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Kaya Kalpa methods adopted by Siddars: a scientific approach.

Thirumular says in his "THIRUMANTHIRAM" the body is a sacred instrument to contain the soul and therefore must be nurtured well to safeguard the life. Thirumular is reported to have lived a long span of three thousand years according to tradition. The art of longevity and the attempts of immortalising the corporeal human body were the ultimate aims of Siddhars as understood from their numerous treatises on the art of rejuvenation - Thirumular Karpam - 300, Bohar Karpam - 300, Thiruvalluvur Karpam - 300 Yugimuni Karpam - 300 etc. which form some of the excellence works in this regard. One of the means to rejuvenate the body was achieved through the art of breathing (Pranayama) which has a direct bearing on the basal metabolic rate and the span of longevity. In this paper an attempt has been made to throw some light on the scientific basis of the various Kaya Kalpa methods adopted by Siddhars.

History, 20th Century↗

The 2003 HBR list. Breakthrough ideas for tomorrow's business agenda.

International conflict. Bear markets. Corporate scandals. The events of this past year have prompted intense soul-searching in many quarters and led us, in this year's list of the best business ideas, to reassess some of the most basic assumptions about strategy, organizations, and leadership. We began by reconsidering the role of the leader. Whether the boss is a hero or villain, discussions of leadership focus almost exclusively on the CEO. But attention also needs to be paid to the other people who make organizations work, not only to the corporate boards that oversee CEOs but to the followers--to their responsibilities, their power, and their obligation not to follow flawed leaders. And we considered the fate of soft issues, like emotional intelligence, in hard times. It's tempting to dismiss them when your employees will do anything just to keep their jobs. But hard times are good times to employ such tools on yourself. They can arm you with the self-awareness you need to understand, anticipate, and outwit your enemies. Where tools may fail, an attitude adjustment may be what's needed. Despite valiant efforts to lead change and eliminate inefficiencies, organizations stay messy. Perhaps it's better to learn to live with messiness and even focus on its benefits, one of which may be growth. Not the meteoric, effortless illusion we indulged in during the 1990s, but significant gains nonetheless. These can come when managers embrace messiness not just within their organizations but along the boundaries of the firm, blurring the line between their own core assets and functions and those of other companies. There's growth potential, too, in considering the company as a portfolio of opportunities--but only if managers can sell off poorly performing business units as easily as they've been shedding ailing stocks of late.

Administrative Personnel↗

[Sleeping sickness: one hundred years of control strategy evolution].

Sleeping sickness has been known since the fifteenth century but the real progress in the knowledge of the disease occurred in the nineteenth century with the development of microscopy. From 1841 to 1901 the parasites and their vectors have been identified, the symptomatology and the epidemiology have been described. However, due to absence of any effective cure, the campaign against the disease was still based on the isolation of the patients and the transfer of exposed populations. The discovery of atoxyl in 1905 provided doctors with their first therapeutic weapon and, in 1910, the first action of vector control was undertaken with success in the Island of Principe. Between the two world conflicts, Jamot published the rules to fight against major outbreaks. Their application in Oubangui-Chari, in Cameroon and in French Occidental Africa brought tremendous results and signed the triumph of the mobile unit concept. Success which will not be denied until the sixties when the disease was believed to be eradicated. From the sixties to the nineties, the concept of the integration of prevention and care added to the exclusion of any vertical system will result in a progressive reniewed outbreak of the sleeping sickness in the known foci. As a paradox, it is a time rich in discovery as regards diagnosis, treatment and entomology. In 1994, the World Health Organisation got concerned with the situation of the disease in Central Africa where the outbreak of the disease reinforced. A second paradox appeared; it is the next to total disinterest from the politics and fund raisers which will save the disease. Today, sleeping sickness is the typical example of the orphan disease, a show case brandished by all the good souls. In 2001, an agreement between the WHO and the pharmaceutical industry brings back the financial funds required to fight the disease. Basically, it is a matter of resuming the action by using what is still existing and by creating new strategies considering the extreme lack of human and logistical resources. The objective is to eradicate the sleeping sickness as a public health problem. The challenge is huge, but is on the way to success.

Africa↗

'Making it personal' improves patient care.

Health care staff "deliver care to the heart and soul of the patient." Elderly, chronically ill patients targeted for the "Living History" program. Creating connections benefits caregivers as well as patients.

Aged↗

[Platonic conception of a man as an element of the universe on the base of dialogue "Timajos"].

Dialogue "Timajos" states Plato's lecture on a nature of the universe with special regard for position of a man. Presented in it ideas are based in a considerable degree on the knowledge of earlier thinkers, first of all Phytagoreans. They concern problems of primeval matter properties and world creation based on the rules of geometry. Afterwords the question of soul bestowal on the world and creation of living beings, connected directly with a problem of metempsychosis, are discussed. In the final part of the dialogue Plato focuses his attention on a corporal dimension of human structure. On the basis of triangle theory he describes creation of internal organs, skeleton, blood vessels and organs of senses, their function and the processes of growing old and death of the body. In the whole lecture an attention is brought to disclosure the effect of mind in the universe and purposefulness of creator activity.

Extraterrestrial Environment↗

[Diseases and their treatment in Plato's depiction on the background of views of Hippocratic physicians].

Conception of biological nature of a man included in "Timajos" did not limit itself to presentation of the outline of anatomy and of physiology, but also touched on problems connected with origin of diseases and their treatment. Explanation of mentioned issues was based on the idea of a man as an element of the universe. Plato subscribed opinion that body as all the universe, consisted of four basic primeval elements. Excess or shortage of one of them, exchange of place with other elements or taking over another species property caused disturbances inside the organism leading to diseases. Plato attached large attention to duration of disease symptoms, especially fever. In the dialogue he did not pass over mental diseases, which he treated as illnesses of the soul. Besides he emphasised relationship between somatic and psychical diseases. Plato's opinions reflect the whole Greek natural knowledge, but in some questions they contradict opinions of hippocratic physicians.

Disease↗

Current ethical and other problems in the practice of African traditional medicine.

Medicine in Africa is regarded as possessing its own "life force", not just using a system of prescribing. This is because health problems are not only attributed to pathological explanations alone, but also to other "forces". Hence, traditional healers utter incantations to take care of negative forces which militate against achieving cure. Treatment in African traditional medicine (ATM) is holistic. It seeks to strike a balance between the patients' body, soul and spirit. The problems arise from the infiltration of charlatans into the field, the practice of using mystical explanations for ill-health, and inadequate knowledge of the properties and clinical use of herbal remedies. Despite its problems, ATM can work in parallel with orthodox medicine using its strengths rather than its weaknesses. ATM has to be applied within a uniform ethical system. Practitioners of ATM must follow the principles of autonomy and confidentiality.

Africa↗

The killing of psychiatric patients in Nazi Germany between 1939-1945.

Between 1939 and 1945, 180,000 psychiatric patients were killed in Nazi Germany. This paper opens with a brief discussion of the reasons for addressing this issue today; it is followed by the details of the so-called euthanasia program that entailed killing of patients by gas in special hospitals in the years 1939-1941, and in psychiatric hospitals in the years 1942-1945. In this latter period, patients were killed with lethal injections and through the introduction of a starvation diet. The fate of the Jewish patients and forced laborers, as well as the experiments conducted on the patients, are mentioned. Finally, some thoughts are presented to answer the question of why this could have happened. To me, the giving up of individual responsibility in an authoritarian system leads to the loss of the individual conscience and soul, including those of a psychiatrist.

Euthanasia↗

[Ritual slaughter: animal friendly slaughter and protection of animals in Islam].

A report is given on history and procedures of ritual slaughter from the point of view of a Moslem representative. The term sacrifice and the religious meaning of the offering feast are explained on the basis of the Abrahamian tradition. The social aspect of ritual slaughter is that two thirds of the slaughtered animal are given to the poor or served as meal to guests and relatives. One third is saved for the own family only. The Islamic religion acknowledges the responsibility of man for animals as creatures of god whose life and well-being have to be protected, nobody is allowed to subject animals to pain, suffering and damage without a sound reason. The ritual slaughter aims at complete debleeding. Blood is symbol life and soul and the breath of life. It must leave the body completely before consumption because it is not allowed to eat animals alive. Electric stunning is allowed if the animal is unconscious and not dead. The consumption of dead animals is forbidden by religion. It is recommended to introduce more veterinarian expert knowledge in the discussion.

Animal Welfare↗

[Sabuco's suco nerveo and the origins of neurochemistry in the Spanish Renaissance].

INTRODUCTION: In the 16th century, at the height of the Spanish Renaissance, Bachiller Miguel Sabuco revolutionised medical theories about brain physiology with the publication of his work Nueva Filosof a in 1587. This work, which is mysteriously attributed to his daughter Luisa Oliva, presents a surprisingly gynocentric ideology for its time and has been reprinted on numerous occasions since its first edition saw the light. Sabuco s ideas have been plagiarised by such renowned authors as Descartes, Willis and Glisson. DEVELOPMENT: In stark contrast to the Arabized galenism based on the criterion of authority that predominated the medical practice of his time, Nueva Filosof a empirically promoted a modern approach to neurophysiology. This becomes even more worthy of merit if we bear in mind that Sabuco was not trained as a doctor but instead worked as an apothecary in Alcaraz (Albacete, Spain). The Bachiller granted the brain a commanding role over the organisation of the body for the first time in the history of medicine. He not only developed the surprising theory of succo nervoso (the nervous sap, or original neurotransmitting substance), but also an elegant digression on human nature that puts forward solid arguments about the dualist relation between mind and brain. He examined the association between emotional and physical health and explained how the emotions can impair health and lead to early death, which means he was also a pioneer in the development of psychosomatic medicine. CONCLUSIONS: Besides constituting the most illustrious forerunner of modern day neurochemistry, Sabuco s work also encourages doctors to treat their patients in an integral manner, with equal attention being given to the body, mind and soul. It comes as no surprise, then, that many aspects of his work can still be compared to modern medical and philosophical thought.

Books↗

[Concepts of anthroposophic psychiatry and their contribution to understanding schizophrenia].

A concept of central importance in alternative forms of psychiatry, namely the concept of the etheric body, is elaborated in reference to disturbed body sensations of schizophrenic patients. In the non-orthodox approach the etheric body, i.e. a spatial organisation of forces active in the organism that is perceived only under specific circumstances, is a mediating medium between body and soul. The concept of the etheric body proves to be associated with both, the still unsolved body-mind-problem and the problem of conceptualising psychic energy. Schizophrenia is interpreted as a disorder in which the connections between body, etheric body and mind have come loose.

Anthroposophy↗

[Voluntary poisoning by ingestion of Datura stramonium. Another cause of hospitalization in youth seeking strong sensations].

Natural hallucinogenic substances have been used in numerous cultures throughout the world for millenniums, providing a sacred intermediary between men and gods. They were used during initiatory, divinatory rites and played an essential role in the myths of exorcism and charm where the initiated enters a sort of trance which separates the soul from the body before "revival". It resulted that a number of plants were given names reflecting their relationship with the divinities, bestowing upon them an aura of mystery and sacredness. With the development of free information superhighways via the net, recipes using these hallucinogenic substances can now travel anywhere on the planet, offering the non-initiated a means of experimenting their search for strong sensations. At the same time, the science of botany has undergone a major revolution. Patient observation of nature is no longer necessary since a well-conducted computer search can easily yield a large supply of plants offered for on-line purchase. Children and adolescents in primary and secondary schools are becoming a new target for the botanical market: young people exchange the latest recipes and Internet addresses, or more simply the objects of their new on-line purchase. This has led to an outbreak in the use of mushrooms and hallucinogenic plants where the cultural notion of initiation or sacred rites has metamorphosed into a phenomenon of communication between young people, notably during festive parties. Datura stramonium has become quite popular and the number of hospitalizations for acute datura poisoning has increased rapidly, as indicated by the statistics of the Bordeaux Poison Center (14 hospitalizations for voluntary poisonings with datura in 2002, compared with 5 in 2001). Besides the self-inflicted risk, one of the most important problems is the delay to diagnosis, simply because the primary care physician did not think of such an "exotic" cause. We report here the case of a 22-year-old young man hospitalized following ingestion Datura stramonium seeds. He presented confusions and dreamlike frenzy. The clinical course was favorable in 72 hours with symptomatic treatment, marked by amnesia of the episode.

Adult↗

[The role of the pineal gland in cartesian psychophysiological doctrine].

In the present paper, we review the cartesian description of the neuromuscular reflex and the sensorial perception as well as the hypothetical role of the pineal gland on these functions. We analyze the historical bases which support the physiological cartesian doctrine and, from the perspective of our present knowledge, we evaluate the contributions of Descartes to the scientific progress of his time. In the elaborated psychophysiological theory of the french wise, the pineal gland plays a pivotal role, raising the theory that the human soul could be located within this organ.

History, 16th Century↗

IHE: integrating the healthcare enterprise, towards complete integration of healthcare information systems.

Information systems of a modern hospital govern extremely important functions as patient management, control of work flows, administration etc. However a great variety of recommended standards are used while in most cases no effective coordination and intercommunication is possible. Some years ago to simplify and resolve this problem IHE was created; it is a technical framework which identifies a number of components of the healthcare enterprise (the "actors") whose interactions are defined in terms of "transactions", that should be implemented according to HL7 and DICOM standards. Attempting an in-depth understanding of IHE structure and its principles of function, those transactions that can occur among the various actors, which of these are supported and which require specific actors, are analyzed. IHE is continuously evolving, therefore open to the factual contribution of all health professionals who can point out the main instances that emerge daily from their activity in the field. While its origin was specific for the field of radiology, the true soul and driving force of the project lay on the type of approach used: to get together medical specialists and information technology professionals in order to identify and solve the difficulties which hindered an effective and functional integration of healthcare information systems.

Delivery of Health Care, Integrated↗

Home care & September 11: connecting with our clients in times of uncertainty. Interview by Carol A. Trueman and James E. Murray.

In keeping with the theme of this year's National Association for Home Care & Hospice 22nd Annual Meeting and Third World Congress on Home Care and Hospice, "Home Care & Hospice: The Heart & Soul of Health Care in America & Around the World," the authors recently conducted an interview with Albert Freedman, PhD, psychologist and father of a medically-fragile child; and Mark Baiada, founder and president of Bayada Nurses. These two gentlemen discussed the parallel between the impact of their personal experiences and those of the nation following the attacks on the Twin Towers and the Pentagon. From the great personal pain, angst, and fear wrought out of their own family experiences, Freedman and Baiada relate how families caring for a medically-fragile loved one experience their own "September 11" when the health of a family member changes abruptly, and they emphasize the importance of a genuine connection between home care professionals and emotionally vulnerable families.

Fear↗

[Traditional religion and terminal care in the Ryukyus, southern Japan].

The public health significance of traditional religions in terminal care was studied in the Ryukyu Archipelago. The traditional religious view of life, in which death at home is ideal, is still maintained: while inhabitants seek modern medical care in facilities outside of the island, they are transported back to die in their homes when their condition becomes critical. Most of the general hospitals, special nursing homes for the aged, and psychiatric hospitals of Okinawa allow bereaved families to perform "Nujifa", a traditional religious ritual for transferring soul of the dead from the death to their own home, that functions as a significant factor in relieving grief. In many of the special nursing homes for aged, not a few aged women practiced activities uniquely associated with traditional religion on strongly reflecting the fact that endemic religion is deeply embedded in their thinking. Although acculturation is in rapid progress in the Ryukyu Archipelago, such endemic religion still has a significant effect on the people. Therefore these religious factors should be considered in the terminal medical care of these people.

Aged↗

A partnership with minority populations: a community model of effectiveness research.

This paper describes a community-based approach, including a partnership of an academic medical institution and a high-risk, urban, African-American population, directed at decreasing premature morbidity and mortality and enhancing health and functional status. The intervention approach is based on a model of community-based leadership and "ownership" of interventions and programs to enhance sustainability of effective approaches, and it follows specific stages to assure appropriate assessment and evaluation. Initial efforts were directed at the control of hypertension and were coordinated through decentralized mayor's stations in Baltimore, Maryland. This approach was successful in significantly enhancing control of hypertension and reducing related morbidity and mortality. Over time, an enhanced partnership has been coordinated through churches in the community and organized around a program entitled "Heart, Body, and Soul." Current efforts are directed at the major risk factors and preventable and/or controllable problems in the population, such as hypertension, smoking, obesity, diabetes, hyperlipidemia, and cervical and breast cancer. Key components include the training of neighborhood health workers to provide screening, counseling, monitoring, support, and follow-up; enhanced access to care; training of high school students as health counselors; and use of media to promote healthier life-styles.

Academic Medical Centers↗

[Neurology in the works of Lope de Vega].

The Madrilenian Félix Lope de Vega Carpio (1562 1635) was the first Spanish playwright. As a privileged witness to his time and with an exquisite knowledge of the human soul, he managed to portray all the social and human reality of the Golden Age in his more than 700 plays. Illnesses and those who suffer them are to be found throughout his works. Many neurological diseases, such as apoplexy, melancholy, headaches or epilepsy, appear quite often in his plays. His descriptions are accurate and the ideas about each disease reflect the knowledge that existed during his time (galenic, medieval or renaissance).

History, 16th Century↗