High Characteristics of Classical Literature

Classical literature helps us to understand the ancient Tamil society. The ancient Tamil community was a society that followed high characteristics. Classical literature shows that when people follow high qualities in a society where they live together, it leads to equality, development and unity of society. The so-called characteristic sing-and-run step emphasizes the idea that the world should know the state of the world and adapt to it. The uniqueness of Tamils is due to the high qualities they followed. Classical literature also highlights the need to possess the highest qualities from the individual to the king. The purpose of this article is to examine the high qualities mentioned in classical literature such as Sangam literature and Thirukkural

Ashtanga Yoga for Individual and Societal Wellbeing

Are happiness and well-being are not synonymous? Some say yes. There are others who say well-being = happiness + meaning. Subjective wellbeing (SWB) is the aspect of happiness that can be empirically measured. It is a combination of positive affect and general life satisfaction. This study explores Ashtanga Yoga as a tool for individual and societal wellbeing. Yoga is not a set of contorted postures and breathing exercises as it is being popularised today. The yogic way of life is not other-worldly. It offers a holistic life style full of bliss, peace and tranquillity. A person who is tranquil and has peace within himself will spread it around, and in the process peace, tranquillity, happiness and wellbeing will prevail in such a society

Teaching Therapeutic Yoga to Medical Outpatients: Practice Descriptions, Process Reflections, and Preliminary Outcomes

This article describes therapeutic Yoga practices designed for a medical population with mixed diagnoses and a wide range of health challenges. We present preliminary data from 54 adults who participated in Yoga classes at a community medical center serving seventeen counties in Northeast Georgia. Findings suggest that attending therapeutic group Yoga classes can improve health perceptions and mindfulness. These findings are discussed in terms of implications for clinical practice and future research. The Yoga practices are described in detail, for the benefit of teachers and researchers who wish to replicate the practices

Principles of Thayumanavar

A man has six senses and that is why they are called human beings. Philosophers and literatures don’t seek to correct, regulate and manipulate birds and animals whose sense varies from one to five. All these philosophers and literatures are there to correct human beings who have six senses. Humanity is when a man has various kinds of good qualifications. Body, bones, nerves, muscles, skin, etc. are important for a human body. In the same way love, truthfulness, gratitude, forgiveness, giving up, being a guru, bearing, suffering, and self-restraint are important for a human being. Only when a man realise that human body is impermanent, godliness occurs. Therefore, the body and soul do noble deeds in order to reach God. The purpose of birth is to die and what are the principles that should be followed from birth to death are described in this article through Thayumanavar’s principles

In Adan Tradition the Personality Traits about Father and Son

‘Otha padhithru pathu’ It is the Book belongs to the ‘Etthu Thogai’ literature and it tells about the outer life. In this literature it denotes the special about the ancient tamilians ruling power, war victories and donations. This book is a historical document only about the King’s of cherans. Kadalpiragottiya Senguttuvan is the son of Immayavaramban Neduncheralathan is the song leader of Second of the ten songs.  In this Padhitru Pathu fifth ten part songs tells about the personality traits, straight forward way of victories, good rule for the people and they donated every thing to the people without saying the word No. Both of the leader for father and son did above thing. They lead the country for the people like the light house. It is the description’s of above research

Expert opinion on the clinical use and benefits of liposomal iron in the treatment of anemia in Indian settings

Background: Several studies have reported the effectiveness and safety of liposomal iron in increasing hemoglobin levels and correcting anemia. However, there was a dearth of information regarding the prescription pattern of physicians regarding its use and advantages in the actual practice. The present survey-based study aims at gathering clinicians' perspectives regarding the clinical use and benefits of liposomal iron in the treatment of anemia in Indian settings. Methods: This cross-sectional study used a 19-item questionnaire to gather insights from specialists across different Indian settings regarding their perspectives on anemia and liposomal iron. Results: Out of 124 participants, 77% opined that liposomal iron was highly bioavailable, achieves much higher plasma iron concentration, and bypasses the extremely restrictive, normal intestinal barriers. Oral liposomal iron was preferred by 77% of clinicians for the rapid increase in hemoglobin level and 99% of clinicians reported improved patient compliance with liposomal iron therapy for anemia. According to 50% of clinicians, oral liposomal iron was effective in non-hemodialysis dependent chronic kidney diseases and 87% of clinicians reported that patients without CKD needed oral liposomal iron. Half of the respondents reported a significant increase in Hb with liposomal iron in both dialysis and non-dialysis patients. Conclusions: The survey participants reported that liposomal iron treatment for anemia was beneficial in treating both CKD and non-CKD patients. The survey findings have corroborated the advantages of liposomal iron for treating anemia such as increased bioavailability, rapid and effective increase in Hb level, better patient compliance and tolerability, decreased side effects, cost-effectiveness, and flexible dosing

Expert opinion on the clinical use of calcium and vitamin D supplements in osteoporosis in Indian settings

Background: Several clinical studies demonstrated that calcium intake decreases the risk of osteoporosis and osteoporotic fractures. However, understanding the prescription practice of calcium supplements employed in Indian contexts may help in improving patient management and developing evidence-based recommendations for optimizing the treatment. So, this study aimed to gather clinicians’ perspective regarding the use of calcium and vitamin D supplements for the management of osteoporosis in Indian settings. Methods: The current survey involved 17 questions pertaining to current feedback, clinical observations, and clinical experience of specialists on osteoporosis management and the use of calcium and vitamin D supplements. Results: According to 30%, 26%, 25%, and 19% of the experts, higher dietary sodium (salt) intake was generally associated with negative calcium balance and bone mineral loss, increased risk of fracture, decreased calcium excretion in the urine and decreased dietary calcium absorption. Calcium and vitamin D were recommended by 78% of the respondents for the management of osteoporosis. Approximately 72% of the respondents stated calcium aspartate anhydrous as the preferred calcium supplement to manage osteoporosis. Around 49% of the respondents reported a reduced risk of bone fractures among those who consume more calcium than the average amount. Further 48%, 30%, and 25% of the respondents indicated that calcium aspartate anhydrous have better absorption, better bioavailability, and better gastrointestinal tolerability. Conclusions: According to the expert’s opinion, both calcium and vitamin D administration in conjunction with maintaining a balanced sodium intake were recommended for managing osteoporosis.

Effect of add on therapy of SGLT 2 inhibitors on glycaemic parameters

Background: Glycaemic control in type 2 diabetes mellitus can be difficult to attain, even with a combination of multiple oral agents as well as Insulin. SGLT2 inhibitors are potential novel agents inhibits the sodium glucose co transporters operated in the kidney tubules independent of the action on insulin resistance or secretion. This study aimed to evaluate the effect on the mean reduction of HbA1c levels. Also, to evaluate the effect of gliflozins on the mean reduction of FBS and PPBS values at the end of 3rd and 6th months and to find out the ADR profile over 6 months. Methods: Prospective observational study conducted on the patients with type 2 diabetes mellitus with HbA1c >7% not controlled on metformin in the outpatient over a period of 15 months. An initial visit and thereafter follow up visits at 3rd and 6th month. HbA1c, FBS and PPBS was noted. ADR profile was also noted. Results: Significant mean reduction in the glycemic parameters among 90% study population with 0.5% reduction in mean HbA1c from the baseline. Also, the reduction in FBS and PPBS were statistically significant by 3rd month of the treatment. Incidence of genital itching was more compared with conventional drugs. Hypotension and polydipsia were rare. Conclusions: SGLT 2 inhibitors are found to be a promising new category of antidiabetic medications with better control of FBS, PPBS and HbA1c