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COPD- Role of Physiotherapy

Physical Therapy can help in curing the COPD patients

According to GOLD “Chronic Obstructive Pulmonary disease is a common, preventable and treatable disease and is characterized by persistent respiratory symptoms and airflow limitation. Approximately, 4 million deaths occurred in 1999 from tobacco and it is also estimated that the annual number of deaths is likely to increase to 10 million by the 2030s. Smoking gives a feeling of pleasure as the inhaled substances trigger chemical reactions in nerve endings in the brain, which are similar to naturally occurring substances like endorphins and dopamine.
Cigarettes constitute various harmful substances like Nicotine which leads to smoking causing various diseases like COPD (Chronic obstructive pulmonary disease). COPD describe progressive lung diseases including emphysema and chronic bronchitis. Other causes for COPD are occupational exposure, genetics, air pollution or auto-immune disease. This may lead to wheezing, frequent coughing with or without sputum, increased breathlessness, reduced endurance of respiratory muscles and tightness in the chest.
To diagnose the COPD spirometry is a simple, non-invasive test that is used to diagnose COPD. It is a test to know how well your lungs work. People with COPD have an FEV1/FVC ratio of less than 70%. Chest X-ray, Arterial blood gas report can also be used for the diagnostic purpose. For managing COPD, bronchodilators, anti-inflammatory, antibiotics, supplemental oxygen, etc., are used.
Physiotherapy plays an important role in treating the symptom of COPD specially Dyspnea. Pulmonary rehabilitation programs are designed to improve lung function, reduce symptom severity and improve quality of life. Therefore, therapeutic interventions are required to improve exercise ability and breathing by augmentation of respiratory muscle function.
The aim of breathing exercise interventions is to improve strength, endurance, and coordination of respiratory muscles. Breathing exercises are designed for the following:

  • To restrain the muscles of respiration
  • To mobilize secretions
  • To increase the effectiveness of coughing
  • To improve ventilation
  • Helps in spine correction
  • To improve chest mobility
  • To prevent impairments and promotes relaxation

Deep breathing exercise can reduce the work of breathing by decreasing the respiratory rate and relaxing accessory muscles. Strength and endurance of respiratory muscles can be improved by various breathing exercises such as Pursed-lip breathing, Diaphragmatic breathing, Glossopharyngeal breathing, and Costal breathing.
One of the most effective technique viz. Inspiratory muscle training is also commonly used to treat the symptoms of dyspnea, it helps in strengthing of the muscles involved in inhaling and is recommended in combination with aerobic and limb strengthening exercises.  IMT improves inspiratory muscle strength and endurance, functional exercise capacity, dyspnea and quality of life.
Muscle strength can be enhanced through three-dimensional spiral large scale resistive exercises using proprioceptive neuromuscular facilitation (PNF) indicated by a study which was conducted by Dietz. Chest PNF exercise is an effective and established treatment tool. It provides proprioceptive feedback to the respiratory muscles which create reflex respiratory movement responses and improves rate and depth of respiration.
Indications for Chest PNF are the following:

  • Breathing problems (inspiration or expiration)
  • Chest mobilization
  • Trunk and shoulder mobility
  • Active recuperation after exercise
  • Relief of pain
  • Relaxation
  • Decrease spasticity

Stretch reflex is used to facilitate the initiation of inhalation and Repeated Contractions are used to facilitate an increase in inspiratory volume. For breathing control, isotonic contractions are also useful. The patient should do breathing exercises in all positions which include:

  1. Supine
  2. Prone
  3. Side-lying
  4. Prone on elbows

Dr. Shivangi Sachdeva
MPT(Cardiopulmonary)

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Earth Day- 2019: Protect our species

How wonderful is the living world! The wide range of living types is amazing. The extraordinary habitats in which we find living organisms, be it cold mountains, deciduous forests, oceans, freshwater lakes, deserts or hot springs, leave us speechless. The beauty of a galloping horse, of the migratory birds, the valley of flowers or the attacking shark evokes awe and a deep sense of wonder. The ecological conflict and cooperation among member of population and among populations of a community or even the molecular traffic inside the species make us deeply reflect on – What’s the need to save species? If we have to visit a dense forest, we would probably see a much greater no. and kinds of living organisms in it. Each different kind of plant, animal or organism that we see, represent a species.
The term species was coined by John Ray and after great efforts and research Ernst Mayr, single handedly made the origin of species diversity, the central question of evolutionary biology that is today. He also pioneered the currently accepted definition of a biological species-A population of interbreeding individuals and reproductively isolated from other populations. The machine dominated and so called technical man and its ever devastating resources are decreasing the no. of species day by day. Around 5900 plant species and 4326 animal species were listed in the book Origin of species, by Charles Darwin which has left the maximum influence on the thinking of taxonomists, economists as well as environmentalists.
Due to modern era and over exploitation of resources, hundreds of species are being affected, they too cooperate with the environment by modifying their morphological, physiological and molecular/ cellular structure, but think of for how much time they do so, on their last day of judgment, they lose themselves and start getting endangered and at last due to no habitat and living conditions they get extinct with an everlasting impression on this industrial world of machine man. Although 15,000 new species are being discovered every year, but that 15000 doesn’t make adifference with those thousands of species getting extinct in 1 year without any consideration and knowledge of man.
Several international organizations like ICBN,ICZN,ICTV and many more are being established globallyfor the identification and nomenclature of species but no such organization are taken into consideration for conserving and saving the species. Why the great scientist could not see the dark room of ever decreasing species. What would they do if there will be no species one day? Diversity of organisms(communities) is influenced by the features of land, waterbodies, climate, pollution and human interference. It is estimated that there were about 10 million species on the earth, though presently known no. of species living is 1.7-1.8 million. From the data, it can be seen that how tremendously the no. of species are decreasing yearly.
Human beings have always been interested in knowing more and more about the various kinds of organisms, particularly with reference to their own use. Humans are only interested in knowing about species but what about their conservation and preservation. Along with this greed and selfishness some humanity is also shown by people whom we can consider a real man and hero, biologist have established certain procedures and techniques to preserve the species like as in botanical gardens, zoological parks etc. which are collectively referred to as “taxonomic aids”. A taxonomic aid cannot be considered as a home/habitat for species, although it is an Ex-situ conservation strategy but providing homely environment cannot be considered as their natural habitat, similarly as robots are not men.
At last, to conclude, I would like to say that: Today we are witnessing the extinction of a species that had survived for millions of years but could not survive the mankind……..

Dr. Archana Chaudhary
Associate Professor
Department of Environmental Science

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Ammalgamation

Role of Mushroom in dress designing with the complete procedure followed

Faculty of Fashion and Design, SGT University presented the designs of garments which were inspired by Mushroom. The idea to append this theme was to promote the use of Khadi in Gandhiji era; we also did the same. The silhouettes of Mushroom like softness, texture, shape, colour, structure were used on the garments. All the garments were made from the Khadi fabric, blends of Khadi like Khadi silk, Khadi muslin etc. It is a versatile fabric cool in summer and warm in winter. Khadi is used for Tropical Indian dresses like Sarees and Kurtis etc. But the innovative thing in the project was that the style was western but the fabric used was Indian. All the dresses were inspired by the Beige color of Mushroom. There were many dresses which were very unique and trending like Shrug and Dhoti Pants. A Ruffle based dress was also there which was made up of Khadi Silk, engraving a special impact on our audience. There was an enormous procedure followed by the team such as brainstorming of the theme at the early stage which later on processed by the boards to depict the theme such as mood board, theme board, color board, client Board and fabric board. Furthermore, specification and working drawing are to be made for the designs after that the procedure for the main product starts; it is followed by the Photo shoot of the garment. Design patents are also equally important in the modern era of plagiarism. The significance of the theme is to Boycott foreign fabric, to balance ecological infrastructure, honouring the spirit of patriotism, protect skin and health from the hazards of synthetics and amalgamation of Indian fabric with western silhouette is a perfect example of the couture garments.

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Prevention is Better than Cure…the Ayurveda Way!!

Every individual desires a long and healthy life but in today’s era of the polluted world, exhausting lifestyle and rapid urbanization it’s becoming more difficult to complete this task. Medical science has evolved thousandfold but the prime focus was on the cure of diseases rather on the prevention of health. Ayurveda is the oldest medical science in the history of mankind. It is the need of time to look back and follow the secrets of our ancestors who were living a healthy life for hundreds of years with the help of Ayurveda.

According to Ayurveda, the human body gets nourished on external factors that include food, water, atmosphere, and even psychological feeds that we receive. Homeostasis always exists between body needs and nourishment received which is maintained by the mechanisms which function at various levels. Ayurveda has discovered five procedures named Vamana, Virechana, Niruha Basti, Anuvasana Basti, and Nasya which are useful to maintain this homeostasis. The body’s functions are in accordance with a circadian rhythm which is due to changes in atmosphere and adaptation that take place at a physiological level. Ayurveda has classified functional entities in the body in three broad categories termed Dosha viz. Vata, Pitta, Kapha. The balance of these three keeps a person disease-free. Seasonal variations are observed in these factors. For e.g. In Vasanta Ritu i.e. in the month of February-March Kapha increases naturally which makes a person prone to diseases like Asthma, allergies, certain skin disorders, etc. In the starting off rainy season Vata increases in the body; the abnormal rise of which is responsible for the aggravation of degenerative joint disorders, certain neurological diseases. Similarly, Pitta vitiation in Sharada Ritu i.e. near September-October aggravates digestive disorders, skin diseases, etc. Timely management of these vitiations of Dosha can keep a person healthy and live long. Ayurveda advocates to Take Vamana in Vasant Ritu (in February-March), Virechana in Sharad Ritu (in September-October), Niruha and Anuvasana Basti at the beginning of Varsha Ritu (in June- July) to maintain the health. However, Nasyakarma is included in a daily regimen to be followed. The mode of action of these therapies and their role in the prevention of health and cure of diseases has already been validated through many clinical and experimental types of research. Duration required for these therapies ranges from 7 to 15 days and needs minimal hospitalization. However, care must be taken to follow the do and don’ts associated with these treatments. Healthy individual reports improvement in overall quality of life after undergoing these therapies which is very much needed for longevity with health.

Dr. Swapnil Auti,
Associate Professor, Panchakarma,
Faculty of Indian medical system

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Oral & Maxillofacial Surgery and the Global Epidemic of Oral Cancer

The first ever international collaboration of the Departments of Oral & Maxillofacial Surgery and Oral Medicine & Radiology, Faculty of Dental Sciences, SGT University with the Masters of Oral Surgery, Medicine and Implantology, University of Barcelona and Masters of Oral Implantology, University of Seville, Spain was organized on the 19th & 20th of April 2019.
The INSPACON 2019 meet was organized under the aegis of Delhi-NCR state Chapter of the Association of Oral and Maxillofacial Surgeons of India (AOMSI) and also with the support of SEI (Spanish Society of Implantology) and SIOLA (Latin American Society of Implantology) with an agenda of exploring the students’ knowledge with the latest technologies and ways in the field of Oral Surgery, Medicine and Implantology.

Here are two of the delegates, one from Spain Dr. Siddharth Mishra, presently working as Professor – Master of Oral Medicine, Surgery and Implantology, University of Barcelona who is an alumni of the SGT Dental College is in conversation with Dr. Antoni Mari Roig: Head of Department, Department of Oral and Maxillofacial Surgery, University Hospital of Bellvitge & Co-Director of Master on Oral Medicine, Surgery and Implantology, University of Barcelona.
Both the delegates spoke at length about their experience in India and especially at SGT University, Gurugram. They also discussed the global epidemic of Oral Cavity Cancer and its repercussions. Interesting to note was the observation by Dr. Antoni Mari Roig about the late presentation of the disease in his institution as well as is the case here in India. Both stressed upon the prevention & early detection of cancer which always has a better outcome as compared to the late stage disease in which survival is always poor.
Not only do this but they also discussed the specialty of Oral & Maxillofacial Surgery as regards to the clinical curriculum and the teaching program. The shortage of well-trained surgeons and the emerging role of Oral & Maxillofacial Surgeons in the management of this dreadful disease were also stressed. What was also stressed upon was the overall rehabilitation of the patients with oral cancer in the long journey of the entire treatment process. Quality of life is just as important an issue as surviving the disease and for that, the need for a multi-disciplinary approach with the involvement of other specialists namely implantologists, physiotherapists, speech therapists, etc was also pointed.
Overall, the delegates were quite impressed with the infrastructure at SGT University and the quality of treatment being given at the institution by the doctors. It was heartening to see surgeons from such a developed country as Spain to appreciate the work being undertaken by the University in managing our patients here.

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Put Your Career in FAST TRACK!

The Corporate Resource Center (CRC) at SGT University plays an important role in shaping the careers of students from their induction, orientation, summer internships, mid-term projects, right to their final placements. CRC undertakes various academic and non-academic initiatives so that students are well equipped to meet varied industry requirements. The CRC networks with the university’s alumni to support them by updating on better career opportunities and navigates for them through its vast network of industry contacts. Constantly managing the Corporate – University interface is an important responsibility of this Centre. Besides its core objective of Placements and Internships for the students, CRC is engaged in a host of support functions, meant to bring about continuous improvement in student activities. The Corporate Resource Center plays a vital role in bringing the industry and academia close to each other by providing Career Counseling, need-based education, and organization support…

CRC acts as an interface between the students, faculty and the corporate world to initiate continuous interaction with the industry, sharing industry experiences, and understanding the needs of the corporate world. CRC at SGT University has been regularly inviting heads of leading companies to the campus, who share their insights into the latest issues concerning the economy to stimulate and enhance the intellectual climate. The department organizes activities and workshops that enable students to be effective team leaders as well as team players. This department is operated with twin-fold focus, i.e. augmenting internal competencies by fostering contemporary grooming of students and by enabling the industry to identify and absorb intellectuals with requisite technical & managerial skills.

Pre – Placement Talk offers the corporate world an opportunity to interact with the students and to know their prospective recruits better, both for the summer and final placements. Organizations make presentations that are vital in providing the students with information about the organization and career prospects in which typical student’s concerns like a job description, selection criteria, industry culture, remuneration package, the scope for growth, cross-functional exposure are answered. Summer Internship Programme constitutes an integral part of the curriculum and is valued for its relevance in modern-day education. Final Placement Process commences from the month of October every year. The Industry has sought and utilized the intellectual capital of SGT University by participating in the final placement process. The real proof of the quality and effectiveness of any institution lies in the acceptance of its graduates in the industry. Thus the placement of the graduating batch marks the culmination of the academic rigor at SGT University. The budding professionals are absorbed by the MNCs, Indian Giants, and Public Sector firms, from SGT University Campus.

The changing paradigms have made mandatory for an academic institution to foster a new breed of professionals – individuals equipped with the right kind of knowledge, technical skills, ability to think out of the box and innovative. The industry expectations have gone higher and only those survive and sustain who have the right attitude & skills to accept challenges and increase the performance ladder each day. Hard work is no more the key to success alone but individuals are expected to work smarter and consistent without failure. The overarching objective of CRC at SGT University has been the creation of knowledge, influencing skills, and integrating them globally. Every SGTian is provided with a highly professional environment of learning from the very first day. The university places special emphasis on inculcating corporate values and skills required for complex decision-making, besides developing superior expertise on functional domains and garnering business knowledge.

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Immunity Boosting Diet & Healthy lifestyle

Immunity is a complex and redundant system that requires all nutrients for proper functioning. One of the factors that affect natural resistance is nutrition.

Role of proper nutriment’s in immune system functions can’t be undermined, however seemingly healthy our nourishment is. The dietary factors that cause harm to immunity functions are either deficient intake of macronutrient \elements (fat, carbohydrate and protein) or deficiency in some specific micronutrient elements (vitamin, mineral and water).

Balanced nutrition, especially inadequate protein intake vitamin and mineral enhance the resistance against infections. It is essential to have adequate and balanced nutrition for healthy growth and developments.

Every individual should have an adequate and balanced diet with a sufficient amount of vitamins and minerals in order to have a functional immune system. Micronutrients have the properties to help the body in fighting against a variety of illnesses and protect the body from damage to cells. Many foods contain micronutrients that promote, enhance and regulate the immune system.
Some nutritional elements, such as complex carbohydrates, proteins, functional foods, prebiotics, probiotics, antioxidants, iron, copper, selenium, and zinc have special benefits on immunity functions.
It has been proved that fresh fish, fruits, dark green leafy and other vegetables, cinnamon, nuts,mushrooms, garlic, black pepper, ginger, honey, herbal teas, omega 3 fatty acids (plentifully available in salmon, mackerel flaxseed, legumes, and walnuts.) yogurt and seaweed , stimulate the T-cells and other immune cells.

Provision of these nutritional elements through natural foods will prevent a person from the side effects of overuse.

Weight-loss programs, in which less than 1200 kilocalorie foods are consumed effect the immunity functions, for this reason, these extremely unhealthy so-called fast weight-loss diets should be avoided.

A healthy immune system lets us feel well, look well and let us use our energy more efficiently.

Remaining away from the stressful factors, approaching life and events positively, keeping away from smoking and drinking, adequate and balanced nutrition and regular exercising are among the supports we can give to our immune system. However, sometimes, these supports become insufficient and we may need some strengthening outsourcing for our immune system.

This support should be preferred through natural nutrients rather than medications. For a proper nourishment program, it is advised to seek professional help from a dietician/nutritionist.

It’s vital to have a balanced diet for strengthening the immune system and reduce the risks of catching infections. Consequently, in order to boost the immune system, reduce the risks of diseases and stay healthy, natural defence system of our organism should be strengthened as detailed above.

Dr Akanksha Yadav
HOD
Department of Nutrition & Dietetics, FAHS

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Stewardship Towards Environmental Sustainability

Environmental Sustainability and Capacity Building are two irreversible and major thrust areas for Education system throughout the world. Role of Universities in education is instrumental in the sustainability movement and higher education has made many valuable contributions to society and development, and is recognized for the important role it has in improving livelihoods worldwide with a key component of sustainable development. Now, environmental education has been identified as an asset for sustainable development as it has been shown to aid in development aspects later in life and also positively influence the management of the world’s increasingly stressed natural resources through the incorporation of successful techniques.

As there has been a major disconnect between raising awareness about the environment and taking action to reduce environmental degradation, higher education has to play a major role to fill the gap by providing quality education and research which is vital if conservation and sustainable development strategies are to succeed. We have observed a major shift in our worldview from seeing the environment as resources to be exploited to seeing it as life’s supporting structure that needs our stewardship. The thousands of dedicated professionals ranging from scientists and engineers to businesspeople, lawyers and public servants who are aware of the environmental problems are making outstanding efforts to bring about solutions. It is worth mentioning here the project “Ice Stupa” taken up by Mr. Sonam Wangchuk, Rolex awardee who helps in sustaining water in Cold desert of ladakh.

 Higher education stewards in shaping an ecologically sound society and focusing their talents and training on environmental issues or hazards. Indeed, it’s difficult to think of sustainability without the involvement of professionals who are directed toward promoting solutions and skills in this aspect. Now higher education is viewed as an unalloyed good form of education within the fields of environmental conservation and sustainable development and which should be improved bottom-up and linked to environment needs with clear goals and content for sustainable development.

– Dr. Archana Chaudhary
Associate Professor
Department of Environmental Science

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