This document provides a translation and summary of the Navagraha Stotram, a Hindu prayer offered to the nine planets and stars. It contains translations of verses dedicated to each of the nine celestial bodies - Sun, Moon, Mars, Mercury, Jupiter, Venus, Saturn, Uranus, and Neptune - presented in Sanskrit with explanations of the meanings and essences of each verse in Marathi. The purpose of the prayer is to explore and experience the power and bliss of one's true self and progress towards universal unity, harmony, and happiness.
Sampurna Tanavmukti Aani Samasyapurti (Total Stress Management In Marathi) Dr...asawarik
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
The document discusses the meaning of equality and Namasmaran, a practice of remembering God's name. It argues that [1] blindly preaching equality can lead to its misapplication if not studied properly with respect to justice, [2] Namasmaran helps develop a holistic perspective by reorienting one's being to their true self, and [3] Namasmaran is the "yoga of yoga" as it is the culmination of consciousness associated with all activities and traditions.
This document provides a summary of the qualifications and work experience of Dr. Shriniwas Janardan Kashalikar. It outlines his medical qualifications and positions, including an M.B.B.S. and M.D. from universities in India. It also lists his areas of research and publications focusing on holistic health, stress management, and physiology. Dr. Kashalikar has published several books and articles on these topics in English, Marathi, and Hindi. He has conducted workshops, lectures, and social services. The document thoroughly outlines his academic and professional accomplishments.
This document provides a summary of the author's tour of Southeast Asia, including stops in Hong Kong, Macau, Malaysia, and Singapore. Some key experiences mentioned include visiting attractions like Victoria Peak and Aberdeen Village in Hong Kong, temples and casinos in Macau, Genting Highlands in Malaysia, and sights around Singapore like the Merlion Park and Night Safari. The tour is described as providing beautiful scenery, cultural experiences, and opportunities for rest and relaxation between destinations.
The document discusses forgetting oneself during namasmaran (remembrance of a divine name). It explains that forgetting oneself in this context does not mean becoming oblivious, but rather forgetting individual doubts and focusing objectively on remedying situations from their root cause. By engaging in namasmaran, one can focus on and work with the unchanging controlling center or Paramatma, as opposed to the ever-changing illusions of maya. Feedback from other namasmaran practitioners is welcome.
Shambhvi A Bestseller Marathi Novel Dr. Shriniwas Kashalikarasawarik
The document discusses the history and importance of chocolate in Mexico. It details how chocolate was first cultivated by the Aztecs and Mayans as both a food and drink. After the Spanish conquest of Mexico, chocolate became popular in Europe in the 17th century. Today, Mexico remains one of the world's top producers of cocoa beans and is known for its traditional chocolate drinks and desserts made throughout the country.
The document contains contact information for Dr. Shrinivas Kashalikar over 19 pages, including his email address drsuperliving@gmail.com and website www.superliving.net, which are listed at the top of each page.
Sampurna Tanavmukti Aani Samasyapurti (Total Stress Management In Marathi) Dr...asawarik
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
The document discusses the meaning of equality and Namasmaran, a practice of remembering God's name. It argues that [1] blindly preaching equality can lead to its misapplication if not studied properly with respect to justice, [2] Namasmaran helps develop a holistic perspective by reorienting one's being to their true self, and [3] Namasmaran is the "yoga of yoga" as it is the culmination of consciousness associated with all activities and traditions.
This document provides a summary of the qualifications and work experience of Dr. Shriniwas Janardan Kashalikar. It outlines his medical qualifications and positions, including an M.B.B.S. and M.D. from universities in India. It also lists his areas of research and publications focusing on holistic health, stress management, and physiology. Dr. Kashalikar has published several books and articles on these topics in English, Marathi, and Hindi. He has conducted workshops, lectures, and social services. The document thoroughly outlines his academic and professional accomplishments.
This document provides a summary of the author's tour of Southeast Asia, including stops in Hong Kong, Macau, Malaysia, and Singapore. Some key experiences mentioned include visiting attractions like Victoria Peak and Aberdeen Village in Hong Kong, temples and casinos in Macau, Genting Highlands in Malaysia, and sights around Singapore like the Merlion Park and Night Safari. The tour is described as providing beautiful scenery, cultural experiences, and opportunities for rest and relaxation between destinations.
The document discusses forgetting oneself during namasmaran (remembrance of a divine name). It explains that forgetting oneself in this context does not mean becoming oblivious, but rather forgetting individual doubts and focusing objectively on remedying situations from their root cause. By engaging in namasmaran, one can focus on and work with the unchanging controlling center or Paramatma, as opposed to the ever-changing illusions of maya. Feedback from other namasmaran practitioners is welcome.
Shambhvi A Bestseller Marathi Novel Dr. Shriniwas Kashalikarasawarik
The document discusses the history and importance of chocolate in Mexico. It details how chocolate was first cultivated by the Aztecs and Mayans as both a food and drink. After the Spanish conquest of Mexico, chocolate became popular in Europe in the 17th century. Today, Mexico remains one of the world's top producers of cocoa beans and is known for its traditional chocolate drinks and desserts made throughout the country.
The document contains contact information for Dr. Shrinivas Kashalikar over 19 pages, including his email address drsuperliving@gmail.com and website www.superliving.net, which are listed at the top of each page.
1) The current education system fails to properly develop students' cognitive, affective, and psychomotor domains. It focuses too heavily on rote learning and lacks practical application.
2) Traditional education had merits like ensuring careers benefited society and families, but transitioned poorly by not preserving these merits.
3) A new holistic education model is proposed that incorporates production, service, physical activity, personality development and entertainment to nurture all student development domains.
C O N S C I O U S N E S S T O C O N S C I E N C E D Rasawarik
Consciousness develops through biological growth but can be influenced by disturbing impulses from the unconscious realm. Conscience evolves from consciousness and can overcome unconscious impulses. Conscience is associated with noble actions, universal love, and justice, while consciousness can be associated with conflicts and violence. The cultivation of a universal conscience through practices like NAMASMARAN is the culmination of human civilization and leads to a spiritual renaissance and experience of creative bliss.
The document summarizes how moods, emotions, and feelings arise from the interaction between the body and brain. Metabolic, endocrine, autonomic, and nervous system activities influence the brain, leading to states like anxiety, tension, elation, and depression. The brain also influences these bodily activities in a feedback loop. While some believe this system is governed by nature, God, or randomness, the document argues that regularly practicing NAMASMARAN (remembrance of the divine name) can reach, liberate, and nurture the seeds of happiness within a person. It encourages giving this practice a fair trial to experience its effects.
Divorce is often an act of escapism and defeat, where the ego succeeds over the self. It provides an illusion of freedom but prevents spiritual liberation. While spouses can be criminal, most divorces result from exaggerating ego needs rather than focusing on inner aspirations. This confusion of ego and self actually neglects the true self. Regular spiritual practice of namasmaran can help overcome ego and clear doubts to avoid the curse of divorce.
Dr. Shriniwas Kashalikar shares his experiences studying the Bhagavad Gita over 20 years. He initially found contradictions in the text but continued studying due to a feeling that the Gita was drawing him in. Over time, he realized that fully understanding the Gita is impossible but that studying it can help with self-realization and blossoming. The Gita deals with principles at individual, social and universal levels from past to future.
The document discusses how one's perceptions and reactions to things are shaped by their personality and paradigm. Seeing something very impressive can lead one to either desire it too much and think it is beyond their reach, or condemn it as "sour grapes" and not worth pursuing. Forced acquisition or renunciation will not lead to satisfaction and can exploit oneself or others. True bliss comes from evolving one's life in a way that leads to individual and global blossoming through remembrance of God.
H U M A N P H Y S I O L O G Y D R S H R I N I W A S K A S H A L I K A Rasawarik
Human physiology is the study of how the human body functions. It has evolved over time to encompass molecular, cellular, endocrine, cardiovascular, respiratory, and other areas of focus. Applied human physiology includes fields like space physiology, sports physiology, exercise physiology, and clinical physiology. Going forward, human physiology aims to better understand the interrelationships between human consciousness, the external environment, and insights from ancient wisdom traditions in order to apply that knowledge to individual and social life.
P R A Y E R F O R 21 S T C E N T U R Y D R S H R I N I W A S K A S H A L...asawarik
This prayer asks God to remind the speaker of their connection to God and help them feel victorious over distractions. It also asks God to teach their mission for the universe and convince the speaker to spend their life serving that mission without faltering. Finally, the prayer requests that God remind the speaker of their duty to God every moment until their last breath and prevent any confusion, so they can accept and live in God's service with gratitude.
1. The document provides protective measures to prevent the spread of H1N1 flu, including daily practices like chanting names of God, drinking water, consuming herbs, yoga, and maintaining personal hygiene.
2. It recommends consuming herbs like neem, tulsi, bel, chyavanprash, and drinks with turmeric, ginger and honey to boost immunity.
3. Additional tips include taking vitamins, washing hands frequently, avoiding crowds, and adding ginger, pepper and jaggery to tea.
The document discusses the concept of Namasmaran, which is remembering the name of God, a guru, or other holy figures or objects. [1] It states that Namasmaran helps to reconnect one's physiological self with one's true self. [2] It is described as the "yoga of yoga" as it is the culmination of all consciousness and activities in the universe. [3] Namasmaran leads to experiencing cosmic consciousness and rising above worldly concerns.
C O N C E P T O F H E A L T H Y A G I N G D Rasawarik
This document discusses concepts of holistic health and healthy aging. It defines holistic health as the ongoing movement towards accurate perception, appropriate feelings, and precise actions, bringing increasing pleasure, power, prosperity and profundity. It then discusses various physiological, psychological, and spiritual changes that occur with aging, including changes to cognition, affect, conation, organs and body systems. It argues that the common perception of aging as a negative process is overly pessimistic, and does not account for differences between human and animal aging.
This document discusses alcohol and tobacco without focusing on their benefits or toxic effects, which are widely known. It argues that the fanatic righteousness of both supporters and opponents adds to problems rather than solving them. Instead of analyzing various angles and issues, the document is interested in the power of empowerment, enrichment, solace, stress management, fusion, bonding, unification, and uniting so-called sinners with the pious. It suggests that through NAMASMARAN (remembering the divine), everyone can experience these powers irrespective of habits or addictions, without guilt or pride.
The document discusses "my problem", which is a struggle within individuals between what is and what should be. This restlessness stems from sensory input conflicting with feelings of wants and deficiencies. "My problem" is a global issue, as it is difficult to voluntarily blossom into generous, loving, and benevolent qualities. Forcing change through punishment or laws cannot transform individuals, but must come from creating a globally beneficial environment through tolerant policies and practices. True change can only be achieved through universal practice of remembrance.
Dr. Shriniwas Kashalikar has studied the Bhagavad Gita for over 20 years. While he initially found contradictions in its teachings, he became convinced that its message enlightens beings to progress from ignorance to self-realization. He realized that fully understanding the Gita is impossible, but studying it can start an exciting journey of enlightenment. Reciting the Gita helped shift his paradigm and immerse himself in cosmic consciousness beyond his intellect.
Yoga and superjoy can lead to a union at physical, emotional, intellectual, and spiritual levels that overcomes differences and disputes. The highest union is a spiritual one between a true guru and disciple through namasmarn, or remembrance of God, which dissolves the contradictions between theism and atheism. This realization can encompass all differences in the universe.
Yoga integrates the right and left cerebral cortex, or right and left brain. The inability to see unity across different fields and paths is due to a deficiency in developing and integrating the right and left brain, leading to sectarianism and injustice. Even an intelligent person can be antisocial without balancing left brain development with right brain integration.
[1] This prayer seeks happiness, health, and well-being for all, with no grief.
[2] While some object to prayer seeing it as weakness, the author explains prayers help connect to infinite cosmic powers and remove "blocks" like ego that develop in humans.
[3] Prayers and chanting help reconnect us to the empowering source of consciousness and remove feelings of isolation, reestablishing our link to the greater whole of which we are a part.
1) Prayer is meant to catalyze the culmination of any work in complete satisfaction and global welfare.
2) The essence of worshipping Lord Ganesha is that he represents the experience of enlightenment and cosmic oneness with one's inner and outer environment.
3) It is customary to pray to Lord Ganesha before starting any work because realizing truth is important for accurate vision, decision making, and successful action. These prayers provide holistic health or self-realization.
Namasmran, or remembering God, is a simple practice that can have benevolent and emancipating effects on both individuals and the environment. While some theories blame issues like poverty, oppression, or biological drives for individual and social problems, these explanations are only partially accurate and can breed hatred. Alternatively, theories that blame individual frailty are also imperfect and can lead to self-abnegation. Namasmran has no proof of its impacts but billions already practice it without knowing its name, and if more engaged in it, blossoming of individuals and the world would be inevitable.
W H Y H O L I S T I C M E D I C I N E D R S H R I N I W A S K A S H A L ...asawarik
The document discusses why holistic medicine is important. It notes that people have experienced the benefits of treatments like yoga, Ayurveda, and allopathy. More importantly, it is realized that different modalities of treatment, even those not considered formal treatments like music and clothing, work together in complementary and synergistic ways. Since the overall purpose of medicine is to promote holistic health, eradicate disease, and reduce misery, skills and knowledge from all areas including science, technology, commerce, art, politics, and philosophy should be combined to achieve this goal.
Zero is an important mathematical concept that gives meaning and structure but its existence is complex. Zero represents nothingness or absence, but nothingness cannot truly exist on its own - zero only has meaning in relation to other entities like time, space, and an observer. The concept of zero has paradoxically led to ideas of endings and death, though its origins and nature remain uncertain and indeterminate. This document raises philosophical questions about the nature and existence of zero.
1) The current education system fails to properly develop students' cognitive, affective, and psychomotor domains. It focuses too heavily on rote learning and lacks practical application.
2) Traditional education had merits like ensuring careers benefited society and families, but transitioned poorly by not preserving these merits.
3) A new holistic education model is proposed that incorporates production, service, physical activity, personality development and entertainment to nurture all student development domains.
C O N S C I O U S N E S S T O C O N S C I E N C E D Rasawarik
Consciousness develops through biological growth but can be influenced by disturbing impulses from the unconscious realm. Conscience evolves from consciousness and can overcome unconscious impulses. Conscience is associated with noble actions, universal love, and justice, while consciousness can be associated with conflicts and violence. The cultivation of a universal conscience through practices like NAMASMARAN is the culmination of human civilization and leads to a spiritual renaissance and experience of creative bliss.
The document summarizes how moods, emotions, and feelings arise from the interaction between the body and brain. Metabolic, endocrine, autonomic, and nervous system activities influence the brain, leading to states like anxiety, tension, elation, and depression. The brain also influences these bodily activities in a feedback loop. While some believe this system is governed by nature, God, or randomness, the document argues that regularly practicing NAMASMARAN (remembrance of the divine name) can reach, liberate, and nurture the seeds of happiness within a person. It encourages giving this practice a fair trial to experience its effects.
Divorce is often an act of escapism and defeat, where the ego succeeds over the self. It provides an illusion of freedom but prevents spiritual liberation. While spouses can be criminal, most divorces result from exaggerating ego needs rather than focusing on inner aspirations. This confusion of ego and self actually neglects the true self. Regular spiritual practice of namasmaran can help overcome ego and clear doubts to avoid the curse of divorce.
Dr. Shriniwas Kashalikar shares his experiences studying the Bhagavad Gita over 20 years. He initially found contradictions in the text but continued studying due to a feeling that the Gita was drawing him in. Over time, he realized that fully understanding the Gita is impossible but that studying it can help with self-realization and blossoming. The Gita deals with principles at individual, social and universal levels from past to future.
The document discusses how one's perceptions and reactions to things are shaped by their personality and paradigm. Seeing something very impressive can lead one to either desire it too much and think it is beyond their reach, or condemn it as "sour grapes" and not worth pursuing. Forced acquisition or renunciation will not lead to satisfaction and can exploit oneself or others. True bliss comes from evolving one's life in a way that leads to individual and global blossoming through remembrance of God.
H U M A N P H Y S I O L O G Y D R S H R I N I W A S K A S H A L I K A Rasawarik
Human physiology is the study of how the human body functions. It has evolved over time to encompass molecular, cellular, endocrine, cardiovascular, respiratory, and other areas of focus. Applied human physiology includes fields like space physiology, sports physiology, exercise physiology, and clinical physiology. Going forward, human physiology aims to better understand the interrelationships between human consciousness, the external environment, and insights from ancient wisdom traditions in order to apply that knowledge to individual and social life.
P R A Y E R F O R 21 S T C E N T U R Y D R S H R I N I W A S K A S H A L...asawarik
This prayer asks God to remind the speaker of their connection to God and help them feel victorious over distractions. It also asks God to teach their mission for the universe and convince the speaker to spend their life serving that mission without faltering. Finally, the prayer requests that God remind the speaker of their duty to God every moment until their last breath and prevent any confusion, so they can accept and live in God's service with gratitude.
1. The document provides protective measures to prevent the spread of H1N1 flu, including daily practices like chanting names of God, drinking water, consuming herbs, yoga, and maintaining personal hygiene.
2. It recommends consuming herbs like neem, tulsi, bel, chyavanprash, and drinks with turmeric, ginger and honey to boost immunity.
3. Additional tips include taking vitamins, washing hands frequently, avoiding crowds, and adding ginger, pepper and jaggery to tea.
The document discusses the concept of Namasmaran, which is remembering the name of God, a guru, or other holy figures or objects. [1] It states that Namasmaran helps to reconnect one's physiological self with one's true self. [2] It is described as the "yoga of yoga" as it is the culmination of all consciousness and activities in the universe. [3] Namasmaran leads to experiencing cosmic consciousness and rising above worldly concerns.
C O N C E P T O F H E A L T H Y A G I N G D Rasawarik
This document discusses concepts of holistic health and healthy aging. It defines holistic health as the ongoing movement towards accurate perception, appropriate feelings, and precise actions, bringing increasing pleasure, power, prosperity and profundity. It then discusses various physiological, psychological, and spiritual changes that occur with aging, including changes to cognition, affect, conation, organs and body systems. It argues that the common perception of aging as a negative process is overly pessimistic, and does not account for differences between human and animal aging.
This document discusses alcohol and tobacco without focusing on their benefits or toxic effects, which are widely known. It argues that the fanatic righteousness of both supporters and opponents adds to problems rather than solving them. Instead of analyzing various angles and issues, the document is interested in the power of empowerment, enrichment, solace, stress management, fusion, bonding, unification, and uniting so-called sinners with the pious. It suggests that through NAMASMARAN (remembering the divine), everyone can experience these powers irrespective of habits or addictions, without guilt or pride.
The document discusses "my problem", which is a struggle within individuals between what is and what should be. This restlessness stems from sensory input conflicting with feelings of wants and deficiencies. "My problem" is a global issue, as it is difficult to voluntarily blossom into generous, loving, and benevolent qualities. Forcing change through punishment or laws cannot transform individuals, but must come from creating a globally beneficial environment through tolerant policies and practices. True change can only be achieved through universal practice of remembrance.
Dr. Shriniwas Kashalikar has studied the Bhagavad Gita for over 20 years. While he initially found contradictions in its teachings, he became convinced that its message enlightens beings to progress from ignorance to self-realization. He realized that fully understanding the Gita is impossible, but studying it can start an exciting journey of enlightenment. Reciting the Gita helped shift his paradigm and immerse himself in cosmic consciousness beyond his intellect.
Yoga and superjoy can lead to a union at physical, emotional, intellectual, and spiritual levels that overcomes differences and disputes. The highest union is a spiritual one between a true guru and disciple through namasmarn, or remembrance of God, which dissolves the contradictions between theism and atheism. This realization can encompass all differences in the universe.
Yoga integrates the right and left cerebral cortex, or right and left brain. The inability to see unity across different fields and paths is due to a deficiency in developing and integrating the right and left brain, leading to sectarianism and injustice. Even an intelligent person can be antisocial without balancing left brain development with right brain integration.
[1] This prayer seeks happiness, health, and well-being for all, with no grief.
[2] While some object to prayer seeing it as weakness, the author explains prayers help connect to infinite cosmic powers and remove "blocks" like ego that develop in humans.
[3] Prayers and chanting help reconnect us to the empowering source of consciousness and remove feelings of isolation, reestablishing our link to the greater whole of which we are a part.
1) Prayer is meant to catalyze the culmination of any work in complete satisfaction and global welfare.
2) The essence of worshipping Lord Ganesha is that he represents the experience of enlightenment and cosmic oneness with one's inner and outer environment.
3) It is customary to pray to Lord Ganesha before starting any work because realizing truth is important for accurate vision, decision making, and successful action. These prayers provide holistic health or self-realization.
Namasmran, or remembering God, is a simple practice that can have benevolent and emancipating effects on both individuals and the environment. While some theories blame issues like poverty, oppression, or biological drives for individual and social problems, these explanations are only partially accurate and can breed hatred. Alternatively, theories that blame individual frailty are also imperfect and can lead to self-abnegation. Namasmran has no proof of its impacts but billions already practice it without knowing its name, and if more engaged in it, blossoming of individuals and the world would be inevitable.
W H Y H O L I S T I C M E D I C I N E D R S H R I N I W A S K A S H A L ...asawarik
The document discusses why holistic medicine is important. It notes that people have experienced the benefits of treatments like yoga, Ayurveda, and allopathy. More importantly, it is realized that different modalities of treatment, even those not considered formal treatments like music and clothing, work together in complementary and synergistic ways. Since the overall purpose of medicine is to promote holistic health, eradicate disease, and reduce misery, skills and knowledge from all areas including science, technology, commerce, art, politics, and philosophy should be combined to achieve this goal.
Zero is an important mathematical concept that gives meaning and structure but its existence is complex. Zero represents nothingness or absence, but nothingness cannot truly exist on its own - zero only has meaning in relation to other entities like time, space, and an observer. The concept of zero has paradoxically led to ideas of endings and death, though its origins and nature remain uncertain and indeterminate. This document raises philosophical questions about the nature and existence of zero.
Namasmaran means remembering the name of God, gurus, or great souls through repetition, which can be done silently, loudly, alone or in a group. It aims to reunify one's physiological being with their true self. By remembering one's true self through symbols like God's name, it leads to unification of individual consciousness with cosmic consciousness. Thus, Namasmaran is considered the culmination or "yoga of yoga" as it is the goal of every yoga technique and leads to transcendence above worldly concerns by experiencing cosmic consciousness. It must be practiced consistently to be realized.
Anusandhan is a state of being connected to one's true self, which traditions identify as God as inspired by the Guru. This state has surpassed subjective prejudices and is associated solely with global welfare. It has no petty pursuits or mean considerations, and is an objective state that has a benevolent effect of facilitating freedom for the entire universe. Anusandhan can also be considered the state of ultimate freedom in the truest sense.
W A L K I N G T O W E L L N E S S H O L I S T I C V I E W D R S H R I N...asawarik
This document outlines possible health benefits of walking according to Dr. Shriniwas Kashalikar. Walking can help cleanse the skin through sweating, activate the cardiovascular and respiratory systems, tone the digestive system to relieve gas and constipation, relieve joint pains and arthritis as well as back aches, and provide vitamin D and reflexology benefits through foot stimulation. Additional benefits include saving resources, practicing silence and avoidance of gossip.
U N C O N D I T O N E D H A P P I N E S S D Rasawarik
The document discusses the state of unconditioned happiness exemplified by saints. It clarifies that this state is not one of depression, surrender, or indifference, but rather a "videhi awasthaa" state where one has risen above perceptions and bodily influences. In this state, the individual appears unaffected but can interact with situations in subtle, trans-physical ways through articulation, action, or mystical means. The document emphasizes that cosmic consciousness and its manifestations are infinite and subtle, beyond the capacity of most to appreciate or experience, and that unconditioned happiness is a hallmark of evolved consciousness, not indolence or ignorance.
The document discusses three main points about spiritualism and the practice of namasmaran.
The first point is that forgetting yourself in memory of God through namasmaran helps free you from obsessive thoughts and feelings about yourself. The second point is that renouncing relationships through namasmaran allows you to see relationships more objectively over time. The third point is that different philosophical perspectives can be harsh, so it is important to ask questions, seek answers through one's own experiences, and verify answers through sadhana like namasmaran with patience similar to a scientific experiment.
Total Stress Management Guide For Nurses Dr Shriniwas Kashalikarasawarik
This document provides an introduction and overview of a guide for managing total stress for nurses working with critically ill patients. It discusses the importance of managing stress given the demanding nature of nursing work. It outlines that total stress management requires focusing on both oneself and one's environment. It then describes the five aspects of one's being that should be nurtured - spiritual, intellectual, emotional, instinctual, and physical. Specific strategies are provided for developing spiritual and intellectual health, including practices like self-acceptance, autosuggestions, studying pertinent literature, and maintaining a balanced lifestyle. The goal is to help nurses flourish personally and professionally in their important work.
This document discusses the importance of holistic perspectives and activities that lead to individual and universal blossoming. It recommends that realizing universal unity and harmony can be achieved through regular remembrance of God's name. It also stresses the top priority of training children and adults in first aid, nursing, home remedies, crafts, sports, and everything related to physical and mental fitness to empower individuals and achieve prosperity and profundity.
T H R E E P O I N T S A N D N A M A S M A R A N D Rasawarik
The document discusses three main points about spiritualism and the practice of namasmaran.
The first point is that forgetting yourself in memory of God through namasmaran helps free you from obsessive thoughts and feelings about yourself. The second point is that renouncing relationships through namasmaran allows you to see relationships more objectively over time. The third point is that different philosophical perspectives can be harsh, so it is important to ask questions, seek answers through one's own experiences, and verify answers through sadhana like namasmaran with patience.
Beliefs of some kind are a natural human frailty that help provide emotional solace and determine behavior. While scientific theories are also a type of belief, they are based on observations and cannot be fully verified. All humans, including scientists and philosophers, rely on some beliefs or convictions to cope with uncertainty and live sanely. The only way to overcome prejudices from superstitions is to live beyond the realm of the senses through self-realization, which is said to be possible through regular remembrance of the divine name.
T H E F E T T E R S A N D T H E F R E E D O M Drasawarik
The document discusses the concept of Namasmaran, which is remembering the name of God, a guru, or holy figures through practices like chanting or silent remembrance. It states that Namasmaran helps to reconnect one's true self by focusing individual consciousness on a symbol of the cosmic consciousness. This leads to rising above worldly concerns and manifesting higher actions. While the benefits of Namasmaran cannot fully be described, it is presented as a path to realizing one's highest potential through spiritual practices.
This document expresses the author's reflections on the complexities and mysteries of human existence through poetic lines describing various experiences and phenomena, such as emotions, relationships, the natural world, and the vastness of the universe. The author signs off by asking the reader if they also feel and contemplate these profound aspects of life.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
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Navagraha Stotra Bestseller For Superliving Dr. Shriniwas Kashalikar
1.
2. veJe«en mlees$ece
NAVGRAHA STOTRAM
THE HYMN (PRAYERS) OFFERED
TO NINE PLANETS & STARS
Humble efforts of translation and appreciation
Dr. Shriniwas Janardan Kashlikar
In-charge : Center for Total Stress Management,
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H EALTH ADV
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4. This prayer helps us to
explore and experience the
power and bliss cf our true
self & thereby progress
into universal unity,
harmony & happiness.
5. metÙe& = SUN
peheekegâmegcemebkeâeçeb keâeçÙehesÙeb cenÅegefleced ~
leceesefjb meJe&heeheIveb ØeCeleesÓefmce efoJeekeâjced ~~
Japaakusumasankaasham kaashypeyam Mahadyutim |
Tamorim Sarvapaapaghnam Pranatosmi Divaakaram ||
peheekegâmeg = peemJeboerÛes Hetâ} = Hibiscus flower
mebkeâeçeb = meejKee = Similar
keâeçÙehesÙeb = keâeçÙehe kegâ}eslheVe = Born in Kashyap pedigree (family)
cenled = cees"s = Great
Åegefleced = lespe = Brightness, radiance, luminance
lece: = DebOeej = Darkness
Deefjb = çe$eg = Enemy
meJe& = meieUer = All
heeheIveb = heehes veeçe keâjCeeje = Destroyer of sins
6. ØeCele: = ØeCeece keâjlees = Salute
Deefmce = ceer =I
efoJeekeâjced = efoJeekeâje}e = metÙee&}e = To sun
DeLe& : peemJeboerÛÙee Hegâ}eØeceeCes }e} jbie Deme}s}e, keâçÙehe kegâ}erve Je cenelespemJeer
Deme}suÙee, DebOeejeÛee çe$eg Demegve meJe& heehes ve° keâjCeeNÙee efoJeekeâje}e ( metÙee&}e) ceer ØeCeece
keâjlees.
Meaning : I salute Sun (Divakara) who is red like hibiscus, who is
born in kashyap family (pedigree), who is very bright and enemy of
darkness and who destroys all sins.
Essencs : The nine 'grahes' are not merely plantes or stars in
physical sense. they are the power underlying the physical existence
not merely nine but all the planets and stars in whole of the Universe.
Here the word sun represents the source of not merely physical
energy for photosynthesis by plants or heat but it indicates source of
consciousness for the entire universe. As we rise in consciousness we
7. tend to falter less and commit less mistakes and sins ( all the deeds
conducive to deterioration of holistic health) and vice versa. Hence
here the Sun is referred to as destroyer of sins. The sun is bright
and hence enemy of darkness not merely in physical sense but in
terms of being enemy of the darikness of ignorance.
This prayer should prove useful to overcome slumber, inertia
and inectivity. It should prove useful to overcome depression and
frustration.
9. çeefçeveb = memee (keâeàÙee = Rabbit in the
[eieeÛÙee ¤heeleer}) form of drak patch
on moon
meesceb = meescee}e = To moon
meesceb = JevemheleeRÛes hees<eCe = The principal or
keâjCeejs lelJe element, which
nurtuses all plants
çecYees = çebkeâjeÛÙee = Of Lord Shiva
cegkegâš = efkeâjerš, cegkegâš = Crown
Yet<eCeced = De}bkeâej = Ornament on
DeLe& : oner, çebKe DeeefCe oJeefyebotØeceeCes çeesYee Je lespe (Je jbie) Deme}suÙee #eerjmeeiejeletve
GlheVe Pee}suÙee, DebieeJej meçeeÛes efÛevn Deme}suÙee, çebkeâjeÛÙee (efçeJeeÛÙee) cegkeâšeJejer}
Yet<eCe Deme}suÙee Deew<eOeeRÛee hees<ekeâ Deçee Ûebõe}e ceer vecemkeâej keâjlees.
10. Meaning : I salute Moon. who is beautiful and radiant like curd, counch
and dew-drops, who is born from the ocean of milk, who adoms the
sign of rabbit and who beautifies the crown of Lord Shiva.
Essence : The beautiful description of Moon is actually aimed to indicate
that principle which is like the mind of the universal being or cosmic
being. The cosmic mind is said to murture the plants (medicinal). this
seems to be healing qualities imparted by it to the plants. Mind as a
healer is well known all over the world.
When we think of Moon principle at individual level, the three
characteristics viz, being born in ocean of milk, having rabbit patch
and beautifying the crown of Shiva all appear related to central nerous
system, The mind is born from the well spread out white nerous
system (ocean of milk) with gray matter (rabbit like dark patch) and
the mind when clean really beautifies the crown of shive or Self in the
individual.
This prayer should strengthen the weak and fragile mind and fragile mind
and emppower one to fight the difficult situation and conquer them.
11. cebieU = MARS
OejCeerieYe&mebYetleb efJeÅeglkeâeefvlemeceØeYeced ~
kegâceejb çeefkeälenmleb Ûe cebie}b ØeCeceecÙenced ~~
Dharaneegarbhasambhootam Vidyutkaantisamaprabham |
Kumaaram Shaktihastancha Mangalam Pranamaamyaham ||
IejCeer = he=LJeer = Earth
ieYe& = ieYe& = Embro or fetus
mebYetleb = pevce}s}e = Born
ieYe&mebYetle = ieYee&heemetve pevce}s}e = Born from the fetus of earth
efJeÅeglkeâebeflemeceØeYece = JeerpesÛÙee lespeeØeceeCes ØeYee Deme}s}e = Having aura like the
luminance of electricity (lightening)
kegâceejb = kegâceej}e DeeefCe = To the young boy And
çekeäleernmlebÛe = çekeäleerçee}er nele = Strong arms
12. cebie}b = cebieUe}e = To Mars
ØeCeceecÙenced = ceer ØeCeece keâjlees = I salute
DeLe& : he=LJeerÛÙee ieYee&çeÙeeletve pevce}suÙee JeerpesÛÙee lespeemeejKeer ØeYee Deme}suÙee DeeefCe
çeefkeäleçee}er nele Deme}suÙee kegâceej cebieUe}e ceer ØeCeece keâjlees.
Meaning : I salute young Mars who is born form the womb of earth, has
the bright like that of the lightening and who has strong arms.
Essence : According to Indian Astrology Mars represents the cosmic
principle of firec and os supposed to be the causal for bravery, indusrtiaus-
ness, dynamism, cataclysms, wild fires, epidemics, riots, cyclones and
wars. The prayer is intended to regulate the fire principle and channelize
it in constructive direction. This is akin to what is as RAJA principle.
This prayer is likely to help all the condition which lower the metabolism
and make the body slow, lethargic and weak. It can help activate all
organs of the body by providing enrergy. Moreover, it is likely to control
exicitement, anger and hyper activity of body systems.
13. yegOe = MERCURY
efØeÙe*iegkeâef}keâeçÙeeceb ¤hesCeeØeefleceb yegOeced ~
meewcÙeb meewcÙeiegCeeshesleb leb yegOeb ØeCeceecÙenced ~~
Priyangukalikaashyaamam Roopenaapratimam budham |
Saumyam Saumyagunopetam Tam Budham Pranamaamyaham ||
efØeÙe*iegkeâef}keâe = Deçeeskeâ Je=#eeÛeer keâUer = The bud of Ashoka tree
çÙeeceb = keâeUe = Gray, Reddish drak
¤hesCeeØeeflececed = ¤heeves DeØeleerce = Incomparable in appearance
yegOeb = yegOee}e = To Mercury
meewdcÙeb = cebo,meewcÙe, çeerle} = Mild, cooling
meewcÙe iegCeeshesleb = meewcÙelJe ns Jewefçe°Ÿe Deme}s}e = Mild by nature
leb yegOeb = lÙee yegOee}e = To that Mercury
ØeCeceeefce+Denced = ØeCeceecÙenced = ceer ØeceeCe keâjlees = I salute
14. DeLe& : DeçeeskeâeÛÙee keâUerØeceeCes }e}mej - keâeUe (çÙeece) JeCe& Deme}suÙee DeØeleerce megboj ¤he
Deme}suÙee meespJeU mJeYeeJeer yegOee}e vecemkeâej Demees.
Meaning : I salute sober natured Mars who look reddish dark and
incomparably besutiful like the bud of Ashoka tree.
Essence : This prayer is apparently related to the principle of wisdom
and restraint. Gray point / suyggests gray matter of the brain which exerts
restraint on otherwise intracteble and barnaric passion and temperament.
Thus it is the governing principle of sobriety and grace.
15. ieg® = JUPITOR
owJeeveeb Ûe $e+<eerCee Ûe ieg¤b keâebÛevemeefVeYeced ~
yegefæYetle ef$e}eskesâçeb leb veceeefce ye=nmheefleced ~~
Devaanaan Cha Risheenaam Cha Gurum Kaanchana Sannibham |
Buddhibhootam Trilokesam Tan Namaami Bruhaspatim ||
osJeeveeb Ûe $e+<eerCeeb Ûe = osJeebÛee DeeefCe $e+<eerÛee
= Belonging to deitis and sages (Rishis)
ieg¤b = ieg¤
= Master, teacher, guru
keâebÛeve meefVeYeced = meesvÙeemeejKee jbie Deme}s}e
= Having golden colour
yegefæYetleb ef$e}eskesâçeb = yegefæceeve Demee $ew}eskeäÙeeÛee mJeeceer
= Genius and master of all three planes of
existence
16. leb veceeefce ye=nmheefleced` = ye=nmheleer}e ceer ØeCeece keâjlees
= I salute that jupiter
DeLe& : osJe DeeefCe $e+<eeRÛee ieg¤ Deme}suÙee, meesvÙeemeejKee jbie Deme}suÙee yegefæceeve Deçee
$ew}eskeäÙeeÛee mJeeceer ye=nmheleer}e ceer vecemkeâej keâjlees.
Meaning : I salute the genius Jupiter who is the teacher of deities
and rishis, who is golden in complexion amd who is master of all three
planes of existence.
Essence : This prayer is apparently offered to the genius of an
indiviodual which governs all the centers in the brain and thereby govern
all three levels of consciousness viz. dream, sleep and wakefulness.
The golden complexion seems to indicate the trascendental light that
governs every activity. This could also be representing reticular system
in central nervous system, which determines the activity of all centers
in brain.
18. DeLe& : yeHe&â kegbâoerÛÙee hes"eØeceeves lespe Deme}suÙee meJe& çeeŒeeLe& meebieCeeNÙee owlÙeeÛÙee hejce
ieg® Yeeie&Jee}e (çeg›eâe}e) ceer ØeefCeheele keâjlees.
Meaning : I salute Venus who is radiant like the srems of jasmine and
snow, who is the best teacher of jasmine and snow is the best teacher
of devils and who explains the discourses of science.
Essance : This prayer offered to Venus seems to indicate the principle
responsible for systematic governance of passions and instricts in nature.
The sexual and physical vigor, which can be devilish are apparently
governed by this principle for the benefit of universe. Struturally this
may represent limbic system in brain.
This prayer apperrs to result in invigoration, buoyancy, love and
perpetuation of life and universe.
20. mebYetleb = pevce}suÙee = Born
leb = lÙee}e = To him
veceecÙence d = ceer ØeCeece keâjlees = I salute
çevewßÛejced = efmLej çeefve «ene}e = To stable Saturn
DeLe& : efveàÙee keâepeUemeejKeer ØeYee Deme}suÙee, ÙeceeÛee cees"e YeeT Demegve metÙe& DeeefCe lÙeeÛeer
ÚeÙee Ùeebheemetve pevce}suÙee mLewÙe&YeeJeer çeefve«ene}e ceer Jebove keâjlees.
Meaning : I salute stable Saturn who has dark aura, who is the el-
der brother of Yama and who is born from Sun and his "shaddow" viz.
Chaayaa.
Essence :This prayer offered to saturn appears to be a prayer to
the deity (cosmic principle) of stability. If inadvertently expressed it can
retard the progress. If appropriately expressed it can prevent abnormal
and haphzard movement (going astrey and getting misled). The expresion
21. "Elder brother of Yama" seems to indicate the importance of stability in
coordination of regulation of life & death represented by the principle or
deity Yama. The expression "Son of Sun" seema to indicate that it has
the power of light (activity) and darkness (inactivity) knowledge and
ignorance. It may represent limits of growth, constancy of bioelectric
potentials, negative feed back mechanisms in body.
23. leb jengb = lÙee jeng}e = To Rahu salute
ØeCeceecÙenced = ceer vecemkeâej keâjlees = I salute
DeLe& : DeOe&s çejerj Deme}suÙee Je ceneheje›eâceer Demetve Ûebõ-metÙeeËveener «emeCeeNÙee Je $eeme osCeeNÙee
Je efmebefnkesâÛÙee ieYee&jemetve GlheVe Pee}suÙee jeng}e ceer ØeefCeheele keâjlees.
Meaning : I salute the mighty and brave Rahu, who has half body,
who harasses even moon and sun who is born from the womb of
simhikaa.
Essence : The prayer is offered to Rahu. Rahu is a point in space and
time and when the orbit of Moon crosses that of the earth while Moon
is passing from south to north of the equator of Earth.
The Universe is full of wonders. The varity of entities (and deities)
contribute to the panorama or orchestrta in the cosmos. What appear to
be nagative and bad are also part of this orchestra. Hence for universal
welfare prayer is offered to Rahu.
24. In mytology Rahu is said to be the son of Viprachitee and Simhika.
These appear to be the symbols of two orbits the crossing of which
produces Rahu so they may represent psychic forces responsible for
mental clouding. Thus from individual’s point of view Rahu appears
to represent those point in space and time when an individual suffers
from mental clolouding, confusion, amnesia and which can create a
picture of being possessed by a ghost.
However sleep, forgetfulnesss in appropriate limits promote health.
Thus Rahu is said to be beneficial except in cetain circumstances,
constellation (place in birth chart).
26. DeLe& : heUmeeÛÙee Hegâ}eØeceeCes }e} Demetve, leejs Je «enebÛee peCet Glkeâ<e& efyebot DemeeJee
lemee Deme}suÙee ceneYeÙebkeâj Deçee kesâleg}e ceer Jebove keâjlees.
Meaning : I salute ketu who is red like the flower of parrot tree
and who is like summit or pinnacle of stars and planets and who is
fearsome.
Essence : This prayer is offered to Ketu. Ketu is the point where the
orbit of Moon crosses that of Earth. This point is where Moon crosses
equator of earth from north to south.
The Ketu appears to be principle of violence in nature/universe.
The word Rudra connotes destruction. In universal as well as individual
life destruction and violence are dreaded by most people. However
violence & destruction are inseparable from the orchestra of universal
events and individual life and when approprite they constitute essential
and individual life and when appropriate they constitute essential
and healht promoting aspect of life. One can find many processes
of destruction described in the book of Embryology, Anatomy and
Physiology.
Hence it is more than appropriate to offer prayer to Ketu the
regulator of violence in nature & individual life.
27. Heâ}ßegefle = THE REWARD
Fefle ßeer JÙeemecegKeesodieerleb Ùe: he"sled megmeceeefnle: ~
efoJee Jee Ùeefo Jee je$eew efJeIveçeeefvleYe&efJe<Ùeefle ~~
Iti Shree Vyaasamukhodgeetam Yah Pathet Susamaahitah ~
Divaa Vaa Yadivaa Raatrau Vighnashaantirbhavishyati ~~
Fefle = çesJeš = End
ßeer JÙeemecegKeesodieerleb = ßeer JÙeemecegefvebÛeer keâeJÙejÛevee
= The poeric expression of Shri Vyaasa
Ùe: he"sled = pees JeeÛes}/DeYÙeemes} = Who would read / study
megmeceeefnle = çeeble / DeefJeÛe} / mece efÛeòeeveb
= With undistrubed focussed and balanced mind
efoJee Jee Ùeefo Jee je$ees = efoJemee Jee je$eer = At day or night
28. efJeIveçeeefvleYe&efJe<Ùeefle = Adversities and Calamites are averted /
destroyed
DeLe& : FLes mlees$e mebheles. pees Ùee JÙeemejefÛele mlees$eeÛee efoJemee Jee je$eer Skeâe«e Je mecelees}
ceveeves DeYÙeeme keâjer} lÙeeÛÙeeJejer} meJe& mebkeâšs ve° nesleer}.
Meaning : Here ends the prayer. One who recites / studies this
prayer composed by shri Vyaasa the great rishi either at day or at night
with composed & balanced mind, gets freed of all calamities.
Essence : The prayer of nine planets and stars actually helps one
to explore one's true self and also thereby get access to all hitherto
unavailable energies / powers which are symbolised as deities, with
differsnt forms.
30. Meaning : Men, women and rulers will get incomparable
prosperity, health and empowerment and their bad dreams (thoughts)
will be destroyed.
Essence : the prayer of all planets & strars will result into
prosperity, health and power. By virtue of destruction of bad dreams,
bad thoughts all kinds of meanness would disappear.
32. Meaning : The trouble from thieves, fire (etc) resuting due to
ill influences (wrath) of planets and stars are nullified as is said by
Vyaasa rishi which is no doubt, infallible and true.
Essence : Thus Vyaasa rishi declares the truth that (due to
chanting, studying of these prayers) all planetary wrath and ca-
lamities resuting from them disappear.