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      Salutogenesis and Ayurveda: indications for public health management

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          Abstract

          Ayurveda, the ancient traditional medicine of India, defines health as a state of complete physical, mental and spiritual well-being. The focus of Ayurveda is on a predictive, preventive and personalized medicine. This is obtained through a low-cost personalized counseling about lifestyle measures (diet, activities, etc.), trying to involve the patient directly in the process of healing, increasing his self-awareness and good relationships with other people and nature. The approach of Ayurveda toward positive health shares its features with that of salutogenesis as described by Antonovsky. Prevention strategies pragmatically suggested by Ayurveda - including factors such as promotion of health education, individual awareness, integration of spirituality and ethics in healthcare system- may be applied in public health management, in order to improve perceived and objective life quality, promote healthy aging, limit drugs use (avoiding expensive side-effects) and reduce chronic diseases social costs. Ayurveda has a universal-coverage, being person-centered and consequently intercultural.

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          Most cited references28

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          Phenotypic plasticity and the epigenetics of human disease.

          It is becoming clear that epigenetic changes are involved in human disease as well as during normal development. A unifying theme of disease epigenetics is defects in phenotypic plasticity--cells' ability to change their behaviour in response to internal or external environmental cues. This model proposes that hereditary disorders of the epigenetic apparatus lead to developmental defects, that cancer epigenetics involves disruption of the stem-cell programme, and that common diseases with late-onset phenotypes involve interactions between the epigenome, the genome and the environment. Increased understanding of epigenetic-disease mechanisms could lead to disease-risk stratification for targeted intervention and to targeted therapies.
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            Salutogenesis.

            The editor of the journal has taken the initiative to develop glossaries on central concepts in health promotion. The aim of this paper is to explain and clarify the key concepts of the salutogenic theory sense of coherence coined by Aaron Antonovsky. The explanations and interpretations are the result of an analysis of the scientific evidence base of the first 25 years of salutogenic research, described and discussed in an ongoing project on a systematic review by the above authors. The contemporary evidence shows the salutogenic approach could have a more central position in public health and health promotion research and practice. Furthermore, it could contribute to the solution of some of the most urgent public health problems of our time such as the question of mental health promotion. Finally, it could create a solid theoretical framework for health promotion.
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              Epigenetics at the epicenter of modern medicine.

              Epigenetics, the study of non-DNA sequence-related heredity, is at the epicenter of modern medicine because it can help to explain the relationship between an individual's genetic background, the environment, aging, and disease. It can do so because the epigenetic state varies among tissues and during a lifetime, whereas the DNA sequence remains essentially the same. As cells adapt to a changing internal and external environment, epigenetic mechanisms can remember these changes in the normal programming and reprogramming of gene activity. The common disease genetic and epigenetic (CDGE) model provides an epidemiologic framework that can incorporate epigenetic with genetic variation in the context of age-related susceptibility to disease. Under CDGE, the epigenetic program can modify the effects of deleterious genes or may be influenced by an adverse environment. Thus, including epigenetics into epidemiologic studies of human disease may help explain the relationship between the genome and the environment and may provide new clues to modifying these effects in disease prevention and therapy.
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                Author and article information

                Contributors
                +39-02-39265798 , dr.morandi@ayurvedicpoint.it , www.ayurvedicpoint.it
                Journal
                EPMA J
                EPMA J
                The EPMA Journal
                Springer Netherlands (Dordrecht )
                1878-5077
                1878-5085
                1 December 2011
                December 2011
                : 2
                : 4
                : 459-465
                Affiliations
                [1 ]Ayurvedic Point, C.SO Sempione 63, 20149 Milan, Italy
                [2 ]SSIMA, Italian Scientific Society for Ayurvedic Medicine, C.SO Sempione 63, 20149 Milan, Italy
                [3 ]IRCCS San Raffaele, Department of Neurology, Via Olgettina 48, 20132 Milan, Italy
                [4 ]Expert for non-conventional medicine, High Council of Health, Ministry of Health, Rome, Italy
                [5 ]Observatory and Methods for Health, Department of Sociology and Social Research, University of Milan-Bicocca, Milan, Italy
                Article
                132
                10.1007/s13167-011-0132-8
                3405400
                23194327
                5ea4e618-9a75-4cc7-b323-a639f11027c5
                © European Association for Predictive, Preventive and Personalised Medicine 2011
                History
                : 31 August 2011
                : 2 November 2011
                Categories
                Review Article
                Custom metadata
                © European Association for Predictive, Preventive and Personalised Medicine 2012

                Molecular medicine
                ayurveda,cam,salutogenesis,predictive medicine,preventive medicine,personalized medicine

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