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An Overview of the Naturopathic Medicine Protocol Used in Inpatient Yoga and Naturopathy Hospitals in India: The Prakriti Shakti Protocol. 印度瑜伽和自然疗法医院住院病人使用的自然疗法方案概述:Prakriti Shakti 方案。
Pub Date : 2024-08-31 DOI: 10.15280/jlm.2024.14.2.88
Cijith Sreedhar, Akhilraj Ra, Anand Prayaga, Priya Augusthy, Dennis Joseph, Nithila Catherin, Karishma Silwal, Pradeep Mk Nair

Naturopathic medicine is a popular form of complementary and alternative medicine systems practiced worldwide. This study provides an overview of a typical inpatient yoga and naturopathy protocol followed in India. Naturopathic medicine is commonly used in the management of certain lifestyle-related disorders, such as diabetes mellitus, hypertension, obesity, cancer, musculoskeletal disorders, endocrine disorders, and neurological disorders. Moreover, naturopathic medicine integrates different lifestyle medicine practices, such as yoga, diet, acupuncture, hydrotherapy, and color therapy into its treatment plans. Moreover, India is one of the few countries that offer naturopathy treatments through inpatient hospitals. Although the clinical efficacy of naturopathic medicine practices in various pathological conditions has been confirmed, no studies have yet investigated the effectiveness of naturopathic medicines protocols in naturopathic inpatient settings. Naturopathic physicians use a set of philosophical principles when determining their therapeutic order and all therapies that upregulate physiological homeostasis.

自然疗法是一种流行于世界各地的补充和替代医学体系。本研究概述了印度典型的住院病人瑜伽和自然疗法方案。自然疗法通常用于治疗某些与生活方式有关的疾病,如糖尿病、高血压、肥胖症、癌症、肌肉骨骼疾病、内分泌疾病和神经系统疾病。此外,自然疗法还将瑜伽、饮食、针灸、水疗和色彩疗法等不同的生活方式医学实践融入其治疗计划中。此外,印度是少数几个通过住院医院提供自然疗法治疗的国家之一。虽然自然疗法对各种病症的临床疗效已得到证实,但尚未有研究调查自然疗法药物方案在自然疗法住院环境中的有效性。自然疗法医生在确定治疗顺序和所有能调节生理平衡的疗法时,都会使用一套哲学原理。
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引用次数: 0
Stroke Rehabilitation in India: Addressing Gender Inequities. 印度的中风康复:解决性别不平等问题。
Pub Date : 2024-08-31 DOI: 10.15280/jlm.2024.14.2.94
Nawaj Mehtab Pathan, Rahul Saxena, Chandan Kumar, Sampada Kamlakar, Ankita Yelikar

Gender inequality has a significant and complex impact on stroke recovery and rehabilitation outcomes. Moreover, the influence of gender on post-stroke recovery is multifactorial, primarily biological, social, and behavioral issues. The recovery paths for men and women may have different outlines in relation to stroke occurrence, injury sites, and hormonal effects. These collectively influence the effective summarization of recovery strategies and outcomes. Furthermore, societal and cultural elements play a significant role in shaping access to resources, social support networks, and participation in rehabilitation programs, which consequently affect the outcomes. Considering the gender-specific nuances is important in developing effective rehabilitation strategies. Furthermore, effective stroke rehabilitation programs are needed to achieve equitable and improved recovery outcomes for all stroke survivors and to create inclusive interventions that consider these differences.

性别不平等对中风恢复和康复结果有着重大而复杂的影响。此外,性别对中风后康复的影响是多因素的,主要是生理、社会和行为问题。男性和女性的康复路径可能与脑卒中的发生、受伤部位和荷尔蒙影响有关,具有不同的轮廓。这些因素共同影响着恢复策略和结果的有效总结。此外,社会和文化因素在获取资源、社会支持网络和参与康复计划方面起着重要作用,从而影响康复结果。考虑性别差异对于制定有效的康复策略非常重要。此外,有效的中风康复计划需要为所有中风幸存者实现公平和更好的康复结果,并制定考虑到这些差异的包容性干预措施。
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引用次数: 0
Cutting-Edge Methodological Guidance for Authors in Conducting the Systematic Review and Meta-Analysis. 作者进行系统综述和 Meta 分析的前沿方法指南。
Pub Date : 2024-08-31 DOI: 10.15280/jlm.2024.14.2.57
Dewan Md Sumsuzzman, Yonghoon Kim, Suhyeon Baek, Yonggeun Hong

The landscape of systematic reviews and meta-analyses (SRMA) in biomedicine has expanded exponentially, driven by the growing demand for evidence-based healthcare decision-making. However, the rapid increase of SRMAs has often outpaced the development of rigorous methodological standards, resulting in variability in quality and potentially limiting their effectiveness in informing healthcare practices. This gap highlights the critical need for advanced methodological guidance to enhance the quality and impact of SRMAs. Our contribution aims to provide comprehensive methodological direction for authors to conduct robust SRMAs. By effectively integrating qualitative and quantitative evidence, SRMAs can address complex healthcare questions more thoroughly than traditional reviews. Furthermore, these step-by-step guidelines will help researchers to address the challenges of synthesizing diverse types of evidence, thereby improving the rigor, relevance, and applicability of their findings in healthcare decision-making processes.

在循证医疗决策需求不断增长的推动下,生物医学领域的系统综述和荟萃分析(SRMA)呈指数级增长。然而,SRMA 的快速增长往往超过了严格的方法标准的发展速度,导致其质量参差不齐,并可能限制其为医疗保健实践提供信息的有效性。这一差距凸显了对先进方法论指导的迫切需要,以提高 SRMA 的质量和影响力。我们的贡献旨在为作者提供全面的方法论指导,以开展稳健的SRMA。通过有效整合定性和定量证据,SRMA 可以比传统综述更彻底地解决复杂的医疗保健问题。此外,这些循序渐进的指南将帮助研究人员应对综合不同类型证据的挑战,从而提高研究结果在医疗决策过程中的严谨性、相关性和适用性。
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引用次数: 0
Ulcerative Colitis Associated with Cardiometabolic Disease and Complicated with Autoimmune Pancreatitis. 溃疡性结肠炎伴发心脏代谢疾病并并发自身免疫性胰腺炎
Pub Date : 2024-08-31 DOI: 10.15280/jlm.2024.14.2.98
Mitsuro Chiba, Takeshi Miura, Hisanori Matsuzawa, Tsuyotoshi Tsuji, Haruhiko Tozawa, Akira Zeniya

Diet-related cardiometabolic diseases and inflammatory bowel disease, common previously in Western countries, are global problems. We hypothesized that inflammatory bowel disease is a lifestyle disease primarily mediated by the current Western diet. We report here the simultaneous onset of ulcerative colitis and autoimmune pancreatitis, a rare systemic complication of inflammatory bowel disease, 2 months after acute myocardial infarction in a patient with type 2 diabetes. A 67-year-old man with type 2 diabetes was referred to us because of newly diagnosed ulcerative colitis 2 months after acute myocardial infarction. A plant-based diet was provided during hospitalization. An abrupt deterioration in plasma glucose and hemoglobin A1c due to asymptomatic type 2 autoimmune pancreatitis was observed. Prednisolone administration under intensive insulin therapy led to the remission of both diseases. This case was an illustrative one of association between cardiometabolic diseases and inflammatory bowel diseases caused by current unhealthy diets and their shared pathogenesis.

与饮食有关的心血管代谢疾病和炎症性肠病是西方国家常见的全球性问题。我们假设,炎症性肠病是一种生活方式疾病,主要由目前的西方饮食习惯介导。我们在此报告了一名 2 型糖尿病患者在急性心肌梗死 2 个月后同时出现溃疡性结肠炎和自身免疫性胰腺炎的病例,这是一种罕见的炎症性肠病全身并发症。一名 67 岁的 2 型糖尿病患者因在急性心肌梗死 2 个月后新诊断出溃疡性结肠炎而转诊至我院。住院期间,他的饮食以植物性食物为主。由于无症状的 2 型自身免疫性胰腺炎,血浆葡萄糖和血红蛋白 A1c 突然恶化。在强化胰岛素治疗的同时服用泼尼松龙后,两种疾病均得到缓解。该病例说明了当前不健康饮食导致的心脏代谢疾病和炎症性肠病之间的关联及其共同的发病机制。
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引用次数: 0
Adjunctive Approach to Therapeutic Laser and Exercise Therapies in Alleviating Pain and Disability in Patients with Low Back Pain: A Systematic Review. 治疗性激光和运动疗法在减轻腰痛患者疼痛和残疾方面的辅助方法:系统性综述。
Pub Date : 2024-08-31 DOI: 10.15280/jlm.2024.14.2.69
Divya Chauhan, Sunita Sharma

Low back pain (LBP), a globally prevalent musculoskeletal condition, affects mobility, mental well-being, and overall quality of life. It is generally caused by disc degeneration, muscular strain, ligamentous sprain, or a disease located at the lumbar spine. Owing to this disability, the social and occupational interactions of an individual might get affected. Modern medicine frequently combines exercise therapy with light amplification by stimulated emission of radiation (LASER) therapy, especially high intensity LASER therapy (HILT) or low level LASER therapy (LLLT), to increase the efficacy of the treatment modalities for LBP. This review aimed to determine the effect of the combined approach of LASER and exercise therapies in managing pain and reducing disability in patients with LBP. PubMed, Google Scholar, Cochrane Library, MEDLINE, and PEDro were searched for full-text research articles published from 2000 to 2023. Overall, 3,913 records were screened from these databases and six high methodological quality studies (PEDro ≥ 5) were included in this review after eligibility assessment. Review manager 5.4.1 was utilized to evaluate the overall quality of the review articles. In conclusion, HILT and LLLT serve as effective adjuncts to exercise therapy in treating LBP, contributing to pain reduction and disability alleviation.

腰背痛(LBP)是一种全球流行的肌肉骨骼疾病,会影响活动能力、精神健康和整体生活质量。它一般是由腰椎间盘退化、肌肉劳损、韧带扭伤或腰椎疾病引起的。由于这种残疾,个人的社会和职业交往可能会受到影响。现代医学经常将运动疗法与受激辐射光放大疗法(LASER)相结合,尤其是高强度激光疗法(HILT)或低强度激光疗法(LLLT),以提高腰椎间盘突出症治疗方法的疗效。本综述旨在确定激光疗法和运动疗法相结合的方法在控制腰椎间盘突出症患者疼痛和减少残疾方面的效果。我们在 PubMed、Google Scholar、Cochrane Library、MEDLINE 和 PEDro 上检索了 2000 年至 2023 年发表的全文研究文章。共从这些数据库中筛选出 3,913 条记录,经资格评估后,6 项方法学质量较高(PEDro ≥ 5)的研究被纳入本综述。综述管理器 5.4.1 用于评估综述文章的整体质量。总之,HILT 和 LLLT 是治疗腰椎间盘突出症的运动疗法的有效辅助手段,有助于减轻疼痛和缓解残疾。
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引用次数: 0
The Indian Geriatrics Quality of Life Inventory Scale (IGQOLI): Development and Validation of a Scale to Evaluate the Quality of Life among Geriatric Population of India. 印度老年生活质量调查量表(IGQOLI):印度老年生活质量调查量表(IGQOLI):印度老年生活质量评估量表的开发与验证。
Pub Date : 2024-08-31 DOI: 10.15280/jlm.2024.14.2.80
Dharmita Yogeshwar, Janvhi Singh, Ajeet Kumar Saharan, Shantanu Sharma, Anuja Choudhary, Manoj Kumar Mathur, Hari Narayan Saini, Drishti Sheokand

Background: Quality of life (QOL) refers to an individual's perception of their overall life and well-being. As people age, their QOL often deteriorates. Although various outcome measures exist to assess QOL, most are limited in scope and not specific to the Indian ethnicity of geriatrics. Therefore, a new outcome measure was developed and validated to more accurately evaluate the QOL for the geriatric population in India.

Methods: The outcome measure was developed in three stages, followed by validation. Data was collected using multistage cluster sampling from 13 subdivisions of Jaipur district. A total of 423 participants were interviewed face-to-face. The collected data was analyzed using SPSS version 20, and the reliability and validity of the outcome measure were assessed.

Results: The Indian Geriatrics Quality of Life Inventory (IGQOL) scale demonstrated excellent reliability, with a Cronbach's alpha (α) of 0.95 and an intraclass correlation coefficient of 0.93. The measure also exhibited excellent face and content validity, with a K value of 1. Correlation analysis revealed a significant relationship with other outcome measures, with a Pearson correlation coefficient value of > 7 and a p-value of < 0.05.

Conclusion: The study concludes that the IGQOLI scale is a reliable and valid outcome measure for evaluating the QOL in the geriatric population in India.

背景:生活质量(QOL)是指个人对其整体生活和福祉的感知。随着年龄的增长,人们的生活质量往往会下降。虽然有各种结果测量法来评估 QOL,但大多数测量法范围有限,而且不适合印度老年医学。因此,我们开发并验证了一种新的结果测量方法,以更准确地评估印度老年群体的 QOL:方法:结果测量分三个阶段制定,然后进行验证。在斋浦尔地区的 13 个分区采用多阶段分组抽样的方式收集数据。共对 423 名参与者进行了面对面访谈。收集到的数据使用 SPSS 20 版进行了分析,并对结果测量的可靠性和有效性进行了评估:结果:印度老年医学生活质量量表(IGQOL)的信度极佳,Cronbach's alpha (α) 为 0.95,类内相关系数为 0.93。相关分析表明,该量表与其他结果测量之间存在显著的相关性,皮尔逊相关系数大于 7,P 值小于 0.05:本研究得出结论,IGQOLI 量表是评估印度老年人群 QOL 的可靠、有效的结果测量方法。
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引用次数: 0
Association between Toothbrushing and Cancer Risk. 刷牙与癌症风险之间的关系
Pub Date : 2024-02-29 DOI: 10.15280/jlm.2024.14.1.31
Akifumi Enomoto, Yuto Takada, Takeshi Shimoide, Atsushi-Doksa Lee, Yuko Kinoshita, Miku Kawaguchi, Yasuhiro Kakiuchi, Takahiro Tabuchi

Background: Most cancers are lifestyle-related and are thus preventable. Lifestyle habits can be improved by individual efforts; for example, because oral health is suggested to play a preventive role in cancer risk, toothbrushing is considered a critical and fundamental measure for controlling oral health. This study aimed to investigate the association between toothbrushing and cancer risk.

Methods: Cross-sectional data from the Japan COVID-19 and Society Internet Survey, a large-scale (n = 32,000) online survey conducted in 2022, were used. From September 12 to October 19, 2022, questionnaires were distributed to candidates selected by simple random sampling from a Japanese Internet research company's panelists to represent the Japanese population. The association between toothbrushing and cancer risk according to cancer prevalence was then analyzed.

Results: Among all 32,000 participants, 2,495 (7.8%) who had any cancer previously were analyzed. Multivariable logistic regression analysis revealed a significant association between toothbrushing habit and cancer risk.

Conclusion: The findings of this study suggest that daily toothbrushing is essential for maintaining oral health and preventing cancer.

背景:大多数癌症与生活方式有关,因此是可以预防的。生活习惯可以通过个人努力得到改善;例如,由于口腔健康被认为在癌症风险中起到预防作用,刷牙被认为是控制口腔健康的关键和基本措施。本研究旨在调查刷牙与癌症风险之间的关系:研究采用了日本 COVID-19 和社会互联网调查的横断面数据,该调查是 2022 年进行的大规模(n = 32,000 人)在线调查。2022年9月12日至10月19日,从日本一家互联网调查公司的小组成员中以简单随机抽样的方式选出了代表日本人口的候选人,并向他们发放了调查问卷。然后根据癌症发病率分析了刷牙与癌症风险之间的关系:在所有 32,000 名参与者中,有 2,495 人(7.8%)曾罹患任何癌症。多变量逻辑回归分析表明,刷牙习惯与癌症风险之间存在显著关联:这项研究的结果表明,每天刷牙对保持口腔健康和预防癌症至关重要。
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引用次数: 0
Understanding Female and Male Insights in Psychology: Who Thinks What? 了解心理学中女性和男性的见解:谁在想什么?
Pub Date : 2024-02-29 DOI: 10.15280/jlm.2024.14.1.1
Swati Mehta, Aksh Chahal, Shikha Malik, Richa Hirendra Rai, Nitesh Malhotra, Krishna Reddy Vajrala, Mohammad Sidiq, Abhishek Sharma, Nidhi Sharma, Faizan Zaffar Kashoo

Evolutionary psychology is the study of human psychological behavior. During childhood, men and women behave similarly; however, as a child approaches puberty, new physical and behavioral changes emerge. Behavioral psychology focuses on understanding the functioning and thought processes of the human mind. The general population lacks knowledge of basic behavioral differences between men and women, leaving them unaware of their role, limitations, societal responsibilities, resulting in an underestimation of their own natural talents and biology. Thus, people tend to follow societal norms rather than exploring and utilizing their natural talents. The current review was designed and conducted to enforce compression on behavioral psychology in both genders as well as to identify variations in hormonal activity and sexual preferences.

进化心理学是一门研究人类心理行为的学科。在童年时期,男性和女性的行为相似;然而,当孩子接近青春期时,身体和行为会出现新的变化。行为心理学侧重于了解人类心理的运作和思维过程。普通人对男女之间的基本行为差异缺乏了解,因而不知道自己的角色、局限性和社会责任,导致低估了自己的天赋和生物学特性。因此,人们倾向于遵循社会规范,而不是探索和利用自己的天赋才能。本综述旨在对两性的行为心理学进行压缩,并确定荷尔蒙活动和性偏好的差异。
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引用次数: 0
Evading Musculoskeletal Conditions Using Qigong as a Rescue Technique. 用气功作为一种救人技术来避免肌肉骨骼疾病。
Pub Date : 2024-02-29 DOI: 10.15280/jlm.2024.14.1.6
Swati Mehta, Aksh Chahal, Shikha Malik, Richa Hirendra Rai, Nitesh Malhotra, Krishna Reddy Vajrala, Mohammad Sidiq, Abhishek Sharma, Nidhi Sharma, Faizan Zaffar Kashoo

Classically, Qigong is a Chinese technique that has been practiced in China for the past 3,000 years for healing the inner self. Qigong, wherein "Qi" means body energy and "Gong" denotes cultivation, regulates the energy flow in the body. The Qigong technique comprises a package of deep breathing training, gentle and rhythmic movement, and muscle-strengthening exercises that heal the body to activate one's internal soul energy. It has demonstrated its efficacy by inducing relaxation, building up stamina, strengthening immunity, appreciating muscle conditioning, and minimizing anxiety and depression. Furthermore, it has been beneficial in improving awareness of joint and movement senses. Specifically, Qigong brings healing by regulating energy flow in the whole-body systems. Moreover, it has exhibited a variety of regenerating effects by inducing emotional and mental relaxation. In today's world, Qigong exercises are being used for treating musculoskeletal disorders that are work- and stress-related by nature. Qigong is practiced globally as deep breathing exercises, and meditation is practiced for peace of mind and spirituality, whereas vigorous practice includes martial arts.

从经典角度讲,气功是一种中国技术,在中国已有 3000 年的历史,用于治疗内在的自我。气功的 "气 "是身体能量的意思,"功 "是修炼的意思,它可以调节体内的能量流动。气功技术包括深呼吸训练、轻柔而有节奏的动作以及肌肉强化练习,这些都能治愈身体,激活人的内在灵魂能量。气功在放松身心、增强体力、提高免疫力、调节肌肉、减少焦虑和抑郁等方面具有显著功效。此外,它还有益于提高关节和运动感觉的意识。具体来说,气功通过调节全身系统的能量流动来达到治疗效果。此外,气功还能诱导情绪和精神放松,从而显示出多种再生效果。在当今世界,气功运动被用于治疗与工作和压力有关的肌肉骨骼疾病。全球都在练习气功,如深呼吸练习、冥想练习,以获得心灵的平静和精神上的安宁,而剧烈的练习则包括武术。
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引用次数: 0
Intervention for Primary Prevention of Non-Communicable Diseases. 非传染性疾病初级预防干预。
Pub Date : 2024-02-29 DOI: 10.15280/jlm.2024.14.1.54
Anuj Singh
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引用次数: 0
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Journal of lifestyle medicine
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