Can we conquer the STRESS of commuting irrespective of the crowding and other traveling menaces; merely by meditation? Can we conquer the STRESS of lack of housing, water, electricity, education, medical care etc. by meditation alone?
Thus; MEDIATTION, YOGA and NAMASMARAN; are inseparable from; physical, psychomotor, productive, instinctual, emotional, intellectual, creative and spiritual study and practices; linked with; study and application of the holistic solutions in the fields of health, education, agriculture, art, industry, economy, education, environment; which is called holistic renaissance, superliving or Total Stress Management.
Total stress management and meditationdr shriniwas kashalikarshriniwas kashalikar
NAME, NAMASMARAN and TOTAL STRESS MANAGEMENT: The concept of the title is; NAMA is the absolute truth beyond time and space. It is the ultimate controlling center. NAMASMARAN is the product of NAMA; and TOTAL STRESS MANAGEMENT is the effect of NAMASMARAN.
7 eye opening ways meditation can help your personal developmentShivaniKotian2
Meditation is a combination of deep relaxation and awareness. It is a technique for calming the mind and connecting with one's actual self. We grow so engrossed in the complications of our hectic life that we lose touch with our actual nature. Every person possesses an infinite supply of delight. Love is a part of who we are at our core.Our actual Self is love, and meditation, the age-old practise of quiet the mind, is the method to find it. It is the boundless joy and calm that we experience when we meditate, when we sit motionless for a few minutes with ourselves.
Thus; MEDIATTION, YOGA and NAMASMARAN; are inseparable from; physical, psychomotor, productive, instinctual, emotional, intellectual, creative and spiritual study and practices; linked with; study and application of the holistic solutions in the fields of health, education, agriculture, art, industry, economy, education, environment; which is called holistic renaissance, superliving or Total Stress Management.
Total stress management and meditationdr shriniwas kashalikarshriniwas kashalikar
NAME, NAMASMARAN and TOTAL STRESS MANAGEMENT: The concept of the title is; NAMA is the absolute truth beyond time and space. It is the ultimate controlling center. NAMASMARAN is the product of NAMA; and TOTAL STRESS MANAGEMENT is the effect of NAMASMARAN.
7 eye opening ways meditation can help your personal developmentShivaniKotian2
Meditation is a combination of deep relaxation and awareness. It is a technique for calming the mind and connecting with one's actual self. We grow so engrossed in the complications of our hectic life that we lose touch with our actual nature. Every person possesses an infinite supply of delight. Love is a part of who we are at our core.Our actual Self is love, and meditation, the age-old practise of quiet the mind, is the method to find it. It is the boundless joy and calm that we experience when we meditate, when we sit motionless for a few minutes with ourselves.
Bhagavad gita (holistic perspective) dr. shriniwas kashalikarshriniwas kashalikar
In absence of NAMASMARAN (even if we are reading, thinking, preaching; or actually doing charitable activities, which boost our ego); our DHARMA gets decomposed and we become oblivious to our destination and stray away from MOKSHA (the YOGA; global unity and harmony); in the wilderness of disruptive, degenerative, destructive and deceitful activities and downfall i.e. abyss.
NAMA is a word used to indicate true self; inseparable from the unifying universal self. Hence forgetting our self or being oblivious to our self can be referred to as NAMAVISMARAN [NAMA (self); VISMARAN (forgetting)].
As we “forget” our true self (NAMAVISMARAN), i.e. undergo a “descent” into our caricatures, we begin to live as our caricatures. We then get segregated into races, philosophies, ideologies, religions, cultures, nations, regions, families and individuals! Latter we descend further by the downward momentum of individualization and into pettier and meaner life!
NAMA is a word used to indicate true self; inseparable from the unifying universal self. Hence forgetting our self or being oblivious to our self can be referred to as NAMAVISMARAN [NAMA (self); VISMARAN (forgetting)].
As we “forget” our true self (NAMAVISMARAN), i.e. undergo a “descent” into our caricatures, we begin to live as our caricatures. We then get segregated into races, philosophies, ideologies, religions, cultures, nations, regions, families and individuals! Latter we descend further by the downward momentum of individualization and into pettier and meaner life!
Bhagavad gita (holistic perspective) dr. shriniwas kashalikarshriniwas kashalikar
In absence of NAMASMARAN (even if we are reading, thinking, preaching; or actually doing charitable activities, which boost our ego); our DHARMA gets decomposed and we become oblivious to our destination and stray away from MOKSHA (the YOGA; global unity and harmony); in the wilderness of disruptive, degenerative, destructive and deceitful activities and downfall i.e. abyss.
NAMA is a word used to indicate true self; inseparable from the unifying universal self. Hence forgetting our self or being oblivious to our self can be referred to as NAMAVISMARAN [NAMA (self); VISMARAN (forgetting)].
As we “forget” our true self (NAMAVISMARAN), i.e. undergo a “descent” into our caricatures, we begin to live as our caricatures. We then get segregated into races, philosophies, ideologies, religions, cultures, nations, regions, families and individuals! Latter we descend further by the downward momentum of individualization and into pettier and meaner life!
NAMA is a word used to indicate true self; inseparable from the unifying universal self. Hence forgetting our self or being oblivious to our self can be referred to as NAMAVISMARAN [NAMA (self); VISMARAN (forgetting)].
As we “forget” our true self (NAMAVISMARAN), i.e. undergo a “descent” into our caricatures, we begin to live as our caricatures. We then get segregated into races, philosophies, ideologies, religions, cultures, nations, regions, families and individuals! Latter we descend further by the downward momentum of individualization and into pettier and meaner life!
समाजात; आणि विशेषत: सर्व प्रकारच्या सत्ताकेंद्रांत जेवढे नामस्मरण वाढेल, तेवढ्या अधिकाधिक प्रमाणात समाजामधील सर्व स्तरांवरील क्रिया आणि प्रतिक्रिया अधिकाधिक पूर्वग्रहरहित (न्यायपूर्ण) आणि म्हणून कल्याणकारक होतात आणि व्यक्ती आणि समाजाचा सर्वांगीण विकास वेगाने होऊ लागतो.
ज्याप्रमाणे चुलीमुळे आग नियंत्रित होते आणि तिची धग भांड्याला नीटपणे लागून अन्न वेळेमध्ये शिजते, त्याचप्रमाणे जीवनातील सर्व भोगांची आणि उपभोगांची धग नामस्मरणरुपी चुलीमुळे अंतरात्म्याकडे पोचते आणि अंतरात्म्यामध्ये समाधानरुपी अन्न शिजू लागते. साहजिकच आपले, आपल्या कुटुंबियांचे आणि समाजाचे समाधान होऊ लागते! ज्याप्रमाणे चुली आणि त्यांच्यातील आग कमी जास्त असते, त्याचप्रमाणे नामसाधकांच्या प्रगतीचे टप्पे देखील वेगवेगळे असतात. पण नामस्मरणाने समाधानाकडे वाटचाल होऊ लागते; हे केवळ सद्गुरू ब्रह्मचैतन्य श्री गोंदवलेकर महाराजांच्याच नव्हे तर सर्वच संत महात्म्यांच्या शिकवणीचे त्रिवार सत्य असे सार आहे.
ह्या अमृताचा अगदी अंशत: अनुभव देखील जीवन झळाळून टाकणारा असतो आणि तो येण्यासाठी चित्तशुद्धी होत राहण्याची आवश्यकता असते. ही चित्तशुद्धी नामस्मरणाद्वारे होत जाते आणि ती चित्तशुद्धी देखील कोणत्याही बाह्य लक्षणाने ओळखता येत नाही आणि दाखविता येत नाही!
नामसंकल्पयुक्त नामस्मरणाचे चैतन्याधिष्ठान आणि सद्गुरुंची गोड ओढ; यानी रटाळ क्षण उत्साहवर्धक बनतो, कंटाळवाणा दिवस सण बनतो आणि निरर्थक आयुष्य कृतार्थ बनते! कुणीही हे करून पाहिले तर याचा अनुभव येऊ शकेल.
होय! अशी एक पायाभूत सुविधा आहे! पूर्णपणे बिनखर्चाची, कुणाचेही अंत:करण आणि आणि अस्मिता न दुखावणारी आणि सर्वांनाच सहज शक्य अशी ही सुविधा आहे. ह्या सुविधेद्वारे सद्विचार, सद्भावना, सद्वासना, सत्संकल्प आणि विश्वकल्याणकारी आणि सतत विकसित होणारी सत्कार्ये अविरतपणे घडू लागतात. प्रत्येक व्यक्ती समाधानी आणि कृतार्थ होऊ लागते. अशी अत्याधिक अत्यावश्यक पायाभूत सुविधा म्हणजे नामस्मरण
“नाम घेणाऱ्याला सत्कर्म टाळू म्हणता टाळता येत नाही” असे जेव्हां सद्गुरू श्री. ब्रह्मचैतन्य महाराज गोंदवलेकर म्हणतात, तेव्हां त्यांमध्ये वरील सर्वकाही अंतर्भूत आहे, म्हणजेच वेळ, पैसा आणि शक्ती यांचे (अर्थात आयुष्याचे) सर्वोत्तम व्यवस्थापन अनुस्यूत आहे!
परंतु पूर्वजन्मीच्या किंवा ह्या जन्मीच्या नामस्मरणाने; स्वत:च्या आणि इतरांच्या कल्याणाविषयी जी वैचारिक स्पष्टता येते ती स्पष्टता, जी गोड आणि उत्कट आस्था तयार होते ती आस्था, आणि त्या अनुरोधाने जी मन:पूर्वक कृती घडते ती कृती; ह्या तीनही बाबी मात्र हृदयाच्या अगदी जवळ असतात.
१. केवळ वाचन आणि चर्चेने नामस्मरणाच्या ह्या विश्वकल्याणकारी सामर्थ्याची संकल्पना काही प्रमाणात येऊ शकेल, पण त्याची प्रचीती येण्यासाठी नामस्मरण करणेच अत्यावश्यक आहे. किंबहुना, नामस्मरणाला पर्याय नाही असे म्हटले तरी ते अतिशयोक्त ठरणार नाही!
आपणा सर्वांना निकोप जीवनासाठी आणि जीवनाच्या सार्थकतेसाठी नामस्मरणाची, श्रीक्षेत्र गोंदवल्याची आणि अश्या प्रसाद व महाप्रसादाची अत्यंत तीव्र आणि निकडीची गरज आहे!
नामस्मरण करत प्रसाद किंवा महाप्रसाद वाढणारे आणि ग्रहण करणारे सर्वच जण ईश्वराप्रती किंवा आपल्या सद्गुरुप्रती कृतज्ञ असतात आणि कृतार्थ असतात! यातून परस्परांच्या कल्याणाची सद्वासना, सद्भावना, सद्विचार, आणि सत्संकल्प यांचे पोषण होऊन सर्वांचे उत्थान अधिक जोमाने गतिमान होते.
सद्गुरू श्री. ब्रह्मचैतन्य गोंदवलेकर महाराज म्हणतात, "आंधळ्याने पाणी भरावे तसे नाम घ्यावे. भांडे भरले किती आणि रिकामे किती, हे त्याला समजत नाही. तो भरतच राहतो. तसे नाम सतत घेत राहावे. देहाच्या कणाकणातून नामाचा ध्वनी केव्हाही यावा इतके नाम घ्यावे. सुरुवातीला रामनाम असे मुरले की पुन्हा जास्त लक्ष द्यावे लागत नाही. आपोआप देहाचे सारे कण नामजप करतात."
आम्ही सर्वच माध्यमवाल्यांनी नामस्मरणाचा अत्यंत आस्थेने अभ्यास, अगत्यपूर्वक अंगिकार आणि जीव तोडून प्रसार केला पाहिजे ह्याची खोलवर आणि तीव्र जाणीव झाली आणि त्यातच आमचे आणि सर्वांचे भले आहे ह्याबद्दल खात्री झाली!!
तुमची परम कृपा मात्र प्राणवायूप्रमाणे चिरंतन, चैतन्यमय, स्फूर्तिदायी आणि शाश्वत समाधान देणारी आहे! नामस्मरणाच्या आणि तज्जन्य सद्बुद्धीच्या, सद्भावनांच्या, सद्वासनांच्या, सत्संकल्पांच्या आणि सत्कर्माच्या रूपाने ती माझ्यासारख्या सर्वांना उपलब्ध झाली आहे!
श्रीराम समर्थ!
सतत नामस्मरण घडू लागले, गुरुची सत्ता पदोपदी जाणवू लागली, गुरुचे सानिध्य क्षणोक्षणी जाणवू लागले, जगण्याची उमेद वाढली, आजारपणाची आणि मृत्त्युची भीती गेली; आणि विशेष म्हणजे; ह्यापेक्षा वेगळे ध्येय गाठण्याची व त्यासाठी अधिक काही करण्याची उर्मी गेली तर तोच साक्षात्कार नाही का?
ह्यामुळे आहे त्या परिस्थितीत नामस्मरण टिकू लागते आणि वाढू लागते! आश्चर्याची बाब म्हणजे आपल्या लक्षात येऊ लागते की हीच ती खरी शांतता, खरी विश्रांती आणि हीच ती (स्वत:, इतर आणि परिस्थिती यांच्यामधल्या) खऱ्या सुधारणेची ईश्वरी प्रक्रिया!
Our Sadguru Shri Brahmachaitanya Maharaj Gondavalekar said, “Trust that the practice of NAMASMARAN as prescribed by Guru would emancipate the universe! Lord Rama would bless!”
नामाच्या सत्तेनेच आपल्या कळत-नकळत; सदभिरुची, सदिच्छा, सत्संकल्प, सत्प्रेरणा, सत्बुद्धी, सद्भावना, सद्वासना, सदाचार; म्हणजेच सद्गुरू ब्रह्मचैतन्य श्री. गोंदवलेकर महाराजांना अभिप्रेत असलेली संस्कृती आणि सुधारणा; व्यक्तिगत आणि सामाजिक जीवनात अधिकाधिक प्रमाणात आविष्कृत होत असतात!
पण काळजी करण्याचे कारण नाही. आपल्या इच्छे-अनिच्छेपलिकडे; विश्वचैतन्याची जननी आपली गुरुमाउली सर्व बऱ्या वाईट प्रसंगात आपल्याला सांभाळून आपल्याला चैतन्यामृतपान करवीत आहे. आपल्याकडून नामस्मरण आणि स्वधर्मपालन वाढत्या प्रमाणात करवीत आहे. सदभिरुची, सदिच्छा, सत्संकल्प, सत्प्रेरणा, सत्बुद्धी, सद्भावना, सद्वासना, सदाचार यांनी आपले व्यक्तिगत आणि सामाजिक जीवन अधिकाधिक प्रमाणात भरून टाकीत आहे! नामस्मरण करता करता आपल्याला नक्कीच याचा अनुभव येतो!
पण; काळजी करण्याचे कारण नाही. आपल्या इच्छे-अनिच्छेपलिकडे; विश्वचैतन्याची जननी आपली गुरुमाउली सर्व बऱ्या वाईट प्रसंगात आपल्याला सांभाळून आपल्याला चैतन्यामृतपान करवीत आहे. आपल्याकडून नामस्मरण आणि स्वधर्मपालन वाढत्या प्रमाणात करवीत आहे. सदभिरुची, सदिच्छा, सत्संकल्प, सत्प्रेरणा, सत्बुद्धी, सद्भावना, सद्वासना, सदाचार यांनी आपले व्यक्तिगत आणि सामाजिक जीवन अधिकाधिक प्रमाणात भरून टाकीत आहे! नामस्मरण करता करता आपल्याला नक्कीच याचा अनुभव येतो!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
2. Beware of mediation!
“Beware of meditation”? Why should we or any one;
bother about such caution? Isn’t such caution itself;
actually misguiding and harmful?
What is wrong in the instructions given at the time of
meditation workshops also? These instructions also
appear to be meant for composure and relaxation of
mind.
For instance, these instructions are; “Lie down in the
open on your terrace; focus your mind on the blue and
clear sky, gradually the sky would enter in you and you
would have transcended mind”, “Sit in lotus position.
Let the atmosphere in your room be free of insects, free
of dust, free of noise and free of other distractions. You
may light an incense stick. You can have a photo or
painting of your Guru or a deity who elevates your
mood or inspires you. Then begin by breathing slowly
and observe your own breathing”, “Sit in a lotus
posture. Breathe slowly. Focus your mind on a spot at
your navel”, “Observe a round spot on a plane
3. background of the wall. Sit quietly. Let the thoughts
flow”; and so on! There appears to be nothing wrong in
these!
Yes! All this is absolutely irrefutable and undeniable!
Actually there is nothing wrong in the meditation per se
and there is nothing wrong in the instructions as well!
Meditation is a state that follows the process of
evolution of body, instincts, emotions, intelligence and
perspective!
The word meditation has its root, which means healing.
Meditation is in practice in different forms for millennia
in countries like India. Meditation has no religious bias
or cultural prejudice. Meditation has whatsoever no
element of any kind of coercion. Apparently meditation
relaxes and endows peace!
Hence we should differentiate between the “SO
CALLED meditation” (which has become a commodity
and mirage that is hyped, marketed, sold; as if it is an
instant panacea for all the problems of universe; which
4. we purchase or pay for; heavily and happily and with
great hopes!); and meditation proper!!!
Let us understand that such “so called meditation” is
actually a gimmick, caricature or even a vulgarization
of meditation.
Let us ask ourselves following questions!
Can we feel relaxed simply by meditation even as we are in
the STRESS of paying about 30 percent income tax (apart
from sales tax, property tax etc.) without knowing how it is
spent?
Can we feel relaxed by sheer practice of meditation; even
as we have to undergo STRESS of taking such decisions
under some pressure and against our conscience?
Can we feel relaxed just by meditation; even while taking
all such decisions lying down and suffering from them?
Can we conquer the STRESS of commuting irrespective of
the crowding and other traveling menaces; merely by
meditation?
5. Can we conquer the STRESS of lack of housing, water,
electricity, education, medical care etc. by meditation
alone?
No! Never!
Hence; let us reiterate to ourselves; Beware of the “so
called Meditation and study, practice and propagate
Total Stress Management (TSM) i.e. individual and
global blossoming!”
What is the difference between “so called meditation”
and Total Stress Management (TSM)?
1] Total Stress Management (TSM) constitutes;
understanding the concept of STRESS, going to its root
causes, effects, pathophysiology, mechanism,
dimensions, support systems, holistic measures of
management; as completely as possible! This requires
active intellectual efforts by the participants. Active
intellectual participation makes it more difficult and
less popular.
6. Relaxation programs; meditation, pranayama, bhajan,
arbitrary tips in the management books; as well as
ready to use products; are easy and provide; instant
emotional solace and relaxation; even if it is temporary
and/or counterproductive!
2] TSM constitutes efforts towards simultaneous
welfare of one and all and not merely individual
welfare. This requires broadening of perspective. We
can call this paradigm shift. This is time consuming and
may not give instant results in terms of tangible petty
gains!
This also makes it more difficult and less popular
because everyone is already preoccupied and hard
pressed with personal problems of one kind or the
other. Coming out of one’s own “individual and petty
universe” is a Herculean task for most of us, because
we fail to understand how welfare of others would
contribute to our welfare!
7. The gimmick of meditation does not require this. In fact
it provides; much cherished indolence, inertia and easy
temporary escape.
3] Most of us are not aware of the concept of STRESS.
The STRESS is equated with tension, anxiety, worry,
sleeplessness, irritability, depression, frustration etc.
Actually this is only a small and conscious part of
STRESS. STRESS is universal. Every living being has
STRESS. STRESS is actually conscious and also
unconscious. Unconscious STRESS forms a major part
and is not perceived!
This leaves most of us to commit the blunder of
believing that we do not have STRESS!
The mercenary marketing of “vulgarized caricature of
meditation” has made us believe that we can sit in a
cozy room and solve all our problems, without any kind
of evolution! We remain in fool’s paradise that through
the short cut of such “so called meditation” we can
manage stress; without making any difference to the
material life of ours and the others! We forget the
8. importance selflessness and simultaneous global
blossoming in all the fields of life.
4]TSM teaches that perspective, policies, planning,
execution of sound intellectual solutions to personal
and social problems can not be substituted by un-
intellectual emotional games and gimmicks; such as so
called meditation and so called devotion and so called
charity. It teaches that real meditation, real devotion
and real charity are impossible in absence of intellectual
efforts to rectify the social homeostasis!
But acquiring and spreading wisdom; so as to solve
individual and social problems; is unique in satisfying
our conscience, i.e. our true self, but it is not easy!
Most of us have yet to appreciate that; giving parties,
donations, gifts and doing charity in other forms can at
best satisfy our ego. Even though, there is nothing
unnatural or unphysiological in such emotional
gratification; we do not realize that it can not help us to
manage stress effectively!
9. Most of us feel that it is impossible to solve social
problems and hence fail to do our own bit in this
direction and choose to get or passively get dragged
into; the caricature of meditation (as is a part of many
stress relaxation or stress management programs),
which is least demanding and does not involve
thinking, questions, arguments and action, but pampers
our passivity! We simply have to “take the trouble” of
joining some group by paying fees and pamper our
basal needs, petty emotional wants and intellectual
escapism; through similar company, ambience, food
and glamour associated with it!
5] The concept of TSM is not new in essence; but is
new, novel and holistic in its exposition. Many of us;
from media, politics, religion and other fields are not
aware of TSM. It is also true that due to the frenzy of
material success; we do not feel the thirst of our innate
self [soul] and hence may not care to learn about TSM.
It is strange; but true; that most of us; in scarcity (due to
frustration) and in abundance (due to delirious
obliviousness) are not able to grasp and practice TSM!
10. Marketed gimmicks of meditation never ask us to study
(uphill activity) any social problems! They pamper our
indolence and pettiness! Hence most of us find them
comforting as compared to study, practice and
propagation of Total Stress Management!
6] TSM aims at harmony between perspective,
intelligence, emotions, instincts and body; and aims at
best efforts of global welfare through laws, rules, and
conventions and so on.
The farce of meditation has nothing to do with anybody
else other than the individual himself or herself! There
is no botheration about the world, society or family!
7] TSM firmly upholds individual freedom to achieve
Total Well Being and suggests us to acquire and
practice such freedom!
The marketing of the gimmicks of so called meditation;
is a part of promoting our individualistic pursuits of
petty pecuniary goals, through fashionable escapist
11. tantrums, which alien us from rest of our brothers; and
degrade us as human beings!
8] The conceptualization, conviction, accuracy and
appropriateness of TSM are not popular today amongst
us, because TSM is not an explicit part of already
existing tradition or religion or atheist [non-believers]
tradition; and does not get any promotion. Since it is
devoid of any profits; and does not pamper any
personal ego; it is not sponsored by any multinationals
or corporate houses, even though it is an irresistibly
incoming thing; that would be a universal force that
would govern and blossom the universe.
The escapist gimmicks of “so called meditation” have
support and sponsorship from; the multinationals,
corporate houses, celebrities, businessmen and political
leaders; apart from the sense of praise, awe and respect
from common people amongst us (even though they are
not benefited at all)! This support and sponsorship is far
more than even that for any entertainment business and
personality! Hence “marketing meditation” is a far
more popular and flourishing a business!
12. 9] Total Stress Management suffers demoralization due
to non acceptance by; the pro-tradition, theist, anti-
tradition and atheist groups!
The so called meditation does not interfere with any
policy matters and does not come in the way of our own
and others’ vested interests or prejudices; and hence has
no opposition; from theist and atheist traditions!
10] Relative delay in publication, reading and
consensus building of TSM; is often misinterpreted as
God’s will!
It is true; that such a delay; is God’s will! The success
of the crass mercenary, treacherous and mean gimmicks of
meditation is also God’s will!
But the change that is imminent; is also God’s will, which
we find difficult to see!
11] The Total Stress Management (TSM) being a relatively
new exposition can be misunderstood, ignored or criticized;
hence there is delay as well as obstacles. But it is bound to
13. succeed; because it is God’s will, cosmic decision and the
plan of absolute enlightenment or writing on the wall!
The so called meditation has no such fear! It is going to
perish because of the inherent limitations, vanity and
contradictions, whether understood by us or not!
12] TSM can involve real dynamics of life. Thus there can
be dominance of asceticism followed by frustration and
inaction or non-assertion. Sometimes this can lead to
escapism of one sort or the other; also.
The caricature of meditation lacks the genuinity, honesty,
intensity, involvement, dedication and the adventure of
pursuit of truth! Hence it is trivial, irrelevant, ineffective and
insignificant in every respect. It does not involve any risk
and ups and/or downs in the life of an individual and the
society!
13] The TSM involves unavoidable uncertainty of life! This
is because there is no false assurance about tangible gains
such as; health, money, fame, power, or even moral
superiority! One gets engrossed in the understanding and
experiencing the uncertainty of life. This leads to the sense
of urgency of TSM and SUPERLIVING mission amongst
14. the proponents but are not shared by most individuals, which
leads to delay in propagating TSM.
The mediocrity of so called meditation makes it superficial
and farcical. It does not have anything to do with our (and
others’) hearts and souls; and our wellbeing! Since it does
not need serious involvement it keeps on appealing most of
us as a casual activity; and hence it spreads like a wild fire!
14] The TSM totally lacks the dictatorial attitude and
nurturing of vested interests e.g. forming a cult or
establishing an institution or organization! It is universal and
hence; even though it goes on making a definite and
significant difference in several ways; nobody is eagerly
waiting to claim and devour the credit or earn profits by
making even a deserving hype of it!
The traders of “so called meditation”; succeed; largely
because of the business and/or vested interests and the
inevitable games of management!
15] TSM lacks the excitement associated with glamour and
glitter involved in entertainment businesses such as cinema,
sports etc. Hence it does not pick the fancy of even talented
individuals.
15. The so called meditation and stress relaxation programs are
emulating the entertainment and showbiz and hence no
wonder; are amassing money, glamour and glitter. But with
globalization, the passivity is dwindling (though
imperceptibly) and compelling the global political and
intellectual leadership to study and practice TSM (even
though in different forms).
16] Some of the books on TSM are comparatively less lucid
and little more tedious, because of the emphasis given on
accuracy and efficacy rather than literary qualities. But,
when the social psyche gets ready for digesting certain
concepts (e.g. oneness of spiritualism and materialism and
oneness of theism and atheism); TSM is bound to spread like
wild fire and become vogue of the day.
The mirage of “so called meditation dwells” in hallucinatory
utopia and hence easily sold! We are bound to understand its
true nature and hollowness; as all of us are evolving; and
hence abandon it forever; due to its being palliative, alien,
escapist and thus counterproductive in nature (multiplying
problems in individual and social life)!
16. 18] It is also possible that there are still some inaccuracies
and or deficiencies left in TSM, which have to be rectified,
while studying and practicing it. This is going to happen as
the world is already coming together and blossoming
together; in spite of the apparently dismal picture!
The hyped and marketed stress management and stress
relaxation have built in contradiction of pettiness. Hence
they are bound to vanish.
19] The personal deficiencies of any one who studies TSM;
are considered as human and hence neither glorified nor
hidden. TSM does not flourish on such falsities; but aims to
blossom together.
The deficiencies of the traders of the vulgarized meditation
however; are concealed and hidden; and often an unjustified
and unphysiological asceticism is claimed, hyped, glorified
and sold! All this is due to utter darkness (TAMAS) of
ignorance; and bound to vanish with rapidly spreading
enlightenment of TSM.
20] Most importantly, the NAMASMARAN i.e. being
connected with God is a hallmark of TSM.
17. The “farce of meditation”; ignores, neglects or even
discards this aspect completely! This is because; the fashion,
fancy or whim of meditation and yoga can be “marketed and
sold”; and have a greater potential to cheat and (and for
common people to get cheated) financially. Whereas
NAMASMARAN is free; and hence without any scope for
financial cheating or getting cheated. (Many self styled gurus and
cults organized around them; can sell the “specialization of
giving or advising name of God”; though NAMASMARAN as
such is not directly marketed or sold).
Can the practice of MEDITATION, “help” the leaders, policy
makers, decision makers, planners, administrators and the
sufferers amongst us; to evolve and transform the scenario, and
if yes; when? Is the philosophy and practice of MEDITATION,
mere “running after the mirage of STRESS MANAGEMENT?
Are these questions erratic, irrelevant or heretic? Is it arrogant
to think; that it is “self inflicted spiritual castration; to neglect
every evil; merely and keep practicing the called MEDITATION,
without any reference to the objective material conditions”?
The answer provided is that; all religious precepts, spiritual
endeavors, spiritual disciplines, festivals, celebrations and a
variety of rituals including; MEDITATION, YOGA and
NAMASMARAN are basically meant for evolving objective or
holistic perspective and working in accordance with it.
18. If we take the analogy of the body functions, then the
MEDITATION, YOGA and NAMASMARAN; constitute the
biochemical, biophysical and bioelectrical activities in brain; and
holistic international perspective, policy making, programs and
implementation at ground level; constitute intellectual,
emotional, instinctual and physical manifestations.
MEDITATION, YOGA and NAMASMARAN never were, never
are and never would be sterile in terms of individual and global
blossoming; but when marketed, sold or freely distributed, if
they are cut off from ground realities; and devoid of the holistic
solutions, then they are merely the “so called MEDITATION,
YOGA and NAMASMARAN” or just caricatures of them; and
hence sterile and often counterproductive!
Looking at from another angle; MEDITATION, YOGA and
NAMASMARAN are actually the states of being when we are
connected with our true selves or our innate core; in as much
the are procedure or methods! As the methods; they are really
incomplete and inadequate; without certain essential
prerequisites. In other words; MEDITATION, YOGA and
NAMASMARAN as methods; are like breathing OXYGEN and
are essential for life; but incomplete and inadequate without
other physiological activities required for optimum health; so
as to reach the ultimate enlightenment; the states of
culmination of the practice of YOGA, MEDITATION and
NAMASMARAN.
19. Let us remember that as methods; MEDITATION, YOGA and
NAMASMARAN are NOT complete and certainly NOT the
ENDS in themselves.
Taking example from day to day life; all of us know, that as a
rule; we have to finish, primary, secondary and college training
before we take up the study or research of Ph D. Similarly; we
have to; as a rule; go through; physical, psychomotor,
productive, instinctual, emotional, intellectual, creative and
spiritual study and practices; for our inner growth and
blossoming; and arrive at, understand and practice the holistic
solutions in the fields of health, education, agriculture,
education, industry, environment (schools, colleges and
universities) and reach their culmination the final enlightened
states of MEDIATTION, YOGA and NAMASMARAN (Ph.
D.);
The practice of “so called MEDITATION” in absence of such
solutions is harmful and a schizoid and knowingly or
unknowingly hypocritical and hence detrimental activity of
trying to convince ourselves and preach others; that we are
ATMA. SOULS, BRAHMA, YOGIS, SACCHIDANANDA i.e.
the eternal bliss personified etc; when in fact we are in agony
and misery.
MEDITATION, YOGA and NAMASMARAN are actually the
evolved states of being as we blossom; in the process of active
efforts to implement holistic solutions to individual and social
20. problems! The validity of this statement can be verified
through our experience; but NOT merely by a casual approach
and casual enquiry; without any study and practice.
While we are talking about the so called or caricature of
meditation; we have to realize that there is a problem of fear;
when we deal with true MEDITATION, YOGA and
NAMASMARAN.
This fear is not of death, disease, dejection, debility etc; but of
depersonalization; i.e. living without a particular identity; such
as lawyer, artist, scientist, and farmer; because of
MEDITATION, YOGA and NAMASMARAN.
These are advised as solutions during STRESS; because even
though every identity has some capability, some skills, some
influence. But during STRESS the power becomes less, and the
drawbacks and liabilities of the identity start mounting. Thus; a
lawyer may lose his/her practice, artist may not lose his/her
popularity, scientist may fail in his/her experiments and the
farmer may suffer loss due to drought.
The reason we suffer and build up our STRESS; is not merely
because of the financial loss; but due to the unbearable burden
of the liability of our identity! Our identity is a part of our ego.
Since the identity becomes a liability; our ego is hurt, which
produces unbearable STRESS!
21. The solution to this problem is to retrieve the strength from the
deepest core that is beyond our ego and identity.
Naturally most of the traditional and rational stress
management experts advise the practice of MEDITATION,
YOGA and NAMASMARAN, which help us disperse the clouds
of our identity and ego (akin to depersonalization); which is
essential and inevitable for reaching our core; the source of light
and power!
But since we are habituated or addicted to live with our
identities; egos or personalities; we find it dreadful and insecure
to live without them. We question; “How to (and also why)
forget ourselves; in MEDITATION, YOGA and
NAMASMARAN? Isn’t it frightening to forget ourselves?
Moreover, isn’t forgetting ourselves voluntarily; almost
impossible? Besides isn’t it akin to a defeatist state of total self
effacement, self denial, escapism and cowardice?”
This question is asked; especially because; MEDITATION,
YOGA and NAMASMARAN are devoid of any tangible
assurance or support! They do not provide any sensory
pleasure. They are neither pleasant to look at nor melodious to
ears! Neither they have haunting smell nor do they have
gustatory charm. Neither they are a matter of sexual excitement
nor are they a matter of melodrama. Neither do they satisfy
intellectual urge nor do they produce any humor! Neither do
they bloat our ego nor do they provide any emotional solace.
22. When we begin the practice of MEDITAITION, YOGA and
NAMASMARAN; we are afraid of this life without any identity,
ego; and without any concrete security and support! This
appears like death!
We have to appreciate that; even as this peculiarity of
MEDITATION, YOGA and NAMASMARAN; makes them
dreadful; it is this very peculiarity of them; that makes us
capable and empowered to live without any support! It is this
peculiarity that makes them the most sought after and
cherished treasure for the seekers of truth; through millennia
and through out the world.
Let us understand that this “supportless living”; without the
clouds of identity and ego; empowers us to be support ourselves!
This life is not the same as; (in fact quite different from)
debilitating depersonalization when we becomes oblivious to our
personality due to dementia, unconsciousness or ignorance as
well as state of getting excited, elated, disturbed, agitated or
unhappy in a variety of situations due to our identities or ego.
In this state there is forgetting of all individual and subjective
doubts and suspicions; while we are engaged in satisfactorily
remedying the situations from the root cause! In this state; we
are focused on; as well as active and in harmony with the
controlling center (which is beyond the concept of change and
often referred to as BHAGAVANT or PARAMATMA) of all
23. situations, which are ever-changing and illusive (and hence
often referred to as MAYA in Indian literature).
In other words; in this state of “being the support ourselves” we
do not think that “we need support”, or “we provide support”
as we feel when we are caged in our identities, egos and
personalities. In this state of empowerment we have outgrown
them! There is no “kick of doing”; but in stead; there is “ecstasy
of being harmony”; with nature or God.
But mere intellectual explanations; and theoretical
discussions, arguments and deliberations and
controversies on the intricacies involved in stress
management; without actual experimentation; are NOT
useful. They do not reach the seeds of our being; the
seeds of our happiness! The practice and propagation of
NAMASMARAN; however; reaches and nurtures these
seeds of our being and the happiness blossoms!
We need not believe or disbelieve in any of this blindly
and impatiently! It is better to accept provisionally; think
over, study and give TOTAL STRESS MANAGEMENT,
which involves true MEDITATION and YOGA and (the
core of which is NAMASMARAN) a fair trial, if and
when we feel the urge!