The effect of Sandhaniya Mahakashaya along with diet and exercises in management of Jarawashtha Astikshaya and Astibhagna with special reference to Osteoporosis- A Review

Ayurveda is the science of life and longevity with the aim of prevention of disease, rejuvenation of our body system. Asthi is the fifth important dhatu. Astikshaya is the condition in which there is kshaya of Asthi dhatu commonly occurring in elderly people. Astikshaya may be compared to Osteoporosis. Osteoporosis is second most common metabolic bone disease in India, in which there is decrease in bone mass leading to bone fragility and consequently increasing the chances of frature. In Jarawashtha due to vitiation of vatta dosha kshaya of all dhatus occur including asthi. Ayurveda described jara is svabhavachvyadhi and it is prone to vata related disorder. Vattaprakopa leads to Astikshaya and his pathology can be treated with proper diet plan with dietary habits and lifestyle mentioned in Ayurveda. Rasayanchikitsa can also include with diet. Rasayanadravya is a drug to promote all dhatus. These drugs like mentioned by Charaka in sandhaniyagana give nourishment to Asthi dhatu.

IoT based Employee Wellness Program

Owing to globalization, employees spend 60-70% of their time in their offices hence they offer an important venue for influencing dietary behaviour of employees [1, 3]. With the increased technology and usage of sensors, the application of Internet based smart health monitoring has emerged at a greater pace. Internet of Things (IoT) is the new revolution which is the growing research area especially in the health care domain [7]. The current work presents a methodology that links the employee health to risk factors such as diet and physical activity and provides an exclusive diet plan to each employee through IoT enabled devices and network. A portable IoT enabled weighing scale setup was constructed using a Bench scale RSL 601AC Load Cell, Load Cell Amplifier HX711, Node MCU, RF ID and card reader to record the employee data & upload it to cloud. A .NET application was developed to download the data from the cloud and determine the BMI of an employee and the corresponding calories to be consumed and expended in a day. Taking into account the calories to be consumed and the diet preferences, the application then constructs a diet plan and sends it across to the employees and generates weekly statistical data of BMI to guide and monitor the overall fitness of the employees. Keywords: Dietary behaviour, BMI, Internet of Things (IoT), Diet plan, Fitness

Effects of modified-Paleo and moderate-carbohydrate diets on body composition, serum levels of hepatokines and adipocytokines, and flow cytometric analysis of endothelial microparticles in adults with metabolic syndrome: a study protocol for a randomized clinical trial

Background Metabolic syndrome is a combination of metabolic risk factors causing a pathological condition that increases the risk of non-communicable diseases, such as diabetes and cardiovascular diseases. A variety of dietary approaches have been examined to halt this rapid trend; however, the effects of modified-Paleo diet and medium-carbohydrate diet on inflammation, adipokines, hepatokines, and the profile of endothelial microparticles in individuals with metabolic syndrome have not been investigated in detail. The present study is designed to examine the effect of modified-Paleo and moderate-carbohydrate diet with two delivery modes: “fixed diet plan” vs “calorie counting” on weight, body composition, serum levels of some hepatokines and adipocytokines, and flow cytometric analysis of endothelial microparticles in adults with metabolic syndrome. Methods Eighty metabolic syndrome patients will be recruited in this study. They will be randomly allocated to one of the following 4 groups: (1) receiving a modified-Paleo diet with calorie counting, (2) receiving a modified-Paleo diet with a fixed diet plan, (3) receiving a medium-carbohydrate diet with calorie counting, and (4) receiving a medium-carbohydrate diet with a fixed diet plan for 10 weeks. Weight, height, waist circumference, and body composition will be assessed at the study baseline and at the end of the trial. Serum insulin, asprosin, chemerin, FGF-21, CTRP-1, PYY, ghrelin, plasma EMPs (CD31+/CD42b− and CD144+/CD42b−), lipid profile, glycemic indices, hs-CRP, leptin, vitamin C, creatinine and satiety, hunger, fullness, and desire to eat (via visual analog scales) will be measured at the study baseline and at the end of the trial. Insulin resistance and insulin sensitivity will be determined using the HOMA-IR and QUICKI equations. Discussion To the best of our knowledge, this is the first randomized controlled trial that will determine the effect of modified-Paleo and moderate-carbohydrate diet on weight, body composition, serum levels of some hepatokines and adipocytokines, and the profile of EMPs in adults with metabolic syndrome. Moreover, the effects of different diet delivery modes, including “fixed diet plan” and “calorie counting” will also be analyzed. The results of this trial can provide clinical witnesses on the effectiveness of carbohydrate-restricted diets in ameliorating metabolic status and prevent the development of chronic diseases. Trial registration Iranian Registry of Clinical Trials IRCT2016121925267N4. Registered on 26 July 2017

Detoxification therapy and diet plan for mercury, aluminium, arsene poisoning

Mercury and aluminum poisoning affects the entire human body, the cumulative toxic effects being noticed especially at the cognitive, neurological and metabolic level. Toxicity with heavy metals such as mercury, aluminum, arsenic, lead is one of the biggest threats to our health. The diagnosis of mercury, aluminum and arsenic poisoning is an important step in establishing food and chelation therapy, with an emphasis on the cause, not on the symptoms. We present the case of a 46-year-old patient with symptoms manifested for a period of 2 years, who was exposed to treatments structured according to manifestations, without improving the conditions presented, without performing specific investigations of heavy metal poisoning. The personalized diet and treatment plan, used in the case of this patient, for a period of 3 months were distinguished by a total solution of the manifestations initially presented, no side effects.

Nephrology nurses’ views in giving a dietary recommendation for dialysis patients: An interview study

Background: Nutrition in dialysis patients plays an essential role in their life. Diet in dialysis patients are catered individually and applied according to the situation of the patients. A dietary recommendation is vital to dialysis patients, and nephrology nurses help patients understand the reasoning behind the dietary restrictions enforced. Objective: This paper aimed to explore nephrology nurses’ views in giving dietary recommendations for dialysis patients. Methods: In this descriptive qualitative study, one focus group discussion (n = eight nurses) and four individual interviews in one Renal Centre in Brunei Darussalam was conducted through purposive sampling. This interview took place between October 2020 and December 2020. Results: Three major themes were identified: (1) Approaches in giving dietary information, (2) Getting patients to follow a diet plan, and (3) Negotiating with patients. Conclusion: The importance of nephrology nurses in improving patient care, particularly in providing dietary recommendations to dialysis patients, cannot be overstated. They adopted different approaches, including negotiating with patients and using available resources to ensure that patients followed the dietary recommendations. However, they believe their current method and strategy for offering dietary recommendations to dialysis patients could be improved.

List of Food Substitutes vs Nutrients Balance: Which one is the future of designing diets in 21st century?

One of the first lines in controlling diseases and malnutrition is diet therapy and currently, due to tool limitations, for designing the patients’ diet plan, the food groups and the list of food substitutes are being used while suitable databases of foods composition are available. Methods of designing individuals’ diet and total of 8791 foods are reviewed to calculate the nutrients of mixed foods and design a suitable method of diet therapy with more freedom for the patients in the future. Food groups because of their simplicity are suitable for public health educations but have limitations that could be better covered using nutrient balances. The main cause of developing the list of food substitutes was the limitations in calculating nutrients in a designed diet that currently could be run using applications. Patients also by using self-management nutrition applications that based on the nutrient balancing method shown they are ready to accept this method. A well-designed application can make using nutrient balancing method which is the future of diets possible. However, the main limitation is still the needs for a big, validated, and accurate foods composition database that needs to be developed. Keywords : Diet, Food Groups, Nutrients, Diet therapy, Nutrition

The Effect Of Garlic Consumption With Prescribed Anti-Platelet Medicines On Platelet Count Of Cardiovascular Patients

Backgroung: Garlic (A. sativum) is in use as a traditional medicine for millions of years. It is already establish that A. sativum is nature's best antibacterial, antiviral, antifungal, antiparasitic agent. Its helpful effects for Cardiovascular system, Blood, Immune system, Central Nervous system, Respiratory system, Anti-cancer, Anti-Inflammatory and Antidiabetic properties have already been studied. In this study, we will evaluate the effects of garlic consumption on platelets count of MI Patients along with other blood-thinning medicines. Materials & Methods: This is a cross sectional study, 500 patients were interviewed. Interview questions included demographic information, diet plan, lifestyle, garlic consumption. Results: 412 (82.45%), patients stated that they are using or have used garlic for more than 6 months in raw form to reduce the symptoms of hypertension, along with prescribed medicines such as aspirin and clopidogrel. Platelet count of all patients of the study has been monitored and results showed 22.4% of them had thrombocytopenia with less than 150,000 mcL platelet count while only 2.19% showed thrombocytosis high levels of platelets count inPatients reported symptoms of excessive fatigues, unexplained vaginal bleeding, easy bruising, extreme headache, fluctuating blood pressure and other related symptoms. Conclusion: Garlic has a really impressive and wide range of pharmacological properties including antimicrobial, anticancer, cardiovascular disease An amazing pharmacological agent like A. sativum may affect adversely if taken without precaution. High dosage of garlic results in intoxication and disturbance of platelet count. However, a careful measure should be taken before garlic consumption especially with other blood-thinning medicines.