PREVENTIVE AND PROMOTIVE ASPECT OF MUSIC THERAPY IN MANAGEMENT OF JOB STRESS WITH SPECIAL REFERENCE TO NURSING PROFESSION

World Health Organization stated that growing stress at workplace is epidemic now. A certain amount of stress and anxiety is normal at work place, but persistent, excessive, and irrational anxiety due to job stress causes various physical and psychological impairment. Nursing profession is a caring profession but it is identified as one of the most stressful job profession which affects not only physical and mental health of the nurses but also interfere in their job efficiency. Indian classical music is based on ragas. Ragas have power to alleviates and cures various ailments by inducing electromagnetic change in the body. Various studies indicating that Ragas improve psychological function of the body and simultaneously relaxing body and mind by enhancing alpha waves of the brain. The present write up is an effort to discuss the opportunities of Music Therapy for its preventive and health promotive dimensions specially to enhance quality of life of professionals and to overcome them from anxiety and depression develop due to job stress

PREVENTIVE NASYA SCOPE AND CHALLENGES: REVIEW

Five among the Panchakarmas 'Nasya' has specific modus operandi in its administration Pharmacotherapeutics and clinical outcomes. Irrespective of Doshik combination pattern, it deals with all diseases of Urdhvajatrugat unlikely of Vaman, Virechan and Basti which are specifically useful in amelioration of kapha Pitta and Vata respectively. The preventive potential of Vaman, Virechan and Basti have sound conceptual base and subsequent clinical observation; however, Nasya for its preventive potential has not been much explored. The present write up is an effort to discuss the opportunities and challenges of Pratimarsha Nasya therapeutics for its preventive and health promotive dimensions

REVIEW ON HEALTH IMPACT OF HAZARDOUS AND SAFEST TRADITIONAL COOKWARE WITH AYURVEDIC APPROACH

Human is evolved and nourished by food so food has been given the prime importance since Vedic period, but if our food itself is polluted then how the development of health hazards can be prevented or checked. The contamination of food is a major concern especially for developing countries like India. Today, society are very careful about the selection of food but unfortunately attention has not been given about selection of cookware and the impact of these cooking utensils on health. Number of good looking cookware sets are made by very dangerous material and coated by toxic chemicals to. Most commonly used cookware sets are Aluminum, Plastic and Non-stick cookware. During cooking process these cookware sets releases many hazardous substances like Teflon, BPA, Aluminum etc., which contaminates food and ultimately reaches to the body and linked as a causative factor for many diseases like Cancer, Alzheimer's disease etc. According to FDA materials that are used to make utensils should not allow to migrate into food. Though, traditionally Earthen pots, Cast- iron, glass, bamboo and copper, stone cookware sets were in use. Those were added therapeutic value in the cooked food. Thus, attention must be needed to choose the correct utensils for cooking which should be safe and beneficial for health. In Ayurveda during the description of eight dietary principles, importance of Vasana (utensils) is mentioned under the description of Karana (processing techniques of food items). Ayurveda believes that container helps in transformation of qualities of food items. Different kinds of utensils had been shown both positive and negative effect on body. Hence, this article makes an attempt to gathered data and compiled to find the health impacts of newly evolved as well as traditional cookware options in society

Knowledge, attitude and practice towards cervical cancer screening and human papilloma virus vaccine at a tertiary care facility in North India

Background: Cervical cancer continues to be a major health care problem and most common cause of cancer deaths. Many screening methods are available to detect the disease in precancerous stage. Cervical cancer is the only cancer that is preventable with HPV vaccine against the causative agent responsible for this condition. Knowledge and attitude of women determine the likelihood of women undergoing screening procedures and HPV vaccination which will have implications for the future generations. This study was conducted to determine the knowledge, attitude and practice of women towards cervical screening and HPV vaccine.Methods: This is a facility based observational cross-sectional study conducted at Dr. RMLIMS, Lucknow, over a period of 3 months - January 2019 to March 2019. Women attending gynecology OPD were enrolled after verbally consenting for the study and were required to fill a pre-structured questionnaire which was then analyzed and assessed.Results: A total of 368 participants answered the questionnaire. Overall, 154 subjects (41.8%) had adequate knowledge regarding cervical carcinoma risk factors, symptoms, screening for cancer and HPV vaccine. Favorable attitude was seen in 315 (85.5%) participants. Ninety-six participants (26.0%) had ever had a cervical cancer screening and 23 participants (6.2%) had ever received HPV vaccine which was very low. Lack of knowledge and cost factors were the main reasons cited for these low screening and vaccination rates among the participants.Conclusions: The study shows that knowledge was inadequate and screening and vaccination rates were very low in the study population. This highlights the need to educate the community regarding cervical cancer prevention and to make these services readily available at affordable costs to achieve the ultimate goal of elimination of cervical cancer

Study to evaluate the efficacy of Yavani Churna and Yoga Therapy in Primary Dysmenorrhea - A Clinical Study

Dysmenorrhea or painful menstruation is a medical condition experienced by majority of adolescent girls with an estimate prevalence between 67%- 90%. Today's stressful modern lifestyle, lack of physical activity, food habits, frequent intervention of female genital tract affects the uterine environment which leads to higher incidence of Dysmenorrhea. It affects their academic performance, social activities and is a cause for school absenteeism. In Ayurveda, Dysmenorrhea is mentioned as symptom of many disorders like Vatala Yonivyapada, Paripluta Yonivyapada, Mahayoni, Udavartini Yonivyapada and Vataja Artav Dushti. Yavani (Trachyspermum ammi) is a well-known herb available in every Indian kitchen and traditionally it was used for curing numerous ailments. Ayurveda mentioned its properties as Vatanuloman, Shothahara, Shoolaghgna etc. Yoga is a non-pharmacological treatment modality popularly useful in several diseases. Several researches also proved the positive effect of Yavani and Yoga on pain inflammation, oxidative stress etc. Thus, for present study Yavani Churna and Yoga therapy has selected and clinical trial was conducted on 40 patients of Primary Dysmenorrhea for two consecutive cycle (2 month). These patients were divided into 2 groups as group A (Yavani Churna and Yoga Therapy) and group B (Yavani Churna). After 2 consecutive cycles, results showed significant improvement in pain as well as other clinical parameters

Role of thyroid dysfunction and thyroid autoimmunity in infertile women: study done in 450 bedded maternity hospital of Delhi, India

Background: the aim was to study the prevalence of abnormal thyroid function and thyroid autoimmunity in infertile women and in general population (control group) and to correlate the thyroid dysfunction with presence of anti-thyroid antibodies. It was a case control study. The study was carried out at Department of obstetrics and gynaecology, Kasturba Hospital, Delhi. Population of the study was fifty infertile women in whom other causes of infertility are excluded and fifty fertile women attending out- patient department with other complaints.Methods: All the women enrolled in the study were non pregnant, clinically euthyroid (with no signs and symptoms of thyroid disorders and no documented abnormal thyroid function test) and no known autoimmune disorder. Detailed history and a thorough general physical examination, including thyroid examination was done. Haemogram, blood group, fasting and post prandial blood sugar, VDRL, transabdominal ultrasound, TSH, free T3, free T4, and antithyroid per-oxidase antibody assay was done using the ELISA technique.Results: The mean age of the study group was found 28.38±2.45 years, 22% had abnormal thyroid function, 20% had antithyroid antibodies positive and the mean TSH of the study group was 4.61±1.72µIU/ml. The mean age of the control group was found to be 29.10±2.01 years, 12% had abnormal thyroid function, 10% had antithyroid antibodies positive and the mean TSH of the control group was 3.89±1.56µIU/ml.Conclusions: Thyroid dysfunction and anti-thyroid antibodies were more prevalent in patients with infertility. A statistically significant correlation was established between thyroid autoimmunity and thyroid dysfunction in infertile women in the study

An insight into risk factors profile of oral cavity and oropharyngeal cancer patients attending two tertiary care hospitals in Jaipur, India

Background: Oral cancer is the second most prevalent cancers among males in Jaipur city. Assessment of risk factors profile of patients will help the policy makers in initiating new ways to curb the usage of tobacco among masses. The present study aims to find out the risk factors profile of oral and oropharyngeal cancer patients at two hospitals of Jaipur city.Methods: It was a prospective and observational study. The patients with histologically confirmed diagnosis of oral cavity and oropharyngeal cancers and fulfilling the inclusion criteria were recruited. Data on the demographic profile and clinical information were obtained from hospital and clinical records. The data were analyzed using SPSS version 14 (SPSS Inc., Chicago, IL, USA). Chi-square test was performed to analyse the data.Results: Out of 400 oral cancer patients included in this study majority of the patients were in the age range of 40-60years and with a significant male preponderance in all the age groups (P <0.05). The most common habit among males and females was chewing. Buccal mucosa was the most commonly affected site followed by tongue. Both males and females were more likely to be diagnosed in stage 3 (p <0.05).Conclusions: There is a need to reduce the burden of this disease by educating the people about various risk factors which play role in oral cancer development

Fogarty International Center collaborative networks in infectious disease modeling:Lessons learnt in research and capacity building

Due to a combination of ecological, political, and demographic factors, the emergence of novel pathogens has been increasingly observed in animals and humans in recent decades. Enhancing global capacity to study and interpret infectious disease surveillance data, and to develop data-driven computational models to guide policy, represents one of the most cost-effective, and yet overlooked, ways to prepare for the next pandemic. Epidemiological and behavioral data from recent pandemics and historic scourges have provided rich opportunities for validation of computational models, while new sequencing technologies and the ‘big data’ revolution present new tools for studying the epidemiology of outbreaks in real time. For the past two decades, the Division of International Epidemiology and Population Studies (DIEPS) of the NIH Fogarty International Center has spearheaded two synergistic programs to better understand and devise control strategies for global infectious disease threats. The Multinational Influenza Seasonal Mortality Study (MISMS) has strengthened global capacity to study the epidemiology and evolutionary dynamics of influenza viruses in 80 countries by organizing international research activities and training workshops. The Research and Policy in Infectious Disease Dynamics (RAPIDD) program and its precursor activities has established a network of global experts in infectious disease modeling operating at the research-policy interface, with collaborators in 78 countries. These activities have provided evidence-based recommendations for disease control, including during large-scale outbreaks of pandemic influenza, Ebola and Zika virus. Together, these programs have coordinated international collaborative networks to advance the study of emerging disease threats and the field of computational epidemic modeling. A global community of researchers and policy-makers have used the tools and trainings developed by these programs to interpret infectious disease patterns in their countries, understand modeling concepts, and inform control policies. Here we reflect on the scientific achievements and lessons learnt from these programs (h-index = 106 for RAPIDD and 79 for MISMS), including the identification of outstanding researchers and fellows; funding flexibility for timely research workshops and working groups (particularly relative to more traditional investigator-based grant programs); emphasis on group activities such as large-scale modeling reviews, model comparisons, forecasting challenges and special journal issues; strong quality control with a light touch on outputs; and prominence of training, data-sharing, and joint publications. Keywords: Infectious diseases, Transmission models, Computational models, Pathogen evolution, Capacity building, Emerging disease threats, Influenza, Control, Polic

Enhancing the informational nudge of energy labels: evidence from a DCE in New Delhi

India’s contribution to global CO2 emissions makes it a priority case for policy makers worldwide. The Indian government is considering the adoption of energy labels for new passenger cars to tackle CO2 emissions. This paper’s first aim is to asses New Delhi’s car buyers’ preferences for cars displaying energy labels. To do so, a discrete choice experiment (DCE) has been designed to document both WTP for energy efficiency (212 USD for one kilometer per liter) and WTP for the best efficiency label (4.93 thousand USD). The informational nudge embedded in a labeling system may not be enough to boost uptake of efficient cars. Thus this paper investigates the potential of combining a labeling system and car driving restrictions. Via a split-sample approach, this paper documents an increase of 2.55 thousand USD in stated WTP for the best efficiency label. This number can be interpreted as reflecting the costs imposed by the driving restrictions on car drivers. Under this interpretation, 2.55 thousand USD fall within the range of estimations reported in previous studies. The results in this paper suggest that a combination of driving restrictions and a labeling system may deliver an increase in energy efficient cars in New Delhi