DIFFICULTIES IN NAMASMARAN DR. SHRINIWAS KASHALIKAR

There is a perennial question; �Why should I practice NAMASMARAN?� that keeps on surfacing from time to time; in our mind.
This is because it appears to be passive and irrelevant to our pains and pleasures. It does not seem to reduce pains or enhance pleasures. Moreover; it does not seem to do justice at social level as well. In fact; it appears to take us away from the reasonable �solutions� to; personal pains and social injustice.
This is because; it is natural and physiological to keep reacting to pains and pleasures instinctively, emotionally and intellectually; without realizing that it is a repetitive and endless drudgery; unless coupled with transformation of our physical and physiological existence; called DEHABUDDHI.
This transformation is also natural but usually considered super natural or divine. It does not happen in the beginning. All the personal flaws and deficiencies; due to our physical, physiological, psychological and intellectual limitations; called DEHABUDDHI make us vulnerable and sentimental; or callous; both preventing us from reaching our true innate core!
After a variable number of years; the transformation begins through; merging of DEHABUDDHI with NAMA; through NAMASMARAN; and is associated with a concrete and pleasant experience of our own core, which is inseparable from the core of universe.
In other words; whenever we are hurt, sad, anxious, restless, depressed; even if it is in response to social evils; we should instantly realize that its root is in our DEHABUDDHI and the appropriate solution to even the social evils is; transcending the DEHABUDDHI, for which; we need to intensify the practice of NAMASMARAN.

Although Regeneration is not a new word in the field of medicine/dentistry, very few clinical aspects of regenerative endodontics are practiced.
Regeneration is a continuous natural process in the human body, billions of RBCs needs to be replaced each day through the haemopoeitic stem cells. Small intestinal lining continuously shed and regenerate, as do the cells of skin, hair and bone.
Wound healing and secondary dentine formation is a natural regenerative process to a stimulus, injury or disease.

What we will be discussing here is a part of regenerative endodontics---APICAL REGENERATION AND REVASCULARIZATION.
Various ways by which regenerative endodontics can be achieved-
1-APICAL REGENERATION & REVASCULARIZATION (IN VIVO)
2-POST NATAL STEM CELL THERAPY-
To fill in a mm scale defect we need 500000 MSCs , so technically we need to isolate stem cells from source (skin, buccal mucosa, fat and bone, pulps) , cultivate ,expand them in vitro in a lab and then implant in vivo.
3-PULP IMPLANTS-
Three dimensional pulp tissue expanded and grown in a lab and then transplanted into a disinfected root canal system.
4-SCAFFOLD IMPLANT-
Quite similar to pulp implants except the three dimensional pulp body is grown on a porous polymer self resorbing scaffold and then delivering it into the disinfected root canal system.
5-CELL PRINTING-
Three dimensional cell printing techniques uses layers of cells suspended in a hydrogel scaffold to recreate the structure of tooth pulp tissues, we have the advantage of precisely placing cells so as to mimic natural pulp tissue structures.
6-GENE THERAPY-
Simply delivers mineralizing genes into the pulp tissue space to promote tissue mineralization.
APICAL REGENERATION & REVASCULARIZATION.
We need to ask a few questions? What is apical regeneration & revascularization, when to do it, why do we do it, and how do we do it?
What is apical regeneration & revascularization.
It is a self defying word-Biologically based procedure designed to replace damaged -diseased structures including dentin and root structures as well as cells of the pulp-dentin complex.
In tooth with an immature apex, with a necrotic and infected pulp this procedure simply give us the chance for continuous root end development and apical closure along with continuous strengthening of dentinal walls thus significantly improving the prognosis of the tooth and survival


WHEN TO DO IT?

Human immature tooth is developing organ. Any trauma (fracture, caries, anatomic anamolies, etc) at this stage leading to necrotic, infected pulp is a candidate to be considered for apical regeneration and revascularization.
WHY?


Immature avulsed tooth has a SHORT APEX, OPEN APEX, BLUNDERBASS CANALS, difficult to clean & shape, intact but NECROTIC PULP, WEAK WALLS.
With the current treatment modalities -
1-Calcium hydroxide (vitapex, metapex)
2-MTA


Appears to be the options available to successfully treat such cases and with proven successes, but they have some inheritent disadvantages,
1- Long treatment time, multiple appointments with calcium hydroxide
2-doesnt strengthen the weak root walls, so more prone to fracture
3- Poor crown to root ratio
4-high ph of calcium hydroxide of up to 14
5- Technique sensitive and weak apical closure
Long term use of calcium hydroxide intra canal has been shown to further weaken the tooth.
MTA has the advantage of far fewer appointments 1- 3 appointments, but we have chances of over extrusion & the apex is more over difficult to pack completely.
Rationale of endodontic treatment is to prevent and treat apical periodontitis, for apical periodontitis to be present pulpal necrosis and infection must be present, therefore vital (non infected)pulp ensures no apical periodontitis or at least prevents the spread to a certain extent.
The potential to regenerate an injured /necrotic pulp would always be the best root canal filling possible as we might be replacing it with the natural as close as possible.

With apical regeneration & re-vascularization, we can achieve complete apical closure, thus ensuring a proper crown to root ratio. Continuous strengthening of dentinal walls throughout the procedure can be observed, thus normal fracture resistance returns. Simple, inexpensive, requires no special skills & armamentarium and materials and prognosis significantly improved.
Studies have shown the formation of new fibrous pulp like tissues, by as soon as 5 weeks pulp test start to respond, a perfect natural seal is thus formed. long term fallow up of such cases needs to be done as chances of infection may be there ,but what apical regeneration has done is significantly improved the prognosis of such tooth so as to last for a life time. further research is going on as the source of the tissue is yet to be confirmed.
If no apical regeneration has been achieved after 3 months ,we can always revert back to other treatment modalities. Only disadvantage being discoloration at the CEJ due to use of minocycline has been reported. Intra canal bleach post revascularization and apical regeneration is the best option also crowns appears to be a good options.

DISCOLURATION AFTER 3 WEEKS
HOW?


STEP BY STEP PROTOCOL-
Rubber dam isolation during the treatment is a standard for all endodontic procedures.

RUBBER DAM ISOLATION PREOP FIRST APPOINTMENT
LA can be given if desired, no root canal instrumentation needed as this will further weaken the already fragile dentin walls, a 10 -15 no ISO 2% taper file or a small broach can some time be used carefully to remove the pulp. Proper careful debridement with copious irrigation protocol with 5.2% sodium hypo chlorite, 2% endodontic hexidene and normal saline thus becomes very important first step in apical regeneration and revascularization. care should be taken not to use sodium hypo and hexidene concomitantly as formation of carcinogenic compounds been noted so after every use of sodium hypo wash it off with saline and vice versa ,care should be taken also not to forcefully force the solution through the open wide apex, this might damage the apical papilla a key to revascularization. Although not necessary a vitapex dressing for seven days not touching the apex can be given. By this time most of the signs of inflammation ,infection subsides, intra oral sinus subsides.
Now packing a TRI ANTIBIOTIC PASTE, into the canals and leaving it there for further 3 weeks. Continuous follow up of the patient required by this time signs of repair becomes evident on our x-rays.

TRIPLE ANTIBIOTIC PASTE APPLIED
Peri apical area in such cases is devoid of blood supply so oral antibiotics are unable to reach the infected root canal space. According to a study by Hoshino et al this particular combination of antibiotics in the desired dosage was found to be the most effective way of disinfecting the root canal space.
After 3 weeks the most important step in revascularization can be carried out .Now, apical area of such tooth may retain some vital pulp tissues (APDCs), APICAL Papilla, also the periapical bone which can be stimulated to bleed and form a blood clot into the canal, wait for some time for clot formation, use of collaplug just 3-4 mm below the CEJ to prevent bleeding recommended. Since apical papilla is located at the tip of the root and receives blood supply from the surrounding tissues SCAP (stem cells from apical papilla) may survive even after pulp necrosis of endontontic treatment and continues to form root dentin.


BLEED INITIATED IN THE CANALS

COLLAPLUG APPLIED OVER THE CLOT
Very importantly this procedure is to be carried out under LA without a vasoconstrictor and a rubber dam. A large file, endondontic sharp explorer can be used to induce bleeding. The blood plaque remains intact below the CEJ at this level 3-4 mm thick layer of MTA has to be applied, next day recall a resin composite double seal is mandatory. Cavit should be used as a intermediary restoration whenever necessary.
What this procedure does is to induce the MSCs to promote continuous root end development and allows continuous thickening of dentinal walls .


MTA applied over the collaplug

TEMPORARY SEAL WITH CAVIT RESIN COMPOSITE SEAL
TRIPLE ANTIBIOTIC PASTE
Simply put this paste has been found to be the most effective way to disinfect the canal.
1-Ciprofloxacin-200mg
2-Metronidazole-500mg
3-Minocycline-100mg
carrier- Macrogol ,proplylene glycol,saline.
Don�t forget to remove the sugar coat with a sharp scalpel or blade. Crush each drug separately in a motor ,mix equal ratio of each drug along with the carrier on a sterile mixing pad .The paste can be carried into the canal via a lentulo or any other special devices used for delivering the mix into the canal ,desired consistency of the paste can be achieved accordingly.
MESENCHYMAL STEM CELLS-(MSCs)
NOW, what this procedure does is induces the mesenchymal stem cells from the apical area of a immature permanent tooth which contains apical papilla ,which can be stimulated to promote bleeding and thus inducing the MSCs cache to revascularize & regenerate the lost ,damaged dentin structures. Further, some pulpal tissue may also retain some vitality also the periapical bone may be stimulated too .Further studies needs to be done to confirm the source of MSCs as such we are at this stage not sure whether it is the apical papilla, pulpal remnants retaining some vitality, or the peri apical area which induces the release of MSCs. MSCs are multipotent stem cells which can develop into other body parts such as bone ,cartilage, and fat. 1-osteoblasts 2-chondroblasts 3-adipocytes 4-neural cells.
STEM CELLS
Undifferentiated cells that can differentiate and divide into all the cell types continuously are stem cells ,thus all our tissue and organ have a common origin. Stem cells can be Embryonic(fetal) or Adult(post natal).Stem cells & progenitor cells acts as a repair system for the body. Further stem cells can be divided according to there ability to form and differentiate, that is plasticity into--------------
1-TOTIPOTENT-first division of fertilized egg (each cell type can develop into a new individual)
2-PLURIPOTENT-can differentiate into all the specialized cell types
3-MULTIPOTENT-can differentiate into a number of cell types
4-OLIGOPOTENT-can differentiate into a few cell types
5-UNIPOTENT-can differentiate into only a single cell type
Stem cells undergo numerous cycles of cell division while maintaining the undifferentiated state, they have a capability to copy different cell type and self revival. MSCs are being used by researchers in the field of regenerative medicine & tissue engineering to artificially construct human tissue which has been previously damaged by injury or disease, neoplasm etc. MSCs are unique in their ability to develop cells which can contribute to replacing muscle tissues or internal organs. They can grow in vitro, in a lab under controlled condition or by using mediation to stimulate new cell growth within the human body. Some sources of MSCs are-bone marrow, fetal umbilical cord blood, pulp tissue, skin etc. MSCs differ from ESCs by the fact that they can be created without the need of an embryo but, such cells can�t develop into different types of cells in the body. Further, use of ESCs is controversial , unethical to many and banned by most countries as embryo is also considered life has to be destroyed. Now a day fertilized IVF embryo which goes as medical waste has gained approval for stem cell research.
The wisdom tooth, an excellent source of DPSCs (dental pulp stem cells) and also (SHED) human exfoliated deciduous teeth pulp has a excellent source of MSCs and are preferred from the ones taken from bone marrow as they can be easily stored ,preserved ,show greater activity and plasticity. ESCs are more versatile and plastic but their development can�t be controlled and ethical issue limits their use, adult stem cells are less proliferative , require high compatibility between donor and recipient ,they can self revive.

Some say we need ESCs to study the early phase of human development, which might be crucial in finding cure for numerous life threatening diseases incurable today ,Diabetes ,blindness ,vision impairment, deafness tooth loss through pro teeth stem cell development ,blood transplants ,baldness ,cancer developing a better drug delivery system to name a few ,ethical issues will always be involved limiting their use but now MSCs has been show to have better plasticity than previously thought and also by PLURIPOTENCY TRANSDUCTION continuous development and concepts are evolving, umbilical cord blood bank have come up its like buying a insurance policy if needed in the future for better survival. Because human third molars are discarded as medical waste , colonally expanded MSCs derived from dental pulp are valuable cell source for the generation Of Ips ( induced pluripotent stem cells) . Ips closely resembles human embryonic cells in many aspects including morphology, gene expression ,surface marker expression ,epigenetic states and ability to differentiate into three germinal layers (endoderm, mesoderm, and ectoderm) in vitro and in vivo.
Concept of tissue engineering was first conceived by Langer and Vacanti in the early 1990s. The most promising cell source for tissue engineering are stem cells. Tooth buds are also used as a source of stem cells for dental tissue regeneration, tooth buds contains both dental epithelial cells and MSCs and studies have reported the formation of bioengineered teeth with anatomically corrected tooth �crown shape and enamel, dentin and pulp tissues using dental cell reaggregated tooth bud cells. Dental stem cell banks have been established and patients have started to cryopreserve their DSCs. iPSCs (induced pluripotent cells) can be used for autologous tissue regeneration.The mechanism of how a blood clot benefits the processes of regeneration and revascularization is not entirely clear , one possibility being SCAP cells from the apical papilla may migrate into the root canal and produce dental pulp complex like tissue. Platelet derived growth factor delivered into the blood clot can also help maintain a sufficient number of MSCs into the canal to promote regeneration and revascularization. The blood clot can also act as a natural scaffold for attachment , proliferation and differentiation.
Science is like a ever flowing river ,nothing is static, what we are doing now might just be obsolete in the future, new materials ,drugs ,concepts and techniques are continuously being bombarded , endodontics is evolving ,we have to accept changes adopt them master the technique and put them into practical use incorporating them in your routine dental practice.
Regenerative endodontics has the capability to change the way we look at our treatment, we should keep our eyes and arms open adopt and accept the changes all for the benefit of our patients.
THANK YOU.

Magnet therapy takes many different forms. In some cases, magnets are applied to illness-affected areas with the help of wraps, shoe inserts, self-adhesive strips, belts, or "magnetic jewelry" like bracelets, necklaces, and earrings. Other products include magnetic mattress pads and blankets, as well as magnetic-field-generating machines and even magnet-conditioned water.

Since scientific support for its use is so limited, it's difficult to determine how magnetic therapy might promote healing. However, proponents maintain that magnets can stimulate circulation, relax the blood vessels, increase endorphin levels, reduce muscle tension, and normalize metabolic functioning.

The implicit implication of the question; �How are you?� is �Whether we have succeeded in conquering the struggle of life (stress); or it is taking the better out of us�!

We usually answer �fine or OK� and get rid of the question! This is because there is nothing much to talk about our success or failure; in terms of monetary profit, political power, competition success etc. Sometimes; if we have earned excess of money, fame, popularity and power; and are euphoric about it; we say �We are on top of the world!� On the contrary; if we have failed in getting all these; then we are frustrated and give outlet to it in some other way and feel hurt for having lost self respect and dignity. In that case we may expect sympathy and help and may or may not get it!

The content of the word �success�; however; becomes more and more profound; as we mature; and develop global and holistic perspective! We begin to understand that success at different age and in different situations can vary tremendously.

Thus for a new born baby the first breath is the greatest success as it makes difference between life and death. Similarly; getting few drops of water can be a great success; for a farmer in famine.
But in general; the success can be comprehended holistically; in following manner!

The first step to success is to understand that there is a problem (stress); and that; it can be managed. The second step is to get holistic solutions to it. The third step is to be able to crystallize and apply them; or articulate them. The fourth step to success; is to understand the scope and limitations of the solutions; in a given individual, situation, time frame, and on an individual or global canvas; and accept it happily without grumbling. The fifth step to success; is surrendering the endeavors, which we thought as �ours� to the source from where they sprang! The sixth step is surrendering ourselves; to; and merging with our own immortal source!

All these six steps apply to every individual; irrespective of age, sex, occupation, caste, creed, religion, race and nationality. Every step may involve years or even decades; depending on the nature of stress or problems.

The example of success in Total Stress Management can be described as follows. The first step of success is; recognizing the stress of mortal life and the second is; getting the holistic solutions. The third step is; crystallizing and applying i.e. treading the path of Total Stress Management and articulating and sharing the details of the sojourn; with others. The fourth step is to happily accept the result; as the solutions have their own scope and limitations. The fifth step of success is; surrendering the endeavors, which we thought as �ours� to the �source� from where they spring. The sixth step of the success; is to return to immortal source of the solutions and be immortal!!!

NAMA (BRAHMA) is the immortal source of holistic solutions to individual and global stress. NAMASMARAN is the process of growth and maturity; so as to recognize the stress, comprehend it holistically, get the holistic solutions, crystallize, apply and share them with others, accept the result (determined by several factors) happily, return the whole endeavor to NAMA from where it springs gratefully; and return to NAMA for ever to be immortal!

 

beware of meditation!

�beware of meditation�? why should we or any one; bother about such a caution? isn�t such caution itself; actually misguiding and harmful?

what is wrong in the instructions given at the time of meditation workshops? these instructions appear to be meant for composure and relaxation of mind.

for instance, these instructions are;
�lie down in the open on your terrace; focus your mind on the blue and clear sky, gradually the sky would enter in you and you would have transcended mind�,
�sit in lotus position. let the atmosphere in your room be free of insects, free of dust, free of noise and free of other distractions. you may light an incense stick. you can have a photo or painting of your guru or a deity who elevates your mood or inspires you. then begin by breathing slowly and observe your own breathing�, �sit in a lotus posture. breathe slowly. focus your mind on a spot at your navel�,
�observe a round spot on a plane background of the wall. sit quietly. let the thoughts flow�,
and so on!

there appears to be nothing wrong in these!

yes; actually; there is nothing wrong in meditation per se and there is nothing wrong in the instructions as well!

the word meditation has its root, in �healing�. meditation is in practice in different forms for millennia in countries like india. meditation has no religious bias or cultural prejudice. meditation has whatsoever no element of any kind of coercion. meditation is a state that follows the process of evolution of body, instincts, emotions, intelligence and perspective and relaxes and endows peace!

but there is everything wrong; when the same word; �meditation� is misused to sell an �escapist mercenary gimmick�; as a panacea! it is detrimental to the buyer and seller; because it makes us callous cowards!

hence the word �meditation� is used here to imply; the commodity and mirage that is hyped, marketed, sold; as if it is an instant panacea for all the problems of universe; which we pay for; heavily and stupidly! this �meditation� is actually a caricature or even a vulgarization of meditation.

but beyond all this; to reach the truth, let us ask ourselves the following questions!

can we feel relaxed simply by meditation as is promoted and taught; even as we are in the stress of paying about 30 percent income tax (apart from sales tax, property tax etc.) without knowing how it is spent?

conversely; can we feel relaxed by sheer practice of meditation; even as we have to take such decisions against our conscience?

can we feel relaxed just by meditation; even while taking all such decisions lying down and suffering from them?

can we conquer the stress of commuting; irrespective of the crowd and other physical torture; merely by meditation?

can we conquer the stress of lack of housing, water, electricity, education, medical care; by meditation alone?

if not, then we need something far more holistic than mere meditation, especially in the form and way; it is hyped and marketed. we need what may be called total stress management.

what is total stress management?

1. total stress management (total stress management) constitutes; understanding the concept of stress, going to its root causes, effects, pathophysiology, mechanism, dimensions, support systems, holistic measures of management; as completely as possible! this requires active intellectual efforts by the participants. active intellectual participation makes it more difficult and less popular.

relaxation programs; meditation, pranayama, bhajan, arbitrary tips in the management books; as well as ready to use products; are easy and provide; instant emotional solace and relaxation; even if it is temporary. but if the root causes are not treated, then they prove to be counterproductive!

2. total stress management constitutes efforts towards simultaneous welfare of one and all and not merely that of an individual. this requires broadening of perspective. this is time consuming and may not give instant results in terms of tangible petty gains!

this also makes it more difficult and less popular because everyone is already preoccupied and hard pressed with personal problems of one kind or another. coming out of one�s �individual universe� is a herculean task for most of us, because we fail to understand; how welfare of �others� would contribute to �our welfare�!

the mercenary marketing of so called meditation breeds indolence, inertia and socially respectable easy temporary escape.

3. total stress management deals with stress; in totality.

we equate with mere tension, anxiety, worry, sleeplessness, irritability, depression, frustration etc. actually this is only a small and conscious part of stress. stress is universal. every living being has stress. stress is actually conscious and also unconscious. unconscious stress forms a major part and is not perceived!

this also leaves most of us to commit the blunder of believing that we do not have stress!

the mercenary marketing of �vulgarized caricature of meditation� has made us believe that we can sit in a cozy room and solve all our problems, without any kind of evolution! we remain in fool�s paradise that; through the short cut of such �so called meditation� we can manage stress; without making any difference to the material life of ours and the others! we forget the importance selflessness and simultaneous global blossoming in all the fields of life.

4.total stress management teaches that perspective, policies, planning, execution of sound intellectual solutions to personal and social problems can not be substituted by un-intellectual emotional games and gimmicks; such as so called meditation and so called devotion and so called charity.

total stress management teaches that real meditation, real devotion and real charity; are impossible; in absence of intellectual efforts to rectify the social homeostasis!

many of us feel that it is impossible to solve social problems and hence fail to do our own bit in this direction and get dragged into; the caricature of meditation. it is a part of many stress relaxation or stress management programs and is least demanding. it does not involve thinking, questions, arguments and action, but pampers our passivity! we simply have to �take the trouble� of joining some group by paying fees. it often pampers our basal instincts, personal emotional needs and intellectual escapism; through similar peers; and the ambience, food and glamour associated with it!

5. the concept of total stress management is not new in essence; but is new, novel and holistic in its exposition.

many of us; from media, politics, religion and other fields are not aware of total stress management. it is also true that due to the frenzy of material success; we do not have innate thirst to learn about total stress management.

it is strange; but true; that most of us; in scarcity (due to frustration) and in abundance (due to delirious obliviousness) are not able to grasp and practice total stress management!

marketed gimmicks of meditation never ask us to study (uphill activity) any social problems! they pamper our indolence and pettiness! hence most of us find them comforting.

6. total stress management aims at harmony between perspective, intelligence, emotions, instincts and body; and aims at best efforts of global welfare through laws, rules, and conventions and so on.

the farce of meditation has nothing to do with anybody else other than the individual himself or herself! there is implicit or explicit indifference; and no botheration about the world, society or family!

7. total stress management firmly upholds individual freedom to achieve total well being and suggests us to acquire and practice such freedom!

the marketing of the gimmicks of so called meditation; is a part of promoting our individualistic pursuits of petty pecuniary goals, through fashionable escapist tantrums, which alien us from rest of our brothers; and degrade us as human beings!

8. total stress management is not an explicit part of already existing tradition, religion or atheism. it does not pamper any personal ego and does not seek sponsoring by any multinationals or corporate houses. it is an irresistibly incoming thing; independent of all this and would be a universal force that would blossom the universe.

the escapist gimmicks of �so called meditation� have support and sponsorship from; the multinationals, corporate houses, celebrities, businessmen and political leaders for their personal gains. this support and sponsorship is sometimes even more than that for any entertainment business and personality! hence �marketing meditation� is a far more popular and flourishing (but not fulfilling the conscience) business!

9. total stress management suffers demoralization due to non acceptance by; the pro-tradition, theist, anti-tradition and atheist groups!

the so called meditation does not interfere with any policy matters and does not come in the way of our own and others� vested interests or prejudices; and hence has no opposition; from theist and atheist traditions!

10. relative delay in publication, reading and consensus building of total stress management; is often interpreted as god�s will!

it is true; that such a delay; is god�s will! the success of the crass mercenary, treacherous and mean gimmicks of meditation is also god�s will!

but the change that is imminent; is also god�s will, which we may or may not be able to see!

11. the total stress management (total stress management) being a relatively new exposition can be misunderstood, ignored or criticized; hence there is delay as well as obstacles. but it is bound to succeed; because it is god�s will, cosmic decision and the plan of absolute enlightenment or writing on the wall!

the �so called meditation� has no such fear of being misunderstood, ignored or criticized! it is going to perish because of the inherent limitations, vanity and contradictions in it!

12. total stress management involves genuinely honest struggle to engender holistic renaissance. it involves dedicated efforts to overcome; inappropriate asceticism, indulgence, frustration, inaction, non-assertion and even escapism.

the caricature of meditation lacks the genuinity, honesty, intensity, involvement, dedication and the adventure of pursuit of truth! it is trivial, irrelevant, ineffective and insignificant in every respect.

13. the total stress management involves unavoidable uncertainty of life! this is because there is no false assurance about tangible gains such as; health, money, fame, power, or even moral superiority!

the mediocrity of so called meditation makes it superficial and farcical. it does not have anything to do with our (and others�) hearts and souls; and our wellbeing! since it does not need serious involvement it keeps on appealing most of us as a casual activity; and hence it spreads like a fashion.

14. the total stress management totally lacks the dictatorial attitude and nurturing of vested interests for example forming a cult or establishing an institution or organization!

it is universal and hence; even though it goes on making a definite and significant difference in several ways; nobody would get a credit or profit from it!

the traders of �so called meditation�; succeed; largely because of the cooperation of other businesses and the games of management!

15. total stress management lacks the excitement associated with glamour and glitter involved in entertainment businesses such as cinema, sports etc. hence it does not pick the fancy of even talented individuals.

the so called meditation and stress relaxation programs are emulating the entertainment and showbiz; and hence no wonder; are amassing money, glamour and glitter.

but with globalization, the passivity is dwindling (though imperceptibly) and compelling the global political and intellectual leadership to study and practice total stress management; even though in different semantics.

16. some of the books on total stress management are comparatively less lucid and little more tedious, because of the emphasis given on accuracy and efficacy rather than literary qualities. but, when the social psyche gets ready for digesting certain concepts (for example oneness of spiritualism and materialism and oneness of theism and atheism); total stress management is bound to spread like wild fire.

the mirage of �so called meditation� dwells in hallucinatory utopia and hence is easily sold!

we are bound to understand its true nature and hollowness; as all of us are evolving. hence; we would abandon it forever; due to its being palliative, alien, escapist and thus counterproductive in nature (multiplying problems in individual and social life)!

17. it is also possible that there are still some inaccuracies and or deficiencies left in total stress management, which have to be rectified, while studying and practicing it. this is going to happen as the world is already coming together and blossoming together; in spite of the apparently dismal picture!

the hyped and marketed tricks of meditation and stress relaxation have built in contradictions and or deformity of pettiness. hence they are bound to be shunned!

18. the personal deficiencies of any one who studies total stress management; are considered as human and hence neither glorified nor condemned nor hidden. total stress management does not flourish on such falsities; but aims to blossom together.

the deficiencies of the traders of the vulgarized meditation however; are concealed and hidden; and often; an unjustified and unphysiological asceticism is claimed, hyped, glorified and sold!

all this is due to utter darkness (tamas) of ignorance; and bound to vanish with rapidly spreading enlightenment.

19. most importantly, the namasmaran that is being connected with god; is a hallmark or actually a core of total stress management.

the �farce of meditation�; ignores, neglects or even discards this aspect completely! this is because; the fashion, fancy or whim of meditation and yoga can be �marketed and sold�; and have a greater potential to cheat and (and for common people to get cheated) financially. whereas namasmaran is free; and hence without any scope for financial cheating or getting cheated.

to remain involved in the �trivialized�, �vulgarized� and �mercenarily marketed� so called meditation; without any reference to; and concern for; the objective material conditions in and around; is; �self inflicted �spiritual� perversion�!

can the practice of meditation, �help� the leaders, policy makers, decision makers, planners, administrators and the sufferers amongst us; to evolve and transform the scenario, and if yes; when?

is the philosophy and practice of meditation, mere �running after the mirage of stress management?

are these questions erratic, irrelevant or heretic?

is it arrogant to think; that it is �self inflicted spiritual castration; to neglect every evil; and merely keep practicing the so called meditation, without any reference to the objective material conditions�?

the holistic answer provided is that; all religious precepts, spiritual endeavors, spiritual disciplines, festivals, celebrations and a variety of rituals including; meditation, yoga and namasmaran are basically meant for evolving objective or holistic perspective and working in accordance with it.

if we take the analogy of the body functions, then the meditation, yoga and namasmaran; constitute the biochemical, biophysical and bioelectrical activities in brain respectively.

the holistic international perspective, policy making, programs and their implementation at ground level; constitute intellectual, emotional, instinctual and physical manifestations; of meditation, yoga and namasmaran.

meditation, yoga and namasmaran never were, never are and never would be sterile in terms of individual and global blossoming!

but what is marketed, sold or freely distributed (with ulterior motive), under these same �names and titles�; is cut off from ground realities; and devoid of the holistic solutions; and hence is trivialized and vulgarized caricature of meditation, yoga and namasmaran; and hence sterile or counterproductive!

thus; meditation, yoga and namasmaran; are inseparable from; physical, psychomotor, productive, instinctual, emotional, intellectual, creative and spiritual study and practices; linked with; study and application of the holistic solutions in the fields of health, education, agriculture, art, industry, economy, education, environment; which is called holistic renaissance, superliving or total stress management.