Journal for ReAttach Therapy and Developmental Diversities (JRTDD)
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Lifestyle-Based Approaches To Improving Quality Of Life In Anorectal Disorders: A Narrative Review
Background and Objectives: Anorectal disorders (hemorrhoids, anal fissures, functional anorectal pain, fecal incontinence, and outlet dysfunction constipation) are prevalent and significantly impair patient quality of life (QoL). While procedural interventions are often utilized, lifestyle modification is a cornerstone of prevention and chronic management. This narrative review synthesizes evidence on the impact of lifestyle-based strategies on symptom burden and QoL.
Methods: A comprehensive literature search was conducted using PubMed, Scopus, and Cochrane Library databases for studies published up to [Date]. Keywords included "anorectal disorders," "lifestyle modification," "quality of life," "dietary fiber," "pelvic floor," and "biofeedback." Emphasis was placed on systematic reviews, randomized controlled trials (RCTs), and clinical guidelines.
Results: The pathophysiological mechanisms of anorectal disorders (e.g., altered bowel habits, increased intra-abdominal pressure, pelvic floor dysfunction) are strongly influenced by modifiable lifestyle factors. Evidence supports several key interventions: 1) Dietary modification, particularly increased soluble fiber intake (25-35 g/day) and adequate hydration, improves stool consistency and reduces straining, alleviating symptoms of hemorrhoids and fissures. 2) Bowel habit training, including scheduled defecation and avoiding prolonged straining, promotes regularity. 3) Physical activity and weight management reduce intra-abdominal pressure and constipation risk. 4) Structured pelvic floor therapies, especially biofeedback, are first-line for functional defecation disorders and fecal incontinence, improving neuromuscular coordination and QoL. 5) Psychological interventions (e.g., cognitive-behavioral therapy) address comorbid anxiety and maladaptive coping, which exacerbate symptoms like pain and incontinence.
Conclusions: Lifestyle-based approaches target the fundamental pathophysiology of anorectal disorders and are essential for improving long-term patient outcomes and QoL. A multidisciplinary, patient-centered model integrating dietary advice, behavioral training, physical activity, and psychological support should be a foundational component of clinical management. Future research should prioritize high-quality RCTs with standardized QoL outcomes and explore digital health tools to enhance adherence
Assessing Clinical Outcomes, Quality Of Life, And Treatment Toxicities In Advanced-Stage Cancer Patients: A Focus On Tumour Response And Symptom Management
Cancer has been one of the health problems in the world with high-stage cancers having the worst prognosis and difficult treatment procedures. The reason behind this study was to measure clinical outcomes, quality of life (QoL) and treatment associated toxicity in a cohort of 60 patients receiving treatment on advanced stage cancer, mainly adenocarcinoma. The patients were largely males (58.3) with a median age of 62 years and had already received previous chemotherapy. The researchers assessed the tumour response based on RECIST which showed a response rate of 33.3% and 36.7% of patients had progressive disease. Control of the disease was done in 56.7% of the patients. Treatment-related toxicities were common (acnesiform rash 70%), diarrhoea (36.7%), and stomatitis (11.7%), Grade 1 being the most common in all cases. The overall QoL increased by a significant margin in all domains, with Global QoL 36.2 to 55.1 (p = 0.01) and physical functioning increasing by 47.31 to 65.07 (p = 0.01). There was also an improvement in symptom management and fatigue, loss of appetite, dyspnoea, and coughing were reduced significantly. Nonetheless, there was no significant improvement in haemoptysis (p = 0.21). The objective tumour responders were found to have a better QoL and functioning in physical, role and social domain than their non-responders. The findings emphasize the need to focus on clinical efficacy and symptom management as two critical aspects of cancer treatment to have the maximum patient outcomes. The paper highlights the importance of close attention to treatment-related toxicities and constant supportive care, particularly in late cancer conditions, to increase QoL and efficacy of treatment
Analysis of antioxidant and antimicrobial potential of Copper oxide nanoparticles from the peel of Carica papaya - caries prevention
Carica papaya commonly known as papaya belong to the family of Caricaceae. The peel contains papain and chymopapain and other enzymes (cysteine proteinases papain, caricain and glycyl endopeptidase) which are having antioxidant and anti microbial properties. It is traditionally used to treat dental infections like gingivitis, periodontitis, dental caries, oral thrush and medical infections such as diarrhoea, allergies. In this study, papaya peel extract was used for physiochemical characterisation (UV,SEM, FTIR analysis) , anti inflammatory and anti microbial tests. The UV absorption showed a peak at 299.5 nm, SEM analysis confirmed spherical copper oxide nanoparticles. FTIR analysis showed OH groups, carbon, and water. The copper oxide nanoparticles (CuO NPs) showed high antioxidant activity at 47 µL ascorbic acid. Antimicrobial activity was observed via a clear zone of inhibition. This study shows papaya peel reduces copper nitrate to copper oxide nanoparticles (CuO NPs) , which have shown antioxidant and antimicrobial potential
Screening Of Amylase Producing Halophilic Bacteria And It’s Phenotypic Identification
Halophilic bacteria are valuable sources of stable extremozymes, particularly for industrial applications requiring high salinity. This study focuses on the screening of amylase-producing halophilic bacteria and their phenotypic identification. Bacterial isolates were cultured, isolated, and morphologically assessed. Microscopic evaluation revealed Gram-negative, motile bacilli. A comprehensive biochemical profile was established, showing positive results for Methyl Red, Voges Proskauer, Citrate, Urease, and Catalase, while testing negative for Indole and Oxidase. Extracellular enzyme screening demonstrated that while the isolates completely lacked protease activity, they exhibited notable cellulase activity, with specific strains (CCMPL003 and CCMPL004) showing high efficacy. These findings suggest that the isolated halophilic strains possess a robust multi-enzymatic profile suitable for biotechnological applications
Right to Information Act, 2005: Strengthening Transparency and Accountability in Indian Governance
The Right to Information Act, 2005 represents a transformative milestone in India’s democratic and administrative framework by institutionalizing transparency and accountability in governance. Rooted in the constitutional guarantee of freedom of speech and expression under Article 19(1)(a), the Act empowers citizens with a legally enforceable right to access information held by public authorities. This research article examines the constitutional foundations, legal mechanisms, institutional structures, and practical impact of the RTI Act in strengthening democratic governance in India. It analyzes how the Act enhances transparency in decision-making, promotes accountability of public officials, and facilitates participatory governance by reducing information asymmetry between the state and citizens. The study also highlights significant case examples demonstrating the Act’s role in exposing corruption, improving service delivery, and empowering marginalized communities. At the same time, it addresses implementation challenges such as delays, institutional backlogs, and concerns regarding amendments and administrative resistance. The article concludes by reflecting on the need for institutional reforms, capacity building, and technological integration to sustain and deepen the culture of transparency in India’s evolving governance landscape.
 
Relational Study Between Green Self-Concept (GSC) And Green Consumer Behaviour
Consumers in developing countries are starting to care more about the planet. That\u27s why there\u27s so much pressure on businesses to improve the environmental friendliness of their wares and procedures. Numerous researchers have attempted to use established ideas to explain the connection between eco-friendly consumption and consumer behaviour. Therefore, it is challenging to forecast consumers\u27 behaviour towards buying products which are categorized under the category of environmental friendly or green products without comprehending the role of the Green Self Concept (GSC). This study constructed some links to evaluate the connection between self-concept, identity and purchasing behaviour. The Partial Least Squares (PLS) approach to analyze the survey\u27s data shall be used in this study. The scholar examined the latent variable\u27s direct and indirect mediating influence on consumer behaviour and the measurement model findings by surveying consumers. This study\u27s outcome will develop a Green Buying Intentions (GSI) model. The GSI model will identify how GSCs shape consumer purchasing behaviour towards green products and services. The GSI also mediated the measuring framework. The study\u27s findings may inform the creation of new strategies and policies for the producer, marketers and institutional practices of developing countries by helping us better comprehend the ecologically responsible actions of their consumers
Honour And Ownership Of Women: Shauna Singh Baldwin\u27s What The Body Remembers
A woman’s life in the Indian subcontinent is inextricably linked to her submission, or else, at times, resistance to the idea of her being of lower status in society. Contained within the body yet having no authority over herself or her body, she leads a marginalized, exploited, and silenced life, often becoming a victim of sexual violence even within the home. While women’s oppression may be a continuous reality across generations, the consequences of ideas of ownership and honour located in the female body were experienced beyond imagination during the 1947 partition of India. Baldwin’s novel What the Body Remembers (1999) offers a context to explore and comprehend how women’s selves are conditioned to accept and even perpetuate the culture of discrimination and marginalization of women. The paper explores how the patriarchal structures governing gendered identities and relations affected, contributed to, and led to unspeakable acts of violence during the partition. The paper also examines how Baldwin recreates the social and cultural milieu of the times to reveal expectations from women to conform to existing roles and selves within society
EVALUATING FACTORS IMPACTING E-WOM: ONLINE CUSTOMER INSIGHTS ON DURABLE PRODUCTS IN TAMILNADU
The research aims to ascertain the relationships between key factors and e-WoM while uncovering distinct clusters within these factors. A descriptive research design was adopted, and data were collected from 407 respondents who regularly make online purchases. Structured online questionnaires were employed for data collection, utilizing a convenience sampling technique. Correlation analysis unveiled robust and statistically significant positive relationships between various factors and e-WoM. These factors include social media engagement and cultural adaptation, product uniqueness and accessibility, innovation and perception, recency, reliability, and recommendation, local cultural influence and trust, engagement and positive motivation, brand choices and authenticity, and information and engagement with e-WoM. Further exploration of these factors elucidated specific insights. Cultural adaptation was deemed essential, with a strong belief in the importance of products adapting to cultural contexts. Product uniqueness played a pivotal role in influencing online customer behavior, especially in decisions guided by e-WoM. Perceived innovation significantly affected the likelihood of sharing e-WoM about products. Trust in e-WoM, notably from expert reviewers and within social networks, emerged as a critical factor. Local cultural elements and active engagement were powerful motivators for e-WoM generation, as was the authenticity of brands. Information and active engagement with e-WoM reviews also wielded substantial influence. Cluster analysis partitioned respondents into three distinctive groups. "Cautious Traditionalists" (Cluster 1) prioritized traditional values and cultural adaptation but exhibited reluctance toward innovation. "Balanced Explorers" (Cluster 2) displayed a more balanced approach and were receptive to exploring various aspects of e-WoM. The largest group, "Innovative Engagers" (Cluster 3), placed a strong emphasis on innovation, engagement, and trust in e-WoM. These individuals were likely early adopters who actively engaged with e-WoM and considered innovation and trust pivotal in their online purchasing decisions.
“Mgnregp As A Flagship Programme For The Sustainable Development Of Kerala: An Overview”
Background: Rural development usually relates to the method of enhancing the quality of life, financial well-being, development of rural areas to improve the living standards of people in the village economy. As a developing nation with the second-largest population in the world, ,India has grappled with the significant challenge of generating ample employment opportunities for both individual and national progress.
Aim: The present study has been undertaken to evaluate the specific schemes undertaken by MGNREP in the state of Kerala. The Mahatma Gandhi National Rural Employment Guarantee Programme (MGNREGP), launched in 2005 to improve the livelihood security of individuals in rural areas, legally ensuring a minimum of 100 days of paid employment each financial year for adult members of any household willing to engage in unskilled manual work related to public projects
Beyond Profit: Understanding The Foundations And Future Of Islamic Banking
Islamic banking stands as a unique and dynamic facet within the global financial landscape, carving its niche based on the principles laid out by Sharia, the Islamic law. Rooted in ethical considerations and the prohibition of usury, Islamic banking offers a distinctive approach to financial services that aligns with the principles of fairness, transparency, and risk-sharing. As a rapidly growing sector, it attracts attention not only from Muslim-majority countries but also from diverse global markets seeking alternative financial paradigm