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OBJECTIVE: We aimed to evaluate the effect of yoga on motor and non-motor symptoms and cortical excitability in patients with Parkinson's disease (PD). METHODS: We prospectively evaluated 17 patients with PD at baseline, after one month of conventional care, and after one month of supervised yoga sessions. The motor and non-motor symptoms were evaluated using the Unified Parkinson's disease Rating Scale (motor part III), Hoehn and Yahr stage, Montreal Cognitive Assessment, Hamilton depression rating scale, Hamilton anxiety rating scale, non-motor symptoms questionnaire and World Health Organization quality of life questionnaire. Transcranial magnetic stimulation was used to record resting motor threshold, central motor conduction time, ipsilateral silent period (iSP), contralateral silent period (cSP), short interval intracortical inhibition (SICI), and intracortical facilitation. RESULTS: The mean age of the patients was 55.5 ± 10.8 years, with a mean duration of illness of 4.0 ± 2.5 years. The postural stability of the patients significantly improved following yoga (0.59 ± 0.5 to 0.18 ± 0.4, p = 0.039). There was a significant reduction in the cSP from baseline (138.07 ± 27.5 ms) to 4 weeks of yoga therapy (116.94 ± 18.2 ms, p = 0.004). In addition, a significant reduction in SICI was observed after four weeks of yoga therapy (0.22 ± 0.10) to (0.46 ± 0.23), p = 0.004). CONCLUSION: Yoga intervention can significantly improve postural stability in patients with PD. A significant reduction of cSP and SICI suggests a reduction in GABAergic neurotransmission following yoga therapy that may underlie the improvement observed in postural stability. CLINICALTRIALSGOV IDENTIFIER: CTRI/2019/02/017564.
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The Monsoon Intra-Seasonal Oscillations in the Bay of Bengal (MISO-BOB) field campaign was conducted in the Indian Ocean during the 2018 and 2019 summer monsoon seasons. WC-130J aircraft of the 53rd Weather Reconnaissance Squadron of the US Air Force participated in the campaign in June 2018. The dropsonde observations across a tropical supercluster showed zonal wind variations in association with the structure of the convectively coupled Kelvin wave (CCKW). Within the supercluster, easterlies (westerlies) were observed in the upper (lower) troposphere; this transformation occurred just below the 0[Formula: see text] C level. The cold pool had an easterly component throughout, and it was coldest (by 2.5[Formula: see text] C) at the center of the supercluster, deepest ([Formula: see text] [Formula: see text]) at its rear/western end, and shallowest ([Formula: see text] 300 m) at the front/eastern end. The level of free convection (LFC) at the front end was at [Formula: see text] altitude. At the eastern flank of the supercluster, zonal convergence in the lower troposphere occurred between 500-1500 m levels above the surface between the westerlies within the supercluster and opposing ambient easterlies. Thus, the uplifting of conditionally unstable air parcels above LFC to the east of the supercluster was likely to occur due to this convergence rather than the cold pool influence. Conversely, the western flank of the supercluster had low-level zonal divergence. These observations support the notion of 'self-similarity' among the mesoscale convective systems and large-scale waves.
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Primary leimyosarcoma of the kidney is extremely rare. The management is unclear due to the limited literature on the subject. The diagnosis should be considered when imaging shows a relatively hypovascular tumor involving one renal pole; with atypical features on microscopy. We report a renal leiomyosarcoma in a 68 year old man; who underwent right radical nephrectomy. A tumor-free surgical margin is the most important prognostic factor. Although various modalities of adjuvant treatment have been tried; the overall prognosis is poor as the tumor is highly aggressive