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Nineteen subjects of non-insulin dependent diabetes mellitus (NIDDM) between the age group of 30–60 yrs were studied to see the effect of specific yoga asanas on fasting and postprandial blood glucose (FBG, PPG), serum malondialdehyde (MDA) and glycosylated hemoglobin (HbA1) in addition to drug treatment and diet control. The duration of diabetes ranged from 1–10 years. Patients with renal, cardiac and proliferative retinal diseases were excluded from the study. The same patients served as their own control. Subjects were called in the morning to the cardio-respiratory laboratory and were given training by a yoga expert. Yoga asanas included Suryanamskar, Tadasan, TriKonasan, Padmasan, Pranayam, Paschimottanasan, Ardhmatsyendrasan, Pavanmukthasan, Sarpasan and Shavasan. The asanas were done every day for 40 days for 30–40 min. FBG, PPG, serum MDA and HbA1 were estimated before and after 40 days of yoga asanas regimen. Significant reduction was seen in FBG from 220 mg/dl to 162 mg/dl, PPG from 311 mg/dl to 255 mg/dl, MDA from 6 nmol/l to 3 nmol/l and HbA1, from 8.8% to 6.4%. Subjects felt better and were relieved of their stresses and had an improvement in their day to day performance. The decrease was statistically significant (p<0.0001 for FBG and PPG, p<0.001 for MDA and for HbA1).  相似文献   
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This article describes a performance improvement project undertaken in the manufacturing unit of a multinational company in India that specializes in the business of engineering, procurement, and construction (EPC). The article includes a brief introduction to the company's business (leaving out the name of the company due to a clause of confidentiality). The objective of the article is to describe a set of performance problems and how various performance theories, models, and tools were used to identify root causes and to implement design solutions for improvement. The article describes how the author as an internal consultant employed various consulting principles to establish a strong platform of understanding and to build a partnership with the clients. In addition, the different stages used in analyzing the problem, applying performance models, and designing solutions are presented. The article concludes with the author's sharing his personal experiences and the feedback he received from project stakeholders.  相似文献   
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This research was conducted to understand paraprofessional home visitors’ perceptions of their training in addressing poor mental health, substance abuse, and domestic violence, and their actions in working with families in addressing these issues. Five focus groups were conducted with a total of 28 paraprofessional home visitors. Three main themes emerged from qualitative analysis. Home visitors experienced tension between addressing families’ more pressing needs such as housing or utilities and addressing poor mental health, substance abuse, and domestic violence. Home visitors felt that they received extensive training in these risk areas, but that this training focused heavily on knowledge acquisition rather than skill development. Home visitors also desired more guidance in addressing families’ poor mental health, substance abuse, and domestic violence concerns—namely, more clarity on the extent to which they should address these issues during visits and more and varied supervision. Home visitors need more training on how to initiate conversations about mental health, substance abuse, and domestic violence, including how to transition conversations from other client needs. Home visiting programs must clarify home visitors’ roles in addressing clients’ poor mental health, substance abuse, and domestic violence and provide additional and varied supervision to home visitors.  相似文献   
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Large-eddy simulation of atmospheric flow is combined with golf ball trajectory modeling that incorporates local plant canopy information to predict the trajectory of a golf shot at any hole on a golf course in a variety of wind conditions. The model is applied to examine golf shots on hole 12 of the Augusta National Golf Club, which is particularly well known for its wind-induced difficulty. The results indicate that the tree canopies around this hole play a significant role in golf ball trajectories and also induce a strong directional sensitivity on the landing spot of the ball for this hole.  相似文献   
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