIZED GAIT INITIATION CONTROL WERE CORRELATED (R = 0.76; P < 0.01). OUR RESULTS EMPHASIZE THAT LENGTHY ANKLE MUSCLE CO-ACTIVATION AND COP PATH IN GAIT INITIATION DIFFERENTIATE YOGA PRACTITIONERS AMONG PHYSICALLY ACTIVE SUBJECTS. 2017 2 1013 28 EFFECTS OF ONLINE YOGA AND TAI CHI ON PHYSICAL HEALTH OUTCOME MEASURES OF ADULT INFORMAL CAREGIVERS. AIMS: THIS STUDY AIMED TO INVESTIGATE THE EFFECTS OF ONLINE VINYASA YOGA (VY) AND TAIJIFIT (12 WEEKS) IN INFORMAL CAREGIVERS (>/=18 YEARS OF AGE). METHODS: TWENTY-NINE PARTICIPANTS WERE RANDOMIZED TO TWO GROUPS: VY (N = 16, 55.87 +/- 12.31 YEARS) OR TAIJIFIT (N = 13, 55.07 +/- 12.65 YEARS). MAIN OUTCOME MEASURES: PRIOR TO AND FOLLOWING THE STUDY, ASSESSMENTS WERE MADE FOR MUSCLE STRENGTH (1-RM LEG PRESS, CHEST PRESS, AND HANDGRIP), MUSCLE ENDURANCE (LEG PRESS AND CHEST PRESS; MAXIMAL NUMBER OF REPETITIONS PERFORMED TO FATIGUE AT 80% AND 70% BASELINE 1-RM, RESPECTIVELY), ABDOMINAL ENDURANCE (MAXIMUM NUMBER OF CONSECUTIVE CURL-UPS TO FATIGUE), TASKS OF FUNCTIONALITY (DYNAMIC BALANCE AND WALKING SPEED), AND FLEXIBILITY (SIT AND REACH). RESULTS: THERE WAS A SIGNIFICANT INCREASE OVER TIME FOR MUSCLE STRENGTH, MUSCLE ENDURANCE, TASKS OF FUNCTIONALITY, AND FLEXIBILITY (P = 0.001). THE VY GROUP EXPERIENCED A GREATER IMPROVEMENT IN CHEST PRESS ENDURANCE (VY: PRE 19.25 +/- 5.90, POST 28.06 +/- 7.60 REPS; TAIJIFIT PRE 15.69 +/- 4.49, POST 21.07 +/- 5.85 REPS; P = 0.019) AND ABDOMINAL ENDURANCE (VY: PRE 37.12 +/- 31.26, POST 68.43 +/- 55.07 REPS; TAIJIFIT PRE 19.23 +/- 19.00, POST 32.07 +/- 20.87 REPS; P = 0.034) COMPARED TO THE TAIJIFIT GROUP. CONCLUSIONS: VY AND TAIJIFIT ARE EFFECTIVE FOR IMPROVING MUSCLE STRENGTH AND ENDURANCE, TASKS OF FUNCTIONALITY, AND FLEXIBILITY IN INFORMAL CAREGIVERS. VY LED TO GREATER GAINS IN CHEST PRESS ENDURANCE AND ABDOMINAL CURL-UPS. 2019 3 2289 12 THE YOGA OF RAG GTPASES: DYNAMIC STRUCTURAL POSES CONFER AMINO ACID SENSING BY MTORC1. HETERODIMERIC RAG GTPASES PLAY A CRITICAL ROLE IN RELAYING FLUCTUATING LEVELS OF CELLULAR AMINO ACIDS TO THE SENSOR MECHANISTIC TARGET OF RAPAMYCIN COMPLEX 1. IMPORTANT MECHANISTIC QUESTIONS REMAIN UNRESOLVED, HOWEVER, REGARDING HOW GUANINE NUCLEOTIDE BINDING ENABLES RAG GTPASES TO TRANSITION DYNAMICALLY BETWEEN DISTINCT YOGA-LIKE STRUCTURAL POSES THAT CONTROL ACTIVATION STATE. EGRI AND SHEN IDENTIFIED A CRITICAL INTERDOMAIN HYDROGEN BOND WITHIN RAGA AND RAGC THAT STABILIZES THEIR GDP-BOUND STATES. THEY DEMONSTRATE THAT THIS LONG-DISTANCE INTERACTION CONTROLS RAG STRUCTURE AND FUNCTION TO CONFER APPROPRIATE AMINO ACID SENSING BY MECHANISTIC TARGET OF RAPAMYCIN COMPLEX 1. 2021 4 1358 22 IMMEDIATE EFFECT OF YOGA EXERCISES FOR EYES ON THE MACULAR THICKNESS. BACKGROUND: YOGA EXERCISES FOR EYES HAVE BEEN ADVOCATED AS BENEFICIAL TO EYE HEALTH. IN A PREVIOUS STUDY, WE EVALUATED THE EFFECT OF YOGA EXERCISES FOR EYES ON THE INTRAOCULAR PRESSURE (IOP). THE OTHER ASPECTS OF THE EFFECTS OF YOGA EXERCISES FOR EYES TO OCULAR STRUCTURE HAVE NOT BEEN INVESTIGATED YET. AIM: THE AIM OF THIS STUDY IS TO EVALUATE THE EFFECT OF YOGA EXERCISES FOR EYES ON THE MACULAR STRUCTURE USING THE OPTICAL COHERENCE TOMOGRAPHY (OCT) AND OCT ANGIOGRAPHY (OCTA) PARAMETERS. METHODS: TWENTY-NINE PARTICIPANTS WERE INCLUDED IN THIS MASKED WITHIN PARTICIPANT COMPARISON OF HEALTHY CONTROLS. BASIC OPHTHALMIC EXAMINATION WAS PERFORMED, AFTER WHICH PATIENTS WERE EVALUATED FOR IOP, OCT, AND OCTA BEFORE AND AFTER YOGA EXERCISES FOR EYES. OCT/A PARAMETERS THAT WERE EVALUATED WERE: AVERAGE MACULAR THICKNESS (AMT) (MUM), CENTRAL MACULAR THICKNESS (MUM), CENTRAL CHOROIDAL THICKNESS (MUM) VESSEL DENSITY (%) IN THE SUPERFICIAL, DEEP VASCULAR LAYERS, AND IN THE CHORIOCAPILLARIS. RESULTS: IOP WAS SIGNIFICANTLY REDUCED (POSTEXERCISE IOP = 13.02 MMHG +/- 2.82 MMHG) FROM THE INITIAL VALUE (PREEXERCISE IOP = 13.86 MMHG +/- 2.85 MMHG, P = 0.02). AMT SIGNIFICANTLY INCREASED (POSTEXERCISE AMT = 275.40 MUM +/- 10.85 MUM) FROM THE PREEXERCISE MEASUREMENT (PREEXERCISE AMT = 274.41 MUM +/- 10.89 MUM; P = 0.02). CONCLUSION: AFTER YOGA OCULAR EXERCISES, IOP SIGNIFICANTLY DECREASED AND AMT SIGNIFICANTLY INCREASED IN HEALTHY CONTROLS, SUGGESTING AN EFFECT OF THESE EXERCISES ON THE MACULAR THICKNESS. 2020 5 2108 17 THE EFFECT OF YOGA ON PUBORECTALIS PARADOX. NINE PATIENTS WITH SEVERE DEFAECATION DIFFICULTIES PRIMARILY CONSIDERED TO BE DUE TO PUBORECTALIS DYSFUNCTION (PUBORECTALIS PARADOX), VERIFIED BY ELECTROMYOGRAPHY (EMG) OF THE STRIATED ANAL SPHINCTER MUSCLES, WERE OFFERED TRAINING IN YOGIC TECHNIQUES OF RELAXATION AND MUSCLE CONTROL IN ORDER TO CHANGE THE ACTIVITY OF THE PELVIC FLOOR MUSCLES DURING ATTEMPTED DEFAECATION. FIVE PATIENTS COMPLETED THE TRAINING PROGRAM OF 20 2-HOUR SESSIONS AND WERE RE-EXAMINED CLINICALLY AND WITH EMG. ONE PATIENT REGAINED A NORMAL EMG PATTERN BUT NONE OF THE PATIENTS IMPROVED CLINICALLY. 1991 6 379 11 BASILAR ARTERY OCCLUSION FOLLOWING YOGA EXERCISE: A CASE REPORT. BASILAR ARTERY OCCLUSION DEVELOPED IN A 34 YEAR OLD WOMAN 2 MONTHS AFTER ADOPTING UNUSUAL NECK POSTURES DURING YOGA PRACTICE. ON ANGIOGRAPHY, HER BASILAR ARTERY WAS FILLED WITH INTRALUMINAL CLOT WHILE THE VERTEBRAL ARTERIES WERE NORMAL. WE POSTULATE THAT A SEVERE REDUCTION IN BLOOD FLOW AND POSSIBLY AN INTIMAL TEAR TRIGGERED THROMBOSIS OF THE VERTEBRAL ARTERY AND THAT THE FINAL STROKE MECHANISM WAS ARTERY-TO-ARTERY EMBOLISM. 1993 7 1264 24 FLEXIBILITY, FUNCTIONAL AUTONOMY AND QUALITY OF LIFE (QOL) IN ELDERLY YOGA PRACTITIONERS. THE AIM OF THIS STUDY WAS TO ASSESS THE LEVELS OF FLEXIBILITY, FUNCTIONAL AUTONOMY AND QOL IN ELDERLY YOGA PRACTITIONERS. THE SUBJECTS WERE DIVIDED INTO A YOGA GROUP (YG; N = 52; AGE = 66.79 +/- 3.30 YEARS; BMI = 24.77 +/- 3.18) AND CONTROL GROUP (CG; N = 31; AGE = 69.33 +/- 4.84 YEARS; BMI = 24.32 +/- 3.71) AND SUBMITTED TO FLEXIBILITY TESTS THROUGH GONIOMETRY, THE LADEG AUTONOMY PROTOCOL AND QOL, USING THE WHOQOL-OLD QUESTIONNAIRE. REPEATED MEASURES ANOVA SHOWED INCREASES IN ARTICULAR RANGE OF MOTION IN SHOULDER ABDUCTION (DELTA%SA = 14.11%; P = 0.0001), HORIZONTAL SHOULDER EXTENSION (DELTA%HSE = 33.90%; P = 0.0001), LUMBAR SPINE FLEXION (DELTA%LSF = 50.74%; P = 0.0001), HIP FLEXION (DELTA%HF = 35.75%; P = 0.0001), HIP EXTENSION (DELTA%HE = 10.93%; P = 0.021) AND KNEE FLEXION (DELTA%KF = 3.90%; P = 0.001) AND IN THE GDLAM AUTONOMY INDEX (DELTA%AI = -13.67%; P = 0.0001) IN THE YG COMPARED TO THE CG. THE MANN-WHITNEY TEST REVEALED INCREASES IN QOL SCORES IN FACET 1 (DELTA%FAC1 = 9.04%; P=0.043), FACET 5 (DELTA%FAC5 = 51.06%; P = 0.0001) AND IN OVERALL QOL (DELTA%OQOL = 8.13%; P = 0.046) IN THE YG COMPARED TO THE CG. THE REMAINING VARIABLES SHOWED NO SIGNIFICANT INTERGROUP MODIFICATIONS. THUS, THE STUDY SUGGESTS THAT THE REGULAR PRACTICE OF YOGA MAY LEAD TO IMPROVED RANGE OF MOTION IN THE PERFORMANCE OF ACTIVITIES OF DAILY LIVING IN ELDERLY WOMEN. 2011 8 1611 19 METABOLIC DEMANDS OF YOGA AT VARYING TEMPOS AND COMPARED WITH WALKING. BACKGROUND: YOGA IS A POPULAR ALTERNATIVE TO WALKING, BUT THE TEMPO AT WHICH ASANAS MUST BE PERFORMED TO ELICIT COMPARABLE METABOLIC AND CARDIORESPIRATORY DEMANDS IS UNKNOWN. THEREFORE, THE AUTHORS AIM TO COMPARE THE METABOLIC DEMANDS OF MODERATE-INTENSITY WALKING TO SURYA NAMASKAR YOGA PERFORMED AT VARYING TEMPOS. METHODS: INACTIVE OBESE ADULTS WITH LIMITED PRIOR YOGA EXPERIENCE (N = 10) COMPLETED 10 MINUTES OF TREADMILL WALKING AT A SELF-SELECTED PACE (RATING OF PERCEIVED EXERTION = 12-13) AND THREE, 10-MINUTE BOUTS OF YOGA AT A LOW (6 S/POSE; LSUN), MEDIUM (4 S/POSE; MSUN), AND HIGH (3 S/POSE; HSUN) TEMPO WITH 10-MINUTES REST BETWEEN EXERCISE BOUTS. RESULTS: MEAN METABOLIC EQUIVALENTS OBSERVED IN MSUN (3.64 [0.607]), HSUN (4.22 [0.459]), AND TREADMILL (5.29 [1.147]) WERE GREATER THAN 3.0 (P /=60 YEARS WITH PP>/=60MMHG WERE RECRUITED FOR THE STUDY. YOGA (STUDY) GROUP (N=30) WAS ASSIGNED FOR YOGA TRAINING AND WALKING (EXERCISE) GROUP (N=30) FOR WALKING WITH LOOSENING PRACTICES FOR ONE HOUR IN THE MORNING FOR 6DAYS IN A WEEK FOR 3 MONTHS. THE OUTCOME MEASURES WERE CARDIAC TIME INTERVALS DERIVED FROM PULSE WAVE ANALYSIS AND ECG: RESTING HEART RATE (RHR), DIASTOLIC TIME(DT), VENTRICULAR EJECTION TIME(LVET), UPSTROKE TIME(UT), EJECTION DURATION INDEX (ED%), PRE-EJECTION PERIOD (PEP), RATE PRESSURE PRODUCT (RPP) AND PERCENTAGE OF MEAN ARTERIAL PRESSURE (%MAP). RESULTS: THE MEAN WITHIN-YOGA GROUP CHANGE IN RHR(BPM) WAS 4.41 (P=0.031), PD(MS): -50.29 (P=0.042), DT(MS): -49.04 (P=0.017), ED%: 2.107 (P=0.001), ES(MMHG/MS): 14.62 (P=0.118), ET(MS): -0.66 (P=0.903), UT(MS): -2.54 (P=0.676), PEP(MS): -1.25 (P=0.11) AND %MAP: 2.08 (P=0.04). THE MEAN WITHIN-CONTROL GROUP CHANGE IN HR (BPM) WAS 0.35 (P=0.887), PD (MS): 11.15(P=0.717), DT (MS): 11.3 (P=0.706), ED%: -0.101 (P=0.936), ES (MMHG/MS): 0.75 (P=0.926), ET(MS): 2.2 (P=0.721), UT(MS):4.7(P=455), PEP (MS): 2.1(P=0.11), %MAP: 0.65 (P=0.451). A SIGNIFICANT DIFFERENCE BETWEEN-GROUP WAS FOUND IN RHR (P=0.036), PD (P=0.02), ED% (P=0.049), LVET (P=0.048), DT (P=0.02) AND RPP (P=0.001). CONCLUSIONS: YOGA PRACTICE FOR 3 MONTHS SHOWED A SIGNIFICANT IMPROVEMENT IN DIASTOLIC FUNCTION WITH A MINIMAL CHANGE IN SYSTOLIC FUNCTION. YOGA IS MORE EFFECTIVE THAN WALKING IN IMPROVING CARDIAC FUNCTION IN ELDERLY WITH HIGH PP. 2017 10 808 25 EFFECT OF YOGA ON ARTERIAL STIFFNESS IN ELDERLY SUBJECTS WITH INCREASED PULSE PRESSURE: A RANDOMIZED CONTROLLED STUDY. OBJECTIVE: WE AIMED TO DETERMINE THE EFFECT OF YOGA ON ARTERIAL FUNCTION IN ELDERLY WITH INCREASED PULSE PRESSURE (PP). DESIGN: RANDOMIZED CONTROLLED STUDY WITH TWO PARALLEL GROUPS. PARTICIPANTS: ELDERLY SUBJECTS WITH PP>/=60 MMHG (N=60). INTERVENTIONS: YOGA GROUP (N=30) WAS ASSIGNED FOR YOGA TRAINING AND BRISK-WALKING (BW) GROUP (N=30) FOR BRISK-WALK WITH STRETCHING EXERCISE FOR 1H IN THE MORNING FOR 6 DAYS IN A WEEK FOR 12 WEEKS. MAIN OUTCOME MEASURES: ARTERIAL STIFFNESS MEASURES: BRACHIAL-ANKLE PULSE WAVE VELOCITY (BAPWV), CAROTID-FEMORAL PULSE WAVE VELOCITY (C-F PWV), AORTIC AUGMENTATION INDEX (AIX@75), ARTERIAL STIFFNESS INDEX AT BRACHIAL (BASI) AND TIBIAL ARTERIES (AASI). TOTAL SERUM NITRIC OXIDE CONCENTRATION (NOX) AS AN INDEX OF ENDOTHELIAL FUNCTION. HEART RATE VARIABILITY (HRV) MEASURES: LOW FREQUENCY AND HIGH FREQUENCY IN NORMALIZED UNITS (LFNU, HFNU) AND LF/HF RATIO. RESULTS: THE MEAN BETWEEN-GROUP CHANGE (WITH 95% CI) IN ARTERIAL STIFFNESS: C-F PWV(M/S) [1.25(0.59-1.89); P<0.001], BAPWV(M/S) [1.96(0.76-3.16), P<0.01], AIX@75 [3.07(0.24-5.89), P=0.066], AASI [8.3(4.06-12.53), P<0.001]; ENDOTHELIAL FUNCTION INDEX: NO(MUMOL/L) [-9.03(-14.57 TO -3.47), P<0.001]; SBP(MMHG) [14.23(12.03-16.44), P<0.001], DBP(MMHG) [0.1(-1.95-2.15), P=0.38], PP(MMHG) [14.07(11.2-16.92), P<0.001], MAP(MMHG) [4.7(3.08-6.32), P<0.001]; AND CARDIAC AUTONOMIC FUNCTION: LF(NU) [4.81(1.54-8.08), P<0.01], HF(NU) [-4.13(-7.57 TO -0.69), P<0.01], LF/HF RATIO [0.84(0.3-1.37), P<0.001], INDICATE SIGNIFICANT DIFFERENCE IN EFFECTS OF TWO INTERVENTION ON ARTERIAL STIFFNESS, ENDOTHELIAL FUNCTION, BP AND CARDIAC AUTONOMIC ACTIVITY. THERE WAS SIGNIFICANT CHANGE WITHIN-YOGA GROUP IN VASCULAR FUNCTION, BP AND AUTONOMIC FUNCTION, WHILE NO SIGNIFICANT CHANGE WITHIN-BW GROUP WAS OBSERVED. CONCLUSION: OUR FINDINGS SUGGEST THAT YOGA PROGRAM OFFERED WAS MORE EFFECTIVE THAN BRISK-WALK IN REDUCING ARTERIAL STIFFNESS ALONG WITH BP IN ELDERLY INDIVIDUALS WITH INCREASED PP. YOGA CAN ALSO SIGNIFICANTLY REDUCE SYMPATHETIC ACTIVITY AND IMPROVE ENDOTHELIAL FUNCTION WITH ENHANCEMENT IN BIOAVAILABILITY OF NO. 2015 11 2874 12 YOGA-INDUCED UVEITIS GLAUCOMA HYPHEMA SYNDROME. A 74-YEAR-OLD PSEUDOPHAKIC WHITE WOMAN WITH PSEUDOEXFOLIATION SYNDROME PRESENTED WITH RIGHT EYE PAIN AND PHOTOPHOBIA AND WAS FOUND TO HAVE PSEUDOPHACODENESIS WITH RECURRENT EPISODES OF ANTERIOR UVEITIS, MICROHYPHEMA, AND ELEVATED INTRAOCULAR PRESSURE (IOP). ALL EPISODES OCCURRED AFTER YOGA SESSIONS WITH INTENSIVE FACEDOWN POSTURES. ULTRASOUND BIOMICROSCOPY (UBM) PERFORMED IN SUPINE AND PRONE POSITIONS DEMONSTRATED SIGNIFICANT CHANGE IN THE LENS-BAG COMPLEX POSITION, WITH LENS-IRIS TOUCH. THE PATIENT UNDERWENT INTRAOCULAR LENS (IOL) EXPLANTATION, ANTERIOR VITRECTOMY, AND FLANGED INTRASCLERAL HAPTIC-FIXATED IOL PLACEMENT VIA DOUBLE-NEEDLE TECHNIQUE, WITH RESOLUTION OF ALL SYMPTOMS. 2021 12 1323 25 HEMODYNAMIC OBSERVATIONS OF TUMO YOGA PRACTITIONERS IN A HIMALAYAN ENVIRONMENT. BACKGROUND: FEW ATTEMPTS HAVE BEEN MADE TO EVALUATE THE PHYSIOLOGY OF TRADITIONAL EASTERN HEALTH PRACTICES. THE GOAL OF THIS STUDY WAS TO EVALUATE THE HEMODYNAMIC EFFECTS OF THE MYSTERIOUS BUDDHIST PRACTICE OF TUMO. TUMO IS A MEDITATIVE PRACTICE THAT PRODUCES INNER HEAT THROUGH THE ALLEGED CULTIVATION OF BODY ENERGY-CHANNELS. METHODS: THIS STUDY WAS PERFORMED BY MEMBERS OF AN INTERNATIONAL EXPEDITION TO THE HIMALAYAN MOUNTAINS IN THE REPUBLIC OF INDIA. THE STUDY WAS PERFORMED IN AN UNPOPULATED OUTDOOR MOUNTAINOUS AREA AT AN ALTITUDE OF 16,400 FT WITH AMBIENT TEMPERATURES BETWEEN -10 AND -15( DEGREES )C. TWO (2) COHORTS OF SUBJECTS WERE STUDIED: HEALTHY NON-YOGI VOLUNTEERS AND TUMO PRACTITIONERS. ALL OF THE SUBJECTS WERE STRIPPED DOWN TO THEIR UNDERCLOTHES AND EXPOSED TO THE SUBZERO ATMOSPHERIC TEMPERATURES FOR 5 MINUTES. THE VOLUNTEERS WERE THEN PASSIVELY REWARMED WHILE THE TUMO PRACTITIONERS PERFORMED TUMO FOR UP TO 10 MINUTES. BLOOD PRESSURE, HEART RATE, AND STROKE VOLUME INDEX (SVI) AND CARDIAC INDEX WERE MEASURED NONINVASIVELY USING A NICOM HEMODYNAMIC MONITOR, WHILE CAROTID BLOOD FLOW AND BIVENTRICULAR PERFORMANCE WERE DETERMINED ECHOCARDIOGRAPHICALLY AT EACH STAGE OF THE EXPERIMENT. THE TOTAL PERIPHERAL RESISTANCE INDEX (TPRI), LEFT VENTRICULAR EJECTION FRACTION (LVEF), AND TRICUSPID ANNULAR PLANE SYSTOLIC EXCURSION (TAPSE) WERE DETERMINED USING STANDARD FORMULA. RESULTS: FOURTEEN (14) SUBJECTS (SIX VOLUNTEERS AND EIGHT TUMO PRACTITIONERS) COMPLETED THE STUDY. THERE WAS ONE FEMALE SUBJECT IN EACH GROUP. WITH COLD EXPOSURE, THE SVI AND CAROTID BLOOD FLOW DECREASED WHILE THE TPRI INCREASED SIGNIFICANTLY IN BOTH GROUPS. IN THE VOLUNTEER GROUP, THESE CHANGES RETUNED TO BASELINE WITH REWARMING. FOLLOWING TUMO, THE CARDIAC INDEX (4.8+/-0.6 VERSUS 4.0+/-0.5 L/M(2); P<0.01), CAROTID BLOOD FLOW (445+/-127 VERSUS 325+/-100 ML/MIN/M(2), P<0.01), LVEF (68+/-5 VERSUS 64+/-7%; P<0.05) AND TAPSE (2.9+/-0.4 VERSUS 2.4+/-0.5 CM; P<0.01) WERE SIGNIFICANTLY HIGHER WHEN COMPARED WITH BASELINE, WHILE THE TPRI WAS SIGNIFICANTLY LOWER (1786+/-189 VERSUS 2173+/-281; P<0.01). CONCLUSIONS: TUMO WAS ASSOCIATED WITH A HYPERDYNAMIC VASODILATED STATE WITH INCREASED BIVENTRICULAR PERFORMANCE. WE POSTULATE THAT TUMO RESULTS IN A MASSIVE INCREASE IN SYMPATHETIC ACTIVITY WITH ACTIVATION OF BROWN ADIPOSE TISSUE AND MARKED HEAT PRODUCTION. THE INCREASED HEAT PRODUCTION MAY EXPLAIN THE PARADOXICAL VASODILATATION IN TUMO PRACTITIONERS EXPOSED TO SUBZERO TEMPERATURES. 2014 13 1433 16 IMPROVING THE DEGREE OF PUBIC ARCH POST-YOGA EXERCISE DURING PREGNANCY. YOGA EXERCISES UNDERTAKEN DURING THE MATERNITY PERIOD MAY REDUCE UNPLEASANT SYMPTOMS DURING PREGNANCY AND REDUCE DELIVERY PAIN. FLEXIBILITY OF THE HIP JOINT IMPROVES THE DEGREE OF PUBIC ARCH CREATED IN AN OPEN-LEG POSTURE AND WIDENS THE PELVIC OUTLET REGION, SHORTENING THE TIME REQUIRED FOR DELIVERY AND FACILITATING EASY DELIVERY. THE DEGREE OF PUBIC ARCH IS RELATED TO THE FLEXIBILITY OF THE HIP JOINT. ALTHOUGH MANY STUDIES HAVE SHOWN THE EFFECT OF YOGA EXERCISE DURING PREGNANCY, THE EFFECT ON THE DEGREE OF THE PUBIC ARCH HAS NOT BEEN ELUCIDATED. TO ELUCIDATE WHETHER THE DEGREE OF THE PUBIC ARCH IS IMPROVED BY YOGA EXERCISE DURING PREGNANCY, THIS STUDY ENROLLED 177 PREGNANT SUBJECTS. THE DEGREE OF PUBIC ARCH PRE- AND POST-YOGA EXERCISE WAS MEASURED USING INSTRUMENTS IN AN OPEN-LEG POSTURE (SEATED WITH FEMURS ABDUCTED). THE MEAN PUBIC ARCH PRE- AND POST-YOGA WAS 122.61 AND 127.93 DEGREES, RESPECTIVELY. THE DEGREE OF PUBIC ARCH POST-YOGA SESSIONS WAS SIGNIFICANTLY INCREASED COMPARED WITH PRE-YOGA SESSIONS (P < 0.01). THIS STUDY SHOWED THAT YOGA EXERCISES DURING THE PREGNANCY PERIOD APPEAR TO IMPROVE THE DEGREE OF PUBIC ARCH. 2021 14 1265 13 FLEXIBILITY-NOT JUST FOR YOGA ANYMORE! OVER THE PAST FEW YEARS, NUCLEOSIDES HAVE MAINTAINED A PROMINENT ROLE AS ONE OF THE CORNERSTONES OF ANTIVIRAL AND ANTICANCER THERAPEUTICS, AND MANY APPROACHES TO NUCLEOSIDE DRUG DESIGN HAVE BEEN PURSUED. ONE SUCH APPROACH INVOLVES FLEXIBILITY IN THE SUGAR MOIETY OF NUCLEOSIDES, FOR EXAMPLE, IN THE HIGHLY SUCCESSFUL ANTI-HIV AND HBV DRUG TENOFOVIR. IN CONTRAST, INTRODUCTION OF FLEXIBILITY TO THE NUCLEOBASE SCAFFOLD HAS ONLY MORE RECENTLY GAINED SIGNIFICANCE WITH THE INVENTION OF OUR FLEXIMERS. THE HISTORY, DEVELOPMENT, AND SOME BIOLOGICAL RELEVANCE FOR THIS INNOVATIVE CLASS OF NUCLEOSIDES ARE DETAILED HEREIN. 2018 15 2694 11 YOGA INDUCED ACUTE ULNAR NERVE COMPRESSION BY A GANGLION CYST IN GUYON'S CANAL. ACUTE ULNAR NEUROPATHY AT THE WRIST CAN BE DIFFICULT TO DIAGNOSE, AS IT IS AN UNCOMMON NEUROPATHY WITH VARIABLE CLINICAL PRESENTATIONS AND NUMEROUS ETIOLOGIES. WE PRESENT A CASE OF ACUTE ULNAR NEUROPATHY OF THE DEEP MOTOR BRANCH CAUSED BY A GANGLION CYST IN GUYON'S CANAL. INTERESTINGLY, THIS CASE OF ACUTE LOSS OF MOTOR FUNCTION OCCURRED AFTER THE PATIENT PARTICIPATED IN YOGA (SPECIFICALLY THE DOWNWARD DOG POSITION), AND RESOLVED SPONTANEOUSLY OVER TIME AFTER STOPPING YOGA, WITHOUT SURGICAL EXCISION OF THE GANGLION, SUGGESTING EXACERBATION OR PROTRUSION OF AN OCCULT GANGLION CYST DUE TO INCREASED ACTIVITY AND COMPRESSION OF THE HYPOTHENAR EMINENCE. 2013 16 42 8 A CASE OF RECTUS SHEATH HEMATOMA CAUSED BY YOGA EXERCISE. RECTUS SHEATH HEMATOMA IS A RELATIVELY RARE CONDITION BUT A SIGNIFICANT CAUSE OF ACUTE ABDOMINAL PAIN. THE ACUTE ABDOMINAL PAIN ASSOCIATED WITH RECTUS SHEATH HEMATOMA CAN MIMIC SEVERAL CONDITIONS, SUCH AS APPENDICITIS, INTESTINAL PROBLEMS (OBSTRUCTION, PERFORATION, HERNIA, MALIGNANCY), AND GYNECOLOGIC DISEASE (OVARIAN CYST, TORSION, TUBO-OVARIAN ABSCESS, ECTOPIC PREGNANCY). CORRECT DIAGNOSIS AND SUBSEQUENT TREATMENT DEPENDS ON CAREFUL HISTORY TAKING AND APPROPRIATE USE OF DIAGNOSTIC TOOLS TO AVOID UNNECESSARY LAPAROTOMY. WE REPORT A CASE OF RECTUS SHEATH HEMATOMA DUE TO NONCONTACT STRENUOUS EXERCISE, YOGA, THAT MIMICKED GYNECOLOGIC DISEASES. 2009 17 481 21 CLINICAL EFFICACY OF APAMARGA KSHARA YOGA IN THE MANAGEMENT OF SHVITRA (VITILIGO). INTRODUCTION: VITILIGO IS A PROGRESSIVE, IDIOPATHIC, PIGMENTATION DISORDER OF THE SKIN, CHARACTERIZED BY HYPOPIGMENTED PATCHES. THIS CONDITION IS COMPARED WITH SHVITRA IN AYURVEDA. MANY AYURVEDIC DRUGS ARE BENEFICIAL IN SUCH CASES AND APAMARGA KSHARA YOGA IS ONE AMONG THEM. AIM: TO EVALUATE THE EFFICACY OF APAMARGA KSHARA YOGA IN LEPA AND OINTMENT FORMS IN THE MANAGEMENT OF SHVITRA. MATERIALS AND METHODS: TOTAL 50 PATIENTS OF SHVITRA WERE RANDOMLY GROUPED INTO TWO. PATIENTS REGISTERED IN GROUP A (N = 25) WERE TREATED WITH APAMARGA KSHARA YOGA LEPA AND GROUP B (N = 25) WITH APAMARGA KSHARA YOGA OINTMENT FOR 2 MONTHS. RASAYANA CHURNA (3G) ALONG WITH HONEY AND GHEE WAS GIVEN TWICE DAILY INTERNALLY IN THE BOTH GROUPS. RESULTS: SIGNIFICANT IMPROVEMENT WAS FOUND IN THE SYMPTOMS OF SHVITRA WITH TREATMENT IN BOTH THE GROUPS. THE DIFFERENCE IN BETWEEN THE GROUPS WAS STATISTICALLY INSIGNIFICANT. CONCLUSION: BOTH FORMS OF APAMRAGA KSHARA YOGA ARE EFFECTIVE IN CASES OF SHVITRA AND CAN BE GOOD ALTERNATIVES FOR CONTEMPORARY MEDICINES. 2015 18 2893 15 YOGAMAN: AN INEXPENSIVE, ANATOMICALLY-DETAILED CHEST TUBE PLACEMENT TRAINER. INTRODUCTION: OPPORTUNITIES FOR CHEST TUBE PLACEMENT IN EMERGENCY MEDICINE TRAINING PROGRAMS HAVE DECREASED, MAKING COMPETENCE DEVELOPMENT AND MAINTENANCE WITH LIVE PATIENTS PROBLEMATIC. AVAILABLE TRAINERS ARE EXPENSIVE AND MAY REQUIRE COSTLY MAINTENANCE. METHODS: WE CONSTRUCTED AN ANATOMICALLY-DETAILED MODEL USING A HALLOWEEN SKELETON THORAX, DRESS FORM TORSO, AND YOGA MAT. PARTICIPANTS IN A TRIAL SESSION COMPLETED A SURVEY REGARDING EITHER THEIR COMFORT WITH CHEST TUBE PLACEMENT BEFORE AND AFTER THE SESSION OR THE REALISM OF YOGAMAN VS. CADAVER LAB, DEPENDING ON WHETHER THEY HAD PLACED <10 OR 10 OR MORE CHEST TUBES IN LIVE PATIENTS. RESULTS: INEXPERIENCED PROVIDERS REPORTED AN IMPROVEMENT IN COMFORT AFTER WORKING WITH YOGAMAN, (COMFORT BEFORE 47 MILLIMETERS [MM] [INTERQUARTILE RATIO {IQR}, 20-53 MM]; COMFORT AFTER 75 MM [IQR, 39-80 MM], P=0.01). EXPERIENCED PROVIDERS RATED REALISM OF YOGAMAN AND CADAVER LAB SIMILARLY (YOGAMAN 79 MM [IQR, 74-83 MM]; CADAVER LAB 78 MM [IQR, 76-89 MM], P=0.67). ALL EVALUATORS EITHER AGREED OR STRONGLY AGREED THAT YOGAMAN WAS USEFUL FOR TEACHING CHEST TUBE PLACEMENT IN A RESIDENCY PROGRAM. CONCLUSION: OUR CHEST TUBE TRAINER ALLOWED FOR LANDMARK IDENTIFICATION, TISSUE DISSECTION, PLEURA PUNCTURE, LUNG PALPATION, AND TUBE SECURING. IT IMPROVED COMFORT OF INEXPERIENCED PROVIDERS AND WAS RATED SIMILARLY TO CADAVER LAB IN REALISM BY EXPERIENCED PROVIDERS. IT IS EASILY REUSABLE AND, AT $198, COSTS A FRACTION OF THE PRICE OF AVAILABLE COMMERCIAL TRAINERS. 2019 19 1736 15 PHOTO URTICARIA CAUSED BY EXPOSURE TO LED EMITTING 633-NM WAVELENGTH DURING HOT YOGA EXERCISE. PHOTO URTICARIA (PU) IS A RARE TYPE OF URTICARIA THAT DEVELOPS AFTER EXPOSURE TO VARIOUS WAVELENGTHS OF LIGHT. INDUCING URTICARIAL WHEALS USING LIGHT SOURCES OF PERTINENT WAVELENGTHS CAN HELP MAKE THE DEFINITIVE DIAGNOSIS OF PU. THE ACTION SPECTRA (AS) IN JAPANESE PATIENTS WITH PU COMMONLY FALL WITHIN THE ULTRAVIOLET RADIATION A AND VISIBLE LIGHT RANGE. HEREIN, TO THE BEST OF OUR KNOWLEDGE, WE PRESENT THE FIRST CASE OF PU CAUSED BY 633-NM WAVELENGTH WITHIN THE VISIBLE LIGHT SPECTRUM. OUR PATIENT WORKED AS A "HOT YOGA" INSTRUCTOR, WHERE LIGHT-EMITTING DIODES (LEDS) ON THE CEILING WERE USED TO IRRADIATE THE ENTIRE ROOM WITH 633-NM WAVELENGTH OF LIGHT FOR "LIGHT TREATMENT." SHE REPORTED ITCHING AND WHEALS ON THE FACE AND NECK DURING HER "HOT YOGA" SESSIONS. "HOT YOGA" HAS RECENTLY GAINED POPULARITY GLOBALLY. THE "LIGHT TREATMENT" IS BASED ON THE THEORY THAT 633-NM WAVELENGTH LIGHT WITHIN THE VISIBLE LIGHT SPECTRUM REPORTEDLY PREVENTS THE SKIN FROM AGING. WE INDUCED WHEALS WITH ERYTHEMA BY IRRADIATING HER SKIN USING A 633-NM LED AT A DOSE OF 0.008 J/CM(2) /S FOR 1 H. HER CONDITION WAS DIAGNOSED AS PU CAUSED BY EXPOSURE TO 633 NM. LIGHT. HER SYMPTOMS HAVE NOT RECURRED SINCE SHE HAS AVOIDED BEING EXPOSED TO THE 633-NM WAVELENGTH OF LED LIGHT. 2021 20 885 22 EFFECT OF YOGA TRAINING ON REACTION TIME, RESPIRATORY ENDURANCE AND MUSCLE STRENGTH. THERE IS EVIDENCE THAT THE PRACTICE OF YOGA IMPROVES PHYSICAL AND MENTAL PERFORMANCE. THE PRESENT INVESTIGATION WAS UNDERTAKEN TO STUDY THE EFFECT OF YOGA TRAINING ON VISUAL AND AUDITORY REACTION TIMES (RTS), MAXIMUM EXPIRATORY PRESSURE (MEP), MAXIMUM INSPIRATORY PRESSURE (MIP), 40 MMHG TEST, BREATH HOLDING TIME AFTER EXPIRATION (BHTEXP), BREATH HOLDING TIME AFTER INSPIRATION (BHTINSP), AND HAND GRIP STRENGTH (HGS). TWENTY SEVEN STUDENT VOLUNTEERS WERE GIVEN YOGA TRAINING FOR 12 WEEKS. THERE WAS A SIGNIFICANT (P < 0.001) DECREASE IN VISUAL RT (FROM 270.0 +/- 6.20 (SE) TO 224.81 +/- 5.76 MS) AS WELL AS AUDITORY RT (FROM 194.18 +/- 6.00 TO 157.33 +/- 4.85 MS). MEP INCREASED FROM 92.61 +/- 9.04 TO 126.46 +/- 10.75 MMHG, WHILE MIP INCREASED FROM 72.23 +/- 6.45 TO 90.92 +/- 6.03 MMHG, BOTH THESE CHANGES BEING STATISTICALLY SIGNIFICANT (P < 0.05). 40 MMHG TEST AND HGS INCREASED SIGNIFICANTLY (P < 0.001) FROM 36.57 +/- 2.04 TO 53.36 +/- 3.95 S AND 13.78 +/- 0.58 TO 16.67 +/- 0.49 KG RESPECTIVELY. BHTEXP INCREASED FROM 32.15 +/- 1.41 TO 44.53 +/- 3.78S (P < 0.01) AND BHTINSP INCREASED FROM 63.69 +/- 5.38 TO 89.07 +/- 9.61 S (P < 0.05). OUR RESULTS SHOW THAT YOGA PRACTICE FOR 12 WEEKS RESULTS IN SIGNIFICANT REDUCTION IN VISUAL AND AUDITORY RTS AND SIGNIFICANT INCREASE IN RESPIRATORY PRESSURES, BREATH HOLDING TIMES AND HGS. 1992