This paper examines the condition of the Scheduled Castes in India and recognizes the factors that are causing dismal performance of the Scheduled Castes despite reservation policies. The paper first discusses the condition of Scheduled Castes based on the parameters of social, economic, education, and political representation. It then provides a brief overview of the current reservation percentages allocated to Scheduled Castes in various sectors. Moreover, the paper explores the causes for the dismal performance of Scheduled Castes despite the existence of reservation policies. In order to improve the condition of Scheduled Castes, the paper proposes a multifaceted approach, including the consideration of socio-economic criteria for recognizing castes in the list of Scheduled Castes, dis reservation of affluent Scheduled Caste families, preferential appointment of Scheduled Castes in administrative positions within Scheduled Areas, and reforms within the National Commission for Scheduled Castes. The paper also emphasizes the importance of periodic evaluations of socioeconomic conditions, talent identification, and grassroots awareness campaigns as strategies to uplift the Scheduled Castes.Keywords

Spinal cord stimulation (SCS) is a therapeutic modality for the treatment of various chronic pain conditions that has rapidly evolved over the past 50 years. Unfortunately, over time, patients implanted with SCS undergo a habituation phenomenon leading to decreased pain relief. Consequently, discovery of new stimulation waveforms and SCS applications have shown to prolong efficacy and reduce explantation rates. This article explores various SCS waveforms, their applications and proposes a graded approach to habituation mitigation. We suspect the neural habituation phenomenon parallels that seen in pharmacology. Consequently we urge further exploration of early introduction of these stimulation strategies to abate spinal cord stimulation habituation.

This narrative review aims to summarize evidence regarding the current utilization and future applications of neuromodulation in patients with headaches, with special attention paid to migraine and chronic cluster headache. We performed a narrative review of the literature to identify studies that detail the effectiveness of neuromodulation therapies in the treatment of headache syndromes. The literature was refined to predominantly focus on systematic reviews published in the last year that have the most robust reporting of research done on this topic. Patients with headache face several challenges, including medication overuse, cost burden, non-compliance to medications due to inability to tolerate side effects, or treatments that are ineffective. Neuromodulation is an emerging field that encompasses implantable and non-implantable technologies that intervene on the signaling and perception of pain. In recent years, this technology has been used as an analgesic, and has been shown to be effective for treatment-resistant headache, particularly when used in patients with migraine and chronic cluster headache.