PREVENTING APATHYANIMITTAJA MADHUMEHA - AN AYURVEDIC APPROACH

Prevention is always better than cure especially in diseases such as Type 2 DM which is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease. The disease Madhumeha can be correlated with Type 2 DM. The disease is characterized by metabolic abnormalities and long term complications involving the eyes, kidneys, nerves and blood vessels. Madhumeha being an Anushangi vyadhi will make the person suffer for life time. Complications are further more difficult to treat. Hence it is always recommended in Ayurvedic classics to prevent the manifestation of diseases as much as possible and also to prevent the Upadravas if Madhumeha is already manifested. A good and proper diet in disease is worth a hundred medicines and no amount of medication can do well to a patient who does not follow a strict regimen of diet. Pathya ahara is the first and foremost step while considering the prevention of Madhumeha. Another factor which has important role in the disease manifestation is improper Vihara which can be considered for increased urbanisation, high prevalence of obesity, sedentary lifestyles and stress. Healthy life style has a key role in preventing Madhumeha and also to ease the life with Madhumeha by delaying the complications. Hence the present study is aimed at collecting and compiling various preventive measures which are explained by our Ayurvedic Acharyas to prevent Madhumeha and its complications

Facile one-pot synthesis of CuO nanospheres: Sensitive electrochemical determination of hydrazine in water effluents

Hydrazine (HZ) is massively used in several industrial applications. Adsorption of HZ through human skin creates carcinogenicity by disturbing the human organ system and thus, the quantification of HZ levels in environmental water samples is highly needed. The present work describes the short-term development of copper oxide nanospheres (CuO NS) by one-step wet chemical approach and their implementation on glassy carbon electrode (GCE) for the sensitive and selective quantification of the environmentally hazardous HZ. The CuO NS formation was identified by X-ray diffraction (XRD), field-emission scanning electron microscopy (FE-SEM), transmission electron microscopy (TEM) and UV-visible spectroscopy. SEM images exhibited the uniform CuO NS with an average size of 85 nm. The linker-free CuO NS modified GCE offered high electrocatalytic activity against HZ determination by showing the linear range determination in the range of 0.5 to 500 µM, with the detection limit of 63 nM (S/N=3), and sensitivity of 894.28 µA mM-1 cm-2. Further, the developed HZ sensor displayed excellent repeatability and reproducibility and was successfully exploited for the determination of HZ in real environmental samples, implying that GCE/CuO-NS is a confident and low-cost electrochemical platform for HZ determination

A computational fluid dynamics study of combustion and emission performance in an annular combustor of a jet engine

This paper is a Computational Fluid Dynamics (CFD) study of the performance of a jet engine annular combustor that was subjected to various loading conditions. The aim is to comprehend the effect of various genuine working conditions on ignition and emission performance. The numerical models utilized for fuel ignition is the feasible k-ω model for turbulent stream, species transport (aviation fuel and air) with eddy-dissipation reaction modelling and pollution model for nitrogen oxides (NOX) emission. The results obtained confirm the findings described in the literature

Effect of Newtonian and non-Newtonian flow in subject specific carotid artery

Advances in the numerical simulation techniques has immensely helped in the demonstrating the importance of blood flow through elastic arteries and evaluating the disease progression and flow dynamics of cardiovascular diseases such as atherosclerosis. The present work deals with a case study of a patient diagnosed with partial narrowing of entire cervical segment of Internal Carotid Artery (ICA), while Common Carotid Artery (CCA) and External Carotid Artery (ECA) appears to be normal. Subject specific 3D carotid bifurcation CAD model is generated based on CT-angio scan data using MIMICS-14.0 and numerical analysis is performed using Computational Fluid Dynamics (CFD) in ANSYS-CFX-14.0. Pulsatile blood flow through the subject-specific artery is investigated to study the influence of rheology on the haemodynamics in the blood flow. The simulation results obtained through Carreau-Yasuda and Newtonian models are investigated. Flow behaviour observed during peak systole exhibits significant difference in the spatial parameters between both the Newtonian and nonNewtonians models. The comparison of local shear stress magnitude in CCA, ICA and ECA demonstrates that WSS is highly influenced by the shear thinning property of blood. This variation is also observed artery branches with reduced lumen diameter, lumen narrowing due to stenosis and in the bifurcation zone

Influence of blood pressure and rheology on oscillatory shear index and wall shear stress in the carotid artery

Atherosclerosis is a localized complication dependent on both the rheology and the arterial response to blood pressure. Fluid–structure interaction (FSI) study can be effectively used to understand the local haemodynamics and study the development and progression of atherosclerosis. Although numerical investigations of atherosclerosis are well documented, research on the influence of blood pressure as a result of the response to physio–social factors like anxiety, mental stress, and exercise is scarce. In this work, a three-dimensional (3D) Fluid–Structure Interaction (FSI) study was carried out for normal and stenosed patient-specific carotid artery models. Haemodynamic parameters such as Wall Shear Stress (WSS) and Oscillatory Shear Index (OSI) are evaluated for normal and hypertension conditions. The Carreau–Yasuda blood viscosity model was used in the FSI simulations, and the results are compared with the Newtonian model. The results reveal that high blood pressure increases the peripheral resistance, thereby reducing the WSS. Higher OSI occurs in the region with high flow recirculation. Variation of WSS due to changes in blood pressure and blood viscosity is important in understanding the haemodynamics of carotid arteries. This study demonstrates the potential of FSI to understand the causes of atherosclerosis due to altered blood pressures

Effect of postural changes on normal and stenosed common carotid artery using FSI

Gravity associated with postural changes has a strong bearing on haemodynamics of blood flow in arteries. Its effect on stenosed cases has not been widely investigated. In the present study, variation observed in blood flow during postural changes is investigated for different conditions like standing, sleeping and head-down position. A fluid structure interaction study is carried out for idealized normal and 75 % eccentric and concentric stenosed common carotid normal artery. The results clearly indicate the effects of altered gravity on flow conditions. It was found to be very significant during head-down position and demonstrated very high arterial blood pressure in stenosed common carotid when compared with normal carotid

Diminishing benefits of urban living for children and adolescents’ growth and development

Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified

Maternal mortality and morbidity burden in the Eastern Mediterranean region : findings from the Global Burden of Disease 2015 study

Assessing the burden of maternal mortality is important for tracking progress and identifying public health gaps. This paper provides an overview of the burden of maternal mortality in the Eastern Mediterranean Region (EMR) by underlying cause and age from 1990 to 2015. We used the results of the Global Burden of Disease 2015 study to explore maternal mortality in the EMR countries. The maternal mortality ratio in the EMR decreased 16.3% from 283 (241-328) maternal deaths per 100,000 live births in 1990 to 237 (188-293) in 2015. Maternal mortality ratio was strongly correlated with socio-demographic status, where the lowest-income countries contributed the most to the burden of maternal mortality in the region. Progress in reducing maternal mortality in the EMR has accelerated in the past 15 years, but the burden remains high. Coordinated and rigorous efforts are needed to make sure that adequate and timely services and interventions are available for women at each stage of reproductive life

Neonatal, infant, and under-5 mortality and morbidity burden in the Eastern Mediterranean region: findings from the Global Burden of Disease 2015 study

Objectives Although substantial reductions in under-5 mortality have been observed during the past 35 years, progress in the Eastern Mediterranean Region (EMR) has been uneven. This paper provides an overview of child mortality and morbidity in the EMR based on the Global Burden of Disease (GBD) study. Methods We used GBD 2015 study results to explore under-5 mortality and morbidity in EMR countries. Results In 2015, 755,844 (95% uncertainty interval (UI) 712,064–801,565) children under 5 died in the EMR. In the early neonatal category, deaths in the EMR decreased by 22.4%, compared to 42.4% globally. The rate of years of life lost per 100,000 population under 5 decreased 54.38% from 177,537 (173,812–181,463) in 1990 to 80,985 (76,308–85,876) in 2015; the rate of years lived with disability decreased by 0.57% in the EMR compared to 9.97% globally. Conclusions Our findings call for accelerated action to decrease child morbidity and mortality in the EMR. Governments and organizations should coordinate efforts to address this burden. Political commitment is needed to ensure that child health receives the resources needed to end preventable deaths