A 50-year-old male participant with sedentary lifestyle, diagnosed with Metabolic Syndrome (MetS) [obesity, Type-2 diabetes mellitus, hypertension] and hypothyroidism since 2013, was administered integrated Yoga and Naturopathy (IYN) for 6 weeks as a tailor made individualized protocol at the residential integrative medical facility in Bangalore between October and November 2015. The results showed reduction in weight (97.9 kg to 74.6 kg), Body Mass Index (BMI) (35.1 kg/m2 to 27.86 kg/m2), total cholesterol (192 mg% to 145 mg%), triglycerides (153 mg% to 90 mg%), Low Density Lipoprotein (LDL) (124 mg% to 81 mg%), High Density Lipoprotein (HDL) (40 mg% to 46 mg%), fasting blood glucose (110 mg/dl to 75 mg/dl), postprandial glucose (267 mg/dl to 100 mg/dl), glycated hemoglobin (HbA1c) (7.8%–7.1%), Thyroid Stimulating Hormone (TSH) (6.90 μIU/ml to 3.052 μIU/ml). Following the intervention, the anti-hypertensive, oral hypoglycemic, thyroid raising and analgesic medicines were not required to be continued. His knee pain minimized on discharge as observed on a Visual Analog Scale. He had an improved feeling of wellness and overall functional health. All his parameters were within normal range at the 12-weeks follow-up, as he had incorporated the lifestyle program into his daily routine. This case report suggests that lifestyle change by integration of specific non-drug Yoga and Naturopathic intervention is useful in the management of MetS.
The combination of piles and raft foundation is known as piled raft foundation. Piled raft foundations have proven to be more cost-effective and capable of meeting safe bearing capacity and serviceability norms in the case of high-rise buildings on cohesionless soil. The behavior of a stacked raft foundation is influenced by the piles, raft, and soil. The stacked raft system’s bearing capacity is improved and settlement is minimized when the ground beneath the raft foundation bears the burden of supporting the applied loads. The piled raft foundation minimizes total settlement and improves bearing capacity more than the raft foundation. When isolated footings cover more than 70% of the building area under a superstructure, raft foundations are used, and the present study focuses on the vertical load bearing capability of piled raft foundation systems on cohesionless soil for concentric loading. The use of strategically positioned piles increases the load capacity of the raft while reducing differential settlement. The present study sheds some light on the use of piles as raft foundation settlement reducers, as well as the behavior of a piled raft in sand. A series of small-scale model experiments were carried out. The present investigation studies by varying pile length and alignment on the ultimate load of piled raft foundation. The results indicate that for a 10mm raft thickness, installing 4 piles, 6 piles, and 9 piles by varying L/D ratios of 5,10,15,20 carries significant load. In this present work for a 50mm length of pile, and the value of load improvement ratio increases by 36 percent, 60 percent, and 68 percent, respectively, when compared to plain raft.
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