Dr. Tara Rajendran MBBS MFA | Invited lecture | Kasturba Medical College, Manipal| Veena recital

Dr. Tara Rajendran MBBS MFA | Invited lecture | Kasturba Medical College, Manipal| Veena recital



first of all a big thank you for having company after your busy schedule history to listen and encourage dr. pol dr. Donna has an intern at Casey Hydra and on behalf of the office the political College my pal I extend a warm welcome to dr. Donna and the entire faculty and students and interns who have come here to encourage her I think the presence of the musical instrument here itself has created a divine aura and I'm sure the music will enhance it further let me request mr. bergna to give a rose and invite and welcome dr. dr. kameen silence professor egghead department of palliative medicine is here with us as the chief guest and who loves a chair this session are us pregnant to give us Atmel concern I think the pleasure of introducing dr. Donna actually when we have Sarah for her CV I got an Ellen Page CV very difficult to summarize it and give you the brief introduction of dr. Donna wonderful achievements at this young age dr. Donna is presently as I told you she's an in-demand kmg magnet which is basically from Palakkad Kayla she is an excellent journey right from her childhood she has chose the recipient of the prestigious Russia to be award at the age of 15 and prestigious tragic Oscar Award at the age of 13 during her third year and fourth year of medical school in she has received ICMR grant an American University grant for a project of non-hodgkins lymphoma which is also currently working on a project on breast cancer also she's also received a travel grant from a FMC College to me she has done her electives performance measurement oncology Howard University Harvard Medical School Boston in cardiology you Macario Medical Center Florida and in malignant hematology where corneal into earth medicine New York USA she'll confirm placements of pediatric hematology/oncology in New York outpatient manipular ecology Cancer Center Stanford University California hematology Stanford University California she was an observer at neuro-oncology danfa cancer University Howard Medical School in Boston and I think that's where her passion for music to be integrated into oncology has come out she has been selected as country's top 15 finalists for the prestigious for art scholarship 2018 this scholarship we have refined of students from India who are chosen for this it is for their outstanding performances in scholarly and extracurricular achievements their character commitment to others to a common culture and for the potential for leadership in whichever domains gays need she was also shortlisted for the interview for admission of any film in oncology University of Oxford in 2018 she's a number of publications in national international journals just presented at various conferences internationally coming to her music career she has started learning Carnatic music at the age of four and we die at the age of eight she is graduated in a formal manner from the Annamalai University with veena as the main subject and vocalist as Italy she has also that her master's at Fine Arts taking Mina from Annamalai University she's given a number of performances at various music festivals and on quality radio recently she's given a performance at Stanford University as well she is also a Thompson and has won an award in the something in classical dances were not even particularly at an annual arts festival presently she is also a core principal investigator in a randomized controlled trial on the effect of Indian classical music for chemotherapy and relatively amused anxiety payment mood disturbance in head and neck cancer patients while external I think that is in brief about dr. Khanna rajendran as the court goes along with fashion to become your purpose and it would one day become your profession here we have this young doctor who always wanted to be an oncologist now with a passion for music and she'll formation in all the areas of passions may not [Applause] Thank You Serena man that was such a wonderful and kind introduction it's such a pleasure to be here in this beautiful venue this is a special evening today because this is the university that gave me wings to fly and I am deeply appreciative of the exceeding kindness of dr. Greg Naumann the Dean of Kasturba Medical College money pal who do you mean this Parrinello and privilege structure I am appreciative of dr. Mennonite man for organizing this event thank you seven thank you all I welcome you all to equality and strains and it should be grateful that your job man had already given a wonderful introduction of me the first picture is from my very first invited National Music Festival I was nine year old and second one is the winner of the same from age 13 and the next one is my national award with a bad room physician and as I am a batch of 2012 EVs from KC man we honor and my Dean was kind enough to give me permission for pursuing bachelor's and master's and then I went to Harvard so this is how I was introduced to music Kathy my mentor and advise 15 of Harvard Medical School he introduced me to one of the most renowned music therapists in the world and she walked me through the world of music when I came back to start my internship the the Department of radiation oncology and the associate dean was very kind and we together started this clinical trial on music heavy in head and neck cancer patients and I also got selected for a PhD in music the topic being music heavy in cancer patients and upon finishing my internship I went again to us for pursuing clinical rotations in my area of interest which is some quality I was deeply appreciated and supported for my project this clinical trial and as well as other projects of music helping and one of them was dr. le Kendall the Nobel laureate of 2000 and he weren't meant for inventing how every stone in theorems and he also gave me this book on arts and medicine seeing my interest in music and oncology and that was a huge inspiration for me to start decision of on 1gn strings and that's how I went to Stanford and made the stock and it's very interesting that very recently I had a chat with once the entities of my lecture she was also a bollywood actress and she's basically an American and she is by novena for herself and her three daughters and she quoted that thank you for introducing me to such a powerful healing instrument I thought discussing that what is the national scale of India so I think thanks to One Direction go when he left India for touring with this sitar he polarized light right now it is the field likes it as the face of Indian classical music so but yes it's certainly not how many of you listen to music every day okay and once a week okay so in conclusion we all listen to music and it's an indictable part of her life and now why on a personal note I was into music because it still eats my brain if I'm sad define a big difference whether people gets rejecter or something like that I listen to music so how many like I just want to know why you you listen to music any answers what do you think pregnant while you listen to music really right so this is dr. weiland and he in the tech drop recently told that how happiness is a powerful tool for health you know and he says that it lowers cortisol which is a stress hormone what is what has so many other things as well introduce it decreases the immune strength extracts a job and it lowers cortisol and Happiness lowers cortisol and it gives our favorable new heart rate blood pressure and strengthens the immune system it reduces the inflammatory markers like see we acted from being it's a triangle of thought so music we all listen to music it's an individual part of our lives and secondly it gives us happiness and puts us in a very positive mental state and thirdly music gives happiness that kind of gives hell like a good health right so now the definition of music therapy is that clinical and evidence-based use of music interventions to accomplish in utilized goals I will talk about it later what are the in utilizing words within a therapeutic relationship by a friendship professional who has completed and truth music healthy program not it's divided to therapeutic and clinic if you listen to music as a doctor or patient even how he should or in an operating room or in a chemo infusion center that is therapeutic music therapy and that's more like a passive listening then coming to clinical music techniques that is when it's a research-based discipline and if vocation is listening to music healthy for a stipulated amount of time that's kind of an active listening that's clinically music therapy now that individualized goals are managing stress are you thinking evoking emotion enhance memories now an Indian classical music student or damn student learns this from childhood that there are 19 states or emotions and a dance students is supposed to evoke enact it out and walk these emotions to the audience and music student is supposed to evoke these emotions into the listener for example love the rock embrittlement saga that kind of evokes love to example it goes like this ah curry tapenade that evokes courage $3,000 Nikita James Berluti to death Jay get the monkey mom and Jacob are you in there – yeah so on and so forth but if you ask me if music can evoke and go yes that is there alcohol are tryna that evils and well now American Music Therapy Association has defined that in killi killi music therapy has significant effect in myocardial in increasing the quality of life of myocardial infraction patients and reducing stress reducing anxiety post-operative pain so one of my bananas times of PhD they were server or to deletion is also being up here so he his three-year PhD thesis person post-operative pain how the none has effective reducing post-operative pain in all the very patients next is my area of interest which is chemotherapy and radiation can be induced stress then comes bone marrow transplantation American Society of hypertension recently published an error website that there are complications going on which states music heavily reduces hypertension this is a publication from one of the best cancer programs the world Cancer Center in New York and they have done the study or music therapy for mood disturbance in stem cell transplant lesion which shows 28% reduction in combined anxiety and depression scale and 27% reduction in total mood disturbance compared to non music playing then this is another project published by Dylan program which is again a good program we see that the music healthy patients require significantly fever morphine equivalent doses compared to don't know music Quinn this is again another project and in radiation oncology department and they conducted the study in breast cancer and head and neck cancer patients they also say that there is a significant reduction in stress American Society of Clinical Oncology is one of the biggest and like the largest and the most respected platform for clinical oncologists globally and they have written in there they have written this out of you their website is showing that it was a systematic review done it shows 52 clinical trials involving 3731 patients in which they found that music has beneficial effect on encyclopedia city quality of life and small effects on pointers now I will post your that if there is a publication in any je m'en on a drug discovery it'd be like one clinical trial and like 10,000 patients right but here is like there are 52 trials and there are only like three thousand seventy nine thirty patience and I think probably it's because the patients are not giving consent mostly it's kind of interesting because music is non invasive interventions still there are not many people who comes up with that and secondly we need to have more clinical trials Journal of Clinical Oncology is one of the very good impact factor journals in oncology it's a provocation by ASCO and they did this study on breast cancer patients undergoing breast surgery effect of music therapy of anaesthesia requirements they had this live music and recorded music and these think that they found that live music group had a shorter recovery time completely recorded music now we know that from these publications that okay music has some effect quickly and slightly reduce disturbance and how is that so functional MRI shows that the ventral striatum the dorsal medial midbrain the amygdala and the hippocampus they are created with their pathways related with pain anxiety and depression span and music also has the same neuronal traffic and now this is the sagittal view of Muir and athletic regions affected by music and it is also implicated in the pathophysiology of pain anxiety and depression so they are very addictive brain ventral tegmental area nucleus equipments and such chemical signal region because of all these things I strongly think that if we have enough funds we should have live music therapy as part of the treatment or it's not funded we should have recorded basic healthy and why because we do have enough evidences it's a cost-effective process and it's non-invasive zero side effects and it's fun now every year in India there are so many around hundreds of students graduating out of art schools graduating from medicine our music so if we could use those resources like in hospital receptions as like live music vocal or instrumental like preoperative area post-operative area chemo infusion centers that will be a great thing great interaction now in classical music it has the most complex combination of musical grammar and there is something in and northing in classical music south indian orthognathic is the music in which I am trained in so I can talk all about them so there are 22 notes per octave in romantic in southern in classical music OS this one to twelve notes in where octave investor and now when I was giving this talk exchange for one of the residents pointed out why is that significant so there are initially when I mentioned there are so many robbers which evoke love or courage with this twenty two notes the permutation and combination of gragas which we can make is like innumerable so we have a broader spectrum to give to the patient if vocation didn't like one dragon we get caught up with something else we do have a broader spectrum and there are 35 rhythms it's not one or two we have 35 rhythms in column and now this is a very interesting pictures how many of you here have gone to a yoga the answer is going to a yoga class going that's interesting like it stay put probably around 80 person was going to your background so what do you understand by this word one chakra you will be taught they write to us what is the chapter what is your understand yeah if you had something like an energy right energy yeah so yoga what is Yoga Yoga is a mental or physical or spiritual factors there you were weak in these structures so chakras are nothing but energy centers there are so many chakras in the human body but we seven are very important and it's like life in the axial line starts from the vertebral column to big level not seven of them have seven importance one evokes love animals consciousness next structure but if what I want what I'm trying to see is the year when I said there are 22 notes the 22 moves in classical music derives from the seven fundamental basic notes which is we have a million compositions in classical music and all those million compositions is nothing but just the perfect Asian and combination of these seven notes so the whole point of this line is music is equivalent to so what you do in yoga whatever relaxation of meditation practices you have it is the same thing in music when you listen to music or play a musical instrument this is one of the very very popular compositions in classical music composed by st. John Raja which which explains this concept it was written hundreds of oh my freeze the divine points of the seven musical notes whispering than evil heart neck and the loss of the tendon which shiny before with us and the sudden Gayatri mantra has its essence it's partly in the hearts of the Celestials of multiple Sara's and of sahaja so I advocate instrumental music therapy over Google music is universal yes but if a patient is undergoing chemo or radiation and if it's like American nations are hunting Ahmadiyya in song it wouldn't be appreciated much so for that purpose if we can take out that language barrier that'd be great so instruments will be great for that and secondly there are five to seven of these or develop tips which could be played an instrument between a mile or a cello or guitar beat any instrument but in mobile even if it's a great singer she or he can sing moving up to three octaves so we have again more spectrum at a time in an instrument you can play up to one or two or three amano is a vocal we can only sing one note at a time and vibrations is another thing if it's the stringed instrument live music therapy is the best because there is transmission of vibrations so that's very peculiar and important so because of all these things is effective the National coordinates are basically not what is the meaning of this word Tina comes from Sanskrit say it's one BPPV veena anything that which can betray the subpoena the human body is the Venus contrast Avena and the strings spin – oh boy it's a straight left seven students two men with 24 frets made of elemental which is a grass like a Lowen there are seven strings four main and three the dollar of the strings the standard size of who veena is for sweet and the bananas – at 150 Hertz as fundamental frequency of two and a half ago and it's not just written from names or script or something so a wonderful set of physicists at bits pilani they did this experimental physics project on how we have to be tuned and when when would be now get a very good voice like a favorable tone and what should be at that frequency so veena since it has like seven strings and the frequency varies from 0.375 times frequency to offer till twice the basic fundamental frequency it has to be true – not two and a half or 150 Hertz and now it's a very ancient instrument was kind of device 9700 BC I was learning veena all these years and I found the front of this paper like baby – visa so this paper was spicy ramen Nobel laureate for physics it's a first ever published paper on Venus acoustics and how a remand to determine quality and why is Venus sound very different and very unique and very significant for humans there are human here and that is our true series of overtones now he goes like this his this concept was confirmed by in a project done by iit kharagpur seven physicists and the bridge of bananas of very much importance the upper surface of the bridges of corrupt mental and the string sleeves it under tangent so that is for africa strictly instrument it has a broad bridge and that makes it very special and unique from any other instrument they all have like based on our star chart bridge so non-medical discussions fina through like growing up in a in a village in kala I have seen all these yoga classes keeping veena or meditation I have seen so many people like even like in Chennai and online relax for relaxation they have Center respectively veena so it's kind of very important and it's an auspicious instrument it's believed in temples and seventies and next one is kind of very interesting that if there is a pregnant women there is a cultural tradition of playing veena when like at the eighth month of gestation these think that there is spatial reasoning and the spatial reasoning and music has pathway so the baby will have greater spatial reasoning compared to the rest of us I'm not quite sure of the science behind that but that's what they have said they have said that there is no published paper online and secondly there'll be more brain activity and we will have more focus when he or she grows up and just like my suit standalone Kanjivaram solli-tangen will be now because of its specific and unique me it has it has got a geographical indication that GA time this is a picture I have taken from this book published in 1936 in another language could be the Prakash ek that compares me down with a how human body 24 frets are compared to 24 3 sacral vertebrae 7 strings are compared with the spinal cord and dragon head is compared to the sacrum and coccyx resonator is compared to the brain and ask the vertebrae but ripple disks get thicker as you go to the coral end the same with me now the fresca thing now there is a thought process in Hinduism from early on that the 24 frets are pathetic 24 letters of countrymen drown and the 7 strings are compared to the four compared to beta and the three drone strings are very chatty Jana Shakti and Kriya Shakti that's the thought process again and yes South in classical musicians will be when creating the corner of the season are times that if it was told by one of the very very good binding price currently gently published and it's just that for every season for being there is no authority for spring there is percent down they say that you have to pay leave it at that particular thing is explaining you have to take whatever she but she has this concept of it's not like that and even when someone you can sing with the Machine you odd person so because our 50 musicians can evoke that feeling in anyone at any time so I am going to demonstrate to me rather – Amrita were singing that evokes the feeling of rain and second one of fortune waves that's called some nutrient but I've started with a normal concert piece first – thank you [Applause] a stab wound to play with a concert please which comprises course nine guys [Applause] [Applause] now coming to a drug called Mountain so that's 10 degrees the next one is of interest me the one that will swing on frame [Applause] [Applause] [Applause] [Applause] [Applause] this one is some trivia [Applause] [Applause] many patients everyone I'm not sure so what I can say right now is that what I have seen so what you said is a therapeutic missing Tempe results so I have seen stateful and Harvard especially when I was training right there there will be a musician who will be playing a piano or a violin on a corner on a smooth like a soothing relaxing music and so as you ask whether that's interesting or appealing to everyone I'm not sure what you can see that we can it we can provide like like a horn or something because that that's again means a lot of quantity like you know for every patient keeping something but instead keeping something like us soothing very in a very low volume something which is which could be is not appreciated by and everyone something which is very relaxing and not creating any reason sort of disinterested to be but we cannot like tumhe interest everybody make it plain like jazz of it Drago into classic women what do you think music corner which is kind of to most [Applause] because wonderful performance and a brilliant CV also to aspire for end to the forefoot and I think at the very end age you have billions of achievement it's everything they are finding so we are really privileged to have you and I represent the medical conference you can circus enter and all the peoples from there it's a Monday evening so may be unable to come with great numbers but whoever have come have really come with lots of interest for your work and really appreciate your work and we really wish you a lot of success in what you do in the future firstly I was introduced to music therapy way back in 2014 I have a friend from Germany had maybe score other Beatrix yeah I she has introduced a concept called support in Kampala when the musical instrument is placed on the body of the person and played and we conducted a workshop in the year 2017 everybody was bitten on some patients and also some of us we're bishops and we found that it is called a quite and effective group especially in pain management in my official paid post breast cancer the head and neck and stiffness and he me get relief in not just hearing the sound but feeling the some vibrations artists and that's a very effective and she has published it in the middle of palliative care and I've seen some of the work being of this words and we also have read through some of systematic reviews on music therapy so I'm sure with our cancer team you can very closely cooperate and work not just the Stanford and Howard how much money policy can she get Center also you can happy for you to work with our team also our team also opportunity COPD for coming here and all the other participants thank you so much [Applause] leadership about being a church I have been training students from my path and one of my students recently he passed roti or deceit in Bank America which is very good his name is Sarah Pakistan so we have been going through this vino therapy locally and we have lived to see wonders as you have told and we have a very good trait that I hope the couple along with the you tell already this crystalline structure so when we keep this on the body part and play we can have vibrations of the fitness also and only the music whatever use music we play so that he also feel that along with a couple and now we the feeders we also feel them so surely there is a very positive and strong vibration please we also get choice and not only the human thumb that is the vegetables even I don't know whether all of you know when I open I let me see yeah I mean when they get their people they get the way the knowledge so that temples to give God and especially a specific important term wrong there after the beta about the after the Gayatri mantra is recited to the boy then they call us here especially would be mother suffered s Willis records they call this and we have to play this specific some specific prophecy but she rather of those auspicious process and in the case of banana it is small enough movement even theory but the most of the mattress Aryan Trivedi so I think that vibration and I really am very very joy fully evolved in such ceremonies and it's not just you see it is a government of 24 years in this mean is a great instrument and I'm having students here mr. B – and Nadia writing and in the engineering sector and they have multiple thinking capacities and various feet we're excited and very grateful that I'm crispy and thank you this knowledge [Applause] thank you all for me here we shall in this positive note thank you

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